Tuesday, January 19, 2016

What you can do for a cancer patient and their family


Mike had treatment last Thursday. They have continued to hold off on one of his chemo drugs due to his nails still bothering him. We are still nervous about this and hope to get back on track in two weeks. Ava caught another cold and generously shared it with me. I have been feeling pretty crummy and Mike's been keeping his distance from us both! 

For Christmas I got Mike a gift card to a shooting range. We went on Saturday! We both have never been and it was a lot of fun. I am so glad he enjoyed it! 



Here are some photos of Ava and the Clydesdale horses at Kimball farm in Haverhill. Horses names are Mark and Mike! (The horses names crack us up... my dads name is Mark) in the fall we went in a hayride with the horses! 




Mike is very happy about his Patriots being in the playoffs! Let's go Pats! 

Not to much to update you all this time. I have been working on a list below that I wanted to share. I hope it helpful! 


What you can do for a cancer patient and their family...
Before my husband, Mike was diagnosed with cancer, I had no idea what to do or say in such situations. In fact in the past I handled such moments with silence and awkward body language, simply for the lack of knowledge and experience. Now that I have dealt first hand with being a caregiver for a sick spouse I have learned a lot. Everyone has different life experiences…. Some have more experience and some have less either way everyone and every situation is different.


When Mike first got diagnosed it was so hard to function day to day never mind be able to talk about it with others. We were so overwhelmed and didn’t know how to ask for help or what to ask for – but we sure needed it. When you have a friend or family member newly diagnosed with cancer of course you want to help! But how? Don't make the mistake of making a vague, questionably-sincere offer "Well, call me when you need me if you just want to vent!" (they won't).

Instead, make your family member or friend's life easier by anticipating his or her needs and giving tangible, much-needed support. Here is a list of things that helped and continues to help us and I hope they will help others in the same situation! As time goes on we continue to learn more. Every patient and family is different. This is a list from my husband’s point of view as well as mine (the caregiver). Some things are in general and some are very specific to our journey. This is an ongoing list that will be updated as situations arise.

1.       Don't put on "Cancer Face": You know, The "look". That expression of pity, sadness, or concerned looks. I know that these looks are unintentional, and that the emotions behind them are very real, but try not to appear as though you are saying your final good-byes in these moments. It can be scary for the patient. And certainly don't put your sick friend in the position of having to comfort you.


2.      Bring or send a meal: Cook something for the family. If they are not up for visitors, leave it outside the door in a cooler and send them a text to let them know it’s there. If there are children it is helpful to include a kid friendly option. Not up for cooking? Find out their favorite delivery place; call, place an order and have it delivered to the home. Include a tip so the family doesn’t have to search for money. Of course let them know when to expect the delivery. Either way also let the family know when you would like to cook/send a meal so they don’t get duplicates on the same days. For us meals on treatment days are helpful. After spending hours at the hospital for treatments in the city the last thing we want is to come home and think about dinner.

Tip: If you or someone in your home is sick with a cold or stomach bug think twice about preparing a meal for a cancer patient and their family. Germs spread and the last thing you want is to get them sick! Either way be sure to wash your hands thoroughly and make sure you clean utensils and cooking surfaces before you use them. Also don’t go crazy and make too much food. You would think more food is better but often too much food gets thrown out. There is either no room to store it or you can only eat so much lasagna in one week! A meal for one or two sittings is plenty, sometimes less is more!


3.      Unexpected visitors: Never show up unexpected without calling or letting the family know. Sometimes we’re just not up for visitors. Be respectful it’s nothing personal. For us you never know when we’re having an emotional day or spending quality time together. Not that we walk around naked but heck even if we did we don’t want others to scare us and see our “goodies!” ;) Even if you text or leave a message make sure the person responds to say it’s okay to visit. Don’t assume they saw your message.


4.     Positive vibes: Let them know you’re thinking of them but don’t expect to get a response. Add a “no need to respond" to the end of your message. They'll appreciate hearing from you without feeling the need to do anything in return. Sometimes it’s nice to know you cross other people’s minds. So often friends and families continue on living their lives and for us it feels like we are forgotten about even if that’s not the case!


5.      Don’t take it personally: After a diagnosis you may notice the patient or their caregivers personalities change. Maybe they don’t respond to you like they used to. They don’t laugh at jokes that they once did. Their minds are constantly racing with thoughts. You may notice when you look at them their faces look blank. Please, please, please don’t take it personally if they don’t respond like they use to or act differently now. Until you have been sick yourself you can’t begin to understand and know how it feels. Even if you have been in their shoes you can’t expect them to act the same way you may have. Our lives have forever changed and we’re still learning how to adapt.


