Saturday, August 06, 2005

My Bald Public Debut





Well, folks, there it is. There's one picture of me becoming bald, and one of me getting my first look at my wig, and one of me attempting to smile. I have a GI Jane stubble - ugh - right now, and we'll actually shave that off to make it smooth tonight, as I don't like being a velcro-ball and as the little stubble comes out it's itchy.

I have decided that I am either extremely brave (something I don't really believe - I've written on that subject before), extremely extroverted (we all know that's true) or simply insane. You might agree with my last statement when I tell you what I did today, by my own choice.

Today, my family and I went swimming. At a pool. Surrounded by lots of other people.

Should I point out to you that I have recently had a mastectomy, that I have scars from two other surgeries, and that I have a bald head? Should I also point out that my body bears the many imperfections of its thirty-five-and-eleven-twelfths years, including cellulite, a less-than-flat tummy, and the rest?

Now you will understand why I have given myself the title of "insane," and why you should not question the fact that I am insane. Yes, I did indeed choose a pool as part of my public debut as a bald woman.

But let me back up a little...

This morning, the mood as I got my head shaved was almost festive. Some of us had Starbucks coffees, some dear friends brought thoughtful presents to help the day, and I was surrounded in the presence of people I love, which is the best present of all. A group of us walked from our house to the salon, and met up with a couple others at the salon. I was nervous, but comforted by the fact that I knew I was doing the right thing.

At the salon, I decided that I did not want to watch the process in a mirror - that seems too much akin to removing a large band-aid very, very slowly. Instead, I chose to face my friends, Ryan, and Tessa as the deed was done, and so they had a full view of me but I could not see myself. Krista, my stylist, was an angel on earth, and she treated us like we were all valued clients, offering coffee to the gang; more importantly, she acted as a friend.

I was very attuned to Tessa's face throughout this process. Heather held her on her lap, and looked at the cancer books ("Sammy's Mommy Has Cancer" and "Mommy Has Cancer") that we've been using to explain things to her. Occassionally, Tessa's lip would tremble and her eyes would grow wide, and I would talk to her, saying things like "Doesn't Mommy look different with no hair? Will you help me choose hats to wear?" and other such nonsense. It seemed to help Tessa, though, and she never shed a tear.

At the end, when it was all done, people got a little quieter. I felt slightly sick to my stomach, but this time it had nothing to do with the chemo drugs. The moment of truth - how awful would I look? - had arrived, and I didn't want to face it. But I did. Krista turned my chair around, and, surrounded by caring people, I got my first glimpse of my new, bald self.

I hated it. I looked like a cancer patient, really and truly, for the first time. I didn't feel brave at all. I felt scared, and I started to cry. Who wouldn't? Anyone who wants to say, "It's only hair," or "It doesn't define you," or any other such things should simply try being bald. Yah, it's only hair, but it's my hair, and I looked normal with hair, and not having hair is a big deal. It will grow back, but in the meantime, people will stare and I do not look like "myself." That, friends, is the truth, and there is no getting around it.

However, that's not all there is to tell. The tears dried quickly enough, and I declared that I was more than ready to try on my wig. (Please, bring it to me. Now. Please. Please.) With the wig on, I could breathe a sigh of relief. It was really still me in the mirror...only with cuter hair than before! The room felt more festive again, and everyone congratulated me on my wig choice, telling me how attractive I was. I think if I'd chosen rhinocerous hair for a head-covering my loving gang would have still encouraged me, but it didn't matter, for the fearful moment passed and I felt human again.

I smiled at the woman in the chair next to me, who was probably NOT having the salon experience she'd planned for, and apologised for interrupting her morning of pampering. She told me that she was honored to bear witness to my morning, and that she thought I was brave and that she wished me well. I did not tell her that I'm not brave. I said thank you. Today, I felt pretty brave, all things considered, even if what I was doing was because I had to and not because of some inner reserve of strength.

Wig on, I hugged Krista, promising that I was her customer for life. (This, I am certain, is the truth, in a very literal way.) She refused payment, and gave me a card to share her thoughts and prayers with me. She is a special person, and I am grateful that she was willing to share in this part of the journey.

