Friday, August 30, 2013

AUGUST 30, 2013


Well, after 5+ years of battling, I am just now having to fight my first real battle with insurance.  I should be grateful, but I'm not.  I'm kind of pissed off.  I get why they are fighting us, but this is my LIFE we are talking about.

They denied the Temodar (the brain cancer chemo).  They denied the original request, which we expected.  They have also denied the appeal.  And, now, they aren't allowing my doctor to take it to the next level, which is a peer-to-peer discussion (where he has the chance to talk with an MD working for the insurance company).

Bastards.

In the meantime, Dr. K. has put a request into my insurance company to get me approved for Regorafenib, which is the only other FDA-approved colon cancer chemotherapy that we haven't tried.  However, this is a process, too.  They put the script in, and it gets denied.  Then, they have to send it through for a pre-authorization, and hopefully, they approve it.

Ideally, Dr. K. wants me on the Temodar, but because that process may take a while, the Regorafenib would at least put me on some form of chemotherapy until the Temodar gets approved.

*sigh*

Because the Temodar got denied on the appeal, they (CTCA) are going to fight to get this appealed again.  In the meantime, my care manager Vickie mentioned that it might be worth my while to make a few phone calls to my insurance company to move things along, so to speak.  Apparently, there have been a few times where, in this kind of situation, a patient conversation with the insurance company can help convince them.  So, I'm running to CTCA today to grab a copy of the paperwork that was submitted to the insurance company.  I'll look it over this weekend, so I can speak intelligently about this, and on Tuesday, it's so ON!!!
Prayers, mojo, etc. welcome for this process.  Of the two, Dr. K. wants me on the Temodar, so if you're the praying, mojo-ing, good vibe-ing kind of person, please put those good energies towards the approval of the Temodar. 

Comments:

Nancy Abrams said...
Prayers nonstop and many others praying with me for you....so much love to you
August 30, 2013 at 6:02 PM
Blogger Nancy Abrams said...
Many prayers and many praying with me for all the answers you need and deserve. ?.I love you sweetie
August 30, 2013 at 6:04 PM
Blogger Joan B said...

I'm sorry and am sending major mojo your way. I wonder if this link is helpful?

http://www.needymeds.org/drug_list.taf?_function=name&name=Temodar
August 31, 2013 at 12:56 AM

Tuesday, August 27, 2013

AUGUST 27, 2013


Well, I got the results from my CT scan yesterday.  It was pretty much what we all expected - growth in all tumors, and some new ones have popped up.

The lung tumors - they have all grown, and the biggest (I think) is 1.6 cm.  There are also new ones, much smaller.  The good news (according to my nurse) is that the tumors are not consolidated, and that there is no pleural effusion (fluid on the lungs).  Whew.

The lymph nodes in my abdomen have also grown - one is 1.4 cm, and the other is 1.2 cm.  This is likely the cause of the tender spot in my abdomen, which is good to know.  I was terrified it was another tumor, so it's kind of a relief.

We are still waiting on insurance approval for the new chemo.  Because it's an off-label use, they have to go through a different approval, proving why they want to use this and why they think it's going to work.  Dr. K. wants me on chemo ASAP, so they are keeping a close eye on the approval process and will be calling my insurance company today if they haven't already heard back.  The moment I get the phone call that we are approved, I'll be heading down to CTCA to pick up the meds. 

Comments:

I'm glad there's a plan. I hate that it takes a while to get approval!
August 27, 2013 at 10:50 AM
Blogger Joan B said...

Hugs, I hope you get approval soon and that the new meds do the trick. You deserve it (and more).
August 27, 2013 at 3:01 PM

Monday, August 26, 2013

AUGUST 26, 2013


Well, it's taken me a while to get to a point where I'm comfortable posting about how last week went.  Not because it went badly, but because it's taken me a while to get my head around everything, and to understand what was presented to me.

Wednesday afternoon, a you know, we went to T-Gen to talk with the docs there about potential clinical trials that might be available to me.  It's a new-ish building in Scottsdale, and is connected to the cancer center on this medical campus.  The area for clinical trials is on the second floor.  The best part of this place?  The huge stuffed animals that my kids promptly took over and laid with, on, and under.  This was where they stayed during the appointment.  :)

My first moment of uncomfortable-ness occurred when I got a look at their "chemo room".  It's very much like a typical chemo room.....(frantically searching Google Images for a good reference point...).  Ah - here you go.  This is what the "typical" chemo rooms that I've seen have looked like.  Very crowded, no room for caregivers, etc.  I was not happy at the prospect of going back into a situation like that, especially with all of the issues that I've had - I don't want/need people starting at me while I'm having a reaction.