6.     Help with errands: If you’re at a store send a text and let them know and ask if they'd like you to pick anything up for them. So often there are little things we need but don’t have the energy to go get it ourselves.


7.      It’s hard to ask for help: When Mike first got sick it was hard to keep our heads high and ask for help. We didn’t want to feel like his diagnosis got the best of us. We wanted to feel normal and capable of everyday routines. It took time for us to reach out and ask for help. You wouldn’t believe how hard it is to work up the courage to ask for someone to run an errand, cook a meal, or pick up a prescription.


Tip: If you are asked to help out in some way try to make sure you can find the time to do it. Not that everyone should jump when we snap our fingers but there’s nothing worse when you finally break down and ask for help and someone makes a “big deal” out of it. We don’t want to put you out so be upfront and honest if you can’t do something let us know so we can ask someone else.


8.     Don't ask, "What can I do?": Instead, think of things you can do that might be helpful and just do them. However, make sure that they do not require input or participation from your friend or their family. Understand that a cancer patient and their family are often too overwhelmed to ask for what they need; take the initiative by offering specifics, instead of saying, "Let me know if there's anything I can do for you." More often than not if you’re too general we won’t ask for what we really need! However don’t come across as overbearing! Say, "Give me a task." Maybe it will be laundry, or an errand, or picking up groceries. Be in and out. No socializing needed. If they don’t have anything to offer help with also be respectful and let them know the offer still stands and again, mean it.


9.     Help Clean-up: Keeping the house and yard clean when there is a sick family member is often difficult. Offer a helping hand to help the family clean or work on the yard. Before Mike got sick he was always helpful with the house and keeping it clean. There was no “man” or “women” chores. We were a team and helped each other out. However, when Mike got sick our team effort turned into a one "wo-man" show. I don’t blame him at all he shouldn’t have to have the responsibility or burden to clean the house. However, for those who know me know how OCD I am about being clean. I get stressed when the house is messy it’s just how I am wired and I can’t shut it off. Sometimes keeping the house clean after two adults a child and dog keeps me running around like a maniac till 1am. I know I could use the help!


10.  Have a skill?: Have time to help and you are handy? Often many things go undone around a home where someone is sick. Offer to fix things around the house… whether it’s a loose towel holder, leaky sink, moving heavy furniture, hanging a photo, painting a room, picking up the yard, shoveling, etc. I know there are many things someone can help out with.


11.   Let them know you're "on call": Cancer is unpredictable; you never know when something is going to happen. Of course we have our families to rely on but if an emergency is to arise let them know you are available to help all hours of the day and night and most importantly, mean it.

12.  Send a surprise/gift: We often have so many people that want to help and do more but don’t know what to do. We are pretty simple… here are some ideas for those who always want to do more… send an edible arrangement, flowers, a game to play, gift card (gas cards and grocery cards are VERY helpful), magazine subscription, movie, a visit to the spa for a massage, chocolates, or a just a simple note. Let’s be honest who doesn’t love a surprise in the mail? Having something that arrives in the mail even if it’s just a note can help lift our spirits.
13.  Mood swings: We're sorry if we're cranky, emotional, grumpy, afraid, snippy or more. It's hard to keep emotions under control. One minute we could be fine and the next we're not. At times a song, smell, or thought can trigger a waterfall of emotions for us. Be patient with us and don't take our attitudes or bad days to heart. We don't mean it
14.  Don’t be afraid: More often than not people walk around on egg shells around us. Given the circumstances it’s defiantly understandable. However, please don’t treat a cancer patient and their spouse differently. It tends to push them away. They want to feel as normal as they can. Act the same way as you would before they were sick. We know there is a fine line that’s hard to distinguish sometimes. Try to take into consideration to not to push them to do things there physically not capable of doing anymore or just don’t want to do.  


15.  Don’t enable: Believe it or not this happens more than you think! Don’t make decisions for the patient. Try not to go around them to ask their caregiver questions about them if they are capable to answer you on their own. Don’t team up them and give an “intervention”. The last thing they want is to feel enabled. Or as if there not “capable” to make decisions, plans or choices on their own.


16.  Remember you’re not the only one: Often many friends and family members want to help out when someone is sick. Try to remember you’re most likely not the only one offering to help. So if there is nothing to do this time don’t get discouraged. You never know when something might come up.