Wig on my head, hugs were given all around, and some friends departed, and others walked back to the house with us. When we got home, there was a note in the mailbox from the members of the PEPS group that I co-led with Amy. Each of them had signed a note, and they had included a gift certificate to Ummelina (mmmmmmmmmmm fabulous!). The timing was perfect, and I felt so grateful. Thank you.

My parents showed up after that, for we'd planned to spend the day together, and Lori & Michele joined us for breakfast. Breakfast was fun, non-hair-centered, and a reminder that life does, indeed, go on... real hair or otherwise. After breakfast, friends departed, and the family packed up to head to G.G.'s for a visit (and so Dad could help with her lawn). We had a lovely visit with G.G., had Tessa's first real tea-party (definitely subject matter for another post, but one of my loveliest mommy moments) went shopping together for Gavin's birthday presents, and then I became truly insane.

It was my idea, actually, to go to the pool at the club. Tessa loves the water, our family has always had fun in the water, and today was just a perfect day to splash in the sunshine. It makes perfect sense, except for the bald uniboober part, and I thought it sounded fun.

I left the wig in the car (what use is a wig at a pool?), put on my pink baseball cap, took a deep breath, and entered the changing area.

When Tessa and I came out of the changing area, heads did turn. Young girls looked at me with wide eyes, and a couple of the parents (this is a family place) looked at me with questions in their eyes. I wore my beautiful new swimsuit, fitted with a swim prosthesis, I kept my pink breast cancer awareness band on (hoping, honestly, that people would notice it and think "breast cancer" and not "skinhead") and I put sunblock on my stubbly head, and there I was. I felt naked. The scars under my arm have created odd lumpy areas; the swimsuit does not entirely hide the fact that I am missing one breast; and on the other breast there is a visible (not covered by the swimsuit) two inch scar from the portacath placement. Add this to my normal swimsuit anxiety, and you will wonder what I was thinking. I took off my cap, left it with my swimbag, and went into the pool, holding Tessa, and talking to Ryan.

Well, here's what I was thinking. My family, myself included, enjoys swimming, and the day was right for swimming. The oncologist approved me to go in public pools while my blood counts are still good. The day was sunny and hot, and the water felt refreshing. All this adds up to one important idea: I am not my cancer. I am not going to stop living while all this crap goes on in my life. Instead, I'm going to carve out room for pockets of joy (thanks for that great phrase and prayer, Shannon), and I'm going to seize that joy whereever I can find it. When Ryan threw Tessa in the air and she screamed with delight, I saw Ryan's eyes shine. When Tessa and I snuggled in a warm towel during a pool break, I saw my parents relax with relief. When I kissed my husband in the pool, our daughter between us, I knew that we were going to be okay. People can stare, but my daughter was laughing, my husband hugged me, my parents smiled, and the water felt good on my skin. It was a good day to swim.

Yes, I'm insane. But I'll take the insanity over the all too real world of cancer and its treatment. If it takes insanity to make it through this mess, then sign me up. I've decided to be insane.

Love to all,
Kristina

PS My husband is incredible. Ryan, I love you! Thank you for making me believe that really, it's not a big deal to you to have a bald wife, and that you find me lovely with or without hair. Your love and support is a precious gift, and I love you for it. Thank you.

Bald!

Well friends, the deed is done. Like many things in this journey, going bald wasn't as horrible as I thought it would be. I can do this.

Accompanying me today were my handsome husband, beautiful daughter, and incredible friends: Susan, Michele, Lori, Susie, Heather, Holly. My stylist, Krista, was sweet and kind, and her nervousness (she's never done this before either) was perfect... she was an important part of the day and I'm grateful that she handled it with grace and friendship. She has a customer for LIFE...I joked with her that she had better not move out of state because my flight bills would be too much to handle. :-)

I am bald. Actually, I have velcro-head, and later today Ryan will take a razor and shave it smooth. It turns out that I did have a couple of little bald spots at the back, so I wasn't being premature in shaving it after all. In any case, I am glad that it is done.

