As the title says this blog is one man’s effort to make sense out of his journey fighting melanoma. I have enjoyed reading some of my fellow melanoma warriors’ blogs and thought it might be an interesting way to share what this journey has been like for me. If you find this interesting great, if not that’s great also. Selfishly this is more about me getting this out and moving on from being a cancer patient to being a cancer survivor.

Let’s clear up a few things. Yes, I know how to use spell check and no I don’t always use it. I majored in accounting, not english. I have always been a below average writer, which is why I find the therapeutic value of doing this surprising. I think for this blog to make any sense you pretty much have to go to the archive and start from the beginning which is titled “Life Is Good”

I am not a doctor or medial professional of any type. My blog is not endorsed by any medical professional or facility mentioned in it. Every decision I have made about my care was done after careful consultation with my medical team. Decisions I have made were right for me but should not in any instance be considered right for anybody else. I don't recommend taking medical advice from an accountant.


Key West

Key West
Sunset

Wednesday, December 28, 2011

Late Christmas Gift

No my late gift was not the bottle of scotch.  I had to buy that for myself.  Today I got the results of my latest PET scan which was done on the 23rd and it was great news.  100% normal and NED.  You prepare yourself for whatever news may come and I was prepared for whatever but was of course hoping for good news.  My oncologist was very pleased and said he didn’t want to see me again for 6 months.  That seems like forever considering last January I was seeing him 5 days a week while getting Interferon treatments.  My blood work looked good and all my levels have all returned to normal.    My life is slowing coming back to me I think.  As of February 1st my time on the project I am working on is up and I will be off the road and back to my old job.  It will be a big adjustment to not be traveling anymore.  As much as I complained about it I think I will miss the excitement and challenge of being on the project.  That and being able to visit NYC.  I also will really miss my new friends that I have met these last two years.  The bad news from the visit today came when I stepped on the scale.  If I was playing strong safety for the Chiefs I would be about the correct weight.  Unfortunately I am not so I have some work to do. 

Well I am going to go crack the seal on the Macallans and enjoy a cocktail.  I don’t know that I will ever consider myself a cancer survivor or not.  I currently cringe at that title for some reason.  I always just think of myself as a guy somewhere between my last clean scan and my next unknown one.  Today I got six more months of peace and I will take it.  Thanks again to my  family for their unconditional love and support.  I love giving you guys good news and really appreciated all the e-mails and text messages today. 
Paul


