Saturday, August 26, 2017

Curve Balls Hitting Me in the Head

It’s a cool Saturday morning and I am sitting on the couch typing this post with my hot cup of green tea and cartoons playing in the background. I feel little twinges of pain and stiffness in my lower back but I feel so blessed to be sitting here this morning. I love Saturday mornings where they day stretches out in front of you with no major plans or commitments. It’s the best!!

Since coming home from Colorado things have taken a very unexpected turn. I have been in a state of fog and loopy memories of the past two weeks. It all started super early Wednesday morning Aug 16th. We had enjoyed a really fun dinner with our Friends the Riley’s Tuesday night. We spend the evening catching up and just enjoying each other’s company. I felt great, minimal pain, maybe a little tired but overall not bad. Around midnight pain started in my lower back and began shooting down my butt and legs. It was definitely sciatic related pain which can be very painful. The pain continued to escalate and none of the pain meds I took even touched my pain level. Around 1am I knew we needed to head to the ER so we called our friends the Riley’s (who we just saw at dinner) and they came and got Charlotte and took her home with them. By the time they arrived to pick up Char I was in so much pain I could barely talk. We headed to the Johns Hopkins ER which is about 30min away. Steve said we got there in 15-20min but all I know is that this was the longest drive of my life. We had made that same drive during a painful episode a couple months ago and this was so much worse. I don’t remember much of the ride aside from telling Steve I thought I was going to die. We get the ER after what felt like a life time and I triaged within 5 mins, a record for the ER. My blood pressure is very low so I got back to a room right away. I also explained my diagnosis of stage IV cancer in the bones and having level 10 pain. Although my memories are a little fuzzy it was one of the best ER experiences we have had. Staff was attentive and they were ready to do whatever it took to get my pain under control. I should also mention that I had taken and extremely large amount of pain meds by the time I got to the ER and when I say a large amount that is not an exaggeration. I should have been knocked on the ground having taken so much. But the scary thing was nothing I took even touched the pain. We believe that the meds caused my blood pressure to be so low because the pain level I was feeling should have resulted in high blood pressure. No surprise the IV was a challenge and after two good tries the Dr did an ultrasound guided IV which worked great. The IV was in and we could start IV pain meds, YAY!! It took a little time to get dosing right but they finally got there and pain was reduced. I went on an every 2 hour regiment which worked but I was ready right at the 2 hour mark for more meds. We had to stay on top of it so the nurses would be ready before the pain got bad again. My sister Joey arrived around 4:30am and around 6am we moved to a more comfortable room within the ER observation wing. A few hours later we had a room in the Weinberg Cancer wing of the Hospital. I had emailed my oncologist letting him know I was in the ER and he stopped by as they were transporting me to the observation room. He reiterated to the staff the importance of managing my pain, it was so nice of him to stop in to check on me.

While in the ER I had a CT of my lower lumbar that showed a fracture in my lower spine (near the tail bone and the sciatic nerve). The source of my extreme pain was related to this fracture and the fracture was caused by the cancer. I had no trauma or injury to this area so the cancer had finally done enough damage to weaken the spine for the fracture to occur. We hunkered down for our stay at Weinberg knowing more tests would take place over the next day or so. A MRI of the lower lumbar was 1st on the docket. At this point I had not been hooked up to the pain pump where I could administer my own pain meds. It is so helpful on both me and the nurses to have a PCP pump for pain management. However this MRI was needed and the pump was not in yet so I took a dose of meds which was hopefully going to get me through the scan. MRI’s are long and lying on that hard table can be a challenge when you are experiencing back pain. Between transportation to and from the scan and the scan itself, by the time I got back to my room I was in so much pain I don’t know how I got through it. When they asked me what my pain level was I squeaked out 15. They had the pain pump waiting for me which was great but it took what seemed like an eternity for them to get it connected and ready for me. Once it was ready I was able to give myself meds but only every 10 min and I needed something to get my pain back under control after the scan. So they gave me a push of meds so I got a full dose and it didn’t take long for me to get some relief. My sister Kelly, her husband and my niece Sydney had come to visit and unfortunately they were there for the show of Erin being in so much pain, it was not pretty.

I had an additional MRI of the upper spine which showed some really discouraging news that there is new cancer on the spine in multiple places. They didn’t characterize all of the cells but did mention T2 being involved. We were devastated by this news but know that this cancer would have been there prior to starting the IV mistletoe treatments in Colorado. Praying hard that the Mistletoe is working throughout my entire body to heal and improve the existing cancer.

During my stay in the hospital I kept running a fever but I didn’t have any of the normal symptoms. They thought maybe it was a tumor related fever but wanted to rule out a few things, one being blood clots. After assessing both my arms and legs they found a deep vein blood clot in my left arm. This is the only arm that they can use for blood pressure, blood draws and IV’s. Fortunately during my stay I was able to get a port put in which will really help limit the use of my left arm which now can’t be used because of the blood clot. My port can be used for IV’s and blood draws. Blood pressure is being taken on my calf for now. I am on blood thinners twice a day which is a drag. I will have to take these shots for 3 month.

