Wednesday, February 28, 2024

Good News - Not So Good News

(Geoff writes) Well there's good news and there's not so good news today. The good news is that the bilirubin count is still going down. Over a point since last we checked. Which means that the ducts in Susan's liver are dilating, which could mean the tumor is shrinking, and if this keeps up there will be no need for a bag. BTW, I don't know who Billy Rubin is, but I'm very tired of him. He needs to get lost.


Along with today's blood test Susan had a saline IV drip this morning. Gotta get those fluids elevated since it's been hard for her to drink liquids, let alone eat solid foods. Because of the congestion in her gut nothing is moving too well and piling more on top leaves her feeling bloated and very uncomfortable. So we're working on that, gently at first, then they'll call in the big stuff if that fails.


Because of all that she really doesn't want any company. I'm about all she can deal with right now and I'm the bad guy when dealing with protein and liquid intake. Besides it's a really crummy day out there, wet and raw, even though it's supposed to hit the 50s. I'll believe that when I feel it. At least the Celtics kept up their winning streak last night.


When Susan is ready to accept visitors there are a few rules:

Visitors to her at the Oncology Center in Fairhaven are limited to one healthy person at a time and masks are recommended. Please, no flowers.

Visitors at our house are asked not to bring flowers. Something about bacteria. Susan will let folks know when she's ready for visitors. For now just keep sending the good juju to help get those numbers down. 

Monday, February 26, 2024

Ouch!!

 (Geoff writes) This past week we got Sued, as you may have read in the last post. Sue Sullivan made soup and Saturday Suzie made us a soup for lunch. Now we have soup for days! I'm going to get very lazy in the kitchen if this keeps up.


Saturday the pain started. Susan thought it was gas and I was hoping that was all it was, but it persisted through Sunday, and now Monday morning. It kept her from eating much, or enjoying anything. When there's pain in your gut it takes away your concentration on anything else. I read about all the side effects of the medications and tests Susan has been exposed to lately and there were some very scary scenarios. Thankfully her team thinks it IS gas and blockage. So she needs something to ease the pain and lubricate her insides, if you know what I mean. Another trip to the pharmacy. They know me by name now.


Hopefully all these meds will play nice together and make her feel better, which is why Susan has been in bed and hasn't posted for a couple days.


Love you all.  Take care of each other -s

Saturday, February 24, 2024

Some Good News

 I'll cut right to the chase and give you the latest test results:

Prior to chemo- 8.8  After 2 days with chemo - 5.5!!  The ward went bananas.

 After chemo, we schlepped down to St. Luke's for another CT Scan.  Didn't get out of there until 5:00. Another very long day.

I still haven't talked with anyone about the scan.  I wasn't dazzled with what I read but what do I know. There was talk on Thursday that the bag may go back.  So that's the not so good news.  We'll see what happens today.  Everyday is like an entire chapter of life.

Pete & Sue came on Thursday and hungout until Friday morning.  We had a wonderful time with them.  Sue made some delicious vegan pad thai for dinner.  I think they might be back in March.  

My friend Suzie K and her daugher are bringing lunch today.  They recently were in Aftrica so there will be pictures and stories.

Next week is still very fluid depending on this bag thing.  But I am proceeding as planned.  Wednesday I'm going into clinic for blood work, doc consult, and IV fluids.  Paula said she'll sit with me during the IV which takes about and hour and a half and give Geoff a break.

That's all I've got for right now.  I'll keep you posted as soon as I know more.  I've really got my fingers crossed that since the number went down so much, he may wait and see what happens before reinstalling the bag. 🤞🤞

Love you all.  Talk caer of each other -s



Thursday, February 22, 2024

Finally, This is IT!!

 First, I have to tell you that I am watching  a gorgeous orange moon set over the bay.  Life ain't all bad.

I was really looking forward to day one of chemo.  But, could I sleep the night before, of course not. I  had servere stomach cramping with fever.  I wasn't a happy camper.  I was up all night in pain.  And if the fever didn't go down, they wouldn't start treatment.  Geoff suggested taking Tylenol and eventually the fever came down but I still felt like crap.

Got myself together and made it to the clinic on time.  First to the vampire room, where they do an excellent job. It's always good to have someone who knows what they are doing approach you with a needle.  Then on to conference with the oncologist.  There was more talk about the drain and the new approach.  Since the bilirubin number is now way too high for the super chemo that will wait till later.  When is later? I must admit, I'm a bit worried and somewhat scared.  If the drain was still in, I'd get the super cocktail and maybe the whole thing would work quicker.  Now I have no idea.  The doc is big on quality of life - which, for me, is so much better without the bag, and the chemo isn't as harsh.  Not that it stopped him from the litany of things that may or may not happen and what you do to prevent some of them.  For example, Nothing COLD - don't touch anything in the fridge, don't eat anything cold, don't drink anything cold and whatever you do don't go out unless you are bundled like an eskimo.  That Antarctica jacket just might come in handy.  Apparently, this chemo can lead to neuropathy of the extremities and can get pretty servere.  Then, there is the Magic Mouthwash - really just baking soda and water.  Rinse as many times as you can a day to keep the mouth sores away.  It goes on from there but only gets worse.

