Thursday, January 22, 2009

The Latest…

Sorry it's taken so long again since the last update, but as we have come to learn, this is a long process and we don't always have concise information to give. David has been really tired since his last round of chemo that was given intravenously. I have heard that the second round of IV is much harder to tolerate than the first, and it appears that is true. However, after the last two days of appointments and with the help of some more medicine on board, we may have been able to remedy that a bit. So, let me back track some and continue where we left off…

After further communication via email with the doctor in Florida, we were told that the study we were hoping David could get on was closed, they were out of medicine anyway, and that he wouldn't have been eligible due to the steroids he was currently on. The doctor was very kind though and gave us his current treatment plan that we have shared with our new doctor at MDA. We have also been in contact with a doctor in Arizona who specializes in melanoma and he too gave us additional information on medicine / chemo's that he suggests. So, armed with new information and a renewed sense of "we have to do something more", we requested a change in our primary oncologist within the MD Anderson system. Luckily, the doctor that we requested agreed to take David on, and we met with him today.

Yesterday we had another appt. with our neuro-oncologist, Dr. Conrad. He looked at the MRI that David had taken that morning, and said that it appeared the lesions that were in the brain (the MRI was just of the brain) were responding to the radiation treatment that David had done in December. Dr. Conrad explained that it would probably be six months before they disappeared, but so far so good. It appeared there was nothing new. The radiologist hadn't made his report yet. We love Dr. Conrad. His nursing staff is wonderful, and he is so friendly and genuinely concerned. He gave David medicine for his lethargy and said that he would be contacting our new doctor prior to us meeting with him today. That's what we want – team work. Yesterday was a good day!

Today we met with the new melanoma oncologist, Dr. Pappa (it's short for Pappadapolis). He is also lovely. Everything that everyone had said about him was correct. He reviewed the MRI again, and said he saw a few more spots that had probably been there before, but one never knows. He also reviewed the last PET scan with us again, this time in much further detail. It's always hard looking at those. Any type of scan, MRI, etc is terrifying. So, he reviewed David's current treatment plan, mentioned EVERY drug that we were going to mention to him (from the Fla. and Arizona doctors plans) and also said that he was going to have pathology test the tumor from the craniotomy for its actual molecular make-up. Something we have been asking for since Sept. This helps to determine exactly what type of chemo to use. Certain chemo's target certain things – to put it in layman's terms. David can rattle off numbers and codes with the doctors and they all sound the same to me, but I get the gist. There's no guarantee the chemo will work, but you have to try, right? Also, we need this information to convince the insurance company to pay for certain chemos. Chemo aint cheep. Oh, and when we left, he said he wanted to talk to the radiologist and asked us to have him paged – YEA! TEAMWORK! It looks like we will have another PET scan in Feb. and after that he will comprise a new treatment plan, praying he believes that something will work. He also needs to know how David has responded to the IV chemo he has been receiving before he determines all this, and the PET scan will show the systemic stuff (again another technical term).

We then met with the radio surgeon, Dr. Woo. David is now famous in the radiology department for being the first person to go that many rounds of SRS (stereotactic radiation) in one month! They even asked him if he wanted to make a video. Why they want to make his head swell anymore, I'll never know (smile). Anyhow, Dr. Woo confirmed that there are a couple more he sees on the MRI, so his words to David were, "Are you ready to go again?" Of course, there's no question in David's mind. I told him he was a very brave man for doing this. He said, "I'm not afraid of the treatment, I'm just afraid if it doesn't work. I have to do everything". So, here we go again. Back on Monday for another round of SRS. Another halo, four more holes in the head and another very long day. The radio surgery staff and Dr. Woo are great. They also love us as I know their Starbucks orders by heart!

David has a meeting in San Antonio next week too, so our plan is to get him there on Tuesday (yes, the very next day after SRS) and he will be there through Thursday. This will be great for him to have some companionship of his coworkers and also to not have to think about this horrible disease he is fighting. Okay, so that's what he does for a living, but it will still be good for him. Pray that he feels up to it after Monday's treatment.

Oh, and the medicine that Dr. Conrad prescribed for fatigue has seemed to help today. Let's hope it continues to do so. He really needs to gain some strength back.

Kids are fine, thanks to our family, neighbors and friends. You are all wonderful for putting up with us and we continually feel blessed. Ethan has become our resident prayer at dinner time, and he never forgets to thank God for all of you. He also has a very funny term for MD Anderson (he couldn't say it properly) but I don't think I will post it on here. Ask me.

