Abby

Abby
Showing posts with label chemotherapy. Show all posts
Showing posts with label chemotherapy. Show all posts

Monday, March 8, 2021

Exhaustion

Even if you or a close loved one have never been diagnosed with cancer, chances are we've all faced the strain of dealing with a serious illness in one form or another. Even just the fear of a potential serious health issue is enough to send anyone into a tailspin. As Christians, we know God is in control and trust that whatever comes, it is not only part of His plan, but He will carry us through it. Practically speaking, though, even the most faithful and optimistic of us still feels the strain of facing a battle with serious illness.

It's only been ten years, but I don't remember feeling quite this... tired the last time I was told I had cancer. Not really physically, but mentally and emotionally. Honestly, I'm struggling to not feel pointlessly guilty because Mark's going to have to go through this with me. If you read my thoughts during my breast cancer journey, I commented that I found it infinitely easier to be the patient than the caregiver. If you've never been either, let me assure you that being a caregiver for a cancer patient is exhausting in every conceivable way. It's a strain physically because you have to do twice as much as you're accustomed to doing. It's exhausting mentally and emotionally as well. 

Cancer is a a monster, but so is the treatment for it. Chemo comes is too many forms to list. Every kind of cancer has it's own stable of chemotherapy drugs to fight it. None of the ones I'll be taking this time around are ones I took for the breast cancer. They come with entirely different potential side effects. Except for the nausea. That seems to be almost ubiquitous. Still, last time around, I had virtually zero issues with nausea. Never vomited once. Last time I had to have a port implanted in my upper chest because one of the drugs (adriamycin) was so caustic that it literally could destroy any tissue it came in contact with outside the main vein it was injected into. This time around, assuming my veins hold up, I won't even need a port at all. 

The chemo protocol I'll be taking is called CAPOX. The CAP portion of the regimen is Capecitabine. It's given in pill form. Side effects include:

  • stomach pain or upset stomach
  • constipation
  • loss of appetite
  • change in ability to taste food
  • increased thirst
  • unusual tiredness or weakness
  • dizziness
  • headache
  • hair loss
  • skin rash
  • back, join, or muscle pain
  • red, swollen, itchy, or teary eyes
  • trouble falling asleep or staying asleep

 The OX portion of the regimen is Oxaliplatin. It's an iv infusion. Here's the basic list of side effects:

  • numbness, burning, or tingling in the fingers, toes, hands, feet, mouth, or throat
  • pain in the hands or feet
  • increased sensitivity, especially to cold
  • decreased sense of touch
  • nausea
  • vomiting
  • diarrhea
  • constipation
  • gas
  • stomach pain
  • heartburn
  • sores in the mouth
  • loss of appetite
  • change in the ability to taste food
  • weight gain or loss
  • hiccups
  • dry mouth
  • muscle, back, or joint pain
  • tiredness
  • anxiety
  • depression
  • difficulty falling asleep or staying asleep
  • hair loss
  • dry skin
  • redness or peeling of the skin on the hands and feet
  • sweating
  • flushing

My treatment will involve a two-hour infusion of the Oxaliplatin at the infusion center and two weeks of taking Capecitabine by mouth twice a day. Then I will have a week "off" before returning to the Cancer Center to repeat the regimen. I'll do this four times, for a total of three months, if I don't have any serious issues with the protocol. If I react badly to the oral chemo, I'll have to switch to the iv version of the protocol, called FOLFOX, which would take a total of six months to complete. 

The last time around, I prepared for all the worst case scenarios so that I wouldn't be caught off guard if they came to pass. I'll do the same this time while hoping and praying that things will not be as bad as the warnings say they can be. From discussions by countless other patients, I think it's a safe bet that the neuropathy (numbness, tingling, pain) in my hands and feet is pretty much a given. The severity is completely unpredictable, as it is different for everyone. The hand and foot syndrome (peeling of skin on hands and feet) is another issue that crops up. I've already started an intensive moisturizing campaign for both my hands and feet in the hopes of heading it off. Hair loss is actually fairly rare. Looks like I'll probably get to go through this without being bald, though that's honestly the one side effect I truly didn't care about. All things considered, being bald was the last thing on my mind. 

As before, I'm weirdly most worried about the nausea. I absolutely loathe feeling queasy. I mean, of all the issues chemo and the array of treatments meant to counteract the side effects it causes can trigger, nausea is the one that I simply cannot abide. Last time around I had no issues. I felt mildly nauseated one time after treatment, took one tablet to counter it, and never had to take anything else for the duration of my treatment. God willing, this time around will go the same. 


Wednesday, January 18, 2012

Sometimes Reality Bites...

There's been a lot of talk lately about how I'm coming to the end of my journey with cancer. (Assuming it never returns, and I'm going to make that assumption for my own peace of mind.) Everyone seems to bring it up. My doctors, my therapist, even Mark and myself. A very tangible evidence of the end will arrive at the end of this week when I go in to have my port removed. It's not any kind of major surgery. They won't even put me under full sedation. My surgeon says it'll be over in a blink and the last remaining "cancer" tie will be gone from my body. Not counting the scars.

I told my therapist a few weeks back when she asked me how I was feeling about it coming to an end that when I look back on it, it almost feels like it wasn't real. It all came and went so very fast. It feels like some strange interlude outside of time, as if everything came to a halt while I dealt with this thing that had grown inside me. And now it's gone and in a couple of days, the contraption they stuck inside me to help them fight it will be gone, too. Which is why I suppose I have found the past ten days to be so blasted frustrating.

It's no secret that we have dogs. It's also no secret that our dogs are very much a part of our family. They are, for all intents and purposes, our children. And if you have a problem with people who love their pets like kids and generally treat them as such, you might as well stop reading right now.

Katie is our baby girl. That's her on the left in both pics at the top of my blog. Mark spotted her in a mall pet store a few months after we came home from a trip to England in the spring of 2001. Mark had been wanting a Bulldog his entire life. And Katie pretty much wrapped him around her paw the first moment he saw her. She stepped on her food bowl and flipped it up and over onto her head, then proceeded to wear it like some kind of hat. That was that. He was in love. He didn't bring her home that day, but over the next day or so talked himself into it by saying that he'd stop by after work and if she was still there, then he'd bring her home. She was still there, so he snatched her up. I can still picture her running around out in the yard when he got home. We had three other dogs at the time, Malcolm, Beulah, and Wiggles. Katie went after all of them with brazen bravado. Poor Beulah was just too shocked to know how to react. Anyway, it took us a couple of days to settle on a name for her, but we eventually chose Katie-Bar-the-Door, because she was like a little ball of wild energy and true to her breed name, pretty much bulled her way into and through everything.

It didn't take us long to learn that Katie was flat out the smartest dog either Mark or I had ever known. And he owned a Border Collie when he was a kid. Katie picked up on words we spoke and learned them without us actually trying to teach them to her. I have joked for years that if Katie had opposable thumbs, she's be ruling the world by now. Anyway, despite the fact that Briscoe is four years younger than she is, Katie still somehow manages to be the baby.

Katie used to worry us because she grazed grass like a cow. I mean she'll go outside and literally graze from one patch to another, eating all the way. We'd always heard that dogs ate grass when they were sick, so we worried until I finally bought a book or looked it up on the internet or something and found that some dogs are just that way. It's the ones who don't regularly eat grass and then suddenly start doing it that you have to worry about. Which brings up Briscoe. Katie is something of an atypical Bulldog. We read books about them when she was a baby, that warned of issues with drool and flatulence and snoring and breathing issues, so we kept waiting for all that to develop, but it never did. So we decided to get her a little brother and along came Briscoe. He, unlike Katie, is the quintessential Bulldog. He drools consistently. And he snores loud enough to wake the dead, sometimes. And the gas! Oh, Lord, the gas can be bad enough to bring tears to your eyes! Plus, he has other issues that are typical of Bullies, including some trouble with breathing and eating due to the cramped nature of his snout and throat. He has this lovely thing he does where he goes and drinks half a gallon of water, then walks into the living room and regurgitates it all right back up. He does it with food, too. (The things we'll put up with for the sake of love.) He's done it most of his life, which is why it doesn't freak us out any longer. It's just part of who he is. Katie, on the other hand, never gets sick.

This is why Mark and I got very worried about her on Sunday night, Jan. 8th. She started vomiting and kept on vomiting until there just wasn't anything left to come up. Eventually, we decided to take her to the same ER Vet who'd saved her life a few years back when she developed Pyometra, which is an infection of the uterus requiring immediate surgery. So we rushed her all the way up to Wilder, KY. Keep in mind that Mark was due to fly out to New Jersey first thing Monday morning. It was about 12:30AM when we decided to take her. We got her there and they took a look at her and confirmed that something was definitely up. We were afraid that she might have swallowed a piece of a toy. Katie is a serious power chewer. She absolutely must kill anything that squeaks. Which is why we buy her the hardest, toughest squeaky things we can find. No fluffy little fake rabbits for her. She'd have them gutted and de-stuffed within a matter of seconds. She got a new toy for Christmas that we hoped might last more than a couple of days. She killed it faster than we expected, though, and sat about ripping it to pieces out of spite because it had dared to SQUEAK at her!

