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Thursday update

Hi everyone!  No big news to report from yesterday.  Just a lot of rest and some more walking.  Hopefully, her digestive system will start to wake up in the next couple days so she can start on ice chips and then sips of water.

One of our best friends was also getting treated in the hospital this week.  She came by and really helped to brighten Jen’s day, thank you S!  And thanks to everyone who is sending love from near and far.

I’ll try to post again tomorrow.  – David

This I.V. is made for walking

For those of you who have been with us since the beginning 5+ years ago, you know that it has been (and hopefully will be) quite a long journey.  Yesterday was a very good day on that winding road.

Yesterday morning, I arrived at the hospital to find Jen walking around with her nurse and IV poll.  Yes, it was a very slow walk, but just 1 day after major surgery, that’s amazing!  She is still itchy (I think from the anesthesia), in some pain (getting pain meds, but can’t take too much since that would mask any issues we need to be aware of), and not able to eat or drink anything until her digestive system starts to wake up (hopefully in the next few days).  But overall it was a very good day!

Please keep the good thoughts coming via comments on this blog, drawings from your kids, etc.  Jen reads them all, and they give her a lot of strength.  Voice mails and emails are good too, but please be specific that you’re not expecting her to reply (she needs to focus on rest and recovery).

Some of you asked for a little more info about the surgery.  They removed the main tumor and one other small nodule in the same general area as well.  To do so, they removed about 12 inches of both her small intestine and large intestine, and then connected both back up.  As you could tell from the pictures Jen posted of her belly before surgery, the tumor was very large.  It was sort of in the shape of the top of a mushroom so one of the doctors said 2 footballs side-by-side is more accurate than the soccer ball I mentioned below.  Said it probably weighed 5 to 10 pounds (you can imagine the discomfort Jen was feeling).  He actually called it “ginormous” — I didn’t realize that was a medical term!

They sent the tissue off to the lab for analysis, which might give us some data to help determine where we go from here.  But for now, we’re psyched the surgery went well, and we’re focused on getting a little stronger each day.  Thanks for all your support!  – DL

Surgery Update

Hi.  Thanks for all your thoughts, prayers, poems, limericks, and songs – they seem to have helped!   I left the hospital late last night, and the doctors were pleased with how the surgery went.  They took a huge tumor out of Jen (more info later, but it was basically the size of a soccer ball).   They did a bunch of other stuff to put her all back together so she’s in a lot of pain, but doing ok.  I’m heading back to the hospital now.  Will try to post again tonight.  – DL

Quick Update

Jen didn’t go into the operating room until around 4pm so while I’ll try to post an update late tonight, it will more likely be tomorrow.  Thanks for all your kind words and thoughts!  They definitely helped Jen get through a tough night and put her in the right frame of mind for surgery today.   Sending lots of love back to all of you.  – Dave

Countdown to Cut-Up #5



Just a short note to let you know that I am strong and confident heading into surgery #5.
I had my “last supper” also known as my last meal of solid foods 48 hours prior to surgery.  Dave and I decided to have a little smorgasbord of everything I likely won’t be able to eat for a while after surgery. I sampled a bit of a cheeseburger, fries, macaroni & cheese and ice-cream (If my nutritionist Lauren is reading this, I apologize J)
I started clear liquids on Sunday afternoon (just how many popsicles and cranberry juices can one drink?) and started the infamous bowel prep on Monday AM.  If anyone has had stomach surgery or a colonoscopy before, they know the wonderful delights that await you when you go through this procedure. 

In the past I have done OK with it but during the day my tumor must not have liked the havoc I was wreaking and started to rebel big time.   I started to vomit and get really horrible stomach cramping so we called my surgeon and he suggested I check in a day early. 

So, Dave and I headed to the hospital last night around 8PM to get “checked in”.  It’s such a sad statement to see that the Urgent Care facility at MSKCC is more crowded on a Monday night than Grand Central Terminal. 

