Sunday, December 23, 2012

Peritoneal Cancer Journey Phase XIXIII


Peritoneal Cancer Journey Phase XIXIII
It is December 22nd and I am about 2 to 3 months behind in my blog…  It has been a challenging few months to say the least.  This morning I am sitting on my couch watching light snowfall thinking what to do with the blog, and then it hits me to get caught up…  Laughing…  Yes, entry 23 will cover from September to now…  Lots went on and I am happy to say I really feel I am getting to the other side of all of it…  I think…  <Smile>…
My doctor visit on October 3rd was good; I had 2 CA draws during this time.  My CA-125 is at 2757 down from 3222 and 3300 from my last doctor visit so I am encouraged, I will take any kind of decrease in my CA #’s, no matter what as long as it is down...  Smiling…  It has been 5 weeks since my last doctor visit, which my doctor does not like.  He wants to see me every 3 weeks.  I said not a problem as I am here every week anyway, smiling…  I am tolerating treatments well, not overly tired…  I nap a bit on Wednesday when I receive Chemo, work part of the day.  Nap when I get home from work on Thursday before dinner, and it seems by Friday I am a bit more like my self.  Then I have the weekend to relax and I am ready for the next week, so not too bad.  Much easier than the 3 drug combo I was on…  Much…
So I got in to see the Ear, Nose, and Throat Doctors Physician Assistant.  She said both sides of my nose are very dry and the capillaries are very close to the surface of my nose, which is the cause of my bleedings.  She packed my left nostril with a Vaseline gauze in an attempt to get some moisture up there and put pressure on the capillaries so they don’t bleed and attempt to get them to calm down and heal.  Made a follow up appointment for Monday to remove the packing
Tonight is the 1st Presidential debate that Megs and I will be watching.  This is Megs 1st Presidential election so I said I generally watch the debates to get a overview of the candidates stand on things and research from there what I have questions on.  The debate was quite an adventure for me…  The packing in my nose kept making me sneeze…  One of the sneezes loosened the packing and part of it dangled in the back of my throat.  I called the Doctor and waited for a call back.  At one point I had to remove the packing myself as I was choking, not a fun thing…  When the Physician Assistant called she said to come in tomorrow and have my nose checked.  There was no bleeding and the packing came out easily… 
1st thing Thursday morning I am seeing the doctor for my nose.  She looks inside said, you have not had a nosebleeds since being packed?  I said, that is correct, no nosebleeds since being packed, she said I am very surprised, she removed a clot and the adventure began: cauterized 7 spots on the left and 4 spots on the right.  She had me so numb I couldn’t feel my mouth or throat…  At one point she asked how I was doing, I told her I couldn’t feel my mouth or throat…  She said that will go away in about an hour…  Oh My…  <smile>  Each time she cauterized a spot on the left it would bleed somewhere else.  She then packed my left nostril with a sponge so not to repeat the gauze incident last night and to stop the bleeding by putting pressure on the capillaries that are a real problem for me.  She kept my right side open so I might be able to breath a bit and wrote out instructions on what I need to do.  I am on an antibiotic for the next 5 days to prevent any infection and will go back on Monday to remove the packing and see what is going on.  I stopped at the drug store to pick up my nose supplies to begin my regimen.  I have to keep the sponge very wet and my right side moisturized.  Neither can dry out…  And sneezing wow…  comes from my toes.. Oh yeah I had to learn to sneeze out my mouth, not my nose…  That is weird… Now I am a pro, probably will not sneeze through my nose again…  <laughing>…
On Monday they removed the packing and my nose looks better.  We had scheduled a trip on October 19th to Falling Water to tour a Frank Lloyd Wright home.  It is one that I have not seen in person before.  I was not able to go with getting the packing just out of my nose.  I had to lay low and take it easy to allow my nose to continue to heal…  Lynn went without me.  If I didn’t get any more nose issues the ENT Dr said I could go on our Los Vegas trip we have planned on 10/24.  With such short notice not being able to do the Falling Water trip we were not able to find anyone to go.  Bummer… 
The Vegas trip was one we promised my mom we would do for like the past few years.  We stumbled upon a really good deal, actually jumping in on a co-workers trip…  <laughing>  She arranged everything through AAA.  When she said what they were doing and the cost it was an easy decision.  I called AAA and said I would like to book 6 tickets just like what Sarah has…  Easiest trip I have every booked… 
The good news is no nose issues all week so I was able to go to Los Vegas.  We have a great time.  Saw Elton John in Concert, had great food (which is not so cheap in Vegas anymore…), lots of laughs and fun.  I did find I like the poker machine “let it ride”.  We found one our last day and I sat down with mom and played for a bit.  It was really fun and I was quite surprised spending $5 to $15 per hand… Those that know me yeah I shutter at playing a $1.00 on the slot machines…  <laughing>, It didn’t feel like real money to me so maybe that is why, not sure…  Won a little too so added bonus… 
When I return from Vegas I have another appointment with my Oncologist and my CA-125 is down again! It is now 2604.  I am really happy with my numbers going down…  I am not having nose problems right now so my doctor thinks I am on the other side of that now too, we like the sound of that very much…  With getting the weekly Taxotere my hair is thinning regularly and I had Laura my hairdresser cut it really short to help with the weird feeling you get on your scalp.  We are trying to see how long it takes for me to lose my hair with the new Redken shampoo we are using.  I am going to have a break with chemo the week before Thanksgiving as I have been getting weekly treatments since August so I am very excited about that…  I will not have another treatment until November 21st, looking forward to that weeks break.