Okay, off to bed now. I'm sure when David reads this in the morning I will have left something out or had to edit it, but he can do that – right?

Keep praying, have faith, and we'll beat this thing together.

Nicola


 

Thursday, January 15, 2009

Round 2

FYI... David started his second round of IV chemo on Tuesday. As is sometimes typical with the second chemo round, he is feeling its affects.

Thanks for everyone’s continued support and well wishes.
Gareth

Wednesday, December 31, 2008

Well here it is, the eve of a new year and what a year this has been! I thought it was time to give an update as it has been a while since my last communication and I wanted to bring everyone up to speed on the treatment process, the future and to let you all know how we are doing.

During the past several weeks, I have undergone three rounds of stereotactic surgery (three weeks back to back) to treat the brain lesions. The treatments were not that bad (great team headed by Dr. Woo and staff: Cheryl, Patrick, Nancy and Joyce - can’t compliment them enough – GOOD PEOPLE!) It was the set up and time that it took to do the treatments that were the hardest part. Set up included bolting a halo to my skull and after the first round, Nicola decided to take pictures! Gareth has since renamed me “Lord Vader” as I looked like Vader before they put the helmet on him. Several weeks following the first treatment, I started to feel some of the side effects: the sleepiness, shakiness, etc., but not too much nausea or anything else, so all in all it wasn’t that bad.

Right before the holidays started, I also had a pet scan, which unfortunately revealed that we had some disease progression in the body. This was quite a shock to both Nicola and I and we took the news very hard. Nicola wasn’t in any condition to drive us back home so our close friend, Scott Schneider, was working downtown and caught a cab over to Anderson and drove us home. It was really comforting for both of us to have Scott with us, as we were able to recoup on the drive home. We walked into a house that smelt absolutely wonderful as Margie (Scott’s wife and our dear friend) had made a pot roast that was delicious. Margie is a queen at making a meal last forever, as it was reincarnated into many more dishes that week which were just as good.

It was equally as shocking to our doctor who reviewed the MRI’s from Sept. 17th when there was no disease present whatsoever. So this proves to be one more small challenge that I am currently being treated for with monthly intravenous chemotherapy, which I also started the first round the week before Christmas. The chemo was tolerable, made me a little sleepy, but we had the right medications on board, so it seems like it is going to be manageable. Thank you so much to John Baxendale for taking me for the last treatment. He offered to get up at 4:30am and drove me down there. It was nice having him there although I slept through most of the therapy, but it gave Nicola a much needed break.

The good side to all this (since we are always trying to find a bright spot) is that with this disease progression, it may make me eligible for a new drug being studied. We have been in contact with a very nice doctor in Florida and are currently working out details to make a trip down to meet with him. But all in all, I’m still in relatively good health, even though the treatments that I have undergone have left me very tired during the day, so I do battle that. It seems as though the evenings are good so far.

Next week I go back to work and am looking forward to interacting with my colleagues and customers and getting back out into the real world. Albeit, I’m still being chauffeured by Nicola, so she has to go back out into the real world with me! I’m currently working on a top 10 list of why it stinks being driven around by my wife that I will post later. The good news is, I have already spoken with the doctors, and on March 9th, I will be back behind the wheel. FREEDOM!

Now I will give you a family update. We had a great Christmas! It really has been, with all that has gone on, a great holiday season for us. We have received lots of cards and phone calls from friends, family, coworkers, that has meant a lot to us. Right before Christmas, Nicola’s parents, Gareth and Pam, Maggie and Randy, Nanna and us took all the kids to see a Pantomime. I guess the best way to describe a Pantomime is that it’s a play they do in England around Christmas every year. It’s usually based on a fairy tale. This one was Cinderella. It is interactive between actors and audience. You boo and hiss the villain, and you cheer for the good guys. The kids absolutely loved it, as did the adults. They screamed and hollered, and it was a lot of fun. The following day, Emma performed with her Rangerettes drill team at the Reliant Center during the NCAA LSU vs. A&M basketball half time show. Nicola went up with the girls, I wasn’t able to make it, but they were supposed to televise it. They ended up showing the game before it instead, so I wasn’t able to see it, but Nicola said the performance was spectacular! We also took the kids ice skating in the Woodlands. Ethan and I went with Gareth and Jake to see a Monster Truck show in Conroe (I think the same people that were at my birthday party were at this show!) Nicola and I have had a chance to go out and see a movie – Four Christmases, which was really good. We totally enjoyed it – a real date!

