Cowgirl Up!!! ... Does Horse Poop Cause Cancer??

Wednesday, September 27, 2017

Keep Moving Forward ... Always Forward Towards Accomplishment

9.27.17

Hello and almost Goodbye September!
Can't believe I am almost to 8 years surviving Myeloma! I've really been focused on this, as Statistics at my Diagnosis, December 30.2009 predicted I wouldn't still be here! Forward march I go... always! Always planning to live, while doubting I would. But always planning to. Each day, week, month, year surprises me I'm still here. Yet I expect it. I'm surprised to still be alive, yet I expect to be. I never assume tomorrow, but I hope for many tomorrows.

It was pointed out to me recently, that I really do represent someone that actually "lives in the moment". Yes, I do. I really do. It's all about what's happening now... as who knows what Myeloma has planned for me. I don't, do you? I just want to make the most of each day I am here. I want to continue to live life, breathe in life, hear life surrounding me, participate in life...
So on that note, I have a story for you, as I did just that... participate in life, sharing my life story with others.


Hello again-  it's 9.28.17 now...
What a week. Chemo crash began yesterday from Tuesday's Darzalex, combined with being in the middle of my 3 weeks of Pomalyst, and Monday and Tuesday's Dex steroids. I'm just a Sloth without any helium today. But here's my exciting story:

Monday, September 25, I presented my myeloma story at Amgen.
Awhile back, I joined a "cancer patient advocacy group" called "Voices of Experience", where we are invited to share our story and treatment experiences related to Amgen's oncology products. Amgen is pivotal in my life, as back in 2015-2016, the chemo/immunotherapy I was on, (Kyprolis), is developed and manufactured by Amgen, and Kyprolis saved my life. I was more than happy to share my successful journey with staff members, as I really have a passion to thank everyone involved in all my successful and life saving treatments thus far. I'm not sure how I found the VOE group, but I like to put myself out there to share my journey and experiences with anyone, or any group that wants to hear from me. Similar to sharing my life, via this blog.

As college counselor Julie, I presented to student groups often, but the idea of speaking to all these smart bio-pharmaceutical business execs, pharmacists, oncologists, and researchers was a bit intimidating, I have to admit. The anticipation of who, how many, how will it go, will I be interesting, on point, intelligent sounding and fluent, nearly did me in beforehand! But I have always believed we better ourselves and those we are connected to, by taking "self development risks". Some may interpret "risks" as extreme sports, physical challenges, etc, but for me, it's the mental challenges that I embrace and challenge myself with.


Prior to the speaking event, I had several phone consults with representatives of Voices of Experience and Amgen staff members, letting me know what to expect, perimeters of my presentation, etc. Everyone was kind, supportive and encouraging, and I accepted the challenge to share my crazy myeloma journey. But how to condense almost 8 years of medical treatments and the personal psychological details of an incurable cancer diagnosis, into a limited 15-30 minute presentation! I need hours to share this journey of mine I laughed.

So for a week prior, I formulated my presentation in my head, and jotted notes down. Basically, I had to condense this entire Blog into a limited speech. So much to share, so little time. One night, while brushing my teeth before bed, my whole presentation came to me, so I grabbed my phone, and wrote it out in minutes and emailed it to myself. So funny how those moments of inspiration come to us. Sunday prior to the Monday presentation, I reviewed and rewrote my thoughts out, but I am not the type to practice a speech. Never have. I sort out ideas in my head, gather my important thoughts together, and rely on my natural "wing it style", and "no filter, shock 'em with zingers style", to deliver my message with an impact.

Monday was a beautiful drive out there, and I met up with my gracious Amgen "host-agent" Kathryn. We had a chance to get to know one another via phone, over the past week, and shared our crazy cancer stories. What a survivor she is! And she's still working and commuting. We laughed at our GI challenges, while trying to navigate "normal life" experiences. Such a wonderful lady, so honored to know her and have her guide me through this event!


Originally they thought the group could have been 100 -150, but as it turned out only about 50ish, maybe more, I didn't count...  so it felt like I was right back at COC. The meeting hall, auditorium, reminded me of some of the modern classrooms at COC... which pushed some buttons for me, as I sure do miss my days of Counselor Julie, welcoming students to college...

But as the staff filed in, and various people came up to say hello and introduce themselves, I felt right at home, and was happy I had accepted the invitation to share my story. Still quite "aware" of the "brainpower" in the room, and the brilliance of who all these people are, I worked on settling my old nerves of self doubt, and worked on "humanizing" the moment.

