Tuesday, September 30, 2008

Houston Results, Rounds 5 & 6

After many weeks, it is certainly time for a long awaited update. After Round 4 of chemotherapy Marissa and I were scheduled to return to Houston for testing. “Gustav” had just passed through Louisiana and was headed to Houston, this made planning for travel slightly complicated. After checking and double checking that MD Anderson would be open and that Houston did not receive much damage, we left for Houston on Tuesday, September 2. We decided not to travel our usual route of I-10, as much of it was closed, we would instead travel on I-20. Traffic was not too bad, but we had a horrible time finding a hotel that night. We stopped in Mississippi and after initially stopping to find a hotel at 8pm, we had to continue driving until well past 10pm, as all of the hotels were booked solid along the way. It was pouring down rain and eventually we had to take what we could get. We arrived in Houston on Wednesday, September 3.

Thursday, September 4 began my long battery of tests. Around 11am I started the tests with lab work and a chest x-ray to follow. At 4:40pm my abdominal and pelvic cat scans were scheduled to begin. Last time I had to have a cat scan it was a ten hour day so I was definitely dreading all of the wait time. However, this cat scan was scheduled at a MD Anderson building across from the hospital and when we arrived we were 1 of 4 people waiting. Marissa and I left there by 6pm which was much better than the previous time.

Friday, September 5 we were to meet with Dr. Trent at 11am. After two long hours of waiting for him, we received the news that we had been praying for. The chemotherapy was working even better my 3rd and 4th rounds of chemotherapy than it did my 1st and 2nd. Overall my masses had shrunk by 30%. Marissa and I were so excited, as was Dr. Trent. He also told us that I would be continuing the chemotherapy for as long as it continued to work so well. This was not the exact news that I wanted to hear, but I still felt tremendously excited that all was working so well, which makes enduring all of the chemotherapy a little easier and definitely worth it.

We left to return home immediately after our doctor’s appointment. This time however, we decided to stop sooner to find a hotel. We arrived home on Saturday, September 6. We used the rest of the weekend to run errands and prepare before my 5th round of chemotherapy, which was scheduled for Monday, September 8.

My 5th round of chemotherapy was not an easy one, and the following week was even worse. On my “good” week Marissa and I celebrated our 4th wedding anniversary, and I just enjoyed feeling so well. My one “good” week goes by entirely too fast, and before I know it, it is time to start my chemotherapy again.

That leads us up to this week. I am on my second day (Tuesday, September 30) of my 6th round of chemotherapy. I have begun feeling worse sooner this time. After this round of treatment we are scheduled to return to Houston yet again, for more tests. We will be traveling the week of October 13, and hopefully will be able to return home as quickly as we did last month, especially after this last hurricane, “Ike”, we are not sure what shape we will find Houston to be in.

We are rejoicing in the wonderful news I received. We thank everyone for their continued prayers, and we pray for continued blessings this next visit to Houston as well as into the future.

Friday, August 22, 2008

Round 4 At Home

We’re home! We left Houston on Friday August 8, 2008 and returned home to Georgia on Saturday August 9, 2008. Marissa’s mom and Gary met us at our house with the boys (Paddington and Yogi), who were just as excited to see us as we were to see them. As soon as we walked in the door at our house we noticed our home makeover immediately. All of the projects that we had started had been finished thanks to Christine, Gary, Meaghan, Nathan, Maison, and Ashleigh. They even tackled some projects of their own inside and out. Sunday we went to Meaghan’s and we were surprised by a dinner party with everyone there to celebrate my return. Thank you everybody for all of your hard work and thoughtfulness, you really made coming home special, and our house looks so good we didn’t even recognize it.

Monday August 11, 2008 we met with my new doctor in Georgia, Dr. D’Amato at Emory Crawford Long. She came to Atlanta from Tampa to start up a Sarcoma Department at the hospital. Dr. D’Amato was very informative and very personable, and Marissa and I both really liked her. My chemotherapy was scheduled to start on Monday August 18, 2008.

The rest of the week we spent unpacking, settling back into our house, and getting reacquainted with our dogs. I went to work to visit everyone and catch up on all that had been happening, and Marissa went and watched Jack a couple of days. Saturday we had everyone over to hang out and have pizza before chemo began again, it is so nice being home and having visitors.

