

Thanks, Ed
Aside from all the more heinous things that have been happening around here...there have been moments of sheer joy and happiness...
Friends and family have come together for us, gone out of their way to help us in any way that they can...I am amazed. I am thankful for all the things so many of you have done and I don't even know how to repay them in my lifetime...The cards, the gifts, your time that so many of you have given us.
There just isn't enough to say except Thank You and wish so much it was more!
I have hit an all time low lately. I feel like one of those blow up things, I don't know...I guess from the sixties and seventies, that are shaped like a huge skinny eggplant with some cartoon character, usually of some cheesy pursuasion, that you smack and knock down but it just keeps rolling back up. Except my version would be defective since some of the come back ups take longer for me....especially the last almost three months now.
It started when I coughed up some blood on Sunday night.
I guess it goes without saying the level of sheer and raw panic that ensued on my part was through the roof. I can just picture Ed in my mind trying to make me laugh by saying "Yaaa Thiiiiink?!?" with that great smile of his.
I was blasted out with one nightmare after another that night. It didn't matter what position I rolled into (not that I can just "roll" into any position right about now, but whatever...figurative. I turned my head. LOL) anything to get out of that dream from hell....only to find myself smack dab in another one that woke me up simply from the dampness of tears on my pillow, my heart feeling like it was up in my throat pounding away....Three of them, if my calculations are correct. Just those types of nightmares where the aftereffects linger with you like a dark cloud, your body and mind feeling like you actually experienced what you did in that dream....They get under your skin....They haunt you.
Too many nightmares about death. Too many nightmares about the whole process of dying.
And worse....too many nightmares about leaving my husband and kids behind. Images flash before my mind like a slideshow: all from a future I am no longer a part of. The thought I can't quite bring myself to entertain...always skirting the edges of it, albeit against my will. They sneak in when I least expect it...Blindsided while doing the most mundane everyday things....
I cannot go there. Not yet. Hopefully, and God willing, not ever.
I normally try to be as positive as I can be, but overall, I guess I am pretty average compared to most people facing my type of diagnosis. Strength...this week, I felt nothing but defeated. Strange how feeling sick....and I mean really sick, can bring you so dangerously close of digging in a little bit too deep into pit of negativity and morbid thinking that it can be more than a little difficult to claw your way out of. I felt so sick...But the thing is, when you feel like complete and utter shit, it is far, far to easy to think about death...the whole process...too conveniently easy to slip....
And I am petrified.
Now, in the hospital this go around for my week off (harhar, yeah right. lol) I can honestly say that this has to be, hands down the ultimate chart topper just simply due to my volume of panic attacks (serious ones where I literally could not breathe) and crying jags.
I was instructed to get into the onc's office first thing Tuesday morning since my temperatures were staying high. I had to have some bloodwork done and have the Doctor give me a checkup to make sure this is typical IL-2 side effects that I was experiencing and not some other infectious process like pneumonia. The appoinment was mostly to determine if I would have to make a couple of treks back and forth to the cancer center to get IV fluids again, or just be admitted to the hospital where everything could be done in a more timely manner test wise especially. This was important as my oncologist wanted to bump up the dates of my post IL-2 scans due to my steady increase in pain in a few new spots in my bones. The CT and PET scans could be scheduled all within a couple of days while I was in-patient and he would get the results quicker, the cultures and other tests could be done with more ease, and I could get the IV hydration and IV pain control meds to get my pain more back to a manageable level. It all depended on how aggressive the doc wanted to be with all of this.
Hospital admission it was. Memorial Day weekend off, then back in the hospital we go. Saw my sweeties for one day then they came home on Tuesday to find out that I was back in the hospital again. Ed explained that since they saw how sick I looked and seemed, didn't they want me to go back and get all fixed up and better? Mopey okays were the response, but the understanding was there. I missed them too :(
Since being here though, it has been scan after scan after scan in just these 2-3 days. I felt so beyond sick...like death warmed over when I got here, and I definitely feel a damned sight better than I did, that's for sure!! But mentally.....HooooBoy.
CT scan almost as soon as I got here on Tuesday afternoon and a PET scan at the virtual buttcrack of dawn on Wednesday morning. The doc already had the results when he came in to wake me up Thursday morning.
"There has been significant progression of.....
