the enemy returns: a battle with kidney cancer

The official head MRI report

February 4, 2010 · 2 Comments

I was debating whether or not to post this simply because it’s technical and too detailed in spots. But then I thought I should post it in case anyone is interested in how well Cyberknife surgery works on brain mets. These results occurred after a single treatment that lasted about 90 minutes. If you are sitting on the fence between radiosurgery and traditional open cranium, if you can do the Cyberknife, do it (if you are given a choice):

Final Report

EXAMINATION: Brain MRI. HISTORY: 40 year-old male with metastatic renal cell carcinoma. COMPARISON: Brain MRI 3/26/2009 through 12/16/ 2009. TECHNIQUE: Sagittal T1, axial pre- and post-gadolinium T1, T2 FSE, T2 GRE, FLAIR, diffusion, sagittal post-gadolinium MP-RAGE with axial and coronal reformatted sequences of the brain were obtained.

FINDINGS: There has been significant interval decrease in size of the intracranial metastatic lesions. The most striking interval change is decrease in the 16 x 20 mm heterogeneously enhancing mass within the deep right frontal periventricular white matter, contrasting with a previous measurement of 31 x 23 mm. There is significantly diminished, though persistent mass effect upon the right lateral ventricle. The lesion abuts that ependymal surface without evidence for diffuse subependymal spread. There is also diminished associated vasogenic edema. There has been decrease in size of the lesions within the left occipital lobe, now measuring 8 and 3 mm, with diminished vasogenic edema. No new lesion is present. Post-operative changes following prior right frontoparietal craniectomy with post-operative dural enhancement are stable. There are stable foci of susceptibility artifact, likely post-surgical, with slightly increased susceptibility artifact associated with the deep right frontal lesion, which may represent petechial hemorrhage, correlating with the intrinsic T1-shortening on the pre-contrast sequences.

IMPRESSION: Significant interval decrease in size of the intracranial metastatic lesions as well as diminished vasogenic edema, with no new lesion. The study and the report were reviewed by the staff radiologist.

→ 2 CommentsCategories: Cyberknife · Scans
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Starting to say goodbye to an old frienemy

January 30, 2010 · Leave a Comment

Decadron

The long, slow process of getting off this insane steroid has begun. I went to a half dosage this week and I begin taking only 1mg a day staring in a couple of days. I don’t like to complain about a drug that’s staving off brain swelling and keeping me seizure-free, but the side effects really feel like they outweigh the good it does at times.

Dr. Wong told me that after being on it for a month Decadron ‘really starts showing its side effects’ (?!?!) I’ve been showing side effects since the first week! Anyway, the monstrous side of me will slowly start to subside, the children will come out from under the beds, Melissa will return from the women’s shelter, and daddy will be back to normal soon enough.

The fun ride since taking this drug has included water retention around my face and head, creating a cancer phenomenon known as steroid moonface, 20 pounds of weight gain since all I can do is eat, being constantly on edge, short tempered, looking for a fight, and being on a depressed-manic rollercoaster ride. The ups and downs are really intense.

So we start saying goodbyes shortly. My MRI showed significantly decreased swelling and as the lesions die off in the next few weeks there will be no reason for my immune system to create inflammation around necrotic tissue, hence no more brain swelling.

Keppra, you’re next (again) —

→ Leave a CommentCategories: Beating cancer · Brain surgery · Cyberknife · Recovery and recuperation · The story
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Dare I say it? More great news…shhhhh!

January 26, 2010 · 9 Comments

Yesterday was exhausting.

We left the house at 8, left the girls behind with the sitter, dropped my son off at school, left Exeter and got to BIDMC for my 10am blood work appointment on time. Went to my head MRI at 11 and sat in that stinking, loud, noisy tube for 35 minutes, fighting off anxiety and horrible thoughts, and emerged finally with my bearings and a sense of dignity that I made it one more time. Until I looked down and remember I was wearing a gown that was too small with little socks that girls wear. Dignity gone.

I joked with the MRI tech that as long as no radiologist came out from the booth like last time, this was a good sign. He laughed nervously and probably thought I was insane, and ushered me out. Typical brain cancer nut.

