A word you never want to hear when you are visiting your oncologist is the word "dead" or "death." But Dr. Zu managed to squeeze the word in twice during my monthly visit today. Of course, it was in response to an insurance form verifying the necessity of my Afinitor. According to Dr. Zu, Afinitor has historically been used to treat those with advanced kidney cancer who "are dead six months after starting treatment." He added that my condition is different and that I am "exceptional" (which we all know is "dead on" accurate). I have been on Afinitor for 3.5 years with great success, no tumor growth and a 30% reduction in tumors. Still, I have to remind Zu to go easy with his "dead" pan humor!
Other good news:
Blood work is good!
I am up another four (4) pounds. (See what eating like crap and not running will do for you!)
I got my monthly Sandostatin injection and it didn't hurt! Here's to painless shots in the glute! (Guess you'd call it 'glute-free' of pain!).
And.... here goes.... (imagine a drum roll!):
I passed my comps for my Reading Specialist Credential!
I have to apply to the CCTC for my credential, but I can't tell you how hard I have worked on this.
With much sacrifice and support from the Beautiful Christine!
We are heading to Massachusetts for Christmas to spend time with my family. We will be staying at the Seacrest Hotel. I know how to find the best rates at luxury hotels.... just stay at a hotel when it's winter and no one else is there! HA!
I have much to be thankful for, each and every day, most of all the love and support of my beautiful wife, Christine, the camaraderie of wonderful friends, access to the best medical care, and the opportunity to work with young people.
Here's to a great 2015!
All my love!
Monday, December 15, 2014
Monday, December 8, 2014
An Update
It has been too long since I have updated my status.
So, here goes:
I am well. I have maintained and actually gained weight! Up 5 pounds since September. Of course, my limited physical activity may play a part in that! In addition to working full-time, I have been tutoring four hours a week at the SDSU Community Reading Clinic, and finishing up a Reading Specialist Credential. Three weeks ago, I sat for my Reading Specialist Comprehensive Exam (results this week!), a three-day, insanely intense take-home exam. Three written responses in APA format with source information integrated into the response, and with a limit of 15 pages. Since August, I have literally written over 50 pages! I am finishing up tutoring this week as well as an independent study that will round out my Reading Specialist Credential.
Yesterday, Christine and I attended a wonderful "symposium" at UCSD on Tuberous Sclerosis Complex where we discovered that a new comprehensive TSC Clinic has opened at Rady Children's Hospital! Dr. Trauner shared that the clinic has started a clinical trial for Afinitor, my primary medication for the last three years. Dr. Zu is Da Man, eh? He had the wisdom and foresight to put me on Afinitor three years ago!
I will most certainly avail myself of the comprehensive clinic at Rady's!
San Diego
Rady Children’s Hospital San Diego (RCHSD)/UC San Diego (UCSD) Comprehensive TSC Clinic
Director: Doris A. Trauner, MD
Co-Director: Keith K. Vaux, MD
Coordinator: Cheryl Orphan, RN
Age Range Seen: Children and Adults
To read more about TSC, go to: TSC Alliance
What's up next:
-Blood work Friday
-Appointment with Dr. Zu, December 15
- Travel to Massachusetts to see family: December 22!
Thanks for your love and support!
So, here goes:
I am well. I have maintained and actually gained weight! Up 5 pounds since September. Of course, my limited physical activity may play a part in that! In addition to working full-time, I have been tutoring four hours a week at the SDSU Community Reading Clinic, and finishing up a Reading Specialist Credential. Three weeks ago, I sat for my Reading Specialist Comprehensive Exam (results this week!), a three-day, insanely intense take-home exam. Three written responses in APA format with source information integrated into the response, and with a limit of 15 pages. Since August, I have literally written over 50 pages! I am finishing up tutoring this week as well as an independent study that will round out my Reading Specialist Credential.
Yesterday, Christine and I attended a wonderful "symposium" at UCSD on Tuberous Sclerosis Complex where we discovered that a new comprehensive TSC Clinic has opened at Rady Children's Hospital! Dr. Trauner shared that the clinic has started a clinical trial for Afinitor, my primary medication for the last three years. Dr. Zu is Da Man, eh? He had the wisdom and foresight to put me on Afinitor three years ago!
I will most certainly avail myself of the comprehensive clinic at Rady's!