The process took about 6 hours and Dave was able to head home around 2AM while I officially got admitted.  I was in a lot of pain when I arrived at the hospital but within 5 minutes of getting my favorite painkiller intravenously, I was happy as a clam.  I think I am becoming a junkie…maybe that is the silver lining of the next week or so. Lots of drugs!

Now that pain and vomiting were no longer part of the equation, why not sleep at the hospital to get well rested before my surgery? Not so great of an idea….The hospital was very crowded so they wound up putting me on a floor of people with “really serious” cancer (it makes me feel better to classify myself as still having the “less serious” kind).

My poor roommate had a lot going on and I swear 15 minutes didn’t go by without someone visiting her to do a test or arrange a procedure.  Thank goodness for noise cancelling headphones!

Since midnight last night, I am no longer allowed to drink anything so I am dehydrated, have a bad headache and am grumpy!  For those of you who have kindly offered to “dine” with me after surgery, please realized that I likely will not be able to have any water or food for at least 3-4 days…then I will be giving light fluids (think ice-chips and sips of water) to see if I can handle it. Hopefully I will be able to eat crackers 6-7days in.  So, my dear friend who sent me the chocolate cake after last year’s surgery…not a good gift 🙂
Now it is 10:30 and I am starting my pre-surgery ritual before I head in much later this afternoon.  I start a few hours before by getting psyched by inspirational dance songs on my iPod.  Some of my favorites are:
  • Tubthumping by Chumbawamb (my new cancer anthem thanks to Wil
  • Breathe Life by RadBoy (you really can’t resist dancing)
  • Theme from Rocky by Bill Conti (too bad they won’t let me climb the internal steps of MSKCC)
  • Anything by Seal (he is the man!)
And then before you know it you are in the recovery room in a ton of pain saying really ridiculous things that your husband and parents will make fun of you for years to come. The favorite expression to date has been ““Dad, I’m lucky I got him to marry me when I did because now I am damaged goods!”  Let’s hope that today goes as smoothly as in the past.

I will be out commission for a few days but Dave will provide a brief surgery update tomorrow.  Thank you for all of your well wishes and fun, insightful posts. I love reading them! 

Tumor: Friend or Foe

So, if your keeping tabs on us, you know that the last two types of chemo we have tried have not been successful and we are expediting surgery to get rid of this very fast-growing and painful tumor.  I have been so fortunate over the last 5.5. years that all forms of chemo have worked so  I guess I am due for a bit of a hiccup (doesn’t mean I want it, just trying to be ever the optimist).
The very unsettling thing about this tumor is that it is towards the front of my abdomen and looks very much like a pregnancy (according to the doctors, the “front” positioning of the tumor is actually a good thing because it is not wreaking as much havoc on some of my internal organs which tend to lie at the back of the abdominal cavity). 
I have also been experiencing common pregnant woman symptoms like a painful lower back and stomach stretching.  I noticed the other day that my “innie” belly button is now a “neutral to outie” belly button.  My pants no longer fit and I waddle like a duck.  I really, really can’t wait to get this thing out of me!
It’s amazing that something that looks like, and has similar symptoms to something so wonderful (pregnancy/birth) could be so vicious and deadly.  I’ve thought about this strange dichotomy many times over the past years as there have been many symptoms or bodily reactions that I view as either “great” or “devastating” depending on the situation.
For instance, I love to exercise.  When I am feeling strong and healthy, I go to the gym practically every day and I “judge” my workouts by how much I sweat during the session. I know that this is not the most accurate way to assess the quality of a workout but in my mind, the more I sweat the better the workout.  However, over the years, there have been many times when I have woken up in the middle of the night and my side of the bed is drenched due to night sweats (my body is fighting the tumor).  Do I say to myself, “Wow, Jen, good job kicking that tumor’s butt!” and celebrate a good 3AM workout? No! I totally freak out that the tumor is taking over my body.

