Friday, March 27, 2020

And Now ... For Some Fun and Frivolity

Humor and music are my "go-to" places when things get stressful. I thought I would share some of my favorites:

On the comedy front:

When Dad Hacks Toilet Paper

When Dad Hacks Hazmat Suit

Marble Racing

Dad putting TP in Perspective

Flour Face


On the music front:

We Are the World

My Corona

Dad and Daughter Quarntine Challenge 2K20

Hallelujah

How Great Thy Art by StikYard

I hope you enjoy these as much as I do.

Be safe!  Love each other! Look for the silver lining!



Checking In

Hi All -

Sorry - It's been a while since I posted. The past two weeks seem like two months! More on that later!

First, cancer update. After my off week, my white blood cell counts went from 3 (low normal is 4.8) to 3.8. Alarming to me but not my medical team. They are very happy. I met with Dr. Kocs and discussed monitoring options. There are none, other than what we are doing. Great - It's on me to monitor my cancer the only way I can - by feel. I can feel a tumor on the left side of my neck, the thickness on the left side of my chest, and the lump under my arm. Today, Friday the 27th, the tumor on my neck appears to be going down, the thickness on my chest seems to be less, and no change on the lump under my arm; if there is change there it is minimal. As with Taxol, I am handling this chemo well, with little to no side effects. I think the hormone suppressant they shoot me up with is giving me hot flashes again, but it is tolerable. The PET results were unremarkable; we are stable. Better than the alternative but I want more than "stable".

I am now on a monthly schedule. My next visit is on April 10. I get blood work done, get a double shot in my bum, refill my meds, and chat with the PA. The visit after that is in Wednesday, May 6 (Dr. Kocs is on vacation on the 8th). Somewhere in there, I will get scanned again. Hopefully a PET scan. That's what he ordered but it may not be what we get. We'll see.

Now to address the elephant in the room. Is this virus thing crazy or what?! Sadly, I am in the high risk category. I haven't been to the office since early March, initially because of blood levels. Hubby has since put me on house arrest. I only go out to walk Sam or mow the yard. For a real treat, I ride along when he goes to get gas. Date Night! I am so easy to please.

We are being very, very careful. Hubby used gloves when getting gas earlier this week, we use gloves when getting the mail, we wipe down any packages we get with our Clorox wipes, but still wait 24-hours before opening anything. I wipe down everything, including groceries! So far so good. Fingers crossed it stays that way.

It sounds morbid, but Hubby and I are making sure our affairs are in order this weekend (medical power of attorney, will updated, insurance beneficiaries notarized, etc.). Kids, be nice to your mama! Just kidding. It needs to be done and now is as good a time as any.

So, what have we been doing during self isolation? Well, since both of us are working from home now, that was a minor adjustment. I need to talk softer so his co-workers can't hear me when I am in a meeting. No, I am not talking loud, I happen to have a voice that carries. I've been accused of "yelling" when I get excited about something; trust me, that isn't me "yelling". There will be no question when the yelling happens. Windows shake!

Hubby and I have been supporting our local eateries by ordering take out occassionally. Last night we ordered from Green House. They have daily specials. Last night was barbeque, macaroni and cheese, broccoli/cheese casserole, and apple cobbler for dessert. It was good and the price was reasonable. Tonight we ordered from Downtown Hall of Fame. Hubby had a bacon cheeseburger and I had a club sandwich. We both had their signature drink, the Dizzy Hippo (in Hutto, can you guess with the hippo reference?). That's why we wanted to try the place …. cuz we can order mixed drinks with our meal. The food was fine and reasonably priced. The Dizzy Hippo was really good. They gave you all the ingredients to mix the drink, along with instructions. We didn't pay any more per drink than we would have had we dined in. Green House won this battle, but I will hit up the Hall of Fame again when the mood strikes.

We pick up our first curbside grocery order tomorrow. My original pick-up time was 4:30; I canceled that order and re-ordered when I saw an opening for a 9:30 AM pick up. Score! I hope we get everything on our list but I know odds are we won't. Such is life. Of course, we will need to wipe everything down before we put it up.

