Kennedy leaves hospital after diagnosis of malignant tumor

May 21, 2008 01:31 PM Email| Comments (0)| Text size – +

By Brian C. Mooney, John R. Ellement, and Andrew Ryan, Globe Staff

US Senator Edward M. Kennedy left Massachusetts General Hospital today and returned to Hyannis Port, heading home a day after the world learned that the last surviving brother of the famed Kennedy clan had been diagnosed with a malignant brain tumor.

A white square bandage was visible on the back of Kennedy's head as he emerged from the hospital just after 10 a.m. Two hours later, the senator and his wife, Victoria Reggie Kennedy, were back at the family compound on Cape Cod, waving to a cluster of 10 to 15 reporters and photographers behind wooden police barricades. The couple walked arm-in-arm as their Portuguese water dogs, Splash and Sunny, frolicked on the lawn.

"He waived, looked well, and he seemed to be happy to be home," said Joan McAuliffe, 75, who came from her home in neighboring Centerville to welcome Kennedy back to the Cape. She told him, "Good luck, best wishes, and we hope everything turns out well."

At the Hyannis Port Yacht Club, the sail covers were being removed from Kennedy's 50-foot navy blue sloop, Mya. It is 60 degrees and sunny today on the Cape, with a southwest wind blowing 11 miles per hour.

Earlier at Mass. General, Kennedy and his wife passed through rows of cheering patients and staff members who shouted encouragement as they lined the hospital hallway. On the sidewalk, the senator was greeted by the wagging tails of Splash and Sunny. Another crowd of onlookers outside burst into applause when Kennedy stepped into the sunlight, with one woman shouting, "we love you," and another person yelling, "thank you."

The senator smiled broadly, waved, and gave a thumbs up to the more than 50 reporters, photographers, and cameramen recording the moment.

(George Rizer/Globe Staff)

Kennedy kissed his daughter, Kara, and his niece Caroline Kennedy, and hugged his son Representative Patrick Kennedy of Rhode Island. He flashed the crowd of onlookers another thumbs up and then climbed into the front passenger seat of a dark blue Chevy Suburban. As his wife stepped into the car, she turned to the media and mouthed the words "thank you" before they drove off.

(George Rizer/Globe Staff)

The cheering crowd outside the hospital included Sean Butler, 42, who came with three co-workers from the Local 537 Pipefitters union to pay respects to Kennedy and, in some small way, try to thank him for his steadfast support for organized labor.

"We hope that voice isn't silenced so soon," Butler said. "I thought he looked a little thin, but under the circumstances, I thought he looked great. It's very sad."

In a statement released by the hospital, doctors said: "Senator Kennedy has recovered remarkably quickly from his Monday procedure and therefore will be released from the hospital today ahead of schedule. He will return to his home on Cape Cod while we await further test results and determine treatment plans. He's feeling well and eager to get started."

The prognosis appears uncertain for the political icon. Kennedy's diagnosis was announced three days after the 76-year-old senator was stricken Saturday in Hyannis Port. Doctors at Mass. General conducted a battery of tests, including a biopsy, and identified a cancerous mass on the top left portion of his brain as the cause of his seizure.

The news sent shockwaves across Massachusetts, which he has represented in the Senate for more than 45 years, and across Washington, where he is held in high esteem by Democrats and Republicans alike. Many of his Senate colleagues were visibly shaken, some tearing up, and they quickly expressed their hope for the best possible outcome.

"The usual course of treatment includes combinations of various forms of radiation and chemotherapy," said the statement by Dr. Lee Schwamm, a neurologist, and Dr. Larry Ronan, Kennedy's primary care physician.

But the two Mass. General physicians added that decisions about the best course of treatment would be made after more tests and analysis. They described the senator as "in good overall condition . . . up and walking around the hospital . . . in good spirits and full of energy."

The prognosis is highly variable at best, ominous at worst, and it raises the possibility that the workhorse lawmaker will be unable to complete the final 4-1/2 years of his eighth full term. Still, many of his allies immediately began rallying around him, describing him as a fighter who would beat back cancer as he has defeated political foes, and pointed out that he is from a family of cancer survivors.

Despite the bad news, a Kennedy associate said that the senator shows no symptoms, remains upbeat, and has warned small groups of aides that he wants them back at work.

One associate said Kennedy is plotting his course of treatment as if he were mapping strategy to enact a piece of legislation, peppering his doctors with questions and planning to reach out to other specialists before determining a course of action.

