Wednesday, September 25, 2013

25 September Update

Gentle readers,


Our regular oncologist was away  so we saw another member of his practice today who gave us feedback on the current MRI, done 9/20/13.    The bottom line is that there has been significant progression (growths) in the brain since the last MRI at the beginning of August.Some of the abnormalities have grown and a couple new ones appeared.  Thankfully there is not a massive lump like the first beastie a couple of years ago.We have stopped the medical therapy (Avastin) as it had not done its job well enough.  What to do next is still up in the air pending discussions with my neurosurgeon and my regular oncologist.  We have recently learned of some very interesting therapies at Duke  and MD Anderson, but don’t know that they could be expected to apply to my case or not.  We’ll see.  I’ll just keep truckin’ along feeling reasonably good.  Next MRI probably in a couple months.  We're hanging in here ok and still of good spirits, as i hope you are too.Will let u know if we learn any thing of  substance.

R

Saturday, September 14, 2013

Symptoms and condition, September 13

Dear readers,


Observations and Symptoms, 9/13/2013

The major purpose of this blog is to record milestones in my medical journey.  Altho several friends continue to ask how I feel, or “what’s going on?” I assume most folks really don’t want to know all the gnitty-gritty.  For those that do want a peek at what it feels like to be me right now, I offer the following, with apologies if it borders on TMI. People say that I look really good, but that probably has more to do with the fact that I haven’t had to face the really noxious chemo that some people have to do.  Perhaps the most prominent symptoms relate to my ongoing feeling of drowsiness, and my reduced capacity to focus or concentrate mentally.  This is accompanied by a general lethargy and reluctance to get up and “do what needs to be done.”  Once provoked into action I can function OK, but not necessarily with desired prowess. This is frustrating, especially on the golf course, or at the computer, but I try to prepare myself for such outcomes.  For example, I’ve not broken any golf clubs through anger, or lofted any clubs into high branches of nearby trees.  But am I acting maturely?  You won’t get an answer here, but I still have relative command of a colorful vocabulary.

My balance is ok also, but I do use the rails on steps for balance, especially in poor light.  My strength has diminished but again is ok for most tasks.  In this regard I am limited mainly by the fact that I have developed over the past year a hernia which cannot be repaired  because of the anti-cancer medication I’m on, Avastin.  The medication acts to limit the formation of new blood vessels so any surgery is out unless mandatory since Avastin would hinder the healing process.

There have been no recent changes in vision, but since the original beastie  was in an area of the brain responsible for visual processing there were early changes which have not lessened.  Most prominent is about a 25% loss of peripheral vision on the left side.  This creates blank spots, but it also slows down my ability to pick things up quickly (visually, that is).  For example, it’s not always easy to follow a golf ball off the tee.  Of course (as in the old joke) I need to work on remembering where it went even if I do see it.  Face recognition can still be an issue, both recognizing a “known” face and putting a name with it.  Again, this has been with me from the beginning and is not something new.  I’m sure it would not take much effort to get me lost in the woods either.  I am able to read, although it can tire me also.

Being completely open here, I will note that I have had several small events in the last couple weeks, that the doctors refer to as ‘auras.’  These are generally described as mini-seizures which can accompany a real seizure.  In my case a real seizure has never occurred. For me it has been a sudden tightness in the esophagus and perhaps light-headedness and a strange taste sensation, accompanied by a feeling of nasal dilation,  All of which pass in just a few minutes.  We have eliminated some medication which might have been responsible, and have back-up plans for more anti-seizure dedication if the events continue. The next MRI is scheduled for Friday the 20th, so we'll get more info on the ferrets in the cranium in the following week.



Wednesday, September 11, 2013

September 11 Update

Gentle Readers,

We saw our neurosurgeon, Dr. Weingart, Tuesday to review the most recent MRI (2 August) from his perspective.  We left feeling better about the situation in my cranium than when we entered.  He acknowledged the presence of some new growths, but by and large referred to them as subtle changes.  He was happy with the relatively symptom-free me that he saw today .While I could wish for a few specific improvements in my condition, for the most part I'm ok, and the progression of my cancer has been much more moderate than for most.  For him the more important indicator will be the next MRI, which he asked for next week (about 8 weeks from the previous).  We still have the option of another round of radiation which can be very effective at the beasts that have taken up residence in my noggin We will talk about this with Dr. Weingart if the MRI comes back showing continued growth.  My general good physical condition would make me a good candidate for further radiation.  We will continue on the current medication, Avastin, for the time being also since it has been somewhat effective in the past.  We will hope that it continues to be effective.  I'll see the oncologist and get another dose of Avastin tomorrow, 9/11.

For the record, I played golf yesterday, making a couple competent strikes at the ball, and moving a lot of earth around.  MY weapons of grass destruction are still deployed!  I think it was one of the many foibles of the old me to have loved this game so much.