Friday, November 25, 2011

Thanksgiving Thoughts

To say I have a lot to be thankful for this year is a huge understatement.  A year ago I really felt like my life was spinning out of control and to be honest I wasn’t sure I was even going to be around to see this Thanksgiving.    I had just received the results from my SNL biopsy and it was positive for melanoma in my lymph nodes and this was just worse news on top of bad news.  Heck a year ago my family didn’t even know of my diagnosis yet.  I spent last Thanksgiving with my then girlfriend and her family.  It was a nice thanksgiving and they were all very welcoming to me for the holiday but there was so much going on it was hard to enjoy it.  I didn’t know it at the time of course but that was actually the last bad news I would receive from a biopsy.  I have had two more surgeries since then, multiple spots carved of me by my dermatologist, and two additional PET scans.   All have been no evidence of disease or NED as we say.  Being a stage 3 melanoma patient isn’t the most desirable of positions to be in, but it beats the hell out of being a stage 4 melanoma patient.   Toss in my time on Interferon and it’s been quite the journey.  I can’t help but feel like I have had my dance with the devil and lived to tell about it.  What I am most thankful for this last year is my family, especially my children.  Their support has been the difference for me this last year and I can’t imagine going though this without their unconditional love and support.  My granddaughter is too young to understand but her mere existence motivates me.  My mom and dad, brother, and sisters have been incredible.  I received support from aunts and uncles, cousins, and nieces and nephews.  I am truly a blessed man.   I also am very thankful for a new appreciation of what it means to beat cancer.  Before I was diagnosed it was black and white, if you lived you beat cancer, if you died you “lost” you battle with cancer.   I can tell you now I see this very differently today.  Nobody who fights this disease before getting called home by our maker is a loser.  If there is a loser in this equation it is us.  We lose friends; family members lose loved ones but for those whose journey in this realm comes to an end they have beaten cancer.  They have inspired us with their courage and teach us what it means to fight.  In their names and memories we help raise funds for research, do what we can to raise awareness, and become advocates for our fellow warriors.    I was surprised to hear from so many strangers during this last year.  My angel Tim offered encouragement, Dianne walked me though interferon treatments, Rich entertained me with this blog, Al pays tribute to his brother so eloquently, and Chelsea writes like I wish I could.  They share their stories about their own journey with this disease and offer encouragement and support to others.  Keep fighting like hell my friends, is there any other way?   For those of us still here we beat cancer every day by just rolling out of the sack and putting our feet on the floor.  Right after I started my interferon treatments a fellow warrior in the chemo suite told me that I didn’t realize it yet but we were the lucky ones.  I wanted to punch him, I didn’t feel lucky.  Then later Lance Armstrong told a story in his book about somebody telling him the same thing and he had the same reaction as me.  But now, a year into the journey I am beginning to see what he meant.  Obviously I am lucky to still be alive but it’s deeper than that.  I am lucky for my new outlook on life.  I appreciate everything a little more.  Things that once caused me stress just don’t anymore.  I hope that never changes.  I continue to slowly feel a little better.  The fatigue that dogged me all summer and fall seems to have subsided.  The memory loss and other side effects from chemo seem to be getting much better and fortunately/unfortunately I have gained back all the weight I lost while on interferon.   Life is good. 

Paul

Sunday, October 9, 2011

Great News

This has been such a great weekend.  First off my mom had her knee replacement surgery on Friday and is doing wonderfully.  She was back on her feet within 24 hours and with the help of a walker moving again.  I just talked to her earlier tonight and she sounded great.  My prediction is that she is back shopping within 8 weeks.  It was really hard to watch her struggle these last few years as her knee deteriorated but it will be great to see her bounce back.   My sister Michelle was there and stayed with her and kept me up to date via text all weekend.  As I am sure many of you know it is so hard to be away from family when stuff like this is going on.  She goes home tomorrow and mom and dad both sound excited for that.   My mom has always been one of my biggest supporters even before I was diagnosed.  Her will and determination this weekend has been inspiring.   If I ever get back home again I hope to go and see her.  Unfortunately as it looks now it may be the week of Thanksgiving before I am home for any significant amount of time. 
I haven’t been feeling very good lately and Dr. D confirms its still side effects from the chemo I was on which is hard to believe.  It’s been nearly six months since I took my last treatment but sometimes I have these stretches where I just feel like crud.  Mostly just fatigue but also get the body aches and some of the other side effects I had during treatment.  I still have to remind myself that others would love to have my problems.  I have been very lucky.   I ventured out into Montreal some these last two days but not as much as I would have liked.  It is such a beautiful city and there is so much to see and do.   I visited the most beautiful church today.  It was in Old Montreal and I forget the name but it was the church where the sailors would go before heading out.  Again, there is so much to see and do here.  I am holding out hope that I can get to a Canadians hockey game this week but tickets are so dang expensive. 
Some common themes  you will hear from melanoma patients is that they want more than anything to beat this disease, see more money spent on research and a cure, and to prevent others and their families from going through the hell of this disease.  Today was a huge victory for people who have this disease and who have lost loved ones to melanoma.  California governor Jerry Brown today signed legislation that makes it illegal for anyone under the age of 18 to use tanning beds.  They are the first state to pass such legislation and I am sure not the last.   My hope is that this move by him will create such a controversy that there will be hours and hours of coverage by all the major news channels.  Unlikely I know, but I can still hope can’t I?  If tanning beds caused breast cancer they would have been outlawed years ago.   A year or so ago I had the luxury of either ignoring this news or going off on some rant about the government taking away our rights or sticking their nose in where they don’t belong.  I no longer have that luxury.  Instead I have a hole where my armpit use to be and a scar that goes from my shoulder blade to my neck and the lovely side effects from months of chemotherapy.  What a difference a year makes.      Today was a small victory, but victories are few and far between in the world of melanoma.  I now find myself in the position of having pen a thank you letter to Governor Jerry Brown and for those of you who know me this will be painful but I am glad to do it.  As I tell people all the time if you want to use tanning beds I have no issue with you.  No more than when I walk past the smoking area at work.  I chain smoked for many years, it would be hypocritical of me to pass judgment on them now.  What I do strongly suggest you do however is educate yourself about the dangers of tanning beds in particular and sun exposure in general.  Don’t be intellectually lazy and just assume it’s going to be ok.  We all know people who have smoked for 30 or 40 years and they don’t get cancer.  We also all know people who worship the sun and go to the tanning bed many times a week and don’t get cancer.  That doesn’t make the risk to you or your loved ones any less.  There are also people who never smoke and get lung cancer, and there are people who get cancerous moles in places that have never been exposed to the sun.   Make an informed decision.  If you have teenage daughters I especially encourage you to spend just a half hour reading about the dangers of tanning beds.  Melanoma rates amount young women are growing at a near epidemic rate and the scientific research is pretty clear that links increased tanning bed use to this increase.  Also, I became aware from one of my fellow bloggers and warriors Chelsea that some sororities are actually requiring members to use tanning beds a certain amount of hours per week to keep up their tan and the houses image.   Disgusting on many levels I know but for people like me who have a daughter in college and in a sorority its something else to ask about. 
As I was thinking of what video to post with this entry into my blog I came across the beautiful version of Halleluiah by K D Lang.  Since this is my first blog entry from Canada it seems appropriate.  I think KD Lang is so talented and much underappreciated in the states. 

