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Wednesday, September 30, 2009

Not in Kansas Anymore

So its been a crazy week already. Andrew and I finally found a radiation oncologist that we feel comfortable will provide the quality and level of care and has the expertise we are looking for. His name is Dr. Bajaj and he is located in our backyard and works out of the Fairfax Inova Hospital Group.
But our adventures for the week did not begin there. We first started out in Woodbridge, VA with Dr. Boylan, one of Dr. Bajaj's colleagues. That's how we found Dr. Bajaj... and thank goodness for that. I mean, have any of you ever been to Woodbridge? Me neither, until this. That's where Dr. Boylan's office was located. Anything outside of the 495 beltway seems like a different world to me. Though I don't claim to be a city girl by any means, and would move to State College, PA in a heart beat if I could, when I am in the city, I act like a city girl ... honking at anyone who gets in front of me, drinking Starbucks at all times of the day, only wearing heals over 3 inches high and texting to anyone and everyone who will write back to me, all the while wearing Big Jackie-O sunglasses to shield my eyes from making real contact with anyone ... to validate my importance, of course. Trying to maintain this pseudo-life in Woodbridge, would have been impossible. I never did see a Starbucks or anyone but the doctor and myself in heals ... she had on Stewart Weitzman's .. nice choice. When we stepped out of the car after our 1 hour and 15 minute jaunt from our McLean home and I looked around, I said 2 things to Andrew. 1. Look honey, this is where all the tree are..... Trees for miles around , and 2. ToTo, I don't think we're in Kansas anymore... And sure enough I was right. Woodbridge did remind me of Uniontown, PA, where I grew up a little. But there's reason we are not having treatment in Uniontown and are staying near a big city for medical treatment.
So after a great appointment with Dr. Broylan, she set us up Tuesday afternoon to meet with Dr. Bajaj at the Tomo Therapy Center in Fairfax ... an area we were more familiar with ... so we high-tailed it out of small town USA, got on 95 North and headed back to civilization around the city. Uh .. Starbucks Pumpkin Chai Latte here I come.
Dr. Bajaj is a young guy who actually used to work at Johns Hopkins with Andrew's specialist Dr. Thornton, so we have great confidence in his skills. He has seen upwards of 5 cases of Ewing's in his time as a doctor. Though that may not sound like much, seeing one case in a life time as a doctor can be rare, so 5 makes us feel pretty good. Andrew will be having anywhere from 31-35 treatments, or about 7 weeks in conjunction with his 5-day out patient I/E treatment. All of this will start on October 12th and continue though Thanksgiving week. So you guessed it, Thanksgiving will be here in Northern Virginia this year ... a first for us. His treatment will only take about 20 minutes per day and it will be given to him on a Tomo Radiation Therapy machine. This machine is not new, it's been around for about 7 years, but it is a more precise way for doctors to give radiation without hurting good cells in the process. Andrew and I were both impressed with the machine and its capabilities. He will be having a planning session tomorrow so that the doctor can make out a road map for where the radiation beams will be pointed. The great thing about this machine, is that each day a CAT scan will be done to modify on the fly for any sudden changes, ie an enlarged bowel, kidney ... just anything that may change and potentially be in the way for that day. This will help to keep healthy organs out of the way of the treatment.
But besides that, Andrew continues to go to work each day and I am now working from home. Georgetown has had a large outbreak of H1N1 virus and to keep myself and Andrew healthy, I have been able to work out this schedule. My hope is that I can keep it up through Thanksgiving and maybe even a little longer, until Andrew gets strong enough for me to be around college kids .. who of course think it is fine to cough, sneeze, blow their nose and oh yeah .. come to my office in this condition to tell me about it. Memo to students ... I am not a doctor and I do not play one on TV, go to the Student Health Center or the hospital and not to your advisors office who can't write you a prescription or a note of absence from your classes. Didn't your parents teach you anything ..... so because of the lack of common sense that Georgetown student possess, I am home, staying healthy.

Be well ... And wash your hands frequently with soap and water to keep the spread of virus to a minimum!!

