The Good News Bad News Roller Coaster Ride - by Joe

We are sitting in the Seattle Cancer Care Alliance cafe as I write this.  We are both adjusting to both good news and bad news today.

Waiting for my ultrasound & biopsy procedures.

The good news is that the specialist Orthopedic Surgeon that handles bone cancer cases wants Heidi to stay fully active.  He has the most expertise in this area and told us that the new hip/femur tumors are not a danger for fracture at this point.  Not even worth doing radiation.  Hopefully Heidi's new chemotherapy will stop them completely at this stage.

The bad news is that in addition to my recurrent bladder cancer, my biopsy report just came back positive for Stage 2 prostate cancer.  Whatever treatment I get for it has to wait 8-10 weeks because of typical post-biopsy bleeding. 


Meanwhile, we have a long list of planned hikes/climbs for this year and will continue to worship God in high places as long as we can. And in the kayak, the garden, at church.. everywhere. God's Love is as present as ever in our lives. More, actually.

Thank you for caring!

Joe (& Heidi)

Waiting for in the SCCA cafe for Heidi's Oncologist
 appointment



Facing Tough Days With Gratitude -by Joe

Our Quiet, Peaceful Thanksgiving Dinner

Heidi's spinal scan I mentioned in my last blog was frightening: new tumors on both her upper and lower spine, but thankfully none of them pressing on her spinal cord, which would cause severe pain.

And today, during our weekly appointment at Seattle Cancer Care Alliance for Heidi's chemotherapy, they plan to do an MRI of her legs, to rule out any new tumors there. Also frightening.

Last week, we met with the Oncologist who said Heidi's chemotherapy would need to change if any one of three things happen:

1. any tumors reported on today's scan
2. any increase in pain
3. another rise in her tumor markers

Kayaking Away Some Stress

On top of all this, I get rechecked in two weeks for any new bladder tumors.

So it's tough, really tough right now.  So much uncertainty.. when will her chemo change? will the new chemo work? what will the today's scan show? will they find new tumors in me? will I have to have another surgery?

Tough times are a great chance to practice gratitude for what you do have. 

My gratitude list, written on Thanksgiving Eve last week:

4am, alone by the fireplace, feeling so grateful.

• They said 12 months and now over three and a half years later, Heidi and I are still together, loving the life God has given us.
• I'm grateful we are getting healthier, stronger and feeling younger month by month, despite cancer.
• I'm also flooded with gratitude for our family and friends, like you.
• For the freedoms and material comfort we too often take for granted.
• For jokes and laughter.
• For art and music.
• For the amazing wildlife, flowers, trees, mountains and waterways where we live.
• Wow!

Big Creek Trail Overlook

As always, thanks for your compassion, your prayers, your positive thoughts!

- Joe & Heidi

Dealing With Deadly Uncertainty

I can't recall a time since 2008 that we have faced so much uncertainty and fear.  Hopefully, we trust God with it better now and deal with it in healthier ways.

Heidi's Bone and CT scans a couple weeks ago showed 3 new tumors, on her skull, rib and lung.  Her Oncologist is not changing anything until either her tumor marker lab results or her symptoms worsen.  At that point, they will try a different chemotherapy.  Which is frightening, because there is no assurance a new chemo will even work (two others have failed in the past).

To complicate matters, last week my own, new Oncologist found a mass on my prostate.  So we are hoping it is post-bladder-chemo inflammation and not more cancer.  But we won't know until he does more diagnostics, including a cystoscopy on August 17th.  That cysto will also be the one to show whether I have new bladder tumors.

Tough stuff to deal with.  Our time investments in friendships, exercise, dieting, hiking, kayaking, joking around and more importantly, prayer.. these all make it easier to handle than in 2008 when we we first learned about the cancers.  But it is still really hard.  And in a way, living each day more fully just makes you long for longevity even more.

My own new motto I am trying to act out in this time of uncertainty:
"You can achieve serenity without handing cancer the house keys".

We love and appreciate all of you reading this.  Thank you.

- Joe

The Waiting Game -by Joe

One of the toughest aspects of cancer has gotta be those times of waiting for news, waiting for results.  Scans, X-Rays, labwork, appointments, whatever ..it can drive you crazy!  And until the doctors proclaim you cancer-free, it gets increasingly hard not to expect bad news, bad results.

In the photo is "Blu", an amazing service dog, patiently resting on my shoe at Seattle Cancer Care Alliance's 5th floor chemotherapy lobby while his loving owner, Sheryle, visited with Heidi during her chemotherapy.

Heidi and I are slowly learning to wait more like Blu does.  He is patient, loyal and never gives up no matter how long he has to wait.  And Blu's ability to patiently, obediently wait required training.  It's the same for us.

Yesterday and today are good examples.  Heidi's initial labs look bad and we have to wait for the final results.  I started having symptoms again a couple days ago and am getting tests run on me to find out why.  Hopefully, both are false alarms but we have to wait to find out.  And maybe, just maybe, we are getting a little better each time..

As always, thanks for your support! - Joe

How Did They Find The Cancer?

Here's a frequent question we get. And I am glad people ask, because they might not be getting checked for cancer when they should be.

Heidi's breast cancer was discovered on a routine mammogram in 2004 - no symptoms at all. Heidi was dissatisfied with the local radiology team and asked for a second opinion at Seattle Cancer Care Alliance. SCCA found breast cancer on the other side as well, using an MRI instead of a mammogram; in fact, they caught the larger tumor which the mammogram had missed.

In spring of 2008, I started seeing blood in my urine and despite Heidi's concerns, I figured it was a weight lifting injury or something else that would clear up. So I ignored it for months. Finally it got bad enough for me to be willing to go to a urologist. They did a KUB (abdominal unltrasound) scan and found a mass in my bladder. They went in with a cystoscope and confirmed I had a large bladder tumor.

So.. please dont postpone your own routine screening (mammograms, PSA levels, etc) and dont ignore symptoms like I did. And dont be afraid of asking for a second opinion.

Here's wishing you a cancer-free life!

- Joe