OK, so I’ve been negligent in keeping up with this journal over the past week. Quite a bit has been going on, so I might as well get started..
Tuesday I went into NYC to Memorial Sloan Kettering
Cancer Center for my second opinion. All in all, it was an experience! This place is the supermarket of cancer treatment! I liken the experience to an assembly line. First you pre register on the phone. Then,
you register in person. This was no normal registration, though. They had me sign stuff on electronic tablets, took a photocopy of my insurance (now, in it’s last week of existence) card right in the keyboard, and you get a full
color, spiral bound book on how you’re going to pay. Then I went up to see the doctor I had the appointment with (names have been omitted to protect the innocent, if you’d like to know, send me an email). First I sat down with
one of the reception people (one of three!), who took my card (you’re given two credit cards for ID at Sloan), and gave me some (more) paperwork to fill out. Besides an extensive history, there’s a form to fill out that was more
difficult than the SAT! It’s was a fill-in-the-circle sheet of every person in your semi-extended family and their diseases, ages (or age at death), and history of cancer. Geez! Then I started the 20 minute game. It
consisted of how many people could tell me they’d be ready in 20 minutes before I started yelling. The answer was 4. So, I saw a doctor sometime around 4:15 or so (for a 3 o’clock appointment). Of course, it wasn’t even
the correct doctor, first it was the fellow. Did the history, asked questions, poked and prodded, etc. Then it was the other doctor’s (the one I came there to see) turn. More poking and more prodding. I guess I
should explain the prodding… You see, the enlarged lymph nodes in my chest (which are the big ones – one is 8 cm x 4 cm) you can’t feel because they’re protected by armor (ribs). The others can be felt with careful
digging. For example, the ones on my neck and collarbone are easy to feel because they’re mostly near the skin surface (some digging required near the collarbone on my right side). However, the real fun ones to find are under
the arms/armpit area. This requires some diligent digging and poking to find and is REALLY comfortable. They also tend to check the spleen (which I now know where it is – on the left side of stomach), and the nodes in the groin
area (now accepting applications from female readers to keep constant tabs on lymph nodes in this area… please enclose photo
Anyway… to make a really long paragraph longer (I’m an engineer, not a writer, never liked
grammar anyway), both the doc and the fellow said I have cancer! No shit, sherlock! Yadda yadda yadda, Stage IIb, yadda yadda yadda, concerned about spot on the liver, yadda yadda yadda, we have the best facility, yadda yadda
yadda, we’d love to try some of our protocols on you, yadda yadda yadda, can you write us a check today? The doc turned out to have the personality of my front door. He is an expert in Hodgkin’s, which showed in his yawning
during the evaluation. Also, the protocols he neglected to mention were clinical trials (until I asked him directly). My thought on clinical trials is, why would I want to risk be in a group that is denied some form of
treatment, just to see if you react the same way the people who go it did? Anyway, I’ve talked enough about this. I’m sticking with my original oncologist. Now, three people have told me I have cancer, so I guess there’s
no escaping that truth. (yes, I know this should have been more than one paragraph, but I don’t care)
OK, so that brings me to Wednesday. I called my OncoDoc (the original) to tell him the news. He didn’t get back to
me. I went shopping Wednesday night (one-day sale at Macys) and discovered something unnerving. I got tired walking the length of the mall. This was a sad realization, as being at the mall is one of the only recreations in
New Jersey
But this does show that the cancer is causing me problems and I need to get started with treatment.
Thursday, I had a lot of stress from work (deadlines are not conducive to cancer). I finally got to talk to my
OncoDoc. He asked me what the other guy said, and I told him, “He said I have cancer.” He laughed, but then said he was sorry for laughing, but I explained it was OK, because I meant it as a joke. We discussed what the
other doc had said (his treatment protocol was the same my original OncoDoc was going to begin), and then he asked, “So, when do you want to start treatment?” Things get blurry around here… Monday was an option, so I called my
Dad to discuss it (he had already canceled a trip this week because we knew this was coming). I totally lost it at this point. Luckily, my office mate was not there, and I could close my door. I think I cried for about 15
minutes before I could calm down. As much as I like to joke around to make myself feel better, sometimes the realization hits me, I HAVE CANCER. What day do I want to start? That’s a loaded question! More like, “What
day do you want to CHANGE YOUR LIFE FOREVER?” Most other life-altering events are unexpected, such as the onset of disease (like this), a death in the family (seldom do you know the exact time this will happen, and often it’s
completely unexpected… I know I can relate to that, and so can my best friend Adam). But, how often does one have to make a choice like this? Do I say, “No, Ally McBeal is on Monday, why don’t you inject me with poison
on Tuesday, because I don’t mind missing NYPD Blue?” Holy shit did this hit me hard! No more procrastinating (not that I was doing that, it just takes a while to get all the tests, second opinions, etc.), this is it. It’s
going to happen now. Monday, March 1, 1999 I start chemotherapy. FUUUUUUUUUUUUUUUUUUUUCK! !@#$#$@#^%@#%$^@$#%@#%&^%$$*%*(%$@$%#!@$%!#^%&%$#&#$^%@#$%@$#&^%$&
^%$&@$^%$#@^@%#$^%&^%$*^&%*%^(#^%^@#$^&%$&*^%$*$#^&%@#%$^@#%$#@^%# @ (DEEP BREATH)
OK, I’m back now… Diagnosed February 1, 1999, start chemo March 1. Deep breath…
Good, Monday I start getting
better. The secondary symptoms should go away quickly. A few months from now I’ll no longer have cancer… Thank god! I’m ready to get better. Yesterday, I felt like hell. I had a fever of 100.5 in the
evening, then woke up with chill in the middle of the night with a temp of 97.5 I can’t wait till that stops. I’m getting sick of having to change clothes in the middle of the night b/c of the night sweats.
All right, I’m getting tired of writing, so I’ll try to wrap this up. I’ll start a protocol called ABVD
on Monday. I’ll probably have 6 cycles. Each cycle is two weeks apart, so I get the drugs on day 1 and day 15. The whole thing should last about 6 months. The drugs are Adriamycin, Bleomycin, V
inblastine, Dacarbazine (DTIC). You can read more about them by going to the Hodgkin’s Info page (especially Li Spark’s Page).
All right, definitely had enough of writing today… Wish me luck! I’ll keep this as up-to-date as possible.