Friday, May 15, 2009

Course Correction – New chemo meds on the way!

Well that pesky cancer is fighting back after our first month of such great results (dimmer spots on the PET and lower CA 19 Blood Marker). Unfortunately, while the results of my recent PET/CT tests were essentially consistent with last month’s, the CA 19 blood marker from the latest blood test showed a 30-40% increase in that blood marker (this blood marker is used an indicator but is not necessarily definitive as to what is going on)..

Here is what I love about our JH team. They met with us yesterday and said, “Here’s what we are seeing. We are changing. Let’s move on to Plan B.”

As Howard just said to me, “Carol. It’s like chess. Move/Countermove.” I can relate to that thought.

So here’s what it means: I am off the “Gemsar” chemo, so no more weekly Thursday chemo + no clinical drug. I am out of the clinical trial b/c the doctors said that with my physical condition and the increase in the markers and what they see in the CT scan it was obvious that my cancer is resistant to that drug combo.

They are moving me over to a different drug that has been very successful in both colon (not me) and pancreas (that’s me) cancers.

I am excited that the new drug is given only once every three weeks by IV at Hopkins and then I take some pills in addition. I don’t remember the names of the drugs….we have it all written down somewhere. This new regimen has some of the same side effects – fatigue, nausea (oh yay) and then some potential neuropathy (tingling) in the toes and fingers that they say they can control, I just have to keep them posted. They also mentioned the creepiest thing that I hope I never experience – apparently some patients have found that within 2-5 days after the infusion, if they touch something cold (like in the frig) or drink a cold drink, they get the FEELING that they can’t breathe. You CAN breathe, it just FEELS like you can’t breathe. So you can get a little panicky. (a little??!!) so, I figure I am going just avoid refrigerators and wear mittens for 5 days after each infusion and not take the risk. Ha ha! So if you see me with fuzzy mittens in August you will know why!

So, yesterday was a bit of a downer, but you know….God says, “My mercies are new every morning” – and I was amazed how I lived that assurance just this morning. I feel just fine! I am full of hope that this new combo will work and anxious to get on with it. In fact even when we were in the meeting with the JH doctors, and when Dr. Dan called later last night, I found that I keep saying, “This is just different, not defeated.” I really don’t feel distressed over this change.

I will praise your name, oh Lord, for it is good. Psalm 54. I know You are on my side! Whew…and I thank You for that!

Oh! And thanks Kris for the tip on the nausea. (I was worried that the nausea drugs were making me sick..) well, thanks to your advice about drinking Coke Classic (just like Frank’s dear friend and college room mate Mark!) I have not had nausea for at least 20 hours! Yay!! AND you will be pleased to know that I am learning to eat whenever I don’t have that nauseous feeling. Btw, any advice out there for weight gain my friends, please post it.

Other good news is that with the “every 3 weeks” of the new chemo, that means I will still have the week off before Christine and Erik’s wedding. I am so happy about that! It’s hard to believe that the special, special day is only 3 weeks away. I don’t go back in for chemo then until the Monday after the wedding. What a gift of timing that is!

Please pray that this is the “right one” ~ that the tumors will shrink, the cells will diminish and side effects are mimimal.
Pray for Frank - for his strength, yet transparent compassion. He is amazing.
And while I’m at it…would you please pray for our kids as they walk this journey:
For Christine and Erik’s wedding – for great weather, safe travels for all, for God's continued blessing in the details
For Chip so far away in San Diego at Miramar Air Station. He will be able to come home for the wedding! Yay! Then he deploys to the Middle East in late July.
For Andrew who just found out he will be working again this summer at Moose River Outpost, a wonderful Christian Camp up in Maine.

I was thinking another good thing about this ‘every 3 weeks chemo’ maybe if the fatigue isn’t so bad, we could make a car trip to Maine to see Andrew this summer!! More on that plan later ☺

So, that’s it for now. Although I’m feeling so good this weekend, I have a couple more blogs in me!! I want to send you all a photo of my CBS gals and of Wolf von Kumburg, so watch this space. Please do post a little something to the blog if you have a second. I treasure the little glimpses of knowing you’re out there. (what a baby I am!!) ☺

Love you bunches,

Carol

p.s. someone told me, if it won’t take, and if you don’t have a gmail account, then comment as “anonymous” and then sign your name, initials, whatever! xoxo

36 comments:

  1. Exodus 9:16 "But I have raised you up for this very purpose, that I might show you My power and that My name might be proclaimed in all the earth."
    Perhaps if you had been the "miracle person" of the clinical trial meds, man might have received the glory for scientific ingenuity. Instead, God will do it HIS way and HE will receive the glory! Sending love, Phyllis

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  2. Dear Carol,
    Hard to believe the nuptials are 3 weeks away.
    We continue to pray for your peace and comfort!It will be a sunny weekend, and we will rejoice in the love surrounding you, Frank and the bride and groom and all the great friends and family who will be joining us in this celebration! Can't wait to meet all those who are closest to you, and introduce you to our family who will be there celebrate this great occasion. You and Frank, and those traveling this journey with you, are inspirations to us all!
    Love & Prayers,
    Ruthanne & Chuck(the lucky grooms parents!)