17.   Don’t get offended: Don’t be offended if we have to cancel our plans to hang out. It’s hard to plan days in advance you just never know when the cancer patient may not feel well or up to it. Also don’t get offended if you’re able to consistently help one week and then the next day it doesn’t work out anymore. It’s so hard to make and stick with concrete plans.
18.  How are you feeling?: This is a daily battle. This one is from Mike directly. He never knows what to say in the moment but so badly gets frustrated with this question. So here's the brutally honest truth. Mike is a cancer patient and he never feels 100% well. Whether he's in pain from the cancer itself or nauseous from the treatments there are always unpleasant side effects to battle. He’s always tired mentally, emotionally, or physically. He never gets a break. He worries about his future, his daughter, me and his family. One thing people have to remind themselves is they are not the only ones asking him how he feels. Everyone does, because of course everyone cares. He gets it, we get it. When we are working we see many people in the community. It's a constant back to back “how are you feeling”, “how are you”, or the worst one yet “you don't look so well”. One of these days I'm waiting for him to snap and say, “how do you think I am feeling I have cancer and I'm dying”. I wonder how someone would respond? He could be having an ok day and someone tells him basically you look like crap. That ok day then goes to a worse day. In all try to refrain from asking questions about how he's feeling and more general things like "what's new?” This blog is a great way to stay informed about his health so we don’t feel like broken records.
19.  Just listen: Don't share stories about how your now-dead friend/family member had the exact same diagnosis, symptoms, doctor, or treatment plan. We're never ready for such information. We'll likely become hungry for cancer stories later and have hundreds of questions. In the beginning, however, if you can't say something positive, don't say anything at all. Don't give over bearing advice, don't try to be super cheery, don't push lifesaving remedies or magic pills you have heard about. Though we do appreciate the information and advice, we also hear it a lot and need to make decisions on our own. Provide us with the information and if we would like to peruse it more we will get in touch with you to do so.  Unless we ask for this type of information-- just listen and let your friend talk.

20. Cancer isn't contagious: Give your friend a hug to let them know you're on their side. For me this may help as for Mike he doesn’t like to be touched! Only Ava and I get touching privileges. 😉 Most of all Mike doesn't want situations to feel awkward and he doesn't want to be stressed out! Sometimes he as well as I just need space. In those times being respectful is the best thing to do to help us. 

21.  Things not to say: I don’t know how you do this? I couldn’t do what you’re doing. Those these may come out naturally there not things you want to hear. You do what you have to for the ones you love when you’re in the situation. Please don't judge us. If you haven’t been through it before DON’T SAY YOU UNDERSTAND or “know” how it feels. Everyone has different experiences. It may be helpful to share your experiences but don’t explain how they are alike or compare them. We don’t want to hear this! In the beginning or maybe throughout it all we don’t want to hear how “strong” we are. Frankly we don’t always feel strong and don’t want to be told over and over.

22. Don’t take things personally: Sometimes we say things we don’t mean or say nothing at all. We get cranky, grumpy, depressed, and we’re sad. If we don’t return a call or text right away please don’t take it personally. We don’t keep our phones with us all the time anymore and they are both always on silent. This way we can get rest at night and sneak naps in during the day when needed.


23. If something happens don’t hide it: If you or someone we care about is rushed to the hospital in the middle of the night, you have a bad break up, or are in an accident don’t hide it. Often people think we can’t “handle it”. To be honest we usually can handle it better than anyone else. Our lives are different now. We have been through a lot! The amount of stress, fear and panic we have dealt with has prepared us for pretty much anything. Sometimes we may be the best people to talk to!


24. Tells us about your lives: Don't avoid telling your friend about your latest problem at work or the terrible thing your boyfriend did last night. We're still the same old friend you've always had ... don't shield us from reality. After being in cancer world all day, we'd love to dish with you just as much as we always did, if not more. In fact, we're probably starved for the latest mindless gossip ... anything not cancer-related. But at the same time we might want to talk about the cancer, so leave that door open as well. And if you don't know what to say, just say that. "I don't know what to say." Same goes for the happy moments in life… having a baby? Going on vacation? Got a promotion? TELL US. Just because our lives are difficult right now doesn’t mean we don’t want to share your milestones and life victories with you!

