Thursday, November 12, 2009
I guess I should get myself checked out of the hospital, huh?
Friday, September 18, 2009
Perfect Storm

When you combine chemotherapy, lymph-edema, and low blood counts you have the perfect storm for cellulitis (a skin infection where your arm suddenly becomes very painful, red, and hot) and a ticket to the hospital. So here I am, at least until Monday.
Saturday, September 5, 2009
Breathe
Thursday, August 27, 2009
It's That Time Again
Friday, July 17, 2009
Changes in Plans
The Wednesday I went to Ann Arbor to start my clinical trial started out as a beautiful day. In fact it was almost too beautiful. I even had time to stop at a Target right when it opened that morning. That NEVER happens! Then on to my appointment to pick up my pills and wait around until I got a bone scan later in the day.
Click, click, click. Check in. Get blood work. Meet with the research trial nurse. Sign papers. Meet my nurse practitioner. Click, click, click. Discuss side effects and how to treat them. Chat casually. Click. Click. Click. Going to be good friends. Have her direct number. Check blood work. Red flag. Wait, wait, wait. Dr. Hayes comes in. Liver numbers are too high. I am now no longer eligible for the study. Stop ride, get off. Talks to me about other rides, but you can’t get on this one now or ever. Dr. Hayes spoke with me at great lengths about what the course could be for me and other clinical trials, but because this trial was a safety trial, it was not safe for me to even start it with my liver numbers being high. Somehow, they had neglected to check out my previous blood work or draw it at some point before we had gotten that far. I still think they are a wonderful doctor team, and I would jump for the opportunity to work with them again, but for now the ride is closed. Hopefully, they will have more rides at a later time.
I held my composure until I reached the elevator, then I cried all the way to the car and then some. When I could, I finally called Josh, and then tried to call my own oncologist to try to get started on our original plan. Well, that was a whole other nightmare, where I had direct access to no one, and was very frustrated that I couldn’t just talk to someone about getting started right away. We had waited long enough at that point. Apparently the doc wanted to think about it and make a change. Problem was that she was going on vacation the next week, so I would not be able to have any input or questions for her until after my treatment had already started. We had already planned our vacation and everything around the clinical trial, and I really wanted it to work out even though we had to change courses. So for whatever reason, I finally get the call that the doctor has chosen for me to go on Taxotere, which is the chemo that I would have been getting with the trial. I am fine with that. Especially the schedule. It is once every three weeks instead of having to go in weekly. Less time at the hospital, and more time at home. Always a good thing in my book. I am going to speak to her about adding Avastin to the combo, as Dr. Hayes mentioned that we could add that if we wanted. It is a very, very expensive drug that costs about $60,000 a year to take. As long as my insurance will cover it, I truly believe that it works well in my case, with minimal side effects.
In between making all the phone calls to my office that day, I took a little trip to Ikea. I was originally supposed to get shot up with radioactive dye and then return later for the bone scan. Since I did not need to take that for the trial, I decided to take my trip to Ikea anyways. I tried to eat some lunch there, but all that I could choke down was a gigantic piece of chocolate cake that they had. I stayed within my set budget pretty much (within a few dollars—good for me J), and got a few things I wanted. It really was good therapy. I also went dream wandering and wrote down all the things I would do if I could refurnish my whole house. That is kind of fun to do and dream.
On the way home, after a rather brisk and unsympathetic call from my nurse, I broke down again. Between the rain and my tears, it was a pretty wet 2 and a half hours home. My friend Lila and I talked too, and she helped me a lot. It was just such a let down, first of all. Second of all, I got just a little taste of what good cancer treatment should look like. Third of all, my own office was doing their best to show how opposite of that they could be that day. I guess when you lose a potential treatment option in cases such as mine, that I feel as if I just lost a bit of time added to my life. It can be a hard pill to swallow.
