PET Scan & Dr. Moran

We had a busy day of medical appointments today with the PET Scan scheduled for this morning and then a ‘getting established’ meeting with our new primary care physician.

However, we got a rude reminder this morning that real life doesn’t stop just because we’re dealing with cancer.

 

MAJOR LEAKS

We had an early call time this morning, with an aim to get to the downtown Norton Pavilion at 7am. So we woke early, both got showered and ready, then headed downstairs to head out without much time to spare.

shit
Well… Shit.

That’s when we noticed the water pouring through the ceiling of our downstairs bathroom. But we only had enough time to quickly throw some towels at the problem and head out to the hospital to make our appointment.

It looks like we have a major leak going from upstairs to downstairs. We had Aunt Martha come over and check it out. She said it looks like something that’s happened before and has been an issue. She’s an inspector, so she’d know. Oddly, the sellers claimed that they never had any water issues! Sheesh…

And only because everything has to happen all at once – the dishwasher started leaking today as well.

Now we have fans going full blast in the bathroom and mops going in the kitchen, and have to dive into the wonderful world of Home Warranty claims… Yikes.

 

PET SCAN

After that eventful start to the morning, we went downtown for the PET Scan. As they ordered, I had been fasting since bedtime the night before and was only allowed to have water. By the time we arrived at 7am, I was already starving!

They took us back pretty quick. Unfortunately, Luis was not able to join me for any part of the somewhat lengthy, very boring process. But everything went very smoothly.

The medical technician pricked my fingers and did a blood sugar test. 96. He said that’s all good, and I’m always happy these days to get any test, however minor, that is deemed all good.

arm
Getting used to this.

Next was the part where they inject me with radioactive sugar. This came in through the arm. I took a quick pre-IV photo… I guess I better get used to that view!  My arms are starting to look like I’m a heroin addict as many times as I’ve been poked the last couple weeks.

I didn’t notice any sensations from the radioactive sugar that I had read about. It could have been saline for all I would have known otherwise.

After that, I had to sit alone in a room on a recliner for an hour while the radioactive sugar circulated through my body. I spent the time texting with Luis, family and friends – and also marveling at some better than average fantasy racing numbers from the previous day. I also was watching the local news on several stations, but there was only one topic they reported on: BRIDGE TOLLS START TODAY!

After they felt like I’d done enough circulating, they took me back to the scanner. It looks like a standard CT Scanner, and it might very well be. I had to lie perfectly still, on my back, with my arms stretched out over my head – for 30 minutes! No moving, eyes closed, no music, just silence.

It was pretty boring but 100% painless, so I’m very okay with it. I’m not sure if I fell completely asleep during the scan, but I kept having this scary dream that Marco was wandering out into the streets, but there was nothing I could do about it because I was stuck in this big tube!

At the time of posting this, I am still radioactive. The last thing they said to me when I left: Don’t go around any pregnant women or children today. You’ll be radioactive for the next 12 hours. That’s comforting.

After that, I was free to go! Luis and I headed out to Wild Eggs and got a quick breakfast. I had the ACE of a BLT (my favorite!) and he got some eggs Florentine (vegetarian).

We’ll get the results on Tuesday.

 

DR. MICHELLE MORAN

I am so thankful that my friend Jeremy got my (and eventually Luis) in as new patients of Dr. Moran. It’s not easy to find a primary care physician in Louisville accepting new patients, and Dr. Moran is no exception. Luckily, Jeremy was able to put in a call and get us in.

moran_25003450I really like the Dr. Moran. And I really like all of the staff that I came in contact with at her office. That is actually a huge turnaround from my previous doctor, where the staff is all miserable and rude.

We didn’t go over much since I have no symptoms and nothing medically to speak of outside of what’s being looked after by Dr. Stevens. But I did have a very good feel about Dr. Moran and her office.

