Wrecked OR Down And Almost Out!

Wednesday, June 29

Monday, June 27, was my worst day since treatment began! Actually the rocky times began four evenings earlier at the end of Thursday night’s party and continued all the way through Monday evening.

The time was rich with social activity. We celebrated my 60th and Lynn’s 85th birthday with small parties at our house. Lana’s weeklong visit was marvelous. We had a fun diner with Captain Steve on Sunday night. I tried to keep up the exercise regime, but all came crashing down on Thursday night as the steroid wore off and the chemo drugs took full effect. Each of the following four days got progressively worse – extreme physical fatigue,  wrecked emotionally and significant cognitive impairment.  Like I’ve said before, those little drugs sure do pack a mighty punch!

I am almost embarrassed to relate Monday’s story. It is clearly the nadir  and may seem wretched and pathetic. Perhaps an overview:

After two struggling days, Laurie and I awake early to see Carter. We arrive home early afternoon and as Laurie shuttles off to her own doctor’s appointment, I attempt to grocery shop. I try to make a list but am baffled by my inability to comprehend the recipe on Laurie’s computer screen. I puzzle for minutes and give up. I fumble around for bags, wallet, sunglasses etc., get the bike and set off. I am amazed at how slow I ride. The air seems as thick as oil as I struggle to inch forward. It is hot in the blinding sun. I finally arrive and stumble into the store. It takes all I got to figure out types and quantities of meat to purchase (I would love to replay the conversation I had with the meat counter guy). I continue. I get confused and overwhelmed in the spice aisle and feel tears welling up. Are you kidding me? I am delighted to recognize the familiar label on the red wine vinegar. Yes! I move to the produce section and am overjoyed when I recall Laurie telling me she likes the yams from the leftmost box. The rest of the produce experience turns into a disaster. I randomly throw in bunches of broccoli, swiss chard, cauliflower, lettuce, carrots and whatever else seems familiar. How I made it through the checkout line is unclear – a blur. I lug my panniers outside, attach them and realize that my water bottle cage had fallen off. A truly random event, yet disturbing! I pick it off the ground and shove it into a pack. I painstakingly trudge home – any slower and I would be biking backwards! Upon opening the refrigerator, I realize I need to make room. I am overwhelmed as I sit on the floor for minutes simply shuffling items around feeling the cool air escape. I’ve accomplished nothing so I quit. I stand and begin to transfer the rice into a new glass container. As it fills, Laurie bounds in the back door asking:  “How did it go?” I say, “Terrible!” and immediately break down in tears. I cry uncontrollably. I tremble. I fumble. I am completely and utterly exhausted – mentally, physically and emotionally! I am Wrecked! Wasted! Useless!

I am not sure how much time past, but I awake in bed upstairs, with a tear soaked pillow. Laurie enters, lies by my side and just holds me for a long time. Her presence brings me back from an edge. We finally talk a little. We get up; we eat a little and just sit. I feel my being slowly filling up again. Somehow, I trust that I’ve hit bottom and things are about to improve. I think I had experienced the “darkest before the dawn”.

Where this journey is taking me has been and continues to be quite astounding and incredible. I wonder what is next?

The Prize Fighter II

Friday,  June 24

olympic_sports_boxing_pictogram_clip_art_15934-1The rounds of this prize fight continue to drag on and it is turning into a slug fest – reminds me of the 1973 Ali vs. Frazier fight in MSG when I was a kid! I’ve taken some body blows and the legs are weary but I think the cancer cells are far worse for the ware.

I continue to believe that my true advantage in this battle comes from my fans. They build me up, make me strong and fire me up! I was flooded again yesterday with well wishes for my 60th birthday – phone calls, texts, emails, cards – all kinds of creative, fun videos, songs and artwork. Clever, amusing and entertaining. Sincere, tender and heartfelt. Wonderful, awesome, fabulous!

Yesterday, for the birthday, I indulged and broke from our strict diet. We prepared together and feasted relentlessly on homemade authentic Italian food, excellent wine and my favorite desert. We even tried to party late into the evening. No ill effects to be had and feel all the better for it! The psych is up, so may the fight continue.

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La bella vita………….

The Prize Fighter

Wednesday, June 22

prize-fighter Upon returning from a long day in Portland with Laurie and Lana yesterday, I feel like THE Prize Fighter in a highly publicized 15 round heavy weight bout. It is Round 3 and I am feeling great. I dance and weave around my opponent – cancer cells and chemotherapy drug side effects!

