Wednesday, April 29, 2015

Walk, Don't Run and Mohs a No-Go for Baby Face Jeff


April has been a busy month for our cancer-fighting activities.  We participated in spring events for Be the Match, Gilda’s Club and the MDS Foundation in addition to the Gift of Life swab station at the fencing tournament.
 
We were members of Team Penn for the Be the Match 5K Walk/Run (we walked) at the Philadelphia Navy Yard.  Dr. Porter, Nurse Heather and other Penn staff members walked/ran with their families and it was fun to see them outside of the office for once.  Jeff’s skin cancer treatment had finished a week prior and his “chemical peel” left him looking very young and healthy.  I snapped a picture of Nurse Heather with “Baby Face.”  It reminds me of the 18-year-old Jeff I fell in love with (be still my heart!).  

Our Gilda's Club blood networking group, usually attended by 6 people, had a whopping 15 people this month (including two nurses on their oncology rotation).  I tell our new members, "Welcome to the Club.  I'm sorry you're a member."  Jeff teased our fill-in facilitator, Beth, to take credit for the group’s popularity and to warn Marianne, our regular facilitator, not to let the group go to pot when she returns to us.

As usual there was a fair amount of laughter but it was difficult to see the newbies’ – as Member Monique puts it – “deer in headlights” reaction to finding themselves members of this exclusive club.  One new member is a fan of homeopathic medicine and is crushed that she needs toxic treatments to survive.  I hope we were reassuring and hopeful but also truthful about the sucky parts.  For example, Steve, cancer-free at two months post CART19 treatment, relapsed (NHL) at six months.  He participated in the clinical trial phase which was intended to determine appropriate dosages and, evidently, several participants relapsed.  So, not enough maybe.  Also, Michael shared the sad news that he’d lost a friend last week to Multiple Myeloma, the same disease that he is managing.

We attended a luncheon for MDS families in Philadelphia where we met a couple, Maureen and Phil, who expressed their attitudes about Phil’s MDS diagnosis similarly to the way Jeff and I did initially – Maureen carries the burden of the anxiety and Phil shrugs it off.  Maureen arrived at the luncheon with stress lines on her face and left looking relieved and feeling grateful to have met a survivor like Jeff.  She repeatedly remarked, “Just look at him!”  By now Jeff’s skin is looking baby-soft and smooth so that he makes an excellent poster boy for bone marrow transplantation and survivorship.

When Jeff was about half way through his Fluorouracil topical chemotherapy, Dr. Samimi had him schedule Mohs surgery for the spot she’d biopsied and found Squamous Cell Carcinoma.  The surgery was scheduled for today.  Nurse Katey took pictures and explained the procedure.  She told us a lot of patients do not follow the instructions for the topical chemo and do not get good results but she could see that Jeff had obviously done a good job.  Dr. Sobanko agreed that the area was not remarkable. “I see only the biopsy scar,” he said.

We’d prepared for a long day of scrape and scan/wait for the lab, scrape and scan/wait.  Instead, another biopsy was performed and we waited for the lab to process the sample.  Eventually, the lab confirmed that the topical treatment had taken care of the cancer!  The area – in fact, all of his skin - will have to be monitored and Jeff happily agreed to make and keep his dermatology appointments every six months (or sooner if Jeff notices a change).  Penn’s dermatology department is part of the bone marrow transplant team.  They dedicate one day each month solely to bone marrow transplant patients.  It is a relief to know they see lots of patients like Jeff and can catch these things early.  Of course, part of the credit goes to Baby Face himself who did as he was told!

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