Third Chemo Holiday Scan

I met with Dr. S yesterday to get the results of last Friday’s scan and was very pleasantly surprised! My cancer continues to grow at about the same rate as the prior two scans. However, since I “look good” to Dr. S, he feels that it’s okay for me to stay on a chemo break through the coming holidays. I will start chemo again in early January. We will do another scan in mid-December and then plan for renewed treatment after I get fat on Christmas pudding. He did say that I should get in touch with him if I have any issues before then – specifically cancer pain or signs of jaundice. I have yet to have either, so I hope that trend will continue.


We talked a little bit about how the tumor measurement is interpreted. I have often described them as “freckles” on my liver since the measurement is quoted as a diameter. I pictured them as spots each the size of a different coin – a penny, nickel, quarter, etc. But that’s not quite right. The tumors are three dimensional like a marble or a small ball and they aren’t necessarily on the surface of the liver. My larger ones are now just under an inch in diameter.

So, in trying to picture what my liver really looks like, I did some homework last night on how big a human liver is. The answer in part depends on the size of the person. Women have slightly smaller livers than men but that’s just because they’re slightly smaller anyway. The liver is shaped like a right triangle with the long side running horizontally under the ribcage from the right side of your body to the middle. The short side runs down the right side of the body. For an “average” man, it is about 9 or 10 inches across, 6 inches tall and – amazingly I think – 4 inches deep! It weights 3 to 3 ½ pounds and has a volume of about 1.4 liters (about 48 fluid ounces). In other words, it takes up about the same amount of space as four cans of soda.

So, if we drop into these four cans of soda three or four marbles of about 1 inch in diameter and perhaps 8 or 10 smaller marbles (like the kind we played with as kids), that’s my liver. Hope you liked that visual! BB

October Scan and Assorted Other Items

October is heading for a finish that’s a lot more “normal” now. Most importantly, my father’s dementia has cleared substantially. He is still in need of regular assistance but he is aware and capable. Our plan was to have him come up yesterday to stay for a month or two either with us or in a facility nearby. We had found one near my brother in Pennsylvania that sounded good and was reasonably priced (insurance wouldn’t cover it). However, at the eleventh hour, Robbie located a nurse in my father’s community who agreed to stay with him in his guest room and help him while he recuperates. Dad wanted to stay in his own house which, beside the comfort of being home, is much better laid out for someone with difficulty walking. So, we struck the deal and Rob came home solo yesterday.

We were all very glad to see her! The kids and I did fine in her absence, but she has a way of running the place that everyone likes. So, the boss is back and we’re all getting back to the usual routine. And just in time!

I had a CT scan today and have my meeting with the onc next Tuesday. I expect that there will be more growth and that he will have me start chemo again very shortly. There’s an outside chance that the growth will be so slight that I can have a little more time, but I’m not counting on it. So for the next few days, I am preparing myself to go back into treatment. As you might imagine, I’m not that psyched about it. I like having hair and eyebrows. I like being able to eat anything I want without all the GI problems. I like not feeling sleepy or like a truck ran over me or both. But, you can’t always get what you want (copyright: Rolling Stones 1969).

In the meantime, we’re doing the usual things you’re probably doing this fall. The pumpkin is on the front stoop. The yard is full of leaves and acorns (to be cleared this weekend). Mid-semester progress reports have arrived from Morristown High and parent-teacher conferences are being scheduled. Dave had a game this afternoon (winning 22-8, improving to a season record of 4-2-1). Vicki and Dave are planning their big Halloween party at our house next Saturday. And…one of my favorite October activities…the Yankees are still alive (barely) in the playoffs!

Hope you are enjoying the season! Go Yanks!! BB

Mid-October Update

I returned late last week from Florida to find the fall in full swing! The days are cool, the evenings even cooler and the leaves are starting to change. What a difference from the 90 degree days of the past three weeks. The only sign of fall I saw down there was that the Sand Hill Cranes had started to return.

My father is still in acute rehab but he is getting better. He is physically getting stronger and with it, his dementia is fading. He is mostly in the present with just lapses of confusion. But, in talking about his situation with the case manager in his facility, it sounds like Dad’s insurer will release him this week and send him home. He is certainly not ready to live on his own just yet. We had expected him to be moved to a skilled nursing facility for a bit first but I am told now that that seems unlikely.

In the meantime, I didn’t want Dad to be alone in rehab for too long, so Robbie volunteered to go down for a while. She flew down yesterday. The idea was to have her visit him and monitor what the doctors were doing until he was ready to move to skilled. Now it looks like she will be there for his release. Glad we booked that trip. I hope my father will agree to come straight to Morristown upon his release. He can stay with us for a few weeks to regain more strength and to start working out a plan for whether he should move to some kind of assisted living. We also want to look into him permanently moving back north.

So I am now Mr. Mom for a while as Rob does the heavy lifting in Florida. I think she may be able to find some time to hit the beach, which would be a good reward for her. This weekend, I had the pleasure of getting to one of David’s football games. It was a beautiful fall Saturday morning for a home game on the high school’s fancy new field. The boys played exceptionally well for an easy 32-20 win, improving their season record to 3-1-1. Here’s a picture of David making a nice solo tackle!

Deep in the Heart of Florida

Well, a new month begins and I, for one, am glad that September is over. I have spent a large chunk of the month "deep in the heart" of Florida but there haven't been any beautiful beaches or umbrella drinks.

I came down at the beginning of the month to take my Dad to have a procedure that involves two of my least favorite surgical terms - cardiac and groin. In other words, he had an angiogram. This procedure involves threading a line into your heart through an artery in your groin in order to take lewd pictures of your heart's innards. While he came through that procedure with minimal complications, the results of the test were a need to have his aortic valve replaced and a double bypass. We scheduled that surgery for the 20th.

I came back for the open heart surgery starting on the 19th and it has been quite a haul since then. He made it through the surgery extraordinarily well from a physical perspective. No complications and surprisingly, he hasn't taken a single painkiller! Unfortunately, he has had a very, very difficult time with the mental effects of the anesthesia. I can't even begin to describe what it's been like other than to say that it's been all dementia all the time. Sometimes the dark side and sometimes the daydreamy kind but seldom any reality. Thankfully, he is starting to come out of it and today was a really good day for connecting perception and reality. I am actually incredibly excited that things are finally turning for better. We're not in a normal place yet ( in many different ways) but at least we can see it from here.

As with everyone who goes through open heart surgery, I know that the recovery is long and I'm sure it will be for him. But, it sure is good to have him back to a place where we can at least talk. He'll be able to walk again and dress and do all those other things we all take for granted as he gains his strength. It may take some time, but I am confident he will get there. If the dementia continues to improve, as it now looks like it will, he may well make a "full" recovery.

I know many of you have gone through this with family members or, in some cases, personally. And as far as I can tell, you are no more demented now than you were before the surgery! So I can now say that I feel your pain and I congratulate you on the mountain you have climbed!

As for me, I am greatly looking forward to (eventually) leaving this flat, humid, unforgiving panhandle and returning to my sweet, oak-shaded hilltop where I can ponder the wonders of Man and Nature.

Wishing you all an October full of beautiful foliage, apple cider and pumpkin pies...BB