Anyways, we (Mom, Levi and I) went into the clinic room and waited for Dr. Ramanathan.  When he came in, we went over my medical history, and he did a physical exam.  He found a spot on my left abdomen that's been tender for a bit, and thought it was either scar tissue and/or pain from the enlarged lymph nodes in my abdomen.

He then laid out what options I have for me.  Xeloda (oral 5-FU), Erbitux (the one that causes me the rash), Regorafenib (the new one that I haven't had yet).  He also went over the 6 clinical trials that they have going currently, and told me why 5 of them won't work.

See, when Dr. Kundranda (my med-onc) sent my tumor out to 
Foundation One for genomic testing, they were able to look at about 80 different "points" on my cancer's DNA.  As clinical trials and cancer treatment move more into a personalized type of care (Michelle's colon cancer, rather than *anyone's* colon cancer), they are able to use the genomic information to determine if a new chemo/drug will work.  Because of this, Dr. Ramanathan was able to rule out 5 of the 6 drugs they are currently trial-ing.  Those drugs work on a particular genomic expression, and my cancer doesn't have those.

While it ruled out many of the options for me, it's pretty cool that they are able to do that.

The other drug that they have available is one that has been used with some success in Japan.  There are a few downsides (in my opinion) to this.  One - for the first three weeks, I have to be on-site 3-4 days a week.  One of the days each week is a 12-13 hour day (not including the hour to hour-and-a-half drive, one way, there and back).  The others range anywhere fro 30 minutes to 2 hours.  Additionally, there hasn't been a great response rate (10-20%).

We did get all of the information about the clinical trial, and planned to take it home to try to absorb it.  I've tried reading the information - seriously, you guys, it's like stereo instructions.  Add to that the fact that my brain is like a sieve right now, and it's not a good combination.

Friday, Mom and I went to meet with Dr. Kundranda to talk about the clinical trials options, and to kind of work out a new gameplan.  Here's the thing - I understand, logically, why me taking part in a clinical trial is a good thing.  But, my gut instinct says that this isn't the one I need to do.  I'm not comfortable (at all) with this, and with going to Scottsdale so often.

So, I asked Dr. K. what other options we have.  He is looking outside the box (one of the things I adore about him), and talked with us about a drug called 
Temodar, which is an oral chemotherapy used in brain cancer patients.  The reason he feels this may be a good fit for me is that, in the genomic profiling, my tumor marker has a low MGMT expression....this drug works using that.  I tried to look up what exactly this means - the information on Google is all so much smarter than I am that I'm just going to accept it for face value.  :)

The good news is that this drug has few side effects, and is generally tolerated well. It's a pill I take for 21 days, then I get 7 days off.  I like the sounds of that.  The side effects that I can expect are nausea (sigh- I just can't get away from that one), constipation, fatigue, and my blood counts (white, red,etc.) will drop.  So, nothing I haven't dealt with before, but things I think I can tolerate/handle well.

We are doing a baseline CT scan today.  I'm super nervous.  I don't know what this tenderness in my abdomen is, and I'm petrified it's another tumor.  But, it's better to find out and know, than to just ignore it.  The good news is that, while my CEA count is up to the highest I've ever seen it, it's still fairly low, at 14.0.  Both docs indicated to me that my cancer is slow growing, and that my tumor burden is low.  I like that - I'd just like it more if the tumor burden was gone, and my CEA was under 3.  But, we'll get there.

We will get there.

*******************************
I'm still struggling with eating.  It's so weird.  I don't know if you've ever been at a point in your life where you just aren't hungry.  Nothing sounds good, you're not feeling hungry....this is all normal for me right now.  Yesterday was a particularly bad day - I ate a little bit for breakfast...not much because I didn't care for the coconut milk we had.  I didn't eat anything else until pm, when my stomach apparently rebelled and I started to feel super nauseous, my stomach actually hurt, and I felt like I was going to pass out.  The kids brought me some nuts and dried fruit, and it took me about another hour before I finally felt okay again.  Even then, I was weak and shaky.  So, I ate some more, and within an hour, I was able to  go grocery shopping.