Katie has never, ever been one to actually eat her toys. Or shoes or wires or any of the other things puppies often find so appealing. Briscoe, however, did take the opportunity to use the gear shift in my car as a chew toy when he was still a little thing. It still has the teeth marks. Anyway, despite the fact that Katie has never made it a habit to actually eat the things she chews on, we started worrying that she might have swallowed a piece of this toy. That's what we told the vet on duty that night and pretty much what she expected had happened. She took Katie off to take an x-ray, then came back a few minutes later and I knew from the look on her face that it was something bad.

The good news was that Katie had not eaten any pieces of her toy. The bad news was she had some kind of enormous mass in her abdomen that was so large it was shoving all her organs out of place. The vet that night wasn't sure if it was one of her kidneys or something else. It was just too big to be sure. So we left Katie there and got home just in time to take a short 45 minute nap before we had to be back up and on the way to the airport. Later that morning I got a call from the day vet saying that they wanted to do surgery. We'd already figured that was going to have to happen. The surgeon called a little while later and said he'd go in and try to get all of whatever it was out. He did the surgery that afternoon.

Bulldogs are always risky to operate on. Their short noses make breathing normally a bit of an issue. Add in sedation and it can become a dangerous situation very quickly. But there was no choice. So I waited on pins and needles all afternoon until they finally called and said the surgery was over and she was fine.

I won't go into all the gory details about what he found when he opened her up. Suffice it to say that this thing was nearly the size of a soccer ball. It was full of fluid and pretty much deflated when he cut into it. He took what he could out, but there was a lot he could not remove because it was very extensive. He sent biopsies off to be tested and I went and picked her up on Tuesday afternoon.

She was very sore and any movement at all was hard for her. Plus, we found out pretty quick that she had some trouble keeping food and even water down. (It was a bit like having two Briscoe's in the house.) Mark came home on Thursday afternoon and had a meeting he had to go to. It wound up being after seven by the time we got home. There was a message from the vet waiting saying he had the biopsy results. I didn't call him back that night. Mark had another meeting on Friday and had to go before I even had the chance to call the vet. When I did, he told me that it was cancer.

What's the likelihood? I get done with cancer and now my dog has it? So, I wound up taking her back up there Friday afternoon so the surgeon could check her over and he started telling me about what she had and how they'd treat it. Chemo, of course. What else do you do for cancer? He mentions the names of a couple of the chemos they use and low and behold, one of them is Adriamycin. I had to stop him there. I explained that I'd just finished cancer treatment and one of the chemo's I received was Adriamycin. I was plenty familiar with it.

We came back home with Katie. Just like me, her surgical wound had to heal before they could start the chemo. But the problems holding down food never did quite go away. Then, this afternoon she suddenly stopped being able to hold down anything at all, again. It was like deja vu from the night we took her up to the ER. I called the vet and he said to bring her in. They took her away from me again, to give her fluids and medicine to try to stop the vomiting and nausea. It looks like she might get her first chemo tomorrow. It will depend on how she does tonight.

The surgeon believes that the cancer in her abdomen is so extensive that it is essentially causing a blockage, which is why she keeps having problems keeping down food. His hope is that the chemo will shrink the size of all those tissues, thereby making it easier for her to eat comfortably. I called to check on her earlier this evening and at that time she still hadn't eaten anything, but then they'd just put food in her pen right before I called. All her vitals were fine, which at least means she isn't getting markedly worse. I'll call in the morning to check on her and to see if they're going to go ahead with the chemo.

So, here I am, trying not to worry about her and praying that she'll improve and not take a turn for the worse. I cannot tell you how much I love that dog. She is so very sweet and gave me more comfort and laughter during my own cancer journey than I could ever express. I am trying very hard not to worry about what I cannot change. It isn't easy, though. I miss my baby girl and I am very afraid that this may be the tip of the iceberg when it comes to missing her. Because if she doesn't respond the meds, then there's only going to be one other option. The very thought of it makes me nauseous.

I've been fighting tears all afternoon. I don't want to lose my baby girl. Not now. Not yet. Please, Lord, let her hang on. Let the medicine work. Give me strength, Lord, to face whatever is coming.

Monday, October 17, 2011

My, How Time Flies...

It's almost over. There is one treatment left to go. There will still be a few more months of cancer related tests and appointments, of course. And the port will have to be flushed every six weeks until they decide to remove it. But after the first week in November, my cancer treatment will officially be over.

Looking back, it hardly seems possible that it has been more than a year since that moment when my doctor got that worried look on her face while doing my breast exam. It also seems hard to believe that that moment was truly the worst one of the whole journey. That instant when the whole world seemed to stop and my stomach dipped uneasily as I realized she'd found something she didn't like. That single split second when my mind leapt forward to the idea of cancer.

I know we're all different. From our individual personalities to our faith - or lack thereof - to our specific cancers and the treatments they require. Compared to so many others, I think I got off easy. I did not need a mastectomy. The cancer, while aggressive, was confined to that single tumor, making a lumpectomy the best option. My chemo was potent, but relatively short in duration. (Only 4 treatments of the worst stuff compared to others who've needed far more.) Eight total chemo treatments and six or so weeks of radiation just seemed to fly by.

When I look back, it's actually kind of hard to remember just how difficult it was. The pain could be intense at times. And the radiation left me feeling like a severely overcooked slab of meat, complete with blisters and peeling skin. There is still soreness. My breast varies from being mildly sore like an overworked muscle to being so sensitive that washing it in the shower is uncomfortable. It feels different than the other one. And while the Herceptin that I've been getting for the past year carries only one real side effect, it's a serious one. Potential heart failure at any point down the road. So that's something we'll have to keep an eye on. But all in all, I still count myself as having been profoundly blessed. Because I know I had it easy.

I think that's one of biggest keys to getting through the treatment. We have to keep in mind that it could always, ALWAYS,  be so much worse. Worse for me would be if it were someone other than myself. Because one of the things I have realized is that I find it profoundly easier to be the patient than to be the caregiver. Not because I dislike caring for others, but because it absolutely breaks my heart to see those I love in pain. I'm a fixer, I guess. Sadly, cancer isn't something that can be hugged or loved away.  Plus, I have no fear at all of dying. Losing those I love, however, is something I abhor.

Caring for and loving a cancer patient was infinitely more difficult for me than actually being the patient myself. Seeing what cancer did to my sister and mother-in-law hurt me in ways my own cancer couldn't begin to. I would gladly take on every illness of those I love just to keep them from having to go through it.

Which brings up another issue. My darling hubby has been diagnosed with type II diabetes. I have suspected it for a while and could kick myself for not forcing him to get tested sooner. It took his eyesight going haywire for him to finally admit something was wrong. Sure enough, his A1C test revealed that, at least for the past few months, his blood glucose levels have been hovering somewhere around 300! No wonder his eyesight went crazy. Funny thing is, it actually got better. A lot better. He's been on diabetes medication for about a month now and his eyesight is returning to normal, though it is still not back to where it was before.

He's a good patient, once he's actually convinced that there's a problem. He watches what he eats and was testing all the time until he got a handle on how certain foods effect his levels. I don't know if he's where he ultimately needs to be with his medication dosage, but he's come a long way from the high 200s and low 300s he was testing at in the beginning.

Ultimately, I see this as just another thing to be thankful for. Because God saw fit to give him a symptom he couldn't ignore. Because he's now being treated and is losing weight to boot. (Now, if I could just do the same. [sigh])  I'm almost finished with my treatment, he's easing into a new job, and life is incredibly good. I wake up every day thinking about how blessed we are.

So, I suggest that anyone out there who is struggling to find the good in their cancer battle might want to simply be thankful that it is them in the battle instead of their spouse, parents, siblings, or children. That's what I am most thankful for.

Monday, August 1, 2011

It's Baaack... (Not the cancer!)

You know, I've gotten a lot of comments since my diagnosis about how wonderful my attitude was. Several folks along the way have commented on how awesome it was that I was not only able to maintain my sense of humor, but to also use it frequently in relation to the many varied issues that come up with cancer treatment. (I make no claims to be a comedian, but I have seen quite a few people crack up at my response to some of the things that have come along.) Apparently, one of my most popular sentiments relating to cancer is a t-shirt I designed on Zazzle that says, "I beat cancer and all I got was this lousy t-shirt!" "One more MRI and I'll stick to the fridge!" has also been popular. Then, of course, there was the infamous "lint roller" trick to dealing with those last stubborn head hairs that just didn't want to let go. I can't take credit for the original idea. It was actually a trick someone on the Cancer Survivors Network mentioned. Still, if using a sticky tape lint roller on one's head isn't utterly absurd, then I just don't know what is.

Anyway, a lot of people seemed to be impressed by my attitude. Frankly, it came solely from my utter trust that God was in control. I mean, what's the point in getting all worked up over something that we cannot do anything about? It's cancer. Throwing a temper tantrum won't do a single thing to help it. Being furious that it came knocking at your door won't do anything but make you and everyone around you miserable. Cancer (along with countless other illnesses and troublesome issues that come up in our daily lives) is no one's "fault." Being mad about it just makes it harder to deal with. Plus, if you believe much of the current data, a good, "positive" attitude actually helps us heal faster. My point? It wasn't really so much me having a positive attitude as it was me flat out trusting God.