Christmas Eve I made a batch of traditional Christmas Eve chili. Emma made cornbread and Jess made rice. We went to 6pm mass at Church, which was a very nice service. We came home with Jan, Tony and Beryl (Nicola’s grandmother – 92 and going strong!). We had chili and cocktails – except for me! Ethan kept an eye out for Rudolph. It was a really nice evening as we were able to eat outside in the outdoor kitchen. I received an early Christmas present from Nicola of a new outdoor heater (bought, put together and delivered, by our great neighbors, Jimmy and Valarie Durham) which came in very handy. We do chili every year, as it is our Texas tradition as Christmas day is always done English style. Everyone left around 9pm and Nicola, the kids and I went outside with Egg Nog and to read “T’was The Night Before Christmas”, which we do every year. It was nice this year, because with the outdoor kitchen finished, we could sit by the fireplace.




Santa came as scheduled and delivered pillow cases full of toys and stuff at the end of the kids beds. No reports of any sightings, so obviously Santa was very stealth this year. And, surprisingly, the kids didn’t wake up until 7am, so we got to sleep in. We all went upstairs to the game room and the kids opened all their Santa gifts. After opening the gifts, they played and Nicola and I went down to open our Santa gifts (yes, Santa delivers to us too J). We had ham and eggs for breakfast – also a tradition, and Nicola started drinking Mimosa’s – apparently another tradition, and then around 11am, Jan, Tony, Nanna (aka Beryl), Gareth, Pam, Jake, Rhiannon, Maggie and Randy (who have now been officially declared family by the head honcho – Tony), arrived and a plethora of adult beverages, snippets and snacks were served while the kids opened all the “under the tree” presents (gifts from each other, not Santa). As typical, it took about an hour to open everything and two hours to clean up. Everyone was completely thrilled and content with all their pressies, even though, Jan didn’t stick to the rules of only buying for the kids. Apparently, we are still classified as “children”! We were scheduled to have lunch at 2pm, and almost made it. My Aunt Wanda, who moved here from New Orleans, joined us for lunch, and I must say the food was fantastic: Roast turkey, sausages, stuffing, chestnut dressing, roast potatoes, sweet potatoes, mashed potatoes, brussell sprouts, corn, carrots, bread sauce and gravy. Really nice lunch. We all ate too much. Before starting the meal, we always pull crackers. If you don’t know what these are…they are another English tradition. They look like decorative toilet paper rolls and everyone links hands with a cracker between the two of them and then you pull. They pop and if you are the lucky one to get the big end when they break, inside you will find a gift and joke and a paper hat that you must wear through lunch. This year, however, some of the crackers proved to be a little tougher than others and it became a true survival of the fittest to see who could actually pull the thing apart. It was very funny. For dessert, we had mince pies, Christmas pudding, which is like a fruit cake served with warm brandy sauce, and delivered to the table set on fire. For those that eat the pudding, you might find money at the bottom of your bowl (I think this is how the English bribed the kids to eat it, as most of them think it is nasty – but I like it!). We also had Nanna’s triffle – yum. Gareth made his traditional Christmas Yule chocolate log, to which someone made a comment that they were in awe of Gareth’s log – we won’t mention who, but we all had a good laugh about it. And as if this wasn’t enough, we followed up with an assortment of cheeses, which Nicola in her fashion, had printed out country of origin flags and staked each one – go figure! We had some very nice port to go with it. It was at this time, that I pulled out the cancer card and went to take a two hour nap – yeah, no dishes for me (cancer or not, I always disappear and sleep while everyone else cleans up).

Christmas night… all the leftovers are pulled out of the fridge (from an hour ago J), turkey sandwiches are made – usually Nanna’s job, but we let her out of it this year. New round of adult libations were served, and the board games are pulled out. Typically, we would have friends and neighbors over, but this year we decided to scale back just a little bit, and just kept it family (which as noted above, Maggie and Randy are now part of – initiation to follow). We played a new game, called “Articulate”, which is similar to “Password”. We always divide the teams into the smart group vs. the women. The men dominated the first round, and got completely thrashed on the last two. Rematch tonight!