So, this is just another reminder that I have to eat, even if I don't want to.  It's so strange.  I don't know what it's going to take to get my body back into a mode where I want to eat.  Seriously, I don't have any cravings to eat.  It's not like I get to lunchtime and I'm hungry.  I may have a moment or two where I feel that way, and then it's gone.  Right now, I'm only eating because I have to.

But, I am eating.  Before y'all jump down my throat, I am eating.  Dried fruit, nuts, cheeses, organic protein shakes mixed in with my iced coffee (for the nutrients and the calories), etc.  I do feel better when I eat - that much is for sure.  I just put reminders on my calendar (and my phone will send reminders) to eat every two hours.  It seems like a lot, but if I don't, I get lethargic, etc.

And, who am I reminding?  Me.  I'm sure you all understand how important feeding your body properly is, right?  Ha.  I thought I knew - my body is telling me that the way I've been eating (not at all, or only a little bit at three meals a day) isn't right.  So, I'm going to try to transition myself into a 6-7 small meals a day kind of girl.  I'll let you know how that works out for me.

For now, I'm down 1-2 sizes, and am at my lowest weight in years.  I want to stabilize here, and to stay steady for a while.  I still have a lot that I could lose, but I need to be losing it in a healthy way.  Same goes for anything I gain - it needs to be muscle mass, not fat.

*sigh*  I never, ever thought I'd be wondering "What high-calorie snack should I eat next?"

**********************************

What else?  I feel like there was something else I was going to blog about, but I can't remember what it was.  I did go on the winery tour this weekend.  It was gorgeous - Saturday morning was cool and rainy here, so we weren't sure how the day was going to pan out, but it dried up and warmed up later in the day.  The drive up to Cornville (you can't make this stuff up) was gorgeous, and the views were spectacular.  We had tastes of 9 different wines, and it reinforced for me that I'm still not a wine drinker.  I like the sweeter wines, like their Moscato.  There was also a wine/brandy dessert wine that was nice.

After the first wine tasting, we went to lunch at a little off-the-beaten-path Mexican restaurant, and had some good conversation (nothing about kids or cancer - it was wonderful!).  Then, we headed to another gorgeous winery, where we walked the grounds and sampled the fruits (don't tell anyone).  Then, we headed home....I was exhausted.  But, in a good way.

The time away helped, and helped remind me how important it is so get away from things every once in a while.  So, if you're in the area and want to get together, let me know.  :)

I'll let you all know how the CT scan goes today.  We should have results today or tomorrow.  (Hoping I get them today...)  If all goes well, I should start this new chemo tomorrow or Wednesday.

Rock on, my peeps.  Have a fabulous Monday!

Comments:

Kidney Girl said...
Love the part about the genetic testing. It's amazing how far oncology has come over the years. There may not be a perfect fit for your tumor, but thankfully you know your time is not being wasted with harsh drugs that have no chance of working! I'm very excited for you and purposefully ignoring the part about the med that causes the reaction. No more reactions for you!!!

<3
August 26, 2013 at 12:24 PM
Blogger Lesley said...
I've been following you for a long time; I have stage three rectal cancer, almost at the end of chemo now. I just wanted to ask you whether you have tried marijuana? It really picks up my appetite. I don't use much, I don't like to get stoned, but even a little bit sprinkled as a herb on food works, or if you are really in a state where you don't want to look at food, just a puff or two does it, almost immediately. You should be able to get it legally in your state, no?
August 27, 2013 at 12:04 AM
Blogger Monica said...

Hi, my name is Monica, my mother in law is your moms friend. I also have cancer, stage 4 primary pulmonary choriocarcinoma. Basically placenta cancer in my lungs, not in female organs. I checked out CTCA, but went with a research oncologist in Scottsdale. It's a great place, I love the Drs the nurses, everyone is amazing!! If you are looking into trials this might be a good place for a second option, there are sooo many trials available here, I don't know if they explained this but each research location has different trials available. This office is about 45 min -1 hour away, but my care is so worth it! Also the chemo room is bright n airy, and plenty of room for caregivers, and the chairs are not right on top of each other. Just a thought!! Their number is 480-860-5000. Tell them u know me :) there is also a website called inspire.com it's an amazing place for people with cancer, or any health issue, I have learned so much, and gotten so much support from the people there, I belong to the lung cancer group. :) peace and prayers for you!!
August 29, 2013 at 1:37 PM

Wednesday, August 21, 2013

AUGUST 21, 2013


Well, today is the day I'll find out what options, if any, I have in front of me.  I go to T-Gen (the clinical trials group) this afternoon, and we'll have more information.  I just made the mistake of looking on their website at the open clinical trials for colon cancer, and there is only one open, which I don't qualify for.  I'm hoping there are other options that aren't on the site.

