Thursday, December 17, 2009
Get Busy
She had been given the option of chemo or not and choose not to have chemo. I think she was pretty happy with that decision but it was starting to leak into the fear zone.
Fear it was going to come back.
Tomorrow I go get a blood panel done that includes a check for a tumor marker. It's a 100% marker, but is typically included in well checks for people like me.
Then in January I will have a CT scan of my torso since sarcoma generally goes to the lungs next and that is where breast cancer may come back ( two birds - one stone).
With all this checking up, I should be able to put fear on hold and just wait for the results - the data.
I am more interested in re-establishing my confident athletic self. I am not training like Rocky though. I could find plenty to criticise my lazy self about, in fact.
I really need to get busy. Maybe pull out the Ipod and start doing sit-ups, too.
Saturday, December 12, 2009
Fears
"I have become convinced that heaven's consistent message to humanity is the three-word admonition: "Be not afraid!" "
I don't know if this is heaven's consistent message but it is something I am directly dealing with now.
http://www.statesman.com/life/content/life/stories/faith/2009/12/12/1212words.html
I just don't know if I am learning to live without paralyzing fear in the face of fatal illness or not. Having lived through more than a year of cancer treatment I came to think of cancer as a certainty. Now, although no one can or would say that both cancers are cured, it's not certain that they will come back.
Do I need to feel certain? In the midst of life, death comes. This was no better proven than the accidental death of Ed. We were all certain he was going to outlive most of his long time friends. I wonder if a certainty that life was going to be long and full made his life rich with friends and adventure?
I remember being young, certain, adventurous and barely touched with thoughts of mortality. What about this life I have now? Maybe I should just pick a stance and go with that? If cancer returns, then I will deal with that, if it does not, at least I wont have lived as though it's around every corner and under every cough.
A year ago my plan was to return to my life and proceed as though nothing had happened. That is really not possible. Cancer has left it's marks. Will I get the focused brain that recalls facts, names and organizes information? Chemo brain is no fun. I flat out do not recall events I should from the past and my short term memory is not that good either.
I am fortunate to have the love of family and friends. Although I have lost in areas our society uses to measure worth (money, possessions and position) I don't feel like a loser, just embarrassed on occasion. Although after hundreds of thousands of dollars of treatments, no one else seems embarrassed. We all seem concerned that there is not enough money to do the research and improved treatments needed. I recently read that treatments for osteosarcoma are twenty years old. No recent break throughs that have entered accepted treatment practices.
At 60 plus I know I am not immortal and that death will come. However, I would still like to not be home when death comes knocking.
Thursday, December 10, 2009
Wondering Myself Into a Lather
The other day the big toe on my left foot hurt. What I would have blown-off previously now became a worry that osteosarcoma was coming back! I googled. It didn't help. I wondered about my DNA. Was it programed to turn on osteosarcoma again?
(TP53 and RB1, two well known tumor suppressor genes, are altered in Osteosarcoma )
I began to worry about the telomeres caps on my chromosomes. The visual from PBS "Nature" looked something like a Q-tip floating in space. But then I remembered that stress and aging both contribute to destruction of telomeres. Oh No!
About this time I realized my toe didn't hurt anymore.
So I guess I wont be having my foot amputated after all.
I better figure out how not to be so fearful.
http://www.medindia.net/news/breakingnews/Nobel-Prize-in-Medicine-2009-58977-1.htm
http://www.nih.gov/researchmatters/november2009/11232009longevity.htm
http://atlasgeneticsoncology.org/Tumors/ConvOsteoID5344.html
Tuesday, December 8, 2009
Off My Chest - it's contagious
My Mother planned to have the minister over for a visit. She came up with a menu which I followed. I made the split pea soup Monday and went to the store to get sour cream at her request and a few other items for the apartment.
Lunch was good. Mom got to talk a lot with the minister. A good friend of Mother's drop by for a short visit as the minister was leaving.
Then as I was mindlessly watching Letterman while Mother got ready for bed, she decided she had to unburden herself about how unhappy I was.
I guess she did not mean to drive up my blood pressure, but she did.
It was kind of a strange way from someone who said they had a happy day to act.
Monday, December 7, 2009
Life and Networks

There were many friends hugging each other. There were some thoughtful words and good stories told.
I appreciated my RFR neighbor's Ed stories (trash-collector ambush, black powder log splitter and bringing his new love to the 'hood). I refrained from hobbling up to tell the story of Ed laying in wait for the Dog Catcher so he could explain that his services were not needed because we were a self sufficient neighborhood where some visiting dogs (like his dog Rocky) were welcome and the dogs that were not were shot. It should be noted that no dogs were shot and Rocky was in doggie jail several times.
Ed the friend, adventurer, father, uncle, husband, son-in-law, neighbor, and network center.
His family seemed in good spirits but missing a husband and Dad will go on for years.
I don't believe that there is a God in Heaven that decided it was Ed's time and not mine. My God may welcome us back to dust and spirit, but I believe is mainly a creator and connector of spirits. I don't have this God stuff, death stuff or life stuff figured out and likely never will.
Monday, November 30, 2009
Laughs

I guess it might be the last play that comes out of Greater Tuna. Apparently Vera Carp's Smut Snatchers have run out of smut to snatch in Tuna. Other signs of closure were DiDi Snavely found a man in Vegas, Aunt Pearl rescued a peacock , Inita Goodwin and Helen Bedd and Bertha Bumiller is getting over being shy.
