Wednesday, May 21, 2008

Press release about interim results on a clinical trial involving 2 ACC patients

Genentech Provides Update On Studies Of Investigational Biooncology Agents To Be Presented At The American Society Of Clinical Oncology Meeting

South San Francisco, Calif. -- May 15, 2008 -- Genentech, Inc. (NYSE:DNA) today announced results from studies of several investigational agents targeting the biological cancer pathways of HER (human epidermal growth factor receptor) signaling, Hedgehog signaling and apoptosis (programmed cell death). These data will be presented during the 44th Annual Meeting of the American Society of Clinical Oncology (ASCO) taking place May 30 to June 3 in Chicago. Results will be presented from a Phase II study of pertuzumab in HER2-positive metastatic breast cancer and Phase I studies of trastuzumab-DM1 (T-DM1), an investigational HER2 antibody-drug conjugate; GDC-0449, a small molecule antagonist of the Hedgehog pathway [bold type by th]; and two novel agents designed to trigger apoptosis, ABT-263 and Apo2L/TRAIL.

"Early clinical data with these investigational anti-cancer agents reflects our significant research effort and demonstrates Genentech's commitment to discovering the next cancer breakthroughs," said Susan Desmond-Hellmann, M.D., M.P.H., president, Product Development. "By exploring new cellular targets and cancer growth pathways, we hope this research may ultimately lead to improved treatment options for people with cancer."


A First-in-Human, First-in-Class, Phase I Study of Systemic Hedgehog Pathway Antagonist, GDC- 0449, in Patients with Advanced Solid Tumors (Abstract #3516)
Patricia LoRusso, D.O., Karmanos Cancer Center, Wayne State University, Detroit, Mich.; Oral Presentation; Sunday, June 1, 2008, 8:00 a.m. - 8:15 a.m. CDT; W375a

Interim results will be presented from a Phase I study evaluating the safety, tolerability and pharmacokinetic profile of GDC-0449, a small molecule antagonist of the Hedgehog signaling pathway, in 19 patients with refractory solid tumors that have not responded to prior treatment. GDC-0449 demonstrated a favorable pharmacokinetic profile, with high sustained micromolar plasma concentrations and a terminal half-life of greater than seven days. No dose-limiting adverse events were observed at the three dose levels of GDC-0449 studied.

Two cases of reversible drug-related Grade 3 hyponatremia (lowered serum sodium level) and one case of reversible Grade 3 drug-related fatigue were reported. Stable disease was achieved in two patients with adenocystic carcinoma (a rare cancer most commonly found in the salivary glands) and partial responses were observed during this study in two patients with advanced basal cell carcinoma (BCC).

Data were reported earlier this year (American Association for Cancer Research, April 2008) for nine patients with advanced BCC, including the two advanced BCC patients described here, from an expansion cohort of this study. Stable disease or partial responses were achieved in eight out of nine patients (six partial responses, two stable disease) without significant toxicity.

This is the first study to evaluate a systemic Hedgehog antagonist in human clinical trials. Abnormal activation of the Hedgehog pathway appears to be an important mechanism for tumors to survive and grow. Mutations of the Hedgehog pathway have been implicated in the development of several tumors, such as BCC. Additionally, the progression of several solid tumor cancers has been associated with over-expression of the Hedgehog ligand, including colorectal cancer.

Genentech is initiating three Phase II studies of GDC-0449 this year. A Phase II study in first-line metastatic colorectal cancer began enrolling patients in Q2 2008 and other studies are planned in advanced BCC and an advanced epithelial tumor. Genentech is developing GDC-0449 under a collaboration agreement with Curis, Inc.

About Genentech
Founded more than 30 years ago, Genentech is a leading biotechnology company that discovers, develops, manufactures and commercializes medicines for patients with significant unmet medical needs. The company has headquarters in South San Francisco, California and is listed on the New York Stock Exchange under the symbol DNA. For additional information about the company, please visit http://www.gene.com.

For the full prescribing information and Boxed Warnings for Avastin, Herceptin and Rituxan please visit http://www.gene.com.

Wednesday, May 14, 2008

Adenoid Cystic Carcinoma in the news

A powerful story about students living after cancer in The University Daily Kansan, including Jessica Roark, who was diagnosed with Adenoid Cystic Carcinoma in her tear duct:

Living In Remission http://www.kansan.com/stories/2008/may/08/living_remission/?news , by Mary Sorrick.

Thank you, Jessica, for allowing your story to be told. And congratulations to all of the KU (and other college) cancer survivors for "keepin' on". You are proving that life is what matters.

