Wednesday, June 30, 2010
Phil's Vacation: Day +7
Tuesday, June 29, 2010
Phil's Vacation: Day +6
A Week of Unbelievable Support
- Personal Blog (MM For Dummies): 6,851 Visits from 47 Countries and 45 States
- Cancer Kicker Facebook Page: 1,256 New fans and over 600 Interactions
- Dominate Shirts (available here): over 100 sold and shipped! (thanks Zak)
Monday, June 28, 2010
Phil's Vacation: Day +5
- walking with allogenic STC patient
- folks came to visit
- Ruby fell asleep on my chest
- more rockband and mountain dew dominated
- Cancer Kicker Facebook page went over 5,600 fans!
- Zak finalized the new Cancer Kicker Foundation logo....how legit!?!?!
Phil's Vacation: Day +4
Myeloma Mondays #23: James from Sydney, Australia
**To add your story to Myeloma Mondays copy and paste this questionnaire (click here) and send it in an email to cancerkicker at gmail dot com. I would love to share your story! -Phil
James' unfolding MM story, as told mostly by his wife Carlin
Where were you born and raised?
- James was born in Mumbai, India, but was raised in Sydney, Australia
Where do you currently live?
- We lived in San Francisco when James was diagnosed (Carlin is from USA) but due to not being insured, we got a medical evacuation flight back to Australia for James' treatment, and we are currently in Sydney Australia
When were you diagnosed and how old were you?
- April 9, 2010 at the age of 39, type IGG
Did you know what MM was prior to diagnosis?
- We knew about bone marrow cancers, but not really multiple myeloma
Is there anyone else your in family with MM?
- James' paternal uncle potentially has it, but is waiting on more tests
What led to your diagnosis?
- James' ribs had been hurting since August 2009, and he had sought treatment from chiropractors, acupuncturists, and doctors. They all said it was torn intercostal ligaments and that it would take several months to heal. By March, the pain had left his ribs and moved to his back. Extreme back pain and being unable to get out of bed for over a week due to weakness and spasms led to Carlin's grandmother to call a family friend who was a doctor (we had not gone to doctor due to being told nothing was wrong by many other doctors, and we didn't have any health insurance either). The family friend told us to get an ambulance and bring him to the emergency room, as it might be cancer (we thought he was crazy to think it was cancer) but we called an ambulance, and within an hour of arriving at the emergency room, a CT scan and blood tests revealed multiple myeloma (yes a HUGE shock, we thought maybe he had herniated disks in his back or something).
How many times were you referred before actually being diagnosed?
- We had gotten blood tests in June 2009 which looking back on now he OBVIOUSLY had multiple myeloma (white cells low, platelets low, high protein, high immunoglobulin- DUH!) we questioned the doctors on these tests and they said it was probably just an infection or something. We also got sperm tests done at this time, and his count was really high, but his DNA integrity was really low. We also questioned these and were told, DNA gets damaged as you approach 40. We then brought James to the emergency room in February 2010 as his ribs and sternum really hurt. They took basic x-rays and said nothing was wrong. We practically begged for an MRI and blood tests, they told us it was unnecessary. It wasn't until we arrived at the emergency room April 9, 2010 that he was finally diagnosed.
Where have you received treatment?
- Initially at California Pacific Medical Center in San Francisco (Dr. Bertrand Tuan-hematologist), and currently at Westmead Hospital in Sydney Australia(Prof. Ian Kerridge-hematologist)
Explain your treatment history:
- 4/9/2010- Diagnosed, trying to get stable for evacuation to Australia, given pamodromate, morphine, valium, antibiotics
- 4/23/2010- Medical evacuation flight to Australia, began TCID treatment (thalidomide, cyclophosphamide, idarubicin, dexamethazone), also on prophylactic clexane (blood-thinner), antibiotics, anti-virals, anti-fungals, calcium, vitamin D, and zometa
- 2010- planning an autologous stem cell treatment soon (after 4 rounds TCID and some rest) and then followed later by a donor bone marrow transplant (his brothers have been tested but we have not received results yet)
Why did you or your doctor choose a specific treatment?