San Diego
Rady Children’s Hospital San Diego (RCHSD)/UC San Diego (UCSD) Comprehensive TSC Clinic
Director: Doris A. Trauner, MD
Co-Director: Keith K. Vaux, MD
Coordinator: Cheryl Orphan, RN
Age Range Seen: Children and Adults
To read more about TSC, go to: TSC Alliance
What's up next:
-Blood work Friday
-Appointment with Dr. Zu, December 15
- Travel to Massachusetts to see family: December 22!
Thanks for your love and support!
Monday, September 22, 2014
An update, a shot, and a good report
The school year has begun and I am fully submerged in establishing routines, getting to know my students, and trying to stay balanced. Always a challenge in September. The emotional capital required to teach is significant, and while the year has started off well, I am conscious of the need to stay balanced.
A few bumps have occurred along the way.
- A student in one of my classes was diagnosed with a case of Pertussis. So, out of due diligence and because Christine and I have agreed to a "self" healthcare protocol after my Adventures in Pneumonia this spring (no waiting until I actually need to see a doctor), I received the Pertussis booster shot after checking with Dr. Zu. I also received my annual flu shot.
- My primary care physician ordered blood work and urinalysis to rule out diabetes due to high glucose levels, a side-effect of Afinitor. Dr Zu reported that my levels are within my baseline, and told me not to worry. These higher levels may explain why I am thirsty and need to pee frequently during the night. I suppose the trade off is worth it: a few extra trips to the rest room during the night in exchange for no tumor movement or growth since I have been on treatment. My latest scans show that the Afinitor is doing its job.
I saw Dr. Zu today for my monthly appointment.
Good news:
I am up 1 pound!
My blood levels look good!
And I received my monthly injection of Sandostatin. This time, the nurse (1) didn't make me shake the needle prior to my injection; and (2) didn't comment about the size of the needle prior to my injection.
Dr. Zu and I did discuss the importance of vaccinations. And, so, I encourage all of you to get your flu shots this year. Please see https://www.youtube.com/watch?v=ZuiHFg_nfnE.
I am thankful you are in my life,
I am thankful for Christine, my beautiful wife!
Next up:
Dr. Zu appointment: October 20.
Tuesday, June 3, 2014
Only the Red Sox are anemic now...
Only the Red Sox are anemic now….
Saw Dr. Zu today for my monthly appointment and Sandostatin injection.
Good news! Dr. Zu reports that my blood work looks much better this month than last, and that my red blood cell count is back to my baseline! Hoo Hoo! He attributes the anemia to my pneumonia. He speculated that the pneumonia interfered with my body’s ability to access the red blood cells which caused the anemia. (This is, of course, a lay person’s translation).
Good news! Dr. Zu reports that my blood work looks much better this month than last, and that my red blood cell count is back to my baseline! Hoo Hoo! He attributes the anemia to my pneumonia. He speculated that the pneumonia interfered with my body’s ability to access the red blood cells which caused the anemia. (This is, of course, a lay person’s translation).
So, for now, only the Red Sox are anemic!
Thanks to all for your continued support, encouragement, and
love.
Next up:
- appointment with Dr. Zu July 1, 2014
- CT Scan of chest, abdomen, and pelvis sometime in July
Friday, May 23, 2014
We have reached the end... at both ends!
Family, friends, and Colleagues:
Good news! Today's procedure went very well - with positive results!
First and foremost, the procedue took place in the bowels... of the hosptial... (Once again, I couldn't resist).
I did not find the laxative ritual difficult. Sure, the solution they had me drink (1/2 after 4:00 p.m. and 1/2 this morning) was not the most pleasant tasting, I found it only mildly offensive to my taste buds. And because I did not eat much solid food in the days leading up the procedue, I did not suffer the explosive outcomes I had expected. (Again, do you really think I would let this one slide... ooops, I did it again).
I was placed under conscious sedation and had the endoscopy first followed by the colonoscopy.
Jennifer and Rosie prepped me, and Patti assisted Dr. Mahmoud Lajian with the procedures.
While I don't recall much of the endoscopy, I do recall asking questions during the colonoscopy during which I could see the procedure on the monitor. I was not in pain, but did experience mild discomfort. My root canal hurt more.
After about a 15 - 20 minute stint in recovery, Christine and I went to get something to eat, which I stomached just fine.
Now for the rusults!
The endoscopy - The Upper GI:
- I hava a hiatal hernia
- Duodenum was biopsied to rule out celiac disease
- No ulcers
- No tumors
The Colonoscopy - The Lower GI:
- No polyps
- No bleeding
- No tumors
- No tumors
- NO TUMORS!