One other thing that we are dealing with is my humerus bone which has been significantly damaged by the cancer where it meets the shoulder bone. Initially they had thought I would need a pin put in to stabilize the bone and prevent fracture. There was a lot of debating on what the treatment plan should be, but it was decided that radiation first was the way to go. So we will be working on that in the next week or so getting mapped out and simulated for radiation.

The last two weeks have been just a whirlwind of information and curve balls. I felt like every update I sent to friends and family was filled with bad news.

Boom – spinal fracture
Boom – new cancer
Boom – blood clot
Boom – humerus bone potential fracture risk

I was feeling defeated and discouraged!!! I am trying to focus on the fact that mistletoe is coursing through my body and working hard to heal. Not only that, but I am working on diet and supplements that are also working hard within my body to support my immune system and build up what is broken inside of me. I know so many prayers are being lifted up and that so many people are supporting and pulling for me. I have so many blessings and as I sit here typing I am reminded of just how blessed I am. I have an amazing team of doctors who are genuinely concerned and working hard to create plans that will support me during this time. I have friends and family who are willing and able to do anything we need and help in any way. All the texts and encouragement from my girl tribe while I was in the hospital was so amazing. I don’t know what I would do without them. I have a healthy and vibrant daughter who is getting ready to start kindergarten in just two weeks. I am enjoying this day for what it is, a Saturday where the sun is shining, the weather is cool and we have no plans or commitments for this day. It’s just the RNR that I need right now.

Thanks for reading my updates and for all your support and love!

Xoxo – Erin

Tuesday, August 15, 2017

Home Sweet Home

Hi ya’ll!! We are finally home from our trip to Colorado and what an amazing trip it was. We left a little piece of our heart in the mountains. We will miss those gorgeous views, chill atmosphere and all the amazing people we met along the way.

Mistletoe treatments continued into week 3 and aside from some IV issues we wrapped up the week at 600 mg of mistletoe. We are working on the go forward plan but as of right now the plan will be to go to Washington DC once a week for maintenance mistletoe. I will also continue the injections I was doing prior to starting the IV mistletoe. Hopefully scans in a couple months will show improvement and reduced tumor markers. Continued prayers the mistletoe is working hard to heal the cancer within my body.

Our trip home was uneventful and unlike the trip out to Colorado, our flights were on time! We were all super excited to sleep in our own beds and to get back into the grove.

This week I am getting a port put in to help with future IV’s. With the daily treatments at Namaste it was clear that I needed a port. Being limited to only the left side (also the side where the surgery is needed to stabilize) for procedures is limiting and my veins are getting tired and scar tissue is starting to form in some of the go to veins. The right side is off limits since I had my lymph nodes removed on that side back in 2012. Procedures on the right side greatly increase my risk for lymphedema which we want to avoid at all costs.

One of the coolest parts of being in Colorado didn’t actually have anything to do with the actual State. I am not sure how she pulled it off, but my girl Emily mentioned that she had collected some cards for me to open while I was away. The night before we left she delivered a pile of cards (see photos). Cards were grouped by day with each little group containing anywhere between 3-5 cards per day. There was a LOT of LOVE packed into this little pile of cards. Each day I opened cards from so many loving and carrying people. Steve and Charlotte also had their own cards they opened which was great. The messages were so uplifting! I am not sure how Emily pulled off gathering cards from some many people but it was so amazing! I felt so loved knowing all those people were sending me positive vibes, prayers and love. 



 

Its only Tuesday of my first week back home and it’s been a busy one to say the least. On our flight home I told Steve I was feeling sad to be going home because I felt like I was in a little bubble in Colorado. It was just the 4 of us (us and Sydney) spending time together. My focus was on the mistletoe treatments and working with the team there. I didn’t want to come home and face the reality of more decisions to make.

Aug 14th was a little crazy for me with the humerus bone information and the port procedure being scheduled. Steve and I both initially forgot that it was also our 8th wedding anniversary. It wasn’t necessarily a joyous day full of celebration but that’s OK. This journey is really testing our vows “in sickness & in health” but we continue to face this together even though it’s not easy. I look forward to a big celebration for our 10th in a couple years!!

Thursday, August 10, 2017

Keep Calm and Colorado

The 1st two weeks in Colorado have just flown by! It is absolutely gorgeous here with all the mountain views at every turn (we may decide not to come back to MD ;o). Our flight out was an interesting adventure because our layover in Denver was delayed 5 hours. We spent a lot of our time in the airport trying to keep a 5 year old happy and entertained. She did great considering and we colored, played several games of Go Fish, watched movies and walked around. We were all a little tired by the time we arrived in Durango but we still explored the town a little that night and stopped for dinner.

