"From the moment of diagnosis and for the balance of life, an individual diagnosed with cancer is a survivor." I am a 40-something year old wife, daughter, friend, and mom with 3 kids. I'm a survivor of a grade 3 astrocytoma, the majority of which was removed in June 2013. I've had no evidence of disease since December 2013.
Thursday, November 21, 2013
Sleeping and tired at the same time
I'm sleeping MUCH better at night now, despite that one bad night Monday night. I'm also much more tired during the day. I think they're both related and due to the drop in steroid dose. It helps me sleep but it doesn't give me energy during the day anymore either. I'm just waiting for all this to level out still. I almost nodded off at a stop light on the way home from work today. Charles has agreed with me that we'd both rather I pull over somewhere for a power nap than try to "push it" home.
Tuesday, November 19, 2013
Urg
Jinxed myself. "Last night" was awful. If I said I got 4 hours broken sleep, that would probably be generous. Unexpected schedule change today has me anxious. Then when I'm restless, I worry about keeping C up and that makes it even harder to fall asleep.
Better luck tonight hopefully.
Monday, November 18, 2013
Sleeping finally!
Not too much to report so far this week medically. I have another appointment this Wednesday to check my blood work and order the next round of chemo meds scheduled to start December 4th. My first post-radiation MRI is a week from today, the Monday before Thanksgiving. It’s at 7:15am which means I’ll still be at work on time and for my full 6 hour day, but that makes for a really long day when I’ll be getting up around 6am. I won’t know the results of the scan until I see my doctors the week after; one on Monday the 2nd and one on Friday the 6th. I might know earlier if there’s a severe growth but I highly doubt that and staying positive that there won’t be ANY growth at all. The appointment for the doctor that ordered it is the 6th, but the one on the 2nd requested a copy of all reports so hopefully he’ll tell me then.
The best news of all, I’ve started sleeping at night!!! I can’t express how excited that makes me. We visited my parents in NJ this weekend. Friday night, I slept for 10 STRAIGHT hours!! On Saturday night, I slept for 8 straight hours. Then yesterday, I took a nap for 1.5 hours at their house and three 20 minute naps in the car on the way home. Last night, I slept for 7 straight hours. Right now, what’s working is a nightly cocktail of anti-anxiety medication, a cortisol-suppressing over-the-counter supplement, and an ambien. I don’t like that it takes a combination of 3 medications, but hey, I’ll take the sleep, right?
I also am currently at half the dose of steroid from when I went back on it the week after my last radiation treatment. I had a headache for 4 straights days when I stepped down on Tuesday which finally started to lessen Saturday morning, so it’s helping that my body is getting used to the lower dose and maybe it’s finally low enough that it’s not disrupting my sleep as much. It’s interesting though, even though I’m sleeping so well the last few nights, I’m actually really tired today. I think I’m just so low on sleep cumulatively that a few nights can’t make up for it. Hopefully, this good nighttime sleeping can continue so I can catch up and finally feel back to as close as normal as possible.
The plan is still to step down the steroid dose every other week so I have 4-5 days of headache and at least a week without. I’ll be off all together by Christmas!
Wednesday, November 13, 2013
Hematology oncology appointment
Pretty quick update this time. My blood work numbers look fine a week after the first chemo cycle. Woot! My platelets are actually higher than last time (still a little under normal) and white blood cell count is fine, so no extra worries about getting sick.
Sticking with the current plan to wean the steroid. I stepped down again yesterday so I'm in the middle of my 3-4 day withdrawl headache. Boo. But I should 100% off the steroid by Christmas!!
Sticking with the current plan to wean the steroid. I stepped down again yesterday so I'm in the middle of my 3-4 day withdrawl headache. Boo. But I should 100% off the steroid by Christmas!!
Sunday, November 10, 2013
Conclusions about chemo week
For those that aren't familiar with the "standard of care" for brain tumor treatment, it's 5 days of oral chemo pills followed by 23 days break. This 4 week cycle continues for at least 6 months. Some people continue it for years if it's working for them and their bodies tolerate it well. For me, I will probably end up with a "clean" scan at the end of the this month and then every 2 months (fingers crossed), so these 6 cycles will be it for me at least for a while. This particular cycle was about 2 times the dosage of the pills I took for 6 straight weeks during radiation. Next cycle it goes up by another 1/3rd and stays at that dosage for the remainder of the cycles, which are scheduled be done by April next year, barring any medical necessity to delay any cycles.
I was unsure of how I'd feel with these meds. During the radiation and chemo, it was unclear which treatment caused which side effects. It was obvious the severe headache and non-stop vomiting was due to the brain swelling from the radiation as that went away quickly with steroids. I had even planned to try to work a few hours a day during the first few days of the treatment, which was a mistake. I've learned from that already. I don't WANT to take time off for this, but I do need to take care of myself.
Luckily, the side effects for me haven't been intolerable, hard yes, but manageable. I take the pills as directed: no eating an hour before or 2 hours after, take the anti-nausea 30 minutes before, take the chemo directly before bed. If I can't get to sleep right away (which happened a few times), the side effects are more noticeable. I get quickly changing hot AND cold flashes, heartburn, headache, and nausea. I ended up just wandering around the house (sometimes writing blog posts under the influence of sleep medications) and playing useless games on our various electronic devices, before retiring to bed (either my own if we have company, or the basement twin bed we have for company when there isn't someone there already). If I can get to sleep within an hour, it's obviously a lot easier. And I've actually been sleeping for long stretches at a time!!