Next up:
Blood work - follow up on 5/30
Appointment with Dr. Zu on 6/3
Follow up with Dr. Lijian with 2 weeks.
We are pleased with the results, needless to say. We appreciate all the love, support, and encouragement you have so graciously show us throughout a challenging 4 - 5 months.
When you have a moment, please let Christine know what an incredible spouse, partner, friend, and rock she is. I would appreciate it. Without her love, determination, and faith, I don't know what I would do.
Today is a beautiful day!
Good news! Today's procedure went very well - with positive results!
First and foremost, the procedue took place in the bowels... of the hosptial... (Once again, I couldn't resist).
I did not find the laxative ritual difficult. Sure, the solution they had me drink (1/2 after 4:00 p.m. and 1/2 this morning) was not the most pleasant tasting, I found it only mildly offensive to my taste buds. And because I did not eat much solid food in the days leading up the procedue, I did not suffer the explosive outcomes I had expected. (Again, do you really think I would let this one slide... ooops, I did it again).
I was placed under conscious sedation and had the endoscopy first followed by the colonoscopy.
Jennifer and Rosie prepped me, and Patti assisted Dr. Mahmoud Lajian with the procedures.
While I don't recall much of the endoscopy, I do recall asking questions during the colonoscopy during which I could see the procedure on the monitor. I was not in pain, but did experience mild discomfort. My root canal hurt more.
After about a 15 - 20 minute stint in recovery, Christine and I went to get something to eat, which I stomached just fine.
Now for the rusults!
The endoscopy - The Upper GI:
- I hava a hiatal hernia
- Duodenum was biopsied to rule out celiac disease
- No ulcers
- No tumors
The Colonoscopy - The Lower GI:
- No polyps
- No bleeding
- No tumors
- No tumors
- NO TUMORS!
Next up:
Blood work - follow up on 5/30
Appointment with Dr. Zu on 6/3
Follow up with Dr. Lijian with 2 weeks.
We are pleased with the results, needless to say. We appreciate all the love, support, and encouragement you have so graciously show us throughout a challenging 4 - 5 months.
When you have a moment, please let Christine know what an incredible spouse, partner, friend, and rock she is. I would appreciate it. Without her love, determination, and faith, I don't know what I would do.
Today is a beautiful day!
Monday, May 19, 2014
Upcoming Tests
Today, I saw the GI Guy - sounds like he works for the government, which given all the crap he must deal with, ain't too far from the truth - for a consultation.
He reiterated some of the concerns that Dr. Zu had re: my anemia. In order to rule out some of these possibilities, I am going to have a colonoscopy and an endoscopy this Friday.
Because I have a history with neuroendrocrine tumors, Dr. Lajian wants to rule out that I don't have a carcinoid tumor in my upper or lower GI tract which may be bleeding. Neuroendocrine tumors can manifest themselves in the GI tract. And can be benign or malignant.
Of course, this is only one possibility, one of the more serious possibilities. I may also have polyps or other minor common abnormalities that are causing the bleeding.
As Christine always says, ain't nothing to worry about until there is something to worry about.
Thanks for your encouragement and support. We will continue, we will persist, we will endure!
He reiterated some of the concerns that Dr. Zu had re: my anemia. In order to rule out some of these possibilities, I am going to have a colonoscopy and an endoscopy this Friday.
Because I have a history with neuroendrocrine tumors, Dr. Lajian wants to rule out that I don't have a carcinoid tumor in my upper or lower GI tract which may be bleeding. Neuroendocrine tumors can manifest themselves in the GI tract. And can be benign or malignant.
Of course, this is only one possibility, one of the more serious possibilities. I may also have polyps or other minor common abnormalities that are causing the bleeding.
As Christine always says, ain't nothing to worry about until there is something to worry about.
Thanks for your encouragement and support. We will continue, we will persist, we will endure!
Thursday, May 8, 2014
A Look Back
I was talking with a student today after school about the persuasive speech he was working on. Somehow, in our discussion, I recalled NPR's now-defunct program, "This I Believe." I pulled up a particular speech for him - one that related to his topic -, and remembered that I had written my own "This I Believe" essay. Although I wrote this pre-diagnosis, the sentiment expressed herein seems particularly apropos right now. And so I share it with you.
Life presents us with joy and with sorrow. Good times are
sandwiched in between not-so-good times, making life an interesting array of
experiences and adventures. Family issues, personal issues, relationship
issues, work issues, school issues, issues, issues, issues. From an early age,
I have had my share of issues. But I suppose to refer to them as issues gives
power over to them. I may not have asked for many experiences I have
encountered, they were meant to be. I didn’t ask to be the ninth child of nine
children, the youngest in a large Roman Catholic family. But I was. This is the life I have been granted, that
has been given to me. And throughout my life, I have had my share of adversity.
