I Have Cancer - cancer

Update for December 2, 2010

cancer, doctor visits, fatigue 6 Responses »

Dec 022010

Another week of turmoil.

We finally made it the One of Kind Show. I was exhausted for some reason, woke up in the afternoon and insisted we go. Let us not miss this opportunity. We got there, rented and electric scooter and rolled inside. The scooter was the best thing we did. I even took my oxygen tank to emphasize the point. We lasted about 2.5 hours at the show, then made our way home.

I was amazes at the rudeness of people regarding the use of the scooter. Some cut you off, others made comments just loud enough for you to hear, others did not get out of the way. All very interesting, and unnecessary. To make matters worse, it was a terrible show. I was standing in front of a painting at one point when another vendor showed up and the started talking about this that and another including the show itself. I stayed there for quite a while admiring the painting, but no one came to ask me if I wanted to buy it. I was not about to get out of my chair. Not the easiest thing to do. I left.

I have been knocked out for the couple of days. The doctors have reassured Janet that the show is the reason. I am eating well, and drinking not bad. One does not go from eating to dead overnight. Janet woke me up this afternoon to eat. It was very difficult for me to even open my eyes. Same thing this evening. Come down for dinner. Could barely open my eyes, so stayed in bed. Could have easily stayed asleep all night.

I woke up around 11:30, suddenly awake and lots of energy. Janet decided I should take advantage of the energy to update the blog since so many people are concerned by the lack of communication.

I must say it is a very strange feeling that I am going through. Quite scary on one level, well, on any level you can possibly imagine. Not sure where any of it is going. Janet keeps asking me what is going on. The simple answer is I am dying and all the thoughts and tribulations that go along with that. Sounds like a simple process, but get complicated really fast, and really does not explain everything. Is this a waiting game? Wake up in the morning and just sit around and wait to see what happens?

After my exceptionally brilliant piece on people visiting me, we are are finding ourselves cancelling visits. Cannot handle the conversation. We have at the very least, curtailed visits, limiting them to something we think we can handle. All very confusing to us, let alone to those wishing to grace us with the presence.

The blog is helping a lot with thinking through things. I have a visit with my psychiatrist this Friday, see how that goes. I am looking forward to it. There are a number of thoughts going through my head that are linked to the legacy post which I have promised and yet to deliver. It is coming, I promise. Have to get the thoughts in order. getting more complicated as we move forward.

The blog is getting very big, and we are running into technical issued. You may find it down sometimes. The techs are doing their best to keep it up and running. I am also trying to find a podcast from a CBC interview that talks about the fact that we shuld be preventing cancer, and not cure it since there is not cure for it. I have mentioned that many time before, but he has accreditations behind his name which makes him an authority so we have to listen to him. Yeah for accreditations.

All this to say I appear to be good. Blood pressure where it should be, blood counts where thy aught to be. We will get past this exhaustion thing as well. We are also going to try and get a handicap sticker for the car. I guess we can use the oxygen as the excuse. It will be good to have one. You get access to all the handicap parking spots, and can park just about anywhere you want. I am not driving any more. Do not trust the reflexes. I may also not be able to lift my feet to reach the brake pedals fast enough. Janet can take advantage of it.

All for now. Good night.

The Circle of Life

cancer, chemo, clinical trial, death, doctor visits, life, palliative, support 18 Responses »

Oct 162010

Baha’is believe in life after death. It comes with its own set of responsibilities. We believe that the body is a vessel for the soul. Effectively a bucket that contains your soul. Once the bucket is full, you kick the bucket, as it were. Different people, different size buckets. This is not a competition to see who can fill up their bucket first. It also helps explain the death of people at different ages.

Baha’is are not allowed to be cremated. We end life by returning to the earth, completing the circle. Our ceremonies are short, except for this one prayer for the dead. It consists of 19 verses that are recited 19 times. Though not considered a holly number, the numbers 9 and 19 appear frequently in the Baha’i faith.

