2013/07/23

doxil not working

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on my way home from the NOLA/KY trip, i stopped in the bay area (spent a nite with kelly in half moon bay, above is the view from her living room window!) to get a PETscan & see my specialist oncologist at UCSF.  scan showed that the doxil treatments are not working.

tumors are bigger & more numerous.

dr.Chan recommended trying a combination of gemzar & avastin, with an expectation that it could shrink the tumors slitely.  the best they can offer me.  he told me what i already knew, that this cancer will eventually take over & he can’t really tell me how soon that will happen.  “If you ask me will it happen in the next 3 to 12 months, I would say highly unlikely.  If you ask will it happen in the next 2 to 5 years, I don’t know.  Any time I tell anybody numbers, I’m always wrong, there’s no way to know.”

OK.  sounds like he thinks i can count on at least another year.  i’ll take it.  but i’d like 5!

boomer & i were so glad to see each other…

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then i kinda just went to bed for a couple weeks.  processing cancer news & some family drama, & just recovering from the trip, which of course was stressful.

then i went back to UCSF to see dr.Abrams, the integrative oncologist, & came out of that meeting feeling better.  he agreed with the gemzar/avastin plan (as did my local oncologist).  & besides encouraging me to make my end-of-life decisions & otherwise moving to eliminate sources of worry, he recommended getting acupuncture.  to both build up my body’s defenses, & to assist the chemo in doing its job.

at gyncancer support group, i got a rave review of a local acupuncturist who has studied alternative support modalities for cancer/chemo.  i’m going to be getting in touch with her…

in the meantime, i’m making some progress with the great purge.  not so great yet, but i’ll have plenty to set out on the table i’ll have at the westhaven rummage sale this sunday, during wild blackberry festival!

lovin the garden.  been eating LOTS of berries — raspberries, blueberries, gooseberries — & these daisies showed up all over the back yard…

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fotos:  july garden

2013/07/23

june 2013

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train trip!

amtrak doesn’t make it up to humboldt, but they run a bus up here, so 1 day of travel is by bus, to martinez, where i had to spend a nite in a motel, then the “coast starlight” to LA, change to the “sunset express” all the way to new orleans.

where i had reserved a bed in the marquette house hostel…

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& here is one of the reasons for the trip…

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the kids!  neice roxanne, nephew alex, their halfsister nanou (who had arrived from haiti to join the family only a couple weeks earlier)

i stayed over a week & we did lots of fun stuff, including a trip to the zoo…

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fotos:  audubon zoo 2013

then i drove my rental car up to kentucky for cole family reunion on decoration day at blackwater cemetery, where many coles are buried…

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& much reminiscing & hugging happens…

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i stayed with my brother kevin who owns a sweet piece of property, including this wonderful barn, in lily KY, in the same community where our grandparents lived…

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i later drove up to ohio to collect a couple cousins who couldn’t make it to decoration, & we all had our own foursome reunion at patricia’s place in indiana.  the 4 of us spent a lot of time together in childhood & now cherish any time we can do it as adults…

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cousins bonnie, sue, patricia, pamela

then i headed back to new orleans to see the kids again, we went to david’s grave on fathers day…

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many more fotos of the trip

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2013/07/07

cycle 4

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(columbine were blooming all over my garden back at the beginning of may when i had my 4th doxil treatment, that’s so long ago, this feels like writing fiction, but i do want to catch up…)

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kathy & riley so kindly took me into their home again during my down days, bless them.  didn’t have too bad a time, only retched a couple times, appetite returned quickly.  weather was wonderful as i recall, i spent some lovely time recuperating on the deck under the cherry tree as petals fell.  so comforting to be looked after so well in such a beautiful place…

fotos:  kathy & riley’s place in may

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boomer totally unfazed by the healing wounds, tho i’m calling him scarface.