Yesterday, my sister Dori, my mom, niece – Taylor, and nephew Benton, came down from Waco. We got to spend the day together and opened more Christmas presents. Benton and Ethan and I went to our neighbors who are out of town and tried to poach catfish out of their pond with no luck, and all the girls went to the mall and paid a visit to Aunt Wanda who gave them some very beautiful jewelry. Nicola is still mad at me, because she didn’t get to go due to the fact she had to get her car re-inspected (that she just had done a month ago), because I scraped off the inspection sticker by mistake when replacing the registration sticker. So now I guess I have to get Nicola some jewelry too. Taylor, my niece, who also shares my birthday, is staying with us through the New Year and we are very excited to have her.

So, as you may be able to see, we had a very normal, enjoyable and blessed holiday. We appreciate the continued prayers and support. It has helped us get through these last four months. Our faith is still strong and we believe there is hope on the horizon. There are many new options becoming available and we are going to keep fighting this thing.
Oh, one more funny thing to tell….again, this comes from my mother –in – law, Jan, so no surprise to those that know her. We were talking about my medical treatment the other night at their house. She informed everyone that I was on this wonderful new drug called Formaldahide! We all had a great laugh at this. So before any rumors start spreading, they aren’t trying to “pre-pickle” me just yet, and I am not on Formaldihide!

I have learned a lot since September. I have learned about fear, and faith, and just when you think that you are in the most horrible spot you could be in, you see or meet somebody that has it just as bad and that we are not alone in this. Talking to people and reaching out to try to help others that are down, I have found helps me deal with my own issues. It’s never not going to be scary, but with the support that I have been given by my family, and by all of you, I have been able to cope. I have never been one that is good at asking for help but I have learned to appreciate, more than anyone knows, the help that we have been given because there is no way that we would have made it this far without the help and support from everyone. I am looking forward to 2009 and wish all of you a very blessed, safe and happy New Year.

All our love, keep praying, have faith and we will beat this thing together,
David

Wednesday, December 10, 2008

Sunday, December 7, 2008

Catching up

This post is way overdue and I will try to do my best to catch everyone up! First, I appreciate all your responses, prayers, help to my family, and knowing that each and everyday so many of you are keeping us in your thoughts. I’ve never traveled such a tough road in my life and the journey this week hasn’t been easy. Before going into details I would like to share some wonderful events that have taken place over the past couple of weeks.

November 10th
I returned to work and things have been going well. This was a big step for all of us and I know Nicola appreciates that I now have something else to do with my time rather than pestering her all day long (tee hee)! So far I’m mostly catching up on past administrative duties and I have had the opportunity to get back in front of some very good customers.

November 16th
I had my 42nd birthday on Saturday, November 15th! Nicola had arranged for me to go camping with Ethan on Friday the 14th with our friend and neighbor Van and his daughter Tori. We went to a great place only about 20 minutes from our home in the national forest. It was nice, right on the lake, clean, and Ethan and Tori had a blast. They rode bikes and we took a long hike on Saturday. We stayed away until about 4:00pm and then packed up and headed home. Upon arriving home, I noticed my front yard looked like something out of a Jeff Foxworthy screenplay. Nothing but cluttered junk everywhere, the only thing missing was a broken down car/truck sitting right in the middle of things. But what you don’t know…was that broken down heap was on the other side of the house, my vintage 1988 Chevy Silverado that no one could get started! The truck was completely filled with junk (typical) and would have made perfect yard art for the occasion. My work colleagues and Nicola teamed up to throw me a surprise birthday party and it worked! I was shocked! The theme for the party was “Bald-headed Redneck party” and everyone (EVERYONE) dressed the part. I was in 2 day old jeans, a beer can chicken shirt, camo hat, unshowered and unshaven… I fit right in. Ethan announced that he hadn’t bathed or changed his underwear in 4 days…so he too fit right in! I still can’t put into words what this meant to me, nor do I think anyone would be able to adequately to put into words how to thank all those who did this for me. I am still touched, humbled, and in awe of having such good people in my life.