Monday August 18, 2008 we left for Emory Crawford Long at 7am. We didn’t get home that night until 7pm, and we were both exhausted. The day was filled with my usual chemo regimen but the staff had to familiarize themselves with my orders and medications. It took a little longer because typically a patient receiving my chemo at this hospital is admitted all week as an inpatient. Since I preferred to remain outpatient the typical little kinks had to be worked out. Marissa and I also had to get used to the way Emory Crawford Long does things-everywhere is different.

Round 4 has not been as bad as Round 3, and I am thankful for that. I have experienced some nausea and definite fatigue. As soon as we get home at the end of the day I eat dinner and go right to bed. It is great being back in my own bed. The days are very long and the commute is tiresome, but I would still rather deal with that than be confined to the hospital for 5 days. Also, the nurses are quite nice and since it is a small facility I see the same nurses daily, and they already know me.

We have a week and a half at home to rest and then we leave again for Houston. We are praying everything is still working as it should be and we will only have to stay there for 4 days. As of right now we do not have internet at home, so I will just continue to post when internet is available and as I am able.

I also wanted to thank everybody back in West Tennessee for all of their hard work in planning and hosting such a successful spaghetti supper in my honor. The turnout was huge and it sounds like it was a great time. I wish we could have been there. I know there are a couple of other benefits in the works and coming up soon and I just want to thank everybody involved, please know how truly appreciated everything is, thank you all again.

Monday, July 28, 2008

The Results Are In...

Since it has been a couple of weeks since my last posting I will just review the major events of that time. I did much better the last round of chemotherapy. I did not experience that much nausea or loss of appetite. Two days after I was unhooked from all of my chemotherapy medicines I had a follow up appointment with Dr. Lalani, the pain management doctor. After I told him that I am no longer in any pain we decided I no longer need to be taking Oxycontin for pain. He was quite pleased that I was pain free and told me if he had to give credit where credit was due then he said it was from the chemotherapy working, not the pain block. Marissa and I of course gave credit to God. We were thrilled, as this was now the second hint we had been given that the chemotherapy was probably working. As far as the Oxycontin went I was told to wean myself off of it by substituting a shorter acting pain medicine, Dilaudid, over the next nine days. Immediately after doing this the next few days were horrible. I could not eat, I was nauseous and vomiting, and I had a headache that I could not shake. These symptoms ran from one day to the next and did not let up. Marissa and I attributed these symptoms to be withdrawal symptoms from the Oxycontin. We googled Oxycontin withdrawal symptoms and these matched what I was experiencing. We also learned that withdrawal symptoms from Oxycontin are worse than that of Heroin. Thankfully, by day 4 of these symptoms I was feeling much better and my headache was finally gone. After that I felt better each day and slowly began rebuilding my strength, as I was more fatigued than I had previously been with round 1 of the chemotherapy.


Marissa's mom came on Sunday, July 20, and I was feeling good enough to get out and go places with her and Marissa. On Monday, July 21, we received a call that our name was taken from the free apartment list and that a free apartment was available for us to move into. Fortunately Marissa's mom was here to help Marissa pack, load and unload the car. We moved into our new, "free" apartment on Tuesday July, 22. It is nice and new but very small, much like an oversized hospital room with the same tile flooring. But, we were just happy to be there and save some money on rent. We are still enjoying everyone's cards but we ask that they are no longer sent to our old address on Brompton Rd. as we will no longer receive them.

My parents came on Tuesday, July 22 to be here for my testing and results. They were able to stay at our old apartment as the rent was paid up until Monday, July 28. Wednesday, July 23 began my 10 hour day of testing. It started with blood work, then I had a chest x-ray, and lastly I had a cat scan of the abdomen and pelvis, which involved a 4 hour wait.

Thursday, July 24 I had an appointment with my oncologist, Dr. Trent. He was to discuss my test results with me. My appointment was scheduled for 4 pm. Dr. Trent was running 2 hours behind which of course meant more waiting. We had high hopes that the chemotherapy is working and two doctors hinted that they thought that it was, however we were still a little anxious as we had no concrete results. When we finally met with Dr. Trent we were told the wonderful news that the chemotherapy has shrunk my tumors significantly. I asked Dr. Trent if they were smaller even than he would have thought and he said that yes, it was shrinking the tumors more than he expected. We could not be happier or feel more blessed by this news. We decided to start Round 3 of chemotherapy in Houston since we are already here, but we are planning on returning home for my next round of chemotherapy. We hope to leave for Georgia around August 8 as long as my white blood cell counts are normal. Then I would start chemotherapy there around the 14 of August, and then we would return to Houston the first week of September for another round of testing including a cat scan and then meet with the doctor for those results.