We are exhorted to be detached from all material things. They have such little intrinsic value that we should put our efforts in improving our spirituality as opposed to massing huge amounts of wealths and possessions. Is that Van Gogh really worth millions?

Another virtue we are told to exercise is that of moderation. We are told to use moderation in all things. Including moderation in using moderation. There is a mind bender. There is an issue at this point. Maybe that Van Gogh is worth the millions as opposed to something else I have in my art collection. A moderate price indeed.

I was back in hospital last Wednesday evening with a temperature of 38.5. My temperature was down to normal by the time we got to the emergency room. I knew the answer to the question about whether I was there to see a doctor or not, this time around. I think I also looked a bit sicker than last time we went in. The emergency room was quite busy. I was eventually ushered in. Blood tests were done, cultures raised. I was held in the unit all night. They had to draw more blood at three in the morning for more cultures. All to prove that I was the picture of health, except for the amazing number of metastasized tumours in my lungs.

And therein lies the issue. The lungs are being infected at an alarming rate, with the tumours frolicking hither and tither having the time of their life. I was sent home from the hospital and told to control my temperature fluctuations with Tylenols. Not much the system can do for me at this point.

The trials had failed. I was referred back to Dr. Hedley who is on sick leave waiting for his knee to heal. EMails were sent and an appointment was made to see Dr Hedley on Friday afternoon. Decision time.

I was optimistic. I had assumed that the inflamed liver was due to it fighting the tumours and winning the battle. The hospital visit appeared to make a mockery of that thought, but I held on to my optimism. Dr. Hedley came in on Friday afternoon specially to see me. He gave Janet and I a gigantic hug and we went into a consulting room. Shahnaz, my wonderful nurse was there, as was a student nurse. We had a 90 minute consultation. The decision to be made was the following:

1. Do more Chemo. This is the FULLFOX treatment. Side effects include numbness of the fingers and toes, extreme sensitivity to cold, to the point where you cannot open the fridge door. Ideal for a climate such as Canada’s. There would be a 30% chance of success, which in my case would mean slowing down the growth rate. We would know within three months if it was working and would have to stop the treatments in six months. We would then be back to where we are now.

2. Do nothing and let nature take its course.

The obvious question that came up is what does the status quo mean. How much time do we have. I had to ask since that was the only way we could come to some decision. The answer was quick and shocking. I have two months.

Dr. Hedley was quicker to add that the number is not written in stone, specially given my record. Regardless of its accuracy, the amount of time left is counted in months. What were we expecting. A year, Janet and I said. He shook his head sadly.

There it stands, two to four months.

We are numb. What is there to say. My sense of humour fails me. I have nothing to say. Janet says she does not accept the verdict. She is defiant. But there is little left to say.

I have spent the last few days letting people know. Tears have flooded involuntarily. We are all sad, living in a surreal existence trying to make sense of this. Two months is such a short time. This is October, then November, then December and the end. Maybe. Still too close for any level of comfort.

We are about to start doing the practical stuff. Transfer all the accounts to Janet’s name. Complete a power of attorney. Put together a living will? Make sure we have people to look after the house for Janet. The furnace repair man, the contractor, the computer technicians. We are making a list tomorrow. Janet is taking time off work so we can spend more time together. It is all so mundane, and yet I feel fortunate that we have the time to do these things.

I have stopped day dreaming. Seems little point to it after all. What will my kitchen look like? My garden? The thoughts are barely in my head before the streaming stops. Almost as if my computer has frozen requiring a reboot. I have trouble sleeping at night. I lay awake often to two in the morning until exhaustion takes its toll. Is that becomes dreams are now harder to come by? What is there to dream about? I have no idea what the after life looks like.