There was no doubt in my head that I wanted to walk out of the salon wearing the wig. I am not ready for hats and scarves. My first words when I saw my bald self were, "I have cancer" (this was accompanied by tears). You know this, I know this, but seeing my bald self was a real reminder of that. The wig makes me feel like I'm tricking cancer right now. It's itchy and I'm sure I'll go bald soon enough, but right now the wig makes me feel pretty, and I could stand to feel pretty.

Susan took lots of photos, and she will send them to me today, and I'll upload them.

I will also post more of my thoughts on the subject...what it felt like, what my reflections are...but I need to process the experience first. I feel emotionally exhausted. Today was an important step. I'm glad that I should never have to do it again.

With love,
Kristina

Sleeping Beauty



Here's a picture of Tessa, taken a couple of days ago. At nap time she has the choice to have "quiet time" and if she takes that option because she's not tired she usually chooses to sit in the rocking chair and read. I came in to check on her the other day, and this is what I found...it looks like she was tired after all! I kissed her and carried to her bed to that she could rest more comfortably...but the image of her curled in that chair brings a smile to my lips so I decided to share it today when I need a smile.

Kristina

Today's bald appointment

I did not sleep well. I had dreams that I was given drugs that, in combination, could be fatal, and in my dreams I was throwing up blood as I tried to empty my stomach of the medicines which were poisoning me. YUCK!

My restlessness was caused by my anxiety about losing my hair, I think. And wouldn't you know it, it has stopped falling out. I have no idea what is up with that, but I will shave it today anyway...I'm tired of worrying and obsessing about it. I'm tired of being afraid of it. I wish it would keep falling out today in order to affirm my decision and make me feel more confident about it, but I am not able to choose the way in which my hair behaves (and this is no change from the usual, I think!). So, I say "HA!" to cancer and I shave my head when I choose. Today, in an hour.

Some friends will meet me in an hour at the salon. I'm about to pack my bag - one wig, one baseball cap (pink), one bandana, one cute hat, and washable markers.

I am certain that, despite my thinking and preparedness, I am ill prepared for this.

If I am strong enough, later today we'll go to Coleman Pool with Tessa and my parents. I will be the one in a swimsuit with a built in breast, and with a bald head. You won't be able to miss me.

Kristina

Friday, August 05, 2005

Hair today, gone tomorrow

Well, friends, it has begun. Today in the shower instead of a few loose strands coming out (as happens every day of my life), ten strands at a time wound themselves into my fingers and down the drain. With every brushstroke, a few more. I have stopped playing with my hair or brushing it to slow this process....and I have changed my Tuesday appointment because it appears I won't make it that long. My new appointment is at 8:15 tomorrow morning.

I have a wig. I have hats. I have people who love me. I will be okay. Please wish me strength anyway!

With love,
Kristina

Updated 1:13: My head is messing with me. What I saw this morning was real, but it seems to have stopped. It's making me crazy! In any case, tomorrow at 8:15 is the appointment, and I am ready. This morning was enough of a reminder of what it's going to be like, and if that had continued then our plumbing bill would have been huge. Onward...

The Children's Museum - and independence

Today, Tessa & I are going to go to the Children's Museum at The Seattle Center with our friends Susie & Nina. I gave Caley the morning off - she deserves it, and I think that I'm up to chasing Tessa around for a morning without help. Tessa deserves that, too. I crave this type of independence. I miss the old me who cooked dinner every night, didn't think twice about running five errands in a row with a toddler, and still had energy left over. Today I am going to pretend to be that person...until 1pm, when Caley will show up to help. (God Bless Caley!)

Kristina

Thursday, August 04, 2005

Follow up on "the letter"

I nearly forgot. The other day, I received a letter in the mail from the interventional radiologist who placed my portacath. I'm paraphrasing here because I'm too lazy to go upstairs and get the letter to quote it 100% accurately, but it says something to the effect of "I am sorry to hear that your very reasonable expectations for care were not met. Your care did not meet my personal or professional standards, either, and I am sorry." It went on to say that the team has reviewed my letter as a starting ground for re-evaluating the patient relationship, and insuring that no other patients ever experience something like this again. In other words, REAL action is being taken as a result of my letter, and I'm very pleased.