The daytime side effects aren't terrible either. The biggest one is fatigue. I've been taking at least one nap a day, sometimes two. I tend to feel refreshed for about 2-3 hours and then start dragging again. I limit how many stairs I do because those seem particularly hard. I sit around a lot and can't really play with the kids, just cuddles and reading books. And actually, I seem to get winded reading aloud long books which a bummer. I have noticed that by about 22-23 hours after taking the last pill, I start to get my strength back and can do stairs at a normal pace again. That gives me hope that it won't be lingering effects every month so I can get back to my relative "normal" pretty quickly.
I go between being really hot and really cold all day long, although it seems to lean more towards cold. I've been wearing sweats, a thick hoodie, and a winter hat most days. It doesn't help that it's gotten pretty cold here lately, although I wouldn't really know since I haven't been outside in 48 hours!
Luckily, I haven't had nausea (unless I can't go to sleep right away). I have only had to take the anti-nausea right before the pill at night instead of every 8 hours like I could be and some people do. My appetite is not as good, but that's actually probably a good thing since it was high on the steroid anyway. I don't crave any foods and if you ask me what I want, I probably wouldn't be able to make up my mind. But if you put something in front of me, I'll eat it and it tastes good to me.
Speaking of steroid, I get to step down to a slightly lower dose this week too. Woohoo! I get my blood work checked Wednesday to see how my body is tolerating the chemo. And we have a weaning schedule for the steroid that will have me off it completely by Christmas.
Two of the three kids are sick so I'm expecting that to hit me later this week. Hopefully my white blood cell count will be holding steady so it won't be too bad.
There's a lot to be thankful for this week, too. Support army is still being amazing. We have a fridge FULL of food from kind friends and family. We are stocked for meals for the whole week, which is awesome cause usually Sunday is my batch cooking day for the week. My mom came for the weekend last minute and has been extremely helpful. She's unavailable the next two cycles though so we'll need to ask for help from other sources in terms of helping Charles care for the kids.
We have some nice folks who have offered to watch them for us on Tuesday nights so we both attend our respective support groups ("young adults with cancer" and "cancer caregivers"). They may not be in bed by the time we get home (45 minutes after their normal bedtimes) but that's not a big deal once a week. If anyone knows of some high school-ish aged girls (or anyone really) who want to come play with them Tuesday evenings, we'd be grateful :) The support groups offer so much emotionally and it's so worth it to go.
I was unsure of how I'd feel with these meds. During the radiation and chemo, it was unclear which treatment caused which side effects. It was obvious the severe headache and non-stop vomiting was due to the brain swelling from the radiation as that went away quickly with steroids. I had even planned to try to work a few hours a day during the first few days of the treatment, which was a mistake. I've learned from that already. I don't WANT to take time off for this, but I do need to take care of myself.
Luckily, the side effects for me haven't been intolerable, hard yes, but manageable. I take the pills as directed: no eating an hour before or 2 hours after, take the anti-nausea 30 minutes before, take the chemo directly before bed. If I can't get to sleep right away (which happened a few times), the side effects are more noticeable. I get quickly changing hot AND cold flashes, heartburn, headache, and nausea. I ended up just wandering around the house (sometimes writing blog posts under the influence of sleep medications) and playing useless games on our various electronic devices, before retiring to bed (either my own if we have company, or the basement twin bed we have for company when there isn't someone there already). If I can get to sleep within an hour, it's obviously a lot easier. And I've actually been sleeping for long stretches at a time!!
The daytime side effects aren't terrible either. The biggest one is fatigue. I've been taking at least one nap a day, sometimes two. I tend to feel refreshed for about 2-3 hours and then start dragging again. I limit how many stairs I do because those seem particularly hard. I sit around a lot and can't really play with the kids, just cuddles and reading books. And actually, I seem to get winded reading aloud long books which a bummer. I have noticed that by about 22-23 hours after taking the last pill, I start to get my strength back and can do stairs at a normal pace again. That gives me hope that it won't be lingering effects every month so I can get back to my relative "normal" pretty quickly.
I go between being really hot and really cold all day long, although it seems to lean more towards cold. I've been wearing sweats, a thick hoodie, and a winter hat most days. It doesn't help that it's gotten pretty cold here lately, although I wouldn't really know since I haven't been outside in 48 hours!
Luckily, I haven't had nausea (unless I can't go to sleep right away). I have only had to take the anti-nausea right before the pill at night instead of every 8 hours like I could be and some people do. My appetite is not as good, but that's actually probably a good thing since it was high on the steroid anyway. I don't crave any foods and if you ask me what I want, I probably wouldn't be able to make up my mind. But if you put something in front of me, I'll eat it and it tastes good to me.
Speaking of steroid, I get to step down to a slightly lower dose this week too. Woohoo! I get my blood work checked Wednesday to see how my body is tolerating the chemo. And we have a weaning schedule for the steroid that will have me off it completely by Christmas.
Two of the three kids are sick so I'm expecting that to hit me later this week. Hopefully my white blood cell count will be holding steady so it won't be too bad.
There's a lot to be thankful for this week, too. Support army is still being amazing. We have a fridge FULL of food from kind friends and family. We are stocked for meals for the whole week, which is awesome cause usually Sunday is my batch cooking day for the week. My mom came for the weekend last minute and has been extremely helpful. She's unavailable the next two cycles though so we'll need to ask for help from other sources in terms of helping Charles care for the kids.