Will I see my parents again? Will there be a welcoming committee? Bunch of girls in hula dresses dancing and draping flowers around my neck? OK, so I watch too many movies. Will I see old friends, like Judy Elder? I imagine the after life as a continuum into eternity. A progression of the soul as it moves through the ether. The evil ones start lower while the saintly ones have the advantage o starting on a higher plane. I figure I am somewhere in the middle. I will be happy as long as I can Gandhi and not Hitler.

We have also started planning for the final days. We have an appointment with palliative for November 9. An appointment with the funeral home on Tuesday. The strangest part of all this is that I am basically healthy and sound in great spirits. I called the funeral home. Has the person died yet? No, I am working on it. Everyone is amazed that I am still laughing and joking. I figure these are my final days. I would like people to remember me with joy on my face rather than sadness.

My mother spent the last three weeks of her life in hospital. She was not in very good shape. I spent a couple of hours with her on what turned out to be her last night. We had always been very close, except during her cancer period. She turned to Fetneh to look after her. The last night was very precious to me. I showed up at hospital around midnight. Those were the days of lax security. We talked a lot. She had made sure that no one would be allowed to see her in the last three weeks. She said the way she looks is not the way she wanted to be remembered. She died the next morning. I remember looking art her body lying in peace, finally and thinking she is indeed dead. The soul has left. That last memory has remained with me for the past 31 years. She was right. Remember us with the passion we had when were in good shape, not as we lie in pain in hospital.

We are going to Atlanta next weekend. Leaving on Friday, returning on Monday. It has to be short. We cannot take the chance of something going wrong while in the U.S.. We have been told that things could go from right to wrong in seconds. I believe it. I wake up sometimes, not feeling quite up to snuff. I return to bed to recover my strength. This morning was one of those mornings. I seem to be fine now. Nothing like a bunch of steroids and Tylenols to perk you up. The steroids open the lung channels, and the Tylenol deals with the pain. Miracle workers between them.

We are staying in a hotel in Atlanta. More privacy. Devin is coming down from New York, and Fetneh is joining us from Montreal. My family is planning on spending a lot of time with me over the next little while. Fo’ad has cleared his schedule and intends on coming up to Toronto to spend a week at my place. Our hotel is opening its doors again.

The whole situation is surreal. I will keep saying that. There is not other way of looking at it. You talk about your own imminent death. What kind of conversation is that to have? Defies sanity. Everyone keeps asking what they can do for me. The only thing left is to enjoy each other’s company. Talk, laugh, have a good time. Nothing else matters.

I am planning to have a plain casket, made from pine. I am told that these are available. I would like a stamp placed on top that says: Property of God. The style will be along the type that was used in raiders of the Lost Ark. I am not going to have a guest book. We will instead have markers of different colours available so people can sign the casket. I can have your names with me for the next part of my journey. That will also save Janet from having to send thank you notes to everyone. Consider yourselves thanked.

This has been a very difficult entry to make. We received the news last Friday. I have had this open on my computer for a week now trying to find the right words and cadence.

I thank you for being there. For listening, crying and laughing. Hopefully more of the latter.

Not enough words

cancer, chemo, clinical trial, ct-scan, fatigue, support 9 Responses »

Oct 052010

What to say. It has been a tough couple of weeks. I started becoming tired, almost as if I was on the original chemo regimen and started spending more time in bed. Very lethargic. Lost the will to do anything almost as soon as the will to do something emerged from the depths.

I started spending more and more time in bed. Wake up in the morning, have breakfast, maybe drive Janet to work. Shop for food a bit, then come home and collapse in bed. Sleep from ten in the morning to around two in the afternoon. I thought at times I was not eating enough, or drinking enough water. Increased both those. Got hit by bouts of nausea. Took pills for that.

Fetneh kept insisting I go for acupuncture to increase my energy levels. I kept promising to go, then forget the promise made. Almost as if I did not have the energy to go for the one thing that might just increase my energy.

