Incommoded

Since I last posted I'm afraid the grot has continued.  The other-half valiantly tried to rally my spirits with his latest gift, but as you can imagine, needing a commode (daffs or no daffs) is a bit of a downer.

The commode, still in intermittent use, was a very necessary addition to the decor here at Discombobulated Towers when I experienced faecal impaction.  If you don't know what that is then you are blessed.  I'd describe it as super constipation with sodding great lumps on.  If you are weird, and want more details, then click here.  Suffice it to say, it made me feel horrendous and have even more loss of dignity at the hands of (lovely and very helpful) call out doctors.  I ended up spending two weeks bed bound, sleeping on towels and smelling like a cess pit.  Through all this the other-half has been a trooper.  He is now known at the Groom of the Stool.  

Thankfully a week ago I started feeling better and am now able, with help, oxygen, masses of time and trusty steroids, to get up dressed and downstairs most days.  But there has been a noticeable deterioration in my already shaky health from a few weeks ago.  

This was hammered home to me when I went to see the oncologist at Shrewsbury last week.  I feared strugglinng to get to the appointment but with my trusty wheelchair and portable oxygen it wasn't as bad as I thought.  Which is more than I can say for the appointment.  The oncologist was more serious and sad than I've ever seen her.  She told me that I was very poorly and that I cannot have further chemo as this would shorten my life rather than prolong it.  She did, however, start me on a hormonal treatment called Anastrozole.  I haven't had much luck with hormonals in the past, but I'm hardly going to turn down a booze up in the last chance saloon. The oncologist asked repeatedly if there was anything else I wanted to know.  I think she expected me to ask how long I had left to live.  I told her that I didn't want an expiry date.  Some people want an estimate (and that's all it can be) and some don't.  I don't think it would be helpful for me.  I've done my end  of life plan (about what sort of care/intervention I want) and have regular contact with my wonderful Palliative Care Doctor based at the hospice.  So other than that it's one day at a time.

Arriving at this whole turn of events is a bit of a mystery to me.  My last ten scans have shown no change in my cancer and yet now both my local hospital and  the Christie seem to think it's been growing but not detected by scans (they've scrapped the previous idea of chemo-induced pneumonitis when my breathing didn't improve after coming off the trial).  I have asked for another scan, although the oncologist wasn't keen due to the effort it involves for me, I haven't got a date for that yet.  Scans not showing anything?  So many too?  But I've been assured that they've been checked by several radiologists so I'm flummoxed.  Still the bottom line is my breathing isn't great, I'm on oxygen a lot of the time so obviously all is not well, no arguing with that.  I've just got to hold out hope that the anastrozole works magic.

So, grim news really.  But my day-to-day life is quite pleasant.  I'm being looked after brilliantly by family.  I'm watching a lot of Time Team (a very good thing in my book), playing online scrabble and drinking copious amounts of tea.  In other words I'm being treated like Lady Muck which, given my latest run in with the constipation demons, is quite a fitting name.

In the wars

Remember the mystery (and huge) gnome that appeared in my garden last spring?  Well I'm afraid some recent windy weather has taken its toll.  And the gnome isn't the only one who's been through the wars lately.

I've been complaining about breathlessness for ages and it's got worse and worse.  I went to The Christie (the specialist hospital I've been attending in Manchester) a week ago for scan results.  The scan was good - no change, but the doc was not at all happy about my breathing and admitted me.

I spent a week in hospital with the poor other-half having to trek backwards and forwards to Manchester (a one hour forty minute drive each way on a good day) to visit me.  I have no complaints whatsoever about my care but, as I'm sure you know, hospital wards are not peaceful, restful places so it was all a bit of a strain.  Added to that I couldn't walk a step without becoming very breathless so commodes behind the bed curtains were the order of the day.  Necessary but not very dignified.

While all this was going on, the three-legged monster cat was safely at home.  Lounging on his special cushion, dignity intact.  Lucky blighter.

Lord Muck

During my stay the medical bods did a high resolution CT scan and still found no change in my lungs since May, so no obvious reason for the breathlessness.  