He has given no thought to retirement, a Kennedy confidante asserted. "It's not even an option."
Kennedy's type of cancer, known as a malignant glioma, is the most common kind of brain tumor in his age group. Nationally, about 9,000 such malignancies are diagnosed each year.

Dr. Patrick Wen, clinical director for neuro-oncology at the Dana-Farber Cancer Institute, said that a malignant glioma, in general, is "a really serious tumor," usually Grade 3 or 4 on a scale where 4 is most severe. "The average survival for a Grade 4 tumor is 14 or 15 months," Wen said. "For a Grade 3 tumor, it's two to three years. Unfortunately, the older you are, the worse it is. . . . It's more aggressive.

If Kennedy is unable to serve, a special election to choose a successor would be held between 145 and 160 days after the seat becomes vacant, according to a state law enacted in 2004.

Kennedy, the second-longest serving member of the Senate and third-longest serving in its 219-year history, has had a series of health problems over the years. Six months ago, he underwent surgery to repair a partially blocked carotid artery in his neck. But he has continued to maintain a vigorous schedule.

The senator and his wife were given the diagnosis late Monday by his doctors. Victoria Reggie Kennedy returned to Mass. General today at 7:15 a.m. and walked briskly inside. She issued an e-mail yesterday saying that they had been thrown "a real curveball," but neither the senator's office nor any other family members issued public statements.

Once the senator's illness was announced yesterday in an e-mail to reporters, reaction was broad, swift, and solemn. Dana Perino, Bush's spokeswoman, said the president "was deeply saddened and would keep Senator Kennedy in his prayers."

Kennedy's hospitalization Saturday triggered alarm in the political world and drew an outpouring of support from around the nation. The concern abated when friends and associates said later that day that he was talking and joking with family, watching the Red Sox on television, and getting takeout from Legal Sea Foods.

But as word of the new diagnosis traveled quickly yesterday, his constituents expressed sadness upon hearing the news.

"Oh, my God," said Lisa Rappoli, 55, of Belmont. "It's a shock, just a shock."
"I just felt sorrow, but I'm praying, wishing that he has at least a good chance," said Angelo Vespa, 43, of Newton. "All that he's gone through, it's really sad."

Since being elected to the Senate in 1962 to the seat vacated by his brother, President Kennedy, Edward Kennedy has sponsored more than 2,500 bills, with nearly a quarter becoming law. He has made a career of championing the causes of the least fortunate. His ability to forge bipartisan agreement has brought sweeping changes to entire sections of federal law dealing with healthcare, mental health, the disabled, early childhood education, labor, civil and voting rights, and immigration. His first major speech on the Senate floor was in support of the Civil Rights Act of 1964.

To Massachusetts, Kennedy has helped bring enormous sums of money for funding medical and other scientific research, infrastructure, historic preservation, and aid for the state's older cities.

A summary of Kennedy's achievements in the Senate, compiled by his staff, is 50 single-spaced pages long. "That's the trimmed-down version," an aide said recently.

Kennedy is the only one of the four brothers to live through middle age. His three brothers all died prematurely: Joseph P. Kennedy Jr., killed in 1944 on a World War II bombing mission; John F. Kennedy, assassinated in Dallas in 1963; and Robert F. Kennedy, assassinated while campaigning for the Democratic presidential nomination in Los Angeles in 1968.

Political success and personal tragedy have marked the story of one of the nation's most famous families. Three other nephews died tragically - John F. Kennedy Jr. in a plane crash, Michael Kennedy in a skiing accident, and David Kennedy from a drug overdose. Two of Edward Kennedy's children, Edward Jr. and Kara, are cancer survivors.

Kennedy has suffered through his own misfortune and failure. In 1964, he suffered a broken back in a small plane crash in Western Massachusetts that resulted in the death of the pilot and one of Kennedy's aides. In 1969, Mary Jo Kopechne drowned when a car driven by Kennedy went off a bridge on Chappaquiddick Island, and Kennedy left the scene.

In the late 1980s, he abandoned any ambition to the presidency when he announced he would run for reelection to the Senate. "I know that this decision means that I may never be president," he declared. "But the pursuit of the presidency is not my life. Public service is."

Carey Goldberg and David Abel of the Globe staff and Globe correspondents Matthew Collette and Vincent DeWitt contributed to this report.