Snow & Chemo

To all of my friends in the New England- I hope that you are surviving the insane amount of snow that has come our way. On behalf of us all, I have taken it upon myself to send Punxsutawney Phil a strongly worded letter in regard to this “6 more weeks of winter” bullshit.

I am sitting at home on our 4th snow day in two weeks. I’m a bit torn as I really could use the extra rest and down time but at the same time it is hard to get back into a routine when I haven’t yet had a full week of work since before my last hospitalization. I guess I’ll just stick with not complaining since my landlord takes care of snow removal and I am left to binge watch Crimes of the Century and drink tea all day under my heated blanket. (To anyone working in Academic Affairs just accept that the add/drop period will never end. Ever, ever.)

Despite last week’s snowfall, I miraculously made it to Boston. I had every intention of writing my update last Tuesday after my appointment but in light of the MBTA basically imploding upon itself, my blog post would have been less about my health and more of a giant rant about public transit riddled with a generous amount of profanity and “f-bombs”. Seriously, anyone that tried to take a commuter rail, T, bus, or cab in the city of Boston last Tuesday must share my pain. How they managed to pull off a PARADE the next day when they couldn’t even get commuters to their jobs/lives the day before is beyond my comprehension. By the time I got to my appointments I’m almost certain my blood pressure was roughly one million over a thousand. (END MINI-RANT)

Per usual I was in Boston from morning until late afternoon playing the waiting game. In that time period I had two appointments: 1.) Ophthalmologist 2.) Medical Oncology. Stacey Applesauce Goldman was kind enough to join me in the waiting game and even sit in a dark exam room while I napped on the exam table.

Eye Doc: Good news! The last time I was there, three weeks ago, I was told that there was a trace amount of fluid starting to collect behind my retinas. This is of concern if ignored but can easily correct itself if one goes off drug. Apparently the three weeks spent on a chemocation did the trick and no fluid was detected. (I still want that seeing eye dog. Maybe I can make an argument for a therapy dog instead?)

Yes this one will do quite nicely, right Blythe family?

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  •  Oncology: This appointment was mostly just to get me back on chemo and to bring the doctors up to speed with the partial bowel obstruction experience.
    • Obstruction Recap– They determined that the bowel obstruction was unrelated to the study drug and left it at that. I tend to agree as I do have a history of sad guts prior to this trial. I mean, my intestines were cut in half and sewn back together only two years ago, that doesn’t just go back to normal overnight. My guts are cranky. So moving forward the plan for these cranky guts is to meet with the gastroenterologist again and plan for a full colonoscopy in a few weeks when she feels it is safe to push air through the intestines. We should have a little more information about what the thickening of the colon means after the colonoscopy.
    • Chemo- After much deliberation amongst the group, it was determined that I would be put back on the chemo regimen at a reduced dose of the SAR drug. I’m not sure how effective this will be in curbing my side effects as this drug could possibly be a placebo BUT it’s one less pill I need to take per day. Psychologically, it’s oddly helpful. So far this week I’ve experienced one day of visual blurring (common for first day back), fatigue (par for the course), nausea, leg swelling and stomach discomfort (details spared). So I suppose everything is back to normal then. It’s not great but it has been much worse.

I must be honest, I have thought a lot about quitting the trial over the last few months. It has been incredibly difficult and when my last CT scan came back at a plateau, it was tough to swallow. Through the last few weeks of being off of the drug I have had to physically, mentally, and emotionally rally. I think I am in a place now where I can at the very least commit to a few more months of this and see what comes of it.

As I have said before, part of the challenge is having no defined end date. It’s just this endless cyclical shitstorm. I’m going to try and reframe this in a more incremental way. My next CT scan should be in April. If I can just make it to April I’ll be okay. It doesn’t mean it’s over then, but it’s a small leg of the journey that I can compartmentalize.

So that’s all I have to say about the visit. A long day and not a lot of news.