25. Don't disappear. You may not know what to say or do; you may feel awkward or sad or uncomfortable. At those times, it's easy just to fade into the background. To not call, to not visit. To not say anything because you don't know what to say. Try to resist this very human urge. Try to just show up, even if it's just to leave a voice mail or send an e-mail or drop a card in the mail. Let the other person know that you're thinking about them when you are.
26. Caregiver: Literally means to give care to someone else. I believe it is the hardest job in the entire world. They often become the interpreter between the patient and everyone else. Everything ends up going through them and sometimes puts them in an awkward position. Sometimes they even become a punching bag to protect the patient. They are always tending to the sick persons needs and trying to take care of everything else at the same time. Their needs often go unnoticed and pushed to the side. They need a break too sometimes (even if they won't admit it). If you have been a care giver yourself pat yourself on the back it is the most selfless thing you could ever do for someone else. You are always on duty and in the front lines of the battle. If you know a caregiver give them big hug and recognize them for their work I know they could use it! 
27.  Respect wishes: Please remember to be respectful of the family’s wishes. You may be hurting but they are hurting just as bad if not worse. You may want to jump in and tell them what they should do but leave his up to the patient and their spouse/family. We have discussed at great lengths how we (mostly Mike) would like things done if there is a turn for the worse. We have talked about anything from last bedside wishes to funeral services. These are topics that most people are unable to discuss when a loved one is sick. It takes a lot of strength to be able to talk about these things. I know what Mike wants he's written his wishes down and had made them clear. Please don't turn the spouse or caregiver into the bad person if you don't agree with the decisions that have been made. Don’t try to change them to benefit anyone else. I've seen this rip families apart after losing a loved one and nobody wants that. 


28. Don't be selfish: When someone is sick they need to put themselves first. Other people's needs and wants can’t trump the sick person. Think you know how to make someone feel better because it helped you in the past? Think again. You can't force someone to do something. For example cancer support group therapy worked for you? That's great but that doesn't mean it will work for someone else. Nobody wants to be pushed or have to feel bad because someone else wants them to do something that they think the patient needs. It's nice to suggest things but not push it upon them. At times you have to stop and think is this in my best interest or the patients? If we don't believe it's in the patient’s (Mike’s) best interest we have every right to make that call. Sometimes you have to let your arguments go in order to support the patient. 
Lessons you can learn for a cancer patient 
29. Don't sweat the small stuff: Don't stress about the small things in life. Don't complain that you have it hard when you don't. Get in a fender bender? Well yeah that sucks but be thankful you’re okay. Have drama in your life? Find a way to get rid of it. It's simply not worth it. Surround yourself with friends and family that love you and not people who bring you down. In a bad relationship? Not happy with your life? Find a way to change it for the better. You are in control of your own happiness! Most importantly take nothing for granted... Why you ask? Because NO ONE is guaranteed another day. So stop sweating the small stuff and start living!

30. Be kind: Be kind to one another. I've learned to smile when things are hard. You never know what silent battles people are struggling with at home. The next time you have a cranky waitress or a rude cashier try to think about what they may be going through. Even if in the end they are just nasty people you didn't waste your kindness on them... In the end it makes you a better person. 
I hope people find this to be helpful! Remember these are things that have worked for us. Every patient and family is different... So take that into consideration. When it doubt simply just ask if it's okay. Feel free to share this list with anyone and everyone!



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Tuesday, January 5, 2016

Thankful





We are so thankful with how our holidays went. Mike looked great he felt great he was his normal self laughing, joking and enjoying himself. It felt so good I almost forgot all about cancer. Ava was spoiled as always and she enjoyed the holidays as well. As long as Mike and Ava are happy I'm happy. We couldn't have asked for a better time with our families (aside from being cancer free). Thank you everyone for your warm holiday wishes!


Ava on Christmas Morning


Silly Christmas Sweaters!

My Family
Mike's Family


Mike's Family


Mike's been doing well. However he has had a new troubling side effect. Due to the toxicity from chemo treatments his nails have been taking quite the hit. They started off changing colors about a month ago. I have photos I could share but they are so gruesome! Just incase any of you are eating while reading this or plan to eat within the next 24 hours I'll spare you your loss of appetite. All jokes aside... its pretty bad. They turned a bluish black color similar to when you hit your nail plate badly and it changes color. They started growing in a deformed way and lifted up. After they lifted it created a breeding ground for bacteria. They soon became infected which we should have known sooner but didn't think much of it. They had a foul smell, with gunk coming out. It was getting painful for him and soaking in Epsom salt didn't seem to be helping. I sent some photos to his doctors and they said it was defiantly infected and prescribed him an antibiotic. I felt awful I wish we had notified the doctor sooner...

Last Thursday Mike had his 37th treatment... 37 it's so hard to believe he's had 37 treatments when most only get the chance to have a handful of treatments. It's been 16 months since diagnosis, or 480 days, 11,520 hours, 691,200 minutes... there have been many times we have had to take this journey literally minute by minute to get through. I'm thankful for the time we have gotten, the opportunities we have experienced. I am proud of the fight he has put up. Most people say not to take things for granted, to live your life to the fullest and to have no regrets because we're never promised to see another day and we don't know when it will be our last. It's a great philosophy to live by... but what about those who are deemed terminally ill? They have to live with knowing how they will die... but not exactly when. It's extremely hard living like this...

