Posts Tagged ‘radiation’

28
Nov
2012

It Won’t Win, Because I Won’t Lose

Last Tuesday, November 20th, I received a regular three-month follow-up scan. Typically I would have received a PET (full body) scan, however, our insurance is not cancer-patient friendly. Apparently, because my last PET scan in August came back clear of cancer, they deemed it unnecessary to cover any further PET scans unless a CT (localized) scan came back showing anything. Ridiculous, I know. Don’t get me started…frankly that’s beside the point.

I got a call from my Gynecologic Oncologist just two days ago, on the 26th. She immediately asked where I was, which in my heart, I knew was a bad sign. I was right. She informed me that my cancer has recurred. Dammit.

While we aren’t sure of the exact blueprints of this next treatment journey, I will give you as much information as we currently know. The mass that appeared in the CT scan is exactly the size of a softball. Yes, you read that correctly…a softball. Honestly, it’s one centimeter bigger than an adult softball. But that’s semantics. At it’s widest, it’s nearly four inches (9.8cm) in diameter. Shocking, I know. Clearly, this type of cancer is proving to be as aggressive as we were initially told. In August there were no signs of cancer, and only three months later, there is a beastly tumor the size of a softball growing inside my body. This circular mass has been located in the same general vicinity as my original golf-ball sized tumor. It is near my pelvic region, and close to my mid abdomen around my belly button.  It’s closer to my left side, and I can actually feel it.

About one month ago, I began experiencing pain in this exact location of my lower abdomen. Because the doctors usually push around my stomach when I get any check-ups, I thought I’d give it a go. I definitely didn’t expect to feel anything. But I did. I felt a hard mass. Because having already battled cancer often tends to making us survivors paranoid and hyper sensitive to any changes in our bodies, I tried to brush it off as nothing. Three weeks ago, I had a regular three-month follow-up with my doctor and informed her about this sudden change in my body. She explained that based on how our intestinal tract works, it most likely was just a back up of stool and that she couldn’t feel anything during her internal exam. In fact, my pap smear results were normal. However, the pain continued and progressed. Days went by and the mass remained. I chalked it up to being constipated. Maybe I was just more backed up than I thought.

Now that the CT results are in, we can most definitely connect the pain and hardness to this mass that has been discovered. My constipation is also a symptom. While, we don’t know exactly where this monster is thriving, my doctors believe it’s getting it’s blood supply from my bowels. That means lower intestinal tract. Hence the constipation. This beast is sucking the life out of my lower organs. And, have I mentioned how huge it is? I’m still shocked.

Where we go from here is a little up in the air right now. Surgery, radiation, and chemo are all on the table again. It’s a matter of the sequence of these treatments in determining the effectiveness. Late yesterday afternoon we met with a General Oncologist that my Gyn Oncologist recommended we see. Once we met this doctor, we immediately adored him. God has sent us another key player for our team. He is a genius when it comes to chemotherapy. He knows all the different types of drugs and their side effects. His knowledge immediately put us at ease. In addition, he treats a lot of lung cancer patients. Most lung carcinomas are similar to my Neuroendrocrine cancer. He knows his stuff. All of my doctors do, and we are so grateful for that. After explaining to us what we were dealing with, he began to talk about treatment options. Surgery first, then chemo? Chemo to shrink it and then surgery to remove it? While my current three Oncologists (Radiation Onc, Gynecologic Onc, and General Onc) are well versed, they really want the opinion of another expert.

As most know, MD Anderson is the biggest and best cancer center in America. Through word of mouth and recommendations, we have learned of a special doctor in Houston who is the lead researcher for my exact type of cancer. He is continually studying how my carcinoma works and what the most effective treatments are. Therefore, we need to get to Houston to see this expert immediately. My Oncologists here agree that I need to get out there as soon as possible… Like yesterday. However, remember the hoopla with our insurance? Again, they deem it unnecessary for me to travel outside of our basic providers to receive a consultation or treatment out-of-state. Completely asinine.  Essentially, they require that my doctors here call the authorization department of our insurance company and explain the urgency and necessity of this MD Anderson visit. Being fed up, I asked what it would cost to get an appointment without using our insurance and the receptionist answered, “$27,000.” Needless to say, we need insurance to agree to cover this out-of-state doctor’s visit. That’s a huge prayer request of ours right now.

Long story short, we need to get this ball rolling. This cancer is fast-growing and more aggressive than I ever imagined. I’m desperate to get this monster out of me. I want it gone, and I will do whatever it takes. I’ll go to Zimbabwe to receive a shot made from monkey saliva if I need to. Whatever it takes. And not to mention, this sucker hurts. We knew cancer was mean, but this is at a whole different level. My stomach throbs, and any time I touch it, it fires back… Umm, no sir. You will not win. We are going to poke, prod, cut, poison, and demolish you. Get the hell out of me.

It is imperative that I receive a PET scan in the next few days. Our team and I want to make sure it hasn’t grown anywhere else. They definitely want to check my lungs and my brain for any traces of malignancy. My team of doctors is having my case meeting today to discuss my situation and what the best course of action they believe will be. They are also going to conference call the doctor in Houston to try and see if any strings can be pulled for us to get in to see him. We could be going to Houston as early as tonight or the beginning of next week. I could also be in surgery as early as next week. And chemo might or might not start before then. Everything is dependent on my local doctors communicating with this Oncologist in Houston and getting on the same page. They understand the urgency of my situation, and are willing to do whatever it takes as well. We are all in agreement as far as getting this ball rolling as quickly and effectively as we can. We will continue to keep you updated as soon as we have a more solid plan.

