Wednesday, September 28, 2016

Chemotherapy #4

Lots and lots going on in the two weeks since chemotherapy session #3 but before we get into all of it - Hey, she's through session #4 and that's halfway! Good work, Kimmie.



Session #3 seems to have brought on a much heavier fatigue and it's been a tough couple of weeks for Kim. It's been a tough stretch for all of us. A lot of credit goes to Andrew and Jason for this post as they have given so much support as of late. Unflappable, those two.

The big news around here was a visit from Kim's youngest brother, Shawn, and his six-year-old son, Cory. They flew last week on a Friday and stayed through Monday. It was a perfect visit and we all want to thank Shawn's wife, Amber, and their two-year-old twin sons for letting dad and big brother out of the house for a while. Man, did we have fun. Cory was so excited to hang out with his older cousins and there were lots of laughs around the house. Shawn is always a treat to be around because he's just so smart but mostly it was good for Kim to have someone around who speaks the family language. Those two, pretty funny to see them hanging out.

Some very funny things happened while Shawn and Cory were here. First, it was a fraternity house for four days. Five dudes, a dude cat, and just Kim. Second, all of them, (except me and the cat), are blood relations so they often get into this weird family-mode thing. It's probably because they're all great artists and I'm the odd one out.  Perhaps my favorite memory is of them all watching the microwave make popcorn in this new pop-up silicone popper we just got. Design and technology nerds, the lot of them.

On to chemotherapy #4, the last of this round of drugs. Kim's oncologist says this was the hard round and that sessions 5-8 will be an easier dose of a new medicine. But, the cumulative effect of chemotherapy has taken a heavy toll so it's not like 5-8 are gonna be easy. Kim has been off the bike for a while and she's really begun to lose a lot of weight. She's really tired and even eating isn't pleasant right now. It's normal, we've been told, and we are inspired by the success of treatment so far. It's tough, but she's half way through.

For this session Kim was joined in the infusion bay by our friend Julie Krasniak. Julie is the owner of The Athletic Community, a super cool apparel brand with a beautiful store in town, an artist, and she's married to this nerd friend of mine, Jeremy Dunn. Julie is also a retired French professional cyclist so she's way cooler than anyone I know. Except for maybe Jeremy. Or my son Jason. Probably a three-way tie.

One of the biggest changes we've had in the past week is that we've been saying yes to offers to friends asking to make dinner for us. You know what? It's a big help and we've had some really great new meals this week. Like most people, I've been hesitant to say yes because it's just some stupid thing to say, "No, we're OK, thanks." I sure love that people want to help and it really has made the past week a lot easier by removing that one hassle from the day. And, man, have we eaten good. Sure, I think the previous blog posts scare people into thinking Kim's diet is impossible to cater to but it's really not. Many thanks this week to the SyCip and Heenan families for feeding us.

The only bummer in all of this is that Andrew is away for the week at Outdoor School as a counselor and he missed out on some great food.

Kim and Apple, (whom I mentioned in earlier posts as Kristen), have been meeting often and Apple has provided Kim with a full array of wigs. Kim found a beautiful light pink wig that isn't too hot on her head and really looks great on her. Each time we go out she gets smiles and compliments. She looks great, doesn't she? Thank you, Apple.


Watching the microwave make popcorn


Jason and Cory




Monday, September 19, 2016

Two Sides Of The Coin

With nearly every post on this blog I've put forward the positive side of the story, heads up if you will. Every coin toss won, though, still has the other side of the coin and it occurred to me a week or so ago that I should share some of the tails. I've been hearing from many people that this blog has helped shine some light on how to cope with cancer so I feel obligated to mention some of the less-than-awesome stuff here today.

Deep into chemotherapy now, our lives have stabilized and the shock of the diagnosis has worn off. Further, the 100% kick-ass resolve has diminished a touch. We are back to our regular lives because regular life goes on. There are jobs to perform, household chores to do, school is back in session, and somehow it feels like it's always time to make dinner. And what to make tonight? Fuck, I feel like I just finished washing dishes from last night's dinner. Andrew, to his credit, has been good about cooking but he's still a high school teenager and not always quick to pitch in. The house is tired because Kim and I are tired. This new life isn't all that great.

I'm angry tonight. I've been angry for a few days now. Kim and I were really into good things this summer and I was looking forward to things continuing. Namely, our physical relationship. We're just months away from our 20th anniversary and anyone paired up that long knows there are peaks and valleys to all things in a marriage. This summer seemed like the highest peak we'd ever had. And, yes, by "physical relationship" you know what I mean. But we were also riding together more and hiking more and just being active more. Kim was in great shape and routinely would drag me around on the bike. Cancer and cancer treatment has taken that away. I know it will return but right now, here in the moment, I feel like something's been taken from us.