Monday, May 12, 2008

Entries Invited for Lilly Oncology on Canvas Art Competition

[This contest includes friends of cancer patients, so you are eligible to enter. Thanks to Siobhan for spotting this and sharing!-th]

Entries Invited for Lilly Oncology on Canvas Art Competition
Deadline: June 30, 2008
The Lilly Oncology on Canvas: Expressions of a Cancer Journey Art Competition and Exhibition was developed by Eli Lilly and Company ( http://www.lilly.com/ ) in 2004 as a way to honor the journeys people embark upon when confronted with a cancer diagnosis. The 2008 competition invites U.S. and Puerto Rico residents who have been diagnosed with cancer, their health care providers, family members, friends, and caregivers to submit their cancer-inspired artwork. http://fconline.foundationcenter.org/pnd/15012904/lillyoncology
Copyright (c) 2000-2008, the Foundation Center. All rights reserved. Permission to use, copy, and/or distribute this document in whole or in part for non-commercial purposes without fee is hereby granted provided that this notice and appropriate credit to the Foundation Center is included in all copies. RFP Bulletin (May 9, 2008)

Sunday, May 11, 2008

Roadtrip update


I highly recommend a roadtrip to somewhere you have always planned to go, just to clear the cobwebs out. Don't worry about high gas prices - they look like they will always be with us. I figure I spent less on gas than two round-trip plane tickets, anyway.
We (my mom and I) headed south to Gulf Shores, Alabama (http://www.gulfshores.com/), staying for 4 days and 3 nights at a beach front condo managed by Meyer Realty (http://www.meyerre.com/property/Lani_Kai_Village_2_228). The condo was just as nice as it was presented on the website, putting us closer to the ocean that we had thought possible outside of a cruise! I haven't signed up for another visit yet, but the last week of April sure made a nice time to visit the beach - after the Spring Breakers had left, and before the Memorial Day onslaught of tourists. While at Gulf Shores, we shopped enough at Foley, Alabama (http://www.tangeroutlet.com/foley , http://www.oldtimepottery.com/template.php?page=locations&state=alabama ) to get on the good side of the Chamber of Commerce! We ate wonderful seafood - the best was the Royal Reds, the local shrimp (huge!). We took two days to drive down from Missouri, and three days to drive back, staying in St. Louis on the way back at a wonderful olde English inn, the Cheshire Lodge (http://www.cheshirelodge.net/). I look forward to my next visit there - it was a great place to stay! The last day of the trip, we visited the Butterfly House in Chesterfield, MO (http://www.butterflyhouse.org/). I hope this wasn't once in a lifetime, but if it was, we sure made the best of it! Thanks to my mom for making this happen - without her encouragement, I don't think I would have tried it. Here are to more travels for us all.

Wednesday, May 07, 2008

Adenoid Cystic Carcinoma in the news

A beautiful tribute to Benita Garland: A Life Dedicated to Helping Women of Color

http://timesunion.com/AspStories/story.asp?storyID=686582&category=ALBANY&BCCode=LOCAL&newsdate=5/7/2008

Monday, May 05, 2008

Update from the Live Like Andi Foundation

[I am honored that Mike O'Connell of the Live Like Andi Foundation has read my blog. Mr. O'Connell left two comments on previous posts, but I wanted to elevate his comments to post level so you wouldn't miss them. -cheeky]

1. Thanks for all of the great blog support. The Live Like Andi Foundation Run/Walk for ACC Research was a huge success! We had 900 participants and raised over $75,000 for ACC reaseach. We donated $25,000 of our proceeds to Marnie Kaufman at the ACC Research Foundation. Marnie attended the event on 4/12 and appeared on the Local NBC News with me. For more [information] Visit http://www.livelikeandi.com or http://www.sadlershots.com to view photos.

2. Great News. Keep up the positive attitude. ACC patients must realize that they are in this for the long fight. ACC most likely is not gone but undetectable. Get your scans and MRI's moved up to every 3-4 months. Early detection and non-invasive radiation on a minimal basis (zap the little tumors early) are the KEY! Thanks for all of the great support/blogs regarding my wife Andi O'Connell's - Live Like Andi Foundation for ACC. Mike O'Connell

Sunday, April 20, 2008

Roadtrip to celebrate: No Evidence of Disease

I visited with my radiation oncologist (who now only sees me every 6 months), and he said that I appear to be clear of ACC and any other critters at this time. (He also said that no one has a clue yet as to what was in my skull back in November. Go figure.) My next MRI is towards the last of May, when my head/neck surgeon should give me a report on that scan's findings. In the meantime, to celebrate this declaration of NED, I am heading to the beach with my mom for a few days. (Why save an experience like that for when cancer comes back, anyway??) We will be in the Scion, facing the open road and looking forward to curling our frozen northern toes into some warm sand. I will have sufficient head protection, but hope I don't have to wear the full mask as I would have last summer. We shall see. I may use the chance to do a mobile post to this blog, so stay tuned!

