Close Calls and Big Dreams

Friends and Family,

The wild ride continues. After my final chemo round, Genevieve and I got lab results which showed increased fluid in my lungs and new fluid around my heart. Our hopes for me to buy more time by staying on ramucirumab alone for the next 6-12 months went out the window. But a parachute arrived just as it was time to jump out of the plane.

Dr. Sanborn had requested that I receive patritumab duruxtecan, a HER3 drug, through the Expanded Access (compassionate use) program. She made the request eighteen weeks earlier and approval came through just when I needed it. I had to wait two more weeks for the drug to arrive, then started it two weeks ago. Had approval come a little later, I couldn’t have waited. I would have had to start on a less promising early phase clinical trial, the only thing left on the board that I qualify for at this stage. How lucky can we get!

Even though it’s only been two weeks I already have less edema in my legs. The cankles are gone, and now it doesn’t look like every one of my piggies went to market - and ate the market.

The other part that has gone well has been my jaw. The antibiotics are working well. The pain is gone, and I can open my mouth wide enough to eat a sandwich now. It beats the liquid diet! I’m still dealing with antibiotic side effects (nausea and diarrhea), but even that has improved in the past few days. I can’t claim to look or be healthy yet – an elderly woman with a walker that had a chair attached offered me her chair while standing in line at the pharmacy - but I’m getting closer. Spring is just around the corner and I’m starting to think about gardening again. That’s a far cry from a few weeks ago when I couldn’t dream any bigger than getting off pain meds and getting a fork in my mouth.  

 Not my garden! This is a dream, remember?

Hoping my updates will remain cheery for a while!

Love,

Dann

Not Everything is About Cancer

There are those occasions when not everything is about cancer. This is one of those times.

 It starts with headaches I’ve had all day, every day since chemo started. I believe it’s the ramucirumab since I had a similar drug (Avastin) eleven years ago and had headaches like this for over a year. I also had intense dental/jaw pain that led to a root canal six weeks ago. That pain never subsided and has morphed into lockjaw. As a result, I’ve been on a liquid diet since Christmas. Muscle relaxers and five sessions of PT haven’t helped, so I’ve seen an oncology dentist who specializes in both TMJ and oncology. A CT of my jaw revealed no necrosis (whew), so I’ll probably get an MRI in a couple weeks to rule out any tumors in the soft tissue. I don’t expect tumors, but I certainly want to get a new treatment plan soon.

 I’ve also been very concerned about the love of my life. Genevieve was recently diagnosed with temporal arteritis, which can cause blindness or stroke if left untreated. That was scary for a while until the diagnosis was cleared up, treatment got started, and we found a rheumatologist we trust.

 Meanwhile, our heater was out for three days, got replaced, and then the new heater went out for another three days until a faulty circuit board could be replaced. Like some old beatniks, our house was stuck in the fifties both times this happened.

 All of this didn’t seem as serious after someone very close to me had a heart attack. Three days later he had a quadruple bypass. His recovery has started out well, and he’s feeling fortunate this didn’t happen when he was on his recent three-week rafting trip in the Grand Canyon.

 Not everything has been this hard, however. Last week we got my latest scan results, and the cancer is still shrinking! There’s less haziness in my lungs and the fluid has decreased. When I finish my final round of chemo, which will be in five weeks, Dr. Sanborn is recommending that I stay on ramucirumab by itself for as long as it prevents the cancer from growing. If it works like the Avastin did (they are both angiogenesis inhibitors, which stop the cancer’s blood vessels from growing), that could give me another year before I need the next treatment. Despite the headaches, we’re excited! Anything that buys me more time means that there is more of a chance for new treatments to come along while I wait. I’m also hoping the PT can help with the headaches, given they mostly come from the back of my head and seem muscle related.

 So not everything going on in my life has been about cancer lately. But then again, some of it has been, like my recent hairstyle.

  Love,

 Dann

Go with the Force

Friends and Family,

We got an early Christmas present yesterday when we met with my oncologist. All of the news was good! The cancer has shrunk in my lungs, liver, and lymph nodes,  and with the help of the PleurX drains, the lung fluid is greatly reduced, which has left room for my lungs to expand and breathe. The cancer in my spine shows the scarring associated with the cancer dying off in the bones. Everything is going great!

Stronger the Force is becoming for this one, hmm?

Genevieve and I expected a good report because of how much better I’ve been feeling and how much more physically active I have been over the last several weeks, but good results were never a given. As Dr. Sanborn pointed out, few people have lived long enough to go through three different courses of chemo, so it’s not like she can point to research that shows that out of several hundred people, this is what you can expect. She didn’t know how my body would react to having carboplatin for a second time. (For the first course of treatment, in 2006, I had cisplatin, which only works well once for most people).  

I’ve never seen a doctor so excited to share my CT results with us before. Dr. Sanborn said that after all the bad news we were hit with in such a short period of time, it felt great to be able to share some good news. I should let her know that she’s welcome to share good news any time she wants,.

Next I have two more rounds of chemo with carboplatin, which will mean I’m finished with carbo just before Valentine’s Day. After that, I’ll get the the much milder Alimta by itself every three weeks for as long as it continues to work. Genevieve and I know people who have been on Alimta for years, so that’s our next goal: Years of Alimta every three weeks. My treatment plan won’t change as long as it continues to work. As Dr. Sanborn pointed out, if it ain’t broke, don’t fix it This also gives more time for other new treatments to come along. Any way we can buy time, we’ll take it!.

Thank you for all of your, love, encouragement, and support through the roughest time we have had since my cancer journey began fifteen-plus years ago. Your intentions, check-ins, positive thoughts, and healing energy have gotten us through these challenges. We are grateful for you.

                                                                   FREE BOOK!

For the past few years I have offered my book for free for three days in November, which is Lung Cancer Awareness Month. The book is what I have learned about not only living with lung cancer, but also thriving with it since 2006.

This year I didn’t have the energy to set it up in November, so I’m doing it now..

Get the electronic version of my book for FREE from Friday, December 17th through Sunday, December 19th! Just click the link: https://www.amazon.com/Second-Wind-Thriving-Dann-Wonser-ebook/dp/B07C9BWWB7/ref=sr_1_2?keywords=second+wind+thriving+with+cancer&qid=1639695331&sr=8-2

Love,

Dann