Thursday was Ava's first time ever coming to treatment with us. She was on school vacation and we thought it would be a good time for to come in with us. This way she wouldn't miss any school. We prepped her for the things she may see... sick people, wheelchairs, masks, even sick children. She still wanted to come. I packed her a bag full of games, activities and goodies. I had a back pocket full of ideas and activities just incase it was too much for her to handle so that I could be there for her and Mike. It was new years eve which resulted in it being extremely quiet at the hospital. I had never seen it so quiet! Of course we went in style. We all wore our Mike's Fight shirts and Ava and I decked ourselves out in purple accessories. Unfortunately a lot of my back pocket ideas were no good. Many of the places at the hospital were closed due to the holiday... arts and craft room, gift shop, food court, etc. were all closed. There were not many people around to see which maybe was a good thing for her first time. She is a very sensitive and emotional kid. Seeing sick people really sticks in her mind and worries her. She has a heart of gold and is always concerned about others wellbeing... (hmm sounds familiar... ; ] ). Since it was a holiday the doctors were all out of the office and our NP was the only doctor on the floor so we had to wait for a while to get in. When we finally got in to see the doctor we talked about Mike's nails. She looked at them and said right away many of them were no longer attached and would fall off. I could see the disappointment on Mike's face. She said the abraxane chemo was causing the nail changes. She decided to hold back on the abraxane and just treat him with gemzar so the nails could heal. We were not crazy about this idea because the last few weeks they have dose reduced Mike's chemo drugs due to his low platelets and blood counts. Now they wee taking away a drug... It's tough to know the drugs are working but we keep dose reducing and holding back. We have to remind ourselves that this isn't a sprint but a marathon. If we keep pushing him beyond his limits his body will continue to break down too much.

Mike's Fight Army


 

Ava on the look out for Mike's nurse



 


Such a precious moment




Garden Room
After his appointment we waited for his infusion. After he got his premeds I took Ava around the hospital. I showed her the indoor garden, we walked through the tunnels to Brigham and Women's I showed her were dad and I stayed when he was hospitalized, we hit up the café and Au Bon Pain for cookies and milk. On the way back from the Brigham we stopped by DF's chapel and wrote down prayers in the prayer box. We headed back to Mike's room and watched a movie on my tablet with our cookies and milk. His nurse (our normal one was off that day) kept complimenting us on how well Ava was behaved and how patient she was. I blew up medical gloves and Ava gave them manicures, jewelry, and tattoos. It was so cute. Mike finished early due to the treatment being reduced. In the car on the way home Ava was very chatty. She was asking questions about dad's cancer, how things worked and why things happen. We had a nice talk on the way home! At one point she said, "Mamma not many kids would say this but I liked going to treatment! I want to go back again." Ahh she so much wiser beyond her years! It was so nice to hear that. It meant A LOT to Mike for her to come into treatment with us and see what he goes through. It was another opportunity for her be involved with Mike's treatment, let her learn and spend time with us. She already asked when can she come again!

Ava the nail designer!




Later that night Mike was sitting on the couch cleaning his nails. I was looking at him and he just seemed exhausted. As he stared at his nails with such disappointment I told him it was just another symptom that really friggan sucked and that we would tend to it and get through it just like the rest of the symptoms. I told him that he looked defeated... that word got to him and he grabbed me with a flood of emotions. It was a moment that had not happened in a while. It hurt, it was painful, and I myself felt defeated too...

Though it seems like he wanted to give up over fingernails it was much more than that... the symptoms and side effect list never stops... nausea, bowel troubles, EXTREME daily fatigue, terrible rashes, numbness and tingling in hands and feet, dizziness, depression, anxiety, panic attacks out of no where, finger nails that fall off, piercing pain in his legs, weakness, no immune system to fight germs, stomach pain, cancer pain, bowel obstructions, vomiting, diarrhea, mouth sores, loss of appetite, back pain, night sweats, day sweats, hot flashes, chemo brain, brain fog, hair loss, did I mention fatigue? If it's not one thing it's another. If your having a good day it usually doesn't last... Sometimes we have to take it minute by minute to get us through. We coined a new phrase called "the wall". Every day he hits his "wall". Where he becomes so exhausted that he needs to lay down and nap. Sometimes a quick nap helps him feel refreshed other times he spends the afternoon into the night sleeping on and off.