Wednesday, September 21, 2011

So Long R.E.M. And Looking Back


It was a year ago today that I got the call telling me that I had cancer.   It was a really off day for me today and I am not sure why.  My memories of that day are very vivid and I can still hear the concern in Dr. Gs voice as he was telling me the results of my lab test.   I wasn’t planning on entering a post in the blog today but when I heard the news that REM was calling it quits this song came to mind and I began to remember how calming my sister was to me that day.  I was a mess when I called her and she talked me off the ledge as they say.  It is my most vivid memory of that day.  This was always one of those songs that has always brought me happiness and sadness at the same time.  REM was such a great band.  I still remember the first time I heard Murmur on KJHK in 83.  So sorry I never saw them in concert.  This song sums up how my year has been.  I have been so lucky and I won’t even start thanking people for fear that I will leave somebody out.  After a run of bad test/scan results last September/October, five surgeries on or around my left arm and shoulder, and nearly five months on interferon, I have been cancer free since last November.  Something I wouldn’t have bet on a year ago.  I also wanted to mention to people who support the KU Cancer center that today their application for NCI designation was sent out.  This is a huge day for cancer patients not just in Kansas City but the whole Midwest.  Some day we won’t have to travel to places like Houston or New York to receive the latest trials and treatments. 
Ok, one more video.   Eddie Vedder wrote the words to this song while sitting on his surf board in San Diego at the age of 18.  The first and third verses are true stories about his own life .  The middle verse is, well creepy I guess best describes it.  He told the story on MTV story Tellers one night how he always thought of this song as a curse or burden of some sort.  Writing it did little to help him come to terms with these events in his own life.  As this song got popular and they began to play it in concert he said people would come up to him after a show and tell him how much this song meant to them.  They told him stories of overcoming tragedy and that they felt lucky to be alive although they had no idea why they had survived.  Military vets, columbine students,, on and on people would tell him their stories.  It was then he realized why he wrote this song and that he began to find peace in his own life and come to terms with what had happened to him.  By relieving other people burdens he was able to relieve his own.  In that spirit I want to recognize my two favorite bloggers.   Rich who pens the blog http://hotelmelanoma.blogspot.com/.  Rich you always have the best takes on events and great taste in music.  Your blog has given me some much needed humor this last year.  Chelsea who pens http://adventurewithmelanoma.blogspot.com/ .  Chelsea you might be the bravest person I kind of know.  You two, MG and Tina are the biggest reasons I started my blog, and probably the reason why I will give this thing up some day.  I consider you both friends and partners in this battle.   Many clear scans ahead for us all.  This video is in HD and can take some time to load but it is worth it.  The guitar solo at the end is one of my favorites and in my opinion one of the more underrated solos in rock. 
Paul
is something wrong she said
of course there is
you're still alive she said
do i deserve to be
is that the question
and if so,...if so...
who answers?