November 20th
I’m on my way to attend the Society of Neuro-Oncology annual meeting. I will be working the convention with my company and hopefully finding some new information for myself. Yesterday, Nicola and I got our first look at my MRIs since completing the first round of chemotherapy and radiation. The news really gave us a snapshot of where we are with our battle and I wish I could report good news…but…the new scans really are not that much different. This again is not a surprise since we are not even 4 weeks outside of radiation. Much of what we are seeing now can change but we have a fight on our hands and we have known this was going to be a tough, tough battle. We have a consultation at MD Anderson on Monday and possibly may have another procedure as early as Tuesday, November 25th depending on how (Nic and I) we feel about doing it right before the Thanksgiving holiday. (ed. plans did change slightly with the first treatment starting after Thanksgiving) We had a great holiday with my family, nic’s parents were out of the country and Gareth spent the day with Pam’s family. Too much food!

December 7th
Tomorrow I will have my 2nd round of radiosurgery. First time around went well except for a swollen eye (that was okay, I just told everyone that Nicola was keeping me in line). I’m sorry this post lacks my usual spark but the past weeks have been rough on us all. I’m looking forward to a good upbeat post in the near future. This is part of the process and I am still strong and ready to fight! Please keep us in your prayers, especially Nicola, Jessica, Emma, and Ethan. They are everything to me.

Keep praying, have faith, and we’ll beat this thing together! My promise.

Sunday, November 30, 2008

Sunday

I wanted to let you all know that David still truly appreciates all the kind words, support, and prayers. He has woken up every morning with good intentions of updating his blog. However, these past few weeks have been extremely rough on him mentally and physically. He, simply put, has just been too exhausted to sit at the computer and write. We aren’t sure why he has been so tired, other than, we are hoping it is a combination of the whole brain radiation, chemo, and a reduction of the steroid dose that the doctors asked him to do. As you know, the last MRI wasn’t as promising as we had hoped it would be. Although, I believe, and the doctors are not disagreeing, that the whole brain radiation still hasn’t completely worked (as evident by the sudden exhaustion), and that it could have, as it most often does, enhanced some of the lesions that were already there as it is diminishing them. It is pretty common for the lesions to be more prominent on an MRI after the treatment, simply because the radiation is working on them. To me, this seems like a good thing. We knew the MRI was early when we did it. The problem is, that as you all know, David isn’t use to not being able to do anything, and he simply doesn’t have the energy to do anything right now. This is not good for his spirits. I know this is a part of the process, and one that will eventually get better. I just have to keep convincing him of that.

However, we are going back today, for an IV placement so that he can begin his new treatment. A weekly stereotactic radiation starting on Monday. This wonderful doctor, Dr. Woo, has agreed to aggressively go after the tumors, and basically, “zap” them individually, four at a time, for the next three weeks. We know this works. It doesn’t stop them from reappearing, they most often do, but that is what the chemo is for. He also starts chemo back up again on Monday. This time at a higher dosage. We also added a Neuro-Oncologist to our team of doctors last week, Dr. Conrad, who David knew and who was very agreeable to seeing David and being just as aggressive. So, I have a renewed sense of hope going into the Christmas season. It will be a tough three weeks, with all the treatment, but I believe, it will be beneficial in the end.

The kids are doing well. They have had a wonderful Thanksgiving holiday with their cousins and aunts, uncles, and Mimi. We stayed home as David wanted, and cooked here. We all had a good time, and it was nice to all be together. We hope all of you had a wonderful, family filled and turkey filled holiday as well.

Again, I would like to thank all of you that have helped us out. You have all gone above and beyond and we truly appreciate it. Spending so much time at MD Anderson is not fun, and knowing that we have the support group at home is such a comfort.

I am not as good a writer as David, he has always been a lot more creative than I, so I will sign off and keep putting a bug in his ear to contribute. I do ask those of you that usually call him that you please continue to do so. It always gives him a boost when he talks to his friends. He may not be as chatty and opinionated (whoops, did I say that?) as he has been in the past, but it does make him feel better, and currently, he needs all the uplifting he can get.

Keep praying, have faith, and we’ll beat this thing together. Love, Nicola

Monday, November 24, 2008

Slight change

N&D met with a new doctor at MD today and they have decided to hand David’s care over to him. David will not be having the stereotactic treatment tomorrow, due to some miscommunication about blood thinner medicine. Instead, the plan is to go after 4 on Monday and then 2-3 more on each of the next few Mondays. The goal being to have treated all of the lesions before Christmas.

It has been a rough few days for David as he has been dealing with the test results as well lowering his dosage of the steroids and pain medicine. However, he is more upbeat by what he heard today.

Please keep your prayers coming.
Gareth