Kristina

Today *I* get to help out

Today, I am genuinely looking forward to helping out my friend Molly. Molly is a wonderful, warm, caring, incredible woman and friend, and Molly has been there for me 100% both before and after my diagnosis. Molly has everything "together" and I have never been able to really offer her help with anything, but today I get to be the friend to help. Molly & family have just moved, and there is the usual chaos of moving - the boxes and furniture in the house, but it's not "together" and life is chaotic. This morning I will go and help her to settle into her new house, and it feels SO good to help a friend and to be more of the normal me in doing so. (Don't worry, friends, no heavy lifting etc for me!)

My headache is perpetual, with ebbs and flows. I'll call the doctor again today. It's most likely a side of the anti-nausea drugs, so I'm not sure what to do...I would take a headache over throwing up any day of the week, but I'm not in love with the headache.

I think that Ryan is feeling better. He has received some personal stories from others with his affliction, and they give him strength. You know who you are - THANK YOU for sharing. Thank you, thank you, thank you. I believe that Ryan has turned a corner, and that things will be brighter from here out. Of course it will be a long road, but I am filled with hope again.

My love to all,
Kristina

Wednesday, August 03, 2005

Wigs, headaches

Today I bought TWO wigs. One is an "everyday" one - when I'm a "preschool mom" I'll wear it, and when I've decided not to shock the grocery store clerk, etc. It's cute, above the shoulders, and I like it. The other is my "sexy" wig - loads and loads of pretty long hair, more the way I'd wear my hair if it grew in thick and luscious, not at all "practical" and perfect for going on dates with Ryan or girls' nights where I want to feel pretty. I'm satisfied with my choices. I have one now (the other is on order in the right color - "ginger brown" - and will be in on Tuesday) and modeled it for Tessa & Caley. Tessa looked quite startled at first, but I let her try it on and she smiled and laughed and liked it. I hope this is a good transition for her....I couldn't bear to have my baby cry when she saw me post-shaving.

Unrelated to the wig...my headaches just don't go away. I got a headache with the chemo drip on Wednesday, and it hasn't gone away. It ebbs and flows, but it never disappears. Today it is like a vice grip on my head - it's hard to think, the sunlight hurts, and Tessa's "excited voice" about sends me over the edge. I called the doctor,and she prescribed 4x the usual Motrin dosage, with a note to call her tomorrow if it doesn't work. I pray that it does because I want to curl up in a dark hole right now, and that's no way to live.

Love,
Kristina

Tuesday, August 02, 2005

Fatigue

Well, I am learning that fatigue is real, and problematic. This is beyond "gee I feel tired" or "I could really use a nap." This kind of fatigue makes me feel snappy and grouchy, and my patience with poor Tessa is wearing thin. Today she was in a a particularly demanding mood and, bless her little heart, I wanted to send her to the moon for a few hours' vacation. Thank God for Caley!

Last night Ryan and I went out with Steve & Kerri. We had long, heart-to-heart talks in which Steve & Kerri shared issues very private to their hearts, and opened up their truest, deepest selves to us. We are both eternally grateful, and the meeting was healing for Ryan and I. In particular, I am hopeful that Ryan was touched by their stories, and that he finds strength in them.

Today Ryan was at home, and tomorrow he will return to work. He will take things one step at a time, and he will face the things he needs to face. I am proud of him.

Today I saw the surgeon, and she pronounced me to be healing beautifully. I do not need to see her again until after chemo, as a follow up. She wrote me two lovely prescriptions - one for a wig (I'm going shopping with Lori tomorrow...wish me luck) and one for massage. HURRAY for massage...I think I've earned it!!!

Today might be the day that my blood counts hit their "low." I sort of hope so - I've had a strong headache for a couple of days, and I really am tired, and I'm tired of trying to push on through with limited success. I hope that tomorrow I'll be on the mend again, and that I can have a good week before returning to the chemo trenches.

Love to all,
Kristina

Monday, August 01, 2005

(Sigh) Monday

Today Ryan is struggling. Thank you for including him in your thoughts and prayers. I will respect his privacy by leaving my note about him at this brief level, but know that his needs are utmost in my mind right now and that any extra strength you have should be sent his direction.

