Thursday, February 15, 2018

Cancer update - 15 February 2018

Many people have asked for an update on my condition, so here goes. Today is Thursday, February 15th, my last chemotherapy was Tuesday, February 6th.

I get chemotherapy every 21 days. That period can roughly be divided in half, the first 10 days is dealing with the effects of the chemotherapy drug: the nausea, the fatigue, etc. The nausea and fatigue fade away after a week to 10 days and I have another 10 days where I feel pretty good. During the first week, I am not much interested in being actively engaged, let me sit on the couch and read a book, or go to the crawlspace to sort through old junk while listening to music; its really a lot of sitting time. The second 10 days are much better, I get some energy and Carol and I can get out of the house and do something or on those days we are home I do chores or work on a project.

I have a chronic cough. I am functioning with one lung, the other has collapsed.

I am still limited in my energy level. This has been the most difficult thing for me to accept, I was an active person, an athlete, a gardener, I could pick up a shovel and dig in the dirt all day long. Now I am happy to carry a 2x4 for 50 feet, then rest. I arrange to have a chair placed close to my effort, so I can rest every 10 minutes or so. I am a project guy so it really sucks. Carol keeps reminding me that it is the new normal.

Since the middle of November I have had chronic shoulder pain, at times inducing nausea and vomiting. At first we thought it might be related to minor surgery to install a power port (a permanently installed IV), the pain started two days after the surgery. I treated it with ice at first, then heat, then massage, then exercise and nothing would relieve the pain. I tried opioids, and that wasn't satisfactory, I didn't like the way I felt. Finally, last week I went to an acupuncturist for treatment, she said the vagus nerve goes through that spot in the shoulder and was likely irritated because of a sensitive stomach, the chemotherapy agent I am receiving attacks the stomach and other parts of the alimentary canal - that all seems pretty logical.  There is no significant change in the shoulder pain since the acupuncture treatment but I am hoping that the farther I get away from the last chemotherapy treatment, perhaps the inflammation will subside a bit and the cycle will be broken. I have my fingers crossed.

Prior to Christmas I had been to the emergency room on a couple of occasions for nausea/vomiting that was uncontrollable. Our daughter Amy, a medical student, thought I was getting psychotic, did some research and discovered that I have a super power, I can reverse the effects of a popular anti-nausea drug. It happens rarely, but often enough to be documented where-in some people can reverse the effects of the drug I was prescribed, an allergic reaction. Amy went with me to see my chemotherapy physician and helped me present the case. He made changes in my anti-nausea drugs and I am feeling much better. One of the new drugs I am taking affects my balance, and Carol, right away said, “no driving for you while you are taking that drug”, which I take during the first week after chemo.

The threat of the flu and my compromised immune system have kept us at home a lot. When we go out Carol is constantly looking for sick people, she has masks in her purse and sanitizing liquid. On several occasions we have packed up and left – no taking chances.

My lungs have difficulty dealing with temperatures less than about 45 F, and this winter has been a chilly one. We had a nice day yesterday, sunshine and warmer temperatures – I taught Carol how to plow our parking space with the Kubota tractor – her first time plowing snow – she did a great job. I grabbed the snow shovel and moved a little snow (about 5 minutes worth before I ran out of energy)... it was nice getting outside for a short spell. We are looking forward to the warmer temperatures as spring descends upon us.

We get up most mornings, start a fire in the fireplace, sit down and have a cup of coffee, we visit about our kids and our relationship and the comedy side show taking place in our Capitol. There is plenty of laughter.

I almost forgot, we have a new resident at our house, an orange tabby, about two years old, from a shelter in Fargo, a Christmas present from Kristen and Gabe. He is a snuggly guy and spends hours on my lap.

We try to get out a couple of times a week, close to home the first 10 days after chemo, and farther from home during the 10 days before the next chemo. We had a warm day a couple of weeks ago and drove to Spearfish, at the north end of the Black Hills, met friends for lunch, I went downhill skiing, 5 times down the beginner's slope, it wasn't much but it felt great to get some exercise and fresh air. As the weather gets better we will venture further away. Still on our agenda are drug trials, still hoping for a cure!

Our neighbors have been wonderful. We got home from Fargo a week ago, the day before my last chemo, it snowed while we were gone, and the neighbors moved the snow. It snowed again last week, it was my down week and the neighbors were again moving snow. We have such wonderful friends and they are taking such good care of us.

Carol is a great caregiver. I asked her how she is doing and she said she is doing OK, a little bored but happy that we live in such a lovely place. She likes travel, so she is looking forward to some nicer weather when we can move around more easily.

I want to thank all of you for keeping us in your hearts. We are truly blessed to have such great friends.

Love to all,

Van