One thing I wanted to address that some people don't realize or possibly forget about Mike's disease is that he is terminal. Terminal means a disease that cannot be cured or adequately treated and that is reasonably expected to result in the death of the patient within a short period of time. This term is more commonly used for progressive diseases such as cancer. Pancreatic Cancer has NO cure. His treatments don't end unless he wants them to or he becomes too ill to no longer treatment. He isn't eligible for surgery, there are no transplants, there are limited treatments to help him have a better quality and quantity of life. We hope for a breakthrough every day we pray for a miracle that something will save him and that is what we hold onto... is hope.

Today I have noticed his nails healing and looking a lot better. They do not look as infected, the don't smell much at all, and I think they have better coloring. Hopefully we are on the way up and will be back to having yet another symptom in the past!

Lately after talking about it we have decided to start "living" more. We have a list of things "bucket list" that we have wanted and now want to accomplish. Without really knowing it I guess we are off to a new start in 2016. It is time to reward ourselves because we know that we deserve it... more to come ; )

Believe it or not these post take a lot out of me! Sometimes I take hours writing them, reading them back, searching for errors. trying to correct my mistakes. This blog has been so helpful in sharing our journey and updating close family, friends and even strangers! I enjoy it, it gives me meaning and I know so many people out there that follow our story. My blog has had over 36,000 people view my blog. It is incredible! I am so thankful that Mike has allowed me to share his/our personal journey through this blog. Thank you Mike I LOVE YOU forever and always!

One last thing... recently Mike and I have lost our help with our business Perfect View Window Cleaning. We are looking for a part time person 2-3 days a week to clean windows. Flexible hours, must be able to travel. We will provide working supplies. If you are interested or know someone who would be please email us at mike.stephanie.howell@gmail.com Thank you!

Goodnight =]

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Thursday, December 17, 2015

'Twas the update before Christmas...

Today was Mike's 36th treatment. There wasn't any traffic on the way in which was nice. We didn't wait long for his lab draws and his port worked today. Lately his port hasn't been working (which is not uncommon) and has needed a medication called TPA. TPA is a chemical which dissolves the fibrin sheath and clears the catheter. Typically, a small amount of TPA (just enough to fill the catheter but not go into the bloodstream) is injected and left in the catheter for about 30 minutes, then withdrawn. 

When his port doesn't work it makes for a longer day and another unwanted arm stick to get his blood work. Thankfully it worked today. We grabbed some lunch and headed up to his appointment with his oncologist. Again we didn't wait long and got right in. His labs showed his platelets were low as well as his red blood counts. He was safe enough to have treatment today in hopes that his numbers would go up again next week on his week off from treatment. There's a possibility we may end up going back to a similar schedule like his old treatment where he would have two weeks on and a week off with a higher dose of treatment instead of three weeks on and one week off. After the holidays we will figure it out. If his treatment wasn't so late in the day today he would have been able to get a blood transfusion but it wasn't necessary and was too late in the day to start the process. If he is feeling crappy next week we can arrange for that if needed.

Ava is looking forward to a visit from the big 'ol jolly man. We have been busy decorating the house, making gingerbread houses, shopping and wrapping presents and watching her crazy elf, Twinkle fly around. 






Here is a photo of Mike and his amazing oncologist Dr. Rubinson. We have a lot to be thankful for because of him and his care team at Dana Farber! Just a photo of two young 38 year olds. Goes to show you cancer doesn't care how old you are, if your skin is white, black, or purple, if you have children, if you are otherwise healthy or how much money you make... Cancer can strike anywhere anytime. So remember to be grateful for your loved ones and your health.

From our family to all of yours Merry Christmas & Happy Holidays!





Donate to Mike's Fight... all donations go directly to Mike & I. Click Here

Each Bravelet that is purchased through this site donates $10 to Mike's Fight.
To purchase a Bravelet Click Here

Thursday, December 3, 2015

The update we have been waiting for

Last night we went into Dana Farber to get Mike's CT scan done to check his progress with chemo. I was very anxious last night and so wasn't Mike. It only takes one scan to completely change our lives. If it comes back showing that the treatments are no longer working we don't have any other chemo treatment options to try. We would then move on to clinical trials which feel like the end of the road. After his scan we fought the traffic home and stopped for dinner. After dinner we went home to rest up for today. Mike still has a cold and I seem to have caught it too so it was an early night for us.


Today we got Mike's scan results. Everything seems to move in slow motion (besides my heart) on scan results day. We were waiting to find out the next step of our lives... My legs were bouncing around with anticipation and I couldn't sit still while Mike slept on the couch. He wore a mask today due to his cold. 