We went back to Cho’s office for our pre-infusion meeting and checkup. My blood work was all fine and normal, so we had the bi-weekly green light for more MDX-1106 juice at 2pm. Cho and team joked about my steroid rage and facial swelling ( I look like I am hoarding 40 acorns in each cheek plus I have gained 20 lbs since i started this dreaded drug) and we all had a chuckle. Then I picked up Cho and threw him through the wall. No one laughed then.

But before throwing him, Cho did tell me that he had a quick, unofficial glimpse at the MRI that showed the Cyberknife had actually shrunk all three lesions and that swelling around them had reduced significantly. He said that Wong would give us the details but that it all ‘looked good’.

We said our goodbyes and moved on to the treatment area and got my infusion. No issues as usual, no side effects. All went well. I have become friendly with the nurses over at Feldberg 7 who administer the MDX-1106 drug and we all get along well. They know us, we know about their kids, they stick me with large needles, laugh about my steroid side effects and we all have a great time. It’s like being a part of a large family that pokes fun while doing what they can to save my life. I like it.

4pm comes and Dr. Wong’s meeting looms. Wong is my neuro-oncologist and he deals specifically with tumors of the brain, both primary and metastatic. He is professional. thorough, serious, and can be brutally honest about his assessments, which I really, really like and respect. We looked at the films from 12/21/09 side by side with the films from yesterday and the difference is remarkable!

The two smaller one that were on the left side of my brain have shrunk by 75%. One of them is barely there, as it looks like a shadow on the image. The other one is now the size of a lentil, with a bright spot in the middle that makes it seem hollow. Which is exactly the process that they want to see. The Cyberknife radiates the center of these lesions and kills it from the inside out. And what we have here on the left side are a couple of dying lesions, necrotic, if you will.

On to the right side. The biggest of the three was a lesion the size of a hazelnut that was pushing into the ventricle. They did not want to operate (and neither did I – four brain surgeries in one year would have done me in) and so Cyberknife killed that one in the middle as well. It’s greatly reduced in size, there is no ventricular involvement, and the process of the great cancer cell mop up by my body has begun.

Wong, a man of few words said “This is a good scan. You have had responses in all three, the process is still evolving and by next scan we should see them gone or dead completely.” I asked “So, will I be OK?” To which he answered “You *are* OK. There is nothing more I can do for you now. We have it on the run. Go live life and we’ll see you in two months for a followup. This is all good news.”

This is all good news.

This is all good news.

I don’t think we have heard that phrase more than once in the past 18 months Last time was when Cho told me the cancer in my lungs was gone. I almost feel guilty or scared or ashamed to take it all in. Or worried about jinxing our good fortune. Part of me feels like doing a victory lap but am worried that it’s too soon to celebrate. What to do?

On the rainy drive home last night I just stared out the window, exhausted from the day’s events, pondering this crazy day, thinking about the past year or so and the hell that we have survived. Trying to put it into context, which of course I could not, I struggled with how to actually deal with good news. I know it sounds like I am whining but as an RCC patient there is always this dread that this disease will come back. It does often, unexpectedly. But in the end, I do have to savor this small victory. Hell, this big victory. It’s gone from my lungs, it’s disappearing in my brain. I can’t ask for more than that right now.

We called my family on the way home and we all shared the good news and celebrated on the phone. My mother cried, my father talked for a record 5 seconds, and my sisters and I caught up and just took it all in.

It was a beautiful day. Now how to move ahead and enjoy everything without as much worry???

Thank you to everyone for all your support, prayers, wishes. I keep saying that it takes everyone to win this thing. And I think that is true. I owe you all.

→ 9 CommentsCategories: Anti-PD1-Antibody · Beating cancer · Cyberknife · MDX-1106 · Scans · The story
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A full day on Monday in Boston

January 23, 2010 · 8 Comments

Fellow travelers, I go into Beth Israel Deaconess on Monday for a full day of tests, infusions, visits, and am anxious about hearing some more good news.

We leave Exeter at 8am, get to BIDMC by 10 for blood work. This is followed by an MRI of my brain to see how the little buggers that are left are doing after Cyberknife, After that I meet with Dr Cho and team briefly before my MDX-1106 infusion, which takes place at 2. At 4pm I meet with Dr. Eric Wong, my neuro-oncologist who will go over the MRI results with me and give me the news.

Of course, we are hoping for the best, but you never know. I had three small final holdouts left in my brain and the Cyberknife machine *should* have knocked out all three by now. We’ll see what he says.