I did tell the doc about my tummy.  No more tylenol.  It doesn't play well with the liver.  He prescribed pain killers - originally wanted to give me oxy which I really don't like so we settiled on tramadol and prescribed pancreatic enzymes to help with digestion since my pancreas isn't doing it's job.  Hopefully, this will help with the gut.

From there it was off to the "Infusion Room".  Certainly not your TV's chemo group where they sit around in a circle play cards and tell jokes.  Nope.  This huge room is lined with individual cubicles each having a window, lounge chair, guest chairs and a tv.  The nurse was extremely nice and there were more instructions.  As with every new hurdle I have encountered since this journey began, the tears starting coming.  It's like my brain is screaming saying "What are you doing here?  You don't belong here - RUN."  Eventually, I calm down when all the tubes are in and the drips are dripping.  Yes, this is my life now.

 I was also shocked to find out that this is going to take around 2 hours give or take.  What?? I thought I was getting my pump and was out of there.  Not so fast.  First is a 15-20 minute drip of supercharged antibiotics. Next, is the first chemo drug given with the supercharged vitamin drip.  That one takes about an hour and a half.  Then you finally get the pump filled with the 2nd chemo drug.  Which, by the way, is not a bottle but a box mechanism that weighs a little over a pound. You get a lovely fitted bag to carry it in or even where around you waste.  Much easier to deal with than the bag.  And since it is solid, I can put it in between us in bed so it doesn't fall off - don't want to lose another tube.  We have named it "Baby"-  gender fluid, of course.

You are allowed to get up and go visiting.  In fact, the guy next to me, who arrived dressed in a full bike kit from head down to his biking shoes, spent most of his time with his chemo buddy at the end of the line.  Geoff was chomping at the bit to talk to him but he wouldn't leave his girl.  We should see him again on Friday for the pump removal. This guy is in his 60's and rides his bike from Lakeville (approx 17 miles) to and from chemo!  How do you do that?  I could barely get out of the chair.

After 4 hours, we made it out of the there.  Got into bed and didn't wake up until 6pm - when Geoff got me to come down for dinner.  "you have to eat".  Light dinner of tofu an rice.  Not taking any chances. Watched some tv and then went into the bedroom.  Tummy still sore but I wasn't doubled over.  I took the Tramadol.  It really didn't do much and I never fell asleep. Looks like I might have to go with the oxy if I still have pain.  At least I was able to lay there quietly, which was more restful than the night before. And I had just slept the whole day away.

So far this morning, I'm doing ok.  Geoff's brother Pete and the other Sue Sullivan came down from Vermont to visit their son in Worcestor.  They are driving down here this morning, staying the night and leaving on Friday.  We don't see them too often so it should be a good visit.  Even if I have to go up and rest, Geoff can get in some quality sibling bonding time.  Like they can fix stuff together!  They are also crazy Celtic fans like we are and there's a game on tonight.  Should be fun.  Since I can't shower until the port bandage comes off on the 27th, it's wash hair in the sink again.  Most look somewhat presentable.

I will be doing the pump thing every other week on Tuesday starting March 5.  If anyone is interested in visiting me there on any given Tues, I think I can have one or two at a time, I'd welcome the company. Geoff will drive me in for the dr's consult but I'm sure he doesn't want to stick around for 2 more hours. Just let me know and I'll check my social calendar - also the time is never the same.  It isn't too bad.  You get free snacks, the volunteers come around with sandwiches at lunch time - everyone is very nice. Of course, feel free to bring your own goodies if you want.

Love you all.  Take care of each other -s


Tuesday, February 20, 2024

The New Plan

 Before I begin, I would love for everyone to read this article that my  friend sent me.  It changed my perspectiive on a lot of things:

https://www.theguardian.com/society/2014/apr/25/having-cancer-not-fight-or-battle

It was a very busy last four days.  A stream of people, food, and most lovingly, dogs. Karrie washed my hair and Maureen gave me a fabulous haircut.  By the end of Monday, I just conked right out at 7:30 but then was up every hour after midnight in anticipation of having to get at 5am to go get the port installed.

No problem getting to Charlton. And fortunately, the procedure went as planned - for a chanage.  They did do a blood test, and my bilirubin is back up again - 6.8. But I'm still not sick. Now the question is can I get chemo?  We were out of the hospital by 11am.  I didn't get general anesthia but I did get pretty heavy sedation.  So I am still a bit wacky.