Well, that about sums up the last couple of weeks. We are delighted by my fantastic news, and I could not have asked for a better birthday present. I am on my third day of my third round of chemotherapy. I am feeling pretty good, just very tired. We are looking forward to returning home and seeing our home makeover, getting our dogs back, and of course seeing family and friends. Thank you so much for all of the prayers which we continue to ask for.

At the rate at which I make posts, hopefully next time I write I will be writing from home in Georgia.

Wednesday, July 9, 2008

Round Two, Well Under Way

Sorry, sorry, sorry. I will continue to try to do better because I know this post is two weeks overdue. On Friday June 27, I had my last visit with the nurse practitioner for my follow up for neutropenic pathway. The doctors told me that my blood cell counts had rebounded incredibly quickly, and they asked me if my bones hurt. I contribute this blessing in part to my age but mostly to everyone’s prayers.

On Saturday June 28, I was feeling so much better that we decided to venture out. After looking up “101 Things to Do in Houston” which included on their list a tour of MD Anderson Hospital and scouring the hospital waiting rooms for celebrities, we knew we had to look outside of Houston for our entertainment. The one item on the list that actually caught our eye was a visit to Old Town Spring, a small town outside of Houston with “over 150 eclectic shops.” We had a good time and true to its description Spring had tons of little boutiques in old houses and cottages. We had bar-b-que on an old caboose, and we enjoyed being tourists for the day.

Sunday June 29, we enjoyed a day of rest while we waited for my brother Frankie and his wife Doris to arrive from West Tennessee. Frankie and Doris arrived around 10 pm. As excited as we were for their arrival we had only a brief visit and we quickly retired.

Late Monday morning, June 30, after catching up on rest and missing breakfast, Frankie and Doris picked us up and we went to lunch at a local bar-b-que restaurant. Although I was feeling better with each passing day my poor appetite was the one thing that really lingered. Lunch was fantastic, but I ended up taking most of it home with me. Despite the fact that we all slept in, we decided that an afternoon nap was just what we needed. Frankie and Doris came back over around 6 pm, and we opted for another Astros game. We did learn something from our previous Astros experience that it is okay to buy tickets at the gate. Houston Astros’ games never sell out, unlike the Atlanta Braves.

Tuesday July 1, Frankie and Doris were planning to leave around 9 am, and my parents decided to leave and ride back with them to give us a little space and take care of things at home. They told me they would come back at the drop of a hat if I needed them to.

So now Marissa and I are on our own with all of our families on standby. Wednesday July 2, we had an appointment with an occupational therapist to go over my wheel chair assessment, that we had requested a month before when my pain was at its worst. MD Anderson actually measured me to fit me for a new wheel chair that is rented on a month to month basis. It can be kept as long or as little as I want, and it can also be picked up and returned even if I go back home to Atlanta for treatment. Wednesday was also a day of errands as I was scheduled to start chemotherapy again on Thursday. This way we would have anything and everything I could possibly need so Marissa would not have to leave me alone during my treatment. We saved the best errand for last, to go to the Social Security Administration Office and enroll for Social Security Disability. While we thought this would be a nightmarish task, it actually turned out to not be so bad. A couple of nice gentlemen helped us, and we were out of there in about two hours.

Thursday July 3, I had routine blood work in the morning as well as a chest x-ray. I had an afternoon appointment with Dr. Trent just for a check-up and question/ answer session before I began my second round of chemotherapy. He said that my blood work came back normal and that my chest x-ray was clear. This in itself was great news because had these tests not come back normal I would not have been able to start my second round of chemotherapy. Dr. Trent was interested in how I tolerated round one of chemotherapy. Since my nausea began on day 3 last time and lasted until after it was over, he added a long lasting nausea medicine to my daily chemo regimen. He also prescribed Diflucan, an anti-fungal medicine, to prevent me from getting thrush again this round. I was also prescribed Levoquin, an antibiotic that will prevent infections. This will hopefully prevent me from ending up in the Emergency Center with another fever. He followed up with a physical exam. After feeling the mass in my abdomen he said that it appeared to be softening. He commented, “That’s encouraging,” which we hope we did not take out of context because most doctors, and especially Dr. Trent, are not into making comments for the sake of encouragement. Overall we were thrilled with the news, and we proceeded to check in for chemotherapy after 5 pm.