- Our doctor chose a very aggressive treatment approach and two separate transplants because James is very young, and otherwise very fit and healthy, and thinks this is his best chance of long-term survival/remission. Also his myeloma was very advanced by the time it was diagnosed, 90% of the cells in his bone marrow were abnormal.
What has been the side effects of the different treatments?
- The pain medications he was on (morphone and oxycodone) really upset his stomach, as does the dexamethazone. He gets diarrhea when he is on dexamethazone. He gets a bit of nausea from the thalidomide, but not too bad. He has lost 15 kilograms, but this is a combination of the disease and the chemotherapy. We are using complementary therapies to counter the side effects. Aloe juice and probiotics seems to really help his stomach. Milk thistle has helped his nausea and is supposed to protect your liver from side effects of chemotherapy and tons of prescription medications (Carlin is a naturopathic doctor, so had done tons of research on natural therapies to complement his main treatment regime).
What has been the hardest thing about your MM journey?
- The shock of finding out so quickly via a trip to the emergency room was pretty huge. Facing cancer at such a young age. Feeling confused as we have such a healthy lifestyle (only eat organic foods, practice yoga 2 hours a day, don't drink alcohol, don't smoke, etc). Also, we had just moved to the USA, and had so many dreams and plans for our life there, and then had to move right back to Australia for treatment after less than 12 months living in the USA.
What are the top lessons learned that you would want a newly diagnosed MM patient to know about?
- You are your best advocate. Keep pestering doctors and don't take no for an answer. You know your body best, and they will easily brush you off- so be persistent! If you feel something is not quite right, do not stop until someone has a good explanation for this.
- Also, take your health into your own hands. Try to be as positive as possible, and use as many holistic approaches as possible to complement your chemotherapy and transplants. James is meditating a few hours a day, eating organics, getting fresh air and exercise, listening to uplifting music, using aromatherapy, etc. Also, google can be your best friend and your worst enemy. Take it with a grain of salt. It doesn't have to be all doom and gloom.
- Be honest with your friends and family about what you need. Don't be afraid to ask for favors and accept favors too. Everyone needs a community around them!
How have you been able to stay positive and encouraged in your MM journey?
- See above about meditation, but honestly James is pretty much the most positive person you will ever meet, so it comes naturally for him. For Carlin, it's a bit harder. Trying to find the gratitude in the little things, as the big things may not be so rosy, but there is always a little thing that you can find to be happy about. We set up a caring bridge website for James (www.caringbridge.org/visit/jamessaldanha), James loves hearing all the messages he gets on the website, and that has really helped him keep going too.
After being diagnosed... What perspective was changed the most?
- Well, we were always pretty positive holistic-minded people who took advantage of what life has to offer, traveling and trying to maximize the moment. But, now we try to just take one day at a time. We don't live too much in the future and make too many plans, we just try to get through each day and be happy in the small things.
Did you or a parent work in a field with or were exposed to toxic chemicals prior to diagnosis?
- James worked in a pharmaceutical company's lab from 1990-2000, so we suspect this may have played a role, though we don't know of anyone else who worked in this lab with cancer.
What MM sites or blogs had you found good information from after diagnosis?
- It has been a real whirl-wind as it's only been slightly over a month we've been on this myeloma roller coaster, but we use the multiple myeloma research foundation site, and like reading the blogs of other myeloma patients too.
Saturday, June 26, 2010
Phil's Vacation: Day +3
Friday, June 25, 2010
Phil's Vacation: Day +2
Thursday, June 24, 2010
Phil's Vacation: Day +1
Wednesday, June 23, 2010
Phil's Vacation: Day 0
- woke up at 6am
- watched Sports Center
- ate breakfast
- Cassie and Ruby visit
- dominated Stem Cell Transplant
- ate lunch
- slept
- ate dinner
- sat in the hallway due to tornado warning
Tuesday, June 22, 2010
Phil's Vacation: Day -1
Permanent Domination
Over the last two months since my last bone marrow transplant I have grown in my determination to dominate Multiple Myeloma and advocate to that end. What has really kept me on the path of domination is having people as bold as my little sister showing a commitment to dominate by adding a permanent ink reminder that supersedes any rubber bracelet!