After waiting for about two hours we finally got called into meet with the Doctor. We started the long walk down the hall to the exam room. My legs didn't want to keep moving. I tried to count to 5 in my head... by the time I got to 2 that idea flew out the window. I sat in the chair with racing thoughts through my head of all different scenarios. The doctor came in made a joke about Mike's mask and made fun of our beloved Patriots and I knew he must have had good news. I mean who makes jokes when they are about to give you news about your life changing for the worst! With a smirk on his face he said... Mike's scan looked good and that his tumors were continuing to shrink... I felt like I could breathe again and was smiling from ear to ear I could have jumped into the air and danced around. I looked at Mike and said are you happy about that and he said yes!


We kind of expected this to be the result but can never be too sure. He's generally been feeling well with little to no stomach pain, no nausea or vomiting, no bowel troubles, he's been eating and maintaining his weight. His tumor markers have also been low enough to not be detected in his lab draws. So I suspected this was going to correlate with a "good scan result". 

Mike had the option to hold off treatment today due to his cold but he decided that a good scan result meant he wants to keep pushing ahead. The doctor was okay with that so he dose reduced his chemo and ordered two liters of fluids to help him bounce back from his cold. He also reminded us that his treatment plan wasn't a sprint but a marathon. He didn't have to push through treatment when he already felt miserable but for those who know my husband he is head strong and wanted to push ahead. I truly believe his stubbornness and me picking him up along the way is keeping him in the "marathon". Who would have thought his stubbornness would keep him on top? 

For now we can breathe easy and get through the holidays. For those who ask how do we do it? There's no easy response we just keep going our journey is not over. Though he has had some days recently that he's said he wants to give up and that he's tired I help him get through it. He has his moments... he's tired mentally and his body is tired. Who wouldn't want to give up? I'm tired too. This isn't a normal life but it's OUR life and we make it work! 

One thing I ask is for as we enter the holiday season be kind to one another. Slow down and appreciate those you have around you. Stop taking everything and everyone for granted. None of us are guaranteed another day. The holidays aren't about making every thing perfect, stressing about that dessert you forgot to make or the bottle of booze you forgot to pick up for uncle Joe. It's not about the material gifts you give and receive it's about having your loved ones around you... They are the true gifts of life. 

Mike and I would give anything to not have to live from scan to scan feeling like sitting ducks waiting for things to turn. However this is the cards we were dealt with in life and we will continue to push on even in our darkest of days. 

While Mike gets his well needed rest I am off to relax. 

Oh and by the way cancer... FUCK YOU we got this babe! ; )

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Friday, November 27, 2015

Crappy weeks off...

Last Thursday Mike had his 33rd treatment. When we went in for his appointment the doctor informed us that his platelets were low at 67. We never know in that moment his labs are done if the platelet levels are on their way back up or still going down lower. Anything below 50 is an increased risk of having bleeding if you bump yourself or fall. His oncologist doesn't usually treat PC patients with platelets under 75. We had a few options we could hold off treatment for a week in hopes they would rise, we could skip treatments for two weeks then start a new cycle or he could have treatment that day at a 20% lower dose (since he had not reduced his dose in the first two weeks of this cycle). We talked it through... the first option meant we would have to go in for treatment the day before or after thanksgiving which would be a nightmare to fit us in the schedule. The second option meant skipping for two weeks which we were not comfortable with. The last option to treat at a lower dose made the most sense. Since his treatment cycles are 3 weeks on and one week off we were really looking forward to having thanksgiving week off and to stay on schedule to have Christmas week as an off week too. With his doctor telling us he was comfortable to have treatment that day at a lower dose we decided to go with that. However, we had to bring him to have blood work that following Tuesday to find out if he needed to go back in for a blood transfusion or a platelet booster. Luckily his bloodwork came back today and he was at 142 which is a safer range.

For the past month or so Ava has been coming home with a cough/cold and not feeling so well. Some days she looks fine when other she looks miserable. Her mother had taken her to the doctor and she got an inhaler and hoped that would help. Monday morning I had talked with her mom and she said Ava was sounding awful again and was going to get a doctor appointment for the following day. Unfortunately Ava went to the nurse at the end of the day and had passed out at school. We rushed to get her and brought her straight to the doctors. She was very dehydrated from her cough and lack of fluids. Mike had to wear a mask in the doctor office since his immune system is severely compromised. Ava had a rapid flu test which came back negative and she also received the flu shot. Everyone that is around Mike often has to have the flu shot. She was given an antibiotic and we hope she will finally be feeling better.

