Archive for the ‘chemotherapy’ Category

two years.

Thursday, May 20th, 2010

last night my wife and i celebrated the two year anniversary of our relationship. i’ve got to say that celebrating at the new location of hecho en dumbo (no longer in dumbo) was a special treat – we truly received the royal treatment! and good god the food and drinks are amazing.

what a roller coaster these two years have been. i don’t know what i would have done without her. my friends and family have been endlessly supportive, but at the core of it all has been kathryn.

kathryn as miss fortune

on our third date, i brought her flowers. and i told her that my cancer had spread, that my chances of survival were slim and that it didn’t seem fair to start a relationship in that state. i don’t care, she said. i’m with you one hundred percent. as my late friend in tanzania used to say: tukopamoja msili mia mia moja – togetherness, we are, one hundred percent.

she was there, on our fourth date, at the hospital, to meet my parents for the first time as i watched through lidded morphine eyes. she kissed me goodbye and i said “kissing you makes me want to throw up.” i was not feeling very well. and then, as she walked away, i told her for the first time that i loved her. what does an admission of love mean when morphine is involved?

she was there as i crutched and caned my way through this not especially disability-friendly city on my surgically destroyed legs.

she was there when the tube draining lymph out of my groin popped out and a kool-aid-like red-orange fluid spurted out of my body.

she was there when that hole was sewn shut and the fluid swelled inside me like an alien baby growing on my hip; she was there as the fluid was lanced again, and again, and again.

she was there when a bout of cellulitis brought on a fever that spiked 106 and they laid me on a bed of ice to prevent brain damage.

she was there for every single infusion of chemotherapy, and she was there as i tossed and turned every night afterwards, the evil, panic-inducing steroids coursing through my system, preventing me from any kind of rest, day or night.

she was there for all seven of my inpatient hospital overnights, for the 5 am shots of heparin to the belly, for the tortuous hours with my abusive roommate who eventually required a mediation team to prevent him from making any other nurses cry.

she was there for the hours of bowel-cleansing horror that is colonoscopy prep – actually, she wasn’t there for that. which was a good thing. but she was there for the endoscopies, upper and lower and the one with the robotic, strobe-lit camera pill.

she was there for the days between my scans and the results, the waiting periods full of uncertainty and terror.

she was there for month after month of bad news, watching helplessly beside me as my cancer meandered on its deadly course through my fragile body.

she was there for every moment of pain and doubt, every moment of weakness and fear.

and she was there, and continues to be there, as we celebrate my reprieve from treatment.

after my mom met kathryn, she said i was a fool if i let someone so special get away.

mom: i’m glad i took your advice.

tukopamoja msili mia mia moja.

milele. forever.

misogi

Monday, January 4th, 2010

welcome to 2010, my friends! i am disappointed that we do not have flying cars and that roy scheider is dead and not living on the moon. but the year still has much to offer, i think.

for the moment, i am still reveling in memories of the long weekend’s revelry. i have three days left of this six week cycle of chemo and am really feeling it – fatigue, nausea etc… i am so glad to be working part time right now. but it takes the edge off quite a bit having started the new year in such a glorious fashion. partying upstate with some of my closest friends is about as good as it gets! hope you all had a marvelous time celebrating the new year.

i am feeling particularly cleansed after my new year’s day misogi, or ritual purification by waterfall. someone has a video of my icy plunge but this picture will have to do for now.

vacation!

Wednesday, December 23rd, 2009

i’m off to north carolina in the morning! i can’t wait. it’s odd to think about a christmas away from my family, but luckily kathryn’s family is awesome. and so are the mountains above asheville!

in preparation for the holiday, i finally, after years of living in wintry climes, finally, finally, finally got a good winter jacket. it’s made by spiewak, a brooklyn-based company that since world war one has made uniforms for soldiers, police officers, firepeople and more. click here for an amazing interactive graphic timeline of their history. merry christmas to me! i think i deserve it, don’t you?

i hope you all have a marvelous holiday! thank you as always for your support.

and here is the spiewak pearson duffle. just like paddington bear!

spiewak pearson duffle

 

home. sick. again.