The good sides to all of this, is that I now do not have to travel so far to get treatment. My doctor is willing to try a single agent chemo instead of a combo, which can have less side effects, and hopefully still the same good results. What we are praying for in my case. I was able to enjoy our lake vacation and Katelyn’s birthday much better by not being on treatment. I am prompted to possibly change doctors to go to the other cancer center in town where I believe they focus more on the patient and their needs. I was originally at Lacks Cancer Center when my doctor was unable to see me there when she adopted a little boy, so I switched back in order to stick with her. But I am at a point where, I need somewhere that will have more of a focus on the whole person like they do at Lacks. I am trying to get in to see one of the doctors there, but he does not have openings until August. We’ll see how that goes.
So for now, I have had my first treatment with Taxotere, and will have another the end of July. It hasn’t been so bad. I was tired and slightly nauseous the first few days, but it wasn’t anything that meds couldn’t help.
Thursday, June 18, 2009
Oh, the Places You'll Go
Well, this cancer journey takes me to a lot of places, so I thought the Dr. Suess title would work here.
Almost two weeks ago, I called into the doctor to find out that there is growth on the liver again. It was kind of like going from 0 to 60 in a second as my last scan showed continued regression. To find out there was growth was obviously a bit of a shock. But, that is how cancer is. It is sneaky bad word, bad word. It is no respecter of time, person or places.
Because I called in ahead of time to find my results, I was able to process the news and take some action on my own before meeting with my doctor the next Tuesday. I made an appointment that day to meet with my doctor at U of M, Dr. Hayes, to see what his opinion might be and if there were any clinical trials available to me.
I had also been contacting some people about a trial in Rhode Island that is very promising, but it does not start until August. Although it may be an option at some point in my future, I cannot wait at this point to start treating the cancer. It would be wonderful if it truly were a cure for this awful disease.
I had my information ready and I went in to see my doctor here in GR last Tuesday. I was nervous, because I didn't know how she would be about my appt. at U of M or how she would respond to the other trials I was interested in. She is a very quiet doctor, and it is hard to read her sometimes. Prayers were answered, because she and I had the best dialogue that we have ever had since I have been seeing her. I told her about my upcoming appt., and she responded by saying she was going to suggest that I see Dr. H again to see what he might have available for the future. She also mentioned another cancer center in Detroit that may have some trials for me at some point, and gave me a doctor's name there. She said she was very open to whatever Dr. H may suggest, and we discussed further some of the new treatments that may be coming out in the future. It was so amazing as we were really on the same wavelength the entire visit, even down to my asking about my blood work about the same time she was going to look at it. It was an empowering feeling to know that not only was she just my doctor, but she truly is on my team and wants the best for me. She suggested going back on a previous combo that I have had that worked well for me if there was not anything for me at U of M. I had a return appt. with her today to discuss my findings from U of M and possibly start on the chemo.
Right after my appt., the girls and I headed to Kentucky for a fun visit with my family. We had a wonderful time, but needless to say the unknowns were swirling around my head quite a bit. I enjoyed the shopping, eating out, fish fry, my new favorite game (bag in the hole)[side note: I call it corn in the hole to be funny, but I digress], the heat--yes, the heat, and just hanging with the family.
We returned home on Monday, then yesterday afternoon I had my visit at U of M. It was originally at 2:00, but they called to see if I could do 4:00 so that they could spend more time with me. So we first met with the assistant to go over all of my previous history. It is quite impressive to see how much information they can fit on one sheet of paper. We waited quite awhile, while the assistant went to talk to "the boss" and go over my ct scans that I had brought. They finally come back in and Dr. Hayes checks me over real quick and then asks if we mind waiting while he saw his last patient, so that he could concentrate on talking with us. We moved to a bigger room (and much cooler room--I might add). I was sweating like crazy in that first exam room. Once again we all sit down, and he gives his normal spill about how every doctor "bakes the cake" differently, but they all still work. There are many different ways to do things, and Dr. Y had taken care of me well. But then, he goes on to say that the other reason I come to see them is to see if they have clinical trials available and at this point they did have one that I would be eligible for.