Got home, slipped into bed and I was out.  My oncologist called around 3:30 with the new plan and as wacky as I am I wanted to share.  After confering with Dana Farber, the decision is the cut the cocktail down from 3 medicines to 2.  The third one is the one that doesn't like the high bilirubin #.  It is also the harshest.  The doctors are hopeful that the chemo can shrink the tumor enough that the bile ducts can drain on their own -- no more bag!!!  When the numbers go down, they wil add the third chemo to the mix.  Let's hope they are right and something will finally go my way.  

Start sending all that good juju to shrinking the tumor.

Thank you everyone who came by this weekend.  It really helped get my mind off of all this and feel normal - whatever that is these days.  I am definitely not the same person I was a month or so ago.

Love you all.  Take care of each -s

Saturday, February 17, 2024

Now What?

 Well you didn't think it was going to be easy? You didn't think for a minute that I could get through a weekend without some drama, now did you?  Absolutely not!

About 4 or 5 days ago, Geoff and I noticed that "baggie" wassn't filling up as much as previously. We told drs, we told nurses, no one seemed to take notice.  On Thursday afternoon, we realized nothing was flowing from the tube except maybe some air -- not good.  Friday morning, same thing.  Decided to flush it and see if it was blocked.  When G plunged the tube, I felt the liquid on my chest -- really, really not good.  The phone calls started.

The visiting nurse wasn't due until 11:30 and the Cape Cod Crowd was coming for lunch at around 12:30.  I decided to take a shower and try to look presentable.  In all the moving about, I noticed that the tube was now flowing again.  Oh good, maybe we dodged a bullet - ha!  Nicole showed up and we updated her on the situation.  She removed the bandage covering the tube enterance into the chest and flushed again.  Yup, I had sprung a leak!  But since we all saw that the drainage was still going, perhaps it just needed to be put back up a bit farther in the duct.  It was obvious that the tube had migrated south.  Thank goodness Nicole was there - she talked to the dr's office, then the hospital, and eventually to IR directly (Interventioinal Radiology - the folks who put the tube in).  Ok sounds like it's about a 10 minute procedure.  We can squeeze you in this afternoon - unless you think you want sedation - then we may not be able to gather a whole crew.  "No sedation.  Just put a stick in my mouth!"  Ha, ha, fine. The scheduler will call you in a while with  a time.  Phew! 

Nicole left and Mary, JohnDavid and Sadie showed up.  It was good to see the humans, but I did miss me some puppy love.  Sadie is always happy to be here and she lets you know.  We were sitting around chatting waiting for Steve and Sam -they had the food, when the scheduler called.  "Can you get here at 2? You will probably have to wait, but at least you'll be here."  Fine.  Steve showed up a bit after 1 and it was a race to get the latkes reheated and the soup warmed.  Sat around the dining table, had a few latkes, and we were off - leaving our company with the clean-up.  They said they would hang around since the procedure wasn't going to take too long.

Arrived at IR at exactly 2pm.  I was called in at 2:45.  Saw my buddy in CT - he almost didn't recognize me withour my johnny.  I get wheeled into IR and I am very nervous on all kinds of levels. I tend to talk a lot when I'm nervous --- or let's just say talk more. "Please put your arm above your head and don't move" The nurse was putting this very fancy drape over me with a big plastic window, when I was trying to explain to her that I was getting pressure from right there - tapping on the plastic window. Well, if looks could kill.  "We're goig to need another DRAPE and new gloves"  Ooops. She was not happy.  "Ma'am please stay still".  "Well that's what happens when you don't sedate people, especailly Jewish people - sorry"  Now, I'm a statue but my mouth keeps going.  The doctor comes in and sits down to do this 10 minute procedure and all I hear are moans and groans.  "It's totally disconnected - completely out".  "What does that mean?  Can you get it back in?  Whap happens now?"  The doc pulls the drape down from my face " I NEED to think!"  Ok, I can take a hint. I immediately shutup.  Which is not one of my biggest assests.  There are more images taken, more phone calls.  

Finally, he tells me that if the tube actually does need to be reinserted then it is a bigger procedure with sedation.  Maybe they can schedule something on Monday.  But the port is going in on Tues, chemo on Weds.  Well it all may have to be shuffled around - AGAIN!!  That's when I started to cry.  I never envisioned mysself begging for chemo - but if I don't get treatment soon, these tumors are only going to get bigger and that just scares the crap out of me. He pulls out the useless tube. Bye, Bye, Baggie. But wait, if the tube was out, what was draining into the bag?  Not sure, but it wasn't bile. ???? I'm wheeled back out into the hall.  I change and they bring Geoff in to get him up to date.  Doc comes out and explains that the bile ducts have practically closed up and there is no way they can get a tube back in there until they are dialated again. He doubts that will even be by Monday.  The last bilirubin test was 3.1.  Can they start chemo with that number? He consulted the oncologist, and as of now, I am on tract to still have the port installed on Tues and treatment start on Wed.  Of course, if between then and now I start having fevers and/ore pain call the oncologist and it'll probably be back to the ER. You have no idea how many scenarios have built up in my head.  There are so many variables and so many unknowns. It is all so confusing.  Please, no questions about all this because I don't have any answers. So I have resigned myself to try as hard as I can to the "one day at a time" rule.  There is one really bright side - for now, I'm bagless and fancy free!  Tube holiday they call it.

