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The price of anything is the amount of life you exchange for it.
- Henry David Thoreau

Randy Pausch 1960 - 2008

Miscellaneous No Comments »

I was deeply saddened today to learn that Randy Pausch succumbed to pancreatic cancer.  If you aren’t familiar with Randy or his “Last Lecture”, take a look at my post back in May.  He was an absolutely amazing person who fought his battle with dignity and grace and is a model  for all of us.  He never gave up, pursued many types of chemotherapy treatments and was an advocate in front of Congress.

 May he rest in peace.

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The Last Lecture

Miscellaneous 2 Comments »

Many of you must have learned of Dr. Randy Pausch and his fight against pancreatic cancer.  I recall my wife Rachael recording an episode of Oprah that featured him presenting what he calls his Last Lecture.  Since that episode that aired months ago, he has gained much notoriety and has published a book entitled “The Last Lecture”. 

Randy’s lecture is an amazingly inspirational experience.  I would urge all of you take this in if you haven’t already.  Also, below the video I have placed a link to his update page where he is posting updates on his health.  This is obviously a huge battle and he’s way down the road with it - prayers are always powerful…

 Randy Pausch’s Update Page

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What a Brain Tumor Can’t Do…

My Story, Brain Tumor No Comments »

A brain tumor is so limited that:

It cannot cripple love
It cannot shatter hope
It cannot corrode faith
It cannot destroy peace
It cannot kill friendship
It cannot suppress memories
It cannot silence courage
It cannot invade the soul
It cannot steal eternal life
It cannot conquer the spirit…

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The Complex World of Brain Tumor Treatment

My Story, Radiation, Chemotherapy, Brain Tumor Research, Brain Tumor 2 Comments »

One of the most difficult aspects I have faced as a brain tumor survivor is making decisions around how to treat my tumor. In the beginning, there are a million different alternatives thrown in your face. I empathize with people starting this journey because it’s difficult. What do you believe? Who do you believe? Everyone has an opinion and most all of them come from extremely intelligent, highly educated professionals. Do you opt for a clinical trial right off the bat? You could, and it could be the one that makes the difference. It could also be a trial that fails. Or, do you opt for a treatment that has proven success - even if that success doesn’t sound appealing?

With any brain tumor you want to CURE this thing right off the bat. You want to knock it out. You want to employ a treatment modality that has the highest likelihood of doing the job. At the same time, you don’t want to kill yourself in the process! Tough situation. For me, it came down to a simple decision. There is a ton of research taking place - new discoveries are happening each year. I decided this was about utilizing a modality that would extend my life out as long as possible so trials that are now in Phase I or even Phase II could be proven out. If my tumor shows ANY growth, I will avail myself to these treatments but for now, I am adhering to the tried and true treatment that UCSF, Harvard, Duke, MD Anderson and many other experts have recommended in my case - and that was IMRT radiation for 5 weeks with concurrent Temodar and then 6 months of Temodar on an alternating weekly schedule. I am finishing my 6th cycle now. I will continue until 1 year and then stop, unless there is shrinkage in which case I will continue. If there is growth, then it’s time to look at trials and other “cocktails” and go off the beaten path. There is a Neurosurgeon at MD Anderson in Houston, Texas that found himself with a grade 4 GBM - he was faced with all of this. Guess what he chose to do? Radiation and Temodar. He has a wife, children and everything to live for just like anyone else.

We can all over-analyze this. I did. But in the end, for me, it was about going with tried and true methods that had the best percentages of extending my life out, increasing my survival rate and attempting to ensure that I’m here when even better treatments are available. The problem with clinical trials is that many of them require that you’ve had no prior treatment - if you’ve already been on Temodar, for example, you aren’t eligible for the trial. However, if you have recurrent growth, then you can jump back on. That’s my own personal strategy. But initially, I’m driving the car that has been manufactured for 40 years and has an engine that I know won’t die for awhile.  Of course this is a terrible analogy with regard to Temodar, because it, too, was a clinical trial just a few years ago and was found to be extremely effective fighting grade 4 astrocytomas (aka GBMs).  Researchers subsequently determined that this chemotherapy was effective fighting grade 3 astrocytomas and oligoastrocytomas.  This is just one man’s opinion, of course!

