Celebration! -by Joe

Awaiting tumor marker results and Oncology appointment

After 3 succesive chemotherapy failures in the past 6 months, Heidi's new liver tumors were growing as well as her bone and lung cancer progressing. Terrifying.  So 3 weeks ago her Oncologist resorted to the very toxic chemo called Taxotere.  Unlike Heidi's past chemotherapies, Taxotere is given once every 3 weeks instead of every week.

Great News!!

This Monday, 3 weeks after that first dose, Heidi's tumor markers were drawn and an hour or so later we met with her Oncologist.  The result? The tumor marker showed Taxotere was working, even after one dose!!  And her liver tests were moving back towards normal!


Because of the high toxicity of this chemo, Monday's dose was stopped when Heidi immediately developed a serious reaction to Taxotere as soon as the dose was started.  So they tried again Tuesday, going very slowly, adding other meds to reduce her body's negative reaction.  It worked and she got her complete second dose of Taxotere!

At the same time they were starting the second dose of Taxotere on Tuesday, I was seeing my own Oncologist for a followup after my cancer surgery on March 12.  Everything looked great he said, including my tumor marker(PSA)!  So I rejoined Heidi for her hours spent slowly receiving the Taxotere.

Celebration meal together with Mary at the SCCA Guest House

Heidi's dear friend Mary was also with Heidi in the chemotherapy room both days, giving wonderful support and encouragement.  Thank you Mary!  We celebrated with a meal together with Mary.

Back home now, we are both exhausted but so very thankful to God, to the staff at Seattle Cancer Care Alliance and so many friends & family praying for us, sending positive thoughts our way.

So thank you!

- Joe

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

Chemotherapy Side Effects? -by Joe

Since Heidi and I are both experiencing chemo side effects at the same time, I thought I would jot down observations from our experiences.

The 'classic' side effects from (non-specific) chemotherapy are hair loss, nausea and exhaustion. The reason for these side effects is that classic chemotherapy targets ALL faster growing cells in the body; so, along with fast growing cancer cells, hair and stomach lining cells also get hammered(baldness, nausea), causing exhaustion as well. Heidi has endured these (but luckily only hair thinning, not hair loss) from her 2004 course of CMF and now of Navilbene+Xeloda.

Newer chemotherapies target specific parts of a cancer cell. For example, since Heidi's lung and bone metastasis in 2008 consisted of breast cancer cells that 'eat' estrogen, she was placed on targeted chemotherapy that wiped out ALL estrogen in her body (femara). In this case, side effects were more specific to the type of drug - she experienced terrible arthritis type side effects, especially in her hands, requiring two carpal tunnel surgeries.

In my case, the targeted chemotherapy for my bladder cancer is to inject a weakened Tuberculosis bacteria into my bladder each week to trick the body's immune system into attacking the bladder lining, hopefully destroying it and forcing a new, healthier lining to grow, without cancer cells. As a result, I get local symptoms of severe burning, cramping and bleeding; plus it feels like I have a bad flu.

As if direct chemotherapy side effects weren't enough, additional medicines add their own side effects. Heidi gets an oral steroid to help manage the chemotherapy; this caused two surgeries to fix cataracts caused by the steroid. She also gets a 'bone hardener' (zomeda) to strengthen the bone against weakening by the cancer..this can cause bone pain. In addition, she gets a bone marrow accelerator, to force increased production of normal white blood cells (her chemo destroys white cells) and that also causes serious bone pain.

Pretty complicated, isn't it? I guess the lesson here is that if you have a family/friend undergoing chemotherapy, expect them to have some sort of serious side effects while on chemo, even if they aren't bald!

As always, thanks for the support and compassion!

Joe