Sunday, July 17, 2016

July 17th Update

Dear family and friends,

I hope this finds all of you well and enjoying the beautiful days of summer.

I cannot thank all of you enough for the amazing support you have given us during this challenging time.  Your emails, cards, phone calls, and offers to help are overwhelming and VERY much appreciated.  I am moved by all the beautiful words that have been expressed by so many of you.  As I wrote before, I am truly blessed to have all of you in my life.  The support and love you have shown is truly the best gift one could receive. 

I do, however, owe all of you an apology for not communicating sooner.

The good news is that I have been feeling well over the past few weeks.
The bad news is that I have been keeping so busy that finding time to write a blog entry or answer emails has been challenging.  Those emails I did respond to ended up in my draft box and I just discovered they have remained there.  (Oops!)   Hopefully, I will now be more diligent with my communication.

 Here are answers to some of your questions:

How am I feeling?
I have felt quite well the past few weeks.  Fortunately.  The side effects I am experiencing are minimal and tolerable.  For this, I am extremely grateful.

What side effects do I have?
Following my three days of infusions (June 25-27), I had practically no chemo side effects. Thankfully, probably due to anti-nausea drugs, I had no problems with nausea.  My energy level has been pretty good, and although I am consciously pacing myself, I have been keeping my life as “normal” as possible.

The radiation side effects are minimal thus far.  They are mostly the exacerbation of ones I have been experiencing following the radical hysterectomy.  (Pelvic issues and leg lymphedema.)   I will deal with the cumulative effects of radiation when they appear.  In the meantime, I am happy to have had these few weeks where I have felt good and energetic.

One of the dramatic and psychologically difficult side effects of chemo is now here.  The molting season has begun. I have been experiencing hair loss over the past few days.  Fortunately, I have a lot of hair, so the shedding process may take a few more days.   I am trying very hard to not pull at my hair, brush it very hard or do anything to hasten the process.   When I do, clumps of hair end up in my hands.   I have been preparing myself for this and already have two wigs to help me through this challenging time.  I had thought about being dramatic and selecting something such as these"
 Purple is my favorite color. 

  or this one which would be my yin and yang look, appropriate for the good/bad or lightness/darkness of my present life challenges.  However, practicality took over and I have thus chosen the more conservative mop to don my head during this molting period.  Hopefully, I will still be recognizable to all of you.  There is a positive side to almost everything.  In this case,  I know that hair does grow back..  And I will save money and time not having to have my hair blow dried or cut for a while.


How have I been spending my days?
Over the past few weeks we’ve been keeping quite busy.  We had our granddaughter, Maia , (now 7 as of July 9th) staying with us for five days of Grandma/Grandpa Camp while her sister, Abbi,  was at overnight Camp Tawonga.  We had a lot of fun together.  Swimming, visiting with cousins Eva and Ben, playing with friends, etc. kept us quite busy.  We  spent time at the Moraga Commons 4th of July Celebration, attended a BBQ at our friends home and then watched the Moraga fireworks from our car high on a  hill in Moraga.

                               


Another day, Maia’s Moraga friend Kira, joined us when we took the ferry from Oakland to San Francisco.  There we spent time at the Aquarium of the Bay near Pier 39.  We walked a lot that day, including an almost two mile walk from the aquarium to the ferry building to take the return ferry.  Kudos to the girls who were having so much fun together, they never complained about the long walk.  And, fortunately, I had the energy and commitment to walk that far as well.
Marty, Maia, Kira, and Judy on the SF Bay Ferry


My days are limited as to how much time I have to visit with friends or run errands since the first half of every weekday is devoted to radiation.  (The actual radiation is usually 20 minutes.  However, the transportation to and from is close to a half hour in each direction.)  And the end result of drinking 38 ounces of water for each treatment also limits my activities directly following radiation.  (You can guess what I am doing the next hour following that liquid intake!)

What next?
Monday thru Wednesday  (July 18-20) will be my 2nd round of chemo infusions. However, due to a low white blood count, I have been given Neupogen shots over the weekend for a total of three days with hopes that my count will be high enough on Monday to continue with the planned infusion.

I will begin to have some special weekly massages  at the John Muir Lymphedema Center in Concord for the leg lymphedema.  Hopefully, this will help ease the swelling.  The lymphedema cannot be cured, but can be controlled.  (It is a result of the removal of many of my pelvic lymph nodes as part of my recent surgery.)

