Sandra's cancer is fast-moving, and causing fluid to build up in her lung cavity. Having completed 15 rounds of radiation treatment without success, she has now opted for an unfunded immunotherapy called Pembrolizumab.
The drug treatment costs more than $11,500 every three weeks. There are also the oncology treatment fees of almost $2250 every three weeks, as well as travel costs to Auckland from Weber. The lump sum payment from the couple's life insurance has been set aside to cover these costs, and has also allowed Sandra to start her first treatment.
Meanwhile, a Givealittle fundraising page set up this month had yesterday raised $22,000, with an end goal of $195,000, which would cover 17 rounds of treatment for Sandra.
Last Saturday, a quiz night and auction organised by the Weber Community Committee also raised $20,000.
Sandra's daughter, Emma Mann, who is one of three siblings, said the community response had given her mother a massive boost.
"She's overwhelmed, and well, it's just boosting her - she knows she's got everyone behind her. It's incredible - we're amazed at the community support we've received."
While her mother was unable to attend the quiz night, the love and support for the 47-year-old was palpable at the event.
The Smalls are stalwarts of the town - Sandra drove the local school bus for eight years.
"We cannot thank the community and everyone who has made donations enough, from the bottom of all our hearts," Ms Mann said.
Sandra is at Arohanui Hospice in Palmerston North, trying to get her pain to a manageable level before she can head to Auckland for another round of treatment.
She hopes the immunotherapy will enable her to enjoy the arrival of a third grandchild, who is due in January.
To donate to Sandra, visit: www.givealittle.co.nz/cause/helpoursandra/