CDC Symptom Diary Card

Thursday, July 01, 2010

frozen

I feel stuck today
I'm standing at the top of a tall narrow pillar, blindfolded
Frozen
Fearful of any movement in any direction

Why, I do not know

Be Love 

Tuesday, June 29, 2010

wants

I could be anywhere doing anything
I want to be here

I don't want to be in a crowd of people I don't know
I want to recognize the smiling faces around me

I don't want to be alone yet I want a private space
I don't think I can rely wholy on myself as of yet
But I want to be free and independent

I wish no more pain or sickness to be inflicted upon my body
I just want grace and peace

Will I be a blessed recipient of peace, grace and strength?
Can it be so?

Thursday, June 24, 2010

Update from oncology appointment

I saw Dr. Gray today.  It was so nice to see her, she was very encouraging.  My CA125 is 8, which is really good.  Her exam revealed no concerns.  I told her I was still foggy and got tired easy, but was doing better.  We spoke again about possible recurrence and reviewed the symptoms.  Again, with ovarian cancer, it's all about subtle changes. 

She was so kind in trying to speak with me realistically about recurrence, saying that for a group of women, there is no recurrence.  There is no way to predict for me if I will fall in or out of that group.  So I need to continue to take life day by day, and use each 3 month check-up as a mini-milestone of progress.

She encouraged me to try to be as active as possible and if it felt right, join a support group like Gilda's Club.  She is right.  I just haven't had the energy to join a group yet, but it's getting time.  Especially since this first year or so after chemo is so uncertain.

When I came home I was just so extremely exhausted.  I think emotionally it drains me to confront my situation.  I don't dwell on it, but it lingers every day, like stagnant air, suffocating at times.

On other days I feel so happy and excited, I have a second chance.  So I exist rolling up and down these hilly trails each day striving to make a difference.

I pray for God to continue to lead me in the right direction, making my eyes and ears sensitive to His calls so that I may serve. 

I felt better after my nap today.  Sleep always helps me. 

On to tomorrow and a fresh start once again.  I have a wonderful oncologist and am so grateful for her.

Be Love

Sunday, June 20, 2010

disconnected still

I feel most alive while I'm sleeping
In my dreams I can live freely

No pain, no worry, no weeping

So disconnected still
Removed from the everyday treadmill
Yet immersed in a constant threat
How long will God grant me breath and will

Be Love,
Denise

Wednesday, June 16, 2010

Johanna's Law

Johanna's Law was introduced to the Senate on June 15th 2010 by Senators Spector, Stabenow and Menendez.  This law would allow the CDC and Secretary of Health and Human Services to increase resources allocated to raise awareness and education of gynecological cancers, such as Ovarian Cancer.

This is great news!  I've never seen a pamplet or handout about Ovarian Cancer in any doctor's office.  You never see public service announcements or commercials about the horrid disease.  Health education classes certainly don't talk about it.  I never had a gynecologist talk to me about the symptoms of Ovarian Cancer (except to say I was too young to have it).

Cancer is so scary, especially a gynecological cancer.  We as females are so dependent on our health care providers to be the eyes and ears of diagnosis.  Especially since anyone would want to minimize symptoms as a natural defense, we need our doctors to be more aggressive at looking for the early signs of ovarian cancer.  We as patients cannot do it alone.

Be love,
Denise

Thursday, June 10, 2010

Death

Yesterday, while at SCCA, I had the pleasure to speak with a spiritual advisor.  We spoke about coping with cancer, living and of course, death.  We talked about chemo brain.  It was a good conversation.

Last night a young 18 year old male was killed by a drunk driver on I-5, yet I am here.  AGAIN, we all have a purpose.  I pray for his family.  Is it random by chance?

Does God see the world through our eyes or His?  I just wonder sometimes. 

I am afraid to die, but am also doing everything I can to find peace with the idea.  I am reading the Bible, hoping to finish it soon.  God comforts me and sometimes I want to be wrapped in his arms.  I want for everyone to feel that same sense of comfort. Is it like an eternal state of sleep?  In the mean time, while here on earth, I want to be happy and be happiness for others.  I don't want to worry about small problems.  I want to be love.

I told the advisor, I'll call her "M", that being on chemo feels like you're living in a Johnny Depp movie all the time.  Everything is warped.  I was so afraid of everything, even a knock at the door.  I couldn't follow conversations, felt like an invisible magnetic force was keeping me away from everything and everyone.  Sort of like floating, but not in a good way.  Be patient if you are helping someone on chemo, they aren't all the way there, not fully present.  Yet they ache with every cell in their body and spirit to be present, to participate, to live!