No one was very happy about this. Janet had to almost accept reality. She could not do anything about it. Kept encouraging them to get on with things. Make a plan, everyone said. Set up a routine and do it. It does not have to be complicated. Just start doing things. I am doing things, I am sleeping. You can bet that put a smile on their faces.

I took my daily sleep last Friday. I had the shivers while lying under the winter comforter. We are in fall mode, nowhere near winter. I should not be cold. I closed all the windows. Still had the shivers. They kept waking me up. I finally roused myself around three in the afternoon. I was hungry. A man has to have his priorities. I was also in pain.

Oh yeah the pain. I have started having these pains along the bottom of my rib cage. It turns out they are due to an inflamed liver. Could be a good thing or not depending on whether the tumours are getting bigger (bad) or smaller (good!). Tylenol 1s take care of the pain rather nicely thank you very much. I pop a couple of those, get dressed and make my way tot he kitchen. I am still shivering.

I am out of breath by the time I get down there. I may have neglected that part of the narrative. I have running out breath a lot as well. Say a couple of words and take a few breaths. It comes and goes. There does not appear to be rhyme or reason for the effects.

I get myself something to eat and am still shivering. I am so dense these days. It suddenly occurs to me that I may have a temperature. I go back upstairs to get the thermometer. We have one of those units that you stick in the ear. It responds in seconds. I register 38.5C. I am supposed to go to hospital hen I hit 38. I decide this is an anomaly. The T1s will take care of it anyways. My temperature goes down as the day progresses, hitting almost 37, An anomaly it may have been.

Janet is in New York on business and to see Devin. She left n Thursday morning. She has arranged, or the friends arranged to come look after me. Diana is coming to feed me on Friday night, and Nancy is doing the honours on Saturday. I have been cooking up a storm of late and find this very amusing. Given my level of fatigue, breathlessness, and fever, the rescue is very welcome.

Diana, Andrew and Leona being dinner over. I love teasing her kids. They are extremely bright and rise to the occasion brilliantly, not shy to defend themselves under my relentless attacks. Diana does not have to step in to defend them. They do an admirable job. They also take the teasing in the spirit it is intended in. We have a good time. Andrew wants advice on what sort of computer to by. He wants something zippy, fast, a computer that will almost read his thoughts. Come on instantly. Oh Andrew, good luck with that. Speed is so relative to your experiences.

I am obviously done for, and they take their leave. Leslie has come home to keep me company. I feel bad, because I am headed straight to bed. She is not to be deterred from her objective and insists on staying home.

Saturday morning sees me with a temperature of 37.8. Sigh of relief. A couple of T1s will, and do take care of that. I go to the market but do have the energy to walk around. I come home, and go to bed. This is getting ridiculous. Wake up a lot later and start doing stuff. Pain, breathless, getting really frustrated. I have a telephone conversation with Janet. She is having a fine time. Devin is doing well, having a good time at The New School.

Nancy calls to confer about dinner. Pasta it is. I have cut down on my eating. Severely cut down to avoid stomach aches. She will cook it when she gets here. I take my temperature. Yikes, I am back at 38.5. Nancy will take me to hospital after dinner. Nothing worse than going to emergency on an empty stomach. They do not have decent food there. We eat, with Leslie coming home and joining us. She stays behind to clean up. Nancy and I drive to the hospital. She drives, I go along for the ride.

I bring all my pills with me. I have one Chemo pill that I have to take at 8AM and 8PM on Fridays and Saturdays. We arrive at the hospital at 8:00PM. Walk up to the triage nurse. She is a bit brusque. Are you here to see a doctor. I am a bit confused by the question. Not sure what my options are. Stammer something like, I guess, maybe, sure. She is getting impatient. Are you here to see doctor or a patient. Clarification. Oh a doctor for sure. I look at Nancy. I don’t look sick enough. She seems to think I am healthy.

