In September , the third week, Sands finished her sixth and final session of chemotherapy at University Hospitals in Iowa City. At first Paul thought it was bladder infection which caused her bloating, feeling of fullness and nausea. She went to a medic who prescribed antibiotic but had no effect and returned for a second visit.
An ultrasound was ordered at an April 20 follow-up appointment. A mass — 11 centimeters wide — had been discovered. In an interview with Paula, she said that she knew there was a possibility of ovarian cancer. This meant that cancer was in one or both of her ovaries and had spread to other tissue in the pelvic area. Paul heard the shocking news after waking up from the 4- to 5-hour surgery. The surgery included a hysterectomy and removal of the mass. The event was a fundraiser for the NormaLeah Foundation.
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