Now what?
This was MD Anderson scan week for me. The blog is a little late because, well my
appointments were at the end of the week and I had no way of knowing the
results. I will share with you what I was going through on the way. There was a
mix of optimism and worry. And I was
handed a bag of lemons. I’ll explain.
Family at the F1 event in Austin last Saturday |
When I was first diagnosed I truly felt like I could be the
outlier, shining star-miracle cure guy.
If it was tenacity and a willingness to do whatever it took…I was
determined to be that guy. Now I am
painfully aware that cancer isn’t a game or a mindset or a weakness that has
merely been exploited. It is a tough
mother f*&^%r that takes no prisoners. None.
In fact, another dear dear friend was diagnosed with stage 4 cancer this
week and I hate it. I like the fact that
I can help people understand, cope, and possibly even ease their transition to
a new type of normal (whatever that means), but hate that I’ve become good at
something no one wants.
I was starting to feel good about my friend in the neighborhood. Not that he has cancer, of course, but that I
could help him understand first, that he wasn’t alone and second, give him some
tips on fluids, proactive meds, etc. To
use a really bad example, it was like the Cuba Gooding Jr. character in What Dreams May Come. I say it is a bad
example because in the movie, Robin Williams dies and Cuba is there to help him
acclimate to heaven. I don’t want the end game to be a prominent part of the
discussion, but it inevitably is. So I
accept my role gladly as a husband and father with a fight on his hands every
day, and the responsibility to help my friends and family deal with their
afflictions as well.
Josephine (far left) at a pumpkin patch with her friends |
Wednesday, I went and visited the kid’s school for
lunch. I was able to eat lunch with
them. My mother and I had a discussion
about “the end” a few days prior. She
said, “Connor will miss you, but no one will really know how he feels for a
while. He’s much more reserved. But I think Josephine will be
devastated. She will be inconsolable for
some time.” She’s right. I had lunch with Connor’s class first and due
to early release day they were watching an educational film in the classroom
during lunchtime. I asked if he wanted
to watch the movie or go eat together in the atrium. He said, “You can come to the classroom if
you promise not to be a distraction.”
Josie held my arm like she was falling off a cliff. She jumped at the chance to have a just me-and-her lunch in the school atrium. She
beamed that I had taken the time to come and be with her at school. She went on and on about all red ribbon week,
silly socks, etc. Unfortunately, I think mom nailed it.
This week’s symptoms were mostly nausea and acid
reflux. I have found two things that
help me. One is getting fluids on top of
the normal chemotherapy. I think it
helps keep you hydrated (duh) but also helps flush out all that junk. The second was a funny accidental find. The nurse gave me the Avastin before the
Oxaliplatin. I have no idea if this is
purely anecdotal or not, but usually those compounds are reversed. However, this accidental order of operation
seemed to reduce the nausea and almost eliminate the diarrhea over the last few
weeks (I still take an Imodium with breakfast every day, but only one per day
now). So for all my cancer patient
readers out there, if you are on FolFox, give this a try. It might help…or it might just be me, I don’t
know. By the way, I’m one of those
outliers who can taste the saline flush and I have the KRas mutation. So take that for what it’s worth.
As stated, when I started this journey I had certain
goals. As the journey went on and the
FulFiri stopped working, I readjusted those goals as any good strategist
would. So here I am, my numbers are
improving and there is a trial available for me if/when the FolFox stops being
effective or my body can’t tolerate it any longer. My newest goals were somewhat short
term. The golf tournament/dinner to help
the family, and then my life insurance policy to get them the rest of the
way. But now it looks like I might be
sticking around a little longer. So now
what?
Well I’m still leery about booking a flight for a vacation
in August, but I don’t feel like I need to pre-pay for a five-minute egg (thank
you for the joke George Burns). I feel
pretty strong right now and I’m keeping weight on (probably too much
weight). My body looks better than it
feels, but I’m able to take what has been thrown at me so far. I don’t know where that puts me on the bell
curve, but I do feel like not only will I make it to Christmas, but will more
than likely be able to coach some baseball this spring.
A friend of mine ran into me the other day and said, “you
look so good people are going to think you’re faking.” Well I am cooking emcees like a pound of
bacon! But he meant my color, and that I’m keeping weight on and don’t look
like I’m withering away. I asked the MDA
oncologist about this and he said, “Well traditionally colon cancer patients
don’t show their disease the way other patients do.” I replied, “Until the end, right?” He said, “Yes, until the end.” I’ll take it. At least we have a visual
indicator now, don’t we?
So here are the results from MD Anderson: I’m doing well. My liver, lung and lymph “mets” (lesions
which have metastasized from my colon cancer) have shrunk a little. There were new liver lesions that were found,
but probably due to being previously hidden by larger lesions (cancer tumors)
which had shrunk due to the medication.
The medication seems to be working and my CEA held steady in the 4 range. My body is tolerating the regimen and the MDA
team sees no reason to change it for the next few months and my next scan will
be (barring any spikes) after the holidays.
So great news!
Baseball buddies at Patrenellas restaurant |
We are getting ready for Halloween and as we prepare for the
next few holidays and my tournament, I am filled again with hope and joy. Thanks to Pete for riding down with me to
Houston. Thanks to BCC for voting for
Connor in the Halloween costume contest I missed. Thanks to Uncle Sammy for putting us up and
feeding us like kings in the restaurant.
He also has these Meyers lemon trees in his garden. He gave us a bag of lemons for the ride
home. How metaphorically perfect is
that? I was literally handed a bag of
lemons. Guess what Josie is making? And
of course, thanks to God for giving me a bit more runway.
I got home in time to pick up the kids from school on Friday
and then later that night I took Connor to a high school football game for his
cub scout badge. Just before halftime a
sheriff and a security guy came up and started talking to the kids, who had all
run up to the top row together.
Apparently, some of them were throwing things over the top rail.
Ugh. I called Connor over and he
admitted that he had done it. Well, at
least he didn’t lie about it. One of his stronger traits.
Connor and I at the game |
We left right then and talked about the incident on the way
home. He felt very bad and was even more devastated that I was disappointed in
him. Now he’s not quite 8 and we all
know kids are going to do stupid stuff together. But my expectation is that at his age he can
recognize that something is wrong and at least not participate. At best (maybe this is 10 years maybe more)
that he would have the confidence to tell the others to stop. At any rate, I’m happy it happened and we
could squeeze in one more lesson. We
have some work to do and luckily a little more time.
One last thing about my results and timing. I don’t want to bring a joyous moment down at
all…but! This drug regimen and its
efficacy…this is a containment strategy.
Think of stage 4 colon cancer like Michael Jordan. You can’t stop him; you can only hope to
contain him. So again, there is no
cure. I am at peace with that. But the containment is working for now and
the oncology team is very in tune to backing off the regimen before the cancer
gets resistant to the FolFox (which is what happened with the FulFiri).
Peyton Manning football for the auction |
My journey has been tough with plenty of ups and downs. I have felt love like I never knew was
possible from my friends and family. I
have opened my heart and mind and stopped being so judgmental. I have really
enjoyed simple things that I had previously ignored. There is a lot of beauty and kindness in our
world…if you look for it. So I’ll keep
looking, loving, and helping where I can.
Who knows, maybe I still am slated to be that shining star-miracle cure
guy. Maybe this is my calling; this
weekly reminder that God loves us, challenges us to rise above, and be strong
in the face of adversity. And perhaps to
find not just hope but joy in those challenges.
Who knows what lies ahead? No one
knows, but if you need a hand, just reach out, I’m your man. TeamMarco@austin.rr.com