During some regular observations the nurse found that my heart was racing alarmingly. Within moments I was surrounded by medical staff and advised that it would be a good idea for Nev to return to the hospital even though he'd only just got back to the Midlands after visiting.  Two of his sisters kindly drove him back and he arrived in time to find that my heart rate had, thankfully, slowed.  

So the focus of attention moved to my heart. An echocardiogram revealed that there seemed to be some sort of pressure there so I was prescribed beta blockers and arrangements were made for me to have a cardio MRI in a hospital a few miles away from the Christie (cue a trip lying flat in an ambulance - but no nee-naws).  Before leaving the Christie I asked the medics to tell me straight what they thought the scan would reveal.  Their opinion was that it was likely that the cancer was pressing on my heart, in which case all treatment would cease.  I asked how long they thought I had but they were unable to say before seeing the scan results.  At this stage I had them draw the curtains around my bed and had a good blub.  

However, the cardio MRI revealed no problem with my heart.  This was good news obviously but it's pretty frustrating to be a medical mystery.  It felt like my life was turning into an episode of House.

So the next thing was to try steroids to ease the breathlessness.  This has worked to a small degree and finally, after a week in hospital, I was allowed to leave as long as I had oxygen at home.  I cannot bear to go into the frantic organising that went into ensuring that oxygen was installed on a Friday afternoon - but thankfully it was done.  Me stressed?  Never.  What a week!

Being back at home is wonderful.  I was absolutely exhausted so the peace, quiet and loveliness of my own bed, not to mention the total disdain of the cat, were blissful.

Yesterday I went back to Manchester again to see the docs. They have had conversations with the head honchos of the clinical trial I'm involved in and the consensus is that I have chemo-induced pneumonitis.  This means that I have to come off the trial.  On the one hand this is a bugger as it was working to control the cancer, but on the other that's not much use if I can't breathe.  The hope is that my breathing will improve as the chemo leaves my system and I've been prescribed a decreasing course of steroids to see me through.  

In a couple of weeks I will consult oncologists at both the Christie and my local hospital to see what, if anything can be done next.  There is at least one chemo I might be able to try but I have to be well enough to handle it.  Time will tell.  At the moment I'm just taking one day at a time and trying to put some weight back on.  At the risk of being totally shallow, as well as all the health palaver, I am not particularly enjoying rocking the scrawny-eyed wassock look.  Some fat, hair and eyelashes would be much appreciated.

At this point, at the risk of sounding like a tearful Oscar winner, I have to thank the other-half, his family, my wonderful (yes I did say that) sisters and friends for their concern, lovely messages and practical help during all this.  I even had fellow metastatic breast cancer pals from my online support group popping in to see me.  You're a lovely bunch you really are.  I appreciate everything even though I don't always show it.

Let's end on a brighter note and totally change the subject.  We have a new addition to the family.  Sis no 1 has adopted a second cat.  He's an elderly gent and doesn't do much other than enjoy being out of the shelter and in a warm, comfortable home.  But honestly, with looks like this, he really doesn't need to do anything.  Ladies and gentlemen I give you ..... Murphy.

No lack of fat, hair or eyelashes there.

Diversionary tactics

I haven't inflicted my burbling on you lot for ages.  Well your luck just ran out, I'm back.  I'm feeling twitchy, fearing that the scary orange git might actually win the American election.  So I'm trying some diversionary tactics which so far have included eating a bucketful of yummy shepherd's pie and tidying my underwear drawer.  Now I'm resorting to writing a blog post. Sorry.

Cyril gives the seal of approval to my underwear sorting

I had scan results last week.  The disease is unchanged.  Cue, yet again, surprise and relief.  As side effects go my eyes seem to be taking a hammering.  This is a known side effect of the trial chemo, SYD985, and can lead to having a chemo break or having to come off the treatment altogether.  I have regular eye examinations so we'll see what happens after the next one later this month.  I also seem to have some nerve damage, peripheral neuropathy, which isn't a known symptom for this particular chemo and caused the onc to get all excited. He prescribed a painkiller tailored to nerve damage.  I've adjusted to the painkiller now, and indeed it seems to be doing the job, but the first time I took it I felt like I taken a horse tranquiliser, then I spent a day being inordinately happy.  Normal service is now resumed.