Initially the news rocked us. I was deeply saddened and frustrated that we would have to go through all of this again. My husband was pissed. His anger was directed at God. “How could you allow this to happen again!?” But after a night of grieving, we woke up yesterday with a fire under our asses. My strong guardian of a husband, wrapped his arms around me and said, “It may sound weird, but I’m not scared at all.” And I feel the same. We aren’t scared because we are confident that with God on our side, we can beat this. We will beat this. I will be cancer-free again. And for more than a few weeks this time. I am determined to fight this battle and stomp on the enemy’s intentions. The enemy wants to defeat me, and there is no way we are going to let that happen. I’ve already told God that he’s going to have to drag me kicking and screaming out of this world. As incredible as Heaven sounds, I’m definitely not ready to make it my home yet. I’ve got way too many things to do on Earth. We’ve got babies to be had, memories to be made, and many more years to experience. Our faith is strong and our fire is burning. We know we are about to endure another intense and difficult battle, but there is nothing to fear. After all, “God has overcome the world.” Our victory is in Him.

Cancer will not win, because I will not lose.

Mark 4:35-40 (The Message)

“Late that day he said to them, ‘Let’s go across to the other side.’ They took him in the boat as he was. Other boats came along. A huge storm came up. Waves poured into the boat, threatening to sink it. And Jesus was in the stern, head on a pillow, sleeping! They roused him, saying, ‘Teacher, is it nothing to you that we’re going down?’ Awake now, he told the wind to pipe down and said to the sea, ‘Quiet! Settle down!’ The wind ran out of breath; the sea became smooth as glass. Jesus reprimanded the disciples: ‘Why are you such cowards? Don’t you have any faith at all?'”

29
Jun
2012

Bye Bye, Lasers

I’ve been gone for some time now, huh?! I definitely have to attribute that to the awesome week off that I was able to enjoy away from treatment.

It’s official! I completed my final round of radiation on June 14th, and what a relief that was! I knew I didn’t like radiation throughout it, but now that I don’t have to go every single day, the truth is sinking in. I truly despise it! I’m very much aware that although I despise laser beams shooting the crap out of my body, I am also very grateful for it because it’s a key piece in my treatment journey. But now it’s over and I’m done talking about it for a while. Plus, I’m sure you’ve heard me rant enough about how much radiation sucks… Nothing’s changed.

Here’s a quick and summarized update about what’s happened since you last heard from me three weeks ago:

  • My husband and I celebrated our two year wedding anniversary, and it was glorious. I’m continually reminded of why I married this man, and I will always be grateful that he chose to share his life with me. He surprised me the whole night, beginning with a romantic dinner at Maggiano’s in downtown Denver. We then stopped by a private party that a wonderful friend invited us to, where we had the rare and amazing opportunity to meet Coach George Karl of the Denver Nuggets. As most of you know, he is a fellow cancer soldier and survivor and to hear him tell me personally, “Keep kickin cancer’s ass, and have fun with it” was a true blessing. Following our rendezvous with the coach, we headed over to the Garner Galleria to watch the musical “I Love You, You’re Perfect, Now Change!”. If you haven’t had the chance to see it yet, you should. It was hilarious, and exactly what I needed to lift my spirits and keep me in the present. Oh, how I love my husband and how thoughtful he is.
  • My youngest brother is in town, and we’ve had the opportunity to spend some much needed time together. He graduated college in May, and is enjoying his last summer of freedom before the “real world” starts. He’s also been a great help in entertaining my husband and getting him out, about, and away from all of the cancer hubbub. After all, guys will always need “guy night”. And through all of this, my husband deserves every single one he wants to have!
  • With a 10 day reprieve from treatment, we were also able to spend quality time with our best friends. We love them tremendously, and have no clue what we would do without their love, encouragement, and support. And not only have we been able to spend time with them, but with a lot of our other friends as well. I actually felt like a real person again, and not just a science experiment drudging through cancer treatments every day! Seeing our friends has helped me keep my head on straight. In addition, we’ve been able to spend time with my two nanny families. Seeing my kiddos brightens my day every single time I get to be with them. Kids will always have that effect on both Matt and I.

Now that radiation is over, a lot of you have asked where things are going now. Monday, Tuesday, and Wednesday of this week, I finished another round of chemotherapy. These rounds are identical to my very first three. Three days on chemo and two weeks off- three days on, two weeks off- and three days on, two weeks off. I should be completely done with all of my treatment by mid August! The end is in sight! As weird as it may sound, I’m excited to be back in the regular swing of things with my sole treatment being chemotherapy now. It’s a little more predictable, and I feel slightly more prepared to handle it this time. One thing I forgot about, or rather tried to block from my mind, were the shots I used to have to give myself when my blood cell counts got too low. Well, I was reminded again after this week of treatment that Neupogen shots are a part of my reality. My white blood cells were low this week, so I was given four shots to take home and self-administer over the next four days. I detest these shots, but I do know that they help me feel better. For that, I’m grateful.

Please continue to pray for my strength through this last leg of the adventure, that side effects remain by the way-side, and that my emotions remain on top of the hill and not in the valley. This is one tough journey!

1 Peter 5:8-11 (Message Version)

“Keep a cool head. Stay alert. The Devil is poised to pounce, and would like nothing better than to catch you napping. Keep your guard up. You’re not the only ones plunged into these hard times. It’s the same with Christians all over the world. So keep a firm grip on the faith. The suffering won’t last forever. It won’t be long before this generous God who has great plans for us in Christ—eternal and glorious plans they are!—will have you put together and on your feet for good. He gets the last word; yes, he does.”

04
Jun
2012

Burnin’ Urine

Can someone call the whaaaambulance for me? I’m about to be a whiner.

Treatment has been so not fun lately, folks. Although, considering what I’m going through, my body has been handling all of this poison fairly well. I still have yet to throw up, however, I’ve definitely stepped into a new level of feeling like utter crap. I was so encouraged throughout the beginning half of my treatment plan because I had loads of energy, wasn’t getting sick often, and generally felt pretty good. Like I mentioned in my last post, radiation is a complete game changer. Here’s an analogy: Say you get sea-sick on boats. Radiation is like adding a torrential thunderstorm into the mix. Dealing with sea-sickness isn’t so bad, but when the boat starts rocking uncontrollably, and the rain and lightening begins, you just want to get to shore. Shore=the end of treatment. I’m so ready to get to the shore.