Treatments started on the 24th of July. I started with hydro therapy and nutritional IV infusion. Hydro therapy is a Chinese medicine technique which is a series of rotating hot and cold towels applied to the chest/abdomen and back. This technique is used for promoting overall health and immune system strength. It is also used to help open up the blood vessels for better mistletoe results. The cold towel is quite invigorating and shocking. I can’t seem to get used to the cold towel and always do a little squeal when that part comes. The nutritional IV was to help give me a good base of vitamins, minerals and amino acids from the flight and change in altitude. Speaking of altitude, we all transitioned well to the higher elevation with no major issues. Each week I have a few days of hydro therapy and then a few days of acupuncture. I have mistletoe every day Mon-Fri.

During week 1 I had great energy and we ended up doing a lot of car rides around exploring the country side and we did some mountain climbing (in the car). The sites and views are just amazing and the pictures just don’t do them justice. We love CO and the food here has been so yummy. There are a lot of local grass-fed meats served with local produce and a lot has been organic, which we love and appreciate.

Mistletoe treatments started on Tuesday, our second day here. We started with 100mg and by the end of week 1 we were up to 300 mg, as we gradually increased the dose. Mistletoe can cause a reaction of itching and/or hives. The hives started at my injection sites form where I was doing the injections at home for the last few months. During the 1st week they were not too bad and typically would subside a few hours after the infusion was done. I had some blood work done a couple days into week 1, which showed my blood counts were pretty low. Not necessarily surprising since I was in my second week of my 21 day cycle of chemo. My oncologist decided I should stop this cycle of chemo so my counts could rebound (I have yet to complete a full cycle of chemo without stopping early).

During the second week, the mistletoe reaction was a little more than the Dr. really wanted, so we stayed at 400 mg. In addition to the reactions, my back pain started spiking Sunday night (the start of week 2) and continued into Tuesday night. It was the typical level 10 pain and we were worried we would need to make a trip to the ER; however, we were able to get the pain somewhat under control until it subsided. That second week started out rough and then on Thursday they added vitamin C to my infusion. The combination of Mistletoe and vitamin C was quite potent for me. When I left I had rashes up my arms and on my thighs and was itchy everywhere. I also ran a low grade fever and was snuggled in bed all afternoon and evening that day. Friday’s infusion was just the 400 mg of mistletoe and I felt totally fine after that treatment, which confirmed the vitamin C was causing more of the reaction. More recently we have had some IV issues getting a line started. Because I had my lymph nodes removed back in 2012 as part of my initial diagnosis, we are limited to using my left arm for IV’s, blood work, and blood pressure. Friday of the 2nd week it took 5 tries/sticks to find a vein that would work (totally no fun at all).  Once I am back home I will need to look into getting a port put back in because access going forward is going to be a challenge. 

Even though I had a few rough days, overall I have been able to get out and explore with everyone. Charlotte totally loves it here and tolerates some of our long exploring car rides really well. We have been able to do way more than I ever imagined and it helps that a lot of our adventures we can do in the car, stopping to take pictures as we see the sites. We attempted one hike on foot but didn’t get far before we turned around because I was tired. My niece Sydney flew out for weeks 2-3, which has been so awesome. We love spending time with Sydney and Charlotte loves having someone to play with. They have such a cute little bond. It has been really helpful for us to have Sydney here. Taking Charlotte to treatments every day during the 1st week was great, but she was getting tired of going. It’s been really nice for the girls to do fun things while I am in treatments. Steve typically works during treatments, so it’s been great for him to have that time and not need to entertain Charlotte.

I feel so blessed to be able to travel to Colorado for these 3 weeks. The atmosphere here is so chill and relaxed. Everyone is so friendly and they seem to just enjoy life living in Colorado. It is so different than being back home in MD. This trip has been truly wonderful for us as a family. We have been able to spend a lot of time together and really have quality time that we don’t seem to have an abundance of at home. It’s been a really great bonding time for us!!

Here are just a few of our favorite pictures of our trip so far!!

Day 1 (excited to get started)

James Farm, Durango (amazing view & food)

James Farm, Durango

Coal Bank Pass - Elevation 10,640

Coal Bank Pass - Elevation 10,640


Coal Bank Pass - Elevation 10,640


Pinkerton Hot Springs, Durango

View driving up Purgatory

Purgatory

Low counts means mask

Driving to Silverton 

We found this waterfall on our drive to Silverton

Chasing waterfalls



Wildflowers at Coal Bank Pass 
Wildflowers at Coal Bank Pass 

Four Corners (where Arizona, New Mexico, Colorado & Utah met)

Stage Coach Ride in Durango

Town of Telluride

Waterfall outside the town of Telluride