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Eliana is no longer in pain or suffering. Now focus is on helping her family build a tomb for her. See the designs I created. The sculpture of her painting the sky I will make myself out of concrete. Her family does not have the resources to provide any more than the concrete and block structure she is in now. Even the burial plot I paid for to have a permanent resting place as their plan (burial plan that was meant for one o the parents) only covered basic costs, a simple coffin, and a 3 year plot. Now as her Husband all this will be accomplished but there is a large amount of medical bills still to negotiate and these future costs. so any help you desire to offer is appreciated. Further I will note that the amount received to date paid for the 1st treatment and surrounding costs associated with her situation to date.
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October 27, 2025 – Update 2
Hello everyone, this is Kevin reporting from Columbia, Tennessee.
We are now four weeks into the Enhertu treatment and would like to share a general update.
As with most treatments, there have been both challenges and encouraging signs.
The Difficult Side
As expected, the treatment has caused nausea and occasional vomiting. The nausea was noticeable early on, and recently she has been experiencing vomiting at night. At times, it appears that there may be some blood present. After looking into this, we learned that the pressure from the ascites (fluid buildup in the abdomen) can compress tiny blood vessels, causing small amounts of blood to appear in the fluid that the body is trying to expel.
Fatigue also continues, which is typical with this treatment. Fortunately, she has not experienced any of the more severe side effects that some patients on Enhertu encounter. Hair loss has begun, and although the doctor suggested a cold cap to help prevent it, the hospital unfortunately did not have that option available.
The ascites remains a significant challenge—accumulating 4 to 5 liters of fluid in her abdomen and now extending to her lower legs. The abdominal pressure also limits how much she can eat comfortably and requires her to rest often, usually lying on her side.
The Encouraging Side
Despite these obstacles, there have been bright moments. Overall, she feels noticeably better than before starting treatment—more active, more social, and more herself. Her family and I noticed her voice growing stronger during the first week of treatment, and even though the ascites persists, there were some early signs of improvement.
She refuses to let the symptoms define her. Wanting to be part of the family activity in the kitchen again, we set up a comfortable easy chair there for her. She still drives occasionally, and her new dream is to return to our home—to walk barefoot in the grass, and to pick lemons and bananas straight from the trees.
Looking Ahead
While her family and I share some concern about this independent spirit, we fully support her. We installed an electric gate opener at our home to make things easier and safer, and her parents plan to stay with her while I am away. Her childhood friend “Lu” visits almost daily to encourage and uplift her.
As for me, my schedule now alternates between two weeks in the U.S. and one week in Brazil.
Through it all, life goes on. We want to sincerely thank everyone for your continued support, love, and prayers. Special thanks to Heritage Church and Pastor Marion Lovett in Centerville, TN, for their faith and kindness.
This is a long road, but it’s one filled with hope, gratitude, and the power of community. Thank you from the bottom of our hearts
Kevin
(On behalf of Eliana Dos Santos)
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Link to Hospital document