I should interject here that my faith and trust did not just wipe out all my natural concern about the situation and about what the future holds. I mean, I'm human. The moment my Dr. got that frown on her face while doing my breast exam and started focusing on that one spot sent a shock wave through me that I will never forget. We all dread hearing that word. CANCER. It's one of the major health terrors of the past several generations. But, I can honestly say I never panicked. I can't ever really remember even "breaking down." There were a few (and I stress few) tears, just moments when the enormity of the situation kind of overwhelmed me. Ultimately though, I just sat back and let God lead the journey. I was on the path and there was no point trying to find a shortcut, a trail off the the path, or balking like a stubborn donkey and forcing God to drag me forward. It simply was what it was and forward was the only way through it.

Yikes! This is not where I planned to go with this post! Funny how that happens.

I did my best to find the humor in all the absurd situations a cancer patient can find themselves in. It is my nature to seek out humor and to use it to help me cope with difficult situations. I just can't help myself. Then again, I can't help but notice that God has seen fit to place me into a LOT of situations throughout my life that, even if they weren't at all funny at the time, would wind up being some of the most hilarious moments of my life when I look back.

Case in point: And I mention this because it just came up a few days ago in response to something posted on Facebook by one of my favorite comedians, Chonda Pierce. Here's what she posted:
Thank you for all the prayers for David. He is healing nicely....the Dr said one half inch further and he would have lost his leg. Here's the call I will never forget, "Hi Hon, I was out in the boat with my chainsaw and had a pretty bad accident." He is now grounded from using power tools for the rest of his life!!
Yeah, I have absolutely NO idea what her husband was doing on a boat with a chainsaw. I mean, try as I might, I simply cannot come up with a reasonable scenario where this would make any kind of sense. But then, as I replied to her, I also have a husband who has not been gifted with what I consider to be a "normal" measure of common sense.  While my darling husband has never had any serious mishaps with power tools, he does have a rather dubious history with fire. I should point out that he grew up in a home with a wood stove. He ought to be more than capable of grasping not only how one works, but the utter lunacy of, say, throwing kerosene into one that is already lit!

Have I mentioned that my husband is a genius? Literally. He was tested in school. He has an understanding of and appreciation for mathematics and physics that I will never, ever be able to match. And I'm no slouch in the intelligence department, either. Yet, though he is perfectly capable of grasping the finer points of the inner workings of space and time and things like singularities and string theory, he cannot seem to wrap his brain around the fact that one does not need highly flammable fluids like kerosene, gas, or lighter fluid to start a fire.

So, many years ago, (before I'd fully grasped his utter incapability when it came to fire) we were living in a home we rented. We had bought a wood stove from his parents when they decided to switch from wood to oil heat. Our rental home had a large living room and large kitchen that shared a good sized open doorway. There was a location just inside the kitchen area that was meant to hold a wood stove. We did use kerosene heaters to heat the house when it wasn't too cold, but once winter set in fully, we switched to the wood.

Anyone who's ever had a wood stove will be aware that they generally have two settings. Hotter than lava and off. We literally had times when that thing would be going that we'd open the front door - in the dead of an Indiana winter - to try to cool the house off a bit. (I'm smiling now as I look back on this. We laugh all the time about the joys of having a wood stove. Despite the sometimes tedious difficulty of regulating the temperature, there is just nothing quite as warm and comfortable as wood heat.)

I did not grow up with a wood stove, per se. We did have a fireplace, however, and somewhere along the way my brilliant mother decided to purchase an insert for it. This was, essentially, a wood stove that was designed to fit into the space of the fireplace. It was sealed up like a wood stove, meaning it had gaskets around the doors and a damper and various air vents to regulate the air flow and thus the rate of burn. It also had a nifty blower system that forced the hot air from the cavity around the insert out into the room. Now we lived in Mississippi, not exactly known for it's frigid winters, but that wood stove saved my parents a lot of money on the utility bill in the winter. And it was how and where I learned how to build a fire using novel things like newspaper and kindling. (No kerosene or gas.) The wood stove my husband and I had was merely a significantly larger version of that fireplace insert. I started it regularly with no difficulty at all.

Another feature of wood stoves is that, so long as they are sealed up nicely, you can bank them at night when you go to bed and there will still be plenty of coals waiting for you the next morning. Generally, all you have to do is rake those coals a bit to get them a little air, then toss some smaller logs on them so that it starts burning actively again, then you can fill that puppy up with some big hunks of wood to keep it going for hours. This is all contingent upon making sure there's plenty of wood in the stove the night before, however, and on making sure you almost completely close all the vents so that it doesn't get too much air and burn too fast. Make that mistake and you wake up to a cold stove that has to be completely re-lit. Apparently, that's what happened one cold morning.

We had a water bed at the time. We were too cheap to buy one of those fancy dresser drawer stands for it, so had the base that consisted of nothing more than a simple frame to support the bed. This meant the bed was fairly low to the floor. Which was fine. We were both a lot younger then and had no trouble getting in or out of the thing. I shudder to think what that would be like these days! So, Hubby gets up before me. I don't even remember him getting out of bed. My first memory that morning was coming slowly awake and frowning as an odd smell hit my nose. While I was sniffing, trying to figure out what it was, I heard his voice right beside my head. He was calling my name in a soft voice, gently waking me. I opened my eyes to find him kneeling beside the bed, his face mere inches from mine. His first words when my eyes opened? "Honey, do I still have any eyebrows?"

Yeah, that was right about the time that my sleepy brain kicked into gear and figured out what that smell was. Burnt hair. (You need to realize that my husband is one of those truly hairy men. He had a full beard in something like eighth grade and has only shaved that beard off completely like once in the more than 2 decades that we've known each other.) Needless to say, his words brought me fully awake. He did still have eyebrows, though all his facial hair was a bit singed. It seems that he'd gotten up to find the stove too cold to fire up by just tossing wood into it. So, in his profoundly brilliant and logical mind, he came up with the notion of pouring kerosene on the wood before putting it into the stove to light. It lit just fine, then promptly went right back out as soon as all the kerosene burned off the surface of the wood. Apparently, his next logical leap was to determine that it must have been getting too much air, making it burn too fast. If he could just repeat the procedure with the door shut, then it would burn slower and thus actually catch the wood on fire. The problem, of course, was how to actually start the fire with the door closed. Clearly this is a logistical problem. So he put some kerosene into a mason jar he'd taken from the kitchen. He poured some of it over the wood INSIDE the stove, put a bit more kerosene in the jar, then got himself ready. He first tossed a match into the stove, which lit the kerosene. Then he took the jar of kerosene and flung its contents into the stove with the intention of slamming the door closed right behind it.

I wish I could convey my expression via these typewritten words. This all happened somewhere in the neighborhood of twenty years ago and I am still torn between the desire to laugh myself senseless and to smack him with the nearest heavy object. Needless to say, his plan did not work. Though he has a complete understanding of the laws of thermodynamics, he was incapable of applying those in any practical way, it seems. Because the result of his "plan" was a massive fireball that came shooting out the door he was, of course, kneeling right in front of while trying to slam it shut. He said he was quite sure it shot well into the living room. Fortunately the only flammable thing in its path was him. (Excuse me for a moment while I pause to laugh again.)

Okay, I'm back. He was unharmed by this stunt. His hair, while singed, was not truly burned and returned to normal quite quickly. I did, however, have to get up and start the stove, since all his kerosene had burned off again and there was still no actual fire in the stove. This was the first moment I realized that fire and my genius husband did not mix. There have been other incidents through the years. The most serious being the "brush fire" he started on a windy day on the hillside down below our barn, in a place where our water hose would not reach. I wanted to call the fire department right off the bat but he insisted he had it under control. The milk jug he was running back and forth between the fire and the end of the water hose would work just fine. (Head shaking at the memory.) I watched him for a few minutes, then decided when the fire hit the first cedar tree and sent flames forty or so feet into the hair that it was time to dial 911. I was halfway to the house when I heard him yell for me to call the fire department. They came and put it out pretty quickly, before it could reach our house and just about the same time that it jumped the road below us and tried to spread into the valley. (Funny as this story is to look back on, it wasn't at all funny at the time and would not have been even remotely amusing if it had indeed spread into the valley below our home. People live there. Lives could have been lost and property certainly would have been because there are no such things as fire hydrants out here. They had to use a tanker truck. They would have had nowhere near enough water to douse a fire that big. Thank You, Lord, for sparing us all that disaster!)

My beloved husband, whom I adore with all my heart, put the blame for that fire on me! He and his brother-in-law, who'd taken part in the starting of the blaze, stood there with the firemen after they'd put it out and explained how they'd told me and his sister that it was too windy to start a fire but that we'd insisted. He was being facetious, but my husband's sarcasm is often difficult for others to grasp. I have always doubted that the firemen realized he was making a joke. Anyway, for a few years after that, we were recognized around town as "the people who'd had the fire on the ridge." Literally, we would walk into the local grocery store and while checking out, the cashier would say, "Oh, you're the people who had that fire out on the ridge." Ah, life in a small town.

Suffice it to say, that was the day we instigated new rules in our family. Hubby is no longer allowed to start any fires unless he's under my direct supervision. He has been flatly forbidden from ever, under any circumstances, using flammable liquids like gas, kerosene, or lighter fluid to start any fires. There have been a few instances, however, when he has ignored these rules. Or at the very least, skirted them. This series of shots was taken last year on an outing to a state park.
We had the dogs with us, so I did not realize what he was doing because I was taking pictures of them. Then I turned around and the first image is what I saw. The charcoal had already been lit, but wasn't going fast enough for him. Of course I felt I ought to snap a picture of it, seeing as it might be the last good shot I would get of my husband. I was yelling at him to put the lighter fluid down as I took the shot, though. You can see in the second shot that he wisely backed away from the conflagration, ever mindful of the singed facial hair of his past. And that look on his face in the last shot is his typical reaction to being caught doing something he knows very well that he should not be doing. Even as I was shooting the pictures, I was reminding him of his history with fire. God bless him, he just doesn't ever learn.