I did ask Dr. Moran if she could feel my liver, which I’m sure sounded like a ridiculous ask.  But Dale from Dr. Stevens’ office had said my liver felt big and a possible trouble spot. However, Dr. Moran felt it and said that, to her, it felt completely normal. She said she did feel a lump but that it was well below where my liver was and it was probably just stool. She may have told me in her own way that I am full of shit. Known issue.

Anyways, I finally feel like I am back in capable hands. New doctor!

 

NOT SLEEPING

notsleep
Me at 4am.

One thing I’m struggling with is not sleeping through the night. It doesn’t seem to matter what I take or even how tired I am… once I’m in bed, I’m left to my own thoughts and worries without distraction… Well, except for the phone just an arm’s reach away where I can cyberchondriac for hours.

If anyone has any suggestions on sleeping through the night (other than *put the damn phone away*) I could really use some advice. I will try anything. But right now, I just can’t seem to turn my mind off.

I think there are two big issues for me right now that keep me up and keep me worried, and both are short term:

  • There’s still a lot I don’t know. Once we get the results of this PET Scan on Tuesday, I’ll know what stage my cancer is in and what our treatment plan is. But right now, I constantly worry about how advance the cancer is after so many months of inaction (more on that, later).
  • We haven’t started treatment yet. I am ready RIGHT NOW to put some drugs into my body that KILL CANCER. I am ready for action! I know it’s only been about a week since my diagnosis, but I am just so ready to start the cancer killing.

Anyways, I was able to sneak in about an hour-long nap between doctor visits while Luis and Martha began to address the water disaster in the bathroom.

 

THANKS FOR THE SUPPORT

braceletI know I’ve said it before, but I just can’t say it enough…

THANK YOU to everyone has reached out with support, prayers, cards, emails, phone calls, text messages, public Facebook comments, private Facebook messages – even an Edible Arrangement, haha! Not to mention all of the supportive outreach that has gone to my family in their circles – I have prayers and support from all around the world from people I don’t even personally know.

It’s all overwhelming. And it truly helps to stay upbeat and positive. I appreciate everyone who has reached out so much – more than you could even imagine.

Also, my mom has purchased a lot of the violet Hogkin’s Lymphoma support bracelets. I will be wearing mine everyday, and I suspect most of my family will be doing so as well. We have extras if you want to stop by and grab one!

 

Much love,

Merv

Upcoming Appointments

Quick update because I have some upcoming appointments:

Friday, Dec. 30 @ 8am – PET Scan

The scan begins at 8am and I should arrive by 7:30am, having fasted for at least 5 hours prior to arrival. They would like me to be well hydrated though, so water is encouraged. But nothing else. This is at the Norton Pavilion Downtown.

This is the easy test. They inject my with radioactive sugar and scan my body. I think it’s a lengthy scan — possibly 90 minutes or so of not moving a muscle. Sounds pretty boring! But I think I would do it 100X over if it meant never having to do a bone marrow biopsy.

Friday, Dec. 30 @ 1pm – General Practitioner

After the debacle of my last GP which caused me to wait months and months before being diagnosed with cancer (more on that, later), I am getting a new GP. Her name is Dr. Michelle Moran.

It’s really difficult to find a GP in Louisville who is taking new patients. I’m really grateful to have a friend like Jeremy who put in a special favor to get me (and Luis, eventually) into Dr. Moran as a new patient. Jeremy really likes her, and I am really looking forward to meeting her.

Tuesday, Jan. 3 @ 11:10am – PET Follow Up w/Dr. Stevens

He’ll be able to read the PET Scan and let me know what Stage the cancer is in. And from there, we’ll be able to set up a treatment plan and schedule, and then hopefully actually start treatment later in the week.

Tuesday, Jan. 3 @ 2:30pm – Fertility Consultation

This is where I’m going to freeze my sperm. I’m not exactly sure how this process works but I am guessing it’s a lot easier than a bone marrow biopsy. But I also know that it’s pretty expensive.