Thursday, September 24, 2009

Elmer Fud

Andrew finished his 5th chemo treatment yesterday and came home last night from the hospital. He is doing well; eating and drinking, all the normals for him. After dinner last night, Andrew's brother Jeremy came from his new home in Baltimore and Big Pete went back home to Uniontown to go back to Cal U and teach. When Andrew's in the hospital, Big Pete is such a help. He literally goes into the hospital at 7:30 every morning and doesn't come home until 10 pm every night. This allows me to go to work for a while, make dinner and bring it in and keep life running and visit Andrew at the same time.
Curiosity killed the cat, I know... but I had to ask, What do they do all day when I'm not there. I learned that Big Pete and Andrew are good nap buddies. The both take siesta's throughout the day to get their beauty rest and since Andrew isn't always up for conversing, the Big Man is practicing for hunting season. Yes that right, Elmer Fud himself sits quietly in his seat, not making any sudden moves so not scare ... I don't know.... the chemo drip.... from moving .... all time honing and sharpening his hunting skills for the blissful time he spends every winter shoved in a tree ( a sturdy tree) waiting for that fateful moment when a poor and innocent deer walks into this path ... and then BAM ... you get the point. I always call a head when I coming into the hospital because I'm afraid I could accidentally be mistaken as one of the lonely and innocent who's lost their pack.
But really, I'm overly grateful for Elmer's time and attention to Andrew. I hope this extra practice helps him to 'bag' his deer early this year.
Today Andrew is in the hospital receiving hydration. He's sounds good and is looking forward to watching PSU beat Iowa this weekend ... Go State!!

SSSSHHHHHH... quiet, we are approaching the deer. (I love those hunting shows that you have to raise the volume just so you can hear what they are saying because they are whispering).

Pip Pip ......

PS: We also want to say a big MAZEL TOV to Shannen and RJ Kline on the birth of baby Braedan. We can't wait to meet him!!!!

Tuesday, September 22, 2009

A. Lama

Andrew and I will always have the running battle about religion. Andrew's Jewish and I was brought up Catholic. Neither of us has given up our birth faiths to convert to the others, though sometimes I think our families would like to see it. My mom always says, 'we should pick a religion in the middle and join that.' Honestly we have no idea what that means, but joke that maybe it's Buddhism. Not exactly what I think Linda was thinking ... but everyone just goes along with us.
But maybe we are on to something. Since Andrew has been diagnosed (and put on Lexapro) his attitude about the disease and how he would like people to preserve his attitude about the disease has been amazing. He has started to tell me what an inspirational person he thinks he is... spreading the message of positive thoughts and healing to all he meets. But it wasn't until this weekend that I saw A. Lama at work.
So why A. Lama ... because Dalai was taken. This weekend we went to Mia Westoff's first birthday party where most of the people at the event had no idea Andrew was sick. It wasn't until he was asked how he got his head to have such a smooth shave, that A. Lama and his spiritual and life views became the center of the discussion. It's natural that people are curious about his disease and how someone who looks as healthy as he does is sick. But it wasn't until I looked around the room at all the guests sitting intently on the U shaped couch, while A. perched on a chair in front of them, did I realize maybe he does command a crowd. I mean, he's not Gandhi and going to lead his people on a salt march to protest the tax on salt but his attitude and the way people preserve him, helps them not only to better understanding the devastating effects of cancer but how to deal with it and treat people with the disease as friends, family members and loved ones and not patients.
And though we will probably not be converting to Buddhism any time soon, Buddha are described 'as an awakened teacher who shared his insights to help sentient beings escape the cycle of suffering and rebirth. The Buddha's teachings provide instructions on how to understand the true nature of phenomena, end suffering, and nirvana.' Spreading his message and story is one of the most powerful ways to find a cure and to educate others about the signs and symptoms of cancer.
So for now, a new mentor on life, strength and awareness walks among us, A. Lama. And since he's not Buddhist and completely selfless.... he charges by the hour, doesn't handle children and insists that all of his food be served on gold plates arranged so none of the items on the plate touch one another ...... Celebrities and their crazy demands. To book him for your next party, bar or bat mitzvah or retirement soiree, call him at 1-888-gr8-ALAMA... and ask for Amy. Dates are booking quickly so act fast.


Do not dwell in the past, do not dream of the future, concentrate the mind on the present moment.