I'm nervous.  It helps to say it.  This almost feels like when I was first diagnosed - I am going into a doctor's appointment to talk about something I'm not familiar with, and I know they are going to throw terms, acronyms, big words, etc. at me.  It helps to accept that I'm going to be lost.

The difference this time around, though?  I'm prepared for it.  I'm a stronger, more empowered patient.  I know to ask them to stop, repeat what they said, bring it on down to laymen's terms, and then ask more questions about what I don't understand.  I'm more informed about my cancer in general, and I know what my body can or can't handle.

I also had a bit of reassurance from Dr. K. yesterday.  I happened to run into him at CTCA, and told him that the appointment with T-Gen was today.  He grinned and said "I know..."  That grin made me feel at peace.  This is what I need to be doing.  I truly believe that he wouldn't send me someplace that he didn't honestly, truly feel wasn't going to benefit me.

So, we'll see what happens.  I'm spending some time this morning reviewing the many pages of materials I've found (many thanks to some wonderful people on facebook support groups), and trying to understand what questions I might need to ask.  I've already printed out several pages of "Clinical Trial Questions" from a variety of well-respected cancer websites, and I'm just planning to bring them all along, read through them once the doctor gives me time for Q&A, and see what happens.

And, in case I miss something, I'm going to bring my fully-charged phone and record the entire conversation.  That way, I can go back later and listen to what he had to say, make notes, form more questions, etc.  I think it's going to help me a lot, since I know I'm going to be completely overwhelmed and utterly lost after today's appointment.

********************************************************

Physically, I'm doing better.  I'm still fighting fatigue, but it's no where near as bad as it was, say, a month ago.  OT and PT are definitely helping, and I'm loving the fact that, even though it's not burpees or push-ups from the medicine ball or high-intensity training (all things I did with my trainer before this re-diagnosis), I'm doing *something* to make my body stronger, healthier, etc.  It helps, physically and emotionally.

Re: my last post and my bitchy attitude, I'm doing better.  Venting here always helps, and I did a little retail therapy (mama needed a new purse).  I also have a goal regarding some advocacy things I'm working towards, which is still in the cancer realm but allows me to know that what I'm going through isn't for nothing.  If I can help one person, it makes it all worth while.

I'm also going to start working on a few DIY projects that I've planned for and are still sitting, waiting on me.  I also have been on pinterest like a crazy woman, looking at recipes, Halloween projects, etc.  Hey - I just realized, I could also start working on my Undy 5000 shirt design, costumes, posters, etc. Hmmmm.....seems like Hobby Lobby and I are going to be good friends.

I think it's important to recognize and understand emotions that seem to come from nowhere (like bitchiness, especially when you're normally fairly bitch-free).  Recognizing them, thinking about what caused them, and then doing something about it is essential to getting through any obstacle life throws at you, including cancer.  For me, I've chosen to use the energy that I do have for positive things.  I spend time with the kids, Levi and my parents.  I try to carve out time for friends, as much as possible.  I've made a conscious decision to (most of the time) use what energy I have on positive endeavors, and to quit complaining.  To me, it's just not worth the energy I could put into complaining, asking "why me", and moaning about how hard my life is.

My life is difficult, but first-world-problems difficult.  I have a roof over my head, food on the table and in the pantry, friends and family that I can count on, a loving husband, great kids....seriously, what do I have to complain about?  Right now, I feel stronger than I have in a while, and I'm going to use the energy that I do have for good things.

Anyways, I wanted my readers (whom I adore) to know that it's okay to have your bitch moment, but that it's also okay to do something for yourself to put the bitch away.

And, my bitch?  She's gone for now.  But, when she pops back up, I'll try to tame the shrew.  :)

Comments:

Joan Bardee said...
bitch away. whatever helps. i hope your appointment today went well.
August 21, 2013 at 2:01 PM
Blogger N.G. said...