Friday the 4th of July we reported to the Cancer Center for day two of chemotherapy. During the chemo treatment all I could think about was being in the Cancer Center on the 4th of July. I had to see some fireworks to liven my spirits. I asked the nurse where we could catch the best show of fireworks and she said without a doubt, Clear Lake City. Clear Lake City turned out to be about a thirty minute drive, and my IV drip was scheduled to end at 7:50 pm. We knew the schedule was tight as we rushed out of the Cancer Center. The fireworks were scheduled to begin at 9:30 pm, and I couldn’t miss the show. We drove into Clear Lake City around 9:15 pm, just in time to sit in a traffic jam on the bay bridge. As it turned out that traffic jam ended up not moving for the entire duration of the fireworks, giving us a perfect view of the show over the water.

Saturday and Sunday, July 5 and 6, were both uneventful days. Life as a cancer patient on chemotherapy becomes a cycle of 21 days, with day 1 being the first day of chemotherapy. Saturday, Sunday, and Monday (days 3, 4, and 5) I felt much better than I did on days 3, 4, and 5 of the first cycle. I did not experience the nausea as I did previously, but on days 6, and 7 (Tuesday and Wednesday) I felt worse than last time.

Today, Wednesday July 9, I am still feeling incredibly fatigued, but fortunately that is really my only complaint. As the chemo works its magic it takes some “good” cells with the “bad” ones. They warned me about “chemo brain,” the effect the chemotherapy would have on my mental capacity. I have noticed that my thoughts are not as clear, and that my attention is not as devoted. This has shown an effect on my blog posts. The solution may be to blog more often so that I do not have to remember as much, we’ll see how that goes over. Special thank you to Marissa for helping me remember past days and typing my posts as I lay here and dictate.

A Few More Pictures

Frankie and Me at the Astros Game - July 30, 2008
(First picture of me without hair)

"The Card Wall" in our Houston Apartment (which has now turned he corner)


The best picture we took of Old Town Spring - June 28, 2008

Saturday, June 28, 2008

Some Pictures of the Good Days

A larger view of the Profile Picture (Me and Marissa, 9-23-07)
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Panama City Beach Vacation 2008 (Marissa's Family)

From Left: Christine, Gary, Ashleigh, Maison, Owen (top), Jack, Meaghan, Nathan, Marissa, Me

(Click Image for Larger View)


Houston Astros vs. Milwaukee Brewers June 10, 2008

From Left: Hunter, Dawson, Me, Marissa

(Click Image for Larger View)

Mom and Dad at the Astros Game

(Click Image for Larger View)


IMAX movie at the Houston Museum of Natural Science June 22, 2008

From Left: Chris, Me, Chad

(Click Image for Larger View)

Wednesday, June 25, 2008

The Effects of Chemo

In the last post, late Friday night, June 13, after two days of chemotherapy, I had decided this chemotherapy thing wasn’t so bad. Basically, the process consists of going to the Infusion Therapy Dept. at appointment time, and being taken to a nicely appointed treatment room. The rooms are equipped with relatively comfortably beds, nice flat panel TV’s, and DVD players, with a comfortable chair for one caregiver. After starting up a movie, the nurse hooks up my chest catheter to the IV line and the chemotherapy chemicals begin to flow.

As you know, as of late Friday night, I really hadn’t felt any effects of chemotherapy. When I woke on Saturday morning, it was a different story altogether. I had come down with flu-like symptoms, nausea, vomiting, lightheadedness, fatigue, etc. You name the symptom, I had it. Needless to say, the next few days were little more than a blur. I really thought at the time that I was conscious and coherent. I realized later, maybe around Wednesday or Thursday that I was not. I spent most of Thursday and Friday catching up on the few days of my life that I had just missed. I returned telephone calls that I had missed, reread all of the blog comments, reread emails, and reviewed all of the mail that I had received. The mailbox at the apartment is full of cards every day. I must tell you, nothing lifts my spirits more than reading all of your cards, blog comments, and emails. I really wish that there was some way for me to acknowledge each one. Please know that each one is greatly appreciated.

Late Friday afternoon, June 20, I had developed a low grade fever. Fever, of course, is bad news for a chemo patient. Tylenol is off limits, because as a fever reducer, it masks the signs of infection. I have strict instructions with regard to monitoring fever, if it reaches 101˚F I must go straight to the Emergency Center. Friday evening, I was nearing 100˚F. Marissa stepped out for a moment to “make a phone call”, and returned to the apartment with a group of my friends from Tennessee. Chad Dunivant and his wife Jessica, and Chris Chandler and his wife Amanda had made the 13 hour drive to visit. The whole weekend had been planned without me. I was completely caught off guard when they walked through the door. It could not have been a better surprise. Over the next few hours my fever had dropped. I even felt good enough later in the evening to go to their hotel room and visit for a couple hours.