My favorite quote of the day comes from Michelle in reference to this last appointment:

Well Merv, there’s two ways to go about this….you can take matters into your own hand….or we have a dairy….

laughing

First Oncology Visit

Yesterday, Luis and I went to our first appointment to meet our oncologist, Dr. Don Stevens. He is one of the founders of the Norton Cancer Institute.

We came away with a better understanding of what we’re dealing with. They had some good news and some not so good news – but more good news. And everyone is extremely optimistic about our chances of beating this.

This is kind of a long update, just because we learned so much…

 

THE TEAM

stevensWe really like the people we spoke with. Dr. Stevens came in last to speak with us for about 10 minutes. He gave us a background of Hodgkin’s Lymphoma and his practice. He told us that when he was in medical school that there was a lot of debate as to whether Hodgkin’s is actually a lymphoma (which it is) and that it used to be called Hodgkin’s Disease.

We also met Dale, a nurse practitioner. She spoke with us more at length about this type of cancer and the usual treatment, and she also examined my full body. She told us about the tests we’ll need next, and the usual course of treatment. She also was very optimistic about the prognosis – that this is a very treatable and beatable disease.

 

TUMORS & ORGANS

During Dale’s physical examination, she felt a lot of trouble spots.

Although I had only identified two swollen lymph nodes myself – one of which was taken out during last week’s biopsy – Dale was able to spot many more. It turns out that I have tumors all throughout my neck and shoulders. I lost count once she got to 8-10 tumors, and she didn’t even feel on my left side due to the swelling from last week’s surgery.

She’s not specifically worried about the amount of tumors that have formed. It’s all still treatable, and we really won’t know more until we get this staged with a PET scan.

Slightly more troubling is that she felt that my liver felt large. If the cancer has spread below the diaphragm and/or into organs, then we’re at least into Stage 3 and possibly 4 cancer. But even if we are there, this is still very treatable, they assured me.

On a positive note, they said my lungs sounded great. And it’s very positive that I am not experiencing any other symptoms.

 

NEXT STEPS

pet_scanOur next steps are to get a PET Scan and a Bone Marrow Biopsy, before we’re able to get a treatment plan formed and begin treatment.

The PET Scan (Positron Emission Tomography Scan) is a rather simply body scan. Basically, I will have to fast before the test. Then, I will be injected with radioactive sugar, which will expose the cancer on the full body scan. Apparently, all cells use sugar – but cancer does so much more greedily as it grows faster and requires more sugar.

The PET Scan will expose where in my body the cancer is, and how much of it there is… At that point, we’ll be able to know what Stage the cancer is in. (Shown to the left – an example of a PET Scan, not my actual one which I haven’t had yet)

The Bone Marrow Biopsy is probably the most terrifying test I’ve ever heard of. They do this test to make sure the cancer has not made its way to the bone marrow. Basically, they will drill into my hip bone to extract marrow and bone fragment to analyze. And although they will give me some sedatives, I will be awake while this happens. I am not looking forward to this test.r7_bonemarrowaspiration

This will all begin next Monday/Tuesday.

 

FERTILITY

Luis and I have always agreed that we want kids. Kids are part of our plan.

Possibly the thing that has me the most down after this consultation is that this treatment will render me infertile for the rest of my life. Don’t get me wrong – I’m very happy to have the lifesaving treatment! It’s just a bummer to have this permanent, consequential side effect. Luis and I are going to (quickly) investigate the feasibility and cost of freezing sperm. Quick analysis looks like a few thousand dollars.

We’ve also learned that any cancer diagnosis all but disqualifies applicants for traditional adoption. So our already tricky road to having kids has narrowed considerably. But we still have a lot of research to do.

 

DIET CHANGES

no_veggies-1During treatment, I’ll have to make some adjustments to my diet. Mostly, that means not eating raw vegetables or anything which is known for carrying more pathogens… I can still eat veggies, but they need to be either cooked or the type which can be peeled. Also, no grapefruit; not sure why on that one.