Lastly, but most importantly I must express my gratitude…

Holy moly the response to my request for help has been unreal!!!! This past weekend alone, Cory insisted that I relax in the bathtub while he clean my apartment himself (boyfriend of the year, right?). From coast to coast and beyond the US people have been graciously helping in any way that they can. I have received delicious, healthy, home cooked meals made with love. I have received thoughtful gifts, offers to accompany me to the doctor, offers to help with laundry/cleaning/errands, generous monetary contributions to help with medical bills, and beautiful encouraging cards/texts/messages.

All of these acts of kindness add up and make my life a little bit easier, but more than anything they lift my spirits. It’s a major reminder that as fiercely independent as I would like to be, I cannot do it all myself. Your kindness is fuel to keep going and keep trying even in the midst of a difficult day.

THANK YOU for every little act of kindness!

loveislouder

Twas the Night Before Chemo: Take 2

After much anticipation and a few trips back and forth to Boston tomorrow is the ACTUAL day that I will start my chemo trial. The format of the day, as explained to me, should be pretty painless (if you don’t count the needle accessing my chest port).

Arrive at 10am –> vitals & blood draw –> meet Dr. Birrer at 11am –> Take first dose of the study drug –> wait an hour –> EKG –> Home.  Hopefully it will not be much more complicated than that. I can handle that.

It is interesting to think about where I was on December 30, 2012. The night before I started chemo for the first time. I was a ball of nerves, sleepless, emotional, and hopped up on steroids. I imagined that my hair would fall out immediately and that the drugs would tear my flesh apart like an acid burn as it coursed through my veins. I had many expectations and fears that did not come to be. On the flip side I encountered side effects that I did not necessarily expect. Chemotherapy is such a mixed bag.

This time around I am going into the trial with an open mind. I am turning down the volume on the apprehension and anxiety that initially hit me when posed with this opportunity.  I am deliberately using the word opportunity because I have come to accept that this is a gift. I am  being offered the chance to try something completely new that has the potential to revolutionize how women with Ovarian Cancer are treated.

Today, I am okay and quite thankful for it.

Hoping for no-mo’ chemo

Happy Sunday supporters! This is a long one so grab some coffee and get comfy…

I have lots to catch you up on since I last wrote. I see that many of you clicked the link in my last entry and read the article that painted a vivid picture of what it is like to be battling cancer. I thank you for reading it as I found it to be pretty insightful.

Doctor’s Update:

On Friday I went to the doctor for a routine pre-chemo exam. They did a pelvic exam for the first time in a few months and luckily, everything looked normal as far as she could see. Dr. Robison and I discussed the next steps from here and what I can possibly expect:

  • Next Thursday, April 18th will be the beginning of my last scheduled cycle of chemo (HOLLERRRRR!). I will have chemo on Thursday and Friday of that week and my last scheduled treatment will happen the following Thursday, April 25th. Stacey, one of my long time best friends/she-wolf, is kindly taking the day off from work to share my last treatment with me. Maybe I should bring some benedryl with me so she can take a nap too because lord only knows I will be passed out the minute that Benedryl IV is hung.
  • On Friday, April 26th I’m scheduled for another CT Scan of my chest, abdomen, and pelvis.
  • Following my CT scan Dr. Robison will meet with tumor board. They will look at the trends in my CA125 levels, compare my CT scans to make sure nothing new has surfaced, confirm that I do not need any additional chemotherapy, and agree on a course of action for my aftercare.
  • A week after my CT scan I will again meet with Dr. Robison to review the decisions that tumor board have made and HOPEFULLY if all goes well, schedule a date with the operating room to remove my intraperitoneal port. Normally this can be removed in the office. Because I have had complications with my intestines and scar tissue in the past, she would prefer to do it in the OR to avoid further complications.