Aunt Pearl reminds me of my fifth grade teacher.
Sunday, November 22, 2009
Thankful for Suport
I am also thankful for the cancer support and treatment professionals and volunteers who have smoothed the way to survivorship. Most notable are the Seton Cancer Care Team, Shivers Clinic, medical staff and students with University Medical Center Brackenridge, Cancer Connection hospital visitation volunteers, Breast Cancer Resource Center volunteers, and UT MD Anderson Adult Sarcoma Center medical staff.
I am thankful that a young relative of mine checked into a drug and alcohol treatment center for alcohol treatment.
It's a long and complex road ahead that will take all of us working together to change history.
Fighting an addiction is a fight for life.
Fight For Life
I was distressed to hear of someone with brain cancer who has determined that they will go ahead with radiation treatments but want to stop treatments if the radiation doesn't work.
I don't know the aggressiveness of her brain tumor(s) and I am not a doctor, but determining that one will take one shot at treatment is not my way.
When I was diagnosed with cancer I was impressed with how painful cancer was and how it had messed with my mind.
When patient advocates of the Liddy Shiver Sarcoma Research Center asked if treatment is worse than cancer, Dr. Paul Meyers observed that "My experience teaches me that no matter how bad things are with treatment, to have cancer out of control is worse than any treatment that we could devise. And the vast majority of side effects that we're talking about are transient and reversible, but the benefits are permanent. And I would urge you to continue treatment as long as you possibly can, because every day you stay well is a day we may get closer to a true cure for your disease."
There are treatments for sarcoma, but no "cure." Some treatments do result in long-term survival.
Saturday, November 21, 2009
I Think I Know
Several times during trips to the ER he thought I was going to die.
I can't recall impending feeling of doom or death.
On one occasion I was hospitalized with a high fever and low blood pressure. He thought I was not going to make it.
I think that if each wrote out our stories it would be quite a " Rashomon" moment.
http://en.wikipedia.org/wiki/Rashomon_(film)
In my version I was just following orders to call the EMS when my temp exceeded 101. The low blood pressure was kind of a surprise to me. I was more focused on the fact that I was reconnecting with the child of friends that I felt certain my daughter would like to reconnect with. That is one of the ER nurses was that child (now grown-up).
I was pretty happy and peaceful through all the "fuss." In my mind I had a fever because my white cells were low. When the white cell count rebounded, I would be well. This was a side effect of the chemotherapy I was receiving.
I recall thinking that it took a long time to receive the two units of blood from the blood bank and wishing they would use my portacath instead of hunting for a vein.
If this is what it was like to be near death, then it was not what I expected. I was unafraid, happy and sorry I was inconveniencing my sweetie with the long stay at the ER on the day before Thanksgiving 2008.
I have to give credit to my sweetie's belief that I was near death since he was conferring with the medical staff, in his right mind and not on morphine like I was.
If I had died then, I don't believe I would have felt afraid or doomed. I think it would have seemed like a natural phase of life at the time.
Don't misunderstand. I am not ready to go. I have much to do, love life and wonder about the future too much to want to leave now.
It's just amazing to me that near death was not frightening or colored with feeling of doom.
Thursday, November 19, 2009
Turkey Day Plans
Someone else can do the side dishes while I have my feet up.
Sounds like a plan to me.
I used a turkey roasting bag last time with lots of success. I think I will do that again.
I can not recall Thanksgiving last year. I was pretty sick and weak.
Blue Bell Ice Cream recently came out with a no sugar added homemade vanilla flavor. I am going to try that, too.
Sunday, November 15, 2009
I Dropped the Angel
It seems to be part of the chemotherapy induced peripheral neuropathy. I think the cumulative doses of cisplatin is the culprit.
It should improve as I am able to excersie more and has less of the chemo in my system. Some estimate improvement in 6 to 12 months after chemo ends. I hope it clears up sooner.
Apparently the ringing in my ears is part of that. They do expect that to improve.
I guess I am getting well enough be more concerned about the side effects instead of just lying around with my feet up.
One of the nurses recommended 15 mg glutamine twice a day. I need to get some and do that. I think they sell it at Whole Foods.
Now plan for Thanksgiving!
Friday, November 13, 2009
Happy Anniversary
We are grateful to have this next year to look forward to after having survived the past year.
That was a tough one.
By chance we ran into a couple at the restaurant that were at our wedding. They have been married 45 years. I recall 42 years ago thinking that they were an old married couple. I was child and knew nothing.
Barb and Strick graciously picked up our tab. It's great to have such supportive friends.
This past year has devastated our pocketbooks, but we will swim on and not sink. Getting a chance to restore my health is priceless.
Thursday, November 5, 2009
A Sad End To The Day
I saw one report that seemed to say that because Killeen was the site of another mass killing, they were somehow less shocked?
That makes no sense to me. The 24 people killed at the Luby's Cafeteria in Killeen were normal civilians killed by a madman in Oct 1991.
I don't know who was killed and who was shot but I'll bet that most of them were either just born or very young children in Oct 1991. Many are unlikely to have ever heard of the shooting.
When our friend Jim Groenewegen committed suicide in November of that year, a Victim Services counselor was sent to the scene. Jim had shot himself rather than continue to die of the pancreatic cancer that had metathesized through out his body. We knew how ill he was and sadly accepted that he wanted control over his death. We were in much better shape than the counselor who still needed to work through the trama of providing services to so many people who were either shot and lived or had suddenly lost a love one to the Luby's mass killing.