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5-Day Chemo Regimen

My Story, Chemotherapy, Brain Tumor 2 Comments »

Well, I have decided that when I am finished with cycle #5, I am going to try the 5-day chemo regimen. With this schedule, I will take Temodar for 5 days and then be off of the drug for effectively 23 days each month. I mentioned in a number of posts back in the October time-frame or so that the reason I was on this 7-day alternating week schedule was due to the improved survival rate. There are studies that indicate this is true, particularly when taking the drug every day at a lower dose as I did concurrently with radiation therapy post-surgery. However, I opted for a 7-day alternating schedule because I just couldn’t deal with being on the drug 24/7/365 so-to-speak. As the cumulative effect has developed, however, it’s become more difficult to recover each week on the 7-day.

It’s a difficult, strange new land to navigate - full of decisions to make and everyone has a different opinion. There is no doubt that the radiation and Temodar as the chemo of choice and used concurrently were right on target. The questions are the regimen and secondly how long. Some people take this drug for 2 years. The “standard of care” is 6 months. My oncologist is probably going to recommend 1 year. So, if you have stable MRIs through a year, obviously coming off of the drug is a little bit unnerving. However, there are long term side effects to taking this drug - such as Leukemia. One thing is for certain, based on research and discussions I have had, it doesn’t appear there is any benefit to using Temodar beyond 24 months.

In 2 weeks I will sit down with my Oncologist and discuss this but I’m definitely going to try the 5-day. It will be about 100mg more per day - 400mg instead of 300mg. I’ve tolerated it well so we’ll see how it goes but the goal is to have more quality time each month with my family. It’s not terrible and I make it through ok but if I can improve it, particularly given the little data re: survival rates and the significant data backing up the 5-day, that would be great. Additionally, I have done the alternating regimen for nearly 6-months so I feel good about that.

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Happy Holidays!

Personal No Comments »

I wanted to take time out during this busy time to wish everyone visiting Happy Holidays and a very Happy New Year! For me it was an interesting time. For one, I mentioned before that it was this time last year that I had the small focal seizure that eventually led to my diagnosis. Secondly, a lot of what we did was the same which of course was great! So everything coupled together was eerily similar.

We are also praying a lot right now for Rachael’s grandmother. She was in the hospital up until Sunday with severe anemia and after a lot of tests she has been diagnosed with colon cancer. She is 86 years old but is the most wonderful person. She experienced a stroke back 6 years ago and she just never complains about anything - a truly amazing person. So we could use your prayers for her - that she can be comforted by Him as she steps through this trial in her life and find peace and strength.

Our time with family was good and we hope that yours was as well. I don’t know what 2008 holds and as I mentioned in my post on the 19th, staying in today in key. However, I am upbeat! I still have a cold that is no doubt attributed to my chemo-induced immunosuppression but it is what it is. I can’t change that but there is a lot of strength I can draw from everyone around me and through prayer which has been a mainstay.

Happy Holidays!

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Chemotherapy Set

Chemotherapy, Brain Tumor No Comments »

It’s late so this is going to be very quick. Yet another change in the chemotherapy but this is how it is in the world of brain tumor treatment. I had a final set of research studies reviewed today and consensus is to move forward with a 7-day on, 7-day off, 7-day on, 7-day off program using Temodar to complete one cycle. The dose will be double the dose I was taking during the 6 week therapy post-surgery - 295 milligrams. I will be taking Zofran to control nausea and taking Bactram to prevent pneumocystis which is rare but can be life threatening if it develops. As before, I’ll just go in every Friday for a CBC to make sure my blood work all looks ok. It will be of paramount importance to stick to the diet plan. I have a plan that is documented in the Resource Library that is specifically developed to boost your immune system and fight against these problems plus fight brain tumors.

So, tomorrow night I will start the regimen. I have some trepidation about the dose but I also am keeping in mind that when I was on chemo before I was also undergoing concurrent radiation therapy. I will see how this goes.