I am very excited to see the end of chemotherapy. I know that I am not out of the woods yet and that I cannot even say that I’m cancer free for another 5 years but it is encouraging to even have a glimmer of hope that chemo is done. I am praying that my CA125 levels continue to drop so that tumor board can feel confident about moving me onto aftercare. A positive outlook has carried me through this experience and has worked up to this point. I am still hoping for the best but preparing for the worst. It will be a punch in the gut if my doctor tells me that they found something abnormal in my CT scan but for my sanity, I can’t go there in my head yet. As far as I am concerned at this moment in time I am going to be okay and I WILL move on to aftercare damnit!

So what is aftercare you ask? Great question! The aftercare option that my doctor is going to pitch to tumor board is immunotherapy called Avastin. Research has supported promising results when treating low grade tumors (like mine) in ovarian cancer. In order for cancer to grow and spread, it needs a blood supply and feeds on vascular areas of the body. Avastin is an antibody that targets the protein responsible for facilitating access to the blood supply. Avastin helps prevent this protein from “gettin’ the goods” so to speak. Non-medical translation:  if cancer was a vampire trying to suck my blood, Avastin would drive a sharp wooden steak into its heart. My infusions would only be 30 minutes long every third week for a year and it is known to be well tolerated by many patients. Not too shabby.

Gimpy Leg Update:

I’m getting stronger by the day. Just a few months ago my left leg was so messed up that I couldn’t even cross my legs without physically picking up the leg with my arm. Now I am officially walking up and down stairs! A major milestone for me in this portion of my recovery. I bet my occupational therapist would be incredibly proud. At one point in time (even recently) I would step up onto the stair and in my head think “ok, go!” but the message wasn’t  making it to the leg. It’s kind of scary when your brain is disconnected from your limbs. I’m happy to see that the message is finally getting there (by Harry Potter owl, naturally).

I have seen my personal trainer twice now and have worked out a handful of times on my own. When we last met and debriefed he told me that he was really blown away by my progress and ability considering the extensive nature of my surgery. He said that he has worked with many women after having C-sections that lack the type of abdominal strength that I have. He thinks that I have the endurance and strength for a single one hour session once per week instead of two half hours. Our goal is to workout together once per week and I am to work out two other days during the week. Eventually we will work up to adding a 4th day where he recommended I do yoga (I miss yoga and love this idea).

I am so happy that I made this investment in myself. It has given me so much more energy and more long and short term goals to work toward. Goal setting is so critical when you have cancer. The smallest of goals can be the most satisfying. A day after my hysterectomy my goal was to take three steps with the help of two nurses, now I’m walking up and down stairs, working out with a personal trainer and on my way to running again eventually. Amazing.

In related news:

In the last few days I have noticed that my ankles are a little swollen. The right slightly more than the left. Both have very small varicose veins forming (I’m too young for this, ugh). Pre-cancer I’d just elevate my feet and think “Whatever, it will work itself out”. Now I can’t help but to agonize over what could possibly be wrong with me. Is it an effect of chemo? Did I mess it up while working out? Are cancer cells causing this to happen? Are they going to have to amputate?! (ok, ok, maybe amputation is a BIT of an exaggeration but you get it). I’m going to show it to my nurse this week and see if I can get some more information. Praying that this is nothing.

In other news:

I’m beginning to lose my eye lashes and eyebrows. I’m not torn up about it but it’s super weird. I looked into fake eyelashes at CVS yesterday for weekend nights that I want to dress up a little. They sell all different varieties, many are far too over the top for my liking, so I haven’t yet decided on a pair that suits me. On top of that- they sell the glue seperately for a whopping 7 bucks! How’s that for some BS? Needless to say I left empty handed while my four remaining eyelashes hanging on for dear life.

In other, other news:

I would like to proudly acknowledge my college friend/former roommate Ashley (Das) Emmanuel for raising a whopping $1650 for St. Baldrick’s Day to benefit children with cancer. She is looking beautiful with her velvety bald head. Her husband Greg even upped the ante by offering to shave his beard in the style of the highest donator’s choice! I love these two and am honored to know them.