But it is because of that adversity that I am who I am today. I wouldn’t trade
it for the chance at a better, happier, more peanut-butter-and-jelly, perfect
life. This I believe: I believe that the human spirit is indomitable, that it
can endure hardship after hardship and triumph. Through my experiences and
adversity, I have survived. I have come through and flourished because I can
confidently proclaim: “Here I am world. This is who I am.”
When I was in the fourth grade, my mom was diagnosed with
lung cancer. Being the youngest in my family, I knew my mom was ill, but my dad
made the decision not to tell me that mom had cancer. The “c” word did become
part of my vocabulary, but not because someone had to tell me what it was and
what it could do. I witnessed it first hand. I saw it in the faces of my
siblings and the fear in my dad’s voice. I saw it in my mom’s face when she
returned from the hospital. I wasn’t told until after mom survived this first
bout with cancer that she had been given the last rites. I wasn’t told that she
had almost died. I wasn’t told a lot of things. And because of not being told,
I knew. I knew that anything that could not be spoken, especially to a ten year
old, must be grave. My mom survived her first bout with cancer, and lived a
productive, creative, and meaningful life, a mother of nine children and wife
of almost forty years. The cancer never fully retreated. Lung cancer was
followed by brain cancer was followed by breast cancer was followed by
everywhere cancer over the course of thirteen years. My mother died in 1990
when I was not quite twenty-three.
My mother never lost hope during her battle with cancer. Her
spirit never wavered; her faith never faltered; and her sense of humor never
faded. Even when hospitalized for the last time, she would respond “Great!”
when asked how she was doing. “Complain” wasn’t in her vocabulary. In watching
her, I saw true strength first-hand.
Weakened and feeble from the ravages of cancer, the strength of her
spirit couldn’t have been more evident. It is with the same spirit she lived
her life. It is only fitting that it would also be the way she embraced her
death.
It is the power of my mom’s spirit that has enabled me to
endure some of the hardships and challenges in my life: Sibling rivalries,
addictions, and suicide attempts; the heroin overdose and death of my sister;
my own encounter with brain surgery; and watching my dad grow older alone. A
high school teacher now, I look out on my students and want to tell them that
they will make it despite the challenges they encounter in their lives, that they
will make it because of the challenges they encounter. Sure, I have my
moments of doubt and uncertainty, of days when I don’t feel very good about who
I am or the job I am doing, or the type of husband I am. I would say to them
embrace the challenges they experience in life. Don’t try to soften the reality
of the pain, anguish, or suffering you may endure. For I truly believe that it
is in our moments of greatest despair and weakness that we discover our genuine
strength. If not for the challenges in my life, I would not have the
perspective and wisdom to share in my job as a high school English teacher and
coach. I would not have recognized the beauty and strength of my wife,
Christine, and the strength of my spirit would not have had the opportunity to pull
me through to allow me to realize that life is wonderful, joyful, and full of
love.
Wednesday, May 7, 2014
The Light at the End of the Tunnel
7 May 2014
The Light at the End of the Tunnel
No doubt, I have turned a corner from my bout with
pneumonia. My strength has returned, I am sleeping (a lot, I might add), I have
put on weight, and I am getting back to a regular routine.
So it came as a bit of surprise when I saw Dr. Zu on
Tuesday, May 6, 2014, for my monthly appointment and shot, to find out that my
blood levels are way off. While my white blood cell count is stable, my red
blood cell count (and all the measures that make up that count) have shown a
steady decline over the last two to three months. With Dr. Zu’s vacation, my
bout with pneumonia, and my subsequent, brief hospitalization last month, I
haven’t actually seen Zu for a routine appointment since February
.
Needless to say, this is not the news I expected nor wanted
after a tough few months – and just when I was starting to feel better. Dr. Zu’s
primary concern is the source of my anemia. In his words, my RBC suggests that I
have lost the equivalent of 2 – 3 liters of blood over the last several months.
We have to isolate the source of the bleeding. Because I haven’t had any
external signs of bleeding (yes, I know my color has been “off”), he believes
that the source may be somewhere in my GI tract.