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  3. Dearest Carol,

    I check your blog every day and I'm always in awe after I read your entries. You are so special and I think of you often. I hope someday I'll be able to touch patients like the doctors you write about. I was talking to my Dad earlier and he told me you had a nice chat. Can you believe it was a decade ago that you came up to light that candle with me!

    "They used to live right up the street
    They both are mighty fine
    But now they have a small retreat
    Right next to Fairway nine
    I visit them in the mountains
    And they helped me learn to ski
    Well Carol and Frank, you are the best
    Light candle nine with me."

    (no way I wrote that when I was 13!!)

    Hugs, love, and prayers,
    Michelle

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  4. Hi Carol. Sending all the love and prayers in the world your way. With your faith and so many people in your corner, ain't nothin' gonna get you down. May God hold you in the palm of His hand guide you to complete good health. Love, Brenda and Larry

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  5. I cannot believe the wedding is here!! I am so excited :)

    As for weight gain. My secret is my matabolism, hahah.

    I found this link that may help: http://www.cancer.gov/cancertopics/eatinghints/page3#C4

    Also, try adding taste enhancers to food

    this does not seem like an official website but some of the suggestions seem harmless, but could be effective: http://www.healthcastle.com/candiettx_06.shtml

    Love you!

    Lauren

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  6. Dear Carol,

    Praise you, dear one, for your great faith and fortitude in these trials. You are an inspiration to me! I'm praying for all of you and for a beautiful day on the 6th!

    With love and blessings,
    Jane

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  7. Carol- though I am spending most of my time these days getting ready for a trial in Las vegas, I have found a way to help push along your recovery: at the blackjack tables I think of that cancer receding and every time the dealer throws down 21!! It really works! It is amazing to read your posts and see your strength, but we already knew that-- XXX Dick Sauber

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  8. Dear Carol -
    You are an inspriration at soooo... many levels.
    I am blessed to pray for you, Frank and a wonderful day on June 6th. It will be a day filled with many blessings and memories. Can't wait to see the pictures!

    On weight gain - we fed my Mom milkshakes made with Ensure. It worked.

    With love and hugs!!
    Janet

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  9. Hi Carol!
    I hope this new regimen will be less trying than the last ..... and more successful. I am thankful for your blog, so I know what to pray for.
    Want to send you some words I sent to my son Philip (things not going so well for him just now)from 2 Cor 4:7-9,
    "we have this treasure in jars of clay to show that this all-surpassing power is from God and not from us.
    We are hard pressed on every side, but not crushed;
    perplexed, but not in despair;
    persecuted, but not abandoned;
    struck down, but not destoyed."
    Now I happen to think that you are a very beautiful jar for God to put his treasure in, but it must feel like clay to you sometimes. But the God of the Universe is with you, ALWAYS, his Spirit is in you, and you shine like a star for the rest of us.
    I am praying as per your requests in blog, and always for your health and peace.
    Kathy Hammar, from CBS

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  10. Hi Carol -- I am thinking about you every day here in Doha. I know that Eastern Shore sunshine will keep you warm in the coming weeks. Hugs, Brooke

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  11. Hey Carol - when my Dad had lung cancer we fixed him Ensure shakes with bananas and whatever looked appetizing at the time. Drink lots of whole leaf green and white tea. Hang in there and keep soaking up all the love of your friends and family. Love, Marjorie Doyle

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  12. Hi Carole,
    Safwan and I think of you daily. I hope this new treatment is very successful. For nausea - ginger and salad help. A Lebanese trick for nausea - stir the fizz out of a Coke and drink it. We are so excited about Christine's wedding...we look forward to seeing you and the rest the family. Take care.
    Much love, Lea and Safwan

    "Let him have all your worries and cares, for he is always thinking about you and watching everything that concerns you." 1 Peter 5:7

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  13. Dear Carol,
    I didn't want there to be any detours on the path you were on. The trials seemed like the perfect thing. But tonight I read from Job 23:10 "He knows the path that I take". And once again, I realized He knows what you need, where you are, the path that you are on. He does not sleep nor does He slumber and you are never out of His thoughts. Perhaps you, who are running this race knows that more keenly than those of us on the sidelines madly cheering you on.
    Sleep well tonight, my friend,
    Jane D.