I had a restless night from, err, ummm, digestive issues. No nausea, but I'll leave it at that lest anyone feel ill from reading my reports! Today I am doing better and things seem to be working better in my system.

Before Ryan came home today, Tessa, Caley & I met up with Molly and picked up Tessa's new bed. Molly had read my note about thinking about a big-girl bed for Tessa, and since her daughter Ellie is moving into a double bed, she passed along Ellie's twin. My parents met us to do the heavy lifting, and later this week they'll bring the bed to our house to set it up. Tessa is VERY excited for her new, big-girl bed - it's a simple pine four-poster with a heart cut-out, and Tessa can't wait to sleep in it. These small joys bring great light to our hearts on days that seem otherwise dark and dreary in the face of all that we are enduring...our daughter is a beacon of joy to guide us through the darkness, and I adore her.

Many thanks today to Molly for the bed, and to Grammy & Grandpa for picking it up for us, and to Caley for being the glue that has held me together. Special thoughts today to my new friend Susan, who found out her course of treatment today.

With love,
Kristina

Sunday, July 31, 2005

Sunday - so far, so good!

Well, I woke up feeling pretty human, and I didn't even need to sleep past 9am to do so. Laundry is going, I've had some yogurt and Kashi and taken my meds, and Tessa and I are playing while Ryan takes a little rest (he's been up with us but deserves a little down-time, too).

When we all feel like it, we'll get ready to go to Alki Beach. We'll have a bite to eat at the bakery or cafe, then we'll go to the beach and let Tessa cavort and play. Then we'll go to the Farmer's Market and run an errand or two in the junction before we head home for Tessa's nap.

Now this is what a Sunday should be. :-) I hope that all of you are having similarly restful days!

Kristina

Saturday, July 30, 2005

So far, so good.

Well, much to my surprise and delight, I am doing much better than I thought I would. Today's morning walk felt great, just a little tiring, but not bad at all. We hung out at home for a while, and then after lunch while Tessa napped I went on email for a while, tried to nap (unsuccessfully), and then played with Tessa while she woke up. During the time she slept, Ryan took a bike ride and paused for an iced coffee, refreshing himself body and soul with both activities.

After nap/rest/biking, we ran some errands. We recently bought Tessa a twin air mattress to replace her Pack'n'Play because she's growing so much, and we set it up in the guest room downstairs because it's so nice and cool down there compared to the warmth of the top story of the house. (Am I repeating myself here? Forgive me if I've said this.) Anyway, we didn't have twin sheets and so today we went and bought some sweet little sheets for Tessa, which isn't really a big deal, but reminded me of how much she is growing up. She is more or less ready for her big girl bed, and we'll have to start looking for bargains. (She's in a toddler bed now, which is okay, but a big-girl bed might be even nicer!) We also got her a new swimsuit - hard to find because the stores are full of fall clothes already - because she has grown so much that one that fit at the beginning of the summer is now tight and small. We ran a couple more errands, as well, and got things accomplished that needed doing.

Anyway, these are all normal, everyday things to do, and it's good to have a dose of the normal, everyday. We went to dinner at Angelina's for pasta (sounded good to me), and came home a bit later than expected, so as soon as we got home we tucked Tessa into bed and now I'm waiting for her to fall asleep so that I can climb into the guest bed in the same room! (This is a good reason to have seperate bedrooms, but I must say that in the heat of the summer it is very nice to have the option of the cooler room even if it does mean we have to share.) As soon as she's silent, I will join her.

Tomorrow we plan for a trip to Alki Beach to play, and have little plan beyond that. Oh, except I'd like to go to the Farmer's Market to get berries, basil, and whatever else looks good and in season. I've missed a few weeks because of all the craziness, and I need to go back.

Sending my love to friends and family. Things are much better than I imagined, so far, and I will take all that I get. Thank you for your continued love and support. :-)

xoxo
Kristina

I just woke up (9:25) and I feel rested!