My Dad was a psycologist in the Army during WWII. He used to tell me that his job while in the Army was to weed out the soldiers who were more likely to kill their own than kill the enemy. After the war, his job was helping to repair the damage that fighting and killing the enemy had done to normal soldiers who stayed to fight and watched their friends die, too.
What ever was going on with the shooter at Ft Hood, I think killing the people within the army he belonged to was a different kind of statement and craziness than going to Lubys and killing a bunch of strangers. Killing people who were part of the group he belonged to was like a final tearing himself apart. Too bad he didn't tear himself instead of killing and wounding so many people.
Its all sadness and pain.
I Am Not That Brave
I was at a memorial service for one such person. In the end chemo and stem cell treatments were not able to tame her cancer. The symptoms became unbearable. She was in hospice care and heavily medicated with a morphine combo to relieve her pain and discomfort. She died with family around her and friends thinking of her and doing for her family.
I suppose one reason I tend to diminish my bravery and all is that none of the chemotherapy I have had was as bad as uncontrolled cancer. Cancer hurts. Well, the breast cancer hadn't started hurting, but the osteosarcoma was very painful. It was like having my bones broken from the inside.
Hope and purpose are strong therapies, too. I used to wonder how cancer patients could go through amputations, organ and tissue removal surgeries, and poisonous therapies. Now I know. Its the hopeful and less painful path.
Wednesday, November 4, 2009
Not Normal Yet

Wednesday, October 28, 2009
A Turn For The Better
After scanning me from skull to toes my doctors have determined I have no cancers and have had enough chemo.
Yeah!
The doctors say that it will take about 3 months for the chemo to clear my system. Today I received a shot to bolster my red blood cells. I look forward to feeling normal and not tired all the time.
They say that it was my genes that brought on the cancers and, now, my genes are responsible for my tolerance of chemo and response. Osteosarcoma is rare but frequently deadly to adults.
I have to begin to imagine myself healthy while keeping an eye out for spread. I am glad to have this battle today and the support of my friends.
I am still a little in shock.
Saturday, October 24, 2009
OK It's Fall
I planted my President Johnson Amaryllis Bulb. It should bloom after the first week of December. Blooms should be white with a red fringe and about 20-inches tall. The bulb was as big as a baby's head.
The basil still looks good but the season is ending. I need to get some pine nuts and make some pesto before it's too late.
I have two tomato plants acquired very late. They have blooms but I doubt we will have tomatoes. I just got started way too late. We have had some bees by that surely pollinated them.
Today I made some chicken/corn soup from memory. Its a problem having all my good stuff on the bookshelf at home and not being able to access it. The soup turned out nicely. I have some roasted Hatch peppers to sprinkle on my bowl of soup. Mother is more Midwestern in her tastes than southwestern.
I have been bone tired since returning for the nationals. I don't know why. Hopefully its not a new symptom. I always have test anxiety before PET, CT, Xray and blood panel checks. Mother is feeling tired, too. She says she thinks she has a virus. I hope whatever it is will pass soon. Living on this edge is not too much fun.
There must have been about 15 people on the Ed Alexander obit committee. I think it turned out well. It should be available online Sunday (http://www.legacy.com/obituaries/statesman/ ) and in the Statesman. It is still a shock and will be a sadness for a long time.
A blog for Ed:
http://earthfamilyalpha.blogspot.com/2009/10/edward-fales-alexander.html
Plants and gardens help sooth those thoughts of loss.
Thursday, October 22, 2009
Dog Show

Rock and a Hard Place

http://www.austinchronicle.com/gyrobase/Awards/BestOfAustin?Year=2009&BOACategory=Services&Poll=Readers
Michael Yost and his crew of all-model experts may have moved from their old digs by I-35, but when they moved, they took something important with them: the amazing trust they have built up with their devoted fans. Ask anyone: They do just what's needed – no more, no less – to keep your four-wheeled baby purring. 5415 N. Lamar, 374-9678
I can't afford this or a replacement car now :<>
Cars! What can you do? The Honda has been cheap transport for years and now it wants some TLC.
Tuesday, October 20, 2009
Life in Space

I've always wanted to experience weightlessness in space. I think I would like to live in the greenhouse module section. Hanging with the plants would be cool.
This afternoon I sat in the mist of my avocado tree, tomato plants, bromeliads, aloe vera, yellow bells and herbs while visiting with an old friend and watching high altocumulus and lower cumulus blowing across the sky.
Find out what it's like in outer space from Rusty Schweikart, Apollo 9 Lunar Module pilot and founder of the Association of Space Explorers. Stanford Professor Lynn Rothschild lectures on Life in Space, Life on Earth from the course Astrobiology and Space Exploration.
Monday, October 19, 2009
Monday


Saturday, October 17, 2009
My dear friend Ed Alexander
"Ed Alexander was DOA at Methodist Hospital San Antonio. He reportedly hit his head diving into the Medina River at 1 AM. Bridgette was at hospital. Kids under care of the caver women on the Medina River. "
I have known and been friends with Ed since I was 18 years old. I thought his special luck in life would out live all of us.