Interesting how the exact same “result” can create such different reactions.
So now, here I am…looking pregnant and feeling pregnant but we all know that this bump is not a baby but a deadly tumor.  I keep on waiting for someone to congratulate me on my pregnancy…I have two responses that I am sure will get a reaction!
1)   “Oh, it’s not a baby, it’s a malignant tumor…would you like to feel my belly?”
2)   “Oh, thank you, I can’t wait to abort it this coming Tuesday!”
Yes, if you sense I am a little bit angry about this setback, you guessed right. It’s only natural!
Since the bump has become more pronounced, I struggle with the question, “Do I kill it with kindness or ignore it?”  Parents talk to their bumps all the time…some mothers start at just a few weeks of pregnancy playing classical music and talking to their bumps in an effort to forge a relationship.
Well, I don’t want a relationship with my tumor but it is very evidently inside of me.  To ignore it feels like I am not making “peace” with my body. So, Dave and I have decided to talk to my tumor (although I don’t believe tumors have genders, I am referring to him as a male). 
  • We tell the tumor that he has extended his welcome and that we hate him.  
  • We tell him that he better enjoy being comfortable now because in a few days he won’t know what hit him.  
  • We tell him that we wish he could just talk to us and tell us what he needs so we could find a compromise that works for both parties. 

And when we are not talking to him, we pray that he is not as smart as we think he is.  That he has survived the past 5.5 years merely by luck rather than by learning my chemistry and evolving himself into a stronger, more resistant group of cells with every relapse.
Humor me…tell me what would say to my tumor…

And That’s Why I Didn’t Take off my Wig

I have written about hair many times on my blog. Losing your hair and then having it grow back just to lose it again can be very devastating.  A friend of mine used to work with a hair care company and she told me that research showed that in over 90% of women, there is a very strong correlation between “personal hair satisfaction” and “self-confidence.” I am not surprised at all.

I wrote a long, very emotional journal entry on 8/30/09 that talked about how I don’t like people to inquire about the status of my hair growth when I am off treatment.  While I encourage you to read the entry in its entirety, the summary is that I think it makes other people (not me) feel better to see that my hair is growing back. To them, it’s a sign that maybe I am no longer sick. It gives them an opportunity to “breathe” again and believe that this disease is fully and completely behind me (thank you, I appreciate your wanting this end result as much as I do!)

However, the reality though is that my hair growth is merely a physical representation of the fact that I haven’t had chemo in a few months. In no way does it mean that my odds of the cancer coming back have changed nor that I am in the clear health-wise. 

So, I made the decision a long time ago that I would not take my wig off until I had beaten my last cancer-free record of 13 months.  Call it a defense mechanism, but I wanted to avoid the devastation that I would experience if I took off the wig just to relapse again.

Despite objections from friends and family, I patiently waited in these past month until I could hit June which would have been 13 months.  Well, unfortunately I only made it about 9 months until the cancer returned. However, the chemo I was first put on doesn’t make your hair fall out! I was so excited! Maybe this was the best of both worlds. I could still actively take care of my health AND have my hair grow back! 

But it was not to be.  When we switched to a different treatment last month, the drugs were strong and I was told my hair would fall out about day 16-18 into the treatment.  I had made it about 11 months but I would not pass my goal. 

Of course, when you realize you are about to lose your hair again, you start to realize that you like it.  These past few weeks I started to wear my wig less often at home and I started to “style” my hair in the mirror, commenting, “It’s not for me but it’s kind of cute!” 

The ultimate irony is that it started to fall out these past few days AFTER we found out that this chemo also isn’t working.  As I watched my hair fall out in clumps these past few days, and went to have it shaved off yesterday, I realized that I lost 10 months of progress due to 1 lousy 3-day chemo infusion that didn’t even work!  I am back at square one…starting over (with a 3rd type of treatment that doesn’t have hair loss as a side effect.)

