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

Thursday, June 11, 2020

Incurable, Incurable, Incurable Forever and Ever and Ever

6.10,11.2020

Hello Friends,

Where to begin... I'm so beat up...
I don't want to always post poor me syndrome news all the time, but sadly that's the true reality of my life...

I hurt all over
Every time I move, I pull a muscle or tweek a bone
Or crack a bone, who knows
I hurt all over
I hurt physically
I hurt mentally
I hurt inside and out
I hurt because Myeloma is eating me up from the inside out
I hurt because I still try to be me, and do "regular" things, when I shouldn't
I hurt because I am reminded of my lost dreams and goals

Still, now matter how much time has passed, how long I have been fighting Myeloma, I still cannot comprehend and accept what has happened to me... I understand intellectually, I know the medical facts, but I just cannot accept that Myeloma is killing me slowly, one day at time, and I don't have the options I used to have. I used to have all kinds of options. I specialized in options. I created options. I worked hard for options. I coached everyone on their options. But my options have been stolen from me.

My life status hits me all the time, but now with the change to Elotuzumab-Emplicity, and back to Revlimid, with the resulting side effects, denied realities hit me daily. I am so sore. My head constantly hurts. My neck hurts, my back hurts, my legs hurts. It hurts to sit. It hurts to sleep. I can never fully relax or feel good. I'm dizzy all the time. I live half my life in the bathroom. I think I have new tumor on my spine, or maybe an old one that is now presenting externally. I felt this one when my little doggie Jack sat behind me in a chair, and leaned against me, and wow, I nearly jumped out of my skin.

I want so badly to be me. The me that did anything, went anywhere, worked there, worked here, did chores, did everything around our ranch. Just did, and didn't think twice about hurting myself, because I was strong, I rarely got hurt. Seems like any time I do anything now, I tweek something, and I'm "punished" for my try, for days. I reach up, I lean over, I do any "normal" activity, I sneeze, I cough, I live.... and boom, something is tweeked. I hate pain. I hate suffering. I can handle this dang cancer sentence if I can feel ok. But pain. Pain is so painful. I dislike taking pain meds. But I have to take pain meds. My head hurts as I type right now. A deep pain in my R side head where this crazy "mass" is. My neck hurts, my back hurts, my toes are numb. But yes, I know it could be worse....

My Dr called me yesterday, or the other day and wants to expand the MRI I am due to take, have been supposed to take prior to the Virus. The scan will be my Brain, my Head, my Skull, my Neck, my "Cervical Spine", etc etc. Yes, without and with contrast. I'm on the phone scheduling my appointment, asking questions about the Gadolinium contrast dye, and Suddenly... cleanse time. I never talk on the phone in the bathroom, but I didn't have a choice this time. Lovely!

I don't have cramps, and often no warning. Just a sudden "gotta go now"! This is another reason my life is so edited. How can I do anything, if my lower GI is always out to sabotage me. And this is Thursday after Monday's chemo. 1,2,3,4 days later. Yes, I barely have 2 or 3 ok days each week. And no, I don't want to take Imodium all the time, as my body needs to cleanse out from Monday's treatment. Cleanse out the chemicals, the meds, the dead cancer cells, etc.

I'm so sad. So sad about what happened to my life, half way through my life. Some days I think about what it would be like to just stop this madness. Then I quickly stuff those feelings. I live for everyone else, not me now. I am doing all I do for everyone else. I don't have that feeling of personal reward any more. My life is completely selfless now. I am treating and staying alive for those that love me and need me, human and animal. I hurt, inside and out, but I can't give up or give in. I just can't. Not yet...

I really feel the ravages of 10 and half years of Myeloma chemo treatments. I feel the toll the meds and the cancer itself, has taken on my body. I feel the tumors and lesions in my body. I feel like I don't own my body anymore. Myeloma owns me. I wish I could just see inside and see how much Myeloma has taken over. I will see some on the MRI to come. But I "feel" the mass in my head. I feel how it is pushing on things inside my head. Headaches and head pain non stop. It's not a "regular" headache. It's different. It hurts. I feel pressure. Bones, nerves, muscles hurt too. Everything hurts. Yes, I am kinda scared...