I'll keep this quick because Ryan and Tessa are upstairs, unaware that Sleeping Beauty has arisen, but I wanted to share...

I just got up from a long night's full sleep, and as a result I feel somewhat, well, normal! HURRAH! This is certainly celebration worthy. This should be a lovely weekend.

Kisses,
Kristina

Addition to the above: It's 11:32am and I still feel pretty good. I showered quickly and got dressed, and then joined Ryan & Tessa on a walk to Starbucks and back (about a mile round trip). That tired me slightly but it also made me feel alive and happy, so definitely worth it. Interestingly, coffee didn't sound good, so I had an Odwalla smoothie, which hit the spot.

If this is the second part of chemo, I like it! Much better than yesterday.

Friday, July 29, 2005

Ending the evening on a positive note

Today I didn't do much. No, really, today I did nothing. Heather & Kelton came over today at about 11am and I was barely out of my PJs, and then when they arrived I plunked my bottom into a lawn chair and watched the two children cavort in the pool. Caley made us a nice, simple lunch with the fresh things that Heather brought to share -thank you - and then when they left, Caley put Tessa down for her nap and I went to my own nap! I didn't sleep, particularly, but I rested, which is good.

I also called the oncologist's office, and was told to take two of the Ativan to help me sleep tonight. Let's hope it does the trick - I'm really tired so I can't imagine not sleeping again.

But the good news....tonight after dinner (thank you Lori....and thank you to the last week or two of people that have kindly brought us meals that I have neglectfully ignored....Linda, Lynn, Karen & Alex, and others...) I actually joined Ryan & Tessa on their evening jaunt. It's not exactly fast paced but it is actual movement that doesn't involve sitting, and I'm proud of myself for the attempt. It DID give me energy, and I've actually taken out the trash, put a few things away, and watered the plants outside because they're all wilting in the heat (and the tomatoes are bearing fruit that I can't stand to die - I can't wait for those succulent bites!).

So, the rule about exercise beating fatigue seems to hold true. Or maybe I've turned a little corner. But I'll take it!

Love to all,
Kristina

But I want to be Active Girl!

I have so many things that I want to do. It's lovely weather again, and I'd love to take my daughter to the zoo, pack a picnic dinner for the beach to share with Ryan when he returns after work, go to Target and run some errands...but instead, it's taking all of my energy to make a few phone calls and tend to Tessa in the minute or two when she wants her mommy instead of Caley (who really handles 99% of Tessa's needs when I need her to). This is as much moaning as a statement of fact - I just miss having energy, and today is my new low for energy.

But I don't feel nauseated, and that is a very, very good thing!

Kristina

Yawwwwwnnnnn

This morning I woke up at 3am. The heat was not a problem last night because we all slept in the guest room (Ryan and I in the bed, Tessa on an air mattress) and the guest room, being in the basement and on the shady side of the house, stays much cooler than the rest of the house. Anyway, I woke up, completely alert...but exhausted. I took an Ativan (which is actually an anti-nausea -anti-emetic- drug, but causes drowsiness and the doc said I could take it if I had insomnia, and by 4:30 or so I was able to doze a bit, but I never fully went back to sleep. I'm STILL in my PJs, still not functioning fully, and it's disheartening. I feel okay but obviously not well rested, and since I'm tired from the chemo drugs anyway it's not a good combo!

One of the drugs I'm taking contains a steroid, and that is usually what causes this. Now I need to figure out how to cure it. I will call the oncologist today, and the naturopath as well, to figure it out.

Thank God for Caley - when Ryan left, Caley took over, and I have done nothing today.

So far, still very low grade nausea if at all, and I'm doing well...

Oh - and a note for people reading this who might start chemo soon (Susan!) - I have been told over and over that stool softeners are a must for A/C chemo. Bleeding bottoms and much pain ensue if this advice is not followed, I'm told. And prevention is key. So, I take my little pill, on top of all of my other pills, and I've been okay so far. (Thank you Lia for telling me about this!)