On the 20th I call to talk with the Nurses as I feel horrible still and want to see if I can delay chemo a little to feel a bit better…  I speak with them and it is decided that I will have chemo on Monday the 26th.  That works for me, gives me the weekend to try and get on the other side of whatever I have or is going on.  I have lost my sense of taste at this point too…  Eating is becoming difficult again so I am taking Orgain to help.  I don’t want to lose weight to compound everything else.
We are having Thanksgiving dinner this year at our house.  I am really excited about it.  However a week before my nosebleed start up again.  I go see the ENT Dr and not only do I have to have more cauterization, but I have a sinus infection, which the Dr consults with my oncologist if it should be cultured or just go ahead and treat.  They opt to treat.  So my nose is repacked, I am on a really strong antibiotic and I go back the Wednesday before Thanksgiving to have the packing removed and my nose checked out.  I am miserable, I feel horrible, can’t breath through my nose with it being packed, can’t blow my nose…  I’m not sleeping at night, not eating and overall not feeling well…  And we have having Thanksgiving dinner and I can’t do anything…  Then there is our daughter, SUPER Megs…  She jumps right in, goes grocery shopping for thanksgiving dinner…  Does whatever we need her to do to help us feel somewhat ready for Thanksgiving.  Everyone in my family made something for dinner so it really helped.  The day before Thanksgiving the packing is removed from my nose and I am instructed to do nothing or my nose will start to bleed…  So nothing I did, no lifting, bending, moving, nothing…  Lynn’s sister Christine was over on Thanksgiving and helped Lynn set the table and get everything else ready…  I napped in the early afternoon and when I came back downstairs our home was ready…  It was magical… 
We had a wonderful dinner and evening with Family…  The turkey took an extra 45 minutes to cook; I think I read the wrong time…  I think I calculated time for an unstuffed Turkey, anyway everything worked out fine and dinner was wonderful.  I could taste some things, not everything which was disappointment, but able to taste some things so all wasn’t lost <smile>…
On Monday November 26th my sister Barb and I arrive at the infusion clinic for my chemo.  I am having difficulty breathing, still not feeling well…  Just completely out of sorts is the best I can describe.  Jackie sends me for a chest x-ray because of my breathing.  The radiology is really busy and everything is taking a long time.  When my chest x-ray results are in my Oncologists says I need to come back tomorrow and see him.  So Barb and I pack up and go home to come back tomorrow…  Barb and I laugh as Lynn will not let Barb take me any more as each time she does something happens… Weird huh…  Because I am now seeing the Doctor, Lynn comes with me.  We meet with the doctor who reads the chest x-ray and does and exam.  He diagnoses me with Pneumonia…  okay that is quite a surprise to me that was not what I was thinking that was what I had…  Really had no idea what was going on with me…  I am going on a really strong antibiotic again but better for the lung…  This is like the 4th time I am on an antibiotic in 2 months…  We proceed with chemo…  Lynn mentioned on the way home she is a littler relieved that that is what is wrong with me, I laughed as I was thinking the exact same thing…  At least we know what is wrong and it is being treated now…  In a few days I start to feel a little better…  Oh how I hope I am getting on the other side of this adventure, I really hope something goes right, I could use some good news… 
By the time I finish this antibiotic I can’t taste anything and am starting to have issues with textures.  For the first time I am struggling not to lose weight.  This is weird for me as I have not had to deal with this before so I search to see what I can do to help my taste…  2 of the antibiotics I have been on recently are known to effect taste and can effect taste for a while after stopping.  All righty then, I am not wanting to know that… Anyway some of the suggestions to get through it is to talk with your doctor about switching antibiotics to something else.  Well I have finished them so that won’t work.  The other suggestion was to keep with simple foods. Avoid layering them with spices or other ingredients.  So I will try that, and you know that worked the best.  I made meatloaf, potatoes and a veggie and I could eat it, then I tried a simple stew and it tasted good…  It didn’t bother me, as much and I could almost taste it.  So I will cook or get foods that are simple with not a lot added to it.  The more complex the less I can eat it right now and as soon as this texture thing kicks in I can’t finish…  It is a real pain in the behind…  This too shall pass.