That’s it for now…

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Brain Tumor Treatment Update

My Story, Brain Tumor 2 Comments »

I just wanted to take a moment and provide a quick update on my treatment. I am concluding my second week of radiation and chemotherapy today. Thus far, I’m happy with the progress in terms of side effects. I won’t know how effective this treatment is until after its conclusion when an MRI will be done. At that point in time, I will assess my situation - more in a minute.

In terms of side effects, I’m very
happy
that I’ve
been spared the
serious side
effects that most
complain about with regard
to chemotherapy.
I’m very happy that I’ve been spared the serious side effects that most complain about with regard to chemotherapy. Nausea and vomiting are the primary complaints and I haven’t had any of that- just a tinge of nausea in the morning so the anti-nausea med Zofran is doing its job. The main complaint I have is fatigue. This is a side effect of both the chemotherapy and radiation. I haven’t had any hair loss yet from the radiation but that will come - who cares. :-) It will be patchy because the beams are entering my brain from multiple angles but that is ok. Probably week 4-5 it will come and obviously this is the least of my concerns.

The other objective I am working is getting my biopsy samples over to the UCSF Brain Tumor Center. You may recall, Dr. Mitchel Berger, the Chief of the Neurosurgery Department at UCSF is the doctor who saw what no one else did - that my tumor was most likely higher grade and that I should not sit on this. I feel that having my pathology run through their channel is good. I don’t expect it to come back as a “lower” grade, nor do I expect it to be a GBM (grade 4 glioma, or glioblastoma multiforme) but I want their analysis and also want my tissue samples run through their pipeline so if I decide to avail myself to their services (surgery) later, I’m all set up. The safest path is to drive there and hand carry the slides. After all, this is my brain tissue and getting it wasn’t exactly easy! So, I will leave sometime next week early in the AM and drop it there so I can be back in downtown Sacramento by Noon for my regular radiation appt. at 12:30pm. When they are done, I will go pick it up in a similar fashion. Yes, I would use FedEx but that truck could also end up in a river. Highly unlikely but I’m not willing to take the chance.

So, I get 2 days off from radiation which I look forward to. I am also starting to position for my return to work which will most likely be a telecommute scenario for the first several weeks - 5 days a week. Then I will start going in 2-3 days a week and ease back into things. I need to get normalcy and regain what I love in life professionally. My family is #1 but I’m climbing the walls! My blog here has received some nice development though! :-) So, it will be good to get rolling on guiding the IT department again and meeting every Monday with the executive staff and doing what I enjoy doing.

That is all for now. I have also started playing music again and started writing a new song. More to come on that. It’s upbeat and the music is coming along. I have some great thoughts about the lyrical direction I want to take.

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Brain Tumor Books

Brain Tumor, Resources (Brain Tumor) No Comments »

I wanted to take a minute and post some information related to some books I’ve picked up over the past months that have really been invaluble to me in researching my condition. I did a lot of research in picking and choosing the books I wanted to dedicate time towards and these have been excellent. For those that are visiting my site for purposes of gaining knowledge regarding brain tumors, I hope you’ll find this information helpful. The first book listed by Dr. Peter Black is outstanding. Dr. Black is one of the Neurosurgeons that reviewed my film as a second opinion and he was right on the mark in telling me that I should proceed with surgery. This led to the diagnosis of a grade 3 oligoastrocytoma when others had thought I had a low grade glioma.

If anyone who is reading this has other recommendations in terms of reading materials I would love to hear from you. I would also be happy to add them to this post in addition to obtaining them myself. I am a big researcher - knowledge is power so please contact me.

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Regards,

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Update on Keegan and My Treatment

My Story, Brain Tumor 2 Comments »

Keegan is doing really good. He had a bit of an issue with jaundice for several days that we were monitoring closely but that seems to be ok at this point. We took him to the doctor just to have him checked out. Everything looks great but he had us go to the lab on Wednesday for the counts - they came back a little high so we went back again yesterday and they are stable so all is well.