Before I continue, let me warn and remind you that I will be blunt sometimes. Now is one of those times. Parental discretion is advised! I’m sharing my journey right? This isn’t just rainbows all the time, friends. I’ve got to shed light on the dark clouds, too. That being said… Radiation side-effects took full hold of me about 9 days ago. In fact, all fluff aside, they kicked my ass pretty hard for a few days. I’m managing fairly well now, but those first few days were hell. I would never wish this type of pain on anyone. Without getting too graphic, (although I’m sure some of you will think this is graphic enough), it felt like I was urinating acid. Mind you, radiation’s purpose is to kill all the cells in the localized area. It’s definitely doing it’s job. They have the beams aimed at my pelvic region which includes all my lady parts, the space where my reproductive parts used to hang out, and my bladder. Let me give you a different perspective. My oncologist won’t even do an exam for a couple of months after my radiation treatments are done. She won’t even go near that area because the cells are so entirely wrecked. I don’t blame her, I wouldn’t get that close to me right now, either! Back to the bladder, in case you haven’t had enough description. Acid. Pure acid. For women (or men) who have experienced urinary tract infections, you can slightly understand the pain. There’s an upside to this type of pain, however. It only comes when urinating, and goes away until I need to empty my bladder again. Like I said, the first few days were awful. I shouldn’t admit this, but I’m being transparent here- I actually screamed a few times while using the restroom. Needless to say, my husband was pretty shocked at the extent of pain I was in! After some research, we discovered ways to ease the pain, and I’m so very grateful that they have worked thus far. In fact, I can proudly announce that I rarely experience pain while using the restroom anymore! Pray that continues! I’ve got 8 more radiation treatments. I can do this.

As a side note for those who read my blog who may have a family member going through a cancer journey of their own, or for those who are in this fight with me: Please understand my intention is not to scare, frighten, or cause anxiety for you. All of our side-effects and treatments are different. You may react completely opposite than I have. My purpose in writing this blog has been to shine light on topics that doctors simply can not share with you, as they (most likely) have not personally fought this battle. There are things we experience that no one can understand. My sharing “technique” is to be as up-front as possible. It also helps those not knowing what I’m experiencing to better pray for me. Another reason I shine light on all aspects of my journey is because it’s just that: a journey. Stories have ups and downs, and who I am to act like things are perfect all the time? I am eternally grateful for my faith in the Lord. A dear friend recently encouraged me by saying, “God has not changed in the middle of our weakness and feeling like crap. All the prayers that have been prayed for you are still producing in the Kingdom of God for you.” Praise God, that that is the TRUTH! Although, I have bad days (as you will as well), God never changes. He remains the same strong, compassionate, caring, loving friend who fights for us with all He’s got. He’s my lion bursting forth his roars against the enemy, protecting me fiercely. Take heed in that, my fellow survivors.

The whining section of this entry is over…Phew! Let’s continue on to some really great news. A wonderful friend of mine works for the hospital where I am receiving treatment. With her immense help, they have decided to follow my story on their social media sites and the main hospital website. How cool is that!? She has visited me during treatment a couple of times to interview me regarding my path thus far. Let me just say, for those who have never been interviewed on or off camera, it’s a very surreal experience. In addition, it was quite humbling for me. It’s a reminder that this story isn’t just about me. Sure, I’m the one with the cancer, but all who surround me are being affected. Even those who don’t know me are affected. I’ve said it a million times, and I’ll say it again. God gave me this story to share with others. He blessed me with this testimony and I want to tell people about it! I’m learning more and more often how many people God is touching through this chapter in my life, and I’m grateful to be His vessel. What an honor. My friend has completed the article and it went live today. I would love for y’all to check it out and share it with your friends! Below I’ve included the link to the Swedish Hospital main website and their blog where you can find my article.

http://www.swedishhospital.com/swedish-spotlight/detail.htm?id=434081&fb_source=message

http://www.besthospitaldenver.com/461457/2012/06/04/fighting-cancer-with-faith.html

PS: It’s my husband and I’s 2 year wedding anniversary tomorrow! I’m so thankful to have this man standing by me in this fight.

Psalm 71:16-18 (ESV)

“With the mighty deeds of the Lord God I will come; I will remind them of your righteousness, yours alone. O God, from my youth you have taught me, and I still proclaim your wondrous deeds. So even to old age and gray hairs, O God, do not forsake me, until I proclaim your might to another generation, your power to all those to come.”

18
May
2012

Radiation Rewind

As of today, I have completed 10 rounds of radiation! Only 18 more to go, oh joy!

For me, radiation is very unlike chemotherapy. I honestly feel like a professional at ingesting chemo cocktails, however, I’m such a novice at receiving laser beams. I tell you what, chemo is easy compared to these radioactive beams. Because I’m sure plenty of you are wondering what radiation treatment is actually like, I’ll explain. First off, I lay on a small table-like board. No cushions, just hard surface. I’m in a huge room with 4 red laser beams aimed right at me. If I didn’t know better, I would think the world’s best snipers had it out for me. There is an extremely large machine that moves like a transformer to the several positions it’s required to. Once my radiation therapists have lined me up correctly, they walk out of the room, and within minutes I hear the machine start up. This transformer is controlled by my therapists and slowly moves around my body to certain positions. All of the lasers are aimed at my pelvic region. Treatment itself is pretty quick. I think I end up laying there for about 10 minutes, give or take a few depending on the day. My radiation sessions are super easy. I don’t feel a thing, and laying there completely still isn’t that difficult. It’s what follows treatment that I hate.