who answers?

Friday, September 9, 2011

Well once again my blog is suffering from neglect.   Let’s get the dreaded medical update out of the way first.  My surgery August 22nd went well and I had two of my favorite ladies taking care of me for the day.  My older daughter drove me home after I was awake enough to get into her car and on the way home we picked up my granddaughter at daycare and they came and spent the rest of the day with me.  Some pain but nothing that a few percocets couldn’t handle.  Jenny took good care of me and Taylor kept me entertained.  Just over a week later I was in a cab in Montreal when my phone rang and I saw it was my surgeon and as expected the mass I had removed showed no signs of cancer.  Even though I was expecting this news it still feels great to hear it officially.   The rehab from the surgery is going well and I am nearly back to where I was before the surgery.  I also had my 90 day check up with my oncologist this week and it was very uneventful.  Everything looks good and he was as happy with my lab results as I was.  I was hoping that this would be the trip where I walk into his office and the receptionist didn’t recognize me but no luck, she still knows who I am.  Maybe next time.  It may sound odd to most of you but it will be so nice when I walk in there and it has been so long that they forget who I am.   I got the flyer that I posted above from his office.  It made me stop and think about what cancer cannot do to me instead of what it has done to me. Attitude really is everything.  It also made me think of my former classmate who lost her sister to leukemia last month.  Once again I really really hate this disease. 
The Sunday after surgery I headed out to Colorado to check in on my daughter at CSU.  A quick funny story and I am about to show my age I suppose.  I knew it was a co-ed dorm but assumed that it was like dorms were when I was in school where opposite sex member were not allowed on each other’s floors for the most part.  Well apparently sometime during the last 30 years this has changed and the floors are actually co-ed.   Two rooms of girls who share a bathroom, then two rooms of boys who share a bathroom.   I asked Sara what time I was allowed on the floor so I could come and see her room and she gave me this confused look and I now know why.  Anyway, she is doing well at school and I think this adjustment is harder for me than it is for her.  So far this empty nest thing is overrated; maybe it will grow on me.  I had a great visit with her and we did escape for an afternoon in the mountains.   On my last evening there we had dinner with some old neighbors from when we lived in Colorado and a daughter of one of my cousins who now lives in Fort Collins.  It was a great evening and both Bob and Sandy and my cousin Sarah made themselves available to my Sara which meant a lot to me.  I feel better knowing that she can call some of our old friends or a family member if she ever needs something.  It gives a nervous dad peace of mind.  She joined a sorority this week and is pretty excited about that.  Not sure how I feel about it but she was quick to point out that they have the highest GPA on campus which she knows will calm my fears.  I am trying to not remember my freshman year and the things I did.  Surely she has better judgment than I.  I am really looking forward to next weekend when I am headed to Atlanta to see my brother and his family.  It has been way to long since I have seen them. 