So, how does a 5-time cancer survivor console herself? Some women buy shoes, I have learned to buy wigs!  My stylist Edward and I decided to shake it up a bit this time and I am going auburn!  I picked it up yesterday and I love it!  With wigs this great, who needs real hair?!?


 And that’s why I didn’t take off my wig!

Life Can Change on a Dime

If there’s one lesson that Dave and I have learned over the past 5.5 years it’s that life can change on a dime.  You can be “smooth sailing” and have a great week and then suddenly a bump in the road can change everything.  We have experienced this so many times over the past few years:
  • Planning special weekends or vacations and then having to cancel because of a medical test or complications.
  • Enjoying brunch with friends to suddenly experiencing stomach pains and having to rush to the hospital’s urgent care facility.
  • Celebrating the fantastic success of Cycle for Survival just 2 days after finding out the cancer is back.
If anything, it has taught us to live in the present and love life day by day.  A very wise friend of mine once said, “ Year by year a lot is unclear but day by day you’ll find your way”.  I am very proud of the fact that Dave and I, for the most part have lived our lives this way.  We accept that cancer is a reality in our lives but we refuse to let it get the best of us.


Well, we’ve hit another bump in the road that makes us truly appreciate the good days. 

Last weekend we were in Indianapolis soaking up Duke’s outstanding performance and celebrating the Blue Devils 2010 NCAA National Championship.  I felt healthy, happy and really optimistic that this latest chemo cocktail was doing the job. 

I was preparing to go back into the hospital for Chemo Round #2 this coming Monday however, over the past week, Dave and I started to notice that my stomach was getting more and more bloated and distended.  I look about 4 months pregnant and am experiencing tenderness and lower back pains (I will post pictures and you won’t believe it!).

I called my Doctors to ask that they push up the CT scan that wasn’t planned until end of April (after round #2) and the results were quite frustrating.  The latest chemo cocktail does not seem to be working and my tumor has grown pretty dramatically in the last month (hence the swollen stomach).  The good news is that my surgeon is confident he can perform the surgery (which is a real blessing because it is not an easy surgery). Since the tumor is growing so quickly, we need to take it out as quickly as possible so the tentative plan is to have surgery on this coming Tuesday.  Surgery will be followed by chemo (hopefully a regimen that my body responds to).
This will be my 5th surgery of this kind but this one might be a bit tougher given the size of the tumor.  I will be in the hospital for about a week and recuperating for another 2-3 weeks at home.  While this is not the news we were hoping for, we are really grateful that surgery is still an option. 
I am in a fair bit of pain so I am actually looking forward to going under the knife (odd, I know but it is very unsettling to actually “see” your tumor growing every day).

How You Can Help
  • Check in via our Journal versus Calls or Emails – This journal is definitely the best way to get updates rather than sending us emails or calling us when we likely won’t have the time (or energy) to respond.  So, please check here for  frequent updates.  I believe I have enabled a “posting” function on the blog s you can write thoughts to us which will be great to read.  Please pass this url (http://www.jenanddavelinn.com/ or http://journal.jenanddavelinn.com/ to anyone who might be interested in getting updates.  Not responding to emails or calls really makes our lives a lot easier.  And please note that if you don’t hear from us, it doesn’t mean that we don’t truly appreciate all of your prayers and kind words.
  • Think Good Thoughts – we need all of the hopes and prayers and positive energy you can muster.
  • Please Don’t Send Flowers or Buy Us Gifts – We appreciate your generosity and you really don’t need to buy us anything.  If you truly feel better getting something for us, please use that money to make a donation to Cycle  for Survival (http://cycleforsurvival.org) . As you know, this money goes directly towards research to find new treatment options for rare cancers like the one I have.  While we remain optimistic that my Doctors will find a cocktail that works after this surgery, this research is becoming more and more integral to my long term survival.  By far this is the BEST way you can help us.
The road ahead might be long but we are ready to take it on!  We are blessed to have such a large group of friends and family who are part of our journey. Thank you and stay tuned.