I am really hopeful that they are dormant or gone but I am also hopeful that my swelling has gone down and I will be taken off these horrible steroids once and for all. I went in for a CT scan of my brain New Year’s Eve and on a CT, which mind you is not as detailed as an MRI, they only found two tumors and both had minimal swelling. So, what that may mean is that the Cyberknife procedure worked and is killing them off and my swelling has reduced.

I am not placing too much emphasis on a CT scan from 3 weeks ago, but the fact that only the two larger tumors showed up is encouraging. I hate sharing any good news unless it’s a lock. The ER doc here at Exeter Hospital, who is a great guy, by the way, assured me that everything looked great.

You all know that I am a devout atheist but I can be a whore for your prayers and religious leanings no matter what they are. I could use some good thoughts on Monday.

Thank you for everything!

→ 8 CommentsCategories: Anti-PD1-Antibody · Cyberknife · MDX-1106 · The story
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I was magnanimous (for a change)

January 23, 2010 · 6 Comments

Looking down our driveway

Sorry it’s been a while but life got in the way.

We are moved in to the new house and we love it. What we aren’t crazy about its our quarter-mile, 35 degree angled, treacherous driveway that we have to deal with every time it snows. And living in New Hampshire, we get a lot of snow.

A good snowplow guy is your best friend during winter or could be your worst enemy if he is an idiot. Ours fell into the latter category.

The owner or of the property gave us the number for his plowguy, who came with the house the same way the mice in the basement did, the same way the fox who killed one of our chickens did, the same way the mold on the rocks under the pine trees did. He has been a fixture here since last winter so we had to use his services.

He came up a few weeks ago, got stuck halfway up, had to be hauled out by a neighbor, and scrambled off. Said he wouldn’t come back unless we salted the driveway first. OK fine, we find out that we have to go to the highway department with 50 pound buckets, fill them with road salt, haul them up to the house, and I walk behind the truck as Melissa drives up the hill and I salt and salt to get the initial ice layer melted for our princess of a snowplow guy so he ‘don’t get stuck again’.

We do this. It’s a good workout, so I don’t mind. Plowguy shows up again, get stuck at the bottom of the hill but after a few more tries he makes it up and finally clears our driveway. $75 thank you and he is on his way. Not cheap, especially since we salted ourselves.

Last Sunday we were pelted with 10″ of fresh snow. Out I go again to prep the driveway for snowplow guy. He never shows. We make it down the hill in our truck slowly, carefully, but since we salted, it was passable and we took the kids sledding. We came back an hour or two later and I noticed some tracks way at the bottom of the hill, maybe about 10 feet up. It looks like plowguy showed up again but failed and left, quickly. Up we go, 4×4, and we make it just fine.

Monday comes. More snow. Plowguy shows his weather-beaten, mustachioed face and with his New Hampshire drawl tells us that he came up the hill on Sunday, got stuck for two hours, had to get towed, did the driveway and wanted $75 for Sunday and $75 for Monday as well. I was half paying attention since I was at the computer working. Melissa dealt with him and even questioned him “Are you sure you were here yesterday because the driveway was not cleared and the tracks we saw were only at the bottom.” “Nope, I was here, I was here for two hours, got stuck, and had to get help.” She wrote him a check and off he went.

Still with me?

On Thursday I am out at the woodpile getting some wood for our stove when our neighbor Chris, a good man, comes over with his tractor (yes, we live in farm country) and says “Hey you know, your plowguy’s is a real nitwit. Did you know that?” I said I did. He then told me that on Sunday he came over for five minutes, tried to get up the hill but couldn’t then stormed out and took off. I could feel my blood boil instantly. Even though it was 12 degrees outside I stood there and the back of my neck got really hot. Chris kept telling me that the plowguy’s problem, besides being an idiot, is that he uses regular truck tires, not winter tires and he can’t get up the hill without difficulty. Any plowguy, Chris said, knows that do to this driveway he needs winter tires, not regular ones.

I told him that he claimed he was stuck for two hours, Chris called him a ‘damned liar’ who was here for five minutes and he swore to me that he and his wife laughed at him the entire time. Chris bailed him out once before when he was stuck, but vowed never to do it again since the guy never repaid him with a case of beer. Fair enough.

OK now I am steamed.

