Clinical Trial #2

My previous blog let you know that my first experience with a Clinical Trial, (aka, CT #1) was short lived. Why? CT scan showed an increase in the cancer in my pelvic and abdomen, there was more pain, and my blood tumor marker (CA-125) had tripled one month after I began CT #1.

Yesterday, exactly four weeks since the last infusion of the CT #1 meds, I began Clinical Trial #2 (aka, CT #2) also at the same nearby oncology clinic.

The first of my four special days at the oncology clinic was yesterday. By the time I left, 12 1/2 hours later, I swallowed the 4 PARP Inhibitors capsules, had 2 EKGs, 12 blood draws, lunch and dinner, and was checked by the doctor. This is what they call 'the long day' at the clinic.

Thanks to friends and family for all the love and support. I will have three more 'long days' of this clinical trial during the next two weeks.

Why so much lab work, you may ask? To see which of the formulations of this PARP Inhibitor, also known as targeted therapy, works best in my body. In eighteen days, I will be given the best and specific PARP Inhibitor dosage and the new chemotherapy medicine, both oral drugs.

So after all that, how do I feel? Tired, bloated, loved, and hopeful.

Dear Diary,

When in doubt, write it down

Among the many qualities cancer survivors acquire on their path of healing is the ability to sense when things are changing in their bodies. As a result of scans and/or lab work, those hunches are often confirmed.

Dear Diary,

A few weeks ago I had pains in my abdominal/pelvic area. Medical staff checked it out and said it didn't seem to be serious. "Go on your trip and have a good time, call if things get worst!"

The morning after I returned, my doctor called while he was on vacation. The recent blood work was red flagged (my term) and get in for a CT scan as soon as possible, is what came across. Seven hours later, the CT scan was completed.

My dear Diary, the results are in. The clinical trial I began one month ago is not helping because the ovarian cancer is progressing. #@&#!!!!

And the pain and tenderness has been increasing. double #@&!!!!

So as of two days ago, I'm off of that clinical trial (aka, CT #1: Avastin and the mystery drug)

In two days I will again be in the doctor's office to discuss the next treatment plan, something I will probably refer to as CT #2,

So as I write to you Diary, we have to recall that during the past 26 months three out of the five earlier chemotherapy treatments had successfully reduced the cancer to a more livable level, such as 'no sign of disease' or 'cancer free' or 'remission.' And if it was possible then, it will be possible again!

My Dear diary, thank you for being here whenever I need to express myself. I bet you realize by this time that sometimes I just can't talk, I can only write. Thank you for just being a good listener. Now, I think I can go for that walk that I have been putting off all day long.

Image above:

Basket of writing pads and clip boards at The Wellness Community in Santa Monica

Stay tuned in for the 5 o'clock news

What's Inside

2010

Instead of having a PET/CT scan in four weeks,

continuing abdominal discomfort, among other things,

resulted in having a CT scan today!

Oh my, oh my!

I'm glad this technology exists, that is,

to be able to 'see' what's under the skin without a surgical procedure

But,

I gotta say,

I couldn't take my much needed afternoon nap

because I was wondering

what my teams of doctors will recommend in two days

Oh my, oh my!

This piece, “What's Inside" (computer assisted from original) was modified from, “A Day in the Life of Michelle,” mixed media, July 2010.

The art was inspired in Art Therapy recently at Premiere Oncology in Santa Monica, California.

How are you?

Point of Reference

2010

The gal in cancer support group e-mailed me, "How are you?

This morning the answer just seemed to be...

Fine...but I'm thinking about a 'growing feeling that something new is going on in my abdominal area'

But if I don't think about it, doesn't it kinda just go away, for a while?

I'm fine until I get the results of the next scan in a month, and the results of the somewhat helpful tumor marker within the month...

I'm fine ... because I'm going to meet my recently discovered family soon

I'm fine - I'm fine

This piece, “Point of Reference" (computer assisted from original) was modified from, “A Day in the Life of Michelle,” mixed media, July 2010.

The art was inspired in Art Therapy recently at Premiere Oncology in Santa Monica, California.

DNA Testing

A Moment in the Life of Michelle

As my guiding spirit and I address the topic of genetic testing, a wave of calmness bathes not only my body and mind, but my essence as well.

Take a deep breath………..Exhale…………….

We are both exploring the topic of DNA testing, first my spirit with innate knowledge, guidance, and support, and myself as I begin this exploration with strength and curiosity.

The first results of my family history, genealogy DNA test came to me, not by the Texas company that received my cheek sample in early June, but from Derek in Australia via an e-mail yesterday. He wrote that it appeared “we have a 5^th cousin match on chromosome 19 with Family Finder” and would I send him more information on my family genealogy.

