Doctor! Doctor! Give me the news…

My last post was full of downers of self doubt and sadness, so I thought I would post something upbeat for the holiday weekend.  My family is vacationing with MaryBeth’s family (parent’s, siblings, sibling’s spouses and most importantly for MaryBeth, sibling’s newboarn infants).  MB loves to hold and play with babies, so she has a 2 to keep her busy this week.  It’s was great to watch her with them yesterday as she had a HUGE smile on her face just holding the baby and letting it fall asleep in her arms.

Healthwise, I met with Dr. Kauh on Thursday.  The news wasn’t great.  Essentially, we both agreed that I have worked through 3-4 treatment regimens to slow down or stop my tumor growth and nothing has really worked.  My tumor is now a cm smaller than the original tumor and is growing around and getting tangled up in some very delicate arteries.  Dr. Kauh is going to get me into a Phase IB clinical trial which will look at the potential efficacy of a new drug for treating cancer (they are not sure exactly which cancer it will help: pancreas, thyroid, or lung).

The hope is that this experimental drug holds some promise, but if now, the next step would be to set up home hospice care.  Essentially, the hospice workers deal with the issues surrounding people who are dying (not that I am planning on doing so in the near future, mind you).  Instead, they would come by daily (or more if needed) to check on me, provide medication as needed and all in all just be supportive of the transition we are going through.  One benefit is that MB would have to worry less  about taking care of me, as the hospice nurse would be able to take on someone of those duties, leaving MB and I more time just to enjoy being together.

A friend of mine, with whom I was talking about this yesterday, boiled it down for me.  If the Phase IB trial doesn’t work, we’ve essentially exhausted palliative treatment for me.  I have no sense how this will affect my prognosis, but truth be told, I have too many trips and plans in the works for me to die any time soon.

Next month, MB and I are traveling to DC for PanCan Advocacy Days.  I was going to go by myself, but MB felt it would be helpful to have someone there to look after me (not to mention that she is committed to the cause, too).  In July, the family and I will be flying up to NJ to visit with my mother and attend her annual blue berry festival.  For those who are long time readers of this blog, you may remember that Mom owns a blue berry farm, and she has a party each year at which she invites friends and family members to come pick blue berries and enjoy in some revelry.

In August, MB and I decided to join my family in Wildwood NJ for the annual Hamburger family get together.  We have been unable to attend for years and years because the trip to the beach occurs the week after school starts for our kids and we couldn’t see pulling them out of school to go to the beach.  This year, however, given the situation, we thought we could pull the kids out so that we can all go join my family and my step mother’s family at the beach.  Sometimes special circumstances call for special action.

So as you can see, we have a lot to look forward to over the summer.  I’m getting excited about all the stuff coming up.  And we are doing all this to continue to make memories that my kids can have of me when I am still generally healthy.

This past week was horrendously busy.  It doesn’t sound like a lot, but I worked extra long days for much of the week and I am exhausted.  Last night I think I ended up going to bed before 8p because I was so tired.  I hate that my disease continues to affect me so that even simple tasks (working, driving, etc.) wear me out.  I am so glad that my supervisors at work understand my situation and have encouraged me to take care of myself (e.g., work for a long as I can and then go home).  It is hard for me to accept the reality that things are only going to get worse, with me having less and less energy which will impact all aspects of my life.  I miss being more involved in Karate and Scouting, but I just do not have the energy to do either, really.

As much as this posts sounds like I’m complaining, I’m not.  I getting used to my “new normal” reluctantly.  I’m getting used to it, but that doesn’t mean that I have to like it.

Sorry for the long ramble of a post.  I will post more later.  But for now, the day is just starting out, it’s sunny and warms outside.  I’m on vacation with my family and MB’s family, and things are good.  Much to be thankful for today.

Thank you for all your well wishes, thoughts, and prayers.  I say it all the time, but I truly mean it.  I love you all and thank you for your support and love.