So, maybe a good part of my sense of humor is a result of my husband's sense of humor. We do laugh at and with each other quite a bit. I mean, it is a common occurrence for us to laugh so hard we get tears in our eyes. Often those laughs are due to something absurd one of us has done or said. Long story short: God blessed us by giving us both senses of humor that the other appreciates for the most part. I do so wish God would just see fit to gift my husband with a bit of wisdom when it comes to fire, though. Barring that, I simply pray that God will continue to protect him from his own idiocy. Lord knows I love that man to death.

Sigh. (Now I'm feeling all sappy and love struck.) There's a reason or the wild swings in emotion, though.

Getting chemotherapy has a lot of effects on the body. One of the major ones for a woman is that it sends us into medically induced menopause. That means we get all the joys of hot flashes and such for the duration of treatment. Those hot flashes were brutal. I lost track of how many times I literally thought I was going to up and melt. But, hey, it came with some up sides, too. Primarily, no menstrual cycles.

Not to get too graphic, but my menstrual cycles have never been what I'd call normal. They started kinda late and hit with a vengeance that literally had me wishing I would just die. I can remember being in what I can only describe as agony. Laying in the middle of my bed in a fetal position, praying it would just stop. I remember being at school once when I was in so much pain that any touch on my body, even on my arm, hurt. My mother, whom I flat out adored and respected, did not grasp just how bad it was. She was of the "if you aren't running a fever and/or throwing up, you aren't sick" mindset and so I went to school in spite of the pain. You've got to understand that this was before the days of the internet where we could research something on a whim. And frankly, she was from the country and the notion was that women have been having menstrual cycles since the dawn of time and they got through it just fine. I do remember more than one person making the joke that if I thought menstrual cramps were bad, then I'd never make it through child birth.

All joking aside, I quite literally cannot imagine labor pains being much worse. I don't blame my mother for not taking it seriously. I don't remember how seriously I complained about it. I know for a fact that it wasn't something I'd ever mentioned to a doctor. I just remember that it was a nightmare. An unpredictable nightmare, since it didn't come on any sort of schedule or remotely reliable cycle. Anyway, I was 18 when I started taking birth control pills. I had no idea at that time that the pills could and would impact my periods. I was beyond pleasantly surprised when I found that they not only became regular, but that the pain not only became easily manageable, but often didn't manifest at all. It was years later that I learned, either from a doctor or from my own research on the internet that the hormones in birth control pills were designed to regulate the hormones within our bodies that trigger menstrual cycles. Not only that, but the pills were often prescribed specifically to help women with cycles like mine. Who knew?

So I stayed on the pill continuously from the time I was 18 until last year when I was diagnosed with breast cancer at 39. It was last fall when my oncologist told me I had to not only stop taking the pill but that I would never be able to take it again. I don't mind telling you that I hated hearing that. But, the consequences of that fact weren't of immediate concern. The chemo brought on temporary menopause, which in turn meant no periods. For months now, when doctors asked me when I had my last period, I've been telling them October of 2010.

I saw my OB/GYN in June and we talked about when and if my periods would come back. I was very encouraged when she told me that it could easily be months or even years. Possibly maybe never. I was desperately hoping it would be never. Because without the pill, I feared I would be facing the agony I remembered from my teen years. She said that it wouldn't necessarily be so. But even if it was, there were things besides hormones like the pill that we could do. Still, I really hoped it wouldn't be an issue.

Then, day before yesterday, I got the gift of my period for the first time in 9 months. In all seriousness, it scares me more than the cancer did. I know that sounds insane, but it's the truth. I just cannot stress how horrible my periods were before I started taking the pill. And it's not like I feel comfortable telling everyone who asks how I'm doing that I'm fine, except for the cramps. LOL

I got up and went to church yesterday morning, but then came home after Sunday school because I could feel the pain getting worse in spite of the ibuprofen I'd started taking the day before. It didn't get too bad. As I told my hubby when he asked me how I was feeling that evening, "I'm not wishing I was dead, yet." So that's something to be grateful for. They're worse, today, though. Still nothing like what I remember, but I can't help worrying that they'll get there eventually. If not this month, then the next time, or the time after that. I did research about it yesterday when I got home from church and learned that doctors recommend taking ibuprofen or Aleve or the like before the pain starts and on a regular schedule for a few days whether there's real pain or not. I've been doing that since Saturday afternoon.

It's crazy to be more afraid of menstrual cramps than cancer. It's crazy for any child of God to be afraid of anything. But somewhere deep inside me there is a teenage girl who remembers being curled up on her bed, crying and praying for the pain to stop. Lord, help me, I don't know if I can take it again. So, while I would never realistically wish to go through chemo again, I do miss the benefit I got of not having to worry about a monthly agony.

In the long run, my menstrual cycle is no different than the cancer. It's beyond my control. I can't stop it or fix it or wish it away. If the pain gets just as bad or even worse than what I remember, there's not one thing I can do to change it. I'll seek a doctor's help if that turns out to be the case, but it will be up to God alone whether that doctor's suggestions have any impact. The thing about the cancer is, it didn't really hurt. Oh, there was pain here and there, days of discomfort, difficulties like hair loss and nausea and that nasty taste in my mouth. There was the exhaustion and the hot flashes, the difficulty concentrating. But somehow, it never truly scared me. Maybe because I saw it all as temporary. It would come and it would go. The treatment would work or it wouldn't. Either way, I wasn't in true pain. This, however, is different. I not only hurt, I potentially might hurt A LOT. And I could very well be facing years of hurting badly on a monthly basis.

Funny how some things scare us more than others. (There's my utterly irrational fear of spiders as a prime example, but we'll just leave that for another day.) While I am a bit of whiner, and I certainly do not enjoy pain, I do in reality have a fairly high tolerance for it. Or perhaps it's better described as a resignation to enduring it when there's simply no other choice. Still, I am praying for God's mercy and intervention in this situation. If I'm on the cusp or revisiting the terrible pain of my adolescence, then I pray God will help me endure it with grace. Lord knows I'll need Him. I need Him every moment of every day.

And now, I'm going to go lay down for a little while. Maybe I'll drag out the heating pad, since the stuff I read yesterday said it can help. The ibuprofen isn't working as well today. But laying down will give me a chance to get ahead on my bible reading. (I'm still doing the 90 days through the bible thing.) I have been not only staying caught up on my reading, but I frequently read ahead, sometimes even a full day ahead. It just gets kind of hard to stop right in the middle of the story, even when I know how the story's going to end. :)

See, there's always an upside. Always something positive to be found if we will just look hard enough!

Thursday, May 5, 2011

Getting Back to Normal...

Normal. It's a relative term. But then everything in life is relative. Einstein sure had that right! Every thought, fear, and emotion is relative to our own personal experience and views. "Normalcy" is no different. They (scientists and/or psychologists) spend a lot of time studying what is normal. They run all kinds of tests, compile reams of data and statistics, then create charts and reports to explain what is or is not normal for an average, normal person. Personally, I think most of it is malarkey.

Still, I confess that I believe nothing about cancer treatment is "normal." The moment you hear that word come out of the mouth of a doctor "normal" goes right out the window. Maybe forever. But despite the lunacy of the treatment and the discomfort of the side effects, it all eventually comes to an end. The chemo and radiation - and by extension their side effects - are temporary. You get it, then you're done. They tell you that you'll start getting back to normal within a few weeks or months, depending on a lot of other factors. I can't really speak to that with authority yet because I have not gotten back to "normal." I'm getting there, though. There might be a mitigating factor keeping me from recovering as quickly as I should, but more on that later. First let's talk about what is changing.

The hair is the most obvious thing, I suppose. It's just growing like crazy. It's actually gotten long enough now that I have to take a comb to it after a shower or risk looking like a character from a Japanese Anime cartoon.
Not sure if he's sharing my opinion of his hairstyle here or not, 
but I know I give it a "thumb's down" when it's on my head.



So, I try to keep it under control, but have issues with the hair right over my ears. It's too short to keep tucked behind my ears and too long to just lay there nicely. It generally sticks straight out over my ears. Mark called me Mercury today. You know, the messenger of the gods who had wings on his feet and the sides of his head. Yeah.

Eventually the hair will get long enough to actually do something with it and I'm looking forward to that. For now I'm just glad that it's finally starting to fill in so that I don't look so much like a balding man. It's still a little thin in front, but it's filling in. I've got eyelashes again. At least more than I had for a while there. And my eyebrows are coming back, too. Unfortunately, along with the hair on my head, the hair in my armpits and on my legs is returning as well. Alas, shaving will soon be a part of my routine once more. It's a real shame that they can't come up with some way to engineer the chemo to kill of armpit and leg hair for good. Sigh.