He goes on to describe the trial, which is based on their discovery there at U of M of what they call the breast cancer stem cells. These are not like the normal stem cells you hear about on the news. They are more like part of the tumor that feeds it. Or to use Josh's analogy which Dr. Hayes really liked, that the stem cells are like the seeds of the tumor. Without them, the tumor cannot grow. They have tested different drugs that attack these specific cells, and what they have come up with is that this certain drug, called MK-0752 combined with a chemotherapy drug, Taxotere, can be found to attack these cells. The drug has been safely used in alzheimers patients, but sadly with no benefit to them. They are testing the safety of using this drug in combination with the Taxotere. Thankfully, for me, I have always had good response to the taxane class of drugs, and the doctor feels that I would do well even if I were to use the taxotere alone. But, we are going to do this trial and try to do further damage to those tumors with this combo. The main drawback is that I will have to travel a few times a month to Ann Arbor to receive the pills and to get the chemotherapy. We feel that it is worth it as this is an open door that will add a possible ammo to my arsenal of drugs. We may need some help with getting me to and from Ann Arbor, so if anyone likes to drive cute green Saturns, feel free to let me know!
I really, really like Dr. H. His bedside manner is divine, and he is such a positive guy. He even took time to show us a rare picture of a cancer cell that very few people have seen to show us some progress being made in further research. It was amazing. He describes everything in great detail that you can understand, but he doesn't dumb it down too much either. I am happy about the prospect of more visits with him. He feels that there are a lot more options for me down the road, and that was a good thing to hear.
I still had not made a final decision until I saw my doctor today. She was very glad that he had something for me. She offered to help in any way she could either with blood work or prescribing something in case of fevers, etc. It was another good visit with her. I went back to tell my nurse, and I kind of felt like I had a winning lottery ticket or something. One person told me, "Congratulations." and my nurse said, "This is what we want for you!" She also told me she would be praying! I love her, and I will miss her a lot! So tomorrow, I will call and get my schedule to start possibly next week.
It was a good feeling to not get chemo today. I took advantage of my baby sitter and did some shopping while I was childless. Then I came home and dug in my garden awhile to plant some things dad had given me and rearrange a few things. It felt good to do some things like playing in the dirt that I know I couldn't have if I were on chemo. I will get to have lots of energy next week at the lake, and I know it will be a good time with lots of healing laughter and being surrounded with the beauty of God's creation.
So, as my dear friend Lisa says, even as she is now nearing the end of her life: "I am thankful for today."
Here are a couple of links to the trial if anyone is interested in that techinical kind of stuff:
Monday, June 1, 2009
Scans tomorrow.
Thursday, April 30, 2009
The Conference
It was a last minute thing. I had seen the post on YSC about the conference, but I didn't pay attention to it as I knew it would probably be out of the budget for the plane fare, hotel and registration fee. I was reading through the post more carefully as more and more of the girls on the YSC board were making plans to go. I had missed the fact that you could apply for a scholarship to help defray the costs. When I saw that, I knew that I should make every effort to go, as this would be a wonderful opportunity to meet some of my online friends and re-connect with some of the ones I had already met. The unique thing about this conference is that it was specifically for women with Stage IV breast cancer or "mets" as we like to call it (short for metastatic). I applied for a scholarship on a Saturday night and I heard back on Monday that I was approved! It was a go! There ended up being about 20-25 of us going to this one conference.
I was able to get on a flight with a friend from Detroit area (Lila) going out there. I really connected with her right at the start. She is such a giving and thoughtful friend. She had a sandwich for us to share and a bag of chips for both of us as she was afraid I wouldn't have time to eat between flights. She and I laughed a lot together and had quite an adventure with some of the other girls getting to the hotel from the airport. It was so crazy all we could do was laugh!
It is such an amazing thing to meet other women going through mets as they are the only other ones that truly, truly get what you are going through. We all come from so many walks of life: some single, some married, some married with children, different religions, backgrounds, and personalities. Yet, somehow all that does not keep us from having a strong and fierce bond with one another. The friendships and feelings I have with and for these women are so intense, that it is almost impossible to describe.