Dr. Beer, the leader of my western medical team and Carter Blue, the leader of my eastern medical team, escorted me into the ring yesterday. Also in my corner were my coaches and staunch supporters, Laurie and Lana (Susan’s substitute). Immediately behind them were my closest fans that have flooded me with well wishes and supportive emails, texts and blog comments over the last 24 hours.

The pre-battle prediction was that I would be cruising through Round 3 (now) but by round 10 (in about 30 hours), I would be dealt some devastating blows, desperately hanging onto the ropes and reeling from fatigue. Early results are in and I am crushing it.  PSA levels are now down to 2.43 (another 28% drop) and blood test results indicate that the liver is holding strong.

I love my team!  With their enduring support I fully expect to make it though the later rounds and exit victorious by Round 15.  Hang in there with me and enjoy the show!

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More to come…………………….olympic_sports_boxing_pictogram_clip_art_15934-1

4 Things

Monday 6/20

I have mixed feelings about tomorrow’s chemotherapy treatment #4. Perhaps more on that later, but now I’d like to share 4 wonderful things about this past weekend:

– Alan, my #1 climbing bud, finished another year of university teaching and is now free. Laurie and I were his and Jane’s dinner guests, christening their gorgeous new kitchen table. We had a fabulous evening of reconnection as well as a scrumptious BBQ Salmon dinner with our dearest, generous friends – Alan, Jane, Claire and Hannah!

– All weekend my thoughts continually drifted to my great anticipation of Lana’s visit. Laurie and I are so excited to include her up close and personal in our journey.

– LAURIE continues to be the best thing that has ever happened in my life. Her continued support and dedication to our cause is Awesome! I love how solid we are!

– Five climbing friends arrived at my house yesterday morning to usher me off to my first day of outdoor climbing since the diagnosis. The weather was superb, the climbing excellent and the company even better. I loved it – Thank you my friends!

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Until post chemo………….

A Dedication

Friday 6/17:

I was looking into the mirror and realizing that it was my hand guiding the razor over my jaw.  This intensely strange experience brought me back to another lifetime. It had been almost forty years since I fully shaved my beard!

I left the mirror and entered the shower. I lamented losing my beard. It was mine. I had lived with it forever. It had been a part and parcel of me. I was shaving it away not because I wanted a new look, but because the androgen deprivation drug was transforming it into thin, ugly, isolated, straggly wisps of hair. Losing the beard is only one of the nagging side effects of this tremendously powerful drug – the drug which wrecks havoc on my body.  My body is changing more rapidly than a thirteen-year boy entering puberty – but in the exact opposite direction.  It is so strange, unnatural and exceedingly difficult to comprehend.  Was I getting depressed?

Instantly, I realized the defunct beard was indeed no more than a mere side effect.  The drug I was taking for the past two months is directly responsible for lowering my PSA by over 95%.  It is starving cancer cells, shirking tumors and literally giving me a new lease on life. I flash back to the desperate night of April 14 when I learned I had metastatic prostate cancer and I did not know where to turn or what to do. I was lost then, but now I have a working plan of which this drug is an integral part!  This drug was doing exactly what it was supposed to do – setting me up to be a long-term cancer survivor!

Still in the shower under the spill of luxurious hot water, my thoughts turned to all those doctors, scientists, researchers, post-docs, grad students, lab assistants, drug company employees, FDA workers and philanthropists (big and small) who have been tirelessly dedicated to the eradication of cancer.  Simple old me was now a hugely thankful recipient of their years and years of effort.

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I felt bigger than life…………immensely grateful………..and ever so happy.  I felt as though I had just awakened from a dream.  I wanted to run down the stairs and give Laurie a gigantic kiss and say:” People Care. They are making my life a Grand experience!”

This is my dedication to all those hard working folks, my allies, engaged in fighting my cancer.  YOU ROCK!

Just Cruis’n

  Monday 6/13:

I pick up right where I left off at the last post – Feel’n Good!

It was a very fine long weekend here in Eugene – a weekend filled with delightful family social events.  The overall big one was Orion’s graduation.