We have some nice folks who have offered to watch them for us on Tuesday nights so we both attend our respective support groups ("young adults with cancer" and "cancer caregivers"). They may not be in bed by the time we get home (45 minutes after their normal bedtimes) but that's not a big deal once a week. If anyone knows of some high school-ish aged girls (or anyone really) who want to come play with them Tuesday evenings, we'd be grateful :) The support groups offer so much emotionally and it's so worth it to go.
Thursday, November 7, 2013
Being nicer to myself
Okay. I'll wave the white flag now. This is harder than I expected. I'm grateful I'm not nauseous, at least I have that on my side. The only thing that would make this worse is throwing up, especially in the middle of the night. And also on my side, it's oral pills so I don't have to sit hooked up to an IV in a doctor's office. However, this fatigue is killer!
In my mind, I was thinking "I took this same medication for 42 days straight. How much worse can it be at a higher dose?" Uh. SO much worse. And the best part *rolling eyes*, the next 5 cycles will be even HIGHER.
I had every intention of continuing my plan at work. I'd go in, work until I just couldn't anymore, and then go home. I love my job, my company, my coworkers. I try to do my best at everything I do. I'm pretty hard on myself when it comes to stuff like that so I push myself, sometimes past my breaking point. This is one of those times. I've finally admitted, I just can't work while I'm doing the chemo.
I do have to say though that was I was pretty proud of myself for making it through 4.5 hours of a scheduled training this afternoon. I was even clear headed enough to follow along, ask valid questions, contribute to the conversation, and learn a lot. I attribute that to my 7.5 hour straight night sleep (first time in months) and the 2 hour nap I took later in the morning.
But from here on out, Wednesday through Friday on chemo weeks are off from work. I'm not planning any extra curricular activities for the full 5 days (and maybe the Monday after too); no friend dinners (mom friends for me), no dates, no running errands, no shopping (gasp), no exercising (not that I was anyway), no dishes, no laundry, no cleaning. Basically, I'm putting myself on lock down, putting myself first, making sure I can heal so that when these 5 days are over, I can get back to life again.
We appreciate that people have started bringing us meals again. Please continue to do so. I'll keep the care calendar updated with the weeks that we'll need them. And most of all, please help support Charles. He's amazing but he's going to get burned out too. He needs help with the kids especially but also keeping up the house, and with emotional support. Even from afar, you can call or email (after 8pm please).
In my mind, I was thinking "I took this same medication for 42 days straight. How much worse can it be at a higher dose?" Uh. SO much worse. And the best part *rolling eyes*, the next 5 cycles will be even HIGHER.
I had every intention of continuing my plan at work. I'd go in, work until I just couldn't anymore, and then go home. I love my job, my company, my coworkers. I try to do my best at everything I do. I'm pretty hard on myself when it comes to stuff like that so I push myself, sometimes past my breaking point. This is one of those times. I've finally admitted, I just can't work while I'm doing the chemo.
I do have to say though that was I was pretty proud of myself for making it through 4.5 hours of a scheduled training this afternoon. I was even clear headed enough to follow along, ask valid questions, contribute to the conversation, and learn a lot. I attribute that to my 7.5 hour straight night sleep (first time in months) and the 2 hour nap I took later in the morning.
But from here on out, Wednesday through Friday on chemo weeks are off from work. I'm not planning any extra curricular activities for the full 5 days (and maybe the Monday after too); no friend dinners (mom friends for me), no dates, no running errands, no shopping (gasp), no exercising (not that I was anyway), no dishes, no laundry, no cleaning. Basically, I'm putting myself on lock down, putting myself first, making sure I can heal so that when these 5 days are over, I can get back to life again.
We appreciate that people have started bringing us meals again. Please continue to do so. I'll keep the care calendar updated with the weeks that we'll need them. And most of all, please help support Charles. He's amazing but he's going to get burned out too. He needs help with the kids especially but also keeping up the house, and with emotional support. Even from afar, you can call or email (after 8pm please).
Wednesday, November 6, 2013
Chemo sucks
Let me start by saying; my, how poignant I can be in the middle of the night high on ambien! I will be 100% honest and say I actually don't remember writing most of it, so that was completely from my subconscious.
And also, note to self; "save as draft" to reread later before publishing a post in the middle of the night.
To the point of this post though. I've only had the first pill of my chemo last night. Today was pretty rough. I didn't sleep well last night (you can tell by my 1 am thankful post). Thankfully, I'm not nauseous. I take anti-emetics for that. Morning routine with the kids was not too hard and everyone got off to their places on time.
I'm just TIRED. When "they" say it can cause fatigue, they don't mean the "I didn't sleep well so I'm tired" fatigue. They mean "shit, I can't walk up these stairs" fatigue. It's intense. With 2 cups of coffee, I pushed myself through 2.5 hours of work this morning to finish up a project from yesterday and then, by some miracle, was able to drive myself home safely. I slept for 3 hours and woke up semi-refreshed.
Tomorrow, I'll be trying to make it through a training from 1-5pm. I'm hoping that by taking a nap in the morning after the nanny gets here, that I'll be able to make it through. I cancelled my mom's night out dinner plans for tomorrow night. I will probably have to take some more time off from work on Friday as well. I already told Charles he's basically on his own for the weekend holding down the fort. Read into that: if you want to come hang out and play with kids, bring a freezable meal, do dishes, or fold laundry, that'd be AWESOME!
I had no idea what to expect with this. I still don't. I'm not sure if the fatigue will build on itself and/or linger after I'm finished. I have learned this one lesson though: absolutely no extra curricular activities during chemo week.
And also, note to self; "save as draft" to reread later before publishing a post in the middle of the night.