So, the hair coming back is a good thing. I really, really miss having hair on my head. I keep looking at all my head bands, scrunchies, and barrettes with longing. I could wear the headbands, I guess, but what would be the point? They'd just make what little hair I have stick out like crazy. Believe me, I caught a glimpse of myself reflected in a glass door the other day with my sunglasses pushed up onto my head. It was NOT pretty. Along with the return of my hair, though, come some less than welcome parts of my old "normal."

I have been sick with sinus issues for two weeks now. It was very unpleasant for a while there. It's mostly gone now, aside from a nagging cough as I struggle to get rid of the last of the congestion that set up in my chest. I've got a sinking feeling, though, that this was just the beginning. I think my allergies are going to be a bear this year. If the stuffy nose and sneezing are already starting then it doesn't bode well for the rest of the growing season. None of this is cancer related, however. I mention being sick because I have felt terrible for several days. And just when I started feeling better a new problem cropped up. I woke up with a headache one day and it didn't leave for another three. I have most definitely not missed the migraines. They've been gloriously absent through my cancer treatment thanks to the impact the chemo had on my hormones. Now that they're getting back to "normal," though, the headaches triggered by them are returning as well. This was the first migraine I've had in months. Not looking forward to that routine again.

On a related note, I haven't had a menstrual cycle in months either. I expect them to be starting up again soon as well. I'm dreading that more than the return of the migraines. Without going into a lot of gory detail, my periods were nightmarish when I was young. I've been on birth control pills continuously for more than two decades. They helped regulate my cycles. (They also helped mitigate the migraines.) But I can't take birth control any longer so I'm concerned that the nightmare periods I experienced in my teens might return. All I can do is ask for prayer that this won't happen. Seriously, I really don't want to go through that kind of pain again. Sigh, again.

Now to the one side effect that should be easing but hasn't so far. Fatigue comes with both chemo and radiation. In truth, it's just part and parcel of the whole cancer experience. The treatment causes it, but the constant running back and forth for all the tests, doctor's appointments, and treatments adds to the problem. Once treatment ends, your body and mind can begin healing from all the abuse and the fatigue starts lifting. As a point of fact, I have read many accounts from other survivors that suggest it takes months or even a year or more to get back to "normal." Still, I expected to notice some improvement. I haven't. If anything, Mark and I have noticed that I seem to be more tired. I have chalked it up to lingering effects of the treatment. Today I got an indication that I might be wrong about that.

I mentioned before that I have to get regular tests to monitor the function of my heart. I got the first one before I got my first chemo. It was to give them a baseline to compare future tests to and to ensure that my heart was strong enough to endure the chemo. I received Adriamycin, which is known to be potentially damaging to the heart. This damage can be temporary or permanent and can appear with no warning at all either during treatment or at some point in the future. After completing the Adriamycin, I began getting Herceptin. This is not chemo, but is a medical therapy which is used to treat my specific kind of cancer. It targets a particular protein that is present in my cancer and makes it impossible for cells with that protein to reproduce. Unfortunately, Herceptin can also cause heart damage. I began the Herceptin in November and am supposed to receive it for a full year. They check my heart function regularly to make sure the Herceptin is not impacting it.

My baseline MUGA revealed my heart function to be 61%. Anything above 50% is considered normal. (There's that word again. LOL) In November, just before I began receiving Herceptin, it was 59%. In March it had dropped to 55% and my doctor mentioned that he was concerned enough to schedule my next MUGA early. I had it this past Tuesday and he gave me the results today. My heart function has dropped to 38%. This is, needless to say, a significant drop in my heart's pumping ability. It may very well explain why I am still feeling so tired all the time. So I did not get any Herceptin today. I will not be getting any until and unless my heart function rebounds. I will be getting another MUGA in approximately six weeks. They will set it up and call me with the date. Until then I just keep going. I have no activity restrictions, which is very good. Mark was worried about it and specifically asked the doctor that question. At this point there is no reason to flip out. Well, there's never a reason to flip out, but you get what I mean, I hope. If it is merely due to the Herceptin then it should bounce back fairly quickly. If it rebounds dramatically, we will try starting up the Herceptin again and see what happens. If it doesn't, then that's something we'll deal with once we get there.

In other news, I got all the results from my genetic testing and I am negative for either of the BRAC genes as well as any other genetic anomaly that might be to blame for my cancer. This is good news. At least I'm not carrying around a ticking time bomb just waiting to mutate some more cells. I might still have some stray cancer cells floating around somewhere that might someday take root and start growing again, but I'm not genetically predisposed to breast cancer at least. That's cause for celebration. Sadly, I was so sick around my birthday and over the past couple of weeks (and Mark was sick the week before that) that we still have not gotten around to having a celebratory dinner. I'm not bothered by it, though. I'm just grateful beyond words that I didn't have to make this journey alone. Not only do I have God to see me through it, He saw fit to give me a wonderful husband to help as well. Thank You, Thank You, Thank You, Lord! 

So, things are getting back to normal but normal isn't what it used to be. I'm not sure it will ever be completely the same again. But that's okay. Change is a fact of life and we all have to learn to live with it whether we like it or not. Generally speaking, I don't feel bad. My cold or whatever it was is mostly gone. I can finally sleep through the night again, which is something I couldn't manage for several days there due to the congestion in my sinuses and my chest. I spent more than one night sitting up in a recliner. It was not a fun time. But God got me through it with relative speed. I had medicine to take and it didn't turn into anything that I needed a doctor for. I see all this as a blessing. As my favorite motto says, it could always have been worse.

On another unrelated note, I need to thank God for one more big blessing. I had to be in Madison at 7AM Tuesday morning for that MUGA scan. That means we left home a bit before 6:30. It was still twilight out there and raining with the roads very wet and countless spots with heavy ponding on the roadway. We were moving along at a reasonable speed when we suddenly realized the road in front of us was blocked by a massive mudslide. This was the second one in a week along the same stretch of road. Mark couldn't swerve around it because there was an oncoming car. By the grace of God he got the car stopped before we plowed into the tangle of mud and trees. I tried to call 911, but was getting so much static on the line that I hung up. Then I tried to call the Jefferson County Sheriff's office but got a busy signal. I was waiting for a few moments to try to call them again when we passed a sheriff's car heading in the direction of the slide. His lights were off, so I don't know if he was responding to a call about it or if he just happened to be heading that way, but as Mark said, he'd find it either way. By the time we reached the hospital a few minutes later they were already reporting it on the radio. They had the road closed for more than 24 hours while they cleaned it all up. We passed it today and it's just amazing how much of the hill came down on the road.

As I said, it could always be worse. Thank God for His mercy and grace and protection. Whatever comes of my heart, I know I can rely on Him to take me through it. That's all I need to know.

Friday, March 25, 2011

Exhaustion...

Wow, I didn't know I could feel this tired. I swear it wasn't this bad during the chemo. Or maybe it was and I've just forgotten. You know, Chemo Brain and all. Then again, I guess it's possible, and probably more likely, that I'm just feeling the cumulative effects of the chemo and the radiation. Whatever the cause, I am flat out worn out ALL the time. Let me give you an example.

I went Wednesday to get my herceptin before my radiation. I also saw the oncologist before the herceptin. I was tired when I got there, but by the time it was all over and we got home, I was feeling dead on my feet. So I laid down and I didn't get up until the following day. I think it wound up being something like fourteen hours. Mark kept coming in to check on me, but all I wanted was to sleep. I didn't get up to eat or anything else other than a trip or two to the bathroom.

So, you'd think that all that sleep would leave me feeling fresh as a daisy, or at the very least feeling anything but tired. It didn't, however. Last night I expected to feel good enough to get some stuff done, like loading the dishwasher, maybe folding a few clothes, little things like that. Instead I found myself heading to bed around nine, I think it was. I didn't actually sleep much, but I just couldn't find the energy to get back up. I did manage to drag myself into the kitchen this morning to finally load the dishwasher and I fixed a quick breakfast for Mark and myself. By the time I'd finished my toast, though, I was ready to fall over. I left Mark watching TV and went back to bed. He joined me sometime later, though I don't remember it. He reads his Bible before going to sleep and I usually notice him turn on his light, but not today.

I was back up by ten and out of bed by ten-thirty so I could be ready to leave by eleven and in Madison for more radiation at eleven-thirty. Right now I'm seriously contemplating taking a nap.

My breast doesn't look much different after another week of treatments, but it feels different. I notice my clothes irritating it some, like the skin is slightly sunburned and anything even remotely rough hurts a little. And I'm starting to have trouble laying on that side because putting pressure on it hurts a little. And I still have fifteen treatments to go. Three more weeks. I go Monday to get a CT for them to map out precisely how they're going to do the final seven "boost" treatments.

I also got the results of my last MUGA scan from the oncologist when I saw him on Wednesday. The first one I had done before any of the chemo was a baseline scan and my heart was functioning at 61%, which sounds kinda off to me, but is actually above normal. (Anything over .5, or 50% is considered normal.) The second scan I had done three months later, after starting chemo, the function had dropped to 59%, still no cause for concern. This time it was down to 55% and he's starting to worry just a little. Well, worry is probably too strong a word. He wants to keep a close eye on it. He says we're going to do the next scan early, in just 2 months. If it's dropped again, then we'll decide what to do next. He said we might try stopping the herceptin for a while, then do another scan to see if the function improves. If it does, we'll start the herceptin back up. Or maybe we'll just drop it altogether. Either way, it's something we have to keep an eye on.