Merle

Sprung…not so fast

“All of you who have recently been discharged from the hospital, take 1 step forward….not so fast Hamburger!!”

Apparently, the folks at Emory Hospital missed me.  I just got a call from one of the doctors there and it seems that there was some bacteria growing in the blood cultures they took on Tuesday when I was originally admitted.  Because there is a bacteria growing in my blood, the doctors wan to re-admit me to the hospital; having a bacteria growing in your blood is not good, it would seem.

My boys have a graduation ceremony for a Coming of Age program they have been doing for the past 9 months at church.  While the doctors would prefer that I go to the hospital earlier rather than later, my plan is to hold off so I can go to the boys graduation celebration and then head to the hospital.

Aren’t you all jealous of me?  All this time I’ll be spending in the hospital?  Some people have all the luck.

More later.

Merle

Sprung

Just a quick update…the docs sent me home last night. YEAH. They did not find any infection, but just to be sure, they sent me home with Ciprofloxin, a general antibiotic just in case they missed something.

I have to say that I did not miss being awakened in the so some nurse could take my vitals or collect some blood. MaryBeth offered to do it form me (we do have an electronic blood pressure cuff). As much as I appreciate her special offer, I told MaryBeth I really did not need her to do so (actually, I used several choice expletives that I cannot repeat in mixed company).

More later.

Merle

Great weekend

Sorry for not having written much over the past couple of weeks, but I have been a busy puppy.  The trip to Montreal was okay;  I was supposed to go there with my supervisor to meet with one of our grantees to discuss analyses and paper writing (a lot of what I do in my job).  Unfortunately, my supervisor got sick and couldn’t go and our grantee was not feelin very well, either (though we did meet for about 3 hours).  It wasn’t a total loss, but I was wiped out after all the travel.

THe following week, my family and I went on a trip during the kids spring break.  At the last minute, MaryBeth and I decided to take a cruise and we found one that sailed from Port Canaveral to two islands and back.  The boys and I sn0rkeled together for a couple of hours (before I pooped out).  MaryBeth and my daughter went shopping and my daughter found a beautiful purple dress that I believe she has worn every day since getting it (except for the times MaryBeth has been able to pry the dress off her to get it into the wash). 

On the ship, my daughter played in a program with other kids her age.  My younger son hung out in the teen lounge.  My older son stayed in the stateroom watching TV and playing his gameboy.  MaryBeth spent time in the casino.  And I got the opportunity to layout on deck and people watch and read my book.  We spent the most time together at meals, though, and everyone in our party took advantage of the “all you can eat” mantra onboard (even I gained 5 lbs on the trip, but I”m sure my weight will be down next week at my doctor’s appointment).  My older son, in particular, was in heaven when we went to the buffet and he could make as many double hamburgers as he wanted.  His consumption of these burgers are the stuff legends are made of. (I think he could definitely be a guest contestant on Man v. Food).

After getting off the ship, we visited with MB’s grandmother, my step-mother, and my best friend from college; all great visits.  We only had a couple of days at home before family started coming in.  We decided to host a seder at our house and my mother, brother and his family were able to join us.  It was great having them around.  My cousin, Martin, flew down for the day on Friday and it was just great to see him.  I wish I had half of his sense of humor and wit.  My brother and his family left on Sunday, but then my sister and one of her daughters came down to visit with us (and do some traveling around coastal Georgia).  It was great fun just sitting around and chatting.  My sister left on Tuesday and my Mom left on Wednesday.

As you can see the past couple of weeks have been a whirlwind of excitement.  I think the cruise helped to make some fun family moments and I felt incredibly loved as my family came down to celebrate with me.  As always, I continue to tire easily.  I’m still having bouts of nausea and diarrhea, and I’m starting to get more aches and pains.  But for all intents and purposes I feel fine.  If I’m nauseous, not so much, but I think that is simply becoming part of my new “normal.”  I have cancer and as a result I will be nauseous from time to time.

