Getting Something Off My Chest

Friends and Family,

There’s something I’ve been wanting to get off my chest for a long time, but first things first. I had a CT scan last week, and we met with my oncologist last Wednesday. I will start out by telling you that for us right now, one of the most beautiful words in the English language is “stable.”

Not this kind of stable!

Stable! Those are the results of my latest scan. As in, the massive improvement in my scans from six weeks ago is holding steady. And that’s not the only good sign. My lab work is moving more and more into the normal range. Dr. Sanborn told us she panicked a little when she read in my chart that I had put on weight in the last three weeks, thinking that it was probably fluid building up in my legs again. That’s why she questioned me so carefully about how I was feeling and was extra thorough checking my legs – to make sure. But the weight gain was real, another sign that I’m getting healthier. Part of that is that I’m also gaining some of my appetite back, but beyond that, having a body that reacts normally to food means that my force-feeding program of the last three months is paying off.

 Fattening up (it’s all relative!) is paying other dividends. I’m feeling the cold less. Instead of dreading the frozen moments between getting into the shower and putting my clothes back on again, I’m comfortable with the temperature. I’ve actually worn only two layers of clothing around the house a few times. I think some of it is the added padding, and some of it is my body getting back to normal self-regulation of temperature.

 All of this means that I continue with chemo every three weeks starting last Wednesday, but now the only chemo drug is Alimta. I’m done with my four rounds of carboplatin, and moving on to what I think of in comparison as “chemo lite.” Side effects have been minimal, and I’m already on the road to recovery for this round. Nice and easy!

 And now for what I wanted to get off my chest. It’s not that heavy, but it does have an oversized impact on daily living.

 It’s called PleurX. I’ve had two PleurX tubes draining fluid from my lungs for three months. One of the tubes dried up completely (no more cancer in the interstitial lining of my lung), so we had an appointment today to remove it. Dr. Mary suggested that since the other tube was nearly dry, there was less risk of infection if she removed that tube as well. The rest of the fluid will re-absorb on its own, she said.

 And so I agreed. Both tubes were plucked from my chest today, while Genevieve turned her head to avoid the sight. I’m a free man again! No more pain at night when and my tubes and fat-free ribs collide with what felt like a rock-hard pillow top mattress. No more restricted movement to prevent accidentally pulling out the tubes or tearing off the bandages. No more awkward improvised showers where Genevieve wrapping me in Glad Wrap to keep water away from my bandages.

 The sweet smell of freedom!

 It’s been a long time since I’ve been able to be this naturally upbeat. Three months ago, Genevieve had to wheel me around the hospital because I couldn’t breathe enough to do it on my own. We were having end-of-life discussions with Dr. Sanborn, as in this-chemo-could-kill-you-or-make-you-better, and defining where my bottom line was before I would want my life to be over. For me, it was constantly gasping for air, and I was very close. It brings me to tears to think how close that moment was.

 We are so far from this now that it seems surreal. My strength is coming back, and our daily hour-long hill walks are just as challenging now as they were before my decline last summer. Life is almost as normal as it gets again.

 I am grateful for the encouragement that all of you have given me. Some of it has been practical, such as the wonderful meals. Much of it has been verbal, and based on your own experiences. All of it I treasure deeply. Of course, I owe every breath I take to Genevieve, the greatest gift of my lifetime.

 Here’s hoping you find many things for which you, too, are grateful.

 Love,

 Dann

On the Rebound

Friends and Family,

Genevieve and I have certainly had our hands full or the past few weeks. Rather than take you through each step, I’ll summarize:

  • A one-shot blast of radiation to a good portion of my spine to dampen the pain in my back, and perhaps knock down some of the cancer growing in my bone marrow.

  • A biopsy to my liver while we were simultaneously draining the fluid from my right lung.

  • A second procedure to drain the fluid from my left lung. We found out after the first lung that they won’t do both at one time due to the risk of having a collapsed lung on both sides at the same time.

  • I started chemo two and a half weeks ago, and received a full dose of Alimta and 80% of the usual dose for carboplatin. We did this and crossed our fingers that my platelet count wouldn’t crash.

  • Two days later I had a procedure to add two semi-permanent drains to my chest, one for each lung. These are designed for Genevieve and me to drain my lungs at home every other day for as long as my lungs keep producing extra fluid.

  • I now have oxygen at home to use as needed. I occasionally use it at night when I’m struggling for air.

Despite all those hits to my body, I’m feeling better than I expected. This is me on the upswing!

The first big hit was the radiation, which left me nauseous within minutes of getting zapped, and along with fatigue, stayed with me for another 10-11 days. This surprised the radiologist, who acknowledged that it was probably because the radiation also zapped my intestines. A couple of days after the worst of those effects passed, I started chemo and fell back into fatigue and nausea. The first week after chemo, my platelet count remained low but relatively stable, so we had passed the first big hurdle.

Last week is when we got the good news. My platelet count shot back up to over 100,000, back to the normal “safe” range for giving the standard dose of chemo. Dr. Sanborn is confident now that the radiation is what was zapping my platelet count, and we are out of the woods (for platelet counts) from here.