To my family, I promise not to leave a mess when I go and not to burden you with unfinished business.  Between now and then, I promise to be as involved, motivated and loving as I can.  I want to enjoy my life with you, I want to live to the fullest. 

Be Love, Denise

OCRF

The Ovarian Cancer Research Fund is a great place to look for the latest on OC research.  Please take a look and support this cause.

Sunday, June 06, 2010

National Cancer Survivor Day

http://www.ncsdf.org/

Today is a day of glory and a day to smile
I have a life that lingers on a little while
I keep on dreaming of what will be
My life to have meaning for someone other than me

Thank you God for this gift of life.  Thank you God for my family and friends.  Thank you God for my doctors and nurses.  Thank you God for all that you have given me.  As I breathe this sweet air today, I feel so fortunate and blessed.  I love you.

Be Love,
Denise

Thursday, June 03, 2010

OCRF

OCRF

Please follow the link to support Ovarian Cancer Research. We are a long way from a cure, still working on detection. Every bit helps.

Be Love,
Denise

Wednesday, June 02, 2010

OVARIAN CANCER SYMPTOM CHECKER

Good morning. 

I am reading up on critical information from the Ovarian Cancer National Alliance.  This link will bring up a symptom checker and diary, for OC detection.  They also have a program that works with survivors to facilitate education and awareness of Ovarian Cancer for professionals in the healthcare arena. I may want to be a facilitator in the future. 

I was astounded at how ignorant my healthcare providers were in the subject of OC.  Women need to know what Ovarian Cancer is and they need to know the symptoms.  But knowing the symptoms does no good if your doctor dismisses them to IBS or some other unrelated disorder.

http://www.ovariancancer.org/resources/diary



Be love,
Denise 

Tuesday, June 01, 2010

Our body our temple

Today my rheumatologist called to say that the million viles of bloodwork taken at the ER all came back normal?????????????????  So this begs the question, why am I getting sick?

Anyway, I start methotrexate tomorrow.  I am nervous and feel anxious about the side effects.  I prevailed after 6 months of harsh chemotherapy and find myself in the face of another chemo drug for RA.  I am overwhelmed and need to find a way to cope.

I must rely on faith that God is giving me what I need to deal with my body.  I have to be more positive.  Maybe I will be able to handle the side effects OK.  I just don't want to be "sickly" again.  That is the worst feeling in the world.  I could write a novel on "chemo brain" alone.

If I have another vomiting episode I will be referred to a GI physician and probably have an endoscopy/colonoscopy.  Great.  Another discipline, but yet again, it is a blessing.

I have the greatest doctors in the world, finally.  So if they say I need another specialist than it must be true.

I feel like my body is a pendulum swinging in the throws of a hurricane, a heavy ball on a long line that goes high in the sky.  Cancer took me to the heights of my tolerance and now I am literally flying up to the heights to challenge my next phase of illness.  Out of control and filled with fear, I am riding along praying each day to get by.

God gives us these beautiful bodies that we should embrace and adore.  I do everything I can to nurture my body in spite of the illnesses and medication side effects.  We all have this suffering, our pendulums, our cries and our joys.  It boggles me still though that I see some people actively destroy their beautiful bodies with drugs, alcohol, abusive practices, etc and they seem OK.  Why is that?

Maybe genetically I was born to be weak and am actually strong.  Maybe. 

Anyway, since we don't know the answers all we can do is still try to take care of our bodies as best as possible, manage our stress and be compassionate and giving to others.  Do not hold in your angers, be forgiving.  Love your neighbors as you love yourself, and everything will come full circle.

Be love.

Sunday, May 30, 2010

Emergency room AGAIN

On Friday I had to go to the emergency room again!  What is going on with me???????????????  I wonder if I am under a tremendous amount of stress or am I developing a new problem? 

I started Friday with an appointment to see the cornea specialist.  I had to take a shuttle from University of Washington to downtown Seattle, it was raining.  Well, the specialist said my eyes were a little better and that the ulcers in my eyes were smaller.  He said that the PUK was a definite result of RA and that we needed a better medication for RA.  He started to tell me that I may need an infusion of more chemo drugs ( I can't remember the name) and methotrexate ( another chemo drug).  I feel like I am reeling, but OK.  I don't want to lose my eyesight and need my arthritis to be under control.