What does this mean? For starters, I will be taking an iron supplement
three times a day. Second, it means additional blood work. And to top it off,
it means both a colonoscopy and an endoscopy. Not the light at the end of the
tunnel I was expecting – a scope! Lucky me! Of course, these tests will also help
to rule out bleeding as the source of my anemia. It is possible that with the
medication I take regularly that something is just “off” and we will need to
isolate what that is.
While we are not happy with these developments, we recognize
the diligence in finding the source of my anemia. As Christine always reminds
me: we won’t worry unless we have something to worry about.
Thank you for your continued support and encouragement.
I will keep you posted.
Tuesday, April 29, 2014
The Continuing Saga of the "Unlucky" and the Medically Interesting
Here's the latest in my continuing journey...
Saw Dr. Miradi, Infectious Disease Specialist Extraordinaire - this guy rocks -, last week.
He informed me that I am one of the "unlucky" ones who has contracted a strain of pneumonia they just haven't isolated. He said I could expect not to feel 100% for another month or two. Ouch! He added that he had "macho guys" in the same boat. I guess it makes things that much easier now knowing that I am "macho." So I had to have a doctor stick a probe into my lung for no apparent reason during my bronchoscopy- results were "unremarkable."
So I persist. Some days are good, some are tough. Still experiencing low-grade fevers and fatigue - and I cannot climb stairs without breathing heavily -, but I would have to say that all is well. Could be a lot worse. I will follow-up with Dr. Miradi in a few weeks. Meanwhile, per his request, I am tracking how I feel daily (body temp, etc.).
Next up: blood work Friday.
Dr. Zu next Tuesday followed by my monthly Sandostatin injection.
Thank you for the positive thoughts and wishes. Without you - and the love of my beautiful Christine -, I would not know what I would do.
All my best!
Saw Dr. Miradi, Infectious Disease Specialist Extraordinaire - this guy rocks -, last week.
He informed me that I am one of the "unlucky" ones who has contracted a strain of pneumonia they just haven't isolated. He said I could expect not to feel 100% for another month or two. Ouch! He added that he had "macho guys" in the same boat. I guess it makes things that much easier now knowing that I am "macho." So I had to have a doctor stick a probe into my lung for no apparent reason during my bronchoscopy- results were "unremarkable."
So I persist. Some days are good, some are tough. Still experiencing low-grade fevers and fatigue - and I cannot climb stairs without breathing heavily -, but I would have to say that all is well. Could be a lot worse. I will follow-up with Dr. Miradi in a few weeks. Meanwhile, per his request, I am tracking how I feel daily (body temp, etc.).
Next up: blood work Friday.
Dr. Zu next Tuesday followed by my monthly Sandostatin injection.
Thank you for the positive thoughts and wishes. Without you - and the love of my beautiful Christine -, I would not know what I would do.
All my best!
Sunday, April 13, 2014
I am Back...
Good weekend.
I have had a good weekend. While I am still tired – I imagine the fatigue won’t pass for a while – I have been fairly active without major repercussions.
I spoke to Dr. Miradi, Infectious Disease Specialist Extraordinaire, and he agrees that I am in full recovery. He did emphasize that I may experience some minor symptoms (fatigue, elevated body temperature) that are indicative of recovery from pneumonia. In short, my body still needs to clear the remnants of the infection from my system. Still no definitive word on the strain of pneumonia I contracted. But at this point, it may be moot, eh?
My plan is to return to work tomorrow and to a regular schedule. I will take things slowly, but I am excited about getting back to my routine and feeling like myself again.
All my love and appreciation for your encouragement and support. Try not to laugh too hard at the HP (Harry Potter) scar. I have an appointment Tuesday to take stitches out.
I have had a good weekend. While I am still tired – I imagine the fatigue won’t pass for a while – I have been fairly active without major repercussions.
I spoke to Dr. Miradi, Infectious Disease Specialist Extraordinaire, and he agrees that I am in full recovery. He did emphasize that I may experience some minor symptoms (fatigue, elevated body temperature) that are indicative of recovery from pneumonia. In short, my body still needs to clear the remnants of the infection from my system. Still no definitive word on the strain of pneumonia I contracted. But at this point, it may be moot, eh?
My plan is to return to work tomorrow and to a regular schedule. I will take things slowly, but I am excited about getting back to my routine and feeling like myself again.
All my love and appreciation for your encouragement and support. Try not to laugh too hard at the HP (Harry Potter) scar. I have an appointment Tuesday to take stitches out.
Friday, April 11, 2014
A Whole New World...
A Whole New World…
Okay, pardon the cheesy Disney reference, but I ventured out into
the real world today.