Second Time Around – In-Patient Chemo Begins

I had a really good hospital stay. I know that sounds odd but I really can’t complain. I had:
• A nice new room with a really sweet, considerate roommate (if you can’t get a single room, this is the next best thing)
• Great nurses who were young and fun and very caring
• A relaxing foot massage on day $3 of my treatment
• A wonderful stream of visitors who kept me entertained and preoccupied
• Good food (aka I had visitors bring me all of my meals so I didn’t have to eat hospital food)
More importantly, I didn’t have:
• Bad side effects from the chemo (I had very little nausea or night sweats)
• A lot of distractions at night (I managed to sleep OK despite the crazy steroids I was on)

There was definitely a sense of déjà vu being in the hospital 4.5 years later for a similar treatment.

The highlight of the 3-day stay was that I had an allergic reaction to one of the new chemo drugs I was being given. I am being a bit sarcastic because although it was definitely a “highlight”, I would have gladly chosen to live without this experience.
I was forewarned that about 25% of patients receiving this drug get an intense allergic reaction within 10 minutes of the drug being administered. In most instances the nurses will stop the drug and try again in an hour…90% of the time the drug is tolerated the 2nd time around. There is a very intellectual medical reason for this that I didn’t understand but it basically boils down to the fact that your body needs to get accustomed to it.

I was given the drug and it took only 3 drops of the drug for me to get really sweaty and dizzy, feel my throat closing and have my face turn bright red (Dave claims my face was rosier than the Vitamin Water I was drinking). The nurses and Dr’s were ready for this reaction and immediately gave me shots and oxygen, which brought me to a comfortable state within 1-2 minutes. I must say that it was the scariest moment I have had on my cancer journey to date. When the nurse asked me what it felt like, I told her “I felt like an elephant was on my chest and if you hadn’t helped me, I would have died within 30 seconds”.
I got really nervous when they told me that despite my allergic reaction, we had to try again in an hour. Luckily I didn’t have the reaction the second time and the treatments went without a hitch. I would be lying if I didn’t admit that I am going to be very nervous when they give me the drug again in 3 weeks.

I got home on Wednesday night around 6 and have been doing pretty well since. I am loving March Madness and watching a ton of games. Luckily, I have very few side effects…a bit of nausea and extreme fatigue (I have to take a nap every day) but that’s it. I have managed to go to the gym, see friends, do errands etc. I am just taking it day by day as I try to determine what this new round of chemo will be like for me.

The side effect that I tend to have the most is called Chemo Brain. It basically means that you feel like you are in a haze for the few days after chemo. It’s hard to really focus and sometimes you have a hard time expressing yourself coherently. I guess this is the best side effect to have in that it doesn’t hurt you; it ‘s just somewhat annoying. I tend to be about half as productive and much more “Zen”. When I started exhibiting these symptoms on Thursday Dave remarked, “Oh, I forgot about this side effect and how much I like it. It’s the kindler, gentler version of the Jen I love!” I would have smacked him but my brain was too foggy!

I will write again soon. I have a lot of “deep thoughts” to share once I get over my chemo brain!

With Cancer, Let’s Face It: Words Are Inadequate

I am home from the hospital after my first 3 day stint. I will post a full recap in the next few days. In the meantime, I wanted to post this insightful article from a NY Times journalist who often writes about his personal experience with cancer. I am not sure if I agree with his tone and POV throughout the entire article but I do agree with him that rather than a battle, cancer feels a bit like a part of life that must be accepted if you are a chronic relapser. Enjoy!

March 15, 2010, 4:47 PM
By DANA JENNINGS

We’re all familiar with sentences like this one: Mr. Smith died yesterday after a long battle with cancer. We think we know what it means, but we read it and hear it so often that it carries little weight, bears no meaning. It’s one of the clichés of cancer.

