Tuesday, December 23, 2008
1/2 Shirt Day!
I had nausea pretty much all day but was out and about doing last minute mailing and shopping. It is difficult to have a conversation with someone when you are concentrating on not barfing! hahahaha....it really is funny. The other thing that is still bothering me is my fingers...they are getting a bit worse, which is odd because Dr. Hamm reduced the amount of Vincristine in the chemo cocktail...hmmmm.
I made an appointment with the Social Worker, Joanne, just before the new year and I also made one with Dr. Ling (the ENT that did the surgery) for mid January.
I likely won't write as regularly over the holidays because I will be busy. But I wish you all the best Christmas and Holiday Season!
I'd like to say that I want 2009 to be better than 2008 - but what is better than a baby girl?
....another?
ciao!
Sunday, December 21, 2008
Some self reminding....
I took all my drugs as prescribed and got Big John to give me my neupogen shot (thanks). I had to take ativan 2 times today for nausea...nausea sucks. My finger tips are still numb, I'm tired, minor headache...nothing too major.
I heard one of my best friends give a eulogy today that was very impressive. Such a strong character this guy has. He is one of the best. He demonstrated to me how to be strong in a difficult situation.
Now that Hammy has given me permission to be active I feel like a new person. I went to the gym today and hit the squash ball around for 20min and exhausted myself. I then went and walked on the treadmill for 12min - and was finished. Holy crap am I out of shape. On the squash court I worked on testing my mobility - slow lunges and making sure I had my hand eye co-ordination. I got dizzy a few times on the court and the treadmill. But all in all, I am glad I went. I really can't push myself with this. Too bad...but at least I can get out there.
I have been thinking a lot about my head and what the social worker talked to me about and the spiritual healer told me. They were both a bit overwhelming, but both have a lot to offer. I am going to follow through with both. However, I am going to be sure that I am in charge of what positions I put myself and will be sure to fully understand what I am about to put myself through, if anything.
I have read about some cancer patients going through hell and they will likely not survive. I hate reading that, and will stop it.
I have talked to patients who have nooooo clue what cancer they have, nor any info about the drugs they are on. That is not me.
I have read about people who are alone. That is definitely not me.
I have read caregivers posting questions that should be coming from the patients (and maybe some are) but that is not me.
I have read stupid stupid stupid questions from patients where it is evident that they do not have a good doctor. That is not me. Soooo not me.
I have heard from hundreds of people, over 200 people read my blog everyday, over 1,500 different people have been to my blog, over 16,000 hits on my blog, I have the best family in the world, the most beautiful wife and daughter in the world (yes I do), the best friends in the world, I am in charge of my cancer and I know what I am doing.
I have to remember this.
Man this thing is a roller coaster!!!!!
The shirts should come in tomorrow....I sure damn hope so!
Saturday, December 20, 2008
2 days post chemo...