I take a seat next tot he nurse and start answering her questions. She takes my vitals. My temperature has not budged. So I am sick. She is much calmer now and processes me. Nancy and I sit in the waiting room. We are barely settled when I get called in to register. I am also told it is safe to take my pills. I take the pills, register, get my wrist band to make sure everyone knows I am a genuine sick person. We settle again in the waiting room. There are maybe half a dozen people ahead of us. Not bad for a major downtown hospital on a Saturday night. Should not be that long of a wait. We are called in almost immediately. Nancy is impressed. I make sure she comes in with me. Nothing she has not seen or talked about.

We are ushered into a private room just beside the nurses station. I like hearing the action and conversations. There is nothing worse than being secluded while in emergency, you feel as if they have forgotten about you. They come and do blood work, request some urine. Nothing unusual. They are prompt and friendly and young, so young, and very pretty. As Judy said, I am not that sick. Dr. Quinn comes in to talk to us. They will do a CT-Scan of the lungs, ultrasound of the heart to make sure there is no water around it, more blood work. The original blood work has come in negative indicating there are no infections. They took blood from my Port-a-Cath. They want to take some more from my veins to make sure the Port-a-Cath is not infected.

Nurse comes in with two very large vials to get more blood from me. They assure me I have enough. She pokes me and takes her samples. They will be used to grow cultures in the lab to make sure I am truly free from infections. There are a lot of people with colds around us. The doctor comes back. The CT-Scan machine is not working. They will take a chest X-Ray instead, looking for signs of pneumonia or other items obstructing the lungs. They still want to do the Scan which will find things that the X-Ray machine cannot see, such as small blood clots that may have made their way into the lung. They do not think there are any since I am taking a blood thinner, but I am a critical case and they are not willing to take any chances.

Everything happens pretty quickly. By midnight, they have decided I should stay in the hospital for observations. The X-Rays show a number of metastasized cancer cells in both lungs. From what the doctor says, I am guessing more than before. I thinks her words were there are a lot of mets in your lungs. Nothing else though which is both good and bad. Good which means I am free from infections, bad because they have to keep me to do a Scan during the day.

Another doctor, Dr. Kimberly Bremmer comes to visit. Internal medicine. She will look after me during my hospital stay. The general consensus appears to be that the Scan will also reveal nothing. They feel that all the symptoms I am showing are a result of the cancer getting worse. The information leaves me a bit numb. Nancy and I hold hands.

I am in a room by 2:00AM. A semi-private room was all that was available, and no room mate. Time are tough. Leigh and Sascha are out on the town and decide to join me. Am I able to take visitors at that time of night. Sure says the nurse. They get there by 2:30 and spend an hour with me. I have to kick them out. This is just slightly past my bed time of 9:00PM.

Dr. Bremmer visits me in the morning. She is with a retinue of interns and a more senior Doctor. They are all very serious. VERY SERIOUS. No smiles from anyone, except Dr. Bremmer. They go over my situation. Sunday will be a day of rest and observation. The Scan will take place on Monday. Cannot see the future beyond that.

Nancy and I spent the night texting with Janet, Leslie, Fetneh, and Judith. It was almost comical. Hospitals have given up trying to stop us from using our cell phones. Sunday morning saw more of the same, adding emails to the mix as everyone was kept in the loop about what is going on. My fingers were getting sore. Nancy came back to keep me company and also to bring me my phone charger. Janet was on her way back from New York and would be at the hospital around 2PM. Nancy had to leave by lunch time to take Lilly (her daughter) to her riding lessons.

David Jang dropped in to keep me company. Janet finally showed up, as did Diana, and Leslie of course. The traffic of eMails and texting finally came to a halt. It seemed so quiet all of a sudden. I sent Janet and Leslie home around 7. Janet is not feeling well and could use the rest. I was going to sleep anyways. David left around 6. None of us wanted to discuss the worse case scenario.

I had to stay awake till 9:PM. The nurses had to come around and make note of our vital signs. No temperature, pressure OK. No surprises. My nurse is very charming and we have a long chat about things in general. She leaves, I close the door and try to sleep. Did not have to try very hard. The bed is very uncomfortable, but it matters little as I drift in and out of sleep.