The breathlessness, which I've been moaning about since forever, continues.  So yesterday I had another scan, an angiography, looking for blood clots in my lungs.  I should get the results in the next couple of days.
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The slow hair loss persists.  I found a really lovely wig place in the seething metropolis that is Much Wenlock.   I realise that this is going to be local to just about nobody other than me, but if you are in the area and in need of some extra hair then you could do much worse than going to see Nicky, who really knows her onions (and wigs).  I went with the other-half.  I tried on heaps of wigs and some of them looked truly dreadful on me.  The highlight was when he pointed out that I looked like one of the blokes out of Buck's Fizz in one of the wigs.  Even the very professional Nicky couldn't help doubling up at that one.  Anyway in the end I settled on this (the frown lines were caused by the trauma of taking a selfie):

I could've done with the wig the other day when we went out on another wheelchair excursion, this time to our regular stomping ground, Attingham Park.  I learned two valuable lessons on this trip.  1)  Being wheeled around is flipping freezing, wear twice as many clothes as you think you're going to need, and a wig.  2)  On no account set off on a wheelchair perambulation thinking to yourself, as I did, "Oh I think I need a wee, but it'll be OK I'll leave it till I get back".  Oh boy.  Half an hour of being jolted about on uneven paths played havoc with  my bladder.  By the time we got back to the main buildings I didn't know what to do with myself. I leapt out of the wheelchair and sprinted up the path to the public loos.  Passers by must've thought I had a miracle cure.  On the plus side it was nice to get out and there was still colour in the walled garden despite the onset of autumn/winter.

 

While the other-half has been lovely, escorting me to numerous medical appointments and wheeling me about in my unwinged chariot, he has also been a major pain in the arse.

Exhibit one

 
Here he is panicking in a clothes shop (Fat Face for the eagle eyed amongst you) when he tried a gilet on and got stuck in it when the zip jammed.  Readers, he ended up buying it, I kid you not.

Exhibit two

 
Here's Nev having a bit of a tantrum.  He decided to sort out the kitchen cupboards where, unsurprisingly, half the stuff was out-of-date.  "I hate waste" he cried and generally grumped about the place for a good half hour.  Boo hoo hoo.

Then there are the Nevisms.  In the past he has uttered such classics as "that rabbit is memorised" (when he meant mesmerised) and "Is the Pope Jewish?", er no.  Yesterday he excelled himself.  We were heading off to the hospital for my scan.  He asked me which department we had to go to.  "Is it where you had your autopsy?" he asked.  Cheers Nev.  That's a happy thought.  (He meant biopsy by the way.  Idiot.)

Other family members have also been looking after me a treat.  My sisters are running a meals on wheels service to beat all others.  It's spaghetti bolognaise tomorrow night.  Mitts off, it's all mine.

Nearly all my hospital appointments now take place in Manchester (since being referred to the Christie by my local hospital).  This is, in many ways, a good thing.  It's great to get treatment at a centre of excellence.  However, it is a bit of a trek, one hour forty minutes each way.  I shouldn't moan really as many people travel much further.  Anyway, on our last couple of visits, with time to kill between appointments we've popped into the Maggie's Centre near the hospital.  Maggie's Centres are places offering all sorts of support to people with cancer (and their families etc) in an non-hospital enviroment - more info here.  We went in just to have a cup of coffee and what a lovely surprise it was.  I took a couple of photos which give an idea what it's like

 

If I tell you that the building was designed by Norman Foster you'll understand that my photos don't do it justice.  You can get a better idea of it by looking at the Manchester Maggie's website.  If you're in the UK there's also a TV programme on Maggie's called Building Hope (which is available for a few weeks).  I haven't seen it myself yet but it might well be worth a look.

Finally, I'd be putting a massive and false cheery spin on things if I was to pretend that everything is rosy-ish.  As I've mentioned before I'm a member of an online support group for people with secondary breast cancer.  This group is hugely important to me.  Recently we had five deaths in just three days.  This is, of course, the nature of the disease, killing as it does approximately 1,200 people in the UK every month.  All untimely deaths are tragedies and losing people you've built bonds with, both online and in person, is hard.  It's also a reminder of where this disease ultimately leads for all of us.  There's not a lot more to say other than to link to Second Hope, the secondary breast cancer charity which meant so much to the women we recently lost.