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  14. Dearest Carol,

    Thank you for continuing to keep us updated on your journey. Your grace and humor continues to provide an inspiration for me. My prayer for you today is from Psalm 138:7 "Though I walk in the midst of trouble, you preserve my life; You stretch out your hands against the anger of my foes (those pesky cancer cells!), with your right hand you save me."
    Enjoy and rejoice in this beautiful day that the Lord has made! Love, Jenna

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  15. Dear Carol,
    Our families thoughts and prayers continue to go out to you these upcoming weeks as you take on the new chemo regime. We will also be praying for a wonderful wedding weekend and we wish Christine and Erik the very best in their married life together. We just got back from my nephew's wedding in Colorado Springs at the Air Force Academy Chapel. It was great to have much of my family together for this joyous occassion.
    Thank you for keeping this blog and connecting us all together.
    Love, Jane, Eric, Lindsay, and Emily

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  16. Carol: The good Lord is guiding those JH doctors to find the right path for you to heal. Your faith and positive approach to the new path is inspiring. We are here for you, Frank and the family and continue our prayers for your strength, healing AND a miraculous string of days for the wonderful wedding ahead. Much love, June and Steve

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  17. Carol,

    I've heard from 2 cancer patients that a combination of Ensure and ice cream works pretty well in maintaining weight. I'm thinking a good Chunky Monkey/Ensure shake probably tastes pretty good!

    You are in my prayers. Remember Deuteronomy 31:6. "Be strong and courageous, do not be afraid or tremble...for the Lord your God is the one who goes with you. He will not fail you or forsake you."

    -Pat Harned

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  18. Well, here goes my third try at responding, as I told you Carol, I am a technical idiot but I've read your blog almost daily. Its Sunday, May 17th, just got back from church where again you were in my thoughts. First, you're welcome to some of my weight! (Isn't THAT magnanimous of me??!!!) But seriously, I pray for great success with this new drug, and perfect timing for you feeling great for the big day. I know you will be the most beautiful mother of the bride we've ever seen, but I won't you to FEEL good as well as look good!!! Continued love and prayers to you my dear friend. Carol B.

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  19. Carol, We're so happy to hear you are feeling much better right now. We'll be praying that new drug regimen will be the one that facilitates your cure. Eileen has been adding you and Frank to the prayer wall at church each weekend so that we can maximize the number of prayers for you and your family. With your strength and the strength of all your family and friends we know you're going to conquor this mountain. Love Wally and Eileen

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  20. Hey Carol,
    I participated in our local Relay for Life this weekend. Our local event raised over $93,000 for cancer research. I of course was thinking about you as I was doing my laps. Hang in there, my friend.
    With lots of love,
    Cindy

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  21. Carol,

    Dave and I read your blog all the time and are praying for you, Frank and your entire family. I like the analogy of chess - just keep moving the pieces and the smart people at JH will figure out the right move!! You are a strong woman with a wonderful family and from reading this blog - a ton of great friends to support and pray for you. Stay strong.
    Love and hugs, Dave and Donna Carlton

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  22. Dear Carol,

    Last night we prayed for you at the gathering of "Invested Women" . . . in between two songs . . . the first ended with the repeated words, "I'll hasten to His throne", and we did! with you! The very next song was, "How Great Thou Art". What a great follow-up to our requests on your behalf!

    love you!
    sue m

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  23. Carol dear,

    You are so amazing -- you have such spirit!

    Here's a suggestion for weight gain: put Ensure in the freezer (you will have to do a few trials on how long) and eat it as icecream or a slushie. The chocolate is really good. I am making you some of my soups (Steve Chaudet and June loved them during his recovery) to sip on when you are not all that hungry. I freeze them in small, handy servings for you.

    I'll ask June to make a plan with you for a visit sometime after the wedding which I know will be a glorious day for you and your entire family.

    with love,

    Pam Cook

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  24. Dear Carol-
    I echo all the comments above about your inspirational, grace-filled approach to this horrible disease. May the new "cocktail" be the right one in fighting the disease and not making you too miserable in the meantime. Thinking of you every day, we send prayers, love and e-hugs from Oxford.
    Madge and Warren

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  25. Hey Girlfriend --

    I check your blog daily and you're in my thoughts constantly. I know the JH guys will find the right, unique cocktail for you. (You're too special to get better with the just normal recipe.) I really like the chess analogy, too.