I go inside and grab the phone to call this guy but figured I am way too angry and I need to calm down, plus I was sure that plowguy is an alcoholic and night time constructive talking would not be his forte. I was right: I found a police record on him for domestic assault and battery from 2007 and 2003, both events happened in January, at night. Something about the winter months and alcohol and locals. Bad mix.

OK so I wait till morning. I find out he cashed our check for $150 ($75 of which I now considered stolen money). I call him. He answers. And I tear into him calling him a liar and a thief. He claimed he was there for two hours, got stuck and had to go. So that’s why he charged us so much money. I told him I had witnesses who swore he was there for 5 minutes (another neighbor came forward and corroborated the evidence) and he called them all liars. So I said “they are all lying just to screw you? Why would they do that? Why would strangers to you lie to me? Explain.” Silence. “I WAS THERE!! TWO HOURS NOW YOU ARE PISSING ME OFF!” He screamed back. When someone gets caught in a lie, it ain’t pretty. He then offered to produce a witness, I made a joke about our chickens being good witnesses and he got even angrier.

I gave him one last chance to come clean and do right by us. He refused. One more: “Be a man, confess what you did, and we can make this right. Or keep lying, you lose the account all winter, and I take you to small claims court, file a police report, and ruin your already ruined name in town. Up to you.” “I an’t doin’ nuthin” My last response was, “Wow, you are as stupid as they say.” No answer. I hung up.

After getting off the phone my first thought was to grab a crowbar and drive over to his place and smash out his windows and break his kneecaps, something that 20 years ago with have been a real reaction on my part (can you smell my NYC public school education) – but of course I can’t do that now. And I didn’t. What was overwhelming is that with all our difficulties, this asshole and his lying and cheating was the one other stress we didn’t need.

But we decided to legally deal with him and his nonsense and keep going on with our lives. Then last night I took my son to his hockey practice at the arena. And who do I see there? Idiot plowguy. He has an older son who plays hockey and I saw him dropping him off and leaving. I wanted to go over and talk to him but was still suiting up Jack. Plowguy left and Jack went on the ice and I turned around in my seat to face all people and activity (never sit with your back to the crowd or to the door if you ever want to avoid a suckerpunch, which plowguy would seem like the perfect perpetrator thereof). I read my book, watched Jack practice, and as Jack came off the ice, I see plowguy across the lobby of the arena waiting for his son, his young daughter by his side.

Exeter is a small town. We are going to be running into each other at the arena, at the supermarket, at the bank. I mustered up all my anger, put it away, and after I got Jack undressed, I walked over to him and put my hand out and said look, “We have been through hell this year. I had to go on disability, I have been battling cancer, my wife is only working part time, we lost our home, and so every penny we have is accounted for. So when I feel like someone is trying to take advantage of my family financially, I lose it. We’re both hockey parents, we live in the same town, and I have cancer. Cancer likes stress and I hate cancer, so I have to let this go. I don’t want to be angry with you over money issues. What happened happened, and I want to move on so I can avoid one more stress in my life.” He kept looking down at the floor. Not sure what was going on in that head of his but I hoped I was making a connection. I made sure to to look in his eyes the entire time but he kept avoiding mine. He only lifted his head once to say ” I was there.” I waved him off and said “I never said you weren’t, it’s your time that I have a problem with.” And again, I ended with saying “Look, it’s over. I’ll see you here and say hello, and you can do the same, Oh and if you doubt any of my story, Google me. You’ll see it’s all true.” I shook his hand and walked away.

I felt exhilarated. Jack watched and heard the whole thing and asked me about it afterward. It was a good, teachable moment. I was tightly wound all day from our call, I wanted to really hurt this asshole for hurting us, but instead I took the high road, which I rarely do when I am wronged like that. And it felt incredible. I felt free. I let it go and that is hard for me to do.

My father would have decked this guy if he were in the same situation when he was younger man, a scene I witnessed numerous times as a child when he had me in tow. I handled it differently and it was good.

My cancer meditation CD tells me that only I have the power to let certain people control my emotions, my life, and my stress. Last night, at the hockey arena I took control in a good way.

And guess what? I was free. I had a great night with the family. my stress disappeared, and that tight feeling my chest was gone.