Monday, December 7th, 2009

it’s been over a year of chemo now. so done. home today with nausea. this got old a long time ago.

in other news, i saw fantastic mr. fox this weekend and it was AWESOME. go see it.

minnesota

Tuesday, December 1st, 2009

what an amazing trip home. a perfect distraction from the stress of the last few weeks.

where do i begin? how about with the food:

lentil soup with jalapeño cornbread, morel and sage ravioli, gumbo, mole; starting our days with strada, crepes with berries, fresh lox. we went out only once, to a fantastic experimental vietnamese restaurant in st. paul. rabbit dumplings anyone?

that doesn’t even cover thanksgiving, which included all the traditional fixings made awesomely delicious by my parents’ extraordinary cooking skills.

speaking of cooking, i was hoping to spend the evening catching up with friends and writing a nice long post tonight. but then i came home to a dead freezer. so i’ve spent my night buying a new fridge. which actually is pretty exciting.

beyond the meals: the coziness of home, walking the dog to the river, the watching of classic movies and amazing theater (since i’m in north carolina for christmas this year, we celebrated a little early), the drinks with friends (OMG i had a drink with sara jane olson! from the symbionese liberation army! for reals!!!).

but one tradition that has become one of my favorite holiday rituals is the singing party we host on the friday after thanksgiving. it’s such a rewarding experience year after year but this one was a particular highlight for me – in large part because i was in the midst of a horrible manic episode caused by a drug reaction last year and couldn’t enjoy it – but also because the quality of the music and balance of the night were so excellent. there was time to catch up with old friends, time for a glass or two of wine, time for songs, endless songs. hilarious songs. moving songs. classic songs. songs from musicals. songs from other musicals which i may or may not know every single word of, and which, evidently, must be performed while combing through the hair of your sibling with a fork (thanks hannah).

most importantly, the trip was a way for kathryn to finally get a chance to get to know the twin cities, minus a few key folks. and it was a chance to see my loving and beloved family (and the extended twin cities version) that continues to support me as the chemo sets in again.

i hate chemo. but i love music, and i love my family. and that’s enough.

the latest.

Wednesday, November 25th, 2009

it has been a long day. my headaches are somewhat better, but given their intensity and lasting strength, we followed through with a brain MRI tonight. as many of you know, an MRI is not exactly the best thing when you have a headache. for a taste, follow this link. turn up your computer to maximum volume. take your speakers and place them over both ears. now click play on those mp3s. fun!

i am tired of this. the thanksgiving holiday is well timed. i could use some family love.

according to the chest MRI from last week, the tumor on my shoulder is more than 4 cm across, and is deeply embedded in my pectoral muscle. removing it could potentially inflict significant damage on both my shoulder and right arm, and because of its size, the marginal incision that could potentially guarantee a disease-free area is simply not possible. so we turn again to temodar, the oral chemotherapy that was so effective in managing the skin-level tumors last year. we’re combining the temodar with PABA, a B vitamin supplement that you may have heard of from its removal from sunscreens (as in PABA-free). it turns out PABA can be of great help in dealing with solid tumors when combined with chemotherapy.

i am exhausted by this long, tiresome battle. the trial from which i was rejected seemed like it would be a magical cure, which it never really was, but being rejected stung just the same. and now to return to a drug that worked – yet still allowed the buildup of gastrointestinal tumors – is not the dramatic answer that i was hoping for.

but it is what we have, and i’m looking towards the holiday with my aching head held high. even as i feel utterly spent, i recognize that i (and we) have much to be thankful for.

enjoy your turkey!

oncological genetics

Wednesday, September 23rd, 2009

more chemo today. but if all goes well, i’ll have just a single dose left after this one. that feels nice. for the first time, i took advantage of the free massages offered during infusions. i completely fell asleep! that felt nice too.

if this chemo continues working as expected, the research in this BBC article shouldn’t matter. but it’s still very encouraging! this is part of the genetic study (related to the BRAF gene) at Memorial Sloan-Kettering that i’m working on getting into if necessary. it seems like every day there’s a new study that is going to change everything about cancer research. but this one is particularly interesting, and not just because it’s focused on melanoma. it looks like this could be real progress:

“The news would transform melanoma work into ‘a very exciting field instead of a graveyard’, he said.”

Hope over new skin cancer therapy

By Pallab Ghosh
Science correspondent, BBC News

Dentist Mikhail Lvovsky describes his part in the trial of a new skin cancer drug

Scientists have presented results of an experimental new drug which in early stage trials has significantly shrunk skin cancer tumours.