Wednesday, September 16, 2009

Thoughts for others

It's amazing the support we have received throughout this process of Andrew's illness, that we would like to turn the focus on someone else who is in our thoughts every day ... as we are kindly reminded by them that we are in theirs. Ishmael Conklin is the adopted, one year old son of my friend Stephanie (Harrison) and Mark Conklin. Ish was born without fibulas in his legs and as a result has unstabilized ankles. The Conklin's have spent countless and tireless hours working to find a doctor to repair their beautiful Ish. This week they travel to Cleveland Clinic to meet with an orthopaedic specialist who may be able to help Ish.
In our time of need, we ask you to remember Stephanie, Mark, Ish and their 2 other sons Toby and Eli in your thoughts and prayers this week. Even in their own time of uncertainty, Stephanie always takes time to read our blog, send positive thoughts and prayers, as well as asking her husband Mark's parish to pray for Andrew on a weekly basis. Though Stephanie and I have not kept in touch since our time at Ben Franklin Jr. High, we have reconnected recently to fight for causes near and dear to our hearts, our loved ones.
Check our the Conklin's blog and leave loving thoughts and wishes for Ish and the entire Conklin family.
http://www.indiansandpirates.blogspot.com/

Safe travels .....

Tuesday, September 15, 2009

Not my first Rodeo

For years I said that I wanted to quit my job and Andrew always tell me 'no.' And in his defense, for good reason. I mean, what would I do all day; how would I contribute to the overall family income. But now, I've got a plan. I've decided to bill doctors for the hours upon hours that I spend in their waiting rooms, patiently, waiting for them to come in and see Andrew. Why do I have to block off an entire day of my life, for an hour appointment that ends up taking 4 hours to complete. So I ask you .... How much is your time worth?
I've decided that mine is worth about $200 an hour. And let me tell you how I came up with that number. When I go with Andrew to the doctors, I don't willy nilly in to the office unprepared. I come equipped with all the papers all filled out and signed, all the scans already copied on disks (that the doctors can keep) which are numbered to the corresponding reports (that they can also keep for their own records), a copy of his chemo regiment and a list of his medications, all which are presented to the attending nurse in a color folder with the hospital name, doctors name and time and date of the appointment neatly written on the front.... in case they aren't aware of their own scheduling issues, I remind them of it.
I also keep a separate binder with duplicate copies of everything, phone numbers and dates of doctors we've seen, articles written about Ewing's and various other items and notebooks that help me to get through this process with ease. As my dad would say ... This not my first Rodeo!!!
I make things so easy, even a child can handle it. Andrew's case is presented in the paint by numbers, kindergarten, gran animals way that anyone can do. So why do we wait?
I think my favorite part of the waiting game is when they send in the nurse to take the vitals and ask her to take a history of Andrew's case .... that takes up a few minutes .... then comes the intern or resident to again hear the history ... who gives a damn, Doogie isn't touching my husband with a ten foot pole.... and then the dramatic, lengthy waiting begins... it could be an hour, it could be 2 ... yes we've waited that long .... thanks Johns Hopkins ... and finally the grand entrance of the doctor... who again, wants a history. This is when you know that none of those previous people actually matter in Andrew's case and that they were just the opening act to the show. And the song and dance pony show continues.
So maybe $200 is a low ball amount... I think my time is worth more... don't you? I don't want to bad mouth all doctors in the world.. Dr. Felice is the most punctional man I've ever met ... ever!! He never makes us waits, knows Andrew's case and reads the scans beforehand and never sends Doogie in first to do his job. I also want to commend Dr. Henshaw, who we saw this morning for a surgical consult.... a little late and a pony show, but helpful and had us out of the office within one hour... a record for us.
But I guess I wonder what would happen if I sent them a bill? Would they send it to insurance, or the complaint department at the hospital, or the pain-in-ass, PMS, overbearing wife department? Do hospitals have one of those? Who would pay my bill.... It's a big one!!!!

But even with all the waiting that we have had over the past few weeks, we did receive some great news this week from Andrew's oncologist, Dr. Thornton at Johns Hopkins. (email below)

Pre-lim result from MRI read looks great. Near complete resolution of soft tissue component of tumor, and the bone parts is "stable" (bone portion doesn't change, as the bone doesn't fill itself in again). This all sounds good, I will review in more detail on Wednesday, but just to set you guys at ease, everything looking good so far. Thanks- KAT

ANDREW'S TREATMENT IS WORKING AND HIS CANCER IS SHRINKING!!!!

This is just the news that we needed. I'm still considering billing for my valuable time lost, but getting news like this makes us know we are on the right path and that he is not going through all of this torture and poison for nothing. It is responding to treatment and we are currently interviewing .... yes I said interviewing ... radiation oncologist. I've also decided to treat any new doctor I meet like a job candidate. They are vying for a position in our families life and treating Andrew, is like treating the family. We are all involved and this person has to be a good fit in many respects. We hope to come to a decision soon. We are just cross checking references at the moment. It's a competitive process. And dealing with Pete and Steve and Jeremy and Andrew and Adam and Linda and Gwen and myself .... can be one hard task, so I pity the person we actually hire for the job. Part of the job requirements from now on, on time ... or you're fired!! Not kidding!!