→ 6 CommentsCategories: Beating cancer · Random thought · The story · Zen Buddhism
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More MDX-1106 on Monday

January 7, 2010 · 3 Comments

Me and my mask undergoing Cyberknife radiation

Now that my Cyberknife procedure has passed, I am taking my steroid-filled body (Ugh, bloated, frustrated, angry, short, and always hungry) to Beth Israel Deaconess on Monday for another infusion of MDX-1106.

After the Cyberknife procedure to my head, they put me on Decadron once again to reduce and cranial swelling that develops, a normal side effect of the localized radiation. The steroid has been doing its job but the side effects I can live without. I am in the process of tapering off now, but it will take another couple of weeks before I am totally done with it. The only other side effect from the procedure is some hair loss in the spots where the radiation went in. I am patchy right now, on my head.

Meanwhile, thanks to the roids, all I do is stew, eat, get angry, bloat up, and eat some more. Why do athletes choose to do these stupid drugs?? I can’t stand their side effects.

The good news on Cyberknife so far: One of the small ones that was on the left side of my head was gone as of last week. The other two seem to have shrunk. We’ll know more on the 25th when I have my MRI.

Meantime, steroids or not, MDX wants me back on the trial on Monday since my response was so dramatic. The goal is a Complete Response and from the last scan, I am almost there.

I have blood work at noon, meetings with Cho and team at 1, and infusion by 2pm or so. This has been a miracle drug so far for me. Let’s keep it going.

→ 3 CommentsCategories: Anti-PD1-Antibody · Beating cancer · Cyberknife · MDX-1106 · Scans

While I don’t want to get too political…

December 30, 2009 · 3 Comments

Our foreclosure drama has added to my continued disappointment with President Obama and his lackluster federal efforts at reforms of healthcare, housing, and defense. The housing issue is of particular concern for us, as you may have read. I found this article this morning on the NYTimes about the flat efforts by the banking industry and the federal government to help out homeowners in need.

I’m not talking about people who overbought irresponsibly during the Bush ‘ownership society’ hype; I’m talking about people like us, who bought affordable homes but who faced adversity and hardship and needed temporary help. The banks and the fed are doing very little to help people out, so cancer patients, families, people in real need wind up leaving, losing equity, while the banks laugh all the way to the auction sale. It’s a shame, really,

Obama’s hope platform collapsed very quickly for this household.

→ 3 CommentsCategories: Beating cancer · Foreclosure

I CELEBRATE myself;

December 28, 2009 · 2 Comments

And what I assume you shall assume;
For every atom belonging to me, as good belongs to you.

I loafe and invite my Soul;
I lean and loafe at my ease, observing a spear of summer grass.

Houses and rooms are full of perfumes—the shelves are crowded with perfumes;
I breathe the fragrance myself, and know it and like it;
The distillation would intoxicate me also, but I shall not let it.

The atmosphere is not a perfume—it has no taste of the distillation—it is odorless;
It is for my mouth forever—I am in love with it;
I will go to the bank by the wood, and become undisguised and naked;
I am mad for it to be in contact with me.

- Excerpt from Leaves of Grass

→ 2 CommentsCategories: Beating cancer · Random thought

Thank you and a quick update

December 24, 2009 · 3 Comments

We have moved to the new house and I have been without a connection until today. My apologies for not getting back to you with details about MDX-1106 but I will do my best to get some answers out to you over the weekend.

We killed off the last pesky pockets of resistance with CyberKnife surgery on Monday and hopefully I will be on a cancer vacation for a while. The MDX-1106 has produced ‘dramatic results’ in my body and the team at Beth Israel is very excited and optimistic about all the news, as am I. Long term durability is always the question, but for now, this is the first bit of great news we have had in a long, three-year period. And we’ll take it. The cancer is on the run right now and this drug, the love and support of my family and friends, my mental state, and my physical well-being have all helped in the battle.

2009 was a really, really rough year for us. We lost our home, my cancer spread, I underwent three brain surgeries, and HDIL2. But I’m still here.

2010 will be a lot better, I promise.

→ 3 CommentsCategories: Anti-PD1-Antibody · Foreclosure · HDIL2 · MDX-1106

Some good news at last.

December 17, 2009 · 8 Comments

Preliminary news from yesterday’s CT scan: most small tumors in my lungs are gone. The big ones are 90-95% reduced in size!!! So MDX-1106 DOES WORK!!! I am still cautiously optimistic about its durability but as Dr. Cho told me in his unofficial read of the scan — the cancer ‘is melting away.’

