Friday, January 11, 2019

LLS Support Information

The LLS has a whole host of free booklets on key support topics.  Follow this link to download or order.  One such booklet has to do with stress and cancer. And here it is for your information:


Friday, January 4, 2019

New Year, New Goals In Three Acts



Apropos of nothing, here's the first update of 2019, in three parts:

Act I. Listen

Moth Story with Beth Nielsen Chapman
Seven Shades of Blue by Beth Neilson Chapman
These Days by Jackson  Browne

Act II Vikings

Another season ends in frustration. By now it's expected but it's still disappointed to hear the kerplunk of the beginning of the season hopes going into the toilet. And to put this season in perspective, here is my Top 5 of disappointing Vikings seasons:

1998  They were 15-1 and set all kinds of scoring record. They were cruising to the super bowl and instead a kicker who hadn't missed all season, missed when it counted most. I watched this game with my family at a friend of the family's home...Minnesota natives. We were so ready to celebrate Minnesota style. Nope.

1975  This is when my hatred of the Dallas Cowboys took root. A no call on a clear offensive pass interference helped Roger Staubach, Drew Pearson and the rest of the despicables eliminated the Vikings from the playoffs.   This was one of the best Vikings teams ever. I was 14 years old and had watched the game from my aunt's house sitting in her restored barber chair.

2009  We all should have known the Brett Favre experiment would end in failure. He got our hopes up with an amazing season.  At the very end of a game that would have sent the Vikings to the Super Bowl for the first time in over 30 years, all he had to do was fall down and the Vikings would win.  Simple. I can fall down with zero thought. Instead he throws an interception and that was that. Poof.

1987  A strike season. The Vikings were one the best teams that season. Against Washington in the playoffs the Vikings were driving to win the game. An easy catch for a touchdown was dropped by Darren Nelson. Argh!!  Nelson was part of a massively one sided trade with the Cowboys for Herschel Walker, once one of my favorite players. The trade was basically 12 players for one; Walker. The Cowboys went on to be a mini dynasty and the Vikings went nowhere.  Nelson eventually returned to the Vikings from the Cowboys and added zilch.

2018  In 2017 the Vikings were one game from the super bowl, meaning excitement for the 2018 version had folks super excited. In 2017 all the pieces were just about there. To add to the championship pedigree of the team, the Viking added a high priced and over hyped quarterback, Kirk Cousins. Supposedly he was the final piece of the puzzle. Two weeks ago, all the Vikings had to do was win one game to get in the playoffs; in their home stadium and against a Bears team that had already clinched a playoff sport.  And did the Vikings rise to the occasion? Nope.

And there you have it. As a reminder., the very first Vikings game in 1961 was 3 weeks before I was born. At the time, the parallel roller coasters for both me and the team was not known, but has become quite clear over both of our 57 years of life.

Act III Spirit in the Air

Going way back, sometime in 1989, I was wrapping on my degree at UCLA and had started working at the Port of Los Angeles as an intern. I had a decent sized studio apartment and was living the life. One night on the wall over my bed I was wakened by a scrolling hazy roll of frightening faces that continued for several minutes. I assumed it was caused by light from the outside, but I couldn't find any source. The faces just kept going and going for several minutes.

In 2005 I created a 45 by 45 list. It wasn't a bucket list per se, but was a list of 45 things I wanted to accomplish between my 44th and 45th birthday.  One goal was to sit down with a rabbi for the very first time in my life to discuss the meaning of life.  I met with a recommended rabbi and he told me that the meaning of life was to explore the meaning of life. This really struck a chord with me and even drives me now I face my own mortality.  Many years later this philosophy was echoed by a friend of Leslie's who said that life is basically art..subject to interpretation and to be appreciated.

In 2011, I started feeling not right about 3 months before I was diagnosed with myeloma. Fatigue, fevers, and night sweats were worsening exponentially every day. My primary care doctor was testing me for all kinds of stuff. But he never ever considered cancer.  In my gut I knew something was wrong, but I also how right I'd turn out to me. Two weeks before my diagnosis, I went to Las Vegas for a friend's birthday. I had considered not going given I just hadn't been feeling well. But I figured I'd rally once there. Within 3 hours of arriving in Vegas, I was hit by the worst yet combination of chills, cold sweats and then a fever that was burning me up.  I told my friends I was going to bed (at 4 in the afternoon). In the elevator going to my room, the gravity of my potential situation started to hit me.  The next morning, I was feeling better but planned to go home early to get back into the doctor's office. I rendezvoused  with my friend John for breakfast at the Mirage Hotel before leaving town. John knew something was up based on what he saw from me the night before. Up until then I hadn't mentioned to him nor anyone else anyone about my recent ills.  Walking through the casino to meet John, I was absolutely blasted by an overwhelming feeling that I  would be dying very soon.  This feeling was staggering and as clear as day.