I’m in a good place right now.  I’m not obsessing about my cancer, and I am looking for ways to have our family do things together.  Yes, sometimes I am in a darker place, but for now…for today…I’m good (and that’s a good thing).

As always thank you for all your love and caring.  They mean a great deal to me.

Merle

Trepidation

Well, Atlanta seems to have survived the great snow of 2011.  The kids were out of school the whole week and many of us were home bound for much of that time.  Temps, today, are supposed to get way above freezing so I am expecting a lot of the snow to melt.

I’m in an odd space today.  Tuesday I start the whole chemo thing again and I am concerned that I may have a similar reaction as last time.  However, it’s been long enough since the last treatment that I can be a smidge optimistic that it might not be so bad this time.  I guess we’ll have to wait and see.

I was supposed to have the simulation of the radiation surgery this past Monday, but it was canceled because of the snow.   I now have to wait until 1/25 to do the simulation.  Among other things, the simulation will use CT scans to accurately place the tumor in my body, so perhaps I’ll learn more from that scan.

If you have a moment, send some positive energy my way on Tuesday, Round 2 for chemo.

Merle

Christmas in El Salvador

This holiday we were invited to go to El Salvador for my friend Luis’ daughter quinzenaro (think wedding size party to celebrate a fifteen year old’s birthday). It is a BIG deal in the Hispanic community. MaryBeth, the kids and my mom spent Christmas with Luis’ family and saw quite a bit of El Salvador: from beaches, to volcanoes, to sugar making, to a preschool holiday party, to street parties, to fireworks (EVERYWHERE), to a mall in San Salvador. It was a wonderful trip.

Then came the PARTY. My daughter and younger son were both in the court (think wedding party) of almost 2 dozen boys and girls. They had a ball. My daughter loved the beautiful “princess” dresses she got to wear, and my son danced with the kids all night. No language barrier could keep them from making friends and having fun. My older son played is DS much of the time, as usual, but also seemed to enjoy experiencing a different culture. Still we were all happy to come home to tap water you can drink and toilets where you can flush the tissue.

Here are a few pictures from the trip. Hope you enjoy them.

Who stand outs here?

I love to fly…

…and it shows.  Apparently Google Chrome is sponsoring use of the Internet on Delta flights during the month of December.  Anyone who knows me knows: (a) I’m something of a computer geek (I’ve been affectionately referred to as part of the ‘Nerd Herd’) and (b) I’m incredibly cheap frugal.  Who am I to turn up an opportunity for free Internet access (while flying, no less).

MaryBeth and I are on our way to Phoenix / Scottsdale to get an 2nd opinion about treatment options.  Which brings me to the news we received yesterday.  Unfortunately, the small ‘haze’ from 2 months ago turns to have been the beginning formation of a new tumor.  I have a 3cm tumor at the base of the mesenteric artery near where I had had positive margins.  Dr. Kauh told me that given its proximity to the remnants of the old tumor, he would refer to the new tumor as a locally recurrent tumor.  What that boils down to is that there does not seem to be evidence at this time of metastasis, which is good.  The tumor is slow growing (whether that is due to the chemo I’m taking or something else, is not clear) which is also good.  So for what it is, this is generally good news (in the same way it would be good news for an amputee to have his leg amputated below the knee rather than above the knee).

The chemo I am on currently (Xeloda) is an oral version of a relatively old chemotherapy for pancreatic cancer.  We are traveling to Scottsdale to meet with colleagues of Dr. Von Hoff whose team seems to be on the cutting edge of pancreatic cancer treatment.  (This is along the line of going to where the expert is — I went to Hopkins to have the best surgeon perform my Whipple, now I’m going to the best researcher/practitioner to get treatment options.) Thus, they may suggest a new chemo (or combination of drugs) that may be more effective for treating this recurrence.  There is also the possibility that there is a clinical trial that I may be able to participate in, as well.