So I take the shuttle back to U of W for my RA appointment at 3:30, and it's raining and cold.  But, I felt fine, just fine.  I arrived just in time to check in and got to rest for a few minutes while waiting for the doctor.  I got to enjoy watching a new mom play with her baby, which was relaxing.  Had time to think about all that I am grateful for.  I really did make a valid effort to lower my stress and be "positive'.

My rheumatologist said that she was mildly concerned about me having vasculitis, was worried about  the PUK, and that the only measured successful treatments for PUK have been with methotrexate.  I told her that I did not tolerate methotrexate in the past, that it made me very nauseous and "toxic".  I told her I'd give it a try.  I asked her to go over the side effects with me (hair loss, nausea, weakness, liver damage).  GREAT, just what I need.  The last thing I want is more chemo when I had a complete response to chemo for Ovarian Cancer.  I am so so bummed.

She gave me three lab slips, said I needed a chest X-ray, needed tested for HIV and will need prophylactic treatments to prevent a specific type of pneumonia as well.  Grand.  On my way out I told her I felt a little nauseous.  Within 15 minutes I was violently ill with vomiting, diarrhea and severe abdominal pain.  The exact same thing I had last Friday and two other times before.

I eventually got admitted to the Emergency Room.  They took a gazillion viles of blood, did two chest and one abdominal x-ray, and pushed fluids.  They gave me Zofran and a few other drugs via the IV, but not until after the X-rays.  I lost a lot of fluids and was so so so so so so sick.  I was shaking like a leaf with chills from being dehydrated.  My lovely sister came and stayed with me until I was discharged around 2am.

During that time, my blood pressure kept dropping and the ER doc got nervous.  The gynecology oncology doctor "gynoc" on-call came to visit me in order to evaluate if I should be admitted.  The ER doc wanted me admitted but said it was up to the "gynoc". The "gynoc" was very thorough in his assessment.  He asked me everything about my Ovarian Cancer and Rheumatoid Arthritis history.  Unfortunately he could not justify admission, so he ordered some anti-nausea suppositories in case this episode happens again, and said we need to keep tracking this situation.  He said that he closely examined the X-rays and found no blockages or bleeds, nothing requiring surgery. 

So today I sit here nervous about having another episode, and wonder if I am too stressed to handle my current condition.  I wonder if I am unknowingly developing an aversion to certain foods.  I hate not knowing what is causing the vomiting.  I'm afraid to eat and just pray it doesn't happen again.

Next week I have two infusions to enhance my iron levels.  I look forward to that.  My sister and I agreed that I should not have multiple MD appointments on the same day, especially if they are at multiple locations.  I just can't handle all the activity. I love my sister so much for coming to the ER, so sweeeeeeeet.  I have such a supportive family.

I hope tomorrow is a better day.

Tuesday, May 25, 2010

Searching for some kind of balance

Good morning.  My sister and her husband returned last night from a glorious vacation on La Isla Mueheres.  The islands are located off the beautiful coast of Cancun Mexico.  They returned home with bright smiles, relaxed postures, beaming energy and tans.  Well, what a blessing for them.  They deserved it.  They went with a group of friends to celebrate one's 50th birthday and also personally celebrating 20 years of wedding bliss.

For me, this past week was another health nightmare, and I'm really tired of them.  I think I had noted previously having a severe RA flare.  Well my RAdoc put me on 30 mg of prednisone per day, scheduled to taper down in dosage over the next few weeks.  Because my eyes were also severely inflamed, red, dry, painful etc, I was also referred to an opthamologist.

Last Wed I saw an opthamologist who said she was concerned about my cornea.  I should have anticipated that they would dilate my eyes, but didn't, so I wasn't prepared for THAT!  Anyway, I was prescribed antibiotic eyedrops and referred to a cornea specialist. 

Two days later (FRIDAY) I was seen by a cornea specialist who said I have PUK (peripheral ulcerative keratitis).  WHAT?  He scared the hell out of me because he said my corneas could rupture if I don't get my arthritis under control.

Generally, your cornea is connected to the eye by collagen.  My RA is attacking my collagen and that includes the collagen around my cornea.  So in his valiant attempt to minimize the risk, he also prescribed an antibiotic for my eyes, because he saw a mild infection as well.

The cornea specialist prescribed Doxycycline and an antibiotic eye ointment. 