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memorial day weekend around here means kinetic sculpture race.  gorgeous day on saturday for the first day of the race, here are some of the sculptures just a couple blocks from arcata plaza, where they began their 3-day adventure…

fotos:  kinetic sculpture race

i’m taking a break from the chemo to take a trip!  riding Amtrak to new orleans, staying in the hostel there for over a week, hoping to take Roxanne & Alex with me to kentucky for the reunion of my mother’s family that happens every june.

my kentucky ditch lily bloomed in time to see me off…

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2013/05/15

3rd cycle doxil

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cheery image in the room where i got infused on 9 april

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there are lots of handmade quilts around sometimes a bankey can be so comforting.  & some of them are on the walls…

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remember last month, on day 2, the day i go back to eureka for the shot, & am hi on steroids, & get lots of errands done, i locked my keys in the car at the park where boomer & i went for a walk?  well, THIS month on day 2, i had a flat tire!  & my cellfone wasn’t working.  so boomer & i took a walk down to the campground not far away & borrowed a fone to call roadside assistance…

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recovery time in the guest room at tracy & richards, not too bad…

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seem to be getting the hang of it.  only threw up a couple times, kept the smoothie down every morning, & had a pretty good appetite after the first day or so.

fotos:  tracy & richard’s place

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back at home, feeling a bit better every day, derek built me a front fence, how nice to have a lovely new fence instead of a pile of trash to keep boomer in…

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unfortunately, while there was no fence, & boomer was on a rope, a neighborhood dog came bounding into the yard, NOT welcomed by boomer, you know how dogs can feel vulnerable & defensive when on rope when another dog isn’t?  & in his own yard too.  so, anyway, zulu ran INTO my house to avoid conflict, which boomer wouldn’t stand for, so he broke the rope & chased after her.  when i found them in the laundry room, her mouth was attached to his face! i beat her off with a broomstick, found serious wound on top of his head, many smaller wounds, called the vet, loaded boomer up in the van, & off we went to mckinleyville.

THEN, just at the edge of town, rite at the bigfoot station, locals will know where i mean, the car stopped.  the engine stopped running.  starter motor worked, but engine wouldn’t catch.  so i rolled into bigfoot, took the keys across the road to the mechanic (!), told them what had happened, & walked the rest of the way to the vet with boomer.  spent the day in mckinleyville waiting for dog & van.  a couple stitches.  cam position sensor.

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never really got over feeling very tired all the time, but had some fun anyway.  this is debbie dew & me at breakfast at the alibi, kathy reid’s birthday celebration, after which we went to farmer’s market, my first this year…

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boomer & i got out for a few walks, here’s the view from the hammond trail where it runs to the west of the 101 vista point…

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& while i was sitting there to take the foto, a ladybug landed on me!  such a good luck omen…

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2013/04/06

second cycle doxil

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spring!

guess i’d better write this report, it’ll soon be too late, i’ll be down for the count again all too soon. not so afraid of the next one, ‘cos #2 went so much better than #1! in terms of the nausea at least.
i was prescribed 3 different anti-nausea meds, 2 of which were to be taken for 3 days after treatment, & the 3rd said “as needed”. when i picked them up, i asked the pharmacist if that meant the 3rd was to be used after the 3 days, & he said yes. after i told the oncologist what a horrendous time i had, throwing up for 3 days, she said to take that 3rd drug from the beginning. all 3 meds for 3 days, then just the 1 if i still needed it. she was very concerned, they don’t want us to be throwing up like that, need to be able to keep food & water down! she said if it happens, have someone bring me in for IV fluids & meds. ok. but thankgoodness that was not necessary.

so, cycle 2, tuesday 12 march…

here’s the doxil, isn’t it pretty? i found out that it’s derived from soil bacteria, made me feel more welcoming to it.

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nurse got the needle in on first try again, said my veins are great, port would not be necessary if i was not comfortable with the idea. so i’ll not pursue getting one, for now.

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kathy & riley invited me to spend my invalid week with them, starting on wednesday nite, before i got sick, so we could have dinner & watch a movie together, good idea! wednesday afternoon, however,turned into a bit of an adventure. boomer & i went to the pump station park, one of our favorite places for a leash-free walk, & i locked the car with keys & fone inside! camera, however, i did have. i borrowed a fone to call kathy; when she showed up, i used her fone to call my roadside assistance folks, & here’s kathy & boomer hanging out while we wait…

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view from my sickbed, or as a friend urged me to call it, my “feeling better every day bed”