In tears and shock, Peggy
Can't Help Over doing It
I went to bed at 6pm Thursday and stay until 7am. It helped but my feet were swelling by afternoon.
I am glad I stayed. I learned a lot and reinforced some of my ideas watching other's success and failures.
If I trained and prepared the dog, then in a trial my job is to be the handler and not worry about the dog.
If I trust the dog and watch the stock, the dog works so much better.
I really have to figure out cattle.
I threw up Friday morning but recovered enough to have breakfast and watch herding until 1pm.
On the way home I stopped at my favorite bead shop - Brazos Collection in Salado. I managed to stay under $20 and took home some nice beads.
Mom, Charley and Delma were happy I was back. I made Charley a couple of "Dagwood Bumsted" sandwiches.
I threw up dinner, but this morning I feel good. I think I can recover this weekend.
I will post some stories from the Nationals Sunday.
Tuesday, October 13, 2009
Spirit Award

Monday, October 12, 2009
Driving
I drove IH35 in a heavy rain shower with the pickup trucks, SUV's, sporty cars and semi's.
It was nerve wracking, but then it always is that way.
Fortunately it was Sunday afternoon when traffic is lightest.
My goal was to deliver myself to the Australian Cattle Dog National Specialty in Belton, TX, about an hour north of my home in Austin.
Everything went well. I packed clean underwear and my medicine. I forgot the snack food and cheese.
It great being here.
I have some stories, but right now I need a nap before the BBQ, equestrian demo and herding Calcutta.
Sunday, October 11, 2009
Friends
I especially enjoyed being outside and greeting friends not as patient, but celebrator.
The weather could not have been nicer. It was both sunny and cool. Quiet a change from recent heat waves.
We are all older and some are grandparents. The dogs sort of took the place that the "kid mob" used to at these events. Sort of the knee high level party in the party. Fortunately they were a good lot and well behaved.
I should mention that there were several children - just not the numbers of our younger days.
Roadside flowers included outstanding purple Texas gayfeather ( http://www.wildflower.org/gallery/result.php?id_image=23065 ) and Maximilian sunflowers (http://www.wildflower.org/plants/result.php?id_plant=hema2 )
I wish I could have camped out for the evening. A hearty crew had collected enough firewood to burn well into Sunday. It was a victory to be there and maneuvering around the uneven ground successfully. Next time I will be stable enough to visit the river front (requires climbing down a rocky slope).
My first visit there was Benny's house warming. It was warm, too. We took our folding chairs and sat in the river flow under the pecan trees. A Belted Kingfisher (http://www.allaboutbirds.org/guide/Belted_Kingfisher/lifehistory ) was irritated that we were in his spot. We were just hoping the river flow was more water than upstream cattle pee.
Today I leave for the cattle dog national specialty! More old friends and good dogs for me.
Tuesday, October 6, 2009
So far
I am fixing shrimp for tonight's dinner.
I had to nap in the middle of shelling :> Well it's done now.
I am excited about seeing my cattle dog pals and all the dogs in Belton, Texas next week.
http://acdca2009.com/
I hope I have half the energy to do what I want to do.
I sure wish I were trialing on the cattle the way I had hoped too.
Hopefully next year in California I can do that after doing some local trials. There is so much to do and look forward to doing.
On a sadder note, we will be going to Benny Martin's memorial-life celebration this Sat.
Now I can't think of Benny living on the Llano. I have to think of how it was the life he choose. What a fortunate guy to realize at least part of his dream.
http://www.benoconnor.com/bennymartin/
It will be great to be with old friends, music and good food celebrating and remembering.
Take care of your dreams everyone and God bless you.
Sunday, September 27, 2009
Blessings
My blessings include what my oncologist called a perfect CT scan. All my lymph nodes, lungs, organs and bones are normal.
My mammogram was normal.
My blood panel was normal.
My radiologist exam of my skin and treated tissue was normal.
I start my next chemo Friday Oct 2. That gives me time to recover and attend the Australian Cattle Dog National Specialty in Belton, TX. I am so excited about seeing the friends, the old dogs and the new pups.
I so wish I were competing in the herding trials. As it is, I wont have the stamina to help. I think the sheep and cattle will be great trial stock that will allow people to show their dog's talent and training.
It has been an intense 14 months. My doctors have observed that they were not confident we would be at this point a year ago. I feel like the star student. Apparently I have had what they call a complete response to treatment. I will always be checking and being scanned for new tumors. Cancer is with me.
I am truly blessed with love, family, friends, doctors, dogs and good luck.
In Nature

Sunday, September 20, 2009
Rage at Cancer
Just as I began to recover from my lastchemo my great dog Molly went into a health crisis.
I could not be with her. It felt like a promise broken.
Molly refused breakfast. By the time my husband Charley brought her to me she had collapsed, her tongue and gums were almost white. Clearly in shock, she was still licking my face and snuggling my neck.
Our vet, Dr Meyers, has seen her through good health, cancer, tooth infection and minor scraps. He found that Molly's heart was significantly and suddenly enlarged. Her recent blood panels and xrays had all been very normal. This was a sudden change.
At 10pm we made the decision to put her down with peace, grace and dignity. It breaks my heart and shocks me that she went so fast. When I visited with her Sunday she was active, looking good, wanting treats and not coughing or showing signs of fluid retention. I had planned to enter her in veterans at the nationals for a last celebration.