Keep the fight going. I'm from Singapore and my CEA started from 692 and went down to 3.4 and up to 4.9 most recently. I'm on standard drugs for now, with the 3 you have mentioned
-erbidux (k-ras wild, not mutated)
-oxalinplatin
-port 5FU.
Trust in God. Only He can heal.
August 26, 2013 at 1:44 PM

Monday, August 19, 2013

AUGUST 19, 2013


Yesterday, I was in a bitchy mood.  I mean, the kind of mood where, if someone *breathed* wrong, I lost it.  It took me a while to figure out why I was so moody, so irritable, so bitchy.

For the past several months, my whole life's focus has been on cancer.  It's been on me, fighting this, recovering from that, reactions, doctor's appointments, PT and OT, chemo.....all of these necessary and understandable, but yesterday, it all pissed me off.

I don't want to do this anymore.

Don't take this the wrong way.  I don't mean that I'm done fighting or that I'm calling it quits.  Not at all.

I just desperately, desperately want to do something that is in no way related to cancer.

In addition to that, I've been stay-at-home-mom-ing for several months now.  I realized last night that this is part of the bitchy mood.  I was not made to be a stay-at-home mom.  I need the adult interaction, the conversations, the relationships that have nothing to do with cancer.  And, since I'm not working (and won't be going back anytime soon), it's hard to build those relationships, to have those conversations, to live a life without cancer.

As I lay in bed last night, I realized that the one thing that always helped when I started feeling like this was running.  And, since I can't do that, I'm struggling with how to deal with these emotions.

I have a friend who asked me if I can join her on a tour of a local winery this weekend.  I'm not much of a wine drinking, but I'm going to go, if for no other reason than it won't have anything at all to do with homework, my kids, or my cancer.

Now, before I get slaughtered about the comment regarding my kids, let me say that I love my kids more than life itself.  I would lay my life on the line for them, and I would gladly give up my life to save theirs.  But, I've been with my kids non-stop for many months, and I need a break.  Thank goodness for school.

I am still in a not-so-fun mood, but I'm trying to move past it.  I'm trying to plan some things around the doctor's appointments, etc., that will give me the chance to live a life not related to cancer, and that will give me the much needed mental break from what I'm going through.

I wonder....do other cancer patients feel this way?  If so, how do you handle it?

Comments:

The wine tour sounds like so much fun!! Enjoy yourself!!
August 19, 2013 at 11:18 AM
Blogger Joan Bardee said...

hey, don't you think you've earned the right to do pretty much anything you want that doesn't actually harm your husband or kids? I vote yes. Go on the wine tour. Do whatever works.
August 20, 2013 at 12:56 PM

Tuesday, August 13, 2013

AUGUST 13, 2013


Well, I had a doctor's appointment last Friday, basically a quick look-see with the team to make sure I was recovering well from the hospital stay.  The good news was that my blood work is still coming back within Michelle-normal range (think of it as a normal for cancer...), and that my body still seems to be recovering from whatever we toss at it.  The not-so-good news is that I'm continuing to lose weight.

This is where those "unlikely conversations" come in.

Never, in my life, did I ever expect I would have a conversation about losing too much weight, or high-calorie snacks and meals, or taking a prescription medication to help increase my appetite.

But, Friday - those all happened.  I am down about 20-25 pounds in the past 2-ish months, and ten in the past week.  That's just too much, too quickly.  They immediately asked whether I was eating, and I am, just not as much as I normally do.  I spoke with my PA, and then my naturopath, about taking something to stimulate my appetite.  We've tried a few other things, but we fell back on the old stand-by, Marinol (synthetic marijuana in pill form).  I'm taking a low dose, three times a day, and honestly, I can say it's working.  I'm not nauseated when I wake up in the morning (yeah for that), and I've noticed that I'm actually hungry for the first time in ages.

I also had a conversation with my dietitian about eating the right kinds of foods, including higher calorie snacks and small meals.  She sent me a list of snacks (nuts and fruit, etc.), as well as a protein shake I need to be drinking at least once a day...I mix this one with my coffee in the morning for a fortified, high calorie iced coffee.  Yum!