Like I’ve shared before, my body has reacted fairly well to chemotherapy. Besides the obvious of losing my hair and being more tired than usual, there hasn’t really been many side effects. I still, to this day, have not thrown up. That doesn’t mean that I haven’t had an overall queasy feeling, it just means nothing has come up. Praise God for that. Radiation has been different to my body. Because treatment is aimed at a certain area, and the lasers purpose is to annihilate a very specific and localized region, my lower stomach has been very sore. I expected this, so it wasn’t a shock, but that doesn’t make it any easier. I have never been so thankful for summer, as I am nowadays. I physically can’t wear anything with a waistband any longer, because of the pressure it puts on my stomach. It’s sore from the inside out, and feels similar to what it did immediately after my hysterectomy. Summer dresses are now my best friends. I can happily announce that my skin hasn’t gotten red or blistered. Really, the sensitivity in my stomach is what bothers me most. In addition, I’ve been more tired than I am during my 3-day chemo cycles. These laser beams are intense. Not only are they ripping my insides apart, but my body is trying hard to recover, which in turn makes me exhausted. If I could stand being still for a long period of time, I’m sure I would take more naps. Unfortunately, cancer treatment tends to make me feel lazy, and I fight it as hard as I can. In fact, call me crazy, but I just got a gym membership… My body is going to hate me.

Here’s something new: I’m growing my hair back. And I’m surprisingly not happy about it. It’s such a hassle! Plus, I know that once I’m done with this portion of treatment, I’ll head right back to the chemo drugs that promote hair loss again. So, can’t it just stay gone until I’m through?! Of course not. My hair loss has actually been completely different than what I expected throughout my journey. As you know, during this portion of my treatment, I’m receiving radiation every day (5 days a week) with a weekly dose of chemo. This specific type of chemo drug that I’m receiving now does not cause hair loss, hence why it’s all coming back. That’s something I didn’t know prior to this adventure. I thought chemo automatically equated hair loss. But, as I’m learning, that’s not the case. When I went through my first 3-day chemotherapy cycles, I did lose my head hair, but not the rest of my body hair. For example, I’ve still had to shave my legs as often as I did prior to diagnosis. What crap, huh!? A benefit of not losing all my body hair is that my eyelashes and eyebrows have hung on for most of the ride. Recently, I’ve started wearing false eyelashes because my naturals are getting quite a bit thinner. My underarm hair disappeared during my first 3 cycles, but now has returned along with the hair on my head. My arm hair has remained constant throughout. I’m proof that hair loss is not equal during cancer treatments. I’m just hoping it all gets back on the train once treatment is over. Here’s to praying and hoping for thick and fast growing hair in the fall…head hair, of course!

Can I take a quick minute to thank all my followers and supporters? Wait, I don’t need permission…this is my blog. My deepest thanks to those who continue to walk this journey with me, those who follow my story, those who support me, and those who spend hours and hours praying for my healing. Thank you for taking time out of your busy days to follow my adventure through my diagnosis. You touch my heart and impact my life tremendously, and I truly value it.

My adventure will continue for a lifetime. Cancer will only be a chapter. Although there are days where I can’t find the least bit of sunshine in the storm, I refuse to stop paddling. Cancer won’t drown me.

Psalm 5: 11-12 (ESV)

“But let all who take refuge in you rejoice; let them ever sing for joy, and spread your protection over them, that those who love your name may exult in you. For you bless the righteous, O Lord; you cover him with favor as with a shield.”

23
Apr
2012

Three New Tattoos

Today was a day I had been increasingly nervous for. My anxieties were running rampant up until the moment my Radiologist began speaking. The purpose of my appointment today was to make sure my Radiologist and I were on the same page as far as the next step in my treatment journey: radiation. In addition, I was to get a “simulation scan” for the doctor and team to better aim their laser beams. For those who need a quick recap of where I am in my treatment, I will gladly update you. I had my radical hysterectomy on February 8th, which I am healing wonderfully from. I am still pretty sore in my stomach, and have been experiencing pretty common side effects. You know, the usual numb right thigh, and numb section of my stomach. Ha. However, my Oncologist says that my scar looks like that of a woman who is a year out of surgery… I’m not even three months out of surgery! Looks like I’ve got some gnarly recovery soldiers in my body. I officially completed my first three rounds of chemotherapy on the 4th of this month. This feat was a huge one! The next step in my treatment will be six weeks of radiation with weekly doses of chemo. Once that phase is complete, I will then finish three more rounds of chemotherapy. By then, it should be August, and I will be done! So looking forward to that!

Now, back to today. Holy crap, was I nervous. I’ve heard of cancer survivors forever being anxious for every scan. Scans to determine if the monster has returned or remains stomped out. That’s a big deal. I didn’t quite understand their perspective until this day came closer and closer. I was scared, nervous, anxious, and stressed. My faith and trust in God remains unwavering, that’s not the issue. The issue is I’m human (believe it or not). I have human emotions, regardless of how hard I try to ignore, avoid, or pray away these feelings. Unfortunately I fall prey to the devil. I fall prey to what he wants me to believe. That’s what causes these fearful emotions. Yet in my fear, God remains. He’s holding my hand, encouraging me to take another step into the unknown. It’s as if I’m blind, and He is my seeing eye dog friend, guide, and leader. Although I can’t see the next step, He can. I am learning more and more to rely on His eyes, not my own. He’s got all the pieces to the puzzle in His hands, and He gives them to me one by one. Today He gave me another piece.

My husband and I arrived at the Radiation Oncology office and soon met with my doctor. This is the doctor that I have mentioned in previous posts whom has an affinity for being blunt. Remember the doctor who looked me straight in the eye and without any pause told me that I would most definitely die if treatment didn’t work? Yes, that one. Well, truth is, I love my doctors, each and every one of them. I have a fabulous team. They are the smartest in their fields and truly are a team who works together for the betterment of my well-being. This specific doctor, my Radiologist, has spoken facts into my life. I’ve learned that sometimes it’s good to have the cold hard facts. Sometimes it’s okay to be rid of the fluff that often envelopes the hard news. However, today I was not only nervous because every sit down meeting with my doctors have increasingly been full of negative updates, and because it was yet another new step in the journey, but also because my doctor is blunt. If there were hard facts to share, he would lay it on me. I wasn’t sure if I was ready for it. In my heart I believed I would receive good news. I have shared with a few of you that I believe my body is rid of cancer. I still believe this. Yet, where hope is, Satan isn’t far behind. He will constantly try to change your mind. He will constantly try to poison your hopeful thoughts. He doesn’t want us to have faith or believe in miracles. And he surely wants me to believe that cancer has creeped into another crevice of my insides. It is more important than ever for me to guard my heart from this toxic evil.