Mount Sinai hospital where I was, is attached to the Princess Margaret Hospital. They all have access to patient files at each other’s establishments. The doctors at emergency and at the hospital were fully up to date with my condition. I was very impressed with their service, professionalism, and general conduct. I was disappointed by their food. Hospitals can surely do better. We are all told about the dangers of proceed foods, and yet are being fed stuff like Rice Krispies and 1% milk as part of a healthy diet. There is something seriously amiss here.

The Scan takes place on Monday morning. The results are in by 2PM. As I keep telling people, I would be a healthy person if it wasn’t for that small matter of having cancer. I am free of infection, blood is clean, lungs are clean, heart is healthy, all organs are functioning properly. Except for the mets. that are having a jolly party.

The title of this entry is Not Enough Words. We are all a bit numb at the news and are not sure what to make of it all. Do I have still have two years in me? More? Less? Janet and I have decided it is time to make some plans. Decide what we want to do and do it.

My father died in a rather ferocious car accident in 1999. The doctors at the hospital reassured us by saying that he did not suffer, that the brain shuts down in the face of huge adversity. So it is with us. There are no thoughts going through my head. The brain shuts down. Every once in a while you wake up and go, oh yeah, I have to think about this, and the brain shuts down again.

There are not enough words to describe what we are going through. Me, my family, my amazing friends who have rallied around me seemingly oblivious to my obvious shortcomings.

Positive Thinking

cancer, chemo, fatigue, positive thinking 2 Responses »

Sep 252010

I was diagnosed with colon cancer in August of 2009, had an operation in September 2009, and have followed Chemo treatments since. 18 sessions of FOLFIRI, which I am told is pretty invasive. I lost a lot of my hair, though not all of it, suffered from bouts of fatigue, hand and nail discolouration, cracking nails, and nose bleeds. Not a bad set of reaction. Quite mild in fact. I do believe my immune system has a lot to do with the reactions I went through. I also believe that the immune system was pretty fed up with being taken advantage of for so long ad was getting ready to give up on the whole thing.

My very loving sister mused out loud one day, that there may be reason to think that I should not be alive given the rampaging nature of my cancer. Two pieces of my colon are gone, as is a small section of the small intestine. It was touching the bladder, so a small piece of that is also gone. Meanwhile I still gave cancer cells in my pelvic area, both lobes of the liver, and legions in one of my lungs. The cancer has made itself quite at home. My sister may not be wrong, and she did not make the comment to make me sad or angry or anything. It was a comment that commended me on my positive attitude that had carried me through this far defying the odds.

What is positive thinking? The book, the Secret, talks about it as concentrating really hard on a topic to invoke the powers of the universe. In the latest stuff I have been watching, the videos of Dr. Bruce Lipton, it involves the ability of changing the very nature of your cells and genes.

You get fired from a job and can see new doors opening before you. Don’t worry, it was a lousy job anyways, better times are ahead. A storm rips your house apart, and you can see renovations coming up. Time for that new bathroom you were dreaming of. and the insurance company gets to pay for some of the repairs. A cup half full at all times. There is a cartoon in one of the New Yorker magazines of a guy going through the desert, obviously dying from lack of water and all he sees are a bunch of glasses of water that are half empty. I am not sure how this link will be good for.

I have always been a cup half full type of person. Very few things have taken me down so completely as to be powerless. But the above examples are easy to talk about. What constitutes positive thinking when you have cancer?

Is it a question of thinking the condition into submission? Surviving for longer than expected? Smiling and laughing your way to your inevitable demise some point in the future? Making light of the pain, the discomfort, the disruption of your life and that of other around you? What is thinking positive in relation to cancer or any other chronic condition? Will the condition go away?