How could this be? I asked myself as I began my investigation into not only the reference to the DNA test results, but to Derek’s specific question.

In response to my disbelief, this morning’s second e-mail from Derek included a copy from his results that includes my name. Hopefully, within a few days I will receive official notification about my genealogy DNA as it relates to people and places throughout the world.

The other arm of my DNA testing was revealed three hours ago when I received documentation from my new oncologist that I was BRCA2 positive as determined by a Utah company. That means I’m a carrier of a mutated gene that makes me more vulnerable (at higher risk) for ovarian and breast cancer. Or to put it another way, two of my three diagnosed cancers (ovarian, aka, primary peritoneal and breast) are a result of genes I inherited.

What else does this positive result mean? I will find out in time. But, I know I will be guided in this medical DNA search with my guiding spirit, doctors, and curiosity.

Take a deep breath………..Exhale…………….

NOTE:

This writing was inspired in Writers Workshop this week at The Wellness Community in Santa Monica.

The art was inspired in Art Therapy last week at Premiere Oncology, also in Santa Monica, California. This piece, “A Moment in the Life of Michelle” was modified from, “A Day in the Life of Michelle,” mixed media, July 2010.

In transition

Day in the Life of Michelle

Major Change in Cancer Treatment--

Three weeks ago an emergency PET/CT scan and tumor marker blood test revealed that chemo was not working and I was sent to another doctor for possible participation in a clinical trial. Two weeks of lab work, physical exam, review of previous treatment reports, and three MRIs resulted in acceptance in a clinical trial of twice monthly infusion of two drugs, Avastin and mystery drug.

Am I glad I qualified to be in the clinical trial? Yes, because I have new options. You might recall that during the past two years my previous oncologist took me through five different chemotherapy drugs for the cancer in my pelvic region. Three of the drugs successfully attacked the cancer, but as is the case with my particular cancer, the cancer 'smartens up' and the chemo becomes useless.

The 'best part' about being at my new medical facility for the clinical trial is that I live ten blocks from the clinic. The other 'best thing' is the place I'm going for the (four, going on five) MRIs is at an imaging center just a few miles from my home. Compare that to the forty minute drive, from door to door of my previous and wonderful doctor, and 'I'm a happy camper!'

My arms are providing the blood for analysis, sometimes ten vials at a time, and my blood vessels are the highways for medical contrasts and clinical trial drugs, however, the injured tissues from multiple poking on both arms are sensitive. Today my arms are healing through the color range of red, green, and purple.

The technicians say, "You have great veins, now just relax."

Yeah, right! I think. Just poke me in the right spot and then I won't tighten up!

The next few months looks like this:

Next week, blood draw and the following week receive the second infusion of drugs in the left arm while my right arm is used for multiple blood draws. I'm given multiple EKGs and my vitals are checked (heart rate, blood pressure and pulse) every 15 minutes

The following week: MRI with contrast and return to clinic for blood draw, aka "Safety labs"

This completes Cycle 1, about one month in length

Mid August begin Cycle 2 with "Safety labs" (multiple blood draws, urinalysis ), EKGs, check of vitals every 15 minutes during the infusion process of the two bags of liquid drugs.

The following week, "Safety labs"

Next week, drug infusion, and of course, Safety labs, EKGs, and check of vitals every 15 minutes during the infusion process

The following week, "Safety labs"

PET/CT scan in September

Begin Cycle 3, if everything is going as planned.

Are there side effects?

Yes!

Possibly! and

No!

This topic will be explored in the future

"Day in the Life of Michelle"

mixed media

about 11 x 14 "

July 2010

Premiere Oncology Foundation Art Therapy workshop

On a good morning, I can see ...

Yesterday I had my second meeting with my new oncologist. WE (my two loving supporters) really helped me feel taller, bigger, and stronger as I'm facing the multiple options and then ranking the best treatment plans or clinical trials. They both took notes and one, a cancer survivor, assisted in asking questions. While the doctor was out of the office we had a chance to review facts and perceptions. And then, reading the notes last night helped me to feel even more knowledgable.

While the oncologist and I will speak today with the results of his afternoon meeting with his colleagues on my case, I'm feeling pretty confident in my abilities to review, question, and decide the best course of action.

Oh, did I tell you there are other professional and personal contacts who are helping me through this process?

YESSS, Sir REEE!

Untitled,

Acrylic on wood, 2009

Currently on display at Premiere Oncology, Santa Monica, CA