I lost it. I mean I totally started sobbing, shaking and crying...It must be hard to be an oncologist. I didn't even need to hear the end of that sentence. I knew what he said. He told me that we probably would stop the IL-2, so I asked him if it was still possible that since the scans were two weeks early, that something could still happen? He said most likely, not. My disease progressed in spite of IL-2, so it would be his opinion that I was not a responder. He did tell me that the new sites were still within organs that already have metastases in them. Just more spots now. He also told me that some of the lung tumors are pressing on one of my major bronchi/airways in my right lung, so this would explain the shortness of breath. OH, and lest we forget the lovely episode of coughing up blood...SHIT. I wish I could forget. But I do believe that one is seared upon my brain forevermore. He also said the PET showed multiple hot spots in my bones. Not sure if these are new ones, but I do remember I had several of them. Another SHIT. And of course, my liver. He said that they didn't really get into the sizes of those, only that it said "multiple."
RRRR.
So tonight, at 10:00 p.m. YEP, that was 10pm at night, I was wheeled on down to the MRI department for a detailed scan of my spine to check for nerve compression or if the tumors could be affecting any nerves; to check for any impending or existing pathological fractures to those vertebrae. I will most likely be getting more radiation treatments to a few areas. The good part with this is so far *knock wood* the first two treated areas (the sacrum and right hip) seem to be the only spots NOT hurting right about now. So maybe it kept them at bay for a bit, and hopefully it will do the same for these other bastards!!
Oh. And another MRI of my brain. I think everyone knows how completely over the edge that one can drive me. Not that this singles me out in any way. Far from it. An MRI of the brain would, I am quite sure, have a very similar effect on most people with melanoma.
Wow....This has to be some kind of record-breaking blog as far as length goes for most of my blogs...and some of them, I gotta admit, are pretty damned long.
I just felt so alone and detached all week...Scared completely out of my wits, horrified, broken hearted, turned upside down...again....Yet I didn't even have the energy to pick up the phone, get on the computer...email people...post. **I think I made a permanent butt print on that sofa cushion**
It means the world to me, all the comments and caring thoughts so many of you posted to me. Thank you all so much. Every word and all of you give me strength....not to mention how HUGELY it helps to read all of your words!
As for me...I now enter limbo land once again. But if there is anything I know for a fact it is this: I think my melanoma and how aggressive it seems to be is even frightening the docs a bit...so I know things will move fast. The onc started listing some of them yesterday morning. He told me that he would confer with my oncologist at Jefferson on what the next course of action should be.
Gotta start cramming again on all of my options.
I would never have believed how severely mentally and physically fatigued you can get from just being dehydrated, but obviously, it's true. Well, that, plus I just did one of the most aggressive treatments known to melanoma patients:IL-2. That would do it. heheh. It was beating the living shit outta me, to put it lightly.
I can obviously only hope it is doing the same pummel job on melanoma right now as I type this.
The nurses even had an explanation for the delayed reaction of my flu-like symptoms. The IV drugs take a while to completely leave your system, so it wasn't unusual at all to start feeling completely baaaad on the third day home...I did have fevers and stuff the first couple of days, but that was about it.
On a funny note...Here I sat thinking I was just dozing away the hours while I was in the hospital...I felt like I had lost some MAJOR time while I was getting the IL-2, when if fact, according to Ed and my sister, I was all sorts of whacked out. I did actually hallucinate and hear things that weren't there...TAlked to myself a few times...Cussed the computer while I was blogging or posting, thinking the blasted thing broke, when in fact it had only gone into energy saver mode, it took me that looong to make a post...Oh, and the bizarro dreams...They told me all about a few of them that I woke up from in a complete state of panic. Then they laughed when I told the nurse I always have vivid dreams..."What about the mutant wasp-hornet woman, hon...what about that one?" Ed says...
Oh, and to all who know me and my obscene soda drinking habits. WEll, now that is no more. Strangely enough, I could not even tolerate the taste of cola...well, of anything, really, but cola just hit the switch right away. So, no more soda for this chick. Believe it? This from a woman who was lucky to get through a day on less than a 12 pack case of cans of caramel cream Pepsi Jazz. lol. The strange coincidence is that I know diet sodas are very bad for you for a number of reasons...
And that was the one thing I still can't tolerate. Yuk.
Oh, and along with having my IV anti-emetic, my doc finally prescribed Marinol. So far, so good! (Thanks so much, Jane, again, for your excellent advice!)
On another note, I am getting more and more excited and anxious to finally meet my good friend Amy! I know it won't be the prettiest of cirucumstances, by far, but still, I am ecstatic and I can't WAIT to meet her. We have been emailing, and talking on the phone for almost 4 years now...It is going to be so GREAT! This MOnday is the big day, whether I get to start Round 2 or not. I am so thankful for her husband being so understanding about hopping on a plane to come all the way out from Texas to come sit with me...so wonderful and caring of him.