It kinda worried Mark, I know. He's taken to double checking that I'm not having any chest pains or anything, which I'm not. He's also posited the theory that my decreasing heart function might be adding to my fatigue, which makes sense to me, but we haven't run it past any of the doctors, yet.

I've also had a persistent cough for a while now, and that isn't helping me feel any better. I think it's due to my allergies. Though it's turned back off cold now, it was so warm there for several days that we were opening the windows and even sleeping with the bedroom window open a few nights. I was coughing before all this, but it seemed to get worse during the warm spell. I told the radiologist on Wednesday that I've been noticing increased allergy symptoms for a while now. They seem to be getting worse with each passing season. For a while there I wasn't having any issues at all. I'm thinking now, though, that I might wind up having to go back on the allergy injections. It's just one more thing to work out, though I'm waiting until the radiation is over because it's just too difficult to go to Madison in the morning, then turn around and head off to Florence on the same day. Frankly, I'm too tired to even think about it. I had to cancel my six month appointment with my allergist because of the radiation. I haven't rescheduled it, yet, but I need to.

Gosh, it seems like I am constantly making notes to myself these days about things I need to remember to do! At least I did manage to get our tax stuff to the accountant last week. Now, If I can just get through the next three weeks without falling flat on my face from fatigue, I'll be good!

The tech did tell me to expect it to take a couple of months after I finish the radiation before I started feeling more normal. Still, I'm looking forward to the end of this next three weeks because at least then I can start getting better each day instead of feeling worse. And I'm really, really hoping that it all winds up before I break out with blisters from the radiation. Just three more weeks. I can't wait.

On a side note, I've been so happy to see the first blooms of spring. We've got bunches of daffodils (Buttercups to us Southerners) blooming all over the place around here. I really wish I could get out there and cut some to put in a vase, but as much as I'd like to, I just can't seem to drag myself down the driveway to do it. For some inexplicable reason, my forsythia has chosen not to bloom this year. Well, it has one lonely little yellow flower, but that's it. I do have some hyacinths blooming, though. And everyone else's forsythias are blooming like mad, along with the Jane magnolias and Bradford pears. Mark bought a bunch of bulbs the other day at the store, though we haven't gotten them planted, yet. He really likes dahlias. I like anything that blooms. It's really going to drive me nuts if I'm too fatigued this year to get out there and take pictures of all the flowers! Just in case, here are just a couple of my favorite shots from previous springs.
 A lovely, bright yellow buttercup!
 It's kinda hard to see here, but I love the way the petals of this narcissus are actually iridescent.
My forsythia when it actually does bloom for me.
 I have always loved hyacinths. My mother grew them at the corner of our house and to this day, their sweet smell reminds me of her.
 A curved row of buttercups that sits behind one of the beehives.
This is one of my favorite shots. I was aiming at the narcissus in the center of the shot, but realized later that it looks like my little cow is sniffing one of the others. Mark's parents gave me the cow one year for Christmas. I kept it in the house for years, not wanting to see it get worn by the elements. 

I'm pushing spring a little this year, tired of the gray of winter, I guess. I use shots like these, and countless others to brighten up my computer. They're my wallpaper on my home screen and they rotate every few hours so I don't get tired of looking at the same one all the time. They're on my iPad, too. And my cell phone, come to think of it. Makes me smile every time I see the lovely colors and flowers. It also reminds me of just how awesome God is. He didn't have to make flowers. I suppose He made them for His own enjoyment, but I also suppose He knew we'd love them, too. No matter how tired I feel, seeing the flowers always makes me smile and perks me up just a bit. Isn't He great!

They're talking actual accumulating snow on Sunday! Yikes!

Tuesday, March 15, 2011

Signs of Radiation Exposure...

Well, I'm into my third week of radiation treatments. As I was laying there today listening to the machine buzzing while it zapped me, I couldn't help thinking about Japan and it's nuclear situation. If the worst were to happen (and I know we are all praying that it WON'T!) the kind of radiation that would be spewed into the atmosphere is actually the same thing that has been used to treat cancer, though not in my case. I find that fact amazing. Like chemotherapy, radiation treatment is so counter intuitive. The very form of radiation, cesium-137 that is released during a nuclear meltdown, the thing that has contaminated everything surrounding Chernobyl and that led to who knows how many deaths and illnesses after that catastrophe, is deliberately aimed at cancer patients in an effort to rid them of the mutated cells that could kill them. Yet exposure to cesium-137 causes cancer. Does anyone else have trouble wrapping their brain around the logic? LOL

Anyway, on Mondays they take a couple of x-rays along with my treatment to make sure their targeting is still good. Conveniently, the same machine that treats me takes the x-rays. Isn't that handy?! I also had my third MUGA scan yesterday. That's where they inject me with even more radiation, wait half an hour, then put me in yet another machine that takes a series of images of my heart. I'll have one of these done every three months or so to make sure the Herceptin I get every three weeks isn't damaging my heart. I haven't gotten the results of this test, yet. I don't know if they'll call me or just wait for me to see the doctor next week.

On Tuesdays, I see my radiation oncologist after my treatments. Our first two visits during my first two weeks were only a couple of minutes long. She's an awesome doctor, and I love how thorough she is. During my first two weeks she just wanted to make sure I didn't have any other questions or concerns. I didn't. I did have something to discuss with her today, though.

I actually noticed last week sometime that there were some differences in my breast, mostly in the coloring. On Sunday I noticed that there was a red area on my chest in the upper left quadrant of my right breast. Meaning I had a red spot just to the right of the center of my chest. The skin on my right breast looked a little red, too. Then it seemed to look normal later so I decided that maybe I had just squished it while sleeping. LOL I didn't bring it up when I got my treatment yesterday because I knew I'd be seeing the doctor today. Plus, I knew it was just the beginning of my body reacting to the treatments. Anyway, I showed it to her today and she agreed that it was the start. She sent me home with some tubes of an ointment to use on the red spots. I'll just use more of it when more areas get red. She told me the redness on my chest is typical and that a lot of women get a rash there.

So I'm starting to react to the treatments. I was really hoping it wouldn't start until the fourth week so that it would be less likely to have time to get particularly uncomfortable. Right now it doesn't really hurt, though my chest does itch a little sometimes, which is how I noticed it in the first place over the weekend. Amusingly, my boob feels kinda hot sometimes, especially after treatment. This is such a strange thing. It's really weird to have one breast feel like it's running a fever while everything else feels normal. Like I said, it isn't painful, yet, so that's a huge plus.

I don't know if I mentioned this before, but along with the skin reaction/rash and the fatigue that comes with radiation treatment, there is also a list of things NOT to do. One is not to use any lotion or perfume on the area being treated. That's not so difficult. But I also can't use deodorant under the arm on the side of the breast being treated. This is just annoying! To be precise, I am allowed to use unscented aerosol spray, which isn't actually a deodorant, but an antiperspirant. On the day I went looking for it, which I was advised could be found at a pharmacy, Mark and I were at Wal-Mart and I decided to look there. No such luck in the women's section. But Mark found a can in the men's. So I now hose my right armpit down with men's aerosol antiperspirant every day. It's a sport formula. Yeah, like I need that. I contemplated looking for something made for a woman, but I was too tired that day to bother going anywhere else once Mark found this one. So it's what I'm using. I don't like it. I miss my Secret! (Strong enough for a man, but made for a woman!) LOL I am grateful, however, that this isn't all taking place in the height of summer. It should all be over and I should be free to return to my regular stuff long before that sets in. Thank You, Lord!

There are just so many things that go along with this whole journey. Like the chemo and radiation, some of them are too insane to even bother trying to make too much sense of. Oh, I understand how the chemo and radiation work. I did plenty of research into both of them. When you get right down to it, they do make sense. But there's still something way beyond ironic about pumping yourself full of poison and bombarding yourself with radiation in an effort to kill off mutant cells that can, in turn, be triggered by the very things you're trying to kill them with. And then there's the joy of being bald. Honestly, I didn't mind the baldness near as much as this process of watching my hair grow back. It's just ugly right now. It points in all kinds of crazy directions. The short stuff over my ears never wants to just lay down, it prefers to poke out over the tops of my ears, making me look like some little old man with ear "tufts." And I swear I have even fewer eyelashes and eye brows now than I did when I finished chemo! Let's not even talk about the other places where I don't have any hair. Yet, somehow, there is still hair growing on the fronts of my legs. What is THAT all about?!

The list of absurdities associated with cancer treatment just goes on and on. I choose to laugh at pretty much all of it. What's the point in being upset? It won't change a thing, except to make me and anyone around me miserable. I've seen cancer patients who were very bitter and angry. I don't understand the point of that. It sure doesn't help them any. Besides which, I know God's ultimately in control of it all. It'll work out however He thinks best. Whatever comes, I'll go along with that knowledge and cross each new bridge when I come to it, all the while knowing He's right there with me each and every step of the way.

I just thought of something. You know how they refer to radioactive items as being "hot?" Well I've got a hot boob! Maybe it's radioactive! (I'm tired. You'll have to overlook the goofiness of my sense of humor. Mark sometimes just smiles and nods his head and I know he isn't laughing with me at those times!)