Sunday, April 13, 2008

Report on the recent historic North East ACC Get Together

[This report is from Dan Dube', a fellow ACC survivor. His account of the Get Together and what research may result from it is so important, in my opinion, that I requested and received his permission to post it on this blog. I regret not being able to attend, but plan to attend the next Get Together, whenever it is scheduled. -th]

ACC Survivors,

Here is my personal report about the North East ACC Get Together I attended that was held last Saturday, March 29th from noon to 4PM at the home of Jeff and Marnie Kaufman in Needham, MA, just south west of Boston. We are all so thankful to them for opening up their home to us and hosting this great time together. This message is being sent out to three groups of people: everyone who attended our gathering, everyone who had expressed an interest in coming but was not able to do so, and the NW ACC group who I am very closely linked with and many who wanted to hear about this gathering.

I believe that this was historically the largest gathering of ACC survivors ever. We had 13 ACC survivors from 8 states in attendance, with a total of 24 people including the family members. There were quite a few others who initially expressed an interest, and some who were planning on attending, but at the last minute had conflicts that prevented them from coming. Such is the reality of all of our lives and the many priorities we must balance. Jennifer Dodge, Marnie Kaufman and myself all worked together to organize the event, which truly was an example of the power of collaboration. My three day trip to Boston also involved a tour of a lean manufacturing plant in Hartford, CT, spending some quality time with Jeff and Marnie, a trip to the MIT museum to see some excellent cancer related exhibits, and managing to navigate the crazy Boston streets and freeways to visit a few other places!

I have attached two pictures of the group for you that were taken on the front steps of Marnie’s home when we finally got organized and flowing together! Aubrey did an excellent job and the quality is so good! One of them shows just the 13 survivors, and the other one shows everyone who attended. Here is the list of the attendees in the picture of the complete group, with the name of each ACC survivor identified with a * after their first name.


(Bottom 2 stairs seated)

Kara* Gelb, Linda* DiLenge, Sharon* Klein, Patricia* Tessari, Dan* Dube', Jim Repka,

(Center 2 stairs seated)

Brett* Casteel, Marnie* Kaufman, Shari* Repka, Jackie* Rossier, Jennifer* Dodge, Mike Hall (husband of Susan Smith-Riedel)

(Top stair seated)

Lara Casteel, Susan* Smith-Riedel, Sandy* Baer, Tom DiLenge

(Standing in back and crouching!)

Stuart* Taylor, Stuart Klein, Barry Kahn (husband of Sandy Baer), Joanne Seblatnigg (sister of Sandy Baer), Jeff Kaufman, Eben Tessari, Chuck Rossier

(Not in picture, but the person who did the photography and provided much support: Aubrey Conquergood, Marnie's sister)

We had a scheduled agenda, it was discussed as a group, it was sent out in advance, it was posted on a white board, and we sort of followed it… but getting things moving was like herding cats for me!! For those who know me real well, I like to keep things all tidy and organized, but I have really worked at learning how to go with the flow. I really appreciated how everyone stayed really flexible and we really did have a chance for everything important. Overall, the whole day was filled with lots of laughter, chatting, connecting, building new relationships and enjoying everyone. There was so much energy, introductions and discussions from the very beginning, and the support for one another was incredible.

Here’s what we did:

Noon to 1:15 LUNCH

Marnie provided us with an excellent Italian lunch with multiple dishes, salad from Jennifer Dodge, a great assortment of drinks, and a very nice flow. The floor plan was excellent for this sort of event with plenty of room to serve food, multiple places to sit, nice sunshine outside, and a very warm, yet cheery atmosphere.

1:20 to 1:30 PICTURES

We took the pictures on the front porch with most people cooperating! (Again… herding cats!)

1:30 to 2:45 GROUP DISCUSSION

We sat in a big circle and did the classic “ACC Group Sharing” time. For each and every one of the ACC get-togethers that I have attended, this has always been the most meaningful, emotional and supportive part of the day. We simply went around the room and every person had a chance to share their story of ACC and their life with the rest of the group. We set some guidelines for how long to take (3 minutes each), the types of subjects to be careful with discussing (avoid sex, politics and religion… which some of us sort of followed… but not absolutely everyone!!) and most of all, for people to share what ever they were comfortable sharing with the group. No expectations… just freedom and acceptance. This time of sharing and discussion was filled with a lot of laughter, tears from many of us, (even some of us guys… yes it’s true… guys do cry), passing around the Kleenex box, feeling the safe atmosphere, very compassionate understanding, sharing of difficult challenges, more continuous laughter, hearing some answers, and much hope.