Mostly, for today, I am filled with happiness over the fact that it is a beautiful day outside, I feel better than I have in a whiiille (knock wood) and things are good....so good for so many reasons....
It's so hard, because I know I hung such high hopes on this treatment...To be told I (or to be totally and completely fair, my body) could only tolerate 5 bags was a blow. A sort of mild one, at least in respect to the blows I have been dealt over these last few weeks, but still a blow.
Also to be fair, it isn't all or nothing....and nothing means the end. I will get to come back on May 21st and try once again to kick some ASS! Come Hell or High Water, that is what I hope like Hell I get the chance to do at that time....
It is also so very hard when you build your mind, your thoughts, your hopes, your dreams up so strong. Get ready to fight in all the ways you can. Be brave. Be strong. Be courageous. NO matter how scared you are of whatever may be staring you in the face, be courageous and face it head on. Convince yourself that no matter how tough things get, to keep plugging on through it. This is necessary. Your WILL is something YOU can control.
To a very large extent, your body isn't. You can't control how your body is going to react and respond to any number of things that it has been wrought with. You can only plan and prepare so much for what may happen....but in the end, it is all unpredictable at best. You have to roll with the punches...and no matter what comes blasting out of the water and flying at your face, threatening to unhinge and undo you, you have to dig in your heels , alter your plans a bit....pick yourself up...and still....
Be more than ready to fight.
Okay. I absolutely have to lay here all zen like in a state of meditation, trying not to move around too much and trying not to get too agitated, because if I do even one little thing, this touchy little bastard that to you would look like an ordinary portable heart monitor will show numbers that jump from 115 (which is still way too high for me!!) all the way up to 148-150). UGH. I have to keep these heartrate numbers down so I can get my next IL-2 dose which is scheduled for 2:00 pm.
I have far too many tumors lurking about that need their comeupance, and I plan on getting as much of this IL-2 into my system as is humanly possible for me, anyway.
Hopefully it will OBLITERATE IT!
I am holding my breath.
Now, I am sitting here feeling like a wimp...They had to hold my 4th bag because my heart rate shot up too high. I also had a temp of 103, which they think may be playing a part in why my heart rate shot up.
I did mention to them too, that I was recieving an anxiety medication on a regular basis before my hospital stay, and that now (at that time I found out the dose was being held) I didn't remember when the last time I had it was. I was moody times 1000, and my anxiety was definitely ramped up into the nosebleeds section. Had to go through this whole round and round about which doc ordered the Xanax, so I told them which docs originally ordered it, however, the onc in charge of the IL-2 actually ordered Ativan instead, at twice the dose. So I asked them if I could be given that on a regular basis since that is how the doc ordered it. That may help my heart rate go down too...to have less panic attacks, I am sure ;)
I don't know....I just go completely batshit crazy over things that are totally out of my control....I am wiggin' and completely spazzing out over whether or not my heart rate is going to drop down below 120 now...It doesn't seem to be...so I panic some more....and of course, I know this doesn't do anything to help in that department...
Good Lord.
I need to chill. Just haven't figrured out how yet.
All I do know is this: I damn well better get more than THREE stinkin' bags of this stuff, or I will be ripshit mad. GRRRR!
WE will see...sigh.
Now that is reason enough to party. Hell, once you have melanoma, or any cancer for that matter, any good news is reason enough. Or maybe you don't need a reason. Party, if by partying it simply means soaking up all the joy you can get out of life and having the most fun you can doing what ever you think is fun, then Party On whenever the spirit or whatever else moves you.
I do see the oncologist tomorrow, but not until 4:20pm. Now anyone who knows me knows good and damn well I would NOT have waited patiently for that MRI result. If I had to have waited much longer, it would not have been pretty. Weeeelll, it already wasn't pretty, but who cares.
Hopefully not a blessed thing will stand in my way now, the oncologist will give me the green light to go commence to giving melanoma the beginnings of a HUGE ass kicking it so rightfully deserves on Monday.
And...I am armed with some great advice from some great people that I have "met" on MPIP. I will try to barter with the nurses for Marinol (Thanks Jane, for that tip plus the tons of others you offered up!) if I feel nauseated...that one is for certain, because I have had it up to my eyeballs with nausea lately.
I have been nauseated every time I turn around these last couple of days. My appetite just isn't quite right...I lost 4 pounds in 3 days...