Hopefully, with everything I'm working on, I'll at the very least staunch the weight loss and even out.  I'm down to the lowest I've been in probably 8 years, and my clothes are all big on me.  If I lose much more weight, I'll have to go shopping.  :)

I did set the consult appointment with T-Gen.....we'll meet with them next week, on Wednesday.  It's a 90 minute appointment, complete with physical exam, discussions with the oncologist, and a list of what options are available to me right now.  I have a folder of questions that I want to ask him (Cody, if you see this, I made one for you, too), so I'm sure it's going to be a very informative appointment.

Other than that, I'm still trying to get stronger and build my strength up.  The kids started school on Monday, but little man was sick with a fever, and came home early on Monday.  He's still not doing too well, but we are hoping he's okay to return to class sometime this week.

I started with both OT and PT this week - Monday was an early morning with the kids, plus both OT and PT, so by the end of the day, I was *wiped*.  I think know that this is going to help me, but it's going to take a while.  I got really frustrated at PT on Monday.  I was doing something fairly benign and something that, two years ago, wouldn't have been a struggle for me to finish.  Yesterday?  I was sweating and huffing and groaning....it wasn't anything super difficult, just a little back/ab movement, but it was enough.  I started thinking back to when I was working out with a trainer, doing things I didn't think I could do week in and week out, and it hit me.....this fucking sucks.  I get so angry when I think about all the things that I should be able to do, and can't.  But, I'm trying to use that anger and turning it into energy, into purpose, into the push I need to do the exercises at home.

Each day is a little easier, and a little harder.  Each day, I do something that I couldn't do the day before, and each day, I'm a little more tired/sore because of it.  It takes a while to get going in the morning.  But, I get moving, and I'm doing what needs to be done.  Usually.  :)

Comments:

I remember that feeling of being so sick that there was no possible way I wanted to eat or drink anything really. Even an empty stomach made me nauseated.

I remember losing all that weight. The first time I saw myself after being in the hospital I screamed. I didn't recognize myself.

GF, do what you have to do to get better. We love you.
August 14, 2013 at 8:20 AM
Blogger Green Monkey said...

Hi Michelle, I was diagnosed with rectal cancer in May. Found your link on Leslie's page. (the bottom line). I have surgery coming up and I've been enjoying food as much as I can knowing all that will change soon. sending hugs and wellness wishes...
August 18, 2013 at 8:28 PM

Tuesday, August 6, 2013

AUGUST 6, 2013


Well, last week didn't go as planned.  About 25 minutes into chemo, I had another reaction.  This one was all too similar to the one from June, and Dad and I both saw the signs sooner than before.  It started with a general rise in my overall body temperature (including my ears getting super red and hot), then the shortness of breath (inability to get a full, deep breath in) and the feeling of my heart racing started.  We immediately called the nurse over, and I told her to check my vitals.  I was nervous that my symptoms were all phsychosomatic, and that I was bringing them on just out of fear.  Well, unfortunately, I wasn't, and my BP and pulse were way higher than they should have been.

My nurse immediately shut off the chemo and disconnected me, and they started pumping me full of the anti-reaction drugs (usually steroids) that help.  That was in addition to the preventative anti-allergy drugs they had already given me, just as a precaution.  They started looking at my blood work (drawing from my port), and luckily, my kidney function was still normal.  However, my liver function, specifically my bilirubin, was high, and the next thing I know, I'm admitted.

Luckily, I was able to stay at CTCA for this hospital visit.  I didn't need any additional assistance, like I did with the last reaction, and by Saturday morning, my numbers had started to stabilize.  They were keeping an eye on my platelets, because those were lower than they wanted.  Saturday night, during doctor's rounds, I was told that I'd be going home the next day, as long as my platelets stabilized.

Sunday morning came, and I was ready to go home.  But, my hematocrit and hemoglobin were both really low, so I had to stay another day and get two units of blood.  I was, needless to say, disappointed (many tears fell that day).  I got the blood, had a few visitors, and went to sleep early.

Sunday was particularly hard, too, because I learned that a friend from CTCA who's been battling ovarian cancer passed away.  It wasn't a surprise, and it was a welcome relief to know she wasn't in pain any longer, but it still sucks.  It's so hard to make friends on this journey, knowing that you are going to inevitably lose some.  Jodi was an amazing spirit, devoted to her beliefs and truly a good soul.  She will be missed, and my heart goes out to her husband, her family and those that loved her.