Another first was a video conference with my primary doctor. I needed to "see" him to renew some of my prescriptions. I love my primary doctor so it was great to see his face and talk to him, even if by video chat. I have another video chat appointment scheduled with my bone doctor Monday afternoon (unless they determine I need to come in - I hope that isn't the case). I DO have to go to the clinic tomorrow morning for blood work. Hoping other patrons exercise social distancing. I know I will be!

There are so many things about this virus that are upsetting me to no end, including our slow government response and the needless death it has caused. That is all I am going to say about that. Don't even comment about this because I will delete it and will not respond. But there has been so many inspirational things going on too:
  1. If anyone in our "hood" needs something, they post it on our neighborhood facebook page. Someone comes through …. every time.
  2. People are stepping up to help the elderly with anything they need.
  3. People in the store are giving up items (such as TP) that they feel others in line need more.
  4. Entertainers across all genres are holding free video concerts.
  5. My yoga class is teaching everything online and adding more classes every day.
  6. The creative things people across the world are doing to stay connected to other humans: singing to each other from balconies, calling bingo with a bullhorn so you can play with all the neighbors, holding Zumba classes from the patios or porches for surrounding neighbors, and more.
  7. Those that sew across the nation are working feverishly to make masks for our front line medical personnel, including a couple of groups in the "hood". I need to get in the game on this one, but with house arrest, I need to order my supplies online and wait for them to arrive.
  8. Some of the very wealthy (I'd like to say all, but let's be real) are donating a ton of money to hospitals across the country, without a lot of publicity or fanfare.
Bottom line, this global emergency is bringing out the best in most of us. Be sure to thank those putting themselves at risk every day to serve us - hospital staff, grocery staff, truckers, take out restaurants, fire fighters, police officers, etc. I pray everyday for these people and their families.

Stay safe. Practice common sense hygiene (wash hands!). 
Practice social distancing. Be kind. Be respectful, Be helpful. Find the silver lining. 

Love to all!!



Tuesday, March 10, 2020

Cathy, Blood Levels, and Weekend Fun!

Cathy is back for a quick stay! She got in earlier than expected and folded my clothes. I felt bad because I didn't finish that chore the night before; I thought I would have time. I still appreciate the help. She also took Sam on a couple of walks; actually, more like Sam took her. He knows a variety of routes and many times we let him lead the way. Cathy also made sure I eat well while she is in town. She made me two quiches, pork tenderloin, and sweet potato hash (to die for … seriously). As always, it was great to see my sister, even if for a little while.

Not a lot going on right now, cancer wise. My blood levels continue to drop, but not to the degree I thought they would from last week. As a reminder, here are the levels from last week:

February 28:
    • White blood cell count = 3.3 in a range of 4.8 - 10.8
    • Red blood cell count = 3.81 in a range of 4.2 - 5.4
    • Neutrophil (ANC) = 1.6 in a range of 1.5 to 6.5
For some reasons, my March 6 labs are not posted (I've reminded the office to post the latest labs). However, the PA told me white blood cell count was 3.0 compared to 3.3 from last week. Low, but not as low as I was expecting considering how much they dropped from one week to the next. Overall, I'm pleased that they haven't dropped any lower. I am still not pleased with cancer monitoring. Hubby and I meet with Dr. Kocs on Friday afternoon, so I am anxious to see what other options he has in mind.

The good news? I was told I could go to see Gabriel Iglesias aka "Fluffy" on Friday night; just be smart. Wash hands, hand sanitizer, stay away from anyone coughing or sneezing. We left the house at 6:30 and got to our seats right before or after 8 PM, starting time. There were still tons of people milling around, looking for seats, etc. The show did not start on time. It was nice that they waited a  to get most people in their seats before they started; traffic and finding a place to park was a bear! Even though the entire show was behind, "Fluffy" did not short change his fans. He closed the show almost an hour later than planned. We didn't get back to our car until 11:30, then out of the parking garage until midnight. No matter, a good time was had by all.

If you don't know "Fluffy", here is a link to one of his signature bits:


Some "colorful" language, but not much. Worth watching the whole thing to the end.  Enjoy!

I will post again this weekend and update you on blood levels (they should go up as this is my "off" week) and monitoring plan, if one exists.