Kristina

Thursday, July 28, 2005

Chemo - How it Worked for Me, Days 1 and 2

Okay, so this is what chemo was like for me the first time:

12pm: Arrive for appt at oncologist (Dr. Rinn) office, pick up paperwork for blood draw, and wait in a different lineup

12:15: called for blood draw - my first draw from the portacath. I had a nice nurse, who talked me through it, and it didn't feel too bad. They give me a tiny injection of lidocaine (sp?) into the cath so that I don't feel the bigger needle that is the IV, and that seems like a good system - pretty tolerable.

12:30: Wait again for Dr. Rinn. Get my blood pressure and other vital stats taken, answer questions about general health. Then Dr. Rinn came in, and I asked her my questions:
What was my FSH score? (Can't remember what the acronym FSH stands for, but it's a more accurate/more expensive her2/neu test.) My score was 9x the normal her2/neu gene....in other words, I am DEFINITELY her2/neu positive.

With Herceptin, is this a more treatable cancer than other types? Yes. Herceptin has changed the landscape, and is a miracle drug in many ways.

Will I get radiation? This is still undetermined. With zero positive nodes, the answer is no. With four positive nodes, the answer is yes. Since I have one positive node, it's on the fence. Later in the process, I will see a radiation oncologist to decide. Radiation would be given after the full course of chemo treatment, in any case.

What kind of hormone therapy will I get? At this point, we're looking at a drug called Femera (sp?) as more effective for me than Tamoxifen.

What can we do about nausea as a side effect? Lots of things! I got a high-density (lasts 5 days) Zofran IV before chemo, as well as a VERY strong drug called Emend that is taken orally for three days starting on chemo day, and four other prescriptions, two of which I take twice a day and two of which are on as "as needed" basis. One is also a steroid, which apprarently helps with joint pain, another possible side effect, as well.

What is my follow up for each chemo? The next day, in addition to keeping up with the many drugs I'm prescribed, I have to come back to the hospital to get a Neulasta (sp?) shot. The shot boosts white blood cell production, and enables me to do the dose dense chemo that I am taking. Dose dense without a white blood cell booster is almost impossible because the blood counts would get too low, but it's better to do dose dense (for me anyway) because it blasts the cancer before the cancer has had a chance to recover from the last chemo treatment, and studies have shown this to improve the odds. (Dose dense means having the same dose every two weeks instead of the standard every three weeks.)

Do I qualify for any clinical trials? At this time, no. There is a "dose denser" trial (chemo every week) but it doesn't allow for patients with Herceptin, and since Herceptin is such an important part of my treatment, there is no way to join that trial.

Should I have a hysterectomy or an oopharectomy? Unknown. It is important to remove the entire fallopian tubes, and sometimes that can't be done with an oopharectomy. I need to follow up with my OB/GYN (who will perform the surgery) and Dr. Rinn will ask her colleagues as well.

There were other questions as well, but these were the main ones. There was some debate about whether this was too soon to start chemo after my previous surgery/drain removal, but with Dr. Dawson's blessing and my somewhat miraculous healing rates we believe that the risk is small for starting "early" - what a relief for me.

Michele took notes through the meeting and asked the questions that I was somewhat too overwhelmed to remember, which was incredibly helpful. Thank you, Michele!

Then, we were transferred to another waiting room, on another floor, to wait a while for chemo. We were able to eat (I'd packed a lunch) which was good because it was 1:30 by this time and we were ravenous....but when we got in they offered us lunch! Guests and chemo patients have a whole smorgasboard of food to choose from (fruit, sandwiches, drinks, cookies, etc.). I had to take an Emend immediately because it has to be in the system for an hour before chemo begins, so we just sat and chatted and watched the clock, trying to ignore the soap operas on the TVs to either side of us (shielded partway by curtains). When the hour was up, Ryan called to say that he was on his way - hooray! - and he arrived before the actual chemo drugs were hooked up.

Then, I got saline drip and chemo. The Cytoxan is a small IV bag, but the Adriamycin is delivered through a syringe (two actually) into the port, by hand. Neither one hurt, and it was not unpleasant for the most part. The Cytoxan caused me some sinus pressure and pain (headache), and because of that they slowed my drip rate to take an hour instead of a half hour. It was noticeable, so I'm glad they did that.