6 days to Christmas!
I woke up to my regular drug cocktail (emend, zofran, pariet, prednisone) then around noon I took another prednisone. At 4 i gave myself the neupogen shot, I figure I am better off getting 1 instead of Diletta's 5 pricks. Somewhere around 11 and 4 I took some Ativan to help calm the nausea. I took a nap around 2 - 4, then finally, I took a zofran at 9pm.
This is what the day comes down to...drugs drugs and more drugs.
I was able to go out with Diletta shopping for Isabella for xmas - that was kinda fun. But there aren't a lot of toys to buy for a 3 month old. Plus, she has everything. And I bet everything X 10 has been bought for her for xmas. It will be an exciting Christmas! And also, I went out for a few hours to a Christmas party. I was very careful not to shake anybodies hand and I must have washed my hands 50 times with Purell. The party was just a few guys playing cards and drinking beer in a garage...It is way better than it sounds...I of course wasn't able to have any beer, as it doesn't mix well with Ativan - so I'm told@!
Sometime this afternoon I spoke on the phone for about an hour with a person that is a type of spiritual healer. I was quite skeptical when I heard about this type of thing. But in speaking with her, she has a lot of insight to a persons sole and is also a cancer survivor - so she can relate in that sense. She did agree with me not wanting to become a patient (the discussion I posted 2 days ago). I still feel as though I have to keep a barrier between myself and the worst case scenario - I'll deal with my shit when I have to. In the meantime, I'm gonna kick the shit out of my cancer my way. Got it. She did get the sense that I tend to take on other peoples emotions and this may be why I feel the need to stay away from other cancer patients. I am already helping the cancer center with the resource room, president of the Lancer Volleyball Club and Chairman of The Clay Elliott Scholarship Foundation...Right now I need put myself first. Especially when it comes to cancer. This make sense? It does to me....
I hope everyone else is prepared for Christmas and doesn't have to weather the weather and the crazy crowds that tend to be out this time of year! Mind you, there seem to be a lot more sales on than in the past...
I am reallllly tired.
Ciao.
Thursday, December 18, 2008
Post chemo #4
I started at home by taking my Emend at around 8:10am. I got in a bit earlier than usual...about 8:50. They started me on my saline and gave me my pills (zofran, prednisone, tylenol, pariet, benadryl). Tally = 5 drugs pre chemo. Then they started me on a drop of saline and then into the rituxan (6th drug). I am on the same slower pace for infusion as they are still concerned about how I would react if they went full speed. If they did it at full speed it would take 90min and they way I go it takes about 3 hours. Somewhere around the 2nd hour I started to get nauseated, so they gave me a stamatil (7th), this wasn't really working but I forced down some food my mom had brought me and a bit of strawberry ice cream. The nausea wasn't going away and they couldn't give me another stematil so Terri (my nurse) went and got the head nurse to ... she came over to try and find out why I was experiencing this...Rituxan does not cause nausea...so she was a little perplexed. I told her that it was likely anxiety. I kind of think that I have created this crap in my head. nutz.
So they decided to give me an Ativan (8th)...from there I started to feel a bit better. Then I was able to take the Doxi, Cyto and Vincristine (9-10-11). I ended up getting out of there around 3pm. The other patients in the other two beds around me were great. But what continues to boggle my mind is how people would rather live in the dark about what they have and they put FULL trust in their doctors.
I got home around 4pm and went to bed at 5pm and slept til 8pm. I am now exhausted and ready to hit the sack.
picture...

My aunt and uncle Paul and Cathy!
Speaking of shirts...monday!
Ciao!
Wednesday, December 17, 2008
Chemo #4
I went to get my blood work around 10am this morning ... not bad, only a few people in front of me. After that I went to talk to a social worker (Joanne - who may actually be reading this). This is a difficult thing to summarize without writing a lot...so I'll do a really short version. Essentially, there are 3 things to work on...anxiety, sleep and guilt - all of which go together when you think about it. She gave me a few options which I will think about, many of which are provided by hospice, these included:
- speaking with her on a continuous basis - I really like this idea.
- a lifestyle changes class starting January that runs for 4 Wednesdays for 4 weeks - this is a class about transitioning from a person to a patient. Frankly - this scares me. Based on what Joanne said, she and another social worker act as facilitators to what becomes a patient driven discussion. What I am afraid of is hearing a bunch of people talk about how bad their situation is...i know that I have a good prognosis and I don't think I want to hear how bad other peoples are. Ug. However, maybe this is some reality I need to be exposed to. Surely they created this class for a reason (to fill a need???). What might be good about this is to hear other people having similar problems / concerns. Ack - I don't know.
- Yoga - maybe.
- Radiant touch - Apparently this is like reiki. She offered to come do this during my chemo - but I said no. I don't like being touched or massages so doing that does not appeal to me.
- I also got a schedule of all the other things going on with hospice that I have yet to look at...
So I have some decision to make...If you have experience with any of this...let me know.
Diletta and I then met with Dr. Hamm, my Oncologist. She is pretty cool - a great doctor that really takes the time. I am lucky to have her. Anyways, we asked all the questions I wrote about yesterday and got the following info (btw - it's late and I have chemo tomorrow...so this will be brief - maybe...):
- cure vs remission vs Overall survival vs etc...what's the deal? This is not straight forward. Basically I have a 60-80% chance of being in remission at the 5 year point. There is not scientific consensus as to whether or not getting to the 5 year point means cure. Some believe it does and others do not. Dr. Hamm noted that this is a very difficult cancer because it is so rare, which leads to very little research. If it does relapse, it will likely come back as the same cancer. She believes that I am likely in remission right now (it is not growing any more) and is confident that my CT scan in January will be all clear.
- One of the problems with follicular, is that it is a mix of large and small cells. The large cells are fast growing/replicating and will react well (die) with the chemo. However, they don't know if the small cells are cancerous and if they are, they are likely a lower grade and slow growing. This means that the chemo may not work on them because it can take much longer for them to grow/reproduce. So, if it does come back, it can be in 5 or 20 years as a low grade cancer.
- Clear as mud.
- Regarding the types of testing that can be done post treatment II listed them before) some of them were already done and some might get done post treatment...we'll wait and see.
- Blood Counts - all good. My counts are high enough for chemo Thursday, and are higher than in the past. This is great. Also, regarding my Red Blood Cells other ones that I don't remember, I am good to exercise and be active. This is great and I went to hockey tonight..man it wiped me out. soooo slow.
- Side effects - I still have tingling finger tips...so Dr. Hamm said that we would reduce the Vincristine to 1mg from 2mg. This is part of the CHOP-R and she said that of all the drugs the vincristine is the least effect so she has not problem reducing it.
- We asked about all of the anxiety I have been having and if an anti-anxiety drug would be good for me - namely, the Ativan. She basically said NO. She is hesitant to give such an addictive drug to a young person. She doesn't want to create an addict. I am very much ok with this - I think I can find other ways to reduce my anxiety. Exercise will be one for sure!!
I am sure that I am missing some details, but time to hit the sack and get ready for chemo.
As for the shirts...they won't be ready until Monday - too bad because I really wanted people to have them for Thursday. Oh well, there are 4 more chemo sessions.
Pictures are always great!