Everything I come across on this subject seems to believe that we can make changes to either our environment or our bodies through the mind. If that were the case, I would suggest we all put our minds together on Monday morning at 9:00AM and think about child poverty and it will go away. It will be solved. Let us wake up every morning and concentrate really hard on our bodies to never get ill. To live longer and healthier. If the mind were truly in charge, we should be able to accomplish all these feats in a flash. No more poverty, pollution, murder, hunger and any other ailment that plagues the world at the moment. To say nothing of the end of chronic conditions. We would just use our mind sets and prevent them from happening in the first place.

Baha’is in a number of Islamic countries are being persecuted. Baha’is in Iran particularly are vilified and persecuted beyond reason. Elected leaders are jailed regularly. Their assets are confiscated. They are charged with being spies for Israel. Our headquarters are in Haifa, Israel. They were moved there when the area was under Palestinian rule. We are not spies. Our statues forbid our participation in local politics. Egypt has issued national identification cards without which you can rent apartments, get jobs, open bank accounts and so on. You basically cannot live without one. They have listed only three religions on the cards, Judaism, Christianity, and Islam. The Baha’is took the government to court. They are effectively asking us to lie about our Faith. We requested that another option be added: Other. The request was refused, the court case lost. We are persona non-grata.

Whenever Baha’is are put in jail, we are asked to participate in a version of group prayers. The prayers take place in the privacy of your own home, but we are all asked to pray at a particular time, on a particular day in the hope that the power of all the prayers being said at the same time would invoke some sort of mercy for those jailed. My positive side says that maybe the prayers are working as things could be worse for the prisoners. On the other hand, none have yet been released.

Reality seems to dictate that there appear to be other powers at play. Powers beyond our us. Beyond our ability to influence them in any way. I was sure I would not get cancer. My mother died of it, but none of my siblings were affected. Yet here i am dealing with the condition. I am told that part of my success at dealing with things, the lack of huge Chemo side effects all have to do with positive thinking.

I know I have a good attitude. I am laughing a lot, joke around, and generally try to make the best of it. I keep telling people you have two choices to make, you can happy or sad. I tried the latter. It did not work for me. I am going to be happy as this condition evolves. Think of it this way. I want to make the best of the remaining years. Whatever time I have left, be it 2, 5, 10 years or more. Does not matter. I have a limited amount of time to spend with my wife, son, family and friends. We all deserve to make the best of it. We will talk about everything. Life and death. Good things and bad. The discussion is important. The conversations vital.

It is also vital that we be happy through it all. Is that positive thinking? Will it stop the spread of the cancer? I doubt it. Is that a negative expression creeping in? Not really. But we, collectively, wife, son, family, and friends will make the best of the remaining time.

Linear and Lateral Thinkers

cancer, clinical trial No Responses »

Aug 312010

I am a lateral thinker. Drives most people crazy. You see relationships where none appear to exist. Fo’ad and I were talking about this the other day. Most researchers appear to be linear thinkers. They are on a single minded mission. Some research appear to have an intrinsic value and we look forward to positive results. Other research appears more esoteric, and seem to have little value.

Little value, that is, until someone else comes along and sees something in the research that warrants a further look. The research is taken to another level, until someone, somewhere, brings the research to a useful end.

There are more of these examples that we know about. PostIt notes are, supposedly the result of researching the solution to one problem and coming up with the notes that we all know and love today. A number of items we take for granted in the computer industry were invented and shelved. The inventors found little value in the objects. The mouse, Ethernet connectivity that the web runs on, the Graphical User Interface (GUI) used in all major operating systems, were invented at the Palo Alto Research Center (PARC) owned and operated by Xerox. The brilliant scientists and thinkers employed at PARC kept inventing, but no one commercialized their products.

It tool someone like Steve Jobs who borrowed their inventions, most notably the mouse and GUI to create the MAC. A bit of, are you using this? Do you mind if I take it? No please, go right ahead. It tool IBM to capitalize on the computer by taking it one step further. They commissioned their engineers to come up with a personal computer using off the shelf components. No new inventions. As expensive as they original PCs were, this kept the price down.