The conference itself was good as well. I really was only able to take in the workshops and speakers on Saturday as I had to leave for the airport a little earlier on Sunday. I learned a few things about how to help with side effects and such. One of the big things they talked about was acupuncture. It was interesting also to hear the reports on the latest research. I wish we could have heard a little more about my specific type of breast cancer, but it all tied together with what the speaker was talking about. It was neat to hear about new things that they are studying and treatments that are coming out.
Elizabeth Edwards was the keynote speaker for the day. I really wasn't sure what to expect from her. I have admired her for living such a public life while going through breast cancer. She truly was a pleasure to hear. She was very down to earth and very realistic. Really, it was like she was just one of the crowd. She looked as tired as all the rest of us did! She talked about things we all related to such as not wanting to get out of bed in the mornings. Sometimes you do, and sometimes you don't. She didn't really talk much about her specific disease as she does not want others to try to emulate her treatment. Everyone is so specific in how they personally respond to treatments. What works for one person will not necessarily work for the next person. She spoke about her reasoning for going public. I appreciate all of the work that she does for breast cancer research and lobbying. She talked frankly about how they are open about cancer in their family. How it is something that they all live with daily and do not try to hide from it or pretend it doesn't exist. She talked about the struggles of keeping up with her children, and how she, as we all do, still get up off the couch to see what they want even when we don't feel like we can move another muscle. She told a cute story about "the Lord's dime" from when she and her sister were little. I will try to retell it as well as possible. Basically, she and her sister were given two dimes every week right before they went to Sunday School. One was for them, and the other one was for the offering plate. Elizabeth and her sister were walking to Sunday School one day carrying their dimes. When they went to step up on the curb of the sidewalk, one of her sister's dimes fell out of her hand and rolled into a drain. Her sister then said, "Well, there goes the Lord's dime!" I think that was a cute way to think about what our priorities are in life and making sure the dime or priorities "still in our hand" are the important ones.
Anyways, I am so thankful for the opportunity to meet so many of my mets friends. They truly are all amazing women with much wisdom among them. The best times and conversations were truly in the evenings that I spent with them. They make me smile and laugh with their snarkiness and wit, and they make me cry with the pain that we all have endured and continue to endure. I have been blessed with their love and friendship.
Friday, April 24, 2009
LBBC's Conference for Women with Advanced Breast Cancer
Monday, February 23, 2009
In honor of the Oscars. . .
Wednesday, February 18, 2009
Still Here, Alive and Kicking
You've heard of waiting on pins and needles, well this past week for us has been more along the lines of swords and spears. You see, one week ago, Amy had her first scans since she went off chemo in December '08. Up to that point, she had been on chemo of one sort or another for 16 months. Yeah, its about as long, if not longer, than it sounds! Since going off chemo in December, she has been on a hormonal therapy (a pill she takes every day) that has its own line of side effects (but thankfully, not as severe as the chemo).But after two months of that, we did not know if it was working. The hope was that the hormonal therapy would keep things stable at least and not allow the cancer to continue to grow or progress. For some reason, they make us wait one week for the results so that the doc. can tell us herself and today was that day. The week of waiting is always hard, but this one was especially difficult for all of us, especially Amy. When we got to the doctor's office, they were busy and we waited about 45 minutes to see the doc. Our stomachs were about to burst when finally the doctor came in our little room and gave us the scoop.The news was amazing actually. We went in preparing ourselves for the worst and what we heard was that there is no further growth of the cancer and that the lesion (tumor) in her liver had actually regressed in size! Yes, shrank, got smaller, whatever you want to say. Well, you could've scraped our little puddle selves off the floor at that moment. I think we were in disbelief for the first few moments as we just absorbed what was being told us. Neither one of us wanted to think about Amy going back on chemo, but we couldn't help but go there in our minds and had prepared ourselves for what we thought was going to happen.So, chalk it up to prayer, powerful medicine or our monthly support of shaklee, whatever you will, but we are extremely thankful today and breathing again. Amy doesn't have to go back for another checkup for a couple of months. So smile, kick up your heels even, whatever it is you do to celebrate, do it in honor of Amy.