We finally got home at around 4:30.  The gang was still there but looked like they were headed out.  As soon as we pulled up everyone turned around and got comfortable to hear the latest news. I was so glad they stayed.  Plus they did a great job cleaning up.   I finally kicked everyone out at around 6.  It had been a long day.  We had a small dinner of black beans and rice. I went upstairs to sit on the couch and watch some tv and immediately fell asleep.

It's another afternoon of company, which I am looking forward to.  It's snowing again.  It always looks so pretty over the bay.  

Love you all.  Take care of each other -s

Friday, February 16, 2024

Chemo Training????!!!!!

First I want to say that I am still pissed that we are not in LA playing with our grandchildren right now.  This was not what we were supposed to be doing!  However, on the good side -- I took good old fashioned American drugs and slept almost through the night.  Should feel much better today.

As for chemo training..... NOPE, absolutely not. I will not speak of it.  We sat there for almost an hour getting bombarded with: Well, if this happens do this...  if that happens do that...  I was in so much shock when we left, I could barely walk.  Don't get me wrong. Our nurse, Jen, is great and I love her but her job is to impart all this stuff - not a fun job.  So, I've decided that if and when any of those things happen, I will share.  Until then, consider yourselves on a need to know basis.

What we did find out is that I will get scanned every 4 weeks or so - that is earlier than what we were originally told.  This is to see if the chemo is working.  So I don't have to wait a whole 8 weeks before knowing something.  That was the most positive thing I took away from the meeting.

Went straight home from the clinic. Had a bite to eat and then I slipped into bed, put on a movie, and fell asleep for about an hour or so.  While Geoff, the energizer bunny, did errands.  Got the tax lady all squared away, got a haircut, finished shoveling the driveway, and who knows what else.  The man never stops.  I was watching him in the kitchen the other night.  If you've seen our kitchen you know  you can pretty much stand in the middle and pivot and reach anything you want.  Not my guy -- back and forth and back and forth -- "It's a good thing we don't have a big kitchen, there would be nothing left of you"

The saga of the elusive prefilled saline flushes continues.  Geoff found out that during the pandemic, the saline got tainted, both prefilled and bottled saline.  All the shelves were stripped, the product went into hold and never quite recovered.  Hence the high price for a plastic tube with salt water.  Sooner or later everything leads back to the pandemic.  However, we now have Vee from Blue Cross and Laura from the Visitinig Nurse Assoc who are both working overtime trying to get us what we need.  I have faith they will prevail.

Very busy weekend ahead. Visiting nurse comes this morning and then our Cape Cod friends will be down for lunch.  Steve made latkes!!! YAY!!!  Saturday our friends Maureen & Bob are visiting. Our friend and neighbor Karrie will come by as well.  Maureen, who is a hair stylist as well as a fellow thespian, has offered to cut my hair.  More YAYs.  Just what I need. Although, not sure how long I'll get to hold on to it.  We were told, some people lose their hair and others don't.  We'll see.  Some good biking buddies are coming in the later afternoon on Sat.  And on Sunday, I am finally going to see my brother and family.  Haven't seen them since this all started.  Hope I'm in good condition next weekend to see some more people. Right now, playing that day by day.

We have gathered a good list for our painting crew.  Hope some of you know how to spackle as well. If not, Geoff can do the wall prep prior to priming and painting.  Figuring this will take place around the middle of next month.  Hopefully the weather will be a little warmer. 

If I do lose my hair, anyone interested in joining a wig posse?  The only wigs I am familiar with are theater and for the most part, they are cheap and uncomfortable.  Turns out I can get a prescription for a wig - which discounts the price significantly. The perks of cancer.  Blond, redhead, blue, purple, long, short -- someone suggested Rasta - let's mix it up a little.  This could be more fun than I thought.  Also looking for folks who know how to headwrap a scarf.

Again, thank you all for wanting to help and being there when we need you.  The cards and well wishes keep pouring in.  I could wallpaper a room.  I am looking forward to having a busy weekend with lots of laughter, hugs, and love.  You may not hear from me again until Monday.  Have a fun weekend yourselves.

Love you all.  Take care of each other -s