 Selfie time as staff files in

Voices of Experience created a lovely slide show
of pictures I sent them

They "miked me up" and off I went. I'm a very spontaneous speaker, not formal at all, very real and heart felt. I tried to buzz through my story, knowing the clock was ticking. What did I say? Basically, this whole blog lol, super condensed. I spoke much longer than they allotted me, and appreciated their sincere interest in my myeloma journey. If you've been following my blog and my deeper psychological musings, then you know the "flavor" of my talk. This is how I ended my presentation:

"And finally, my last full body skeletal scan revealed myeloma is really trying to eat me up from the inside out , as I now have a Hole In My Head, on the L side!! Yes, a Hole in my Head! My first Lytic Lesion, along with a hard tumor on the R side...

I continued on...
"Last year, I asked my COH, SCT doctor point blank:
“ So Doc, how many Years would I have if I stopped all treatments, just decided I'd had enough of side effects and feeling yucky all the time, how many years would I have”...

He said ..... “Julie, you wouldn't have years, you would have months”.... 

"What??!! I thought maybe he didn't hear my question correctly... So I restated it... emphasizing YEARS...

"He leaned in kindly to me and my husband, and said... “Julie, I'm not GOD, nor do I have a crystal ball, but without treatments, you would have months... how many months, we don't know, but it would be months, not years... "

 And I concluded with:
"Thank you, to all of you, for doing all that you do, to help save the lives of cancer patients like myself. I'm alive because of all of you and your colleagues! Thank you for listening and caring as you do! 

"My Counseling motto was: "Saving The World, One Student At A Time...
Yours is: Saving The World, One Cancer Patient At A Time.... 


Yes, all went well and moral to my story, take those risks, get out of your comfort zone, push those personal boundaries ... The risk is scary, the challenge rewarding, and the outcome invigorating!

Make a difference everyday, no matter how big or small! But get out there and make a difference. Better to try and know, rather than let fear own you, as you'll always wonder what could have been...
If you are Myeloma patient, or other cancer patient, or whatever your "challenge" or "success" is... get out there and share your story, as so many can benefit from what you have experienced medically and psychologically!
Our words are powerful, our thoughts important, your story matters!



Words I live by daily!

Thank you for checking in and caring as you do! 
I love comments, so I know who you are and what your life is!

4 comments:

  1. You're awesome, Julie!

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    Replies
    1. Why thank you JD :)) So are you, and thank you so much for checking in and posting! xoxo

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  2. Yay Julie! So proud of you for pushing those boundaries and helping to put a human face on the work Amgen is doing to save our lives. I'm starting out on carfilzomib as a recently diagnosed person, so I especially appreciate it!

    ReplyDelete
    Replies
    1. Aww, thank you Bernadette :)) Thank you for appreciating my efforts! Go Carfilzomib Kyprolis!
      Please let me know how it goes for you. I found it quite tolerable. Less GI stuff than Revlimid, for sure! Thank you for checking in and commenting, and be sure to update me on your status! :))

      Delete

My Story... How my MM was diagnosed

October/November/December 2009...

Most of my life I was VERY presumptuous about being healthy, taking my (mostly) GOOD health for granted...
I was committed to annual check-ups for all of us, and so late October 2009, my daughter and I went for our annual and very routine physicals.

Surprise, surprise... my routine blood tests revealed extreme Anemia, significant White and Red Cell issues, low Platelets, and a variety of other CBC red flags! I was (stupidly) not worried when my GP doc left repeated phone messages to contact him, and when we did speak, I (stupidly) requested postponement of his referral appointment to the Hematology Dept until the end of the Fall academic term.

Arriving for my first appointment Dec 14, 2009, I was confronted with the check-in sign that read: "Hematology/Oncology"... What? Nooooo! not me... I must be in the WRONG place! And so my diagnosis journey began with vials and vials of blood drawn "stat", urgent Dr consultations, a surprise and painful Bone Marrow Biopsy, a full body Skeletal Scan, more blood tests stat, and then on 12.30.2009... THE revealing meeting... the "huh-what" moment ... the confirmation diagnosis that I, Julie, have CANCER!!!

Happy New Year to me, I just learned a new vocabulary word:
Multiple Myeloma!!! MM, Multiple Mye-what-loma!!!

January - June 2010

My medical metamorphosis began.
I read, and read, and read and researched and researched MM. I trusted my expert Oncology/Hematology team's plan and began my "New Normal" as a cancer patient.
My treatment plan was developed to include powerful Dexemthesone steroids paired with Revlimid chemotherapy, with the plan to be hospitalized for an Autologous Stem Cell Transplant July 2010.

I began living "one day at a time" like never before.
Jim was a wreck. Alissa and Scott were stunned; family and friends shocked.