US rearchers from Memorial Sloan-Kettering Hospital in New York said their results were “unprecedented”.

While not a cure, the study of 31 patients with late-stage skin cancer suggested the therapy could improve the quality of life and extend lifespan.

Larger scale trials will now be needed to test the drug, PLX4032, further.

In the study, which has been unveiled at a major cancer conference in Berlin, researchers treated patients where cancer had spread throughout their system.

We’ve seen responses in patients who didn’t respond to chemotherapy before
Dr Paul Chapman, lead researcher

They were given a new drug that blocks the activity of a gene thought to be involved in the spread of skin cancer, the so-called BRAF gene.

Within two weeks they noticed what they described as a “rapid and dramatic” shrinking of the tumours in the cancer patients:

Lead researcher Dr Paul Chapman said: “We’ve seen responses in patients who didn’t respond to chemotherapy before. So far 70 per cent of patients have responded. So that is unprecedented for us.”

New treatments can often seem promising to begin with – but have disappointing results in later larger trials.

However, the doctors involved in the trial – and those at the European Cancer Organisation who have organised the conference – have never seen a cancer drug act so quickly on such a high proportion of patients.

SKIN CANCERS: THE FACTS
Generic cancer graphic

The drug, PLX4032, is the latest in a new generation of cancer drugs that block the action of cancer causing genes.

The most successful of these so far has been Glivec (imatinib), which is used to treat myloid Leukaemia and gastric cancer.

Professor Alexander Eggermont, president of the European Cancer Organisation, said: “The new drug is the equivalent of Glivec in terms of the effect it’s having in advanced melanoma.”

‘It’s fantastic’

One of those to receive the treatment was Mikhail Lvovsky, a dentist from New York.

A year ago he stopped work because he was so ill. He asked his doctor to take him off his previous medication because he could not bear the side effects. Now six months after taking the new drug he is back at work.

He said: “The first thing I did six months ago was to call the funeral director and pay for my funeral. Now I’m thinking of going back to work. It’s beyond exciting. It’s fantastic.”

Dr Lvovsky’s cancer is so serious it is unlikely for the new treatment to hold it back for very much longer longer.

But if the drug is shown to be effective in larger trials it has the potential to help people whose cancer is less advanced to live healthier and longer lives.

Alexander Eggermont, president of the European Cancer Organisation, described the trial as “simply spectacular”.

He said it showed the benefits of targeting treatment.

The news would transform melanoma work into “a very exciting field instead of a graveyard”, he said.

Dr Toby Chave, a consultant dermatologist at Derriford hospital in Plymouth, said: “Up to this point advanced melanoma has been extremely difficult to treat and does not respond well to any existing chemotherapy or radiotherapy.

“Prognosis is very poor. The new study shows that there is some response to the treatment which is very encouraging. Even giving patients the hope of a few extra months of life is significant for them.”

However Dr Chave stressed that the new treatment was not a cure.

He added: “Any hope of long-term cure for advanced melanoma is still a long way off.”

email update

Wednesday, September 2nd, 2009

So I thought I would post the latest update here, since not everyone who checks in with groinstrong is on my email list. The sign-up widget is broken right now – if you’d like an occasional status update email, let me know at jonah (dot) ei (at) gmail (dot com).

It gives me great pleasure to share some positive news with all of you. My optimism is tempered knowing that there are many who continue to struggle with their own health battles – I hope that the prayers and love that have helped sustain me will find their way to those who need it now.

Here’s the latest: an endoscopy on Monday showed that the original lesion in my stomach was gone, leaving a small, manageable ulcer in its place. I’m not sure I can adequately express the magnitude of that change – solid melanoma tumors rarely respond effectively to chemotherapy. The fact that the largest known spot has completely disappeared bodes well for the fate of the known intestinal lesions as well as any potential unknown sites.

The endoscopy also showed a suspicious black dot, and over the past year-plus, most of my suspicious dots have turned out to be more cancer. New growth during chemo would not be a good thing, and I headed to the doctor today prepared for the worst, whatever that might be. The biopsy results came back negative.

So that means the chemotherapy is working, and working well. I received another infusion this afternoon and have just two doses remaining. In six weeks, after those treatments, we’ll do another endoscopy. If that is clean, we’ll get the pill camera ready for its trip through innerspace and perform whatever other scans we think might give us a better view. And if those all show up clean, then I will officially be in remission. I should know by the end of October.