I was the Marketing manager at a hardware and software distributor called Ingram Micro. We are going back many years here, pre Web. We had a meeting with Seiko, a company that is much larger than meets the eye. After all was said and done, one of the engineers showed us a touch screen that would run on a MAC. You might take touch screens as a given, specially with the popularity of the iPhone. You have also all seen them used in restaurants and others locations. Touch screens were a rarity in those days. Their performance was spotty and people were just beginning to let their imaginations wander to see what they could do with these. We all looked at the yellow screen and thought it was cool and wonderful. It worked quite well. None of us could imagine what it could be used for. Nor could the engineers at Seiko. We have not heard of the product since.

You are all familiar, by now, with Bluetooth, the technology that allows you to connect your smart phone to the ear piece. Bluetooth was originally created to offer a secure wireless connection between two devices in close proximity to one another, no more than 7ft, about 2m. The technology now boasts a range of over 300ft, 100m. The rules for technologies such as Bluetooth are set by a consortium. These rules are updated on a regular basis. The Bluetooth consortium was revising their rules to upgrade the technology. They were approached by a manufacturer of chemicals who suggested that one of the proposals who get in the way of a device being used by the chemical company.

This came as a surprise to all in the room. What would a manufacturer of chemicals have to do with Bluetooth? This was a technology developed for computers. It turns out that the chemical company had developed these very small balls that contained a thermometer and a Bluetooth transmitter. They would drop these in the vats of chemicals and could tell what the core temperature of the vats were. Essential information when creating these mixes. Linear thinkers meet lateral thinkers.

I would theorize that linear thinkers are mostly doers, while lateral thinkers are, well mostly thinkers connecting disparate dots. There are always crossovers. People who have a leg in each camp.

One always starts wondering at some point how these stories will relate to what I am going through. Here goes.

I am now taking part in a clinical trial run by Dr Robert Buckman. This is being done with the blessing of Dr Hedley. I am the only colon cancer patient in the group. Everyone wants to know the names of the drugs i am taking. I showed the list to someone recently. They were surprised that none of the drugs are new. Dr Buckman has taken existing drugs and decided on an alternate use for them, changing doses and treatments. Meet Dr Buckman,the lateral thinker.

The success or failure of the idea is rarely the issue. Success of a medical clinical trial is obviously a desirable outcome. Time will tell on this one.

Crisis

cancer, death, palliative, support 2 Responses »

Aug 162010

Do we really need a crisis to bring people together. It turns out that we do.

New treatments

DalCM-P, cancer, chemo, doctor visits, fatigue, support, vacation 6 Responses »

Aug 082010

What do you do with yourself when on Chemo vacation. The idea of the vacation is not a positive one. You are on vacation because the tumors have stopped responding. Yet here you are trying to take full advanatge of the grace period.

Vacation - Good news or bad?

cancer, chemo, doctor visits, life, positive thinking, vacation 4 Responses »

Jul 272010

Chemo vacation brings its own set of thoughts to the surface.

Oncologist Visit - Wednesday July 21

cancer, chemo, doctor visits, support, the new normal, vacation 7 Responses »

Jul 232010

Seeing the oncologist and negotiating a Chemo Vacation for a couple of months. The news is overwhelming.

Chemo Session - Number 18

Neulasta, blood count, cancer, chemo, doctor visits 1 Response »

Jul 232010

Chemo Session number 18 is now under my belt. No surprises with my reaction. This may or may not be a good thing. We are seeing the oncologist on Wednesday for clarification.

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Update for December 2, 2010

The Circle of Life

Not enough words

Positive Thinking

Linear and Lateral Thinkers

Crisis

New treatments

Vacation - Good news or bad?

Oncologist Visit - Wednesday July 21

Chemo Session - Number 18

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