After a good night that included some
uncomfortable coughing – see, the coughing is good, but the sore ribs aren't -,
I slept well. I have a new appreciation for pillows, that’s for sure. And no
detectable fevers!
I visited Patrick Henry today for a brief
period of time as a "test" run. I wanted to see how I would respond
to increased activity and a possible return to work. It was good! Although
fatigue set in rather quickly, the emotional boost from a return to
semi-normalcy was awesome.
It was great to see the kids and my wonderful colleagues. In the
grand scheme of the universe, my battle with pneumonia has been short. But the
time away from the kids, a normal routine and feeling better has seemed like
forever.
Much love and appreciation for y’all.
I hope to be back to my regular routine soon although at 20 m.p.h.
and not my usual 120 m.p.h.
Thursday, April 10, 2014
Move Over Jack Nicholson!
Good morning (good morning), Good morning (to you!)
I had a great night last night, and have been fever free now
for 48 hours. While I am sore as all get
out from my fall, I have finally managed to sleep! Hoo Hoo!
Will continue to rest at home. Still on a heavy duty
antibiotic and will be for another five days. Return to work looks promising!
In the “this is too funny category”:
Christine changed the dressing on my HP (that’s Harry
Potter, folks!) laceration on my forehead last night. In replacing the gauze
she used a little too much, making me look like a character from One Flew Over
the Cuckoo’s Nest. I could not stop laughing at the absurdity of the situation
and, despite the discomfort laughing caused, made us feel human again. I guess
what life sometimes throws at us is crazy, but that’s what makes it so real.
Thanks again for all of your love and support!
Wednesday, April 9, 2014
Good day today!
I am happy to report that I have been fever free for almost 24 hours! The antibiotics seem to be doing their job - finally!
Christine and I managed to get out to walk, and while I am winded and sore, I feel for the first time in a while that I am getting stronger.
After my standing appointment for my shot – of course, back at the hospital – we popped up to check on Maris. He will be moving to a Shea Family Care Facility in El Cajon in a few days.
Thanks for all of your love and support!
Stayed tuned for more good news!
"WTF? Are you kiddin' me?"
Tuesday, April 08, 2014
Dear Friends, Trusted Colleagues, Family, and Fans of Me!
I call this “WTF? Are you kiddin’ me?”
The tale I am about to tell you is true. None of the details
I am about to share are fabricated. (Although once you read them, like me, you
would wish they were).
Many of you know that I did not feel well in the weeks
leading up to Spring break (should the S be capitalized?): low-grade
fever, dry cough, chills, night sweats. I continued to show up to work because
it kept me focused, positive-minded, and happy. The fevers were responsive to
Tylenol/Ibuprofen. Dr. Zu, my oncologist, was in China visiting family for
three weeks. (I scolded him for choosing this time to take his trip).
Upon his return, he advised that we rule out any cancer
involvement and, because my quarterly scan was due, decided to see what the
scan revealed. I had the scan on March 25th. By this time, however,
my fevers were no longer low-grade, and I left school on Monday the 24th –
my birthday! - with a fever of 103.3. The scan on the 25th showed no
cancer involvement, but clearly showed that I had pneumonia. Christine
and I breathed a sigh of relief. While I try live each day with positivity and
a joie-de-vivre, I must admit that I struggled during this time to do so and
retreated into a somber shell, depressed and full of angst.
Dr. Zu prescribed a standard, broad spectrum oral antibiotic
over the course of 5 days to treat the pneumonia. I started the antibiotic
regimen on March 25th. I planned to use break to rest, recover my
strength, and return to work. Christine and I felt better emotionally because
we had a course of action and I was looking forward to finally feeling better
physically.
Unfortunately, the antibiotic did not work. The high
fevers, while responsive to Tylenol/Ibuprofen, did not dissipate. A fever of
102 on Friday, the 4th, prompted Zu to hospitalize me for a round of
IV antibiotics. An x-ray confirmed that I still had pneumonia in my left
lung. My pneumonia, however, did not respond despite the intense
antibiotic regimen.
Enter the infectious disease specialist. Because of the
unusual presentation of my symptoms – pneumonia typically has a much more rapid
onset- he believed that I had contracted a resistant, funky, unusual strain of
pneumonia. The metaphor he used (and if you’re not sure what a metaphor is, see
one of our great English teachers) is that pneumonia is like getting hit
by a car and breaking your legs: while the car (strain) keeps going, your legs
are still broken (pneumonia). The goal, then, became identifying the strain.