She had a really great streak of riding to and from work by bike this summer and the positive effects were evident. Stuck in a car again because of fatigue and other physical issues has her really down. Plus, there's seemingly always a doctor's appointment to go to. She hasn't ridden to work in a long time. Still, she hasn't missed a day of work other than her chemotherapy days and on the days it's in the afternoon she goes in for the morning. She misses the daily routine and escape of her bike commute and I understand. Rush hour car commuting is likely one of the worst outcomes of human "development". (edit - She rode to work last Friday. She felt terrible but she wanted to be out. Back at home she mentioned how nice it was just to smell the air while riding.)




I went for a doctor's visit and discovered that I am Vitamin D deficient, anemic, and my hematocrit is 37. The low range for a healthy male is 40. For our friends who follow pro cycling you know that 50 is the ideal number, the max value allowed under the sports anti-doping rules. Riding my bike is even harder now because I don't have enough red blood cells to carry oxygen. I can take supplements and get out of this much more quickly than Kim. I am not lamenting my issue, just pointing out the impact that an illness such as cancer can have on caregivers.

For many, many years I have been far too critical of Kim's absentmindedness. It's something that just gets to me. Chemotherapy is known to cause "chemo brain", a condition of even greater cognitive impairment or cognitive dysfunction. I know it's not something she can't control but it aggravates me to no end. I cracked last Friday night (edit - two weeks ago) and we had a quick yet intense argument. I promised I would not introduce any negative stress into her life and yet I fought like hell over something stupid just to prove my point. It's hard to adjust to this rapid change. We still have yet to recover from that fight.  (edit- By the time this post publishes we have resolved this)

Since her hair loss I've had a number of people ask me when I'm going to shave my head or when the boys will, too. Kim and I talked about this long before her hair came out and I talked about it with Andrew and Jason even before that. Kim doesn't want us, too. From the beginning, Kim has not wanted to live the breast cancer brand lifestyle. No ribbons, no t-shirts, no slogans, no kicking cancer's ass, and no fuck cancer bumper stickers. When we're out she doesn't want the world to see her as only as a person with breast cancer or as a family with a breast cancer parent. So she denied my attempt to join her with a shaved head two weekends ago. She's the one who has to look at us and this is how she wants to see us. Making Kim feel good is what makes her feel better and we'll do whatever she asks of us.

Kim shaved her head following chemotherapy #2 and in the week since #3 the final follicle hold outs are beginning to drop away. Her scalp is pretty smooth right now. Interestingly, her armpit hair is also gone. And, yes folks, it's mostly gone from somewhere else, too. Arm and leg hair, eyebrows and eyelashes, still there.

Kim's tastebuds are dulled and food isn't really that enjoyable for her. Strangely, even water has lost its appeal. Eating and drinking are now conscious choices during the day akin to having to take medicine. And its more than just the loss of taste. Her appetite is diminished, too. I am concerned by this as she needs her strength to recover. I've received a number of message from people suggesting medical marijuana to combat these symptoms and the nausea. It's as good a time as ever to have that consideration given that the option is now legal in so many states including Oregon. I have zero experience and Kim has just as little so we're both trying to get up to speed on things while also dealing with the bullshit of the Reagan-era stigma that still has a tiny little hold in our psyches. No matter the remedy, I'm sad for Kim that food brings such little joy. Even coffee has lost its appeal for her.

I get asked every day how I'm doing and I reply, "I'm good, we're good, thanks." And a few folks will look me straight in the eyes and say, "No you're not" and I know what they mean. They want me to give in a bit and let some of the stress go. I don't fault those people for saying that and I am impressed at their willingness to say something so difficult to me. That takes guts and I am actually bolstered it. But I am good and we are good. It's all we've got. This isn't optional and, in a strange way, that makes it easier to deal with. This isn't a tough life choice like quitting a good job as an adult and going back to school. If things get difficult you just go back to work. Or should you? There's always doubt. But there's no doubt with Kim's cancer. It's there and we know what to do about it. No doubt at all. Sure, sometimes I wonder if it'll be OK for Kim to sneak in a piece of pizza or have a beer but that's mild doubt. I'm good with that bit of doubt.

Since July 19th Kim has had zero pieces of pizza and zero beers. I've had four and one.  (edit- we went out for pizza tonight and found a pretty decent gluten-free pizza for Kim. I snuck two pieces of regular cheese pizza.)