Rachael is doing ok - she’s starting to get a bit of her strength back and just getting used to the new schedule. Even though we have done this before, it’s been almost five years! So, it’s kind of new again. It’s a little bit more complicated this time around too because of my condition. My seizures are subsiding, mainly because I’m getting rest and Rachael has agreed that since she needs to be up anyway to feed Keegan that I may as well sleep. How nice is that? :-) I have to say though, I had seizures each day (small focal seizures, totally manageable) but the first night I had I slept for 6 hours or so I didn’t have one the following day. We both agreed this is worth it and I’m also trying to prepare myself for the chemo and radiation so we are making sacrafices. She is being so supportive. To compensate for what she is enduring at night, during the day I’m taking care of all the meals and handling his needs so she can sleep. On the 30th I start chemo and radiation which is really why I’m off work in addition to the surgery I had on the 29th of June anyway so we’ll see how that impacts things but all in all we are walking through it all and have a lot of support. More to come and I’ll be posting more pictures when I can.

Brain Tumor Treatment

I’ve been doing a lot of research on treatment options and have uncovered some interesting information. Of course I’m not ready to be as bold as some people have and completely buck the medical science world and forego radiation and chemotherapy - that would be foolish in my view but some people have actually done this. However, there are some natural therapies that seem to be very promising. In particular, a doctor named Dr. Johanna Budwig from Germany made some very important discoveries related to the use of flaxseed oil.

Dr. Budwig found that the blood of seriously ill cancer patients was deficient in certain important essential ingredients which included substances called phosphatides and lipoproteins, while the blood of a healthy person always contains sufficient quantities of these essential ingredients.

She found that when these natural ingredients where replaced over approximately a three month period, tumors gradually receded, weakness and anemia disappeared and life energy was restored. Symptoms of cancer, liver dysfunction and diabetes were alleviated. Dr. Budwig then discovered an all natural way for people to replace those essential ingredients their bodies so desperately needed in their daily diet. By simply eating a combination of just two natural and delicious foods not only can cancer be prevented but in case after case it was actually cured. (These two natural foods, organic flax seed oil & cottage cheese) must be eaten together to be effective since one triggers the properties of the other to be released.)

In doing more research, I found a site http://www.flaxoflife.com/ that contains the amazing story of Tom Rolland, a man who was diagnosed with a GBM and utilized this method along with some other supplements to great success. His regimen is something I am going to apply to my treatment plan and has been covered in a book I am reading that covers a range of alternative treatments, some that originate in the world of medical science and some that do not.

The point to all of this is that you have to attack this from all angles. You can’t just sit back and rely on the oncologists to prescribe radiation and chemotherapy, accept that as your treatment and hope it all works out for the best. I have a binder full of material, it’s all assembled and I’m putting my own treatment plan together. This is but one small component but I wanted to place a post online about it because it’s received so much notoriety it’s worth mentioning.

I will be starting chemo and radiation on the 30th. I’m not sure what to expect - I do have ideas but everyone is different so although I have read up I’m trying not to read “too” much into this. Some people say it’s awful, others breeze through it. I won’t know until I do it and I’m in it. I have a strategy diet-wise and have prepared myself psychologically, just as I did for the surgery, as best that I can so at this point it’s just as it has been with everything else I have had to do since this has all started - walk through it. This has all been a test of endurance but as I go through each phase of this, I get stronger and it actually does get easier to deal with. When you think about it, after being told that you have a tumor, going through months of scans, told you have to have brain biopsy, then getting these harsh second/third opinions, facing surgery with neuro deficits, having a diagnosis of brain cancer, etc. etc, there is really not much that can bother me! :-) You could tell me just about anything and just about anything could happen in my life and it wouldn’t phase me much. Flat tire on the car? Garage catches on fire? Oh well - there are ways to take of these things. Seriously - I have to say that this has all changed my perspective and there is a part of me that does wish I could have had this perspective on life long ago but I guess we just aren’t built this way. I’ve always had gratitude and have been grateful for the blessings in my life but I just don’t think we are fully capable of realizing how fragile our lives are until we are faced with something like this. Maybe it’s just me.

More to come.

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