The first words out of my doctor’s mouth were that I looked great. He doesn’t seem like the guy to add flattery to the conversation, so I knew he was being genuine. So far, the meeting was going well! He continued on to tell us more good news. He confirmed that I indeed will receive six weeks of external radiation with weekly chemo doses. Great, we’re still on the same page! In addition, I don’t have to worry about ever receiving Brachytherapy, as I don’t have a cervix anymore. Brachytherapy is internal radiation and often destroys sexual function. (Hello!? My husband and I haven’t been married 2 years yet. We need many more years of that function!) I also was pleased to hear that each radiation treatment will take less than 30 minutes. I will be going to the office every day, five days a week, same time every day to receive this treatment, so not having to be there for hours on end is a blessing. After hearing much information about the side effects of radiation, I was gladly surprised to hear that my “knowledge” wasn’t necessarily the case. I shouldn’t experience skin irritation or burns. In fact, the main side effect that I will notice will be fatigue. Seriously? I’m a pro at being tired now…I’m pretty sure I can handle fatigue. I then asked him about the following scan I would get. Would it be able to reveal if there is cancer anywhere else? The specific name of the scan I received is called a “simulation scan”. He informed me that it would be concentrated on my pelvic region, and its purpose was to show my anatomy. “Ok, doc, if it’s a scan, will you be able to see if there is cancer there?” He assured me, that in his honest and expert opinion, he highly doubts there is any cancer there. He strongly believes that it was completely removed in surgery. Hallelujah! That’s what I have been feeling and believing! I went on to ask when I would receive another full body PET scan. He explained that it probably wouldn’t happen until the very end of treatment, meaning around August. As I explained that to my parents after the appointment, they both became alarmed. Shouldn’t they be making sure it’s nowhere else? Luckily, my Radiologist informed me, that again, he was very confident that if there was a tiny chance that the cancer has spread elsewhere and my earlier PET scan didn’t detect it, by now (after plenty chemo cocktails) it would be annihilated. Essentially, my Radiologist is extremely confident that my treatment (surgery, chemo, and radiation) is doing it’s job. More wonderful news: radiation is very effective with my type of cancer. Neuroendocrine cells are very sensitive to radiation. Hell yes they are! Frankly, if there were/are any miniscule amounts of cancer cells in my body, they are going to be murdered. End of story. Oh, and let me throw this in… As we were leaving his office to head to my scan, he shook our hands and with a smile said, “You look very good, and I am confident that with this treatment, you are going to do great.” Hooray!

On to the scan. Much like my PET scan, I was given contrast. Contrast is a dye that is used to illuminate any cancerous cells. After informing my nurses that I have a power port, they called a special nurse to come access it. Side note, most general nurses can not access ports because they require a different needle and application process. Today I had forgotten to apply Lidocaine cream to the top of my port. Soon you will find out why this was not good. This “special” nurse came in and accessed my port, AKA: shoved the giant “special” needle into my chest. Typically, I apply the above mentioned Lidocaine cream to numb it. Today, no cream. Today, no numbness. Today, pain. I will never again (fingers crossed) forget to apply the numbing cream. It is too important to forget. I learned the hard way. Access needles are much thicker than regular needles. After all, they need to get through the silicone at the top of the port. Ugh. Horrible pain. It feels exactly the way it sounds. A giant needle being shoved into your chest. Wonderful. And typically, with Lidocaine cream, the removal process is easy-peasy. Totally different today. When my lovely nurse removed the access needle, I swear she nearly pulled the port out of my skin. It was even more painful than insertion. If accessing my port wasn’t enough description for you, let me tell you about my new cancer treatment souvenirs…

Three new tattoos. Yes, you read correctly. Tattoo: “A permanent mark or design made on the skin by a process of pricking and ingraining an indelible pigment”. Yes, that’s what I got. Three of them, in fact. One on each hip area and one right above my pubic bone. The reason for these tattoos is so the radiation therapist can precisely pinpoint the area needing treatment. It allows the tech to line up the treatment fields quicker each session. A road map of sorts. Here me out, I’m not new to tattoos; I actually have eight already. And from my experience, tattoos hurt. Very worth it, but painful. So, here I am receiving a simulation scan, and soon told I will get tattooed. What? I asked the nurse if it feels like a real tattoo, and she too quickly said yes. Luckily these tattoos are extremely small. Folks, I’m talking the size of a freckle small. Had you freaked out a little, didn’t I? Nevertheless, they are real tattoos, and therefore hurt like a real tattoo. Let’s just add them to my visual reminders that God performs miracles!

Mark 11:22-25 (NIV)

“Have faith in God,” Jesus answered. “Truly I tell you, if anyone says to this mountain, ‘Go, throw yourself into the sea,’ and does not doubt in their heart but believes that what they say will happen, it will be done for them. Therefore I tell you, whatever you ask for in prayer, believe that you have received it, and it will be yours. And when you stand praying, if you hold anything against anyone, forgive them, so that your Father in heaven may forgive you your sins.”

27
Feb
2012

Emotional Deflation

Another day in the life of a chemo patient here, friends. I got a blood draw today, and the results came back good! It’s a great day over here when any results are positive ones.

Now you know I can’t just be super happy and cheery all of the time, don’t you? Here’s the hard facts. I got some news today that traveled differently through my system than it had before. I say it like that, because I was given this news back when I was rediagnosed with neuro-endocrine cancer, however, it didn’t register completely then. Mind you, when someone tells you that you have a way worse scenario, one that is “hard to cure” and “resistant to treatment”, most other things fly right by your senses.