Monday morning came around, and I was anxious to get home.  The kids needed me.  I was bored and tired of being in the hospital.  I was ready....like, really ready to go home.  My doctor, Dr. K., rounded the hospital around mid-morning.  My blood work looked okay, and I was given the discharge paperwork.  However, he brought up another topic that was weighing heavily on my mind.

What do we do next?

I have now effectively eliminated all of the main-line treatments used to fight colon cancer.  Now what?  Well, we started talking about clinical trials.  We have broached the topic before, but I never, ever expected that we would be looking into them this soon.  I thought of this as something we'd be dealing with years down the road, not months.  But, here we are.

Clinical trials are, I've found, a taboo subject.  People assume that you use CT's at the end of your life, when you've exhausted all other options.  Dr. K. was very, very adamant that this wasn't an end-of-life decision.  Rather, the CT's would be used to extend my life as long as possible.  He feels very strongly that this is a road I have to look at and consider.  He's worked with this particular group before, and feels that their success and research is worth looking into.

It was hard to hear.  Knowing that I've only got a few other FDA-approved options available to me (Xeloda, Erbitux and Regorafenib), we need to look at CT options.  It was a fairly emotional conversation, but one that helped me make the decision.

I'm going to look into CTs.  I have to.  I need to research all of my options, and I trust Dr. K.  That's the bottom line.  If he feels like this is going to give me more time, then I want to learn more, research it, and try it

I'm not ready to go yet.  I have too many things to do.  My kids and my husband need me.

Levi and I had a pretty difficult heart-to-heart discussion a few weeks ago.  The jist of it was that he wanted me to know that it was okay to stop treatment, if and when I get to that point.  Basically, he hates seeing me sick, going through treatment, and not having a good quality of life.  This was right after I got out of the hospital in June, and my suffering was fresh in his mind.  I understood where he was coming from, and we talked about a lot of different options.  I told him that, right now, the good outweighs the bad.  I have some bad times, but, generally, I have more good times than bad.  And, as long as those scales are tipped that way, I'll keep fighting.  If and when the tables turn, and I'm down and out more than I'm living life, we'll talk about changing and/or ending treatment.  It's so scary to think about having to make those decisions.

I hate that my family and I have to go through this.  I hate seeing the fear in my kids' eyes as they walk into my hospital room.  I hate having to answer the questions about the tubes, the medicines, the pills.  I hate having my son ask me "Are you finally feeling better, Mommy?"  It breaks my heart.  But, I feel like I have to keep doing this, so that I can be here to answer those questions.  So that I can be here to see them grow up, as long as I can be here.

Every single decision I make is with my kids in mind.  I want to be here as long as possible, for them.  Yes, I want to be here for my husband and my parents and my brothers and their families.  I want to be here to celebrate with friends and family.  But, most of all, I want to be here for my kids.  It's not fair that I won't be here as long as I want to be here.  I understand that.  It's awful to think of the things that I might miss.  Will I be here to see them graduate from high school?  Will I be able to help my daughter pick out her wedding dress, or be there as my son puts the band on his new wife's finger?  Will I be there to welcome their children?

Those are questions that no one knows the answers to.  But, I have to try to get there.  I am trying to live each day in a way that the kids will remember me well, regardless of how long I'm here.  I want them to remember the small things, like how I kiss them before bed each night, or how I call them by their nicknames, or how I stroke their hair and hold them close each day.  The big things are okay, but I want them to know how much I love them, and that I live for them.

I want to live my life in a way that will make my husband proud, that will make him remember how very much I love him.  Our story is long, and twisted, and full of happy and sad times.  I want to make more of those happy times.  I want him to know how much I love that he reaches for my hand each night as we lay in bed.  I want him to know that his smile lights up my heart and makes me grateful for each day with him.

There are so many things I want my parents, my brothers, my nieces to know.

So, I'll look into clinical trials.

And, with that, I'm off to do something ordinary.  I'm going to make dinner.  And, I'll make my kids laugh.

Yeah.  That's a fabulous goal for the night.

Comments:

kristinbednarz said...
Hang in there Michelle! I'm cheering for you!!! Many hugs today and other days!!!!
August 6, 2013 at 5:58 PM
Blogger Carol said...
I know you trust your doctor, but I trust *you* Michelle. You're a highly intelligent, highly stubborn woman. DO NOT DOUBT. It's not allowed. Period. End of story. Yea, I know, reality and all.