Since Ava has been so sick the past weeks she has had to keep her distance from Mike. Mike immune system is so weak and its very important for his health to not have him get sick. I can't stress it enough. An illness could take him out... Unfortunately Mike started not to feel well on Tuesday into Wednesday. I got right on the phone with his doctor to find out the next step. He was given medicine and has to stay hydrated or we will be in the hospital for IV fluids.

Of course on his week off he doesn't feel well for other reasons. The last time he had his week off he didn't feel well either. It's been a good 2 months plus of feeling crappy with what seems like no break. During his treatment weeks we push through on auto pilot and when it's his off weeks we slow down to try and enjoy it. Unfortunately cancer doesn't take the holidays off...

On a side note Mike's new anxiety meds have done wonders. He is no longer having his hot flashes or is anxious. However, his rash on his arm is resurfacing, the mouth sores are troublesome, his legs ache and his overall fatigue wipes him out daily. All these things don't help with his depression. He still wishes he could just have a day that he feels good. We all wish that for him...

Yesterday we spent Thanksgiving at my parents house with both my family and Mike's. We had a great time.



Ava's elf on the shelf, Twinkle has returned. She is very excited about it. It's cute to see how excited she gets for the holidays.

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Donate to Mike's Fight... all donations go directly to Mike & I. Click Here

Each Bravelet that is purchased through this site donates $10 to Mike's Fight.
To purchase a Bravelet Click Here

Thursday, November 5, 2015

Short but sweet.


Today was Mike's 31st treatment. It may have taken almost a year but we finally figured out the best time to go into Dana Farber so that we miss traffic and long wait times. Things went pretty smoothly. We arrived on time and didn't wait long for labs. Mike's port didn't work today so they had to put TPA in it to clear it up for treatment. Mike hasn't been feeling great over the past few days. He started having a lot of anxiety followed by body hot flashes, sweating, dizziness and light headedness. He struggled to work this week and I was of course worried about him. His rash on his arm ran its course and was defiantly bothersome. Going into this weeks appointment we were both anxious. I had a splitting migraine that I couldn't shake. Thankfully Mike's appointment went well. His oncologist said that all of his bloodwork looked great. His liver counts have been off the past few months due to the effects of chemo for the past year. It was a concern but today it looked great. There are two different types of tumor markers for PC. The blood work tells us what they are. His CEA was in normal range at its lowest count yet and his CA-19 was so low that it wasn't even detected in his blood. He previously had chemo induced anemia which was significantly better and his red/white blood counts and platelets where in great ranges. This was all good news! He hasn't had belly pain which is a good sign and his symptoms are mostly side effects from treatments. Aside from the rash (which he set up an appointment for Mike to see dermatology) his fingernails have been sore and changing shape. He said it was toxicity from being on treatment so long. The great thing about his oncologist is he listens to us gives us information that we can understand and works with us to come up with treatment plans. He asked us what we thought the hot flashes were coming from and I was pretty certain it's from the anxiety he has been battling, which Mike agreed. His oncologist thought it could be a sign the cancer is growing but said since his blood work was great, he doesn't have pain, his stomach isn't distended and he can't feel any tumors through his belly that it's likely it could be an anxiety reaction. So he prescribed Mike some daily anxiety medication. We will see how it works fingers crossed! 


We didn't hit any traffic on the way home either which was great! Once we got home Mike myself and the puppy all crawled into bed for some snuggle time. 

Health update on me. My insurance hit its maximum for physical therapy visits so I had to stop therapy on my sprained ankle. I sprained it back in May and it has never been the same since. I can feel the effects of not being in PT anymore. It aches and is so sore. Some days both of my feet hurt so bad I can't walk at the end of the night or in the morning when I wake up. I'm not really sure what I am going to do. My orthopedic doctor in September mentioned if it didn't get better then I would need an MRI to see if surgery was needed. I know my health is important but I just can't handle the stress of all that right now. I am hoping to go back to PT in January when my new insurance starts. We will see. In regards to the terrible symptoms I have been battling since April 2014, nothing has changed. My doctor is going to treat me for Lyme since my symptoms match Lyme disease to a T. I start that treatment next week. She said I will get better before I get worse so we will see. Finger crossed. I have thought it was Lyme from day 1 but never showed positive on the tests. However Lyme is very difficult to diagnose and not everyone that has it will test positive for the disease.


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Donate to Mike's Fight... all donations go directly to Mike & I. Click Here

Each Bravelet that is purchased through this site donates $10 to Mike's Fight.
To purchase a Bravelet Click Here