Me... Cowgirl Up! I got back in the saddle and knew I was in for the ride of my life!
I did well on my initial pill-form Revlimid Chemo, "roid-rage" Dex Steroids and other supportive meds. I am forever deeply grateful and appreciative for all the love and support from everyone in my personal and professional life! I thank all of you for working along with me, and allowing me to continue to lead a semi "normal" life!
YOU have helped save my life!

My treatment trail ride forks to City of Hope hospital as I will saddle up beginning June 9, 2010 for a new rodeo called an Autologous Stem Cell Transplant!
Ye-Ha, let the adventure begin!

Chemical Warfare...

January 2010 - May 2010:
My initial chemo regimen:

Pill form Chemo= Revlimid (10mg, 15mg capsules)
Pill form Dexamethasone Steroids (40 mg, 4 days on, 4 days off!
Omeprazole for steroid acid reflux
Mepron (looks like yellow finger paint) Anti-fungal, Anti-viral, etc for my very compromised immune system
B-12
.81 Aspirin to prevent DVT, Revlimid complications
Allopurinol- keeping the kidneys healthy
Acyclovir- anti-Shingles, anti-viral

June 2010:
High dose IV Cytoxan chemo
Neupogen to build up stem cells for Apheresis, stem cell harvest, which was very successful, as City of Hope was able to collect 9.5 million of my own stem cells

July 2010 Hospitalization:
Two days of high dose Melphalan chemo
Then July 5, 2010 = my Autologous Stem Cell transplant infusion!

And you can read my whole story from that point forward in this blog!


What is multiple myeloma?

What is multiple myeloma?

Cancer starts when cells in the body begin to grow out of control. Cells in nearly any part of the body can become cancer, and can spread to other areas of the body. To learn more about how cancers start and spread, see What Is Cancer?

Multiple myeloma is a cancer formed by malignant plasma cells. Normal plasma cells are found in the bone marrow and are an important part of the immune system.

The immune system is made up of several types of cells that work together to fight infections and other diseases. Lymphocytes (lymph cells) are the main cell type of the immune system. The major types of lymphocytes are T cells and B cells.

When B cells respond to an infection, they mature and change into plasma cells. Plasma cells make the antibodies (also called immunoglobulins) that help the body attack and kill germs. Lymphocytes are in many areas of the body, such as lymph nodes, the bone marrow, the intestines, and the bloodstream. Plasma cells, however, are mainly found in the bone marrow. Bone marrow is the soft tissue inside some hollow bones. In addition to plasma cells, normal bone marrow has cells that make the different normal blood cells.

When plasma cells become cancerous and grow out of control, they can produce a tumor called a plasmacytoma. These tumors generally develop in a bone, but they are also rarely found in other tissues. If someone has only a single plasma cell tumor, the disease is called an isolated (or solitary) plasmacytoma. If someone has more than one plasmacytoma, they have multiple myeloma.

Multiple myeloma is characterized by several features, including:

Low blood counts

In multiple myeloma, the overgrowth of plasma cells in the bone marrow can crowd out normal blood-forming cells, leading to low blood counts. This can cause anemia – a shortage of red blood cells. People with anemia become pale, weak, and fatigued. Multiple myeloma can also cause the level of platelets in the blood to become low (called thrombocytopenia). This can lead to increased bleeding and bruising. Another condition that can develop is leukopenia – a shortage of normal white blood cells. This can lead to problems fighting infections.

Bone and calcium problems

Myeloma cells also interfere with cells that help keep the bones strong. Bones are constantly being remade to keep them strong. Two major kinds of bone cells normally work together to keep bones healthy and strong. The cells that lay down new bone are called osteoblasts. The cells that break down old bone are called osteoclasts. Myeloma cells make a substance that tells the osteoclasts to speed up dissolving the bone. Since the osteoblasts do not get a signal to put down new bone, old bone is broken down without new bone to replace it. This makes the bones weak and they break easily. Fractured bones are a major problem in people with myeloma. This increase in bone break-down can also raise calcium levels in the blood. (Problems caused by high calcium levels are discussed in the section “How is multiple myeloma diagnosed?”)

Infections

Abnormal plasma cells do not protect the body from infections. As mentioned before, normal plasma cells produce antibodies that attack germs. For example, if you developed pneumonia, normal plasma cells would produce antibodies aimed at the specific bacteria that were causing the illness. These antibodies help the body attack and kill the bacteria. In multiple myeloma, the myeloma cells crowd out the normal plasma cells, so that antibodies to fight the infection can’t be made. The antibody made by the myeloma cells does not help fight infections. That’s because the myeloma cells are just many copies of the same plasma cell – all making copies of the same exact (or monoclonal) antibody.

Kidney problems

The antibody made by myeloma cells can harm the kidneys. This can lead to kidney damage and even kidney failure.