Orion’s brother, Eric, flew up from San Diego to celebrate and he stayed at our house. It had been a while since Eric and I hung out, so it was great for us catch up on each others’ lives. We cycled to Voodoo donuts, walked the golf course and dined together with his desert at Prince Pucklers.  After a Sunday breakfast out with the boys, Eric was gracious enough to offer his superior mechanical talents in helping me install our new air conditioner – not a trivial task.  Thank you Eric!

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The big event was at Steve’s place on Saturday night as he hosted the celebration BBQ.  Rich was finally home and ready to celebrate, Lynn telling her party jokes, Orion old enough to be served legally, Joey looking fine in his party attire and the rest of the family very happy to be together.  Super fun event – Congratulations Orion!

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It is absolutely wonderful to feel great physically.  I’m not working out super hard, but have been engaged in tasks around the house and expending lots of social energy.  I am easily able to maintain the energy level and have fun!  Life seems pretty easy.  I feel like those cancer cells are being mercilessly assaulted and on the run.  My vision is that cancer cells are dying at a phenomenal rate, tumors are shrinking and the stem cells are being threatened.  I feel like the good guys are winning!

I elect to go with this narrative for now and am very much enjoying the script.  After all, I do continue to feel great.  So until the next dip, I’ll be riding high in the saddle and loving it the whole way through.

TTFN my friends!

Smoothing the Bump

Thursday 6/9:

 I certainly do not want to risk hubris, tempt fate, rock the boat, offend Murphy (as in Murphy’s Law) or be cocky, but I am convinced that we are finally through the hardest part of chemo 3. The bump is smoothing out!

I say so, because despite a full Wednesday (continued yard work, schlepping an air conditioner, kitchen faucet repair job, a math tutoring session and a late night poker game) the fatigue and fog seem to have lifted.image3 I got up this morning feeling great and ready to jump back on that yard project. Perhaps the breaking of the four day heat wave (high 90’s) or a slight relaxation of cardio workouts are the real reasons. Ah, heck who cares, there is so much going in and around this body I don’t really care about cause and effect. I only care about feeling strong and whether those cancer cells are continually being pounded and starved!

Over this last bumpy week, the support I have felt from family and friends has been like a surge of power. I believe it can move mountains! Wonderful events have unfolded and I have experienced some powerful emotions. Letters, cards and notes continue to flood in.  Some illustrations:

……..but the fact you were so wiped out means the chemo is doing what it’s supposed to….. giving it to those unwelcome visitor cells with both barrels.  As you know, they are more sensitive than the rest of you because they divide so quickly, so if your good healthy cells are feeling crappy, you can imagine what a beating the cancer cells are taking.  Still, I’m really glad you are almost done with this treatment course.

You know me and my faith, so I will just tell you that you are in not only our family prayers, but in the prayers of 1,000’s in our church and bible study. …………., I can tell you that you are one of few people I know that can beat this disease solely based on your approach to living life fully. Though we took different paths in our life we do share one important thing – family!

I particularly appreciate your renewed lust for Life……..….Of course I wish from the bottom of my heart you weren’t going through this, yet I hear in your words how much more you’re expanding every moment to allow the beauty, gravity and joy of each as it comes.
After reading a small article about the Kepler telescope…………………I got the most gleeful feeling of being so absolutely lucky to be a part of this creative mess we call Life and whatever creative, as well as destructive, force that makes all this possible. It’s really quite stunning. From your posts, I get you know that better than most.

It was so wonderful to see you Mike and to be in the presence of your bright positive spirit.  I thoroughly enjoyed our whole visit, mostly the conversations, and sharing…………the walk through the magical green woods that is so Eugene. I love seeing you relax in your red chair. I also appreciate your realness with expressing all of the emotions you are experiencing and your reflections…………I’m holding you in my thoughts everyday.

Special shout outs to Joey and Steve. Both these guys have been super reliable when asking for help or a favor – no hesitation what so ever to stop by and lend a hand. Thank You – you remind me of the value of family when times become challenging!

image2Laurie got a break from the Portland doctor trek this week as Joey volunteered to drive me. We made a fun day of it together. At OHSU, I found Joey joking with the nurses, one of which seemed a little concerned with exactly who should get the androgen deprivation drug injection. Him, playing with the wheel chairs in the parking lot was quite amusing. The unabashed parading of his pride and joy, Bo, through the lobby of the hospital was quite the sight – many heads turned, attracting gobs of attention and receiving pet after pet. We had a classic ‘city lunch date’ and then paraded through interesting neighborhoods and retail therapy outlets. The man has not lost his charisma and touch, or his driving prowess. I was reminded of many fond cruising together memories. Way cool!