On Friday, in order to see the specialist downtown, I needed to drive to the SCCA, and take a cab to the eye clinic.  So by the time it was all done, I was gone from noon to 6:30 pm for one medical appointment.  What a day.

I was instructed to take Doxycycline with food.  I had soup, bread, one dose of Dox at 7pm.  By 7:45pm,  I was violently ill, throwing up, diahrea until 1am.  It was absolutely the most miserable condition.  I think I ruptured something in my nose from all the pressure.  I was so sick.

My mom tried to get ahold of all kinds of doctors, nobody available, and when she finally did get ahold of someone, he was rude.

I wound up in the ER on Saturday because of bloody stools.  I was diagnosed with a brief GI bleed, idiosyncratic gastritis and given fluids, pain meds and pepcid via IV.  The ER staff were nice and calming, and sent me home after four hours.  I will never take Doxycycline again, ever!!!!!!!!!!!!!!!

The past few days have consisted of trying to drink, eat litte amounts of food, and play administrator for my doctors.  I say administrator because the eye clinics and ER are not part of my main medical system at University of Washington. So I have to be the one to get records to them from outside doctors, sigh.

I am feeling better, but this is not over.  I still need to get my RA and eye condition resolved, and to be honest, really don't want to go on a bazillion appointments this week.  When I feel like this I have to remember to be gracious and thankful, as someone like me has no insurance and has no appointments.

I just am trying to say that it is frustrating, I am surviving deadly Ovarian Cancer, and my body is still falling apart.  I have not had time or ability to celebrate.  I want simplicity, no pain, to be able to exercise and have a little fun.  When will that happen, ever?  I just want to start enjoying life a little bit, that's all.

Tuesday, May 18, 2010

The value of our health

Today I'm starting high doses of prednisone to thwart a severe arthritic flare. 30mg per day for a week, then go down from there.  I guess I can't worry about side effects, I'm here on earth, and that's enough for now.

I have been in so much pain, and I wonder how it is that I fight off cancer and now have to deal with more arthritis.  A part of me was hoping my RA would magically disappear when I was receiving chemo.  No such luck.

It is just so amazing to me that those of us with health struggles get through our days.  What gives us the strength to continue?  All I want for my mom with diabetes is for her to be able to run in the sun, play on the beach, laugh, and enjoy a wonderful meal.  My sister has food allergies, so every meal is met with careful planning, why?  Why is my aunt burdened with RA?  Why my uncle with diabetes?  Why another uncle with cancer? 

I believe it is not for us to ask "why" as God has a plan.  Yesterday as I was coming back from the cancer center with my mega prescription of prednisone, I was finding I needed again to look for the lining, that golden beam of light that assures me that no matter what we are given, we will prevail in the end.  All we need to do is have faith.

So that's what I do, I pray.  I have faith that God places all of us together in a certain way to support each other, to inspire each other, to carry each other, to love one another.

So all I can do is give my love when I am in pain.  I give my prayers, as prayers do not require my hands, but instead my heart and soul.

Thursday, May 13, 2010

Anger and pain

This morning every joint in my body hurts.  It hurt to slice a banana.  I could barely get out of bed.  My hands and ankles are swollen, my neck hurts, my knees hurt, my feet hurt, my right hip hurts. 

I wonder about anger and it's relationship to disease.  I got so angry yesterday.  Plus, I spent more time than usual on the computer trying to find photos for facebook, which may be why my shoulders and shoulder blades and hands hurt.  I have no idea.  All I do know is that stress is bad for arthritis and it's very bad for cancer.

I am really flaring and everything hurts.  I called the rheumatology clinic to see if they can see me earlier than October (geez).  A nurse is scheduled to call me back, I'll hope for the best.

I can't deal with this kind of pain all over, I just can't.  I don't want to spend the rest of my days in so much pain that I can't wring out a wash cloth to wash my face.  I want to get outside, walk, do yoga, get stronger. 

I want my cancer recovery to be full of excitement and happiness, not arthritic pain.  I hope we can tame this soon.  I just have to be hopeful.

I also need to get back to church every week.  I haven't been able to go regularly.  I miss God's spiritual nurturing.  I have been afraid of getting sick in church, so I haven't gone.  Going to church helps me have more patience, helps me to tame anger.

My body cannot afford for me to have angry emotions.  I need happy emotions.  I need those endorphins.

Well, that's all for today.  Surgery tomorrow.  Should go well.  Thanks for reading.