I am going weekly for chemo again and it is going good.  I am not 100% yet, but hope I am getting there.  I’ve had my head buzzed as the top of my head hurt and once my hair is buzzed that feeling goes right away…  So over the past few weeks I’ve been demonstrating my head-wrap techniques that my sister taught me during chemo… <Laughing>  A number of patients have commented at the infusion clinic how willing I am to take my scarf off and show everyone how to wrap…  Barb did take me to more chemo after the pneumonia episode.  We stopped at a wig place on the way home.  I was thinking this go around I might want to wear a wig from time to time for something different.  We have fun trying different styles and colors.  We were both quite surprised that deep brown looked the best on me.  Barb and I are twins now… <laughing>…  Will have to take a picture of my new due and wrap to show my different looks…   
On December 11th I see the ENT Doctor again as I got 2 nose bleeds in like 5 minutes…  She looks in my nose, and yes cauterizes both sides, packs the left side and I am on an antibiotic again…  The weather really needs to stop doing the 40-degree swing thing or my nose will never heal…  I am putting so much up my nose trying to keep it moist between saline nasal spray and saline nasal gel.  I don’t know what else I can do…  Yes, they make a saline nasal gel…  Works really well.  The ENT Doctor said it is better; it is just going to be challenging winter that we may need to just work together to get through it.  I guess the good thing is this all happens after this weeks chemo so I don’t have to go there with my nose packed, sigh…  I am having real difficulty eating again with taste and textures…   When I get on the scale at the doctors office I find I’ve lost 6 pounds.  Yes, I am not happy about that right now…  I need to eat or I will not get over this crap I am dealing with.  Yes, I am very cranky right now and my sense of humor is thinning…  <wink>   Plus through all this I am stuck at home trying to get myself better, no Christmas shopping, no holiday parties, no visiting, no wine <chuckling>…  Just being at home or going to doctors’ offices.  Huh, I think I am suffering from cabin fever <wink>.
So the 18th I see my ENT Doctor and she removes the packing, checks my nose and is pleased with what she sees.  Says there is lots of healthy tissue.  Yea!!!  There are 3 really tiny spots on the left that she cauterizes and says words to my ears, “does not need to be packed”.  <laughing>.  Says looks good so keep up the moisturizing regimen.  I will experience some oozing, that it’s to be expected.  I am to call and go in if I get multiple nosebleeds.  I maybe getting to a good place with my nose, dare I hope….  <smile>  I am a bit optimistic…
Next is My Oncologist Doctors appointment on December 19th.  He reviews my blood work, my hemoglobin in 7.8 (low) which is contributing to my difficulty breathing, my platelets 171,000 (that’s good), my white is 1.6 (1600, low) okay will have to continue to be home. Then he rattles off a number 1066…  I stop, not sure I heard right, so I ask, is this my platelet count, he says no, I say my white, he says no….  I say my CA-125!!!  He smiles and says yes…  Oh my God!  That is almost a 50% drop, from 2034 to 1066…  No way…  Lynn and I look at each other is amazement, and excitement…  It has not been that low in like 2 years!!!  Makes the last 2 months almost tolerable!!!  Well, not quite… <laughing>  We talk about my breathing as I do loose my breath when I go upstairs and such.  That could be tied to my low hemoglobin, or getting over pneumonia, or a rare side effect to the taxin drug…  Not sure exactly what the culprit is here.  We also don’t want to transfuse, we are hoping my body will generate blood by itself with rest.  So on Sunday I will run to a local hospital for blood work to see where I am level wise and what do we need to do to help me.  So I am homebound again with low white counts and hemoglobin…  With a CA-125 like that it certainly makes it more tolerable…  Merry Christmas to US!!!  Woo Hoo!!!

Tuesday, December 11, 2012

Peritoneal Cancer Journey Phase XIXII


Peritoneal Cancer Journey Phase XIXII
Each week I have blood work on Monday for treatment on Wednesday.  If I get it done 1st thing in the morning then my treatment is at 8am on Wednesday.  If I get it late in the day or on Tuesday, then my treatment is at 9-10am on Wednesday.  We are not sure when I will see the doctor as we didn’t discuss that my last doctor visit.  I assumed at my 4th treatment, we shall see. 