It is easy shorthand. But it says more about the writer or speaker than it does about the deceased. We like to say that people “fight” cancer because we wrestle fearfully with the notion of ever having the disease. We have turned cancer into one of our modern devils.

But after staggering through prostate cancer and its treatment — surgery, radiation and hormone therapy — the words “fight” and “battle” make me cringe and bristle.

I sometimes think of cancer as a long and difficult journey, a quest out of Tolkien, or a dark waltz — but never a battle. How can it be a battle when we patients are the actual battleground? We are caught in the middle, between our doctors and their potential tools of healing and the cell-devouring horde.

We become a wasteland, at once infested by the black dust of cancer and damaged by the “friendly fire” of treatment. And ordinary language falls far short of explaining that keen sense of oblivion.

As a patient, it’s hard to articulate how being seriously ill feels. In a profound way, we are boiled down to our essential animal selves. We crave survival. We long for pain to end, for ice chips on parched lips, for the brush of a soft hand.

It pays to have a positive outlook, I think, but that in no way translates to “fighting” cancer. Cancer simply is. You can deny its presence in your body, cower at the thought or boldly state that you’re going to whup it. But the cancer does not care. You’re here, the cancer has arrived, and the disease is going to feed until your doctors destroy it or, at least, discourage it.

Then there’s the matter of bravery. We call cancer patients “brave,” perhaps, because the very word cancer makes most of us tremble in fear. But there is nothing brave about showing up for surgery or radiation sessions. Is a tree brave for still standing after its leaves shrivel and fall? Bravery entails choice, and most patients have very little choice but to undergo treatment.

Which brings me to “victim.” I didn’t feel like a victim when I learned that I had cancer. Sure, I felt unlucky and sad and angry, but not like a victim. And I have no patience for the modern cult of victimology.

Victim implies an assailant, and there is no malice or intent with cancer. Some cells in my body mutinied, and I became a host organism — all of it completely organic and natural.

And what are we once treatment ends? Are we survivors? I don’t feel much like a survivor in the traditional (or even reality TV) sense. I didn’t crawl from a burning building or come home whole from a tour of duty in Afghanistan.

I’m just trying to lead a positive postcancer life, grateful that my surging Stage 3 cancer has been turned aside, pleased that I can realistically think about the future. I’m trying to complete the metamorphosis from brittle husk to being just me again.

The phrase “salvage radiation” is not used much anymore, but when one doctor said it in reference to my treatment, it made me feel less human and more like a “case.” It meant I needed radiation after surgery, because the cancer was more aggressive than expected — I needed to be “salvaged.”

I felt as if I had been plopped into some screwy sequel to “Raise the Titanic!” — time to raise the U.S.S. Jennings, lads. Or maybe I was going to get picked up by a scrap-metal truck and then get zapped at Frank’s Junkyard, laid out in the back seat of a 1960 Ford Fairlane.

And I’m still troubled by this sentence, which I’ve heard many times: “Well, at least it’s a good cancer.” It’s usually applied to cancers that are considered highly treatable, like those of the prostate and thyroid.

Most people mean well, but the idea of a good cancer makes no sense. At best, the words break meaninglessly over the patient. There are no good cancers, just as there are no good wars, no good earthquakes.

Words can just be inadequate. And as we stumble and trip toward trying to say the right and true thing, we often reach for the nearest rotted-out cliché for support. Better to say nothing, and offer the gift of your presence, than to utter bankrupt bromides.

Silences make us squirm. But when I was sickest, most numbed by my treatment, it was more than healing to bask in a friend’s compassionate silence, to receive and give a hug, to be sustained by a genuine smile.

Strangely enough, although cancer threatened my life it also exalted it, brought with it a bright and terrible clarity.

So, no, cancer isn’t a battle, a fight. It’s simply life — life raised to a higher power.