Background and overview

I learnt more about the health system from being an inpatient than I had in 20 years of working as a neuropsychologist. I was unexpectedly diagnosed with two brain tumours on 4/9/13. They turned out to be grade IV Gliomas (glioblastoma multiforme (GBM)). After removal of the right parietal and left occipital tumours, I received the standard treatment under the Stupp protocol (combined Temozolamide (TMZ) and conformal radiotherapy 5 days/week for 6 weeks), but the TMZ had to be ceased after 5 weeks because I had started to develop pancytopenia, where more than one of my blood counts had begun to drop. By Christmas 2013, I had become anaemic and needed a couple of blood transfusions. I ended up in hospital for 3 weeks of the 2014 new year after experiencing my first seizure (suggestive of a right temporal lobe focus) on 31/12/13). They were so worried about my bone marrow, they did a biopsy. Luckily, it was all clear of any nasty disorders. It had just been suppressed by the TMZ My blood counts slowly returned to normal with daily injections of GCSF, which stimulate bone marrow function, for several months. For 17 months I was doing better each day, without any physical impairments or major cognitive problems A third brain tumour was found in the right temporal lobe on 2/1/15, and removed 6/1/15, only to reappear on 17/2/15 after I started to feel vague symptoms at the end of 2014. I had my 4th round of brain surgery on 1/3/15, followed by stereotaxic radio surgery of a residual, inoperable, tumour, on 17/4/15. I've been feeling like my old self again since that highly precise form of radiotherapy, and it feels fabulous.

My way of coping.
I choose to live in hope that everything will work out for the best. I've learnt that even though things are sometimes unpleasant, life and love go on forever. I put my faith in the life force that created and unites us all in love, across all time, space, and dimensions. I refuse to succumb to fear, which is an invention of our imaginations. There are an infinite number of things to fear, both in this world an in our imaginations, and most of them never eventuate. I choose not to dwell on them, and to focus instead on counting my many blessings, current and past, and to have faith and hope that if I look after the present moment, the future will look after itself.

If you're reading, and haven't been in touch, please don't be shy, send me a brief private message using the contact form on the right. It's nice to know who's out there. Blogging can leave me feeling a little isolated at times (I used to have recurrent dreams of being out on a limb over a canyon, or of starting to strip off in a crowded waiting room). Your emails are appreciated, although I can't necessarily answer all of them.


Wednesday, 17 April 2013

Round 3, or how to get knocked out in four hours

Took the boys to school this morning, collected my antinausea meds from the Holman Clinic at 9, went home and worked on finishing some of the paperwork that has been mounting up. Took my Enmed tablet at 930, one hour before my chemo appointment, tried not to listen to the ongoing coverage of the Boston marathon bombing, though the familiar images of Boylston St and the Boston accents kept drawing me in. I'll have to take Ben and the kids there one day, to get it out of my system.

My six months in Boston, from June 1997, were lonely and weird. I took refuge in watching M.A.S.H. and Star Trek on tv at night, as they felt more real than the world outside my room. It felt most real when Stephe, Catherine and Viv came over from work for the epilepsy conference, near the end of my stay (I have a photo of us walking in the snow near Copley Square, just up from yesterday's bomb blasts). I made some dear friends in Boston (I miss you!), and met lots of other wonderful people. It is awful to think of the shock and trauma the community must be going through. I'm trying to stay detached from it, and am managing a sense of disbelief. I don't want to allow myself to feel as upset as I was by 9/11, the Japanese tsunami, and the Victorian bush fires of 2009 (literally too close to home). Prayers and love for the people affected by the bombings, and all traumatic events everywhere.

One more task completed by 1015, Ben came to collect me for my 1030 session. We checked in, and went to the main waiting area and waited, and waited, Finally called in just after 11 by Monday's nurse. Seated away from the windows with their view of the garden, I discovered that she should have put a cap on the line from my needle. I asked the new nurse what he could do about it - he said he could clean it thoroughly, or put in a new needle. I chose the latter - don't want any chance of sepsis. He said it was a wise choice, as the infusaport empties into a central vein. If an infective agent gets in that way, it's like a "septic shower," I.e., the bacteria gets distributed all over the body. Not good. So I received a brand new needle in one sharp jab (not as stinging as the local anaesthetic). Walked out at 230, feeling ok after a little nap and a few trips to the loo (drinking two litres of water tends to have that effect). The nurse capped off the line with a positive pressure cap, so I am not allowed to seal the line with the little yellow clamp. Amazing technologies, so grateful for out universal health system, it costs people in America thousands to access this treatment, even with private insurance.. The main cost to us has been over $300 on medications.

When I returned home, I took all my anti nausea meds. I thought I might try a prophylactic approach, rather than taking them when symptoms appeared. It seemed to work - I haven't felt sick, just deeply tired. I had to crawl into bed at 730, and couldn't muster the energy to converse with David, who was a little offended by my "can't talk, need sleep" comments. I woke up at 1115, so I've had my Clindamycin and anti nausea meds, and now I'll be back to sleep. Need my G-CSF shot at 230 tomorrow, then I hope to cruise through this last three weeks of FEC.

Next chemo: Taxotere (doxetaxal). Main side effects - pain, oedema. May lose my eyelashes and eyebrows. Will need to wear ice gloves during chemo to reduce risk of peripheral neuropathy. I asked if they have ice socks as well - two friends and a cousin have peripheral neuropathy after chemo, and it's the problems with balance that bother them most...
Nearly half-way there...