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fotos:  recovery week at kathy & riley’s

kathy didn’t work any of the days i was there, which i loved.  have decided it’s very therapeutic to have folks around, not necessarily hovering, but around.  voices in the house, activity, & of course the occasional checking in on me.  following the complete recommended anti-nausea meds routine, plus more preventive marijuana (not waiting for the wave of nausea to hit), really worked well.  there was nausea of course, & as i recall 3 times when the gagging turned into throwing up a little, but nothing like last time!  i kept my morning smoothie down every day, plus tiny snacks.  it helps a lot to not let my stomach get empty.  felt like shit,  slept a lot, and by the weekend was sitting up with kathy & riley for dinner (very small portion) & movie in the evenings.  on monday kathy took me home, a good day to leave, as demolition began on the house next door.  boomer of course was thrilled to see me!

and a big surprise awaited in the garden.

friend julia has a gardening business, & since i can no longer keep up with the big gardening projects, i’m hiring her to help.  we had a walk about the place a few weeks ago & i gave her a pretty long list of things that need to happen this year, assuming it would take months & months, with her coming to my garden an hour or 2 a week, if that.  she’s a busy lady.  BUT turns out she recruited a team of my friends to spend their sunday afternoon here in my garden tackling the projects on the list!  amazing!  what a huge gift!  i am truly blessed!

fotos:  looks like spring around here

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2013/02/27

first cycle doxil/carboplatin

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infusion, on tuesday 12 february, lasted less than 4 hours, an improvement over the 6 hours i spent in the chair for taxol/carbo.  they asked me to come an hour before appointment to have blood drawn, so i  dumped my stuff in the room (with a window!) & went for a walk.  that was a good idea, hoping for nice weather on treatment days so i can always go for a walk before getting in the chair.  they say a walk is the best thing you can do to boost your immunity!

my nurse ivy had some creepy information about doxil to pass on. apparently it tends to leak out of capillaries in hands & feet, causing “palmar-plantar erythrodysesthesia”, meaning palms & soles can get red, dry & peel, numb or tingling, & “interfere with your ability to carry out normal activities”.  o yay.  so the instructions for preventing or reducing PPE say avoid heat, friction, & pressure on hands & feet for at least a week after infusion.  no using garden tools, washing dishes, tub baths; “short showers in tepid water” recommended for bathing, doesn’t that sound appealing.  ivy also said patients getting doxil usually have a port placed in a blood vessel, so an IV doesn’t have to be started every time, since accidental leakage at the infusion site can cause damage to surrounding tissue.  eek.  dr.wali had not mentioned this to me, i’ll talk to the ladies in support group about this, i know some of them have had ports.

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so, day 2 was as expected, i was feeling pretty good, went to town to groceryshop, was taking the drugs they recommended to minimize the nausea, thinking maybe the crash wouldn’t be so bad.  ha.

thursday, day 3, i threw up my morning smoothie, couldn’t keep anything down, was in a pitiful state later in the day when tracy called to check on me.  so she came & picked me up, i spent the next 4 nites in her lovely new guest room, being very well taken care of.  thankgoodness, since i was not capable of taking care of myself.

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view from bed in tracy & richard’s guestroom

for 3 days, no food stayed down, & almost no water.  retching & gagging over the toilet all day long, was starting to worry about dehydration.  and this was WITH the drugs?  could it have been worse without them?  what really worked short-time to quell the waves of nausea, as usual, was a hit of marijuana.  when i wasn’t hanging out at the toilet, i was sleeping, but every awakening was accompanied by remnants of very disturbing dreams.

saturday afternoon michaelW came by for a visit, i was able to stay uprite for a few minutes, but i can’t imagine i was good company.  still, a welcome change from suffering alone at home!  i think it was on saturday i finally had a poop, after drinking smooth move tea & pacing a lot.  getting things moving again is always a challenge after treatment!

on sunday i was able to start keeping food down, in small amounts, & get up out of bed for short periods.   richard guessed some cream of rice would be a good idea for breakfast & he was so correct.  for lunch, i asked for 1/2 of a peanut butter & banana sandwich, that had been on my mind, richard said yes, they had those things, & came back with the cutest little pb&b sandwiches & also a sample of pb&b with nutella.  yum!  i think all future pb&b sandwiches will have to be pb&N&b!  jerry came by for a visit, & later jan came by, we sat on the porch in the sun, so sweet.