Today, as I was rescheduling another blood draw, getting filled up on prescriptions, and asking questions about this annoying stomach queasiness that’s been haunting me in the mornings, I learned the true extent of my treatment. This isn’t going to be as short of a journey as I thought it would be. Well, truth be told, I never thought it would be “short”, per se. But I wasn’t expecting this to be a 6 month process just to get to remission. That’s what it’s going to be. At least 6 months… if I remain healthy and don’t have any set-backs during that period. Because it was hard for me to even comprehend what my next 6 months will look like without a visual, I will generously supply you with one.

Again, below is a schedule of what my treatment will look like, as long as I remain healthy. Of course, this could change as the time goes on. Praying for miracles, though!

3 Days Chemo

2 Weeks Off

3 Days Chemo

2 Weeks Off

3 Days Chemo

2 Weeks Off

6 Weeks Radiation with Chemo 1/week

2 Weeks Off

3 Days Chemo

2 Weeks Off

3 Days Chemo

2 Weeks Off

3 Days Chemo

2 Weeks off

The End of Treatment!

Doesn’t that just look like a hell-of-a-road? Ugh, I can’t tell you how deflated I was when I heard the news in depth. When I heard that treatment wouldn’t even be complete until July 30, as long as I remain healthy, it was a punch to the gut. 6 months?! I don’t want to go through this that long! God is teaching me perseverance, patience, and endurance. Why give me an easy struggle? Is there even such a thing? He’s making me work for the finish line, and for that, I’m surprisingly grateful. I can’t imagine what better qualities I will have by the fall.

God’s still with me on this one. One incredibly obvious way can be noted through my lack of projectiles. He has held me firmly in His grip, and has not allowed any sickness (besides the minor queasiness) to enter my body. Hallelujah. The nurses told me to expect vomiting last Friday through this Wednesday, and I am here to happily report, I haven’t thrown up once! My God is still a BIG God. He is here with me. He is listening to me. He is cheering for me. He will heal me. He is for me. WOW. As easy as it would be to fall flat, and question where God is through all of this, I am only drawn closer to Him. I feel His presence stronger than I ever have, and for that I can’t begin to express my gratitude. Feeling His presence is overwhelming, and it’s simple to receive. Just ask. I promise.

Romans 8:31-39 (The Message Version)

“So, what do you think? With God on our side like this, how can we lose? If God didn’t hesitate to put everything on the line for us, embracing our condition and exposing himself to the worst by sending his own Son, is there anything else he wouldn’t gladly and freely do for us? And who would dare tangle with God by messing with one of God’s chosen? Who would dare even to point a finger? The One who died for us—who was raised to life for us!—is in the presence of God at this very moment sticking up for us. Do you think anyone is going to be able to drive a wedge between us and Christ’s love for us? There is no way! Not trouble, not hard times, not hatred, not hunger, not homelessness, not bullying threats, not backstabbing, not even the worst sins listed in Scripture: 

   They kill us in cold blood because they hate you. 
   We’re sitting ducks; they pick us off one by one.

None of this fazes us because Jesus loves us. I’m absolutely convinced that nothing—nothing living or dead, angelic or demonic, today or tomorrow, high or low, thinkable or unthinkable—absolutely nothing can get between us and God’s love because of the way that Jesus our Master has embraced us.”

15
Feb
2012

Things Happen So Quickly

Right when I feel like I’m settling into the current circumstances, things change. In fact, it’s been the pattern. With every doctors appointment I attend, I leave cradling worse news. I was not looking forward to my appointment with my oncologist yesterday. My husband and parents were trying to encourage me to continue seeing the positive side, but I just felt I wouldn’t come home with good news.

My feeling was right.

Like I’ve mentioned before, I appreciate my oncologist’s personality. She is straight and to the point, but not harsh. She is compassionate, but not overly emotional. My husband and mom accompanied me into her office, and we all sat down. My doctor began by saying they have further identified the actual type of cancer cells I have.  Below I will list the straight facts of what I’ve learned. I’m extremely exhausted today, so I won’t be able to put as much emotion into my writing, like I typically do. Maybe, once I’m up and energized, I will add my response. Point is, this is crappy news. It changes the whole ball game. It’s like going onto the baseball field expecting to play the Astros (no offense) and finding out you’ll be playing the Yankees. It’s still a game, but you practiced and were prepared for playing against one specific team. Suddenly, a new team shows up and you’re left thinking… Dammit, this truly is going to be a battle. The difference is, God is still by my side and will fight hard on my front line. I am more and more thankful for Him everyday.

Here are the facts:

  1. The results of the biopsies came back and show that the other lymph nodes have not yet been affected by the cancer. This is good news. This means that the doctor removed the cancerous cervix and lymph node, and no other area is showing positive for cancer. Praise God.
  2. Because of the biopsies, they were further able to identify my specific type of cancer cells. Originally I was diagnosed with squamous cell cancer. There are 2 very common cancer types, one being squamous cell carcinoma, and the other being adenocarcinoma. Typically those are the most common cancers seen. However, there are a bunch of other little random and very rare types. Neuroendocrine cancer is an extremely rare type. That’s what I’ve been re-diagnosed with.
  3. Neuroendocrine cancer is an SOB cancer. This monstrous cancer is far worse and meaner than the 2 most common types. My doctor informed me that neuroendocrine cancer is very difficult to cure, and is extremely resistant to treatment.

Because my cancer is hard to cure and resists treatment, we have to get the treatment ball rolling a LOT quicker than we had planned. I start chemo next Wednesday (2/22). My port is being surgically placed under my skin this Friday (2/17). This first round of chemo will be for 3 straight days. Wednesday I will receive 5-6 hours of chemo, and both Thursday and Friday I will receive 3-4 hours of treatment.