Tuesday, December 16, 2008
The day B4 #4
So tomorrow I'll go for my blood work in the morning and I am going to try and talk to a social worker there. I have not been feeling my normal self and think that I need to do something. I think this will be considered proactive...I'm not too "not-normal" - I'm afraid to use other words - but talking to a professional should help. I hope. Anyways, then tomorrow afternoon Dil and I go to see Dr. Hamm. We have a few questions...
- We want to fully understand the difference between cure/remission/survival. I'm pretty sure that there is not 'cure' for follicular, by my overall survival rate is fairly high (90% +++). But, the scary part is the chance for transformation (and what does 'it' transform to?)
- We are going to ask about all types of post treatment testing...I'll likely get a PET scan, but what about 1) polymerace chain reaction 2) flow cytometry and 3) DNA microarray. I think all of these are very specific and accurate...but I have no idea (yet).
- Get some feedback on my blood counts and the use of neupogen - can I take for longer to decrease my risk of getting sick?
- Side effects - my fingers are still tingling, I had nausea up to day 10 and then on day 18 (yesterday)...
- I'm going to ask about an anti-anxiety drug (that should be the ativan - but I stop taking it on day 10 - should I take longer?); and review the use of the current drugs that I am on.
- I'll also get my scrips ordered for Thursday...
Half way through and I am sick of this. I hate it.
I hope the shirts come in tomorrow!
Ciao!
Monday, December 15, 2008
Almost at the 4th ...
Anyways, the shirts should come in soon...I hope tomorrow or Wednesday. So, if you haven't mailed me money or dropped it off...can you please do so. I'll send them out as soon as I can after I get them.
ciao
Sunday, December 14, 2008
Friday, December 12, 2008
Have a good weekend!
I'm going to take the next few days off from the blog...I'll be back for Monday.
Have a good weekend!
Ciao.
Thursday, December 11, 2008
Spinner Wednesday
Regarding the shirt sales...i received another 11 orders today...so we're up to 121! I can't wait to see them...
I picked up a bike trainer today so that I can get some exercise. That is one big thing that has been missing and man do I miss it. I don't plan on training per se, but at least getting my legs moving. I hope I use it.
P.S> One thing I always wonder is who actually reads this blog...If you do read it, send me a message. If you get it via email - I know you read it...but if you visit the actual blog, I have no idea...
That's all I got...
Ciao
Tuesday, December 9, 2008
T-Shirt Update...