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That’s all for now, enjoy the rest of your weekend (especially those lucky bastards in Massachusetts that have tomorrow off for Patriots Day. Remind me to rub this in your faces when I have Victory Day off in August and the rest of you non-rhode islanders have to work).

“Geez, you get a LITTLE cancer and suddenly it’s allllll about you” -Andy

(^I had to share this little quote said over dinner last night with an old college friend because it made me laugh. Andy- we have bickered like siblings for the past six years and I am pleased to see that nothing has changed.)

Much like my last round of chemo, the past week had some ups and downs. Luckily said “downs” did not include any hospitalizations or deaths this time (I need to keep the Halmark company and pro-flowers humble every few weeks). I was feeling just fine through most of last weekend which was fortunate because I had a special visitor on Saturday night from NYC. We had a blast together. Saturday was gorgeous and we were able to enjoy a relaxing day of nails, park, and lots of culinary adventures. I was excited to actually have an appetite because I was able to eat this heavenly little piece of art:

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My glorious weekend was short lived when, like clockwork, the “day 3” symptoms hit me like a Mack truck. I took Jaclyn to Amtrak early Sunday morning then slept all day. I never sleep into the afternoon but my body basically powered down for the day. I know that I have said this before but it pretty much feels like having the worst hangover without any of the fun of drinking the night before (not fair). BUT- my friend Wilson reminded me of this the other day: “it’s good to know that all you’ve been through isn’t in vain”. Truth.

On Monday I showed up for work a hot mess. Chemo day 4 was even worse than day 3. I was sweating, unfocused, nauseated, achey, and probably generally unpleasant to be around. My poor students- I don’t even think that I could form english words half the time. I only made it an hour and a half into the day before I was sent home to recuperate (for once I didn’t fight it). The whole drive home I was disappointed in myself for not even making it through the morning. I finally stopped and had to give myself an attitude adjustment (a mental bitch slap, if you will). I reminded myself that I have CANCER (I’m actually sure that I said “RELAX! You have cancer you idiot!” aloud, in my car, to myself…). I can’t be so hard on myself. I guess the Santoro’s Cleaners work ethic has never left me. You go home when you’re dead- (Lisa/Stack/Jamie/Sam…you know what I’m talking about). Long story short (too late) I went home and slept for many, many, many hours. Tuesday I went back to work with energy. Good to go!

Last night I started personal training with my new trainer Matt at Boston Sports Clubs. We had a great session and I was able to do more with my bum leg than I expected! Matt is incredibly knowledgeable and encouraging. I’m psyched to do this. I’m getting closer and closer to “normalcy”. I don’t think I’ll ever feel totally normal though- let’s just call it schnormalcy.

After PT I had the distinct pleasure of having a RWU reunion with two old friends, Andy and Adam. I’m pretty sure I wanted to choke out both of these gentlemen on a daily basis during our time working for admissions in college. They are like the brothers that I never asked for but got stuck with. Despite that through the years they have oddly remained very close to my heart. Adam was actually my first advisee ever when I did my first advising internship in 2009. In many respects, he served as a catalyst for my career. When he first came to me truth be told (and he knows this) he was a know-it-all, little schmuck. Four years later I am so proud of all that he has accomplished and how much he has grown. Being able to see this growth is a reminder why I love this field so much. Overall it was a nice visit and I left with my heart feeling very full. I need to kick cancer simply so I can continue to see these advisee before and after’s year after year!

Anyway- Sorry that this post is all over the place. I’m choosing to blame it on “chemo-brain”.

Chemo went well today and I’ve even had a little energy to clean up my apartment and grocery shop: Jess-1, Chemo-0. Only one more round to go! Keep praying for “21” and I should finish chemo by April 26th!!!

Thank you for everyone’s continued thoughts, prayers, and well wishes! I am the luckiest girl to be surrounded  such genuinely good people.

Have a great weekend supporters!