Over the last two months I was given the opportunity to advocate and bring the dominate message throughout the state of Michigan. Here is a list of the few things we were able to take part in:
- Channel 7 News: Cassie and I got a chance to be on the news
- WTKA 1050AM: Radio interview
- University of Michigan Kicking Camp: Spoke at Chapel Service
- Michigan High School Football All-Star Game talk: Provide dominate message to both teams after practice
- Michigan High School Football All-Star game: halftime interview and dominate talk to all players
Lastly, my goal for this transplant is to provide a recording at the end of each day doing an inventory of my whole experience to help prepare those who are approaching their first stem cell transplant.
Monday, June 21, 2010
Myeloma Mondays #21: Dave from Northern California
The journey below is written by Lori, Dave's wonderful bride.
Where were you born and raised?
- Dave was born at a military base in Ft Rucker, Alabama but was raised in Bay Shore, Long Island
- Northern California, outside of the Sacramento area
- Dave was diagnosed while working California. We were in the middle of a coast-to-coast relocation from Suburban Maryland outside of Washington, DC where we had lived for 27 years.
- No
- No
- Dave couldn't get out of bed to leave for a business meeting in Las Vegas. He was staying with childhood friends of mine in California while I was still back in Maryland selling our house and getting ready for our move. He was transported eventually to a local, small town hospital, where he was in tremendous back pain (a T8 compression fracture) and the original diagnosis I received long distance was a "metastatic cancer of the spine". The radiologist saw Dave riddles with lesions.
- The following day an oncologist was called in and ran the necessary tests. I learned he had Multiple Myeloma while I was in route and changing planes in Nevada. I had never heard of MM. We realized after the fact that Dave had been having benign, non-descript symptoms for several months. He had a received a complete physical in November 2007 and was diagnosed in June 2008.
- Little Rock, Arkansas, UAMS/Myeloma Institute for Research and Therapy
- Sutter Medical Group, Sacramento, California (maintenance therapy)
- 6/2008: Started Thalidomide/Dex
- 9/2008: Consultation at UC Davis, Sacramento
- 10/2008: Consultation in Little Rock, Arkansas
- 10/2008: 19 HBOT treatments to counteract radiation treatments impediment to collect stem cells for ASCT (see attached U of Penn article)
- 11/2008: began stem cell collection (successful HBOT treatments produced 47 million cells in 75 minute collection)
- 12/2008: Autologous Transplant #1
- 02/2009: Bridge Therapy
- 06/2009: Bridge Therapy
- 09/2009: Autologous Transplant #2
- 12/2009: Maintenance therapy commenced, Revlimid (continuous) and weekly Velcade infusions combined with Dexamethazone.
- 03/2010: Ceased use of Dex due to toxicity and side effects (bloating, edema, constipation, insomnia)
- We were not aware at the time of novel therapy, non transplant approaches. So we only researched where and who would perform the ASCT.
- I worked for the University of Maryland at a research center and wanted to have the advantages of a researching physician vs. a treating physician.
- All the usual culprits. Constipation, due to pain meds and disease, fear, suppressed immune system, hair loss, PN (handled with Alpha Lipoic Acid and Vitamin B6, B12 and foilic acid), etc. Nothing out of the ordinary or extraordinary. Fatigue is still the biggest issue Dave is dealing with now. He breezed through his second bridge therapy and transplant. It was pretty much a non-event for him and we were discharged to go home early both times.
- Dealing with the emotional issues of having "cancer". The learning curve of dealing with a "rare" disease and finding information that is current and optimistic.