To the point of this post though. I've only had the first pill of my chemo last night. Today was pretty rough. I didn't sleep well last night (you can tell by my 1 am thankful post). Thankfully, I'm not nauseous. I take anti-emetics for that. Morning routine with the kids was not too hard and everyone got off to their places on time.
I'm just TIRED. When "they" say it can cause fatigue, they don't mean the "I didn't sleep well so I'm tired" fatigue. They mean "shit, I can't walk up these stairs" fatigue. It's intense. With 2 cups of coffee, I pushed myself through 2.5 hours of work this morning to finish up a project from yesterday and then, by some miracle, was able to drive myself home safely. I slept for 3 hours and woke up semi-refreshed.
Tomorrow, I'll be trying to make it through a training from 1-5pm. I'm hoping that by taking a nap in the morning after the nanny gets here, that I'll be able to make it through. I cancelled my mom's night out dinner plans for tomorrow night. I will probably have to take some more time off from work on Friday as well. I already told Charles he's basically on his own for the weekend holding down the fort. Read into that: if you want to come hang out and play with kids, bring a freezable meal, do dishes, or fold laundry, that'd be AWESOME!
I had no idea what to expect with this. I still don't. I'm not sure if the fatigue will build on itself and/or linger after I'm finished. I have learned this one lesson though: absolutely no extra curricular activities during chemo week.
Tuesday, November 5, 2013
My November Thankful Post
I was SO tired today that I fell sleep at 8pm but then it turned to 10pm and my body thought it was nap so here I am awake at almost midnight. Boo. I figured I'd write to get some stuff off my mind. I also already took an ambien so please excuse what might be rambling, misspelled, or punctuated incorrectly.
Some people are using every day of the month to remind themselves of what they're thankful in their lives. I think that's great. I'm sure I could come up with 30+ individual things, too. However, I'm not going to. That's just one more thing on my "to do" list. I want to write about one main thing (that branches into others).
I'm thankful for my health. Notice how I didn't say "I'm thankful that I'm healthy." In fact, I'm obviously FAR from healthy, as evidence by the amount of medications I take daily. However, I'm much more healthy than I was at the beginning of the year.
I distinctly remember my first debilitating migraine. It was early January. I was visiting my parents with just Grace as a special mother/daughter trip so she could go to a Princess Party with my dad. I was actually getting my hair cut and prepping mentally for two job interviews later in the month, after 6 months of applying and getting denied. That headache was the first tip off of my disease progressing. After that, I had repeats of what I call tumor-induced-migraines of various degrees, some of which caused me lay in bed in pain all day, unable to do anything useful or requiring a shot from urgent care.
So I'm thankful for modern medicine and the wonderful medical professionals I've met, continue to see, and will see in the future. I had a walnut size tumor that was invading on critical areas of my brain removed without major effects to any other brain functions. I had a textbook recovery from the surgery and retained all my mental capacities. I've been enlightened to the AMAZING support of humanity: family, friends, coworkers, and acquaintances who have helped us tremendously.
I chose to do the follow-up treatment of chemo and radiation. Other than brain swelling, which doesn't always happen, it went decently well. Yes, it was/is hard but the whole point is to extend my time before recurrence. The silver lining is that I AM getting better every day. There are some days that seem like a step-back, but in general it seems like two steps forward one step back. I am much better off now than I was on June 19th (surgery day) and the day before.
I am incredibly blessed to have retained all my abilities, learned skills, and privileges. No seizures and the ability to drive. It would be nearly impossible to work and help support my family if I couldn't drive myself. I have control over my mental capacities and all my motor skills. Even though I forget names easily, forget some words occasionally, mix up my kids' names sometimes, and have to write down EVERYTHING, I still have a decent memory and remember things from the past pretty quickly.
This version of health gives me hope for a long life. I dream of seeing my children grow into wonderful, moral, happy adults. I want to foster a family atmosphere where they all want to come see us on special occasions and for no reason at all. I want my parents to be alive when my own kids have kids. I wish to grow old with my best friend and celebrate our 50th wedding anniversary. Only 43 more to go! {Charles, 50th wedding anniversary in Greece?} I want to see all the new inventions that will come out. I want drive a flying car! I want to play a video game in a full room of 5 surfaces of game play with your body as a remote (how awesome would that be??). I want cancer treatment to be more effective and less harmful to the healthy parts of the body.
In conclusion, I'm very thankful for MY version of health. Yes, my goal is to get NED (no evidence of disease), to be healthfully fit again and run a 5k, and to be able to care for the kids on my own more easily so it feels like a joy again instead of a chore, but I'm getting there. It's a slower process than I thought, but I'm doing better every week, sometimes day by day.
In short. I'm thankful for me and my road to recovery! Everyone should be thankful for themselves. I'm thankful for YOU too.
Some people are using every day of the month to remind themselves of what they're thankful in their lives. I think that's great. I'm sure I could come up with 30+ individual things, too. However, I'm not going to. That's just one more thing on my "to do" list. I want to write about one main thing (that branches into others).
I'm thankful for my health. Notice how I didn't say "I'm thankful that I'm healthy." In fact, I'm obviously FAR from healthy, as evidence by the amount of medications I take daily. However, I'm much more healthy than I was at the beginning of the year.
I distinctly remember my first debilitating migraine. It was early January. I was visiting my parents with just Grace as a special mother/daughter trip so she could go to a Princess Party with my dad. I was actually getting my hair cut and prepping mentally for two job interviews later in the month, after 6 months of applying and getting denied. That headache was the first tip off of my disease progressing. After that, I had repeats of what I call tumor-induced-migraines of various degrees, some of which caused me lay in bed in pain all day, unable to do anything useful or requiring a shot from urgent care.