When all of that was in me, they unhooked me, and sent me on my way! It was about a 3 hour process, I think, not including the doc appointment beforehand (and usually the doc appointment will be shorter, but I'll always have to do the blood draw to make sure my counts are up enough to have chemo - otherwise, I have to be hospitalized or delay chemo if my numbers are too far off).

I felt a bit woozy, but nothing I couldn't deal with, as I left the hospital. The "barf bucket" (a bucket WITH A LID, and a package of tissues....something I read about that sounded like a good idea because throwing up in a car on a freeway sounds pretty bad without a barf recepticle) sat patiently waiting for me, but was unused. I hope it remains unused!

My sense of smell is heightened - the lavendar out front smells divine - and I fight some minor nausea, but today I haven't had to take any "extra" pills. I'm fatigued, but not unbearably....I hope to go for a walk with Tessa again tonight.

The Neulasta shot was today, and sweet lovely Heather drove me and even bought me an iced Starbucks coffee. The shot had to be delivered subcutaneously (like a shot for diabetics) so the port was not help today, but though I was told it would sting, it didn't feel bad at all. I had them do it into my belly - which fortunately or not, depending on my perspective, is fatty and easy to inject, and I will repeat this next time because it felt okay. Plus, I had a nice nurse (with a three year old daughter, Mary Catherine) who massaged the site as the injection went in, and I think that helped.Its main side effect is joint pain, for which I am welcome to take Tylenol or Motrin or whatever. So far so good - and they say the first 48 hours are the worst.

I am scheduled every two weeks for this type of chemo (Adriamycin/Cytoxin) and then I will switch to Taxol and add in Herceptin as well. If this is as bad as it gets, I'm going to be just fine. Some people have nausea kick in on days 3-5, but I'm hoping that luck will be on my side.

And there's the long of it! I hope that answered a lot of questions - especially for people like Susan who have yet to begin chemo. My final analysis? It's not nearly as bad as I'd expected. And that, my friends, is delightful.

Love,
Kristina

Hair (Bald) Appointment

I am convinced that it will be psychologically easier for me have my head shaved than it will be to wake up with half of my hair on the pillow or to feel it coming out in chunks in my hairbrush. Since hair usually comes out between days 14-18 (gone totally by day 19 at latest), I have decided to shave my head on day 13 after the first chemo (since I'll be in treatment again on day 14). I have an appt at the little place within walking distance of our house for 7pm on August 9th. I plan to bring Tessa and Ryan for support - I think it will be helpful for Tessa to see the process and to help her understand. I plan to bring washable markers (and wipes!) for her to decorate my head and make Mommy beautiful.

If any of you know good wig stores, or places to buy cute hats, this is the time to let me know. Before then, I want to have a good supply!

Love,
Kristina

Wednesday, July 27, 2005

I've lost my chemo virginity!

Well, I have survived, and even thrived, through my first chemo infusion. I had wonderful, warm nurses to help me, and my doctor is a big believer in preventative measures to keep nausea at bay...and these appear to be doing an A+++ job, as I haven't even felt a twinge of queasiness. Today was long, but I felt good throughout, and I continue to do well this evening. I am drinking water by the gallon, as suggested, and so far feel really great.

Today's surprise: Michele came with me and was her usual, wonderful self (thank you!), but I had a surprise guest...RYAN! Even though today was his first day back and he was worried about how behind he was, he met with his boss to get updates and she said, "What are you doing here? Go see your wife!" Thank you, thank you, thank you. We both felt 100% improved with that, and Mary, we are very grateful.



Here's a picture of me receiving chemo. Note the quilt (with pictures of Tessa on it) that Mom S. made for me (and Janice made me another beautiful quilt that I will use on cooler days), the friendship bracelets I'm wearing, and the "Breast cancer awareness" water bottle that Caley gave me. It's not all bad....!

As a matter of fact, I feel so good that I had a normal dinner, and now I'm about to join my little family on the evening walk, so I'd better run. I will send a more comprehensive update later, but for now, just know that I am well both in body and spirit, so your thoughts and prayers must be helping!

Love to all,
Kristina