There is also the possibility that I may be able to get some more radiation to treat the tumor.  Way back when, I was told that my abdomen had been exposed to the maximum level of radiation it could stand, but Dr. Kauh thinks there might be some specialized techniques to pinpoint the radiation to treat the tumor.  I have an appointment with Dr. Landry, my radiation oncologist to double check next week.  I’ll keep you informed of that development.

Healthwise, the abdominal and back pain continues to present itself…it’s slowly creeping back in.  As a result, I have an appointment with the pain management doctor to look into having another nerve block.  Until then, I am managing the pain largely unaided (though, I do resort to a Lortab/Vicodin from time to time).  Still, the biggest issue (besides the abdominal/back pain) continues to be the side effect of the Xeloda of drying out my hands and feet.  I started the new course of Xeloda on Monday and already my feet and hands are feeling the effects.  I’m using Udderly Smooth to keep my hands and feet moisturized and that seems to be working thus far.

Overall, I’m in generally good spirits today.  It’s nice that MB and I are getting some time alone (we have a wonderful woman, who has worked/babysat for us for over 9 years, watching our kids while we’re away).  On the upside, we are sort of getting a vacation with the added bonus that we can write off our expenses on our taxes.  :-)

Until next time,

Merle

Today snuck up on me…

I guess it’s a good thing, but I have been preoccupied with other issues to freak out about the fact that I’m getting my latest set of scans today.  I’m waiting in the radiology department for my CT and MRI scans.  I’m not sure how this is going to work.  I’ve only ever had EITHER a CT or an MRI; each procedure has it’s own prep.  Both (I believe) will use injected dye.  It’s freezing here and I will need to change out of my clothes into a hospital gown (while I can wear my street clothes for the CT).  Why should I take the easy way, huh?

Thanksgiving with MB’s family was nice.  The largest downside is the 8+ hour drive.  Nevertheless, it was great seeing and hanging out with everyone.  The boys loved the fact that my sister-in-law and her husband had a Wii with some of the Raving Rabids video games.  My daughter loved playing with her little (she just turned 1) cousin and MaryBeth enjoyed having time with her brother and sister.

You know Thanksgiving is a holiday focused on eating lots of yummy food, and there was plenty of that at in Indy.  Unfortunately, my appetite was still iffy over the weekend and I was only able to eat a relatively small T-day meal.  On the other hand, I was able to eat enough to maintain my weight.

So no stress leading up to today, but I still have to wait until Thursday to get the results, which I’m expecting to be nerve wracking.  Calming energy appreciated.

More later.

Merle

Visits…

As I have mentioned, my brother (Sid) and his daughters came to visit this weekend and I cannot even begin to describe how great it was.  Sid and I got to talk about stuff that is often too deep to discuss on the phone and my kids LOVED having their cousins visit.

While here we participated in the Altanta PurpleStride Walk, a fund raiser for PanCan. It was a beautiful day for the walk and it was great to see so many survivors there — at least a dozen, some who have lived over 10 years from diagnosis. It is also wonderful how many people turned out to support me and walk with me. I feel truly loved by my friends and family.

I have a great family…

As I think I have mentioned once or twice, next week is the Atlanta Purple Stride event in Atlanta.  My brother and nieces are coming down to walk with me, but not all of my family is able to make the trek.  This morning, my mother called me to tell me that she (and my sister and another niece) had just finished the Purple Stride event in Philadelphia.  It makes me feel all warm and fuzzy to know that my family (even those who cannot join me in Atlanta) care enough to take the extra step (pun intended) to do their part to raise awareness of pancreatic cancer.

From the bottom of my heart; THANK YOU!

Regarding my health, I continue to do fairly well.  The biggest issue I am dealing with is keeping my weight up (for those who’ve known me since before 2001, did you ever think THAT would be a problem for me??) and getting fatigued easily.  Hey, if that’s the worst I have to deal with, I’m okay with that!!

BTW, if you are wondering if there is still time to donate to my fund raising efforts for next week’s walk, the answer is yes.  Just go to: http://pancan.kintera.org/purplestrideatlanta10/merle to do so.

Have a great rest of the weekend.

Merle