So I'm thankful for modern medicine and the wonderful medical professionals I've met, continue to see, and will see in the future. I had a walnut size tumor that was invading on critical areas of my brain removed without major effects to any other brain functions. I had a textbook recovery from the surgery and retained all my mental capacities. I've been enlightened to the AMAZING support of humanity: family, friends, coworkers, and acquaintances who have helped us tremendously.
I chose to do the follow-up treatment of chemo and radiation. Other than brain swelling, which doesn't always happen, it went decently well. Yes, it was/is hard but the whole point is to extend my time before recurrence. The silver lining is that I AM getting better every day. There are some days that seem like a step-back, but in general it seems like two steps forward one step back. I am much better off now than I was on June 19th (surgery day) and the day before.
I am incredibly blessed to have retained all my abilities, learned skills, and privileges. No seizures and the ability to drive. It would be nearly impossible to work and help support my family if I couldn't drive myself. I have control over my mental capacities and all my motor skills. Even though I forget names easily, forget some words occasionally, mix up my kids' names sometimes, and have to write down EVERYTHING, I still have a decent memory and remember things from the past pretty quickly.
This version of health gives me hope for a long life. I dream of seeing my children grow into wonderful, moral, happy adults. I want to foster a family atmosphere where they all want to come see us on special occasions and for no reason at all. I want my parents to be alive when my own kids have kids. I wish to grow old with my best friend and celebrate our 50th wedding anniversary. Only 43 more to go! {Charles, 50th wedding anniversary in Greece?} I want to see all the new inventions that will come out. I want drive a flying car! I want to play a video game in a full room of 5 surfaces of game play with your body as a remote (how awesome would that be??). I want cancer treatment to be more effective and less harmful to the healthy parts of the body.
In conclusion, I'm very thankful for MY version of health. Yes, my goal is to get NED (no evidence of disease), to be healthfully fit again and run a 5k, and to be able to care for the kids on my own more easily so it feels like a joy again instead of a chore, but I'm getting there. It's a slower process than I thought, but I'm doing better every week, sometimes day by day.
In short. I'm thankful for me and my road to recovery! Everyone should be thankful for themselves. I'm thankful for YOU too.
Wednesday, October 30, 2013
Old, but I’m not that old. Young, but I’m not that bold.
Today is my birthday. I turn 31. I have to say, the past year has been the hardest of my life so it can only go up from here, right? Selling our house and moving, starting to work again, tumor and cancer diagnosis followed by treatments, and our bigs starting full day public school. I have half a year of this maintenance chemo treatment and the goal for the year is NED (no evidence of disease). It sounds morbid to think this way, but I’m wondering if every birthday, start of the new calendar year, and summer “cancerversary” will briefly make me think “How many more years do I have left?” This one already has. Maybe everyone thinks this way on their birthday as they get older and hit the age milestones, maybe they don’t. Of course, it leads to all the other “what if’s” like seeing the kids having boy/girlfriends, graduate from high school and college, getting married, and having kids of their own.
I’m still sleeping very poorly. I’m up every couple hours all night and lately been in the habit of being awake from 4-5am. It’s so frustrating. I’m trying all sorts of things to see if it helps. So far, I’m blaming the steroid. Directly following my surgery, I was on so much of it that I couldn’t sleep more than a few hours a day when they told me I’d be sleeping more than half the day. I stepped down by 1/3rd this week, but it will still be over a month to get completely off without having the relapse of symptoms or withdrawal effects. So far, I haven’t had the withdrawal headache from this step down that I did when I last tried to wean off. After being on some dose of this for the majority of 4 months, it’s getting really old.
During the month that I was off (between surgery and radiation), I was actually able to work out and get some of my physical stamina back. I had started walking and jogging again. Now, I’m just too tired and don’t want to take away my physical energy needed to do the other stuff required of me. Once I start sleeping better, my plan is to restart the 5k running program. There’s a 5k charity run that benefits the National Brain Tumor Association in early May that I would like to do. I think that’s an attainable goal, even with my last chemo round being scheduled for that last week of March and my other major goal of the year being to pass the engineering certification exam in April.
So today, I stopped for Starbucks on my way to work. I was tired from my bad night sleep so I left work early to take a bath and a nap. The family had pizza and cake at home. My parents sent presents for me to open, which was awesome. After homework, peeling oranges for kid school Halloween party tomorrow, and putting them to bed, C and I watched a movie. And lots of birthday wishes. It was a nice day.
Monday, October 28, 2013
Chemo schedule and weaning the steroid
I had an appointment with the oncologist today. It was a decent one, I guess. We decided on starting the 6 rounds of chemo (5 days of oral temodar with 23 day break) on Wednesday Nov 6th. Usually they do Mon-Friday but I wanted to start Weds because then the last two days would be on the weekend instead of work days.
I'm going to try weaning off the steroid again. We have a better, more gradual plan this time. Today is exactly 4 weeks after the last radiation treatment. Doctor said it could be 4-6 weeks for any possible swelling to go down, so by the time I'm off the steroid, we should be clear of that. I'm SO looking forward to sleeping more and eating less once I'm off this!!
I've updated the care calendar with a few needs during my chemo weeks for November and December, like a couple meals and some childcare for down time for Charles.Here's the login info. If you need our numbers or address, you can email Charles through the calendar. If you can help, that'd be great.
