The Beginning of the Rest of My Life

I had my scan day last Friday, PET, MRI and Echocardiogram. Plus a dentist appointment just for kicks. It was a very full day of laying still and not talking- which I suck at, so I took a lot of naps. I am really good at naps. It's a gift.

The day before that, I had my first targeted chemo only infusion- on a Thursday instead of my usual Friday. That means I had the two HER-2 drugs, Herceptin and Perjeta but no Taxol. I have to say, I noticed a difference on Sunday morning, when I'm usually so tired I can barely function, but I still have to sing in the choir and help lead worship during two different services at church. I don't know whether to attribute that to the Thursday infusion or the dropping of Taxol, or both, but it was a nice change! I didn't even need a 2 hour nap that afternoon!

Today (6 days after the scans), I went in to get the results from my oncologist and find out what's next. I'd be lying if I said I was not nervous. I have had some SERIOUSLY weird dreams this week!

Alright, bring on the news...

The news was not terrible. The lymph nodes are completely clean, but the bones are still inconclusive. On the PET Scan, they appeared to have healed nicely (indicating cancer that responded to chemo), but on the MRI, there was no change. They are VERY small lesions. My oncologist, Dr. Krie is considering it metastatic bone cancer, but with an asterisk because she hasn't seen biopsied bone cancer cells under a microscope. They are either healed up or too small to biopsy, so we'll just keep an eye on them, I guess.

She is choosing a middle of the road treatment. She is canceling the AC chemo (another round of harder systemic chemo) because in metastatic cancer it has not been proven to work. YAY! I will still have to do the targeted chemo once every 3 weeks forEVER (ever.... ever.... ever....) but they do not have as severe of side effects. My hair will grow back, and my energy will return. Hopefully my eyes will settle down (they're really dry/ watery, and have gotten 4 styes in 6 weeks. Annoying!) Unfortunately, Perjeta the poop drug is one of the forever drugs, but the hope is that fun side effect will get better when Taxol is no longer in the mix.

They should just put this on the label.

Dr. Krie wants to do surgery to remove all the lymph nodes in my right armpit, which I don't love, but I'm prepared for. (Remember my cool tattoo sleeve?) She also wants to do an oophorectomy (remove my ovaries) to eliminate all estrogen production from my ovaries. She is cool with waiting until the end of the school year to do these surgeries, but wants me to take a monthly shot called Zoladex to shut them down in the mean time. I will also start a daily aromatase inhibitor called Anastrazole to block estrogen production from my fat cells and adrenal glands. No, really, it's cool. When I picture my ovaries right now, I see Ursula's collection of poor unfortunate souls:

They've served their purpose.

It is possible that after surgery I will have to undergo radiation in my right armpit (lymph node area) and maybe the chest wall (original cancer site). I have made my dislike of this possibility clear. She says we'll discuss it more later- like maybe I can talk her out of it? I'm thinking this is like how I talk Matt into doing things. Just give him time to adjust to my plan since my ideas are brilliant but spontaneity is not really his thing... Anyway, that's to be determined.

She was very positive and said it was all good news. Still no expiration date on this girl, in fact, she said this maintenance regimen can give us "many, many years."

Yet to be determined

So for the foreseeable future, I'll be as "normal" usual, but I'll get my money's worth out of our insurance policy every year. I also have several new friends in the nurses at the infusion center, all of whom are taking a girls' night out to come to "Steel Magnolias" together!

Thank you for everyone's support, prayers, meals, driveway clearing, house cleaning, and ride-giving. Our community of support is amazing.

One goal complete!

Today was the last of the "Big Chemo!" I had my last Last systemic infusion of Taxol this morning. Wahoo!!! I got to ring the bell!