Maybe it is those "multiple" liver metastases. I believe I read somewhere that is one symptom that can sometimes show up, among others. Sometimes there are no symptoms, but it would seem I am not quite that lucky. Just haven't felt all that great the last couple days...Too many in my face reminders that I am in fact "sick"...no, check that, very sick...when I would so much rather believe I am NOT. I don't much like acknowledging that little (or not so little) fact.
I am just me feeling a bit off. I would so much rather make like an ostrich and stick my head deep down into the ground. Unfortunately, that option is out right about now.
Being sick though, we can all attest to the fact that that stinks no matter what the cause. I just go on, pretend I am not in most cases, and do whatever I ordinarily do...But nausea, that one is f**king hard as Hell to ignore...I don't much like feelin' like crap.
But today...Now today...I don't care what I felt like, it was a GREAT day!
On another note, I just got a really cooool book. I would recommend it to anyone. It is called There's No Place Like HOPE by Vickie Girard. I actually saw it on Miss Melanoma's page (Thanks Lori, great book!!).
It is so honest...not even halfway through it and I was already laughing, crying...you name it. It's great...
HOPE. That's right.
Tomorrow is another day.....
So, I am now all finished up with my radiation treatments to my right hip and left sacrum. I can actually say I don't have any pain left at all...or at least very little pain, in my left sacrum (low back/back pelvis)...However, I still feel quite a bit of pain in not only my left hip, but also my left knee.
I found out why the knee has been giving me problems, and it literally floored me....of course, not nearly as much..not even in the same stratosphere of that initial X-ray, but that was a false alarm, and that GOD it ISN"T melanoma! That goes without saying...
I got to go see the physical therapist for the first time on Thursday morning. Turns out I have quite a bit of muscle wasting, weakening and atrophy in my right thigh from favoring that leg (the one with the hip met). He could tell from the moment I walked in the joint that I had hip pain, because of how I walked...what a trip. Anyway, as I was doing all manner of leg lifts, he instructed me to put my hands one on each thigh in order to feel the difference in strength versus weakness. My right quadriceps muscle is basically mush. Not much strength left in that one whatsoever. Scary how quickly our muscles can deteriorate with a lack of use. My muscles in that leg had weakened so much that I could barely lift the leg itself much off the table.
And to think, I used to work out regularly until all of this...and I am still fairly young..at least *I* think so ;) HA!
Not only that, but my OTHER leg--the left one--is the one that I had the primary melanoma and all the sub-qs and in-transits, then ultimately a lymph node dissection with muscle cut/flap rotation and finally limb perfusion...So now THAT one is the "strong" one. How whacked is that?
Anyway, he is going to work with me and get me all set and back as close to my old self as he can. He said that he believed my knee joint/knee cap has actually been weakened due to my quadriceps muscle being so weak that it isn't holding my knee cap steadily in place...leaving it to rub and grind around above that joint, causing a lot of pain.
An another note...I have a new pain...and anyone who is a mel patient can definitely sympathize with this one, but ANY new pain whatsoever, especially at stage III or IV, is cause for a virtual panic of potentially epidemic proportions if prompt intervention isn't sought out...I now have a new fairly strong pain in one of my left ribs...It just came about a few days ago, and has been getting steadily more severe and more constant.
To say that this is flippin' me the fuck out would only cover half of it.
I am so worried that this PET on Tuesday is going to light up like a Goddamned Christmas tree. Hell.
Oh! Another cool and sweet thing my hunny did for me was to order me up a laptop/notebook computer for me to use while I am chained in my hospital prison for those few stints of a few days at a time. That is, if I am not feeling too much like dog crap at an estimated 212 degrees farenheit from the IL-2. The hospital where I will be receiving the IL-2 has available computer connection/access, so this will help me SOOO much...because aside from Ed, I most likely won't be getting too many visitors. It is so hard...Much of our family is still working every weekday, and my mom and dad have so many health issues of their own.
I know for a fact that they won't be making the trip...
And since I tend to get very VERY depressed in the hospital, this laptop is going to be a help. As I said, so long as I am not in a complete state of severe fatigue and loopiness and am at least, close to totally coherent--heheh.
I guess that is pretty much it as far as what has been going on here for now...
As always, I am moved so much by all the support, emails and comments I have gotten from so many of my fellow MPIP-ers and friends online, in addition to all the love and support from my family and friends so far....I know for a fact that I wouldn't be half as strong without it. No exaggeration.
Okay. Got that outta my system again, for a little bit.
Now on to my regularly scheduled gripe and rant fest: As seems to be the norm lately, my emotions have run from one end of the spectrum to the other and all points in between. I have gotten mad, screaming practically stark raving hair tearing out mad; bawled my eyes out until they burned and were just about swollen shut; and very very occasionally felt that irrepressable drive to fight like hell...that has surfaced a couple of times anyway...