Shortly after being diagnosed, I began having a recurring dream every night where I was driving somewhere in my old VW bug with my stepdad Ed as passenger. Ed had passed away several years earlier. In my dream (s) it was always raining and always dark. I'd be driving down a muddy and pitch black road and relying on Ed to direct me. Instead of Ed helping me get to my destination, he'd keep sending me off in the wrong direction. His purpose was clearly to prevent me from heading down the wet dark road.  In the same time period, when I'd close my eyes I'd see those same ghost-like faces from way back scrolling on the inside of eye lids. They'd be in the periphery of my closed eyes.  This lasted for several weeks. Eventually the dreams with Ed and ghost faces went away. The dark muddy road became calming palm trees on a small empty island.  I'd watch the trees sway in the wind whenever I'd close my eyes to take a nap. It was serene and calming.

In March of  2018. I had the flu.  For myeloma patients, a flu or minor illness can turn into something bad, very bad.  One night while battling this flu, I had a dream that I was already dead. In my dream I had died years earlier and was now stuck in purgatory (not a typical place for a a non practicing Jew), until I made peace with myself and apologized to people that had once been in my life. I woke up from the dream positive of it's truth. I woke Leslie to tell her and she said that no, I was still much alive and just dreaming.  I told Dr Phan once the flu had passed and he said I might be have been sepsis and hallucinating and probably should have been in the hostipal.  I dismissed Leslie's and Dr Phan's thoughts and continued tho think I was already dead.  Today I am mostly confident that I am still alive.  But I am also still certain of my need to come to a balance with my life if I wanted to have true piece of mind.

In early December,  I went to a myeloma support group meeting to hear a friend speak. I only attend support groups on as-needed basis.  After the meeting I was walking through the parking structure, alone, to my car. It was about 9 at night.  At one point, I sensed someone was walking directly behind me. I turned around to say what the fuck. But no one was there. I continued to walk towards my car and then saw a shadow next to my shadow from the overhead lights and again sensed someone walking behind me. I turned around again and no one was there. Shortly after driving home with the experience still running through my brain, I received a text from a friend's wife letting me know that her husband had passed away earlier that evening.  He had been diagnosed with cancer about a year earlier (not myeloma) and it had metastasized through out his body.  We'd occasionally chat on the phone and he'd always say how he was confident that we were both going to survive and how we'd take our show on the road to let people know about the miracle of our survival and the power of belief.

Yes, it's a running set of individually coincidental occurrences. Taken as a whole, I am left wondering about the meaning of life.  I doubt I'll jump  into believing in something that I never have before, but I am quite aware of a perhaps non-random world around me.

Friday, December 28, 2018

Holiday Special Holiday

As we roll towards 2019 and put the holidays behind us, it's back to myeloma business. Before giving the run down, let me just say how wonderful it was spending time with the family. Especially special was my (grand) niece and nephew. Two angels.

So it's back to it.  Yesterday was labs and this serves as a prelude these appointments in January:

Darzalex Infusion
Dr Phan
Berenson
Primary care doctor
Neurologist
Nephrologist
Dermatologist
Eye exam
Podiatrist
Gastroenterologist



Thursday, December 20, 2018

Thank you!

I've gotten a couple of responses to the return to functionality questions.  I truly, really and greatly appreciate it. Thanks!

Tuesday, December 18, 2018

Return To Functionality Study

I've got a big ask for folks.  As I mentioned before, I'm working with the National Coalition for Cancer Survivorship.  They're a patient centered and patient focused non-profit working to advocate for and empower cancer survivors. They've received a grant to look at measures of return to functionality....in other words quality of life after treatment ends.  They recognized the need to have someone on their review panel who has a chronic (aka incurable) cancer.  To my surprise and honor, I was asked to be that person.  This is a big deal. We're meeting in DC in February to review work to date.  On the review panel are about 10 other cancer patients.

In the interim, the panelists have been asked if we could try and get fellow patients to answer 4 questions related to quality of life.  I've created a share document, where if you'd like to give your input, you can type right into the share document.  I'll keep everything anonymous.  I've been trying to wrap my head on how best to share and this is what I came up with.  I've also asked a local support group if I can present this in January. It's all new to me, so we'll see how this works.

Many thanks in advance!!  Here is the link to the share document.




Wednesday, December 12, 2018

The Push for Oral Parity

We've gained some traction with our petition for Oral Parity. The Senate has now proposed a bill that mirrors HR 1409.  Fresh off the press from the International Myeloma Foundation:

The Coalition to Improve Access to Cancer Care    and its members from across the cancer patient community today applauded Senator Jerry Moran (R-KS) and Senator Tina Smith (D-MN) for introducing legislation to bring fairness to the way that cancer medications are covered by insurance companies.   The bill mirrors H.R. 1409 “The Cancer Drug Parity Act”, legislation pending in the U.S. House of Representatives that would end the out of pocket cost disparity for certain cancer treatments based solely on how insurers classify that medicine. H.R. 1409 sponsored by Representative Leonard Lance (R-NJ-07) and Representative Brian Higgins (D-NY-26) ensures that any health plan covering cancer care offer patients the same level of cost-sharing for all forms of cancer medicine. 


Now, Senators need to hear from YOU about your support for this legislation. Click the link below to take action and message your Senators urging them to co-sponsor the bill. Without hearing from voters back home, legislators are unlikely to act and support legislation. If you feel strongly about preventing barriers for access on doctor prescribed treatments, please take a moment to send your Senators a message.  

LLS Support Information

The LLS has a whole host of free booklets on key support topics.  Follow this link to download or order.   One such booklet has to do with ...