Reality is, YOU GOT THIS.
August 6, 2013 at 6:42 PM
Blogger Lyndakwade said...
By no means are clinical trials equal to end or last ditch effort. Don't ever think that way. I have survivors in my life for whom clinical trials were first line treatments for their illness. My husband mike (your uncle Jim's son) who works in the field looks at trials as choosing the most current, cutting edge treatment available. Also because of the way clinical trials are funded, you will be followed very very closely. Everything must be done according to protocol or they lose their funding. This could be a very positive step.

Nancy keeps us all updated and I'm so glad she shared your blog. I've known of your story for a long time now. My heart hurts for you. From one young mom to another I don't know how you do it and where your strength comes from but I really admire it. I'm amazed by it. ii truly can't imagine it.

Many prayers for continued strength, success and that you will beat this forever! All our best. Lynda & mike wade
August 6, 2013 at 8:44 PM
Blogger Lyndakwade said...
By no means are clinical trials equal to end or last ditch effort. Don't ever think that way. I have survivors in my life for whom clinical trials were first line treatments for their illness. My husband mike (your uncle Jim's son) who works in the field looks at trials as choosing the most current, cutting edge treatment available. Also because of the way clinical trials are funded, you will be followed very very closely. Everything must be done according to protocol or they lose their funding. This could be a very positive step.

Nancy keeps us all updated and I'm so glad she shared your blog. I've known of your story for a long time now. My heart hurts for you. From one young mom to another I don't know how you do it and where your strength comes from but I really admire it. I'm amazed by it. ii truly can't imagine it.

Many prayers for continued strength, success and that you will beat this forever! All our best. Lynda & mike wade
August 6, 2013 at 8:44 PM
Blogger kay tee said...

Stay strong Michelle...you and your family our in my thoughts and prayers!! Many hugs to you!!
December 11, 2013 at 11:43 AM

Thursday, August 1, 2013

AUGUST 1, 2013


So, I woke up this morning and my tummy was upset.  I couldn't figure out what was going on, until it dawned on me. I have chemo tomorrow.  And it hit me - I didn't even know I was starting to panic about how tomorrow is going to go.

I know I need to go in - I, as much as anyone else, gets that this *has* to happen.  The chemo is necessary.  My CEA is up to 9.7....not anywhere near where I expected it to be, considering I've been off chemo for 2 months, and I've been so weak.  But, it's definitely up there, and I need to fight.

Honestly, it's been nice having a break where I didn't have to schedule my life around chemo.  I'll get back to that point again.  Meantime, I'm trying to deal with the butterflies in my stomach.

I had occupational therapy this week, and I had an evaluation with physical therapy yesterday.  Together, those two disciplines, along with chiro and my massage therapist, are working on a plan that will (hopefully) get my back back in order, and get me to a point where I'm much stronger physically (and thus, emotionally).  I broke down in the eval yesterday.  I was trying to explain how frustrated I am with my body's lack of strength, of stamina, of capability.  And, I think it just hit me all at once, just how damn weak I am.  I don't mean emotionally, etc.  But, the physical has such a part in how the emotional plays out, and seeing my body be where it is, compared to where is was 18 months ago (working out 3-4 times a week, walking and running, working out with a trainer...), it was hard to really put it into works.  We both cried, and she assured me that they are going to work to get me as close to that per-cancer capability as possible.  And, the stronger my body is, the more we can kick this cancer's ass.

This isn't going to be a long post.  I need to make dinner, get things ready for tomorrow....I was going to do all of this earlier, but my stomach was bothering me when I got home, and I took a (very long and unintended) 3 hour nap.

I'm here.  I'm as ready for tomorrow as I think I'll ever be.  Here's hoping I'm able to blog sooner, rather than later.  Wish me luck for tomorrow.  And, for good sleep tonight, too.  :)

<3 p="">

Comments:

Joan B said...
much luck wished! hugs
August 1, 2013 at 6:09 PM
Blogger Kristi H said...
Good Luck My Friend (((Big Hugs)))
August 1, 2013 at 9:59 PM
Blogger Laura Loe said...
Heres hoping it all goes well with the chemo, that runningit slower works like a charm. Wishing you strength, stamina and pain relief as soon as possible.

Love love.....Laura
August 2, 2013 at 1:43 PM
Blogger Tina said...

Thinking of you and hoping all went well!
August 2, 2013 at 7:11 PM