- Don't accept the first information criteria you receive, but challenge and search to find the right physician/facility that align with your personal health issues and outcome goals. Find survivors and contact them directly. They have no agenda except to share their experience. Realize that Myeloma is a very fluid disease treatment and look for someone who is up to date and will tailor treatment for your particular presentation and goals. Be strong, persistent and garner support from friends, family, strangers and other myeloma patients and caregivers to help you negotiate your journey. Pick your path and dedicate yourself to it. Be flexible and patient through your process. Know that it will indeed end, you will come out the other side. There are countless others, thousands, who have gone through it before you and survived. Don't spend your time worrying about things that might be, but are not. Deal with what is in the present. Find others like yourself to garner support and understanding. Remember that your caregiver needs support as well. He or she is going through a lot and they need to stay well, nourished (spiritually and physically), and healthy. You are in this together. Everything Dave and I went through was "we". WE have Multiple Myeloma and WE are in Complete Remission. While our journey's are distinctly different, they are also tightly parallel.
- When you are done, please, go out and live your life! Don't let Myeloma define you, relegate it to an EVENT in your life, epic certainly, but an event nonetheless. Give back when asked and if moved to do so, but don't let it become anymore consuming than it already has.
- Absolutely. I know no other way. My mantra these past 18 months has been "Life isn't about waiting for the storm to pass. It's about learning to dance in the rain." - unknown The challenge was keeping Dave positive and getting his "head in the game!" I knew Dave would get treatment. I knew that he could win. Convincing him was my challenge and my role as his wife, friend, lover and caregiver. He is my hero. I'm incredibly proud of all that he has overcome in the arena of positive attitude, stepping into realms he never dreamed in a million years he would be facing. Some have written that just telling a person they have cancer is enough to kill them. I watched him wither away mentally and physically right before my eyes in a matter of days. I joyfully watched him, take the bull by the horns and turn it around.
- Immediately after diagnosis, a dear friend of mine called who is a top Internal Medicine Physician in the DC area. My son, who went to school with her son, drove over to her house, unannounced, to tell her what had "happened". She called me immediately and the first thing and last thing she said, very emphatically was, "Lori! Multiple Myeloma is no longer a death sentence!" It was this basic premise that kept me moving forward and dragging Dave along in his treatment with the total conviction that we would come out the other side. My perspective has not changed, but has been validated and confirmed. Dave did get his head in the game and has done an outstanding job of appreciating all that he has accomplished. He tells people that he is "taking his life back!" I remind him that we don't have to take it ALL back!
- You are stripped NAKED of everything unimportant in your life. What you are left with is love, family, friends. When you come out the other side and are standing at the top of the abyss you have just climbed out of and look across the beautiful vista before you, you realize how strong and capable you are. Its a great time to take a moment at embrace all that you are grateful for and then move forward, always forward.
- No
- Dave Emerson's Beating Myeloma
- Nick VanDyke's Myeloma Blog
- Pat Killingsworth's Myeloma Blog
- MMRF Website
- IMF website
- Myeloma Beacon
- Martha's Myeloma Blog
- Beth Morgan's Myeloma List Serv
- Dave's caringbridge website: www.caringbridge.org/visit/
davidpuente - My caregiver blog (work in progress): http://ridingthewave-
habubrat.blogspot.com/
Saturday, June 19, 2010
The Gem....continued :)
Friday, June 18, 2010
At your request...
Ruby is seven weeks old. I forget that she's still brand new to planet Earth... it feels like she's always been here. She's rather lovely and delightful. Her best friends are Ocean and the ceiling fan in our living room. She loves to be held and does NOT like to be put down. So I get next to nothing done but I don't really mind 'cause lookie:
Ocean making her laugh.
And here's Frick and Frack:
Don't let those sweet smiles fool you. In the last week they have been caught chewing bubble gum in Iris's closet during naps, flushing foreign objects down the potty and putting glue stick on their hands and feet in an attempt to climb walls like Spiderman.
I love them.
Here's video of Iris singing the Thomas the Train song. We bribed her with cheese. We are good parents.
Thursday, June 17, 2010
2nd Half Kickoff: Monday, June 21st, 4:30pm
Wednesday, June 16, 2010
My(eloma) Buddies
Tuesday, June 15, 2010
The Dominate Army
Monday, June 14, 2010
Myeloma Mondays #20: Frank from Brookline, MA
Where were you born and raised?
- Born in Dorchester, Ma. Raised 15 miles south of Boston.
Where do you currently live?
- Currently live in Brookline, Ma. One half mile from Fenway Park.