Carecalendar.org
Calendar number: 151231
Security code: 7678
I'm going to try weaning off the steroid again. We have a better, more gradual plan this time. Today is exactly 4 weeks after the last radiation treatment. Doctor said it could be 4-6 weeks for any possible swelling to go down, so by the time I'm off the steroid, we should be clear of that. I'm SO looking forward to sleeping more and eating less once I'm off this!!
I've updated the care calendar with a few needs during my chemo weeks for November and December, like a couple meals and some childcare for down time for Charles.Here's the login info. If you need our numbers or address, you can email Charles through the calendar. If you can help, that'd be great.
Carecalendar.org
Calendar number: 151231
Security code: 7678
Thursday, October 24, 2013
Readjusting normal
The "new normal" finally caught up to me in the last few days. I think I jumped back into "mom machine" mode too early, taking on too many responsibilities and putting the family/house first. I needed the reminder that I'm still recovering and need to take care of myself too.
Work is definitely not the issue. I try to do 6 hours days, but I've allowed myself to knock out early by an hour or two if I need it. I'm still staying long enough to get the work done. Luckily, I haven't been overbooked on what's expected of me so it makes it easier to lend myself some slack with my hours. And now that long term disability has been approved (have I mentioned that here yet??), I will still get paid a percentage of the lost hours, which makes it even easier for me to justify the shorter schedule.
The issues are the before/after work routines and the fact that I can't sleep. I think the steroid is to blame here so I'm going to work out a weaning plan with the doctor at Monday's appointment.
I still am not sleeping through night, some nights even as bad as waking every hour. Sometimes that's my own fault with getting up to go to the bathroom, or my ear hurting (Seriously? That's still a problem??), or just plain waking for no reason. Sometimes it's Charles' fault for snoring, making funny breathing noises, or being restless (none of which he can control, obviously). Sometimes it's the kids, waking early or throwing up in the middle of the night. We've had a kid throw up in the night at least once per night for 4 of the last 12 nights, it's ridiculous.
Then there's the normal mom responsibilities and what's required of me due to schedules. I jumped back into those too quickly and finally allowed myself last night to realize I just can't do that much yet, but I also feel guilty having Charles do most of it. We are working together on trimming down our processes to make less work for ourselves. We already had the routine of doing laundry only on the weekends (except for pukey stuff). I've asked him to help more with dishes (or allow us to use more paper products, which is hard to propose to an environmentalist), pack lunches the night before, help make pre-made meals on the weekend to heat up during the week, etc. Hopefully we'll be able to come up with a new weekly routine that helps me recover while not over-taxing him either.
If anyone reading this wants to drop off a garlic and tree-nut free meal, we'd LOVE one any day :) (I think I also forgot to mention we took Grace to the allergist cause she had a reaction to a tree nut in a granola bar. She's fine with peanuts, but we're not sure what other nuts she might react to.)
Tuesday, October 22, 2013
Tired
I realize I haven't written much later. It's probably better that way. I've been pretty busy getting back into the working mom routine. I've been getting tired out after about 5 hours at work, which is good that I've committed to only 6 hour days. It's worse on nights when I don't sleep well, which is much too frequent. I maybe get 2 nights per week of straight 7 hours. The company is still wonderful about letting me leave early if I need to though.
We've worked out a schedule where Charles works from home Mondays and Tuesdays, so I go in to work earlier than I do the other days and get home early enough to go get the bigs from school, do snack, and cook dinner while he finishes up a full work day from home. Honestly, it's exhausting. I'll get a bad night sleep, get myself ready for work, be there for 5-6.5 hours, come home, get them from school, snack, play (which these two days have just been watching tv since I'm so tired), cook dinner, and help with bedtime. It's like being ON from 6:30am-8pm. Like I said, exhausting.
Then the other 3 days, it's getting up early to get ready before they are up, rush around to do morning routine before school, be at work for 5-6.5 hours, get home and hopefully be able to rest (since he should be home by 4 also), and then help with bedtime routine. At least in that schedule, I get to have a rest late afternoon. In retrospect, it might have been better to have the hard days be at the end of the week...
We've worked out a schedule where Charles works from home Mondays and Tuesdays, so I go in to work earlier than I do the other days and get home early enough to go get the bigs from school, do snack, and cook dinner while he finishes up a full work day from home. Honestly, it's exhausting. I'll get a bad night sleep, get myself ready for work, be there for 5-6.5 hours, come home, get them from school, snack, play (which these two days have just been watching tv since I'm so tired), cook dinner, and help with bedtime. It's like being ON from 6:30am-8pm. Like I said, exhausting.
Then the other 3 days, it's getting up early to get ready before they are up, rush around to do morning routine before school, be at work for 5-6.5 hours, get home and hopefully be able to rest (since he should be home by 4 also), and then help with bedtime routine. At least in that schedule, I get to have a rest late afternoon. In retrospect, it might have been better to have the hard days be at the end of the week...
Saturday, October 12, 2013
First week of work
I'm very happy with my first week of work. I fell back into the programs easily, which made me really happy. I'm working 6 hour days for now and there was only one day where I had to go home early, that was due to a really bad night sleep. I still feel extremely fortunate that I haven't ever had a seizure so that I can drive myself to work (and other places). It's been a busy week for me. I've had plans for 3 nights after work, mostly cancer support group type of stuff. I've been able to get ready and leave earlier in the morning than my planned schedule because Charles has been off due to the shutdown. So I'm not getting the kids ready for school anymore, at least not yet. And then I run off to my plans right after dinner and miss bedtime routines, so it feels like I haven't seen the kids much. Last night I was here for bedtime so I made sure to get lots of cuddles.