Over Labor Day weekend we trip off to New Jersey to spend time with Lynn’s niece, her husband and their adorable twin baby boys.  They are turning one later in September.  I can’t believe they are going to be one, that year went quick…  I am sure it doesn’t feel so short to them…  We got up with the boys each morning we were there.  The first morning Jess and Kyle got up with us and we told them to go to bed, that we can take care of the boys.  That we would love to spend that time with them…  Not sharing them with anyone…  It was such fun, they are a handful and so much fun, they have great personalities.  They play nice together for 1 year olds…  <laughing>.  During our visit what we believe is a side effect of Avastin reared it head…  I’m getting nose bleeds way to regular and they are becoming more difficult to control.  I had one on Sunday that scared me, it lasted about an hour.  I will be calling my Ear, Nose, Throat Doctor when I get back to see what is going on.
After we got home Lynn started to make plans to go back in a few weeks to make their 1st birthday party over September 21st weekend.  That was a trip I didn’t plan, but what the hell, they only turn 1 once and I think I will be okay as the weekly treatments don’t seem to take as much out of me as the 21 or 28 day treatment cycles do. 
When I had my Sept 5th treatment my labs were not there.  We had to call the New Jersey Quest office that I had my blood work done.  I had it done before we left to come home on Tuesday.  They said they would fax my results so that would not be problem, but alas, they didn’t fax the results.  I had their phone number in my bag, so Barb (my sister took me to my chemo) and started trying to call them on our cell phones so the nurses could get my blood counts.  That was a bit frustrating as it took a ½ an hour to get them.  They were supposed to call and get the fax number from my Doctors office, apparently they did not.  I thought that was one of the benefits of using quest labs that they are all over the country…  Well I guess I will put my doctor’s fax number in my contracts so the next time I am in New Jersey I can make sure they have the fax number so not to delay my treatments and put them behind…  I also updated the Laurie and Jackie (my Chemotherapy Nurses) about my nosebleeds.  Jackie said if I can’t get in to my ENT Doctor to call them and they would see what they could do.  Before I left the infusion clinic I had to ask for another 6-month lab script because I used it at the New Jersey lab.  The nurses made a point of asking why I needed it, I think they sometimes do that to get me talking with the other patients there encouraging them or maybe inspire some to try and do what they want or love to do.  That they can see someone going through what they are doing things that maybe they can during their weeks that you feel not so bad…  I was talking to a woman that was just starting chemo, and we were just talking about what I do.  Going to work, because I was asked you look nice are you going out to lunch after your treatment?  I said, no I am going to work for part of the day today…  The woman looked at me and said oh, “you are that strong woman that we are all supposed to emulate”.  That made me chuckle and say yeah, no that’s not me.  What I wish I said is that the night after I was diagnosed I promised myself lying in my hospital bed that I would not let this define me.  I will do what I want when I can.  I think I have been able to do that.  There are things of course that I can’t do things I need help with.  I can do more than I can’t do.  Sometimes I push a bit, I do rest when I need to and I am not afraid to say I can’t do that, though I don’t like to admit that…  I do get frustrated sometimes, then I try and take a step back and appreciate what I have and that I am alive and doing well, then it is easier to let it go…  The other thing that helps is go do something else, then I am not focusing on what I can’t do because I am dong something else, <laughing> just like dealing with a toddler...  I have learned to be more appreciative and that is a good thing…  We all can learn that <smile>
Lynn and I scheduled our sailing lesson to do the man overboard test and pass so we get certified to sail...  It was a beautiful sunny day…  yeah not much wind…  We get the sail boat out in the water chasing what breeze there was.  Lynn starts 1st to do man overboard, well actually it was a life preserve…  The current in the lake was moving the life preserver faster than we were sailing <laughing>, so Lynn had to chase the preserver… She did it and passed…  We were sitting in the lake looking for a breeze, and finally there was one, so I decide I would try it.  I swear the minute I took the tiller the wind died and we actually were going backwards because of the current…  We waited a bit longer then decided to motor back into the dock as there was NO wind…  Guess my man overboard test will have to wait…  Our instructor Mark completed Lynn’s certificate…  We all applauded and yelled that Lynn did it…  Me well maybe next time.  I was so ready to try, oh well…  We stopped at one of our new favorite restaurants on the lake, Dugs Dive.  The food is good and it over looks the lake, it’s really enjoyable…  We have been going there for a bite to eat after each sailing lesson.   It’s become a ritual or reward that we look forward to after sailing…