Sunday, July 27, 2014

OICURMT and the MDS Foundation


Jeff and his brother, Paul, met at Bald Eagle State Park for a few days of fishing the week before last.  Many fish were caught - and released - and they took a Segway tour of Penn State's campus (Paul is an alum).  Jeff called me the night before their tour and said he expected his Segway may go out of control if The Creamery was not to be a scheduled stop but, of course, it was.  Paul managed to squeal the tires of his Segway in a near accident which gave them a good laugh – later, and every time Jeff has told the tale since.  Jeff keeps talking about the beautiful Nature Inn (a gold LEED building) and the good time he had.  Thank you, Paul!

An invitation to a luncheon for MDS families in Margate, NJ, gave us a good excuse for a weekend down the shore.  Friday night we relived our youth on the Ocean City boardwalk, squeezing into a photo booth, playing mini-golf, riding the Carousel and bumper cars.  Fun!  Saturday morning we visited Margate's famous Lucy the elephant, climbing a circular staircase up one hind leg, touring her belly, checking the view from her eyes and from the howdah on top, then down the twisty staircase in her other hind leg.  She is in excellent condition at 133 years old!


Rochelle Ostroff-Weinberg hosted a group of MDS patients and caregivers at her home in Margate.  Two of the couples in attendance had been married for more than 50 years so we were the young ones of the group unless you count the caregivers who'd been married 25 years.  Sudha Allitt, a holistic health and spiritual counselor, led us in some Mindfulness practices - breathing and meditation.  We learned about the various types of breathing (angry, calm, happy, fearful, etc.) and the healing properties of slow breathing.  Jeff enjoyed the exercises, could definitely see their value, but got stuck on the instruction to feel the breath of the feeling you identified.  Did it have a breath? Jeff says he does similar things naturally to deal with stress and, in my opinion, was more receptive to the presentation than he might have been pre-cancer.

Our meeting lasted twice as long as scheduled. Perhaps we needed each other twice as much as expected. Rochelle was gracious enough to let us stay and talk everything out.  One woman had never met another person with MDS.  We all learned something from each other about treatment options and issues, web sites to check out, how to find a local support group, diets to try.  Rochelle laughed remembering her late husband, Bob, trying a "weird vegetable diet" that was supposed to be beneficial.  He hated it.  He persevered for a year until he gave it up as a good effort, not worth the trouble.

We left Rochelle’s house and walked nearby Ventnor City's promenade and streets, overshot our parking spot by half a mile which added a mile to our stroll.  Then we returned to Margate for a lovely bayside dinner at Lamberti's Sunset Marina and Restaurant - Rochelle's recommendation.  We did not last until sunset but it was beautiful nonetheless.

En route to our weekend adventure, we'd listened to an audiobook, Secret Ingredients, an anthology of pieces by well-known food writers.  The first essay, by Joseph Mitchell, was about "Beefsteaks," a sort of Beef-and-beer of yesteryear.  There was a sign at one such event that read "OICURMT" - a condition meant only to be temporary.  Connecting with the good folks at the MDS Foundation luncheon gave both of us a sense of fullness.  It was good to refuel together this weekend.
 
After two weeks off of Rosie-duty Jeff is anxious to return to his regular Monday-and-Friday schedule.  He misses her and I'll bet the feeling is mutual.  I'm looking forward to the Monday morning picture Jeff will email to me at work. Maybe it will show our little Rosie Posey walking on her own!

Friday, July 4, 2014

Stairway to Bed


Jeff and I discovered that three months is about as long as we can last between his oncology appointments without our anxiety becoming unbearable.  This was the longest he has gone without seeing Dr. Porter since BMT – and the assurance provided by the many blood tests they run each visit.  Jeff, who is usually Mr. Calm, was starting to express his concern.  His worry became my own.  This allowed for some good conversations about his priorities and our goals.

No, he had no major symptoms that caused our freak-out.  He’d had a dexascan to check his bone density and there was a 10% change on one of the measurements.  A couple of the measurements showed “Significant” change.  Jeff thought of our support group friend who has moth-eaten bones from Multiple Myeloma and, well, got to thinking too much.  I assured him that Dr. Porter would “pooh-pooh” the results of the bone density test and my niece, Nurse-to-be Becky, agreed it probably wouldn’t be a great issue.

As I reassured Jeff about his bones, I began worrying about the amount of sleep he needs.  He has been working more and comes home absolutely whipped.  After a day’s work, his voice is weak and he answers questions with Mmm’s and eh’s.  He often heads directly to bed, sometimes without showering first.  I couldn’t help wondering whether it was only the physical labor that exhausted him. 

Between his Mondays and Fridays with little Rosie, Jeff managed to complete a custom staircase job - which also involved wallpaper removal, replacing trim, installing hardwood flooring and painting.  This would not have been a big job for him pre-BMT.  This time he enlisted the help of a friend for a couple of days.  After it was finished, he admitted that he might have taken on a bigger job than he ought to do these days.  In addition to the physical demands of this job and an exterior painting job he also took on, there was a fair amount of worry about what it would take for him to finish.

Tuesday he saw Dr. Porter.  His blood counts were good, with Hemoglobin hitting a new peak, 14.7.  Nurse Heather and Dr. Porter both told him that his three-year survival bodes well.  They discussed his neuropathy and Jeff said he wasn’t sure the Neurontin does any good.  Dr. Porter said to experiment, then, and drop one pill.  The results of the liver function tests were not yet available so he could expect a phone call about those.  Jeff came home a little relieved and sheepish about our unnecessary hand-wringing.

On Thursday Nurse Heather called Jeff.  He sensed that Heather was reluctant to give him the news:  a recurrence of GVHD.  He has to go back on the immunosuppressant, Cellcept, because his liver function test results were elevated.  He’ll have to have those tests run again in three weeks.  At least GVHD can be managed. 

Oh, well.  Down one Neurontin, up four Cellcepts (the dreaded empty-stomach pills).  Net change:  +3 pills.