I bloody knew it!

Picture from here

I got my latest scan results yesterday and, as I suspected, the little fuckers in my lungs are up to no good.  I suppose I had clutched a very faint hope to my moth-eaten and mutilated bosom that the endless bouts of coughing and attacks of breathlessness might be a side-effect from my current hormonal treatment, but nah of course not.  The grim reality is that the cancer in my lungs is growing.  

While the scan results were pretty predictable, the oncologist's suggested course of action came as a bit of a surprise.  I'm being referred to the Christie (a specialist hospital in Manchester) to see if they know of any clinical trials that might be helpful or even perhaps look at my suitability for immunotherapy.  I'm pleased about this, as it'll be good to be checked over by the experts, if only for my own peace of mind.  If the Christie can't help then I'll be going back to my local hospital to try another chemo, vinorelbine.  And that, I think, might really be my last chemo option. 

The news has affected me in a strange way.  Rather than taking to booze (any more than usual I mean), surrounding myself with doughnuts or lying sobbing in bed, I have an overwhelming desire to chuck out all my clothes and buy new ones.  This can only prove that I really am the most incredibly shallow person ever (yet more unsurprising news).   I'm not even sure what sort of clothes I want - just not the ones I've currently got.  How about I go for my 1983 look:

Robert Smith in a skirt

Yes, I am wearing leg warmers over woolly tights.  And yes, that was cool.

Anyway once I get a) a new wardrobe or b) an appointment at the Christie I'll be sure to give you all the news.  How you'll stand the excitement I just don't know.

Until then, simply because I haven't mentioned him for a while, I'll leave you with a picture of my beloved.

Cyril, the three-legged monster cat

 

Kath

I first came across Kath Marsland when we both started blogging for a breast cancer charity's online magazine.  At that point she was recovering from treatment for primary breast cancer.  Since then we've exchanged emails and messages about life, the universe and everything.

During the next few months Kath, like 30% of all people who have had primary breast cancer, went on to be diagnosed with metastatic breast cancer (the cancer, now incurable, had spread to other parts of the body).  Throughout it all Kath maintained her fantastic sense of humour and sickeningly brilliant (me, jealous?) writing style.

As her disease progressed Kath thoroughly researched her options and had started fund raising to enable her to seek treatment in Germany.  

I'm very sad to say that Kath died just over a week ago, before she had the chance to go to the German clinic.  I read today that Kath had asked that in the event of her death any money raised on her behalf should be donated to Second Hope, the only UK charity focusing solely on metastatic breast cancer.

I'm writing about Kath here because I want to assure anyone who donated to her treatment via my Facebook post that the money will be going to a very worthy cause and, more importantly, because I want to commemorate, in my own small way, the life of a lovely, funny and very talented young woman.  

Some relevant links:

Kath's amazing blog

An article about Kath in the Manchester Evening News 

Information about Second Hope

Stabby

Which one is best?  Helpful clue: I made the brown one

Despite the indisputable evidence that I'm rubbish at all forms of craft (remember the dress that didn't fit and my foray into crochet?), I recklessly bought a felting kit from a lovely shop in Bishops Castle.  The kit sat ignored for months and months in the land that time forgot, otherwise known as the cupboard under the stairs.  Then motivation arrived, in the scary shape of sis no 3, and hey presto I give you two felted cats.  I didn't have a clue what felting involved before I started.  The kit basically contained wool and some scarily sharp needles with which to repeatedly stab the yarn.  It was unreassuring to say the least to find that the kit also included a plaster (or band aid for any American readers) for any needle related mishaps.  Thankfully I didn't need the plaster but then I was already feeling pretty stabby due to an eye test a few days earlier.

During a routine examination the optometrist spotted that I have one pupil bigger than the other.  This is not a good sign.  In fact, according to my consultation with Dr Google it means instant death.  I informed my oncology team who gave me the once over and then sent me for urgent CT and MRI brain scans.  The most common places for breast cancer to spread are liver, lungs (got the t shirt for those two), bones and brain.  So it was a scary wait for results. Luckily for me the scans were clear.  I still have to see a ophthalmologist but I'm feeling pretty relieved for the time being at least.