We never scored very high in obedience because her idea of heel position was formed in herding trials. However, she maintained that behind the heel position consistently both on and off leash. When she knew she was right, she just stuck with it. RIP sweet girl CH SilverDust Cherokee Rose CD, RN, HSAs, ROM (Sept 2, 1997-Sept 15, 2009)
Wednesday, September 9, 2009
Hot Sauce
At my last office visit with my Austin oncologist my xray results had not been forwarded to her. She decided that I should have a CT scan before the next treatment for monitoring purposes even though I am scheduled for xray, CT and PET scans at MD Anderson end of Oct. I waited and waited for the schedule. Nothing. Finally I called and complained to the nurse that I did not want to grow tumors waiting on approval of the CT scan before chemo is scheduled. I was pretty grumpy but nicely thanked her for dealing with it for me. I woke up at 4:00am this morning worried about it. This morning they called and said I was scheduled for chemo Friday ( 6 days late). I should be able to barely bounce back by the time my daughter is here to visit on the 18th.
If I am able to drink fluids and Ensure I should not crash as hard as I did last time.
The coordination between the doctors is less than it should be. I don't want to suffer because I am caught between egos.
An unfortunate side effect of this chemo is ringing in my ears and loss of upper range hearing :<
Youtube always cheers me up. I recently watched Red Green Show - the dog wash
http://www.youtube.com/watch?v=ZwRNIJz8DmM and in honor of chemo Red's Hot Sauce
http://www.youtube.com/watch?v=0hNxA8JBW8E
Thursday, September 3, 2009
I Did Not Create Cancer
As one friend observed knowing allows you to be your best self. She had an overly (IMHO) private friend who did not share the news of their illness with friends and shocked them by dying suddenly.
My aunt died of cancer. While walking to the church for her memorial service my uncle was proudly explaining that during her last months they had not let friends know how ill she way. He explained that they did not want to be pitied.
I was stunned. Reflecting on it I could see that it was a pattern in her life. She had refused to share other important troubles in her life. Some with good reason since they were socially difficult. It did not mean that her friends and community did not know generally about those troubles, just that it was a forbidden topic of conversation.
Hopefully we are moving to a point where no one should be ashamed of having cancer. Yes there are books claiming you can prevent cancer. However, it is not that simple. Some of us are genetically set up to have one or more types of cancer. We can try to live healthy, limit exposure to carcinogens, and try for the best health care possible. We can not control everything.
I was born and lived in both Chicago and the petrochemical gulf coast before the Clean Air Act and Clean Water Act helped reduce carcinogens in our air and water. I have lived as healthy a life as I could while still driving cars, gassing them up, eating in restaurants with friends, living and working in building with modern carpets and plastics. I have even had a few friends who smoked.
I did not do anything wrong.
I did not create cancer in my life.
I am not ashamed that cancer has taken the center stage of my life.
Perhaps aggressively applying for a spot in tamoxifen studies would have helped? I don't know. I know that I can not time travel to change my family tree. There are lots of relatives in both of my parents families that died of cancer. Both grandfathers did. My father's father died of stomach cancer in about 1928. My maternal grandfather died of bone cancer when he was 62 in 1939. And that's just two of the relatives that died of cancer.
Knowing the type of environmental exposure I have had, its likely a miracle that I did not have some kind of cancer earlier.
Wednesday, August 26, 2009
Lucky Me
We shared how we both had been healthy for most of our lives. She had not had cancer until after retiring from teaching. Although we may not benefit from the nanotechnology and gene manipulation of the future (perhaps shutting off the cancer genes) we had waited until a time when many survive cancers. Our husbands were both rolling their eyes like we were nuts, but at that moment in time we both were aglow with optimism.
This evening I had dinner with friends. I was a little sorry for myself while I told them the chemo was hard. I felt the one drug I am on was as hard as the previous four. Both friends had participated in research that made my current treatment possible. (To protect privacy, I don't want to use friend's names in my blog.) Their dogs were diagnosed with osteosarcoma and participated in treatment research of chemotherapy treatments. Like most canines the osteosarcoma was not diagnosed until it was advanced.
Osteosarcoma is the most common bone tumor in dogs. It typically afflicts middle-age large and giant breed dogs such as Irish Wolfhounds, Greyhounds, German Shepherds, Rottweilers, and Great Danes. Interestingly spayed/neutered dogs have twice the risk of intact ones to develop osteosarcoma.
I owe a debt of gratitude to those caring people and their brave dogs that participated in osteosarcoma research and made me the lucky person I am today.
Tuesday, August 25, 2009
Birthday Lift
Three good friends provided space and tres leches cake, ice cream, fruit salad, ice tea and munchies. It was pulled together quickly. I was sick during the time I should have been notifying friends, so everyone got short notice. Still lots of folks were able to come and I had a wonderful time.
When this journey started I had assumed that I would have 6 months of chemo and then rehab back into my real life. A year later I am still running towards the light.
While looking at the plans for the RA Bloch Cancer Survivor Plaza last May it began to occur to me that http://www.statesman.com/news/content/news/stories/local/05/28/0528plaza.html
http://austinparks.wordpress.com/2009/05/28/ra/
I may not just travel in a straight line from diagnosis to treatment to cure and survivorship.
I hope they do build the plaza.
Friday, August 21, 2009
Survivor
The afternoon of August 21,2008 I asked Charley to take me to the emergency room. That is when I learned that a CT scan showed a fracture through "abnormal" bone tissue that appeared to be cancer.