After my 3 days of chemo, I will get a 2 week break to rest. Then my radiation/chemo program begins. It’s the same as I stated before. For 5 1/2 weeks, I’ll go in 5 days a week (M-F) to receive radiation. Once a week during that time, I will receive a shot of chemo.

Once the radiation/chemo program is complete, I will have another 2 weeks off from treatment. Then I will begin my next set of chemo rounds. 3 days in a row. Similar to the first time. After this sandwich effect of treatment is complete, they will reassess me, and see what we need to do from then on.

Here are some personal thoughts that I dwell on. I will definitely lose all of my hair within a month. I’m actually not too frightened by this. I’m thankful for a pretty face, and nice skin. And even more thankful that I’m a makeup artist and can make even a bald woman look hot. My husband’s an artist and we’ve already talked about some artwork he could draw on my head… Ya know, like a baseball, football helmet, or field of flowers. Just comedic ideas, friends. I also know that I’m going to be very sick and weak pretty soon. I won’t be able to do much of anything. That’s a bummer. Being as independent as I am, this will be a huge adjustment. I am going to have to completely rely on my husband and family for any needs I might have. But it’s a good thing I’ve got a stellar husband and incredible family to help me with this!

Like I said before, today is a day full of exhaustion. I really need to rest. My incision pain is bad and my intestines have remembered how to work, so I’ve got a little stomach ache. My apologies for not being as fun as I typically am in my entires. But I’ll be back to posting soon. Just need to lay down and catch up on my ZZZ’s. Thank you all for your understanding, support, prayers, and encouragement. You all rock.

2 Chronicles 20:15-17 (Message Version)

“He said, ‘Attention everyone- all of you from out of town, all you from Jerusalem, and you King Jehosaphat-God’s word: Don’t be afraid; don’t pay any mind to this vandal horde. This is God’s war, not yours. Tomorrow you’ll go after them; see, they’re already on their way up the slopes of Ziz; you’ll meet them at the end of the ravine near the wilderness of Jeruel. You won’t have to lift a hand in this battle; just stand firm, Judah and Jerusalem, and watch God’s saving work for you take shape. Don’t be afraid, don’t waver. March out boldly tomorrow-God is with you.'”

03
Feb
2012

Hearing His Voice in The Storm

Welcome to one of my more raw entries. My heart is heavy. And, dammit, my latest news really sucks.

Yesterday (2/3) my mom came with my husband and I to my radiology appointment. We arrived and, because the nurses were a little backed up, we had to wait for a while before getting taken back to a room. This gave me time to catch up on the latest “Cancer Today” magazine. I never knew these existed…now I do. Maybe I should subscribe? Maybe not. This extra time also allowed me to really take a closer look at who was walking in and out of the office. It wasn’t very comforting. All of the patients were older, and extremely skinny with sunken in faces. I felt so bad for them, but soon realized, that I was in their position now.

Eventually we were taken back to a small exam room, and after my nurse received my vitals and medical history, we were instructed to watch a video. I don’t think I’ve seen a more depressing film. Apparently, Mom and Matt didn’t think it was too bad, but when you have cancer, movies on the technicalities of radiation aren’t uplifting. This particular film was only 8 minutes long and explained what radiation is and what it does. It informed us about how long each procedure is, and some of the side effects that may follow treatment. Can’t I just get this crap cut out of me and move on?! Unfortunately, it’s not that simple.

Following another pelvic exam (I’ve had 3 or 4 in the last 12 days), my mom and husband came back into the room joined by the Radiologist. He immediately confirmed that after looking at my PET scan results, my cancer has indeed spread. Yes Doc, so I’ve heard. Because it has spread, I have been restaged. This will happen a lot during this process. Currently, my cancer is stage 3. That means, it has jumped up 2 levels. That’s not good. Keep in mind, you only get 5 stages.

He continued on to inform me that the specific lymph node the cancer has attacked is on my left side, and contains a pea-sized tumor. Pea-sized doesn’t seem so big does it? It doesn’t matter the size, it matters the location. Lymph node. The lymphatic system. Lymph nodes are small filters all over the body. They are about the size of a grain of rice, but can not be seen by the naked eye. Lymphatic vessels connect each and every lymph together, therefore making the system a transportation route. I view it as a shuttle service. It transports white blood cells to fight off infection in other areas of the body. Ever wonder why the sides of your neck swell up and you can feel large knots when you get sick? Those are your lymph nodes working overload to get rid of your sickness. The lymphatic system is a huge part of the immune system. Apparently, these lymph nodes don’t recognize cancer cells, so they just store them in their pockets. This allows the cancer to grow, and have the potential to hop on the lymph-train to other areas of the body. In other words, because my cancer is in one lymph node, there is a now a higher chance for it to spread and attack the rest of me.

Obviously, although there’s a chance, it’s not an option for me. I’m killing this thing before it gets a free ride. This leads me to treatment. My surgery will continue on, no strings attached. My Oncologist will still remove my uterus, cervix, uterine wall, surrounding ligaments, and the inside of the top part of my vagina.  She will also remove the affected lymph node, and strip the others in the area. The item that has been added to the schedule has been radiation. The purpose in receiving this type of treatment is to make sure there are no more remnants of cancer in my pelvic/abdominal region. My schedule for this treatment will begin about 3 weeks after surgery. This will entail me going in every day, 5 days a week, for 5 1/2 weeks of radiation. In addition, I will be getting an injection of chemo once a week during this process. When radiation and chemo are combined, the success of annihilating the cancer is far greater. I asked if I would lose my hair. He said no, but that it would thin out. Sounds like the same thing to me, Doc. In addition, in the area of radiation, my skin will get very red and burnt- essentially, a really bad sun burn. I will get extremely fatigued, lose weight, and have the risk of getting sick. But if we are going to kill this cancer, bring it on. And, I won’t even have to work out to drop a few pounds! Keeping the positives in mind, folks.