It’s hard to believe but I am coming up on my one year anniversary of being diagnosed with cancer.  It seems like I have been in the battle for 10 years.  I think the best analogy I have heard so far is that it’s like trying to jump back on a merry go round.  The world keeps spinning even for us cancer patients and at some point we have to jump back on.  Right now it still seems to be spinning too fast but I am getting closer to jumping on I think. 
Once again thanks to all my family and friends for their support during this last surgery.  I don’t know how I would get through this without you.

Paul

Sunday, July 31, 2011

Good News, Some Noise, & Dylan Tune Stuck In My Head

Well the good news is that the biopsy I had done a few weeks ago has come back with favorable results.  No sign of melanoma which as you can imagine makes me very happy.  The "noise" as I am calling it is that they want to remove the mass anyway just because it is in the area where the affected lymph nodes were  So on August 22nd I go back under the knife for more surgery and another scar from the battle.  Its outpatient and I shouldn't be under for more than an hour.  The shame of it is that my left arm is just now starting to feel normal from the lymphectomy  I had done in December.   I don't really know how much this surgery will set that back and it really doesn't matter.  Again I am so happy to have Dr. M as my surgeon.  He never tires of my endless questions and always takes whatever time I want from him. 

I ended up getting stuck in New Jersey this weekend.  I was scheduled to fly home Friday afternoon and fly back Sunday night.  Continental has been having labor issues all week that stems from their acquisition with United late last year.  The beef as I understand it is this.  Both airlines have pilots on layoff status.  The Continental pilots feel that they should recall all Continental pilots first before offering jobs to layed off United pilots.  I guess this isn't what is happening.  I heard a bunch of pilots bitching about it last week as I was riding the train around Newark getting my rental car.  So they had a sick out this week in protest.  I think this is actually illegal on their part and think it will be interesting to see what happens.  I am guessing nothing.  How do you prove a sick out?    So my flight was coming from Louisville, but canceled due to unreported issues.   I am guessing no pilot or co pilot.  No biggy, they assign a different inbound flight for us to use for our return to Kansas City.  The whole time flights are being canceled left and right over the PA and the line at the customer service desk is getting huge.  Then the mother of all storms blows into Jersey and they pretty much cancel every flight going out that evening.  My opinion is that Continental was being opportunistic and used the weather to cancel all flights so that they can use the weather as an excuse and not have to compensate people.  Anyway, the last thing I want is more free flights.  So I went back and got a new rental car and headed back to the hotel that I had checked out of earlier that day and checked back in.  For all you Pawn Star fans I ran into Chumlee at the Budget rental counter in Newark.  Pretty much just like you see on TV.  Very friendly and personable guy.  I spent yesterday in NYC at the metropolitan museum of art.  All I can say is wow.  What an amazing place.  The city is just packed this time of year and tons and tons of people everywhere.  I look forward to the tourist season being over so its not so crazy, just normal NY crazy.  The freedom tower is coming along nicely finally and you can see it from Jersey now as you are coming in on the train.  The five hours I spent sitting at the airport waiting for them to cancel my flight I had this Dylan tune stuck in my head.  Like most Dylan tunes I have no idea what he is trying to tell us, but it somehow seemed appropriate.  My favorite version of one of my favorite Dylan tunes.  I forget where Rollin Stone had this song on there top 70 Dylan songs but remember thinking it should be higher.  Am I the only Dylan geek who read that edition of Rolling Stone? 


Saturday, July 23, 2011

 
I really didn’t need another reason to hate cancer or any reminders about what’s at stake in this battle but I got one today.   A fellow warrior and blogger was taken home last night.  RIP Tina, your fight was not in vain.  Every hour somebody dies form melanoma, this one hour it happened to be somebody whose blog I followed.  It sucks. 
"Good, strong people get cancer, and they do all the right things to beat it, and they still die. That is the essential truth that you learn. And after you learn it, all other matters are irrelevant. They just seem small."
 Lance Armstrong


It is with a heavy heart and great sadness that I let you know Tina's journey has ended. She went peacefully this afternoon, and was surrounded by family. Tina's story of her battle with melanoma touched many people, and was an inspiration to all - she will be missed dearly...