This Sunday is my 62nd birthday. Good and dear friends are hostessing a part for me celebrating my birthday and first year as a survivor.
The fight is still on but so much better now.
Tuesday, August 18, 2009
Good check up
I kept up with radiation treatments and lay in bed the rest of the time.
I lost 7 lbs lying on my back in one week.
Thankfully my appetite is back and energy is returning.
Today I returned from a check up at MD Anderson Cancer Center in Houston. My sarcoma doctor, Robert Benjamin, and staff were pleased by how well I was. Dr Benjamin thinks the spots on my lungs we have been following are old and not a cancer spread.
I go back end of October for a PET, recheck with my orthopedic oncologist, Patrick Linn, and see Dr Benjamin again.
Sunday, August 9, 2009
Practical Spirits
My life as I lived it was really blown apart by these cancers. I live in my mother's apartment, my laundry, dishes and some food is prepared by her maid. A couple of times I was too weak to bath and her aid helped me.
It would be too much to have Charley running a household that an immune system compromised person like me could live in and expect him to drive me to doctor appointments, refill prescriptions, visit me at the hospital each day and care for himself and the dogs.
Many of the chaplins are great at facilitating communication between health staff, patients and families both in a earth bound practical way and spiritual way.
Today my favorite chaplin was helping the oncology nurses by calling patients ( including me) from the waiting area to the infusion center. She asked each of us how she could make us comfortable (pillows, blankets, juice... ). It was a graceful start to a long treatment day.
Friday, August 7, 2009
Busy
Then, hopefully, I will be able to get radiation treatment in the afternoon. The radiation techs thought I might be too whipped to make it, but its important to get every treatment.
Tuesday morning I get radiation at 8am and then rush to the clinic for blood tests and infusion - until about 5pm. I'll get to use my new portacath right away.
Thursday, after radiation, I'll go to the breast clinic and get a bone density scan.
This fighting cancer thing is like a job.
I am currently reading the Atlantic magazine. I enjoyed a little poem called Heaven by William Hayden http://www.theatlantic.com/doc/200907/poem-heaven and Jamais Cascio's article that we survive as a people by getting smarter http://www.theatlantic.com/doc/200907/intelligence . Sort of echos back to Stephen Hawkins We are more than just our genes
Barb helped me finish two beaded necklaces I was working on Friday evening. I am happy with them both from an aesthetic point of view and construction.
The new chemo does not affect my eyesight like the old cocktail of chemo did (light flashes and blurry vision). I am taking a simple knitting project with me to work on during Tuesday's session. Janie started me on this project many months ago. Perhaps now that I am off morphine I can make more progress.
Monday, August 3, 2009
Tuff Enough?
Tuesday night I noticed that my throat was sore. The allergy forecast says mold has been high for weeks. I really don't want to have an infection going on while I am getting chemo or radiation.
This morning I realized that my throat was sore on my right side only. I mentioned it to the techs while getting ready for radiation. They said -oh yes and it feels like a lump? Yes. It is the radiation. I have a compound that includes Lidocaine to swish
three times a day and before bed. I am going to discuss this with the radiologist when I see them next. My doctor, Kristen Warhoe is on vacation this week. I will see one of her associates. I wonder what it is going to be like in 5 weeks?
I see my oncologists tomorrow after radiation and then the surgeon about the portacath. A busy day with doctors for us. I am blessed that Charley will be with me as a second set of ears and a better memory.
Next Tuesday ( every 21 days) I have the next chemo treatment. So far the side effects have not been that bad compared to the four days of 24 hr chemo I first received. Although I am not looking forward to it, I wonder if its effective since its not as hard on me - well, not yet.
When I was first diagnosed the pathologist diagnosed Osteosarcoma. Since it is so incredibly rare to have two separate primary cancers at the same time, my oncologist sent the sarcoma biopsy slides to the Mayo Clinic for a second option. They thought I had Leiomyosarcoma.
"Leiomyosarcoma is an aggressive soft tissue sarcoma derived from smooth muscle cells typically of uterine, gastrointestinal or soft tissue origin. Primary leiomyosarcoma of bone is a distinct entity which is quite rare..... "(http://sarcomahelp.org/learning_center/leiomyosarcoma.html )
I underwent ultrasound scans looking for cancer in the soft tissue of my abdomen. None was found.
"Many cases that are thought to represent primary disease of bone, after further investigation, actually represent metastatic disease from another site or bony invasion from a neighboring soft tissue lesion. Most cases of leiomyosarcoma of bone reported so far have been in the metaphysis of long bones. Primary leiomyosarcoma of bone is extremely rare. There have been approximately 90 cases reported since initially described in 1965"( http://sarcomahelp.org/learning_center/leiomyosarcoma.html )
So my oncologist said that she was going to "hit me hard" with chemo for leiomyosarcoma. I was all for that. I had some suspicious pulmonary nodules. One on my left lung and one on the right. The one on the right looked more like an old infection that had left a bit of calcium behind. However, when sarcoma spreads, it tends to go to the lungs.
After 3 treatments my sarcoma tumor was much reduced and confined (except for where the splitting head of the femur let material contaminate my gluts). That allowed MD Anderson (Patrick Linn) to replace my femur and knee. The Sarcoma Center there diagnosed the tumor as Osteosarcoma - not leiomysarcoma. They hit me hard for 6 treatments total and then I crashed hard.