huge thanks & many blessings on tracy & richard for offering their guest room for a sick room!

came home monday.  boomer was SO glad to see me!  and i was so glad to see him too, tho my greeting dance was not quite so energetic as his.  no one will bring me breakfast on a tray here, but i won’t be sleeping alone any more.

that was the first week.  another week has gone by & recovery has been slow. noticeably  slower than with taxol/carbo, which i assumed would be the case when dr.chan told me these would be at 4 week intervals instead of 3.  saturday, day 12, was the first day that didn’t begin with retching & gagging, what a relief!  also a relief to be waking up undisturbed by dreams.  i’ve been eating a lot, getting out in the garden for an hour or so a day (weather has been mostly beautiful sunny days, what happened to all the rain?), have taken a couple short walks, went into trinidad on sunday afternoon for a piano concert benefit for the library building fund.  that was a treat, lovely music, & saw lots of folks.

yesterday i went into town for support group & choir practice, & i’m considering going back to work this afternoon.  we’ll see.  it’s senior discount day at wildberries market, & have a chamber readers board meeting at 6:30, so have to get dressed & leave home anyway.

i’m still skin & bones, it’s a bit scary.  on shopping list are ingredients for a smoothie recipe dr.abrams gave me, for putting on weight.  full fat coconut milk, & coconut oil.

sad news at home:

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dearly loved peeler died after many decades of faithful service.  no other peeler i’ve ever used could match it for ease, comfort, efficiency, & its stunning simple design…

 

2013/02/27

trip south to meet dr.abrams

dr.abrams

http://www.osher.ucsf.edu/

i saw dr. donald abrams at UCSF Osher Center for Integrative Medicine on wednesday 6 february.

that was the appointment with an oncologist like i always wanted an appointment with an oncologist to be.

incredibly, we spent an hour together!  first visit, but still.  none of my other oncologists were ever interested in actually getting to know me, nor in talking about what i can do to make my body less hospitable to the cancer.

and there was lots of that talk.  and he sent me home with a reading list & a stack of photocopied articles.  much that i already knew of course — keep active, eat organic whenever possible (especially lots of cruciferous vegetables), anti-inflammatory food (can i give up all dairy??), drink lots of water, etc etc.  new stuff — he wants me to get a pair of hand weights, & he recommended a dried mushroom blend.  AND he said the chinese medicine practitioners he consults with were very adamant that one should not feed eggs to a cancer of the eggs.  borders on magical thinking, i know, but i’m not necessarily opposed to employing some magical thinking here.  that would be huge for me, tho, i am such an egg eater.

dr.abrams is convinced marijuana has anti-cancer properties; he is involved in research, put the book MARIJUANA: GATEWAY TO HEALTH on the readinglist, & told me to ask for “hi CBD lo THC” marijuana at a dispensary.  thankfully the compounds which apparently exhibit anti-cancer behavior are NOT the psychoactive compounds!  i would not like being stoned all the time.

my favorite thing was when, in response to his question as to whether i’m spiritual, i told him i like to say i belong to the church of digging in the dirt with your hands,  & he LOVED it!  and then gave me this image:  “what dr.chan & the others are doing is pulling weeds; what we are doing is building the soil.”

exactly the rite thing to say to me.  hard to overstate the power this image holds for me.  & for others, as i have shared it.

got angel flites both ways…

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fotos: angel flite 5 february 2013

video: above the clouds

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fotos: angel flite 8 February

fun with diane & lissa & jane…

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fotos: sausalito & SF in february

botanical garden in golden gate park on a gorgeous day…

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leo villareal talks at SFMOMA…

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video:  leo villareal talks about his art project “bay lights”

2013/02/04

another round…

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cancer catch-up…

i never had another round of chemo after the surgery last summer, as the oncologists wanted, had disappeared into grief & also denial iguess.  so anyway, CA-125 started rising last fall, a CTscan in sept showed ureter blocked by some unidentified mass, threatening my rite kidney.  so i chose to believe the something was scar tissue from the surgery, the CA-125 elevation a result of  irritation from that scarring & swollen ureter. spent some time finding out what all that would mean, & in the meantime was being pretty serious about an anti-inflammatory diet, hoping that would improve chances the cancer would not return.  (no alcohol or potatoes,  almost no sugar or wheat, lots of kale, cucumbers, nuts, added turmeric to my supplements.  lost a lot of weight!)