Okay, I'm done, at least for now. I'm off to the kitchen to find something to snack on. Though I doubt anyone needs a reminder, please keep the people of Japan in your prayers. I cannot even imagine the scope of the devastation they are facing right now. And the nuclear situation on top of what's already happened isn't making it any easier for them. And pray for all those who are there to help search for survivors and victims, too. They've come from all over the world to help and what they're doing is no easy task. Then hug your spouses and kids and any other family and friends you can get your hands on and take a minute to thank God for all the blessings in your life. You know there are lots of them that we all take for granted every day.

Wednesday, February 16, 2011

Bye, Bye Chemo!

Well, I'm finished with the chemo. Been done for a few weeks now, but was waiting for the last of the side effects to fade before posting. Actually, I'd thought about doing a post that detailed my symptoms through that last chemo, but I just felt too bad to keep up with it. Suffice it to say that I am thankful that the pain is gone and along with it the odd twitching and spasms in my feet and legs. Then there was the first week or so when I couldn't taste anything, followed by the second week when I still couldn't taste anything I ate, but at the same time had a nasty taste in my mouth that nothing seemed to help. And I won't even talk about the diarrhea! The only issue I seem to have left at this point is watery eyes. Those aren't likely to clear up for several months. And I still have no eyebrows or eyelashes, though the hair on my head is slowly coming back. I really do miss having hair.

Yeah, that's my head. Mark teases that I have a receding hairline. I'm just hung up on how much gray there is. I've had a Lily Munster little patch of gray on top for a few years, but the hair on both sides of my head is almost all gray now. I guess that whole hair coming back a different color thing is true. My different color just happens to be gray.
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( I just have to interject here that I'm sitting here watching the Gaither Gospel Hour on Inspiration, and Larnelle Harris and Ladye Love Smith are singing "I've Just Seen Jesus." I have always loved that song, though Larnelle originally did it with Sandi Patti. I sang it as a solo years ago, and it still gives me chills. It's that awesome moment when we see Jesus and our lives are changed forever. I love it! Okay, back to what I was saying.)
Happy Emoticons

Hmmm... have I mentioned that my attention span is kinda short, too? Ha. (I've got goose bumps!) I'm going to have to post that video here, just because I now can't get the song out of my head. I loved Larnelle Harris when I was a teen. And Amy Grant, and Brooklyn Tabernacle Choir. I remember every afternoon when my best friend and I would get in the car to go home after school, she'd be like, "So, who's it gonna be today? Larnelle, Amy, or Brooklyn Tab?" Need I mention that we were not typical rebellious teenagers?
Free Avatars
Okay, NOW I can get back on topic. So, I have the gray hair coming in, eyes that sometimes water like crazy, and lingering fatigue that will take quite a while to overcome. All in all, I count my blessing that the side effects I've had have not been worse.

The funny thing is, Mark and I figured that the worst was over once the chemo was done. And I'm sure it is. But I have had one issue since I finished the chemo. After last week's Herceptin infusion, I developed swelling and a bruise at my port site. We saw my oncologist the next day, and he felt it was probably nothing serious. Mark was still worried, though, especially when the bruise kept getting bigger. So I saw my surgeon's partner on last Friday and after looking at it, he felt it was too early to do further testing. His theory was that my chemo nurse nicked a small blood vessel when I got my infusion. It was also possible that my port was seeping a little, but he didn't want to do further testing until we saw what the next few days brought.

The bruise is sizable, but stopped growing that day. It's now a lovely greenish-blue color. The surgeon told me to pay special attention when I got my infusion today and if anything felt off, to let them know. (As if I needed to be told that!) Anyway, I had my infusion and aside from an issue with the needle's initial placement, everything seems to have gone just fine. No swelling or new bruising so far. Thank you, Lord! I was not looking forward to possibly having to have the port replaced. I still need it for several more months, at least through October.

I'll keep getting the herceptin on a weekly basis while I'm getting radiation. That will start on February 28th. I go next Wednesday to do my practice run. They will also give me a series of small tattoos to make permanent marks for them to use to line up the machine. Not looking forward to that. They'll be very small, just little dots about the size of the head of a pin. The radiation will take about six weeks or so.

It's hard to believe the chemo is all behind me. In the beginning it seemed like it would take forever. Then again, it's hard to believe that I was diagnosed almost seven months ago. Hardly seems possible that so much time has already gone by. It just goes to show how time keeps marching on whether we notice or not.

So, the chemo is done and before I know it, the radiation will be, too. Then it'll just be the herceptin and no doubt that end will come with surprising quickness as well. My father used to tell me that time moved faster as we got older. He was right.

On a side note, one of the ladies from the Cancer Survivors' Network has just informed us that she has cancer for the third time. She was diagnosed with breast cancer back in 2007. She fought it a second time, and was just recently in the hospital for what she thought was pneumonia. They found out after running tests that instead of pneumonia, the cancer has sprung up in her lungs. Her name is Barb. Please lift her up in prayer as she faces this battle once more. I know God will keep her in His care. He's taken good care of me.

Saturday, January 8, 2011

Seven Down, One More to Go!

Well, I've gotten seven of my eight scheduled dense dose chemo treatments. Just one final big bad one to go after this! I am so excited to be done with it. I'll still keep getting the Herceptin through October or so of this year, but it's nothing like the Adriamycin, Cytoxin, or Taxotere. It comes with potential side effects, but not like the others. Potential heart damage is the biggest risk, but no more hair loss, weird/bad/nonexistent taste, digestive issues, body aches and pains, etc. They'll just have to do a heart scan every 3 months or so to make sure the Herceptin isn't doing any damage.

I'm going to wait until I get that final Taxotere treatment before I call my radiologist to see about starting the radiation treatments. I was supposed to have had my 3rd Taxotere (7th overall dense dose chemo) over a week ago, but got sick with a cold or flu like virus. Had a fever of 102 for a while there that Mark and I thought for sure would land me in the hospital again, but the Dr. decided to do some blood work and get some chest x-rays first and since all that came back okay, he just let me go on back home. He went ahead and gave me some antibiotics in spite of the fact that they don't do anything for viruses because he wanted to head off any possible bacterial issues that might just be lurking somewhere inside me. I felt pretty bad for a week or so there. Lots of sinus issues and a really nasty cough that is still trying to linger a little. All in all, though, I'm a lot better than I was. I just get to coughing pretty hard every once in a while, but it's gradually getting better, too.

Mark had it first and of course I got it, too. He was sick at Christmas and by New Year's, I had it. He's still trying to get over it completely himself. He's had a lot of issues with his ears being clogged up, though no pain or apparent infection setting in. He just complains that he can't hear out of one of his ears. He says it's starting to crackle a little though, so he thinks it's about ready to start breaking up. Generally, this has been a tenacious little bug, but with God's help we're beating it!

So, other than the cold, I'm still plodding along. I got my last treatment on Thursday, Jan. 6, one week and 1 day late. Normally, today would be my first day down with the pain, but since it was a day later than usual, I'll be looking at Sunday and Monday being my "flat on my back, too sore to move" days. It's already starting a little. Starts in my shoulders and neck. The muscles start getting tight, then sore. Then the soreness starts spreading everywhere else. My back usually starts aching, then I get a lot of soreness in my legs and feet. There's also usually these odd little "twitches" in my feet, too. Sometime in my hands, though never as bad as my feet so far.

I've already started losing my taste buds. I really hate this part of it. Nothing seems to taste right. Or at least almost nothing does. Mark and I stopped at McDonald's yesterday afternoon and I kept asking him if the ketchup tasted weird or if it was just me. Just me, I'm sure. I really like ketchup, but after these treatments it never seems to taste right. Don't know why. Some things tend to be better. Sweet stuff usually isn't that bad. I had Mark get me a small milkshake after the ketchup fiasco just to try to get the taste out of my mouth. LOL Along with the lack of taste comes this weird feeling in my stomach. Feels like it's full of cotton, bloated, but not with gas. It just feels like it's full of something. Makes it a little sore and also isn't conducive to eating normally. Just one more thing to get through over the next few days.

For some reason, I haven't done as good a job remembering what's good and what isn't with the Taxotere. I had it down pat with the A/C, but this time around it's just not sticking. Maybe because I have 3 weeks (or more when I get sick like I've been) between my treatments. I guess I just keep forgetting what works and what doesn't. I made this roast the other night but it didn't taste quite right to me either. Mark said it was good, but it was just a little bit off to me so I didn't eat as much as I normally would have. Not that it will go to waste. Mark pretty much has it finished off. I think there's just a little bit left in there. He'll probably eat that when he gets in from work. Kinda like a snack. LOL.

Anyway, I'm wondering what I ought to try to eat next. Tomato type stuff (ketchup, pasta sauce, soup, etc.) is pretty much out just because it tastes either weird or almost has no taste at all. I was debating about taco meat (either in tacos or a taco salad) because I can add stuff to it to boost the flavor. Not sure, though. Maybe chili? I've also got some jalapeno poppers in the freezer that I'm thinking about trying. I just don't know. It's hard when I'm not sure what'll work. I tend to lean toward the spicy because at least I can taste the heat. But there's always my old stand by of Fruity Pebbles. I really don't like making a meal of them, though. Not as my only meal. Seems wrong, somehow. And even they don't taste completely normal with the Taxotere.