But besides that Andrew is doing great, feeling great and continuing to live each day to the fullest. We have amerced ourselves in PSU football and even though we may not be there this year, our spirit at "communion" lives on each week with the help of our tailgating mentor, Jamey Perry!!! We can't wait to be back next year!!!

Ye Ha .. Ride 'um cowboy!!!

Monday, September 7, 2009

Mr. and Mrs. Gary Tier!!!


Thank you to everyone for your thoughts and prayers throughout the weekend. Andrew and I had a wonderful time at Lanhi and Gary's wedding. Andrew did great. He was able to make it through the rehearsal dinner, ceremony and wedding with ease. It was very important to Andrew to be there for his best friend on his wedding day and I am so glad the wedding went off without a hitch and he was in attendance.
We were also very happy to get to spend time with Billy and Laura and all of Andrew's family on Sunday. Thank you to everyone for making time this weekend to see Andrew. Laughter and Friends are definitely the best medicine.
Andrew and I have a couple of big weeks a head of us. He has his 13 week scan tomorrow ... which personally has me on pins and needles right now. The scan will help us to determine what's next, radiation or surgery. Whatever we decide, it will be life changing in its own way.
Congratulations again to the new Mr. and Mrs. Gary Tier ..... have a wonderful honeymoon and we can't wait to see you when you return.

Good tidings ....

Friday, September 4, 2009

One day till wedding day ....

Well not our wedding day, that was 3 years ago, but the wedding of Lanhi and Gary Tier which Andrew and I have been gearing up for all week. Andrew is doing good today, not terrific but good. The chemo takes a toll on him by this point in the week. His spirits are good though and that's important. And I can tell he's excited to go to the wedding. We have a 3 pm train that we hope to catch. Andrew's chemo should end around 12:30 pm today. Perfect for us to get home and get to the train.
This weekend will be a long one for him so we ask for as many thoughts and prayers for him as possible. He's strong but his strength only goes so far and then the side effects of the chemo overwhelm him. I hope on the train to NJ he can get a nap before we have to attend the rehearsal dinner this evening.
Congrats to Lanhi and Gary who will be marrying at Jasna Polana in Princeton, NJ tomorrow evening. Andrew is honored to be in the wedding and we wish you both a lifetime of health and happiness.

Here comes the bride ..... all dressed in white!!!

Wednesday, September 2, 2009

Alert and Awake

Tuesday was a pretty uneventful day. Andrew's chemo went as scheduled and he did well with little nausea. Today is much of the same. Thank goodness the Infusion Lab at the hospital is beautiful and new. It helps to actually be able to see the outside from the large windows that line the walls of the room, since we can't be outside enjoying it. We've been lucky this week, the weather has cooperated allowing Andrew a little time outside each night. Fresh air is good for the body and the soul.
All we can hope is that the treatments continue to progress the same as they have been going. As long as all goes well today, we hope to stop by Men's Warehouse on the way home and pick up Andrew's tuxedo for Gary and Lanhi's wedding this weekend ... fingers crossed that it fits. With all of the drugs and steroids in his system, he tends to 'bulk up' during the treatments themselves. I can tell by how swollen his fingers are right now that its the case for this round too.
Though his appetite and spirits have been great during this round, his short term memory is severely suffering during this round of treatment. The doctors said that this is normal and just a side effect of the chemo and the Adivan mixture. It's almost like he has amnesia or Alzheimer's. Anyone who is reading this that will see him at the wedding this weekend, please be patient with him and understand that he may not remember recent conversations he has had with you or simple things you tell him. It's ok to remind him over and over again, because he usually doesn't remember you told him before. The side effect should subside as the medicine gets out of his body. But as for now, its lists, lists, lists ... remind, remind, remind.
So he's doing well today.... forgetful memory and all. We are looking forward to having Jeremy at the house tonight. He will be driving one of our cars back to NJ on Thursday with all of our weekend attire and Winnie -- the best bulldog in the world. Andrew and I will join by train after his chemo ends on Friday.
But for now we sit back, relax and continue working until his chemo is complete today. Thank you to everyone for the wonderful and encouraging notes, thoughts and prayers you send everyday. I think they're working!!!

Stay cool ......