The biggest remaining issues are that it is still hard to breathe, and while the fluid buildup in my lungs isn’t getting worse since we keep draining it, the fluid buildup isn’t slowing down, either. We’re hoping the next round of chemo this Wednesday will attack both of those problems, now that the rest of my body is cooperating better. If it doesn’t work, I’m not sure what options we might still have.

I’m doing my best to give my body all the help I can. Last week I started taking walks whenever possible. But these are not the hour-long hill walks that Genevieve and I have done daily since the pandemic began. These are flat ground, slow motion affairs. If we go up a very slight incline, Genevieve leaves me in the dust before she realizes it’s even happening. Breathing is that challenging for me at the moment. To compensate, and to stay out of the cold (I’ve lost what little meat I had on the bone, so I chill quickly), we have begun mall-walking in a nearby mall that is on its last legs. It’s not wonderful that the poor mall is struggling, but in the meantime it’s perfect for our purposes.

I’m still taking Tagrisso, and that has been approved by my insurance company for at least the next year, so it looks like we are attacking this cancer with everything we can for right now. There’s no new treatment on the horizon – just the hope that what we have already started works better when my body is doing everything it can to help out.

Thank you for all of your ongoing support – the cards, the meals, the texts and emails, the FB comments I confess I haven’t looked at in weeks. It all brings tears to our eyes, and lets us know that we are in this together. You are helping us get through the hardest parts I have experienced since this cancer journey began in 2006.

Love,

Dann

Post-CT Scan Crash!

Friends and Family,

I won’t bury the lead to this story: My latest scan results were again stable. It’s been six years since I started in the clinical trial for Tagrisso, a drug that has now been approved, and which normally is effective for thirteen months. This should be cause for over-the-moon celebration, shouldn’t it?

This time when Genevieve and I got the news, we couldn’t even muster a “whoopee.” It was like someone let the air out of us. We both walked around the house moody, and barely mentioned it again. This felt so wrong!

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What about this whole “happy-cancer-survivor-who-is-grateful-for-everything” we are all supposed to buy into? It’s a great goal, but sometimes it just ain’t there.

 I have so many friends who would be popping the champagne corks and dancing in the streets if their scan results were stable, so why weren’t we?

I think the answer is an overdose... of STRESS. To paraphrase Shakespeare: How do I stress thee? Let me count the ways.

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And so I did:

·         Political upheaval. There is more uncertainty, fear, and mistrust – many times over - than at any time in my lifetime. For comparison, I’m ancient enough to include the Vietnam War, and even the Cuban Missile Crisis .

·         There’s this thing called a pandemic. You may have heard about it.

·         Now that we’re thinking about what it will be like after the pandemic, we’re learning that it may take years to get back to “normal.” It’s probably going to be gradual.

·         Here in Portland, smoke from forest fires blew into the city and left us with the worst air quality in the world (no exaggeration – it was on airnow.gov) for more than a week. It was so thick we hermetically sealed ourselves into our house, and couldn’t see past our neighbors’ house due to smoke that looked like a dense fog.

·         Add all this to the “normal” scanxiety that drives our stress levels up to somewhere past... oh, let’s say Saturn, for about two weeks each time leading up to getting the results.

Together, these triggered a cocktail of stress hormones, including the two you hear most about, adrenaline and cortisol. Those hormones are useful in a fight-or-flight emergency, but when the stress is prolonged, these system superchargers drain your reserves. They suck the life out of you.

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And just in time for Halloween!

So how do we get past this being drained business, and get back to finding the joy in life? Genevieve and I kept up our daily walks and yoga, and socializing with family and friends. We also took a trip to our place in the high desert in central Oregon, where the sun shines most of the time. Keeping up exercise, social connections, and structure in your day all help, but it still took time to get it all back.

Back to grateful! Back to celebrating good health! Back to appreciating everything that is going right in the world!

However.

We still have an election coming up in a few days. That is going to produce stress for EVERYONE, no matter what your political beliefs, for weeks. If your candidates and measures lose, it could be tough. If they win, you may still end up deflated. And if there is post-election upheaval, well, that’s going to be one more layer on the stress cake.

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At least when you know it’s coming, you can take steps to make it a little easier. It doesn’t matter whether that stress is the next scan, or the next election. I plan on doing these to help in the coming week(s):

·         Brace for impact! If you expect to be happy but you’re not, it’s a big letdown, and easy to think there’s something wrong with you.  There isn’t.

·         Keep up your structure: It’s easy to skip your daily routines when you’re feeling stressed, but these are the very things that help you get through it.

·         Eat healthy: Who doesn’t want to resort to eating really tasty crap under stress? If it only didn’t make you feel worse after, it would be a winner.

·         Exercise! It’s easy to skip under stress, but it’s a stress antidote.

·         Get lots of sleep: NOBODY functions well without reserves.

·         Connect with the people you love and care about. ‘Nuff said.

·         Reduce your busy schedule until the worst of the stress has passed.

·         Be kind to yourself. For example, I won’t do everything on this list perfectly, but I plan on giving myself lots of credit for making my best effort. It’s part of loving yourself. I hope you can do the same.

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This was a long post, considering it took two weeks to realize there was anything I wanted to say. I guess those are the times we need to dig the deepest.

                Love,

                Dann

P.S. – VOTE!!!

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