The past year has been one hell of a roller coaster ride and I could not imagine getting through this without you. Thank you for continuing to be present in this exhausting struggle, for reading Groinstrong, for sending your love in comments, emails, cards, calls; whatever forms love can take. I know that I am blessed with the support of a caring community, one that sometimes cares from afar or remains anonymous. Your prayers and positive thoughts are heard and felt every day and are returned in kind.

Thank you for celebrating this encouraging development with me. I hope you all have a marvelous holiday weekend!

Much Love.

chemo and studies and happiness

Wednesday, August 12th, 2009

just finished the third round of chemo last night. i’m feeling a little beaten up after a week of a dozen different medications and a handful of hospital visits to deal with this strange allergic reaction. i got a long regimen of blood tests yesterday and will hopefully have some answers soon.

i should also have more important answers by the end of the month – i just got my next endoscopy scheduled for august 31st. we’re hoping that we’ll be able to get a good look at the spot inside my stomach and see how it’s doing. i have less reflux and discomfort these days, so my crew is optimistic that the carboplatin is doing its job.

we’re already preparing for the next phase if not. i’m moving forward with two genetic studies that are cooperatively managed by NYU,  Memorial Sloan Kettering and others. they both depend on a specific genetic makeup to take part in either, so we’re still waiting to see what my pathology slides contain. if you’re interested in the science of it, here’s some information on the phase II trial for imatinib mesylate and early results of a BRAF blocker study.

much love to the baker vanek family as they celebrate with their son aaron – three years clean post-cancer! way to go guys! you can celebrate with them here.

the just-emailed update

Wednesday, July 22nd, 2009

Dear Friends,

I hope you’re all enjoying your summers, wherever you may be! I’m just back from a long yoga class in which we focused on accepting love from those around you. If you’re wondering – yes, I can feel it coming in constantly from all corners. Thank you so much for your continued support and prayers.

And thank you as well for the early birthday presents! It’s hard to believe that I have four more days in my twenties. Turning 30 was a lot scarier a couple years ago, before I learned what scary meant. And I get to celebrate my birthday in glorious Crested Butte, Colorado with my lovely partner and my parents. It’s my first real vacation in a year and is much-needed.

This morning I had my second dose of IV chemotherapy, which I receive every three weeks. It takes a few days to sink in, so the side effects will probably be pretty rough on Friday, when I fly to Colorado. I’ll definitely be heavily medicated with the various anti-nausea regimens at my disposal. Today I also began my voluntary involvement in a detailed study of the effects of my chemotherapy, which meant a long battery of tests including plucking out hair follicles and a skin biopsy behind my ear that needed to be stitched closed, though the lidocaine shots hurt far worse than the stitches and hair pulling.  I return to the doctor tomorrow and Thursday to repeat the tests – by Thursday afternoon I’ll have three different stitched-up biopsy sites.  I’m second guessing my decision to participate in the study but if it helps future recipients I suppose it’s a good thing.

The side effects from the first treatment really knocked me down, but I think much of it was due to the low dosage steroids, which triggered tremendous anxiety and prevented me from sleeping for a week – not surprisingly, that combined with generally not feeling great made it awfully difficult to work effectively. I’m going to try to tough it out without the steroids this time, because that was awful. I’ve been seeing a social worker at Cancer Care, a free cancer support organization, and that has been extraordinarily helpful in dealing with the anxiety, fear and depression which are all part of this long, exhausting battle.

Luckily the side effects don’t last the full three weeks between infusions. It’s good to know that I don’t have long to wait before finding out if we’re making progress against the disease – we should get a good idea with another endoscopy after the next treatment in mid-August. Obviously I’m hoping for positive news – knowing that it’s helping makes dealing with chemotherapy a whole lot easier.

I hear some of you are still having trouble with the Groinstrong site crashing computers and loading suspicious popup windows. Sorry that it’s giving you problems! I recommend clearing your cache and cookies before loading, but the best advice I can give you is to use a browser other than Internet Explorer, which seems to be the only browser that continues to have trouble.

Whew! That’s a long one – lots of information to share this time. Thanks for reading! For those of you in New York (or Boston, Trina!), I’ll be celebrating my birthday post-vacation with a big dance party August 15th, so mark your calendars!

Much Love to you all!

Jonah