I've had lots of CT scans but the MRI was a new experience.  It was nowhere near as claustrophobic as I feared but it was just as noisy as everyone says it is.  To mask the clanging and banging I was given headphones to wear during the scan.  But I wasn't impressed the music selection pumped into my ears.  Given that they were looking for a brain tumour I think the first song 'Crazy' was a bit of a poor choice, then as the machine rattled and whirred I had 'Good Vibrations' piped through.  Do you think they were taking the piss?  I tried to give the radiographer one of my hard stares (via the mirror contraption above my head in the machine) but he was unabashed.  Git.

If the whole pupil thing wasn't worrying enough I also developed another very frightening symptom.  I've had a couple of sudden attacks of not being able to breathe.  During the attacks I can't speak and make horrible gasping noises.  The second attack happened when I was out for Sunday dinner with the other-half and two of my sisters.  It's not a subtle attack and my poor family didn't know if I was choking on food, going to throw up or what was going on.  I staggered outside and after a few minutes my breathing gradually returned to normal.  Thankfully my GP is sure this is a harmless spasm of the larynx.  It hasn't happened since and I'm not putting my name down for it again.  I don't recommend the experience.

I think I love my GP as not only did he calm my fevered brow over the breathing thing he also completed the form I had from the government querying my right to receive state benefit.  I'm waiting for the official response from the powers-that-be but am hoping the GP's input will make them wave the white flag, the bastards.

On a happier (but no saner) note a few days ago the other-half and I got up at the crack of dawn on a frosty morning to go hare spotting.  We did see a couple leaping about but they were too far away for a photo.  But just to prove that I was out and about bright and early on a very cold morning:

Now here's hoping for warmer weather and a happy, peaceful Easter for everyone.

Avoidance tactics

Here are some things I should be doing:

• Finding out about what will happen when the Cancer Drugs Fund (CDF) comes to an end next month.  I know it will be bad news and I haven't got the heart to read it.  (The CDF allowed patients in England to access some cancer drugs which were not otherwise available.)
• Starting an online course I registered for about immunotherapy.  But it looks like it might require thought.  Besides, the dog ate my homework.
• Looking at the scary form I've received questioning my right to receive Employment and Support Allowance (a state benefit) and asking lots of questions about my ability to work.  I don't have the mental stamina necessary to complete the form let alone hold down a job.
• Completing the skirt I started making last year.  But I'm at the stage where I have to do things with interfacing and attempt a button hole.  Cue an attack of the vapours.  The pattern says 'only one hours sewing time'.  Ha ha bloody ha

The material is now even more 'vintage' than it was last summer when I bought it

 Anyway, here's what I've been doing instead of all the boring stuff above.

•  Getting out and about in the winter sunshine

•  Going on two, yes two, snowdrop walks.  Never let it be said I don't know how to live on the edge.  In case you're interested, or even if you aren't, one walk was the annual one in support of a local cancer charity, (many thanks to all the family members who turned out in support of this, once again you warmed my cockles) the other was at Rode Hall.

•  Going to Cambridge for the weekend.  It was very chilly and I walked my legs off

 

Trinity College (I think).  My brain had frozen by this point.

 

Punting?  In that temperature?  Silly sausages!

•  Stopping off at Ely Cathedral on the way home.  Truly my middle name is Culture (or possibly Louise, you guess).

•  Getting excited about finding a local shop (Whitchurch) bearing the family name

 

What can I tell you?  I'm easily pleased

•  Gazing soppily at a happy Cyril (the three legged monster cat).  Also taking him to the vet again after he got into yet another fight That's 53 quid on antibiotics thank you very much.

Bless his furry little chops

•  Purchasing (for reasons too complicated to explain) a Playmobil Elvis.  I'm pleased to say he was well received.

Now before you start tutting and shaking your heads about my avoiding all the things I should be doing, the reason is not, as you might have thought, cowardice, laziness or excruciating hangovers.  No, the truth is I have been traumatised and the shock has rendered me quite incapable of anything except the most frivolous activities.  One of my sisters discovered (I know not how) that our old family home is now used for this.  And to think I thought finding out I had incurable cancer was a shock.  What did I know!