Meanwhile, wash hands often, don't go to work if sick, stay away from sick people, and use basic common sense.  Later ….

Wednesday, March 4, 2020

Can We Get A Break?

I finally had my baseline ultrasound done Monday afternoon. That was an experience. The technician had a difficult time finding Voldemort or anything of substance. I am afraid my "out of the box" idea is not going to work this time. Funny how ultrasound led us to Voldemort in the first place …. but now they can't find him. Trust me, it doesn't mean he isn't there. Sadly, he is not in a place where I can feel him. My fears were realized when I read the results … "Ill-defined conglomerate lymph node mass in the left supraclavicular region is not well evaluated with ultrasound". They didn't even try to find any of the other tumors in my neck. So frustrating!

Great!  Now what? Insurance is certainly not going to pay for a CT or PET every month. I will need to come up with another plan. No one else is throwing out ideas. I think my best bet, short term, is to become intimately aware of the tumor or two I CAN feel. I need to find a way to "measure" what I can feel. For example, I can feel the tumor under my left arm. I can also feel the thickness in my left upper chest. Do I log my impressions every week? The tumor under my arm is feeling more squishy (is that even a word?) than it did last week, which would indicate this one is shrinking or breaking up as a result of the chemo. But it is? This is where the "intimate" awareness comes in. It will have to do until we come up with another plan to monitor my cancer.  Sigh ….

Ready for more great news? I am finally experiencing side effects of the chemo. Chemo brain is one … this is real folks and not at all fun. Struggling to come up with a word or remembering a conversation I had the day before is maddening. I need to start recording my meetings and writing everything down. And I mean everything. Maybe I need to find a little pouch that I can "wear" to hold pad and pen so I am always prepared to jot stuff down, regardless of where I am. Or maybe a mini-tape recorder? Ugh! I hate it that I even have to think about strategies to deal with this.

My blood levels are also dropping, after only two weeks of the new treatment. I was hoping my charmed life on Taxol would carry over to the Ibrance. I know the odds were not in my favor, but a girl can dream, right? Here are the results for the last three blood tests:
  •  February 14th (Started new chemo)
    •  White blood cell count = 6.7 in a range of 4.8 - 10.8
    • Red blood cell count = 3.9 in a range of 4.2 - 5.4
    • Neutrophil (ANC) = 4.2 in a range of 1.5 to 6.5
  • February 21:
    • White blood cell count = 4.8 in a range of 4.8 - 10.8
    • Red blood cell count = 4.13 in a range of 4.2 - 5.4
    • Neutrophil (ANC) = 3.0 in a range of 1.5 to 6.5
  • February 28:
    • White blood cell count = 3.3 in a range of 4.8 - 10.8
    • Red blood cell count = 3.81 in a range of 4.2 - 5.4
    • Neutrophil (ANC) = 1.6 in a range of 1.5 to 6.5
This is the drop in only two weeks on Ibrance. The PA told me I am not exactly at "stay away from crowds" levels as long as I am diligent and aware of people around me:
  • Wash my hands frequently
  • Use tissues or gloves to open doors
  • Use hand sanitizer frequently
  • Wipe down surfaces with Lysol or similar products
  • Avoid cuts and scrapes (no mani/pedis- too risky)
  • Stay away from anyone coughing or sneezing
  • Call the office immediately if I run a fever of 100.5 or higher
Basic common sense stuff. I was warned, however, that if levels get much lower, the doctors will insist I isolate myself until levels improve. No crowds, work from home if its an option or don't work at all. This is probably why Ibrance is only taken for three weeks, then one week off before starting again. We need to give my body a chance to recover and build up my blood cell counts again to minimize the risk of infection. I wonder if they will give me something to help blood counts recover?

Physically I still feel okay. I think I may be slowing down a step or two during my walks, but I continue to walk Sam everyday. I've noticed Sam is being a sweetie and slowing his cadence to mirror mine. Typically, Sam's pace is a great cardio workout for us in the mornings.

Honestly, I am fearful of not moving in some form or fashion. True or not, I feel that as long as I continue to put one foot in front of the other, continue to walk, continue to dance, then I have a fighting chance. If I stop, I may not be able to start again. Silly, right?


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