but what do you know, the cancer would not be ignored.  CA-125 continued to rise, i was having pelvic pain, & then a PET/CTscan in january showed tumors in multiple sites in my pelvic area.  it’s a monster, & tho i sympathize with anti-chemo sentiments (chemo makes the cancer stronger!  most patients die from chemo, not cancer! etc etc), i’m afraid this one needs big guns.  dr.chan said i had just proved the chemo works (“works” with this cancer means “slows it down”), having the chemo gave me many months without symptoms, no chemo & it went wild in no time.  shit.  it will be doxil/carboplatin this time, a common second-line cocktail.

been waiting for weeks to be scheduled to start, apparently it took a long time to get authorization from medicare.  but this means i can see dr.abrams before i start.  he’s at UCSF Center for Integrative Medicine, where they work with patients to integrate traditional healing methods with conventional methods.  leaving tomorrow, appointment on wednesday.  will probly start chemo next week…

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boomer & i have been to the beach a lot during this lull in the rain

2012/11/24

it’s been a long time…

it’s been a long time since i posted here, not because nothing has happened, but because too much has.  dont know that i’ll ever be able to really catch up, so here’s the quick version.

so, when last i posted, i was about to take off for my camping/taiko vacation.

before i left, i had talked to my beloved brother david in the hospital in new orleans, where he had been taken by frantic friends after he vomited blood.  “turns out it’s more serious than i thought it was” he said.  he’d gotten a lymphoma diagnosis at the beginning of july when he had tests done to find out what was causing him great pain.  he was scheduled to begin chemo on 15 august, so i told him i would come to be with him for that, would make plans when i got back from camping.

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while i was across the mountains, my cellfone had no reception, so i was unreachable, something i usually don’t mind at all.  but this time, david became delirious & fell into a coma.  doctors only then realized he had a non-functioning liver, the chemical imbalance affecting his brain, & the lymphoma had gone wild.  he never woke up.

he was being kept on life support, however, tho he would never have wanted that.  i got there in a few days, i could tell he knew i was there, so i talked to him a lot.  then got permission from his doctor to have the kids visit him in intensive care, & after they came to say goodbye, i was going to ask them to take him off support.  didn’t even have to ask.  as soon as the kids left, david’s body started to shutdown, turning off the machines was a formality.

trip to NOLA to bury my brother

i spent 3 weeks there, moving out of his house, distributing all of his stuff.  came home a zombie.

his longtime union buddies in santa cruz threw a memorial in september…

david’s memorial in santa cruz

& here’s the album i put together to take to it…

https://lh4.googleusercontent.com/-o7Wuodbh_BY/UGqS4cG4awI/AAAAAAAAJrw/JV9Mnpzli3c/s512/fotobook5.JPG

j david lyall

 

beeler & lyall, DHS class of ’61 50th reunion

& since david’s death, dear friend dianne beeler charloff died, someone in my cancer support group died, my neighbor/landpartner kathryn has been overtaken by her cancer & is now on her deathbed.

and topaz, my sweetheart, my constant companion of 14 years, died at the beginning of november.  this was the first time i have had to make the decision to help a dog to die, & making it drained me.  but she had stopped smiling, & the great sigh as she fell into sleep was relief & gratitude.

topaz

o, & it looks like my cancer may be active again.  more details on that next time.

anyway,  is it any wonder i feel paralyzed? please forgive me the unreturned fone calls, shutting down & hiding out seems to be what i do when most in need of love & support.  much thanks to a couple old friends who made thanksgiving special.  couldn’t afford to go to arizona to be with family like i wanted to do, being alone would have been just too pitiful…

thanksgiving twilite over humboldt bay

2012/07/26

hitting the road

just a quick post, to put up these videos.  i’ve spent the afternoon cleaning out the van & packing for the camping trip, & of course am not getting out of here as early as i wanted.  it’s almost 5:30, & it’s a 5 hour drive, as i recall.  at least we won’t be driving in the heat, sitting around the campsite in the heat will be great, but the driving part, not so much.

& now, eastward!