For the most part...I guess I have just felt completely wiped out...Obliterated. My mind, I would swear, sometimes feels completely blasted out...
As for the radiation treatments, I am now done with treatment # 12. Two more to go, then all the IL-2 testing begins...That'll be a circus I am sure...and not in the ways that make you laugh. Course, that's not to say that I won't seek out things to make lame and sometimes disturbing jokes about later on....
My schedule is going to get even more insane; not just in the time crunch way either. By the end of next week, if I am not in a padded cell with four point restraints getting regular injections of Thorazine, it will be nothing short of a miracle.
Friday (this week) I have to have a CT scan to re-assess my metastases...I am assuming it is to check and get current sizes of the existing mets, and scarily enough, to make sure there are no new ones *I HOPE THE HELL NOT*
Then on the 24th, it's on for another PET scan. At the semi-near buttcrack of dawn on the 26th I have to go back in for a Cardiolite Stress test, then on to an MRI of the brain around lunchtime. Let me just interject here by saying that this MRI of the brain is freaking me out ,by far, a whole shitload more than any of these other tests. For obvious reasons: I hope and pray with all my heart that there is not an eeeeviiiiil melanoma met sinking its claws into the flesh of my brain, but also the less obvious: baby that I am, I gotta confess...I DONT WANT The HEAD CAGE! *cue Psycho theme music*
That thing freaks me out. I'm not kidding.
Then, the 27th is pulmonary function test day. I go in to see the oncologist on May 3rd, I am supposing to go over all these test results and to have any more iL-2 related Q & A...I am sure I will come up with another book's worth of questions, too.
As it stands right now, the date for my admission to the hospital for high dose IL-2 is May 7th. To say that I am scared shitless still somehow doesn't seem to do the sheer magnitude of my raw white hot panic justice.
Don't get me wrong...I am far more than anxious to kick melanoma's nasty and evil ass...but I would be lying if I said I wasn't scared outta my wits.
It just occurred to me that I neglected to mention what my decision was about where to get the high dose IL-2 administered. After a LOT of hair tearing (surprised I don't have bald spots yet), I finally decided to go with the hospital that is close to my home. I can only imagine how this might confuse some people...they may not understand it, considering the alternative, St. LUke's Hospital, is a highly respected institution more than skilled...experts at giving IL-2....Ultimitely, it came down to personal and private family reasons that steered my decision. NOt that I haven't seriously made sure that Helen F. Graham is highly skilled...I have. It is a relatively new place, in the beginnings of making and establishing a good reputation for itself.
The doc and the whole staff that will be in charge of my care while on IL-2 have been rigorously trained by the staff at Pittsburg, which is another IL-2 certified and respected place. I will be receiving it in the bone marrow unit, but will be under the care of only the docs and nurses who have been trained thoroughly in giving the IL-2. I will be getting the care and nurse to patient ratio that is comparable to that in the ICU...
Plus, I got to chat on the phone to another young woman who has actually completed her course of high dose IL-2 there. She is a 21 year old stage IV melanoma warrior...and even after chatting to her once, I could tell she is a fighter...Anyway, she couldn't say enough good about this place...
I feel a little bit guilty about not going to St. Lukes, if only for all those amazing folks who were so caring as to offer to pop in and see me while I was there...I feel bad about that...still wish I could meet some of you :(
Anyway...that's where things are at with me right now.
On a side note: I was majorly pissed to find out that I was completely blown off for that Family Circle article. Kudos going out to those women who were actually published in that article to speaking out though! I just got so steaming mad...That chick sucked up over two hours of my time..two separate interviews..Plus, she asked me to email her some digital pics of myself and myself with my family.
A second woman even contacted me saying that she was the fact checker for the article. She read me, word for word, the article as it would appear in the mag. She told me this was how it would appear. She told me they were using my story, and that the issue was going to be out mid-April. WTF. Why did that wench have to go and lie to me like that...that just ain't right, and if I had half a mind to, I would be filling her email box with a hefty dose of hate mail. LOL.
Well...color me retarded...once again.
As for that article I sent in to that local magazine, I haven't heard back from the girl I shot the email off to yet... :( :(
Bummer. Oh well...hoping I will get a chance to speak out some day....
A place for me to rant, rave, vent, ramble, get thoughts out and go off on melanoma.
A place for me to rant, rave, vent, ramble, get thoughts out and go off on melanoma.