Wednesday, May 4, 2022

Update: 3 March to 3 May 2022


My radiation, for two areas on my spine, started on 3 March. Thanks to Gail for taking me there, for moral support.

The first session was short and simple – the longest part was them positioning me carefully, to get it exactly right – and explaining what they were doing, all the time.

Once that was done, I could almost doze off while they left the room and moved the machine via their computers from the next room.

I was advised that, if there were going to be side effects, they would take a few days to arrive.

And I was to put maizena (cornflour) on my skin (who knew??!! 😄) in the two squares they'd drawn on my front, and the corresponding areas on my back.

The radiation sessions themselves continued to be fairly easy, overall, with a couple of challenges along the way. At first I wondered what all the fuss was about, but I soon found out: after one of the sessions, I experienced nausea for 4 or 5 hours and reflux in the middle of the night (both of which I'd been warned about). That was the worst, though, and the rest of the time I had a bit of nausea and general digestive discomfort. I also sometimes had slight twinges in my back from the position I had to lie in.

A wonderful thing was that there was absolutely no skin irritation for me. I faithfully put maizena on all the areas, after every shower (and speculated that perhaps it contained fairy dust!).

The tiredness also started to set in, early on, but I managed to do my work each week (Monday mornings, Wednesdays whole day, Thursday evenings) – sitting quietly at the computer, with breaks to move around (I did consider taking time off, but decided I would prefer the purposefulness and structure). We also had to prepare the house for viewings (our landlord decided to sell it), and the rest of the time I mostly lay around. Not my usual, at all! I mostly managed to go to circle dancing on Saturday afternoons. That's what I love about circle dancing – the variety of dance tempos, and also no pressure to do every dance.

It was a bit frustrating that the weather in CT was exquisite during the radiation (I wasn’t allowed to swim or get too much sun).

The radiation machine itself was quite amazing. I sent a photo to my family, explaining that it rotates right round the bed, even sending rays up through the bed. My nephew, Tevya, sent this response:

If the ray machine circle dancing around the bed gives you grief, remind him that your rays of goodness are more than strong enough to blast him into nuts and bolts, and that you’ve been circle dancing since before he was a circuit board in an MIT student’s eye. ☀👯

 On 22 March, the day before my last treatment, I had my second consultation with Garth the oncologist: he was happy to hear that the side-effects have been manageable; also that was experiencing almost no bone pain. (The consciousness of moving carefully is always there, but this did start to feel so much better!) He explained that we needed to let the effects of the radiation settle in, and we’d do a scan in early May to assess them. I will have regular scans for the rest of my life. (I'm sure that, at some stage, I'm going to start glowing in the dark! 😄)

The rib that alerted everyone to these issues started to behave really well (no pain), but if this ever changes then maybe there will be some radiation for it, at some stage.

I agreed to start another thing that I thought I'd never do – hormone therapy in the form of Letrozole tablets – a week after the end of the radiation. He warned me of a possible second menopause! (Maybe; maybe not; it affects everyone differently. And if I were to find Letrozole unbearable, there would be a couple of others to try.) This is intended to assist with balancing the quality and quantity of my life, for however long this is possible. It is a systemic treatment, and is intended to help with the lung nodules as well.

My big learning continues to be that, even if I did nothing at all about any of this, I would have a few years to go – but they would be increasingly difficult years. This way, we try to maximise the quality of the coming years, and possibly add a couple of years in the process.


18 April 2022

It's now almost four weeks since the radiation treatments ended, and the effects took quite a long time to wear off – especially the nausea and fatigue.

I started trying the Letrozole tablets (hormone treatment) a week after the radiation ended, as advised. All I can say about that is: a great big EISH!!!! It was terrible. Perhaps a bit too soon, as well – the side-effects started overlapping with the after-effects of the radiation. Over the five days I tried it, everything got progressively worse, especially an increasing depression. After those five days I gave up, and decided first to let the radiation effects wear off completely. The depression started lifting, and life felt worth living after all. So I'm just regrouping, and holding off on the decision about whether to try again – maybe the next step is to try one of the other ones.

My next CT scan is in 11 days' time (judging by how I feel now, I think it will show some good results), followed by a consultation with Garth, where we'll also include a discussion about the hormone treatment.

I continue to use Iscador (and am happy to have found a source of it for 40% of what I've been paying – a huge saving per year). I was advised to hold off on the Vitamin C infusions until well after the end of the radiation, and I'll restart them now – Gail and I have both managed to catch a viral infection, and it will help me with that, too. (We don't think it's Covid, but hers has been quite nasty while mine has just started and has been light thus far.)

By the time I would have been ready to swim again, the sea was far too cold: better luck next summer! And Gail and I are so sorry about what has been happening in other parts of the country, with the torrential rain and flooding. It's just awful. La Niňa, it's time to ease off now!

Sending healing and strength to everyone who is dealing with their own issues at the moment, and much love and appreciation for all the support. 

3 May 2022

My post-radiation CT scan was on 29 April (and my biggest achievement was holding still and not coughing, after that viral infection had turned into a hefty case of bronchitis for both Gail and me, and mine has only subsided since the weekend).

And then today, 3 May, was the consultation with Garth, to look at the scan results and decide on my next steps.

We were both pleasantly surprised by the results! Here they are:

·       There is absolutely nothing new, and absolutely no spread or growth of anything that was already present.

·       My bones show a good response to the radiation, in that there is the type of sclerosis that indicates that healing IS happening. (Coupled with this: I don't have any bone pain at the moment, which also means there's no need to do anything for that rib at this stage.)

·       One of the two biggest nodules in my lungs is unchanged, while the other has decreased in size by 20%, and the two other measurable ones have each decreased by 10%.

Garth isn't sure what the latter can be attributed to. It could be the five horrid days of Letrozole (and my experience of feeling so horrid could have been caused by some dramatic activity in there!). Or it could be Iscador. One thing I'm certain of, and I thank all of you for this from the bottom of my heart: your love and support is definitely helping me in a big way.

We're now going to try the hormone treatment called Exemestane. (When I asked Garth if it would be stupid of me to just continue, for now, without hormone treatment, he said: "Yes. It would." So I decided I'd prefer not to be stupid.) I also continue with Iscador, and with boosting my immunity in general. I'll see Garth again in six weeks' time, and will have the next scan at the end of July.

The Dance of Life continues: see you there!