Monday, December 8, 2008
Finally - Cycle 3 DONE!



Sunday, December 7, 2008
Sunday Sunday Sunday







She loves the Bumble Bear.
Thanks for Reading!
Thursday, December 4, 2008
Drug Rollercoaster Continues
Please email me at: caseylibero@yahoo.ca if you would like one. You can check this post to see what you will get. For $40 I will mail you a shirt of your size.
I am pretty wiped today. Again, the lack of drugs, or combination of drugs, is messing with me. I had nausea on and off today combined with fairly minor cold symptoms.
Today, there was an article in the paper of a man that died of cancer. While I was getting chemo 4 weeks ago this man was beside me getting a blood transfusion. I remember how unhappy he was and he was pretty sure that he was going to die soon. I thought at the time that I didn't want to be exposed to that because I needed positive thoughts. I wish I had spoken with him more. I wish his family the best.
ciao.
Wednesday, December 3, 2008
Best Pictures Ever!
The 3 pictures above depict the sculpture "Cancer: There is hope" and shows 8 figures at different stages in dealing with cancer. At the beginning are people beginning to deal with it, in the middle is a woman in the midst of moving through the treatment maze and finally, a family of 3 who have survived. Man this hits home.
Tuesday, December 2, 2008
Tired Tuesday
On another note, I am surprised that I have yet to hear back from the cancer center regarding the computer kiosks and/or chairs. AND, I have yet to hear from the Lymphoma Research Foundation. I have contacted both several times offering to help and donate. Odd.
As for my shirt sales...I sold 7 more today...so I only need to sell 6 more - 6 more!
If you don't know what I am talking about...please refer to yesterdays post by clicking here.
Ciao.
Jeff
Shirt Sale!

...and then you can get whatever you want on the back...as long as it ends in: Kicks Ass!

You can message me directly at: caseylibero@yahoo.ca
Thanks Everyone!
Ciao,
Jeff
Monday, December 1, 2008
Happy Monday
So today was not as good as yesterday...but still not too bad. I got hit with nausea a few times and had to take it a lot easier than yesterday. But all in all, the post-chemo session is going great! The Adivan really seems to be working well combined with the rest of the drugs. I hope it lasts.
Isabella, Diletta and I put up the Christmas tree today, so you should be seeing some Christmas type photos coming soon!
Ciao
Saturday, November 29, 2008
Nice Little Saturday!
Isabella is changing fairly dramatically these days...she is discovering her hands and feet and is starting to be able to handle things. I haven't been able to handle her for 2 days because of chemo so I am really looking forward to tomorrow.

Friday, November 28, 2008
Post Chemo #3
I really started to feel like crap last night around 7pm, but was able to take some Adivan and Gravol and get to sleep for about 11pm. I was awaken at 9am by Diletta with my morning cocktail of drugs! Pariet, Prednisone, Emend and Zofran. I then took an Adivan at 11 because I was starting to feel nauseated, than a Prednisone at lunch. I took a hard nap at 2 and woke up at 4 to get my neupogen shot (did it myself), another Adivan at 6 and finally, my zofran at 9pm.
All in all I feel pretty good, just tired.
Short and Sweet - Ciao!
Thursday, November 27, 2008
Chemo #3
I started this morning by taking the Emend (anti-nausea medication) at 8am. My grandma and I got to the hospital for about 8:20 and headed up to the waiting area outside the chemo room. We didn't get in until about 9:30 and started the drips at about 9:45. While the first saline drip was going I took my pills (Prednisone, tylenol, zofran and benadryl). At around 10 they started with the Rituximab.
With the Rituxan, the normal course of action is to take the first dose slow (like during my first chemo) to see how the reactions go. My firstchemo session, during the Rituxan, I got an itchy throat and hives. During the second chemo, I reacted just slightly, so they slowed it down. So I thought that for today the would speed it up and it would only take 90min - but they didn't, so this adds about 2hours to the treatment. This is fine by me as I would rather be cautious.
Around noon I took more tylenol and benadryl. So far today I have taken 9 drugs and will take 1 more tonight (either gravol or Ativan).
So i thought all was going well..until about 6:30 - now i feel like crap. headache, nausea and more. I'm off to take drugs and go to bed.