Hurrah!  I am just about half way through my 25 rounds of radiation,  which will continue weekdays until August 3rd.  A few weeks following that will be another PET scan.  Sometime after that,  the tentative plan is to administer a different chemo drug (Carboplatin-
Taxol) ½ day every 3 weeks for probably 3 sessions.  (This will most likely begin upon our return from Spain at the end of September.)

A recurrent question:  Where am I receiving treatment?

My oncologist, the infusion center, and radiation center are all in one place: Diablo Valley Oncology and Hematology Medical Group which is located in the building of the  California Cancer and Research Institute in Pleasant Hill off of Taylor Boulevard.  I call it my “one stop shop” since everything is located under one roof.  Very convenient.

What are our plans for the next few months?

While my motto has been:  take one day at a time, we are also continuing to plan for our future travels and family celebrations, true to another of my mottos: *Carpe Diem.

Dan and Jennie will be visiting here at the end of July.  Their next two weeks, their last as residents in The City of Light, will be difficult ones for them as they say au revoir to their friends and wonderful life in Paris.   They are already busy with plans, packing, etc.  for their move to San Diego.  How lucky they are to have had such a fabulous experience for the past 4+ years.  And now… a new beginning.    They arrive in the Bay Area on July 29 for a week.  On August 6th, D & J will go to San Diego for four days to look for a house to rent.  Dan will begin his job in San Diego.   Jennie will return to Moraga to pick up Auguste and head to Atlanta for several weeks to visit with her parents.   Hopefully, they will have luck finding a house to move into so when Jennie and Auguste arrive in late August, they can begin settling into their new surroundings.

Adira and Leo just returned from a month in Israel.  They were missed!  We look forward to spending more time with them and Josh as well.   We're happy that Leo is going to spend the night with us a few times this month.  

I am determined to keep myself energetic and feeling well enough for our August 11-17 plan to take Abbi and Maia to a dude ranch for a week.  This Grandma/Grandpa camp experience will be at Rankin Ranch in Caliente, California.  The days there are filled with many activities including horseback riding, swimming, hiking, fishing, games, sports, etc.  In the evenings, there will be many fun activities such as square dancing, bingo, pool, fooseball tournaments, talent shows, hay rides and much more.  After dinner, the  girls can join other children and head to Sarah’s Farm to help feed and care for the baby animals –  (goats, chickens, pigs, etc.)   We are very much looking forward to this adventure.

We are still optimistic that we will continue  with our travels at the end of August.  We will be in Israel August 29-Sept. 12 and then head to Spain to attend our nephew, Aaron”s marriage to Veronica in Bilbao.  We will travel for a week following that celebration and return home from Spain on September 26.  Then, I will begin my next round of chemo.  (Not a fun thing to come home to, but I am keeping my perspective, knowing how very fortunate I will be if I am able to complete these travel plans.)

I will look forward to being together with many of you in the coming weeks and months.  In the meantime, please feel free to email or call me,  if you so desire.  My cell phone is the  best way to reach me: 
925-980-3590.   And… feel free to send photos of you and your family - something that gives me great pleasure and comfort.  All of you have a special place in my heart. 

With much love,
~ Judy ~


For those who are interested: An addendum to this already lengthy blog entry:

*Carpe diem
Some people have commented  or asked about my motto  Carpe Diem  (Seize the Day)
I interpret that as:  EMBRACE LIFE – ENJOY THE MOMENT…

But here is some documented commentary on this:
Text from Odes  - CARPE DIEM

“Ask not ('tis forbidden knowledge), what our destined term of years,
Mine and yours; nor scan the tables of your Babylonish seers.
Better far to bear the future, my Leuconoe, like the past,
Whether Jove has many winters yet to give, or this our last;
This, that makes the Tyrrhene billows spend their strength against the shore.
Strain your wine and prove your wisdom; life is short; should hope be more?
In the moment of our talking, envious time has ebb'd away.
Seize the present; trust tomorrow e'en as little as you may.[2]


“In Horace, the phrase is part of the longer "carpe diem, quam minimum credula postero", which can be translated as "Seize the day, put very little trust in tomorrow (the future)". The ode says that the future is unforeseen and that one should not leave to chance future happenings, but rather one should do all one can today to make one's future better. This phrase is usually understood against Horace's Epicurean background.[5] The meaning of "carpe diem" as used by Horace is not to ignore the future, but rather not to trust that everything is going to fall into place for you and taking action for the future today.”

There is a similar phrase in Hebrew:
The phrase    ?ואם לא עכשיו, אימתי "And if not now, then when?" (Pirkei Avoth 1:14).