After returning back to the apartment for my nightly medicine regimen, I turned in around midnight. I managed to get a couple hours of uninterrupted sleep. Around 3:30 am I woke with a fever. It had returned, this time a little more severe. I lied in bed for a while, wondering what to do, wanting to go back to sleep. I decided that I should wake Marissa and check it out. The thermometer read 101.3˚F. I guess this meant another trip to the Emergency Center. At least this time I wasn’t going in for unbearable pain. We ended up staying in the EC for about 8 hours. During my EC stay, my fever reached nearly 103˚F. They got my fever under control with Tylenol, gave me a few antibiotics through my IV, and prescribed me a whole host of new medications to take home to treat any infections I may have as well as to treat the thrush I was also diagnosed with. Thrush is an infection that lives in the mouth and throat and that is painful all the way down the chest into the esophagus. It can be caused by oral antibiotics, which of course for me at this time are plentiful. They also took some blood and urine cultures to check for infection. The cultures, they said, would take 48 hours for results. The antibiotics were precautionary.

After getting out of the EC around lunch on Saturday, I spent the rest of the day sweating out my fever. My visitors were able to come to the apartment Saturday evening and watch a movie. I just didn’t feel up to doing much more. Sunday morning turned out to be a different story. I woke up feeling good. I had a few appointments to make at MDA in the morning, but I was able to meet my friends around lunch and spend the rest of the day exploring Houston. We ate lunch at Chili’s, where I decided to splurge and order a kid’s ribs and fries meal. This was the most I had been able to eat since the chemo. After lunch, we went to Houston’s Museum of Natural Science. We saw exhibits on geology, dinosaurs, and Leonardo da Vinci. We also were able to catch an IMAX movie on the Grand Canyon. I was definitely feeling good on Sunday, and I was able to take advantage. The day ended with an Italian dinner at Prima Pasta around 10pm. I was completely exhausted, but in a good way.

My friends left Monday morning around 9:30 am after meeting me at the hospital for a quick tour and breakfast. Having them come and visit was definitely medicine for my soul and a terrific surprise. They did not get home until midnight on Monday, and they all had to be up bright and early Tuesday morning to get back to work. I cannot express to them how much their visit meant to me. The rest of the day I had a quick follow up appointment in the EC where I was told my white blood cells were back to normal. On Saturday they were at 0.6, Sunday they were slightly higher at 2.3 and on Monday they were at 10.2. The normal white blood cell count is 10, so everything is back on track with me regaining my strength and immune system, much quicker than expected. I guess that is just the healthy 25 year old in me making that rebound.

Tuesday was another great day for me. I did not have any appointments so the entire day was mine to enjoy. The nurse practitioner called me for a follow up consultation on the phone. My blood and urine cultures came back, and they were both normal with no signs of infection. I count my blessings and rejoice for each good day I have and all the good news I receive.

That brings us to today, Wednesday, June 25. I had an early appointment for lab work this morning, but we did not quite make it there on time. I woke up and took my shower with a full head of hair only to step out and notice that in that span of twenty minutes most of my hair had fallen out. Rather than leave the house with only small patches of hair I had my mom shave my head quickly before my appointment. I knew losing my hair was part of the process, and I suspect in a few days the rest will be gone. After my lab work I was met at the apartment door by the FedEx delivery man. Again, I found myself surprised. My coworkers at Gwinnett Sprinkler all pitched in to replace my IPOD after reading that it had been stolen out of our car. So not only do I have an IPOD again, but this new one is even better than the one that was stolen. This afternoon I have another follow up call with the nurse practitioner in the ER. Friday is my last follow up appointment with the Emergency Center for my neutropenic pathway (this is MD Anderson’s special program for monitoring patients with low blood counts). I am feeling well enough to get out and enjoy my free time. This is the best I have felt in a long time as I am pain free and able to walk on my own without my wheelchair. Walking is great exercise for me. The weather is so hot here that we usually try to avoid outdoor activities and today I think we will visit the local mall for the first time.

I have received countless calls inquiring on the status of my posts. I am astounded by the number of people who check my blog numerous times throughout the day and I apologize for the delays, but as always I remain grateful for the prayers and support.

***Happy Birthday to Meaghan, June 25, we wish we could be there to celebrate with you, but we hope you have an awesome day and we love and miss you!!