I was thinking I would wear my wig most days, but it makes me a bit hot. I still have scalp irritation so I have to wear the little skull cap underneath, which makes it hotter. So I've been wearing various hats too. I was hesitant to do this at first but sometimes while I'm at my desk, I'll go bare. I'm able to put some cream on and be a little cooler temp wise. At first, I thought maybe it would make some people uncomfortable but everyone knows what's going on and there have been some people that still come over and talk business as usual even with my bare head. Plus, I'm kind of at the back of the office now so I'm not right in the middle of the action. I do still put something on when I walk around anywhere though as to not catch anyone off guard.
I'll be rolling out new hats as I crochet more. I might also start using some of my multitude of fabric to sew some (gotta get back to pinterest!). I'm planning to donate some hats to the Hope Connections charity in Bethesda that runs a lot of free programs for cancer patients and their caregivers. They have a little "shop" of free jewelry and hats for cancer patients, just something to brighten their day.
Liam is having a harder time with school these days. I think the fatigue of going full days all week is finally catching up to him. He says the noise of the "stations" part of the day bothers him. He is melting down over the homework assignments, and then melts down about other things unrelated too. I think the last few days were worse because he was getting sick. He threw up in bed in the middle of the night last night. No fever or throwing up today, so we're hoping it was a random puke and not a puking virus that will make it's way through the whole family.
Wednesday, October 9, 2013
Young adults support group
If you can't tell by my time stamp, I'm up at 4am, been up since 1:30. Ugh. No sign of sleep coming soon. Kids will be up in 3 hours.
Yesterday evening (technically yesterday since it's after midnight), I attended a support group for young adults with cancer. It was a smaller intimate group which was neat. It seemed easier to relate than the other group that was about 20 people. It's also a lot closer for me to get to and meets weekly instead of monthly. They have a group for caregivers too that I might make Charles go to.
Might be a tired/short day at work tomorrow :(
Monday, October 7, 2013
First day at work
First day back was great. It was a milestone after finishing the treatment. It feels really good to get back to the normal routine and be in an adult (non-medical) environment again. Everyone was really nice and welcoming. I fell back into Revit and CAD more quickly than I expected, which was a pleasant surprise. I was even able to listen to music at the same time, yay!
I'm starting at 30-32 hours a week. I plan to do 6 hours a day, but I might end up going home early on bad sleep days or staying later on days when I feel rested. I'm so fortunate that my office is so willing to be flexible. I'm hoping that once the fatigue goes away, I can get back to 40 hours a week or more. As for now, IF the long term disability gets approved (still don't know yet), I can't work more than 32 hours a week or they'll terminate my claim.
I haven't decided yet if I'll be wearing my wig every day or not. A few people commented on how they like my hair and I came up with a quip on the fly when someone asked if it was mine. I told her "Yes and no. It's mine because I bought it!" She thought that was funny, so I think I'll keep that in my back pocket.
Charles is home from government shut down. He is looking forward to going back to work too. It's nice though to have him take over morning duty getting the kids ready for school. I think Liam is having a hard time with the change of routine, but overall the kids seem to be doing well.
I'm starting at 30-32 hours a week. I plan to do 6 hours a day, but I might end up going home early on bad sleep days or staying later on days when I feel rested. I'm so fortunate that my office is so willing to be flexible. I'm hoping that once the fatigue goes away, I can get back to 40 hours a week or more. As for now, IF the long term disability gets approved (still don't know yet), I can't work more than 32 hours a week or they'll terminate my claim.
I haven't decided yet if I'll be wearing my wig every day or not. A few people commented on how they like my hair and I came up with a quip on the fly when someone asked if it was mine. I told her "Yes and no. It's mine because I bought it!" She thought that was funny, so I think I'll keep that in my back pocket.
Charles is home from government shut down. He is looking forward to going back to work too. It's nice though to have him take over morning duty getting the kids ready for school. I think Liam is having a hard time with the change of routine, but overall the kids seem to be doing well.
Saturday, October 5, 2013
More steroid. Blah.
The symptoms of brain swelling are back. Boo. Of course, I'm out of state this weekend and didn't bring the steroid with me (I thought I was done with it!!) but I was able to get an on call doctor to send a prescription to a local pharmacy. I, naively, assumed that since the radiation was over that the irritation was done and swelling shouldn't be an issue anymore. Wrong. I'm not a doctor so I guess I should listen to them. He tried to have me go back on the steroid Thursday when I told him about the headache coming back but I refused based on the steroid's side effect. Now look where I am, severe headache that doesn't respond to the pain meds and nausea/vomiting again.
Now that I'm back on the steroid, for who knows how long, I hope it kicks in and starts working! I don't want to miss out on even part of my first day back at work to be on a dumb IV for dehydration. I'm keeping up with the anti-nausea meds around the clock and trying to drink more fluids. It's hard though and I haven't been very successful today. I'm also concerned about being able to sleep, insomnia being the worst side effect of the steroid.
Okay. This can be over now.....
Now that I'm back on the steroid, for who knows how long, I hope it kicks in and starts working! I don't want to miss out on even part of my first day back at work to be on a dumb IV for dehydration. I'm keeping up with the anti-nausea meds around the clock and trying to drink more fluids. It's hard though and I haven't been very successful today. I'm also concerned about being able to sleep, insomnia being the worst side effect of the steroid.
Okay. This can be over now.....
Friday, October 4, 2013
Weekend away
I'm on the train on my way to NJ to visit my parents for the weekend. I'm really looking forward to it and I'm sure it'll go by too quickly. Lots of relaxing and sleeping planned. Then dinner picnic Sunday when Charles and kids meet us halfway to pick me up.