Remember how you need your ovaries to produce eggs? And how I’ve previously mentioned that with my eggs we can have biological children through the freezing process? This option has essentially been wiped out. My Oncologist will move my ovaries higher in my body to try to get them out of the way of the future radiation. However, there’s no guarantee they will survive surgery, let alone radiation beams coursing through my body. My cancer is aggressive. It’s proven that it can and is willing to spread. After questioning my Radiologist about the possibility of stimulating and harvesting my eggs before surgery and radiation, he said it was okay. His words were, “It’ll take about 4 weeks for the eggs to be stimulated and harvested, and if that’s what you want to do, you’ll have to start right away. By right away, I mean tomorrow morning. You’ll have to go in first thing to start that process. I really wouldn’t wait more than a month to get your surgery and treatment.” What we heard in that was, “If you want your eggs, you need to GO, GO, GO. We don’t have much time to fight this before it spreads.” Comforting, Doc.

We left the radiology office, and I was in a bigger haze than I’ve ever been in in my life. My brain was about to explode with the abundance of the information just poured in. My heart was going to drop out with the overwhelming decision we were going to have to make. We only had the rest of the night to make this life-changing decision. My husband and I were fearful, overwhelmed, stressed out, and devastated. We were instructed to head over to my Oncologists’ office to speak with her about either canceling surgery or going forth with it right away. We arrived and she had already left. Not only that, but she wouldn’t be in the following day (today), because she was going out of town. Great news. Now, we had to make this decision without even consulting my Oncologist? She’s my main doctor, and her advice means a lot to me.

We headed home. Silence. No words. Just one million thoughts fighting for my attention. Do we go ahead with surgery and beat cancer first? Do we try to harvest my eggs and allow the cancer time to spread? Do I give the gift of biological children to my husband at the risk of my life? Do I fight for my life and consider adoption? These were the 2 choices. The only 2. For a lot of you, the answer is simple. Save your life. But for those who know the deep desire of having biological children, you may understand. Matt and I have always talked about and imagined what our children would look like. Would they have his wonderful thick hair? Would they have my blue/green eyes? Would they be tall like him? Would they have tiny toes like me? We arrived home and I collapsed into my adoring husband’s arms. The emotion and degree of the situation completely pushed me down. Tears of anger, sadness, fear, and doubt flooded from our eyes.

Soon, we were interrupted with a call from our fertility doctor. She had just gotten off the phone with my Oncologist and began to explain the imperativeness in beginning egg stimulation right away. She requested that I come in first thing in the morning. She informed me that my Oncologist, just like my Radiologist, said we have to get this show on the road now. We don’t have time to wait. If we want to retrieve my eggs before they are wiped out, we must act right away. This news nearly floored me. She was essentially telling me that I needed to make my decision now. I couldn’t do that. I will never make a decision, let alone one this enormous, without my husband. I told her I would have to call her back. She said she needed to get home before the snow hit, and would call me then. We were given the amount of time it took her to get home, to decide if we wanted biological children or not. Shit.

Here are our brainstorms during this time:

  1. All 3 of my doctors are saying if we are wanting to harvest eggs, we would have to do it immediately. And not immediately, as in Monday, immediately as in 8am the following day (today).
  2. Even if we were to successfully harvest eggs, that means we would have given the cancer 2 weeks to travel freely through my body.
  3. Also, we would have to freeze the eggs, find a surrogate, write up paperwork, fertilize the eggs, successfully implant the eggs, and have a successful pregnancy. That’s a lot.
  4. In order for any result to be positive, it is necessary that I live. My life is priority number one.
  5. Secondly to my life, we don’t want to bring children into the world to have a sick, dying mother. Our children need a healthy mom, and we must think of them regardless of who they are, where they come from, and if they are here yet or not.

Immediately we held each other and began to pray. “Lord, give us peace. Give us an answer. Let us know in our hearts what to do. Speak clearly to us.” We prayed and prayed and prayed, and pretty soon we were not crying out anymore. We were calm. God had given us peace. And, he had given us both the answer… My life. We must save my life, because without me, we don’t have any options. The first priority since diagnosis has been fighting this thing. Getting this beast out of me. Surviving cancer and moving on with our lives. Why should that change now? I have to be alive if I want children, regardless of if they share our DNA or not. Adopted children will still be our own. There will be no difference. We both felt such relief that God spoke directly to us in this storm. He calmed the seas just enough for us to hear His voice. I’m thankful for a God which with whom I can have a direct relationship with. Not many people understand that it’s that simple. God has led us down this path for His purpose. And, although its gut-wrenching at times, His purpose is ultimately for our good. Who knows what children He is going to place in our life? Who knows what children we will be saving from a horrible situation? We will still be able to tell our kids how hard we truly fought for them, and I so look forward to that moment.

I can end this entry by saying, this is good news. Sounds weird, huh? Remember, I am the one who said I was blessed to have cancer; You can’t be too shocked by what I say. The reason this is good news, is because God has given us clear direction on where to go next. I can’t imagine going through this without having Christ to pave my way. There would be no hope. With Him, there’s an abundance of it. He continues to give me strength during this process, and to Him be the glory. My view has not changed. I will fight this thing with an iron fist. I will kick cancer’s ass. Although it fights dirty, I will fight dirtier. I will live a long and fulfilling life, with a loving husband and children surrounding me. That’s not to say, this journey will be perfect. It undoubtedly won’t be. I will have good days and horrendous days. But, regardless of good or bad news, I will get through this. I know it.

James 1:2-8 (Message Version)

“Consider it a sheer gift, friends, when tests and challenges come at you from all sides. You know that under pressure, your faith-life is forced into the open and shows its true colors. So don’t try to get out of anything prematurely. Let it do its work so you become mature and well-developed, not deficient in any way. If you don’t know what you’re doing, pray to the Father. He loves to help. You’ll get his help, and won’t be condescended to when you ask for it. Ask boldly, believingly, without a second thought. People who ‘worry their prayers’ are like wind-whipped waves. Don’t think that you’re going to get anything from the Master that way, adrift at sea, keeping all your options open.”