-pause-

The bell has a special story. A friend of mine, Randi Van Der Sloot, is also a 2x breast cancer survivor (who had a BABY just a couple of months ago!!!) tells the story in her own words:

(June 8, 2016)

Some really COOL news first: a family friend and co-worker of [my husband] Marty's has helped to make a dream of mine a reality. My dream is to have a bell of hope in each of the oncology infusion centers at the Prairie Center. If you take a look at the pictures below, you can see that this is a soon to be reality!!! I want anyone that goes to the infusion centers to be able to ring the bell if they have anything to celebrate-- this can be things like re-connecting with family or friends, not getting sick from their chemo that day, moving on- either completing chemotherapy, moving to hospice, etc. If you look at the pictures below, you can see that the bells and plaques are DONE!!! We will be presenting them to the Prairie Center soon. Each bell represents a significant person in my life who has been touched by cancer-- but you will notice that they are represented by a picture and a bible verse, not named specifically. That is very intentional, because I think that these plaques will touch people in very different ways. God is good!

These plaques were made by a family friend of
Randi & Marty's and are made out of acacia wood.
My floor has the one on the bottom left.
Randi says the cross represents the one she
held during all of her chemo treatments.

-OK, resume-

Saying it's the last one is a little deceptive. I still have to have the targeted chemo drugs, Herceptin and Perjeta, once every 3 weeks- possibly forever- so I have to go back already next week for that. But fortunately, they don't have as many side effects and my hair will grow back. It's possible the spontaneous diarrhea might back off when we take Taxol out of the equation, even though it is a side effect of the Perjeta. Fingers Crossed!

So here's what's next:

Next Thursday, Feb. 14, I will have labs drawn and a Herceptin and Perjeta infusion before work that afternoon. (Happy Valentine's Day)

Friday, Feb. 15 is a big day. They worked my scans around a pre-existing dentist appointment at 10, so I go in at noon to have my port accessed so they can use it for the PET scan at 12:30 at the Prairie Center. Then at 2:30, we go over and check in at the hospital to have an MRI at 3, and an Echocardiogram at 4. Don't worry, my calendar is free for the evening! I will definitely be resting after all that laying still for tests! Haha!

Then we wait... and wait... and wait until Thursday, Feb. 21, when I will see my oncologist, Dr. Krie for the result and next steps. The reason for the wait is because she will present my case at Breast Conference (undoubtedly less sexy than it sounds) on Tuesday, and she didn't have any appointments on Wednesday. It's fine. We've waited this long. What's another week?

This is where we find out if the lesions in my spine have changed at all. Remember, no change = no cancer in spine. So that's what we're hoping for, even though it means the treatment will ramp up because they will be going for a cure.

Poor Matt had to stay home from today's infusion because he tested positive for Influenza A yesterday. Both Matt & I had flu shots this year, but the kids did not, so we're all wearing our snazzy masks and have pretty much quarantined Matt to the basement.

For possibly the first time ever since wearing a handlebar mustache for the last 4 years, he did not wax it and style it today because it was going to be behind a mask all day and he wasn't leaving the house. Turns out, that makes it really hard to eat lunch. (Not the mask. He moved that to eat). He kept getting whiskers in his mouth and was sure he chewed up his glorious curls. "This might be the worst thing that ever happened to me!!!" Poor baby!

The good news is, Matt went in and got tested shortly after symptoms started because Kip, the other pastor at Asbury tested positive that same morning (while on vacation down South. Poor guy!), so he got started on TamiFlu right away, and though his voice sounds pretty rough, he doesn't feel too bad. The nurse told him he would be contagious until Tuesday. Unfortunately, he has to preach on Sunday. No hand-shaking after services this week!

Thanks so much for all the prayers, food, gifts and encouragement. I started back to work at USF on Monday (I don't teach during J-term). I have 24 students there and 8 at home and am looking forward to a great semester. Also, rehearsals for Steel Magnolias are in full swing, and it's going to be an amazing show. The cast is phenomenal, and the crew is working crazy hard to put together this wonderfully memorable show.

Here's a little promo:

Matt is also rehearsing his first musical since Earth Tone Man in college. He will be playing a role in Good Night Theatre Collective's original musical, Daytime: A Soap Opera Musical