But! And this is a big, big but, we finally found a great gluten-free pasta. After many attempts with gummy, gross substitutes, this Ancient harvest stuff is a wondrous discovery. Andrew made the most incredible pesto sauce last night and it was so good on this pasta. Though we did have to wait to eat because Kim only boiled one-and-a-half 8 ounce boxes because she only wanted to make a pound. Hmmm, a twelve-ounce pound? See, that chemo brain is the real deal. We cooked up the rest and had a great meal.

It's possible to always win a coin toss and I will keep gaming the system to get as many heads-up tosses as we can. But the tail is always there so be advised that some of these posts may not always be sunshine and unicorns. Thanks for making it this far. Hey, who's hungry?









Friday, September 9, 2016

Chemotherapy #3

Kim's two-week schedule goes like this. Chemotherapy is on a Thursday and she'll come home feeling pretty much normal. Mostly the same for Friday and she's yet to miss a day of work. By Saturday morning the fatigue sets in and she'll be an opportunistic napper for the weekend. By Monday she's back on the rise and as the week progresses she returns to high-energy. The off week days of Thursday through Sunday are the best.

And so it is that we took off to Bend, Oregon last week late in the evening Friday to get a head start on the long holiday weekend. Kim has always, always, always wanted to hike Smith Rock State Park and it's a vista we see each trip on the drive out and back. She really wanted to check it out. And we did.

Saturday morning began as nearly every weekend day does for us in Bend with breakfast at Strictly Organic. Folks, these are the best breakfast burritos outside of Austin, Texas. It's a friendly place and we loaded up for the day ahead. It's a 30 minute drive to the park and we were lucky to get one of the last available parking spots at the trailhead. Just two steps in and this places blows you away.

Achievement Unlocked

We hiked the full loop around Smith Rock, Monkey Face, and Misery Ridge. At first I was a bit concerned about keeping Kim's effort low but soon realized that she felt great and there was little to be worried about. This is a beautiful hike and one with so many opportunities for great photos. Despite a full parking lot, we really didn't feel the crowds around us other than at the trailhead.

That evening we ate at Andrew's favorite restaurant, Spork. We all love it and we went home full after a long day of effort.

Sunday was a slow morning to prepare for a 1PM shuttle departure that would take us and our bikes 15 miles outside of Bend and up the low slopes of Mt Bachelor. This is a favorite ride for Kim and we would all appreciate a ride that was mostly descending back to home. Kim had the use of a brand new Specialized Turbo Levo electric assist mountain bike while the boys are simply teenagers and have limitless power. The first part of the ride is a climb and dear old dad was at the back end of an ass-kicking.

Y Not?


What a day. Simply a great day in the woods with everyone stoked on riding, the views, and being away from all the stuff back in regular life. Kim rode as well as I've ever seen her and you could see the infusion of stoke bringing her to higher and higher levels of feeling better. The weekend closed out with a little more riding, lots of hanging out, and plenty of sunshine-supplied Vitamin D. An emphatic last chapter of summer 2016.

Back home it was back to school in earnest for the boys. Big news of the week has been jazz band try-outs for Jason. He's sitting on the drums at school just as I type this. He practiced a lot. He's ready.

For Chemotherapy #3  yesterday Kim was joined by family friend Jocelyn SyCip. We've known the SyCips for a long, long time and have been neighbors on the same street now for just over 4 years. Their support these past few months has been wonderful. Thank you, Jo, for spending the morning with Kim.

Kim & Jocelyn SyCip


News from the Oncologist yesterday morning was fantastic. All her blood levels are good and her physical stats are holding steady. She's lost about ten pounds but is holding it at this new level and I'd bet a lot of that is due to the strict diet and exercise. No significant side effects to report or to be expected.

And this - following the physical examination Dr Anderson reported that Kim's lymph nodes are getting smaller. It feels good to have a positive sign at such an early checkpoint.

So, an easy weekend ahead for all of us. Enjoy yours as well. Best from all of us.

Adventure Committee


Smith Rock State Park


The sign says it all




Chasing the boys



Berms



The big reveal


Friday, September 2, 2016

You know what rhymes with carefree?

Well, we gave the cold therapy treatment experiment our best effort but the chemotherapy drugs had their effect. Beginning last Sunday, Kim's hair began to fall out in large numbers so on Tuesday evening we walked to the local Bishop's barbershop after a nice dinner out and Kim had her head shaved. Two things were immediately apparent:
1) She looks great. In fact, I'd say she looks cool.
2) She seemed relieved to be done with it. All the fuss and all the precious care to keep her hair in place was having an effect on here for sure. So now she's relaxed and bright. And she looks cool.

Hair free