Following the Sarcoma doctor's (Robert Benjamin) recommendation, I am now getting Cisplatin instead of the 4 other chemo drugs. I go back to the Sarcoma doctor on the 18th. I will have a contract CT to monitor the nodules. Hopefully the Cisplatin will have kept everything shrinking.
Until then I will wonder if its tough enough.
Sunday, August 2, 2009
A Few Stray Thoughts On Sunday
I did not know about the Wayback Machine until today. Am I the last to know?
http://www.archive.org/iathreads/post-view.php?id=243665
http://www.archive.org/index.php
I found this Q and A in an article about cancer treatment. I laughed and laughed at the understatement
"So, now the second question, "Why does the word chemotherapy almost always evoke a negative response?" Part of the answer is easy. Most of the cytotoxic chemotherapies are associated with (ob) noxious side effects: profound nausea and vomiting; loss of hair; significant weakness; marked increase in susceptibility to infection, etc. "
I think it is at least as funny as the ancient chicken joke "why does the chicken cross the road? To get to the other side."
And that why I am having chemo and radiation, too.
Next week I look forward to radiation every week day, a blood panel and meeting with the oncologist and surgeon.Friday, July 31, 2009
Friday Nite
Tuesday, July 28, 2009
Its still me in here
So here I am with my little embroidered denim cap, TED hose and walker trying to be me. You know me - sexy, healthy, graceful, fun.
Reading local humor columist John Kelso helped me focus on how I feel
"No telling how long the recuperation will last. But I think I'm going to make it. So, stop looking at me like I'm dead. It's still me in here, even though I sound a little funny. " http://www.statesman.com/news/content/news/stories/local/2009/07/28/0728kelso.html
That message is one for me - its still me so be my best self.
Monday, July 27, 2009
Glad that day is over
Friday was a very long day for me. I slept through my chance to go to bead and bitch and visit with artists in residence cattle dogs ND and Rosie.
I also missed Texas Music Matters feature of Powell St. John's new CD at noon on KUT.
Since I am going for radiation treatment each week day morning I only get to see my dogs on the weekend. Molly always needs reassurance. Second banana, Molly, worries she is not getting her share of attention. Charley is going to work in some evening play dates for me. I need my dog therapy, too.
Wednesday, July 22, 2009
The New Schedule

Monday, July 20, 2009
Self Pity Stopped
Then friends arrived with a favorite mystery writer books and a high quality photo book about crop circles. Whether you believe they are messages from aliens or human stunts, the photos are beautiful and the designs are elegant in this book by Steve and Karen Alexander.
In the afternoon friends called with plans to eat out (http://triumphcafe.com/ ), hear live music and see a DVD movie (Australia - Hugh Jackman with his shirt off http://dev.australiamovie.com/ ). We had Vietnamese food, listen to Klezmer music. The whole band and belly dancer were there. Most of the band looks like my age or older. The singer is a young woman in her early 20's with a wonderful voice.
The British Shorthorn cattle (wikipedia has them) featured in the movie were one of the breeds of cattle I have experience driving with an ACD (http://ACDCA.org and (http://blueheeler.com/RiverForth/River_Forth_1.htm look down to the second photo). I was kind of disappointed they did not have an ACD to help them. I am still a big Baz Luhrmann fan. Strickly Ballroom and Romeo & Juliet are favorites of mine.
For All Mankind is showing at the LBJ Library. Maybe I will feel well enough to see it this week.
I am worried that I will be ill from the Cisplatin Chemo on Tuesday and vomit on the radiologist's equipment Wed. I have done it before during an earlier chemo period so its not totally paranoid of me.
Well back to positive thoughts of feeling well.
Wednesday, July 15, 2009
Chemo Brain
I start the new chemo next Tuesday and radiation treatments the following Wed. Next week is going to be big.
Writing this blog I can either find another word or phrase or google to find the word I want. I have been told that around 6 months after chemo stops, the chemo fog should lift. However, difficulty multi-tasking, organizing and concentrating started before chemo. It could be an effect of the cancer and now combined with chemo. Word loss became significant after chemo started.
Tuesday, July 14, 2009
Limbo
Meanwhile I have been rocked by unexpected deaths (see Bittersweet). Then on Monday evening I saw a brief note that gifted dog trainer and herding clinician Bob Vest had died.
http://russellfh.com/obituary.aspx?MemberId=60765&MName=Robert%20Eugene%20
Bob was magic. I was one of his many ( hundreds or thousands) of students. I was fortunate to attend several clinics held by Bob and participate in an American Herding Breed Association trial he judged. I learned about myself and received encouragement to keep on working from Bob. Like the best teachers, he put me into situations that exposed my weakness and help me figure out how to overcome them. This city girl had a long way to go and still does. I feel that if I had known more, I could have learned more from Bob.
Monday, July 13, 2009
OOPS New Plan
At 4pm I got a call from my local oncologist that I could have the Cisplatin as an out patient at the infusion center.
I would spend most of the day at the infusion center and go home at night.
They would administer it once every three weeks. I would go back to MD Anderson for evaluation after two treatments.
Cisplatin does depress white blood cells and has other side effects.
Bittersweet
The occasion for meeting was a celebration of life and memorial to an old friend who died from an accidental fall last Monday. I don't know much about his death except that it took all of us by surprise.
