Sunday, June 17, 2007

Latest Results

The lab results from blood tests are flying in. Summary of the latest flurry:

Cancer markers: June 6th vs May 4th –
Calcitonin down 13%. Lower numbers are desirable as they indicate less cancer activity in the thyroid. There is still a long way to go to "normal, " but the physical exam of the same date as the blood test corroborates the improvement: shrinkage of the thyroid mass continuing a favorable trend from a peak of activity on February 27. Nice to have the corroboration and to see steady improvement over time.

CEA up 23%. This is worrisome because it indicates an increase in production of cancer antigens throughout my body.

Liver function: June 14th vs May 16th –
Remains within normal range. I’ll be sprucing up my diet and nutrition to reinforce and maintain improved health of this vital organ.

Red Blood Cells and Hemoglobin: June 14th vs June 6th –
These numbers reflect the degree to which I feel weak and tired: low numbers=low energy; higher numbers=higher energy as the oxygen-carrying capacity of the RBCs improves. For me, both remain low of the normal range, but not as critically as the May 16th tests that triggered the transfusion. Something to watch.

My subjective perspective: I’m holding my own. Sometimes I feel as I imagine a tightrope walker must during a traverse over the abyss: intensely concentrated on remaining
balanced by making minute adjustments to keep progress on track.

When I reach for support I find Michael by my side, and your energy lightening the load and guiding my balance. I am grateful for your presence with me on this journey.

Copyright 2007

Wednesday, June 13, 2007

New Meds

The new medications are taken orally, so we aren’t tied to the Cancer Center’s IV equipment. The regimen is complex and specific, requiring Xeloda be taken at the same time every day, twice each day, with food, on days 1 through 10. Temodar is added on days 10 through 14 taken three hours before or one hour after food once a day. Zofran counteracts nausea and is taken (WITHOUT FAIL!) one hour before the Temodar. I spend a lot of time setting cookie timers, then figuring out what has been timed.

For any given course of chemo, side effects are difficult to anticipate. WITHOUT FAIL is no mere caution. Once I forgot the Zofran and spent the night wrapped around the toilet bowl. That will never happen again. Side effects now are moderate and manageable, though unpleasant. This could change as my body accommodates itself to ongoing treatment. Nevertheless, they are unpleasant. So is the illness.

The results of the transfusion and ProCrit treatment noted in the last blog: RBC up 35%, HGB up 39%, an excellent response that set me up for the subsequent chemotherapy. This rebound speaks well for the status of my immune system: happy news!

The PLEASANT part is waking up each morning, greeting the sunshine of a new day, squeezing Michael’s hand and rejoicing in the gift of time.

Copyright 2007