I am thrilled and savoring the moment.

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Thank you, banking industry!!

December 11, 2009 · 3 Comments

As some of you may remember, we had another drama this year (our mortgage crisis – this has been *some year*) that played out in the media. Our first mortgage company was shuttered by the Fed and our mortgage transferred to Bank of America. We started making payments to BofA as soon as we got word of the change of banks. But they rejected our payments with no explanation. After calling them we found out that Taylor, Bean, and Whitaker never transferred our temporary forbearance paperwork and so to BofA, we never existed. They said they would reject all payments and that our home would eventually go into foreclosure. OK, fine. We started talking once again to our credit counselor and to people in Jeanne Shaheen’s office, all of whom have been amazing and helpful.

We hired a lawyer who specializes in foreclosure cases and she and Melissa called BofA on a conference call to get the scoop on what has been going on.

Well, it turns out that BofA would not talk to us about restructuring because a year of payments is missing from our account. Our lawyer told us that Taylor, Bean, and Whitaker would process payments, collect the money, and then it would disappear, probably into the pockets of their criminal executives. We have all our receipts and cashed checks, but no matter. Bank of America does not see that money in their coffers and it means that someone cashed those checks at some point, but no one knows for sure. So, we basically had $19,000 dollars stolen from us and Bank of America would no longer work with us on the mortgage. They told us they would ‘tack on’ the $19,000 plus legal fees to our mortgage, making our house an underwater mortgage case. They set an auction date for late December and we had a decision to make: Continue fighting for this home, or let it go and move on. Since Bank of America made the value of the mortgage far greater than the value of the house, we would be losing money every day we stayed in this home.

We decided that my health is far more important than this nonsense and that we would give up the fight and move on. Lawyers are expensive and our time is valuable. I’d rather fight cancer than Bank of America.We’ll join the broader fight: We will be adding our names to a class action lawsuit against Taylor Bean’s assets and executives, but that will take years to produce any results. Apparently, there are thousands of people like us out there who have been defrauded by Taylor Bean, and Whitaker.

So, we found a nice rental home here in town and we move in next week.

My scans are on the 16th, so we figured, new scans, new house, new start.

→ 3 CommentsCategories: Foreclosure · Scans

Another response…

December 11, 2009 · Leave a Comment

My friend TM, who is in the MDX-1006 trial just had her scans and she has had a 40% reduction in her adrenal gland tumor!!

I am still hopeful but getting paranoid. Waiting this long for results is making me psychotic. Sometimes I keep imagining that I will be the only person who will not respond to the treatment. Not very zen, I know, but I am human.

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Infusion #4 today!

December 7, 2009 · 4 Comments

Scans next week. Wish me luck.

I have been reading people’s results as they trickle out of the MDX-1106 trial and so far of all the people I have chatted with (6 of them) all have had responses!!!

→ 4 CommentsCategories: Uncategorized

Fatigue!!!

November 11, 2009 · 2 Comments

I got my second MDX-1106 injection on Monday and everything is fine. Except for my fatigue. And that pretty much sucks. But its a small price to pay for being in this exciting trial.

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MDX-1106 pumping into my veins

I got my usual flushed face after the injection began and a small temple headache, but that was it. I felt fine and normal. I started getting tired Monday night and then by Tuesday morning I was zonked. I woke up, had coffee, and hit the bed once again for a few more hours. I asked about this side effect and the team assured me that it was nothing serious; my blood work had come back normal and fine. They think that this may be just how my body reacts to the drug. Fine with me.

Today is Wednesday and I am still tired but slowly coming back to life. I slept a total of 4 hours during the day today and hopefully will normalize tonight. The kids know something is up and we have been talking to them about this new treatment and why I am tired for the first few days.

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Only a couple of vials this time

Everything so far has been smooth and easy to deal with. I was more concerned with this treatment than I was before heading into IL2. At least with IL2 I knew what to expect. Since I am now a notch above lab rat I worried about new side effects that the team did not expect. But, again, all is going well.

I have a fantastic team and it does feel like everyone is rooting for this treatment to work. I am happy with the choices I have made in my healthcare options.

P.S. – I am writing like a zombie ’cause I feel like one.

→ 2 CommentsCategories: Anti-PD1-Antibody · HDIL2 · MDX-1106

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November 5, 2009 · Leave a Comment

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