Although it is a big effort for me to get out, walk around and socialize, it is good for me to do that when my immune system is working. I think the pain medication makes me a little dull, it was great to see and talk with old friends.
We are all hitting the health challenged phase of life. Most of us were very physically active with sports, white water caneoing, climbing, exploring caves and driving long distances on the edge of consciousness in our youth. Now cycling, hunting, walking and, for me, dog sports (agility, conformation, herding and driving across the state and country) replace those activities as we glide to senior status. Still a bunch of interesting active risk takers.
Tomorrow I am scheduled to begin Cisplatin and a high-dose Methotrexate while in Brackenridge Hospital. Both are sarcoma drugs but methotrexate is also used against breast cancer. Since I have both, both need to be addressed. Its tricky. I also need to start radiation for breast cancer pretty soon. That would be 5 days a week for 6 weeks. I am not sure how we will juggle rechecks at MD Anderson with that schedule, but I am sure we will figure it out.
Since my white cells will be depressed after the chemo, I need to limit my social contacts to health adults especially until my white cells rebound.
Saturday, July 11, 2009

Gratitude
AustralianCattle Dogs and believe in the special healing power of these wonderful dogs we share out lives with.
Wednesday, July 8, 2009
Melting Watch Day

Tuesday, July 7, 2009
Molly's Ear
My husband has been our three dog's caretaker and pal.
[Background note: Since my immune system crashes with chemo and I have been too weak to run a household I am living with my 90 year old mother. She has maids and aids who clean everything. ]
I get to see the dogs a couple of hours each week when my husband drives them across town to visit. Its great to see them.
Today Molly went to the vet. He treated her for a yeast infection in her ear. As usual, my husband dropped her off and picked her up. Thank goodness we have a really good vet.
I miss goofing around with them and team activities with them.
I miss taking care of them.
I miss normal me.
Saturday, July 4, 2009
International Sarcoma Awareness Week will take place from July 18-26, 2009.
2009 Team Sarcoma / Texas - Houston
“Saddle Up for Sarcoma Awareness”Saturday, July 18, 2009Spring, Texas
The Sarcoma Research Center at M. D. Anderson, along with the Amschwand Sarcoma Cancer Foundation will host their 3rd Annual Team Sarcoma Initiative on July 18, 2009.
The event will be held in Pundt Park on 4129 Spring Creek Drive in Spring, Texas. The park features walking trails, horse trails, birds, two lakes, and beautiful white sand beaches on the creek. If you are a rider, bring your horse!! Otherwise come and walk the beautiful trails with us. There will also be a miniature horse cart for the children to enjoy. The event will include a barbecue lunch at the park. There is ample parking for cars and horse trailers.
We would be delighted and grateful if you could join us in bringing worldwide awareness to this orphan disease. For more information, contact Team Sarcoma coordinator Sonia Hennessy at 713-563-7669.
Article taken from The Team Sarcoma Initiative - http://www.team-sarcoma.netURL to article: http://www.team-sarcoma.net/2009-events/2576
Friday, July 3, 2009
We are more than just our genes
In the last ten thousand years the human species has been in what Hawking calls, "an external transmission phase," where the internal record of information, handed down to succeeding generations in DNA, has not changed significantly. "But the external record, in books, and other long lasting forms of storage," Hawking says, "has grown enormously. Some people would use the term, evolution, only for the internally transmitted genetic material, and would object to it being applied to information handed down externally. But I think that is too narrow a view. We are more than just our genes."
<http://www.dailygalaxy.com/my_weblog/2009/07/stephen-hawking-the-planet-has-entered-a-new-phase-of-evolution.html>
I hope so, too, Stephen. <- I said that.
Happiness in a Storm
Recurring cancer and the extensive treatment it required forced Dr. Wendy Schlessel Harpham of Dallas to give up her beloved medical practice. So she turned her sights to writing, producing book after book that can help people with cancer achieve the best that medicine and life can offer them.Dr. Harpham is a 16-year survivor of recurrent chronic lymphoma.
In her latest book, “Happiness in a Storm: Facing Illness and Embracing Life as a Healthy Survivor,” she states: “Without a doubt, illness is bad, yet survivorship — from the time of diagnosis and for the balance of life — can include times of great joy among the hardships. You can find happiness. Chances are the opportunities for happiness are right in front of you.”She suggests creating a “personal happiness list” to help you remember favorite pastimes and reintroduce former delights into your life. Or perhaps you might want to explore activities that in your precancer life, you thought you had no time for, like studying a foreign language, traveling for pleasure or spending more time with friends.“You might need to explore different ways of seeing yourself and the world around you,” Dr. Harpham writes. “In doing so, you discover new types of happiness waiting to be tapped, such as the happiness of sharing invigorating ideas and nascent hopes with new friends, or the happiness of knowing love in a whole new way.
I am not as talented as she. I am reading a lot of popular fiction. It is something I have never done before unless assigned by a teacher. (I don't count Shakespear plays as fiction)
Bead and Bitch
We call it Bead N' Bitch.
That's right. You can't be positive all the time.
Next week I get lab tests and plan out the next chemotherapy and radiation with my oncologist.
More Metal
I had to learn to walk, dress and bath again. Fortunately using a walker after the first surgery made my upper body and arms strong although lacking stamina.
My husband stayed with me at the hospital almost the whole time and a few friends were able to visit :>
I was in for a month.