When were you diagnosed and how old were you?
- I was 54 when diagnosed in December of 2002.
Did you know what MM was prior to diagnosis?
- Had not a clue.
Is there anyone else your in family with MM?
- No.
What led to your diagnosis?
- I was bench pressing, (attempting to), and experienced sharp pain in my upper right rib cage. Felt a hard round bump between ribs which I self diagnosed as a popped cartilage. Finally went to my primary care Doctor who sent me immediately for a scan and I was operated on to remove a plasmacytoma from my chest. Had to take sections of two ribs with it. I tell people I was in a knife fight.
- One…
- Dana Farber Cancer Institute in Boston.
Explain your treatment history:
- 1-6-2003, surgery to remove tumor from my chest.
- 3-1-03 – began 20 days of radiation.
- Five years in remission
- April – May 2008, checkup reveals protein spike. Scans show small lesions on three vertebrae.
- June – July 2008, two cycles of radiation
- Sept. 2008, began six months of Rev plus Dex. Omeprazole for heart burn and a once a week antibiotic.
- April 2009, stem cell harvest attempt failed. Became ill because of dehydration. My fault.
- May 2009, Cytoxin,much neupogen, self injected daily, and another similar, more potent drug the night before the next harvesting attempt.
- June 2009, successful harvest.
- July, Meeting with Oncologist to schedule transplant and labs show numbers look great. Postpones tp.
- Monthly blood work and Zomeda.
- March 2010 labs showed proteins up; looking forward to labs being taken tomorrow, 4-30-10.
Why did you or your doctor choose a specific treatment?
- Oncologist wants to avoid wearing out a drug. Early history, my mm was not aggressive until relapse.
- Radiation: fatigue towards the end of treatment; rash on area radiated.
- Rev: stomach, dry mouth, … muscle cramps mostly at night. Minor consideration in view of Rev’s success.
- Dex: I’m told I became impatient, edgy, anxious and less fun to be with. I was oblivious.
- Cytoxin: hair loss. Came back curly and wiry texture. Has returned to normal.
- Zomeda, mild joint and bone pain and light flu like symptoms for a day after.
What has been the hardest thing about your MM journey?
- Hate to admit it, but the hardest is waiting for the other shoe to drop. For example, I think I have put off some fun things in order to avoid missing work, (and have been able to work full time other than two weeks after the operation and during the stem cell harvest), to avoid becoming expendable, or expended..
- Stay positive and do the things you want to do. I went on line to investigate my newly diagnosed mm back in early 2003 and took less time off, took less trips and so on, thinking I did not have enough time remaining to be “frivolous”. The treatment discoveries for mm are providing significant control of the disease and new drugs are coming into use that are even more potent. Here I am seven years after diagnosis, training for the Pan Mass Challenge, 190 mile bike ride to benefit the Dana Farber.
- Keeping my schedule busy, as it was before mm; enjoying the support of family and friends; meditation or some kind of spiritual connection.
After being diagnosed... What perspective was changed the most?
- I think you worry more about those you love than about yourself. My ambition to be successful, to gain wealth and power, has been replaced by wishing nothing more than walking with my kids, or listening to my wife talk about her day. I’ve come to enjoy a daily predawn walk with my dogs and in particular, on the icy cold mornings, face first into the clean, cold air .
Did you or a parent work in a field with or were exposed to toxic chemicals prior to diagnosis?
- I worked as a roofer going through college. In those days we ripped old tar and gravel industrial roofs off, without respirators of course, and replaced them with asphalt and stone. This required melting 100 pound “kegs” of solid asphalt in a vw sized machine we called a “kettle”. We all breathed in the fumes and worked shirtless in the blazing sun, never getting sunburned because the asphalt particulate from the smoke would cover you with a dirty, dry soot that acted as a sun block. It would be an interesting study to find some old roofers and analyze the population for mm.
What MM sites or blogs had you found good information from after diagnosis?
- MMRF, The Mayo Clinic site, thecancerdiaries@live.com, Dana Farber site. Though I have just discovered this, MM for Dummies, I find it unique and refreshing.