There are standard ways to identify a strain including blood
analysis, urinalysis, psychoanalysis – well, maybe not that last one. These all
revealed nothing. Another way is identification through antibiotic. If a
particular antibiotic mitigates fever, etc. then, by default, it is a
particular strain. While the antibiotics helped a bit, they did not knock
down my fevers.
Enter the pulmonologist. (This part will keep you riveted, I
promise). In order to get closer to the infection, he recommended an
endoscopy. This involves going into the lung to grab sputum and some tissue (it
would have been so much easier if I had a productive cough). Hearing the word
“biopsy” on Sunday threw me for a tailspin. (I was reassured that it meant
grabbing tissue for analysis).
The pulmonologist performed the endoscopy on Monday, the 7th.
If you are squeamish, you may want to skip this part. Under conscious sedation,
the lung guy went into my left lung through my nostril, used a brush to sample
some sputum, took some tissue for biopsy, and flushed out the lung. Let me say
that I was more conscious during this process than I would have liked.
I should add here that the attendants during this process
were awesome. The lung guy was 30 minutes later to the procedure than planned,
so Jonas and I rapped about the music on his “I” Device. From the Philippines,
Jonas grew up listening to American music. I know my music trivia.
The scope itself was unremarkable (this is a good
thing). The results of the scope won’t be known for a few days.
My medical team decided that it would be best to send me
home to await the scope results and that I could manage fevers just as easily
at home. Yeah! (I should note that while I still have fevers, I am having
fewer). My discharge was planned, for Tuesday, the 8th, barring
anything crazy.
In anticipation of my discharge, I asked the nurse if could
shower (yes, they do allow that). So I ambulated to the shower area and hopped
into the shower. I was suddenly overcome with dizziness, steadied myself best I
could, and then found myself on the floor of the shower in a pool of blood,
having fainted. In addition to whacking my ribs, I had nasty lacerations
on my forehead and chin.
So, they rolled me down to the ER where I received 18
stitches: 10 on my forehead a la Harry Potter and 8 on my chin.
I then had a CT scan to rule out any head trauma and an
x-ray to rule out broken ribs, which they did.
Once the admitting doctor reviewed these tests, he agreed
that it was okay for me to go home.
I am home…..
Hopefully, the results of the scope will be known soon.
Meanwhile, I am happy to be home with Christine, albeit sore and dazed and
confused.
I do want to add that my roommate during my stay, Maris, did
not have a single visitor the entire time I was there. Maris, 65, had a
bad reaction to his radiation and chemo, and was in a lot of pain. While
I would not wish the last few weeks of my life on anyone, I had the love and
support of my beautiful wife, family, friends and colleagues. I am
greatly saddened that Maris appeared to be alone. (This really tears at me).
Christine and I plan on visiting him.
Thank you for being part of my life. I hope to be back
soon.
With love, respect, and humility,
Andrew
Tuesday, March 25, 2014
Good News... I have pneumonia
Well, I finally have some clarity regarding my recent health. As many of you know, I have not felt well for the past four to five weeks.
I had a CT Scan today to rule out any possible cancer involvement. Normally, Dr. Zu contacts me within 24 hours, but he called me within a couple of hours of the scan to let me know that I have pneumonia. While this may seem like bad news, Christine and I are relieved that there is no change in the status of my cancer. I cannot begin to tell you what an emotional burden has been lifted from us with this news.
I will start on an antibiotic tonight.
Thank you for all of the positive thoughts and prayers. They have made the last four weeks bearable.
All my love.
I had a CT Scan today to rule out any possible cancer involvement. Normally, Dr. Zu contacts me within 24 hours, but he called me within a couple of hours of the scan to let me know that I have pneumonia. While this may seem like bad news, Christine and I are relieved that there is no change in the status of my cancer. I cannot begin to tell you what an emotional burden has been lifted from us with this news.
I will start on an antibiotic tonight.
Thank you for all of the positive thoughts and prayers. They have made the last four weeks bearable.
All my love.
Tuesday, March 18, 2014
Update
I apologize for the gaps in my blog.
Since I posted last, much has occurred:
While still teaching, I have taken a Sabbatical from coaching this spring. I have taken the time to work on my professional life, tutoring over at the San Diego State Community Reading Clinic and working to finish up my Reading Specialist Credential. I should have everything complete by end of 2014.
I have enjoyed spending more time with Christine! This has been a blessing for sure!
In February, Christine and I delivered the inspirational speech at the Annual Mass of Hope. The transcript of the speech is below:
I am looking forward to vacation at the end of March. Time to re-create, re-charge, and to re-juvenate!