Then it's back to work Monday. It couldn't come at a better time. I'm so ready to be back. 4 months away from something you enjoy is too much. Plus, with all this political bs, we need my income. I hope the govt gets their act together soon. Charles is running out of things to keep himself occupied.
Wednesday, October 2, 2013
Unexpectedly sick
I thought side effects should be waning by now but I guess not. I was up spewing in the middle of the night with a headache to boot. I know, pleasant, but I'm being honest here. So I get to go in to the office this afternoon, the office I have an appt scheduled for tomorrow morning, for IV fluids and meds. I hope they can get the vein the first time!
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Update: I took a 2 hour nap before I went over to the office. There, I had a bag of fluids and IV zofran while I listened to some music and played games on my phone. They got the IV in on the first try. *impressed* I was able to eat a decent dinner, keep it down, help with bedtime for kids, and now just chilling and going to bed early.
PS. I am totally NOT impressed with our current weather. I literally just took the a/c unit out of our bedroom window last weekend and now we're hot again. It's not supposed to get back down to 70's until next week. I have all these great cold weather hats I want to wear! And one that I have no motivation to finish with this hot weather around.
PPS and not related to this post at all: I trimmed down the mohawk. It was barely blue anymore anyway and now that the irritant of the radiation rays are absent, I wanted to give my whole scalp the chance to grow back together. We'll see how it goes. I'm expecting to be wearing hats and the wig through the year til next Summer. By end of March, I will be done with the maintenance chemo cycles and the hair should be able to grow back a little thicker.
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Update: I took a 2 hour nap before I went over to the office. There, I had a bag of fluids and IV zofran while I listened to some music and played games on my phone. They got the IV in on the first try. *impressed* I was able to eat a decent dinner, keep it down, help with bedtime for kids, and now just chilling and going to bed early.
PS. I am totally NOT impressed with our current weather. I literally just took the a/c unit out of our bedroom window last weekend and now we're hot again. It's not supposed to get back down to 70's until next week. I have all these great cold weather hats I want to wear! And one that I have no motivation to finish with this hot weather around.
PPS and not related to this post at all: I trimmed down the mohawk. It was barely blue anymore anyway and now that the irritant of the radiation rays are absent, I wanted to give my whole scalp the chance to grow back together. We'll see how it goes. I'm expecting to be wearing hats and the wig through the year til next Summer. By end of March, I will be done with the maintenance chemo cycles and the hair should be able to grow back a little thicker.
"Recovering"
It seems counterintuitive to recover from a treatment but that's what I'm currently tasked with. I took the last 1mg of steroid on Monday along with the last chemo pill until next month and last radiation treatment. I'm having steroid withdrawal symptoms; insomnia (still), heartburn, and headache. So it's 2:30am and I just took a small handful of pills to try to get back to sleep.
Discharge nurse said side effects are cumulative so it's possible they could worsen or just appear out of nowhere in the next two weeks. Yay. Hear the sarcasm. More fatigue, headaches, skin irritation, digestion issues, insomnia, etc. Then in November, lets see how I handle the higher dose chemo. Woohoo (also sarcasm).
With Charles on furlough until who knows when, I am even more excited about getting back to my own job. A friend asked tonight if I like what I do and I was probably overly emphatic with my answer. I love my job! I enjoy my daily tasks. I like my coworkers. I love learning new things. I'm really looking forward to getting my certificate (april) so I can be a full time engineer. Plus, the office is about 4 miles from our house which is super convenient. And I'm so grateful that I have this amazing job to go back to.
I have my mind set on getting back to my 5k training. Before my surgery, I got up to a two mile run at 10 minute mile avg. This time, I'm starting off in WAY worse shape. I get winded walking the bigs to school and that's .5 mile loop at five year old pace.
I'm trimming down the hawk in hopes that everything can TRY to grow back in together. So this is what's left. Doesn't even look blue anymore. I've heard that hair can grow back differently after something like this. Maybe I'll have curls this time ;) although I hope not. I have no idea how to style curls!!
The back is already growing back but then again it didn't fall out in the first place. I had shaved it for the hawk about 4 weeks ago. So sexy, right? Think I can rock a g.i.jane??
Tuesday, October 1, 2013
100th post
Holy moly! Who knew I had so much to say! 100 posts since May and at this moment, more than 28,000 views. I can't believe it. I'm so honored that so many people are interested in my story, keeping up with me, praying for me. It's humbling.
Today is the first day I have the morning to myself. Charles had to go in to work for 4 hours, even though the gov't shutdown is in effect. We could be spending a bunch of time together this week! I have a to-do list for today that I'm already knocking stuff off from.
Of course, it's supposed to get up to 80* today and possibly 86* tomorrow, a week after I took the a/c unit out of our window and commented on how glad I am that Fall is here so I can wear my Fall/Winter hats. Silly Maryland weather in October!! This is why people get sick.
I took some pics of me and kids this morning to share.
Today is the first day I have the morning to myself. Charles had to go in to work for 4 hours, even though the gov't shutdown is in effect. We could be spending a bunch of time together this week! I have a to-do list for today that I'm already knocking stuff off from.
Of course, it's supposed to get up to 80* today and possibly 86* tomorrow, a week after I took the a/c unit out of our window and commented on how glad I am that Fall is here so I can wear my Fall/Winter hats. Silly Maryland weather in October!! This is why people get sick.
I took some pics of me and kids this morning to share.
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| Liam - 5 years old |
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| Ellie - 2 years old |
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