So, I'm doing good for now, in general. Feeling a little whiny about the lack of taste and by tomorrow I'll be too sore to care if I eat, but it'll pass. It always does. Like I said, just one more of these treatments to get through. I still have the worst of this one ahead, but just knowing that after this there's only one more makes it all seem so much less unpleasant. I'm ready to be done with it. Ready to not have to plan for the down days and the tasteless days. Ready to start healing from all the fatigue and other side effects. It won't be an overnight thing. More than one other breast cancer patient on the Survivor's Network has said that even months (or a year) after the end of chemo, they still weren't fully recovered. It takes a long time for the body to rid itself of all those toxins. Some of the effects may never fully dissipate. But it's certainly better than the alternative. So I know it's going to take some time, but I'm looking forward to the start of that part of my journey.

Gotta go. I've just raided my freezer and brought several things into the kitchen to try to decide what to try to eat. LOL. I'm not even sure what to try to drink, since a lot of that tastes weird, too. I'm just going to keep trying different stuff, I guess, until I remember what works.

Thanks for the prayers I know were sent my way while I was sick. I know they worked. I believe they kept me out of the hospital at the very least. In spite of the fever and sickness, my cell counts have been very good. This is nothing short of a miracle in my opinion. When I got my treatment on Thursday, the nurse said they were excellent. That's pretty impressive. God is just plain awesome! Love to all.

Saturday, November 13, 2010

Sinus Issues, Thanksgiving Dinner, and Other Miscellanies...

Well, I seem to be over my infection issues. Praise the Lord! I have a bit of a sinus cold, though, which is unpleasant, but doesn't seem to be getting any worse. I always tell Mark that there's a fine line between medicine helping and hurting in a case like this. On the one hand, the antihistamines, decongestants, and expectorants, help keep my sinuses from draining down the back of my throat (and making it horribly raw) and also from collecting down in my lungs (making me sound like an accordion in serious need of repair.) The first day I woke up with it, my throat was already sore from the mucus (gross!). Ironically, I was seeing my oncologist to talk about my next course of chemo. Just as a quick FYI, I'm due to start it next week on Wednesday, November 17. I will also be having another MUGA scan (heart) early that morning to make sure my heart is still okay for the next round of treatment. This time around it's Taxotere (every 3 weeks) and Herceptin (every week.) I'll be taking the Herceptin for an entire year. The radiation will come once the Taxotere is finished.

Honestly, I'm just anxious to get on with it. This sinus thing is annoying, but so long as I don't develop pneumonia or an ear infection or something worse, I should still be able to get my chemo next week. The Taxotere is nothing worse than what I've already had. It can cause hair loss, though my chemo nurse told me that most breast cancer patients actually start regrowing hair while on it. LOL, I told Mark that I dreamed I had hair the other night. I've been dreaming a lot of weird stuff over the past few days. I think it's the NyQuil. LOL I've taken it all my life, despite the horrific taste. It was my Mama's "go-to" medicine for colds. Of course, these days they've taken the decongestant out of it because of the crazy druggies out there using it to make whatever it is they make with it. I used to be able to find the NyQuil that still had the decongestant at my local drug store, but now they've stopped carrying it altogether. So I have to buy a separate decongestant and take it with the NyQuil. The stuff knocks me flat out. Maybe that's why Mom liked it so much back in the day. LOL

I actually haven't taken anything since this morning because I am a little worried about taking too much medicine when I have a mild cold like this. I got caught in that catch 22 several years ago when I was going to visit my sister, Connie, after she'd been diagnosed with cancer. I didn't want to risk taking the cold I'd had down to her so my Dr. gave me some antibiotics and a prescription decongestant/expectorant. This was back when the asthma was still something of an issue. Anyway, I still remember sitting in the airport trying to keep from coughing up a lung while all the other travelers gave me a wide berth. I kept wanting to tell them it wasn't contagious, but I could barely stop coughing long enough to breathe, much less talk. LOL It took me a few days to finally figure out that the decongestant was drying me out too much, which was in turn making me cough like crazy. I quit taking it, but it still took almost a week & a half for me to fully get over it. So now I'm kinda paranoid about taking too much medicine when I'm sick. I may have to break down and take something, though, because my nose is pretty stuffy and I'm still coughing. This morning the expectorant kicked in and I got some stuff out of my chest, but my throat feels awfully raw from all the coughing. Seriously, I just want to feel half-way decent for a few days! Especially since I'm about to start the new chemo and I don't know how it'll effect me.

The Herceptin is supposed to have almost no side effects. It's targeted to a specific protein within my particular cancer. The one big side effect it does have is potential heart damage. Hence the MUGA scan on Wednesday morning to make sure my heart is still going strong. Ya'll pray about that, please, as the Herceptin is one of the big guns that is supposed to help keep the cancer from coming back down the road. If that scan, or any of the others I'll have routinely throughout the treatment, shows any sign of heart damage, I won't be able to get the Herceptin at all.

Okay, change of topic. So, Mark and I were at the store sometime last week. We'd gone to Kroger because they were selling frozen stuffed peppers for a really cheap price. This is one of Mark's primary meals when I'm sick and not up to cooking. He can cook other things, but this is his quick and easy, toss it in the microwave and scarf it down meal for days he works. So we went to replenish our supplies since I've been so sick lately and he's been eating a lot of them. On our way through the store Mark honed in on the frozen turkeys like a laser guided missile. This is something we go through every single year around Thanksgiving and Christmas. There are TWO of us. Neither of us cares for the dark meat on the Turkey. When his mom was still alive, we'd send all the dark meat to her because it was her favorite. I have tried for years to convince Mark that all we need is a turkey breast. He simply cannot bring himself to buy one, though, because he feels like he's being cheated somehow. I confess to sharing this feeling a bit, especially considering the fact that a turkey breast is at least twice as expensive as a whole turkey and you're getting less meat. Somehow, that just feels wrong.

Anyway, the whole vs. breast thing is just the start of our issues. Because along with an innate urge to buy a whole turkey Mark also suffers from a driving need to buy the biggest turkey he can find. He simply cannot stop himself. He gets positively depressed if he can't find a turkey well beyond 20 lbs. I am so not joking, here! For years, we have bought turkeys that topped out at 23-25 lbs. So, that night at Kroger he found a giant bird that was over 25 lbs. I could see the drool forming as he leaned over it. I am a more practical person. Well, more practical when it comes to turkey. I like it. I eat it. I'm pretty good at cooking it. But ultimately, I am a ham person. Not fake-o de-boned, machine pressed, ham loaf ham, mind you. That stuff, as far as I'm concerned, should be relegated to the deli and never allowed to leave. What I like is a whole ham. Like Mark and his turkey, I search out the biggest ham I can find and drool over the prospect of eating it. So, we're two of a kind, I suppose. Which is why we come out of every single major holiday with enough turkey, ham or both to feed an army. Actually, Mark lives off the turkey for the days following the holiday. He eats turkey and potato salad for pretty much every meal. The rest of it he can take or leave, but there have been holidays when we didn't actually have any turkey to put in the freezer because he ate every bit of it. LOL

I always wind up putting ham in the freezer. There's probably some in there right now from either last Christmas or maybe this Easter. I can't remember if I fixed a ham for Easter. Anyway, Mark actually didn't buy that turkey. I was amazed at his restraint. He knew we could find them cheaper at Wal-mart, though, so he held off until he got there. Where he bought a 24 pounder that is stuffed into our freezer waiting for me to make room for it in the fridge. It'll take a week for that monster to defrost!

He keeps asking me if I'm going to get a ham and I told him I haven't decided. The way things are going, I'm not likely to feel much like cooking next week. I think I'll just go rummage around in the freezer and see if I can't find some pouches of ham in there. That'll save me quite a bit of work.

I learned from my Mama to make enough food at the holidays to feed an army. This usually includes all kinds of desserts from pies to cakes to candy and cookies at Christmas. I just wish I knew if I was going to have the energy to do it this year. I love cooking, but I haven't been doing much of it lately. I just get tired too quick to do very much. I had to talk Mark through cooking frozen corn last night. LOL He did it, though. along with making mashed potatoes and mac & cheese to go along with the rotisserie chicken we picked up at the store earlier. He even bought gravy in a jar. It was all very good. Before this is all said and done, he might just be a pretty good cook. LOL

Well, I'm tired. My urge to cough is getting annoying, as is the congestion in my nose. Kinda makes my head hurt. I'm going to take some medicine and go lay on my bed. I've got some stuff to read, assuming the NyQuil doesn't knock me out. LOL

I just wanted to do a quick update on where things currently stand. I was really hoping that these last few days before I started my next chemo would be some of my best, but it just isn't working out that way. God's got a plan, though, so I'll just keep on plugging until I get out the other side of this thing.

I should confess that I had something of a rough day this week. I told Mark I was just so tired of feeling sick. But, it didn't last long. Oh, I'm still tired of feeling sick, but my perspective righted itself pretty quick. As I've said so many times before, it can always be worse. For me, I'm just profoundly grateful that I'm not still in the hospital. And though I don't much want to eat, when I do, at least everything tastes normal for now. All in all, I just can't complain too much. I've got too many things to be thankful for.

Oh, and a quick shout out to my big sister, Debi. Thursday was Veteran's Day and she was a Marine (is? I've heard there's no such thing as an ex-Marine. LOL) To her, and our friend Bill (Army, Vietnam Vet), my preacher Hobert (another Marine) and all the others out there who have and continue to put their lives on the line for this country, I thank you and appreciate you and pray for you.

That's it for now. I'm feeling ready for a nap, I think. I'll try to do an update Wednesday to let everyone know how the new chemo goes. God Bless!