    Love,

    Nancy, Jack & Pele

    PS: As I recall, Peanut M&Ms used to make you gain weight...

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  26. Dearest Carol;
    I am delighted to hear that your quality of life will improve with this change of meds. and greatest of all , you will be able to attend your daughter's wedding before the next dosage.. Isn't God keeping you in the palm of HIS hand for the very important moments in your family life ??? His mercy is making you aglow !
    YOU CERTAINLY HAVE ' AN INVINCIBLE SUMMER ' WITHIN !!!
    My heart will be filled with prayer for your intentions . I will paste a little heart with praying hands on my computer screen to remember more often!!!
    Take good care,, love
    Carla

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  27. Thinking of you. Not a huge fan of Norman Vincent Peale, but this seems to fit this week's post: "Believe it is possible to solve your problem. Tremendous things happen to the believer. So believe the answer will come. It will." Hang tough, champ.

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  28. Hi Carol,

    Thanks for the update. Will continue to pray for God's healing. As for weight gain, have you try drinking 2-3 bottles of Ensure everyday? Or use it to make milkshake.

    Blessings,
    Mei

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  29. Dear Carol,
    Chocolate and french fries have a way of adding to my bottom line so maybe they will help you too. My mom found that Ensure helped keep her weight up when doing chemo. Continued prayer for you,the family and a great wedding day.

    Much love,
    Vickey

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  30. WE love you Carol...ML + OJ

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  31. Dear Carol,

    Please know that you are in our thoughts and prayers! I am amazed by your strength and positive attitude. That is so much of the battle. As far as gaining weight, I've heard that Ensure is good and I can't imagine that mixing it into a shake with Haggen Daas ice cream is all that bad either! I wish you all the best and look forward to hearing all about the wedding!
    Love,
    Tami

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  32. Dear Carol,
    Special prayers are being offered every day by your friends in Colorado. We watch your blog & are in awe of your strength and your faith. We rejoice with you for the coming wedding & will be here to rejoice with you when the cancer is licked.
    Love to you,
    Vivian & Pete Teets

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  33. Hey,hey Carol!
    A little shift in the journey, but it seems everyone is on top of it and the new course of treatment we pray will do the trick! Your whole family has been in my prayers. I continue to pray for your healing, strength, and freedom from pain.
    Three weeks until the big day=how exciting!!
    Good news about Andrew!
    Glad to hear Chip will be home for the wedding and we will keep him in our prayers for a safe deployment.
    Sam graduated Friday from USC! Yeah! She did extremely well and has been accepted into a new masters program in Human Relations. It encompasses Human relations with an emphasis on advertising and marketing. It ties together her psychology, advertising, communications studies of the past four years. She should finish at the end of next summer. Lets hope the job market will have improved by then! And that you will be cancer free!!!! God be with you, Frank and the "kids".
    xoxoxo
    Nancy

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  34. Hi Sweetie,
    We've been praying for you...healing, perfect meds, comfort, peace, NO pain, dear Frank, the kids, the clinical trial, wisdom, hope, NO nausea (and other grueling problems), NO fatigue, grace and mercy, a perfect wedding day: none of those wretched chemo side-effects, gorgeous weather, flawless planning, journey mercies, and the glorious presence of God. Well, now it seems that the Lord has likely provided you with the chance to actually feel decent again on Erik and Christine's wedding day. Perhaps not the way that we saw it from the start, but by His plan?...absolutely, yes. Changing course is necessary and frightening, and it is the proper detour. Carol, treasure this shift in "the plan" and know that this journey is a bit like a race where you will hit your stride and gather the strength to finish well. You are loved beyond measure and we are cheering you on! God will, and has, undertaken on your behalf every step of the way. :o) There are no mistakes here, just earthly unknowns. Those unknowns are exceedingly challenging, but permitted by The One who made you. His plan is perfect and truly, His mercies are new every morning!! Amen and Amen! Love to you, Jeff and Jane

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  35. As the mother of an underweight daughter, our nutritionist recommends guacamole, hummous and peanut butter - NOT necessarily together (unless you're expecting!?!)

    Personally, I say just eat all the things you've always loved but wouldn't let yourself eat cause it was too fattening! And hold on the salads - every bite that goes in should put something on!

    We make some mean guacamole - tell Sally you want some and we'll deliver! :)

    XO,

    Wendy & Bobby Banner

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  36. Yea for new ideas! Yea for three week plans! Thanks for your prayers on Saturday, we had a great day :) love love love you. xoxo. Melissa

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