Looking forward to a fun, relaxing weekend in Eugene. Nephew Eric visiting, Orion done with school, Rich back in town and chemo 3 behind me. Just cruising! Soon thereafter Lana comes and then my birthday.

Life is Good! 😉

 

A Little Bump

Saturday 6/4:

I am continually amazed at how happy I am when I open my eyes each morning and then think about the coming day.  It is, indeed, my favorite time of day.  Imagine thinking this as a teenager – how things change!

This chemotherapy stuff sure is fickle.  The first 42 hours after Tuesday’s treatment was a gigantic pleasant surprise. I was feel’n just dandy and fine!  Then wham, bam, slam, bang, bumpty, bumpty, bump – I am hammered with the most intense overall body fatigue I think I had ever experienced.  No pain, a minor stomach issue, a touch of cognitive fog, but talk about totally “wiped out”!  I mean – Totally!  I think I slept eleven solid hours Thursday night and still an ever so slow Friday – an additional ten hours last night.  Remember that dragging weight or rubbing brakes – it has returned with the fullest force!

Perhaps I’ll bail on the prose and offer you images with Unitah’s rhymes:

Roses are awful, violets are bad,
  Daises are stupid, cheesy, and sad.
The tulips are wilting, the pansies are dead,
  This is a day to stay in bed.
I Get it


When you’re unhappy, remember this rhyme:

  We all feel crappy from time to time.
Don’t worry it will pass eventually.


Heard you’re feeling rather low, sometimes that’s the way things go.
Run yourself a nice hot bath, and stay away form Sylvia Plath.
A friend.

What I think I know

Wednesday 6/1:

IMG_0251Yesterday I received my third chemotherapy treatment, followed by a great overnight visit with Linda and Chris at their home. Today, Carter’s acupuncture treatment was delicious. I feel slow, good and quite relaxed!

It has now been 7 weeks since my actual diagnosis – one that has turned my life upside down! In this post, I will try to articulate important points that I’ve learned or relearned as my journey progresses. If any of my expert readers find an error, please help by informing me, as it may aid with a more accurate outlook.

What I think I know:

1.) My metastatic prostate cancer IS a very serious illness, for which medicine does NOT have a cure. Despite its early detection, only 2% of all prostate cancers initially present themselves in the liver.

2.) This cancer developed in my body simply because of bad luck. It is unique to me. There are standards of care, but what might seem to work for others, might not for me. Treatment will require an individualized approach.

3.) My doctors are very hesitant with my prognosis. The more I learn about this, the more I respect their position. One reason might be that, since research is progressing so rapidly, there is no long-term patient data on results new treatments.

4.) The big reason why there is no cure for metastatic prostate cancer is that the tumor cells so effectively mutant thus avoiding treatments. Science has not solved this problem yet. There seems to be hope with recent advances in immunotherapy. Also targeted genetic therapies have promise but presently they are only mono therapies. To me this means, I will live with this cancer for the rest of my life. I will be, however, in a waiting game (comfortable and secure I trust) as science progresses.

5.) My Prostrate-Specific Antigen (PSA) readings are the key indicator of how my cancer is reacting to the current treatment (18-week regiment of hormone therapy and chemotherapy).  To this point, my PSA readings have dropped significantly (see below) – an 89% decrease followed by another 57% decrease. WOW!

6.) Based on this very important PSA data, my doctors have 2 major recommendations:

  • Stay the course in all respects.   To me, this means continue: the exact same androgen suppression drug, the same chemotherapy drugs, diet changes, acupuncture, craniosacral therapy, exercise, rest, research, positive, honest outlook and support systems, all with Laurie at my side. As my brother Rich would say: “Why change a winning game?”
  • Image the metastatic tumors at end of the treatment regiment (mid-August)

7.) I am able to tolerate side effects of these harsh drugs very well. Moreover, I able to maintain an exercise rich, extroverted, joyful lifestyle that has been mine for almost 60 years.  Talk about thankful and grateful!  Consider Dr. Chris’ comment this morning: ” Mike, from these blood test results, I cannot believe you are on chemotherapy!”

 

 

Date

4/15/16 5/10/16 5/31/16  
PSA TOTAL MONITORING 70.72 7.76 3.37