All my best.
Since I posted last, much has occurred:
While still teaching, I have taken a Sabbatical from coaching this spring. I have taken the time to work on my professional life, tutoring over at the San Diego State Community Reading Clinic and working to finish up my Reading Specialist Credential. I should have everything complete by end of 2014.
I have enjoyed spending more time with Christine! This has been a blessing for sure!
In February, Christine and I delivered the inspirational speech at the Annual Mass of Hope. The transcript of the speech is below:
Fr.
Clavin, Members of the Family Cancer Support Ministry, Parishioners, Family,
and Guests, thank you for joining us tonight for the 5th Annual Mass
of Hope. With humility, Christine and I are honored to share with you our
journey with cancer and our experience with the Family Cancer Support Ministry.
Please
join us in acknowledging the members of this wonderful ministry (please stand
to be recognized).
*Before
we continue, I’d like to share with you that I saw my doctor today and am happy
to report that I am doing well!
________________________________________________________
You
have cancer.
Words that no one wants to
hear. Words that strike fear into the hearts to whom the statement is
delivered. Words that strike fear into the minds of the ones who love and care
for those who have it.
Karl Menninger, famous
psychiatrist, stated that “the very word ‘cancer’ is said to kill some patients
who would not have succumbed (so quickly) to the malignancy from which they
suffer.”
While cancer is diagnosable
and discernible as a biological mutation through medical examinations and
tests, the very label itself embodies a frame of mind that often determines
life and death. Hearing the word “cancer” is sometimes worse than the actual
disease itself.
During the year following my
diagnosis, cancer was all Christine and I talked about. It was, as St. John of the
Cross described, our Dark Night. Doctors’ appointments, medical insurance,
prescriptions, side effects from my treatment. Every ache was magnified into
another aspect of cancer. I’d come home and dump all my frustrations, anger,
angst, and fear on Christine. While Christine was supportive and understanding,
one day she had enough and turned to share her frustrations, anger, angst, and
fear with me. She had held onto these feelings for a long time because she
believed that her feelings couldn’t compare to the one who had cancer. If I
couldn’t share with my wife, with whom could I share? But I was being selfish. If
she couldn’t share with me, with whom could she share?
The conversation sticks
vividly in our memories:
Do we have to talk about the
fact that you have cancer again? Isn’t there anything else we can talk about?
You are my wife, I should be
able to share my frustrations with you about living with cancer.
Okay, you are my husband, and
I should be able to share my frustrations with you about you sharing your
frustrations with me about living with cancer.
We looked at each other,
paused, and realized that for the sake of our relationship something had to
change.
It was important for Andrew
to talk with someone who understood what it was to have cancer (thank you, Will
Hurley), dealing with treatment and side effects, while contemplating the
mortality of the whole experience. Only someone who has had cancer, is battling
cancer, or, like him, is living with cancer can relate to what that means.
It was important for me (Christine) to speak
with someone who understood what it was to live with someone with cancer (thank
you, Mary Brewer). To understand why someone who was normally positive and full
of life was now intermittently depressed and angry, or often sullen and quiet.
We started attending the
Cancer Support Ministry by chance about six months before this conversation
after we were invited by two friends (Erin and Andy Mangahis) to attend mass at
St. Gregory’s. In the bulletin on that day was a notice about the cancer
support ministry.
Through the cancer support
ministry, we learned to embrace cancer as an opportunity to love life, to love
God, to love nature, and to love each other and our families each and every day.
And through the cancer support ministry,
we emerged from our Dark Night to discover the radiant love of God and family
around us.
To have hope, one’s vision
cannot be dark and uncertain. One has to make a choice to embrace life, love,
and forgiveness, and to live each day with intent and purpose. We learned what
about life was worth living for.
We look forward to offering
support and encouragement to others who may have the diagnosis of cancer thrust
upon them. Cancer is, after all, a family illness.
Cancer is not a death
sentence.
Cancer is not the end of the
world.
Cancer is not the focus of our
lives.
Yes, we have cancer.
But it doesn’t have us.
Thank you. God be with you.
Dr. Zu has been out of town on vacation, so I haven't seen him since February. I am hoping to talk to him this week to find out the results of my latest blood work. My body is fighting something, and will feel better when I had a chance to talk to him. I have maintained my weight thanks in large part to good eating and a great appetite.
I am looking forward to vacation at the end of March. Time to re-create, re-charge, and to re-juvenate!
All my best.
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