 

say-no-alcohol-clipart-vzhcue-clipartAnd also the most consequential diet change: I have to stop drinking! For, like, the whole treatment period.  But – I think I might seek a second opinion on that!! 🙂

 

FINANCIALS

It sucks to have to worry about finances during a health crisis, but I suppose that is a fact of life here.

After consulting with Dr. Stevens, we’ve decided to delay further tests and treatment until the beginning of the year. We’re sure to blow through our Out Of Pocket Maximum and we’d like to sequester that to a single calendar year. With everything resetting on January 1, we’re going to start accruing the bills on January 2.

It’s really fucked up that health insurance gives people a financial incentive to delay lifesaving treatment. Luckily, we are only delaying ours by a few days.  Dr. Stevens says there is zero health risks associated with this short delay.

Heck, had I listened to my soon-to-be-former general practitioner who told me to “wait and see” for months and months, I still wouldn’t even be diagnosed.

 

SUPPORT

All of the support I’ve received from family and friends have been very uplifting during this difficult time. All the love and prayers being sent really helps to keep a positive attitude.

Luis is going to start working on a “Support Map” to show all the states and countries where we have people praying for us and sending positive thoughts.

 

NEXT UPDATE

I’m not sure exactly when I’ll have my next update… All I expect to learn this week is what next weeks’ schedule will look like. But things should start very fast – it’s possible that I may begin chemo as early as late next week. And I will keep this blog updated with everything I know!

 

Much love.

-Merv

Hodgkin’s Lymphoma

Just a quick update before the Holidays.

My surgeon, Dr. Craig DeWees, called me this afternoon to let me know that there are some preliminary results. What I have is what he called a ‘classic case of Hodgkin’s Lymphoma.’

They are still running tests to determine what classification it is. There are several types of Hodgkin’s Lymphoma. And then, we’ll do more tests to evaluate how advanced it is and what Stage it is.

I’m glad I know what it is, and that it has a name now. And from just preliminary research, it looks like Hodgkin’s Lymphoma is one of the easier cancers to fight – so I’m optimistic!

I have an appointment on Tuesday with an oncologist named Don Stevens, in the afternoon. Will know more then.

In the meantime, I plan on enjoying Christmas this weekend with family 🙂

I Have Cancer

This is the reality I am coping with after being told immediately after my biopsy yesterday. It doesn’t seem real at all, like some kind of nightmare from which I still may yet wake up.

Part of the reason it doesn’t feel real is because we don’t have a lot of answers yet. We assume it’s some type of lymphoma – but we don’t know at what stage it is, how advanced, widespread, etc. Hopefully by next week we’ll have all the answers we need and a good treatment plan to beat this.

I am creating this blog for a few reasons:

  • I want to keep my family, friends and colleagues updated on how things are going. I’m blessed to be back in Louisville where I have a great support network, and find myself in a supportive work environment as I face this challenge. On this blog, we can celebrate the good times and cry through the bad times together.  Hopefully there are many more good times than bad!
  • I think it will be therapeutic to get my thoughts out as I go through this difficult journey. After I beat lymphoma, it’ll be good to look back at the highs and lows. Maybe someday I can show my kids that their dad is a fighter and they can always know that this family beats cancer.
  • I hope that this blog serves as a good support resource for others going through similar ordeals. Upon my diagnosis, I found blogs such as this to be great learning tools – to see the real humans and what they go through as they battle cancer, including their feelings and photos, ups and downs. Hopefully this blog can bring some comfort and understanding to others.

I plan to be pretty open about this experience. Check back for updates as often as you would like! I’ll try my best to post the updates to my Facebook as well when anything major happens.

I’m so lucky to have such a loving husband to stand by me through this. He’s already making this difficult situation easier to handle. I just wouldn’t be able to hold it together without Luis by my side. I love you!

– Merv

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