So I am not sure if the Elotuz Emplicity is causing all the pain and muscle weakness. Maybe it's the combination of oral and IV Dex steroids, as I take 28mg in pill form before my Monday IV infusion, and then along with the infusion, they give me another 8mg via IV. Who knows. I didn't have this pain early on with the Revlimid. Maybe the pain is good news and means the meds are attacking the myeloma!!!

So in just 2 weeks, 
my IGA did come down a bit.

I am very fortunate that my body organ stats (ALT, AST, Bilirubin, Creatinine, Calcium, etc) still continue to be in the "normal" range. My CBCs though always are subnormal. WBC at last labs were 2.0! Reds low too. Platelets and Hemoglobin, just below normal. Chemo hasn't been cancelled in years, so my Dr and Pharma team deem me "ok" for treatment. So crazy, as these are really strong meds. How can my body handle all these chemicals for so long. Well, "handle" is relative, as who really knows what's going on in my bod, as the way I've felt lately... ugh... something is certainly up... But, as frustrated and sad as I am, I am also truly grateful and amazed I'm still here, and I always manage to get my head back together, even when I am having a "pity party". 

Crazy, I still try to do a lot, too much, around our property, and I suffer the consequences, but there's too much history and too many years of TLC invested here, to give up yet... Here's a few cute pics from the last week or so.

First tomatoes of the season!

So many beautiful roses that Jim planted years ago

Mr Tortoise enjoying some salad

How dumb is this! Thought I'd try weed whacking
but wasn't prepared for the power of the tool. 
Look at me in sandals LOL.
The sticker on me was from being screened at Kaiser.
I think this was after chemo, so I was on steroids
and thought I could be who I used to be :))

Sweet ladybug 

Jim's Hibiscus from Hawaii

Well friends, so much more to share, but I'm beat up on so many levels. It takes me longer to write and post now, as I have so many "interruptions", with everyone and everything needing me, as well as all my side effect distractions. Hope you are doing well, feeling well, and finding joy every day within all the challenges always challenging us. 



6 comments:

  1. Julie, I'm so sorry. You're an amazing person and I appreciate you sharing your experience. I feel like you're sharing what I am feeling. Our paths and how we view our disease are so similar. Take care, be well and we'll chat soon. Sending you love and hugs.

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    1. Hi Matt, thank you for your kind words of support and camaraderie! It is amazing how this awful cancer brings like minded spirits together, and I am so happy we have connected as we have. Hope you are doing well, and feeling well and pummeling myeloma! xoxo

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  2. Dear Julie, Thanks for sharing your news and what you are feeling right now. You are courageous to be so unblinkingly honest. I'm very sorry you are having to go through this relapse, but there is optimism for this new line of treatment. With your photos, I'm so glad you have captured beautiful images that clearly give you joy as you are struggling to cope. I know you will keep on trucking -- you always do. Sending you a cyber message of encouragement!

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    1. Hi Aurelie, so nice to hear from you! Thank you for all your support and kind words! Yes, I try to find joy and happiness everyday, as this dark cloud tries to consume me. I just want to live, and be painfree, and enjoy each day. I can live with being on continual treatment, if I can feel halfway ok. Hoping you are doing well, and myeloma isn't challenging you too much! xoxo

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  3. Dear Julie, So sorry you are so beat up right now and struggling with personal physical issues as well as hubby's. How you manage to be so transparent about your challenges yet find the good in your life just shows who you are in spite of myeloma. Who knew all those years ago when Jim was planting and making your ranch so beautiful, what it would mean to you today. I know you draw strength and comfort from your beautiful property and your animals. So Jim is still blessing you every day even though he may not be aware of it. Thank you for you honesty and transparency through it all. Love you, Carol

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    1. Aww, thank you Carol! Yes, you are so right. I am so very fortunate to have the beauty surrounding me, while being so challenged with this awful cancer. I think all the time of all the people struggling on so many levels, while not having the natural beauty surrounding them, replenishing them, as I do. Yes, Jim worked so hard, with so much love invested here. So sad that he cannot enjoy as he once did, but as you say, we are so blessed to have the beauty and critters we do, to give us joy and smiles. Hope you are doing well, and life is happy and healthy for you and your family xoxo

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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.