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.


Sunday, 22 September 2013

the GBM treatment plan, and a healthy desire to shop!


I had a good talk to my rad onc tonight, and took lots of notes. Did I mention that he was the first doctor I met when I started at the LGH?  A friendly chap who I spoke to in a lift when I was going through an adminstrative hiccup over having the title Dr on my ID badge. They'd given me a brown-rimmed badge because I said my title was Dr, but I wasn't allowed to have a brown badge because they were only for the medical doctors. Allied Health professionals get green-rimmed badges, and no title.

I enjoyed the sardonic exchange with him, and frequently delighted in his sense of humouri, as well as the friendship of his wife, who is a remarkable and beautiful person. Ben also gets along well with both of them, and our kids are the same age. Part of me wants to keep him as my rad onc, because we have such a good rapport, and part of me thinks I should change, as he has offered, to another rad onc with whom I have no personal relationship whatsoever. I guess we'll make that decision in the next few weeks.

I hope to sleep well tonight. We drive back to Launceston tomorrow. I need to go straight to the Holman Clinic to get  measured up for my radiation (something about making a cast of my head). It seems that I will be able to have my radiotherapy there  because the surgeon took out my second, occipital tumour this last week. He mentioned having been dubious about doing it, but glad he did - there must have been some backroom chatter of which I was unaware. If the occipital lesion had stayed put, then I would have needed stereotactic radiotherapy, and that would have been in Melbourne. So, for all of you who were looking forward to the chance to catch up (albeit in less-than-ideal circumstances), I won't be flying over Bass Strait any time soon. But you're welcome to come and visit! We have plenty of room, I just mightn't be the most energetic host for a while

So, I will be starting 6 weeks of combined chemo and radiotherapy in 10 days time, at the earliest. Followed by six 3-week cycles of chemo alone (14 days chemo tablets, 7 days off).

Being someone who likes to have things mapped out, I sat down and worked out the dates.
I used to do it for uni, for work, for holidays. For our wedding (June 1998 buy house, August 1998, move in, October 1998, get married in said house). I work better with structure and dates laid out.

All being well, I will have had my last dose of chemo for my GBMs on March 4th, 2014. There will be MRI brains every two months after the combined CT/RT treatment. I'll get my right boob MRI'd in January, just to make sure she's behaving herself, but I think she's going to be okay. Only a 2% chance of breast cancer recurrence after the treatment that ended 4.5 weeks ago, but seems like it was on another planet.

It's going to be a long haul, but we will get through it. No neurtropenia this time around, just a risk of thrombocytopenia (beautiful sounding word, not something I want to get).

Best thing - no infusaports, blood tests only every 3 weeks, brain scans every two months. And if the GBM comes back, I'll drink some more Gliolan and they'll get it all out. But it's not going to come back, we are going to defeat it.

Things just seem to be lining up so neatly. A new hurdle arrives when we think we've finished with a major one.

Steroidss have made me zippy tonight. Need to rebut eyes and sleep again  before 2.5 hour drive home tomorrow.

I'm going to do some SERIOUS declutteiing when we get home. No more hanging on to things just in case we might need them, or because we've had them forever. There's too much stuff in our house, too much holdling on to old energy. So it will be Out with the sofa, arrmchair, and ottoman that we kept from previous owners of our house in Melvourne. Funky and and 60s yes, but we don't use it or  need it. It takes up space. Out with the suitcase of my classic late 1990 suits, with their long pencil skirts. I got much wear from from them from 1997 to 2004, but I don't need them any more. Heck, i need a new way to dress, now that I'm the bald Amazon from Lauceston (right-handed, left boob off). Xena, warrior Princess? Too much leather. Gabriel, her offsider? Too rustic. I'll find something comfy and me - long-sleeved linen tops, comfy capris, long skirts, scarves, and eminently sensible shoes for all the walking that will make me fit. No driving for at least 3 months. Lucky the hospital is i15 minutes down the hill. Probably 30 up again.  Out with the summer sandals I haven't worn for years. Out with all the old things from the old Fiona, who was holding on to old clothes out of sentimentality.. There's a new, comfortable Fiona in town.

All I need is the love and support of my family and friends, which already surrounds and sustains and nurtures me. Other possessions consume too much time and space. Aparrt from text books. I'm going to start devouring them, then sharing them with my colleagues. 

It's got to be a good sign, I'm interested in buying beautiful things to enhance our home. I had mo such desire after finishing my breast CA treatment. I will be ordering a very special armchair for our bedroom, it goes nicely with our new painting...and I do need somewhere nice to sit in my own bedroom...

Love and light to all, from the Infinite dimensions of my heart.

David, me, Nathaniel