2:45 to 3:00 ACC Research Foundation UPDATE

Jeff Kaufman shared some updates with the group about the progress of the ACC Research Foundation that he and Marnie started up two years and the tremendous hope that is emerging. He provided everyone with a multi-page handout of the research agenda showing the details on the amazing progress made so far, the next steps that are being taken, and all of it very clearly documented. He also let everyone know that he is working with a group of people to provide more patient focused information on the ACCRF website for those who find the website and are looking for some answers regarding their ACC.

3:00 CLOSE THE GROUP DISCUSSION

I provided all the survivors with a hand out of some sample documents for the types of information I am working on putting together to add to the ACCRF website that address coping, surviving and dealing with the many life issues surrounding cancer. I made the decision to not spend any more time with group discussion (we had sat on our butts long enough!!) but let everyone know I would follow up with an email that would explain the handouts and asking for feedback. We also had a birthday cake presentation for Kara Geld since it was her birthday, and for Linda DeLenge who was celebrating two years post-treatment and being cancer free. A very rich, unique version of “Happy Birthday” was sung for both of our survivor friends…

3:00 to 4:30 INFORMAL CHATTING

This was informal time for having dessert, one-on-one chatting and small group discussions. This was the chance for people to discuss their treatment choices, compare experiences, ask questions, share stories and touch base with others now that we knew a little bit more about each other.

I want to close this report with telling you about two very meaningful gifts that I got the chance to present. I brought a “15-in-1” screwdriver from Tacoma Screw Products where I work that I gave to Jeff Kaufman as a gift. This particular tool is a big seller for our company because it is a high quality screwdriver that has a great variety of screwdriver bits contained in the handle. The analogy I gave to Jeff was that finding a cure for a rare cancer requires looking at a whole bunch of tools (types of screw driver bits) to find the single one that works. That is the challenge that Jeff has spearheaded, and I wanted him to have this really cool screwdriver that he could use around the house, but also to see it as a reminder that many of us are eternally grateful for the miracle of real hope he has brought into all our lives through the ACCRF.

And then I had the chance to present to Marnie a small, decorative, counter top plaque that said “There’s no place like hope.” It was amazing how the cheery yellow and blue colors were exactly matching to the décor in Marnie’s rec room. Amazing synchronistic coincidence! The story behind that plaque goes back to several other connections in my life. That plaque was given to me several years ago as a gift from Nancy Martin who was an ACC survivor I had met when she had come from Atlanta to Seattle for neutron radiation. It was something that I have kept right next to my computer all these years. I saw this as an opportunity to “pay it forward” and continue to spread the encouragement and thanks to Marnie who has been so meaningful in my life.

The other connection with this plaque was that at our very first NW get together in Seattle back in 2001, Marnie Tamaki, the mother of Danara Stewart who had ACC, had brought a ceramic plate for each of us that had that same message, “There’s no place like hope.” I had taken that ceramic plate with me to the first ACC get together in San Diego a year later, and had presented it to Prudence Jackson as a way of thanking her for her stupendous efforts in starting the ACCOI support group. So both of these Marnies in my life have a strong connection with ACC, and in a very similar way have been a link to the message of hope.

On the back of that plaque was a quote I read to our group that really says what I experienced during my few days in Boston. As I read it to the group and then presented it to Marnie, my emotions of my 10 years of dealing with ACC came to the surface, and I began to cry, and Marnie and I shared some tears and a hug with some very deep mutual feelings of gratitude. I think we can all gain something from keeping this quote in front of us as we move forward in the days ahead to work together to find a cure for this disease, and support each other in our individual challenges…

“The journey has always been about laughing together, loving each other, seeking adventure, believing in our dreams and making a difference… but sometimes we forget.”

We can all get wrapped up in daily life and forget about the really important things addressed in that little quote, but I hope that through events like this gathering we can all be reminded of that little bit of wisdom and apply it in our relationships with each other in the days ahead.

Your friend and fellow survivor,

Dan Dube'

Puyallup Washington (south of Seattle)

Thursday, April 10, 2008

What would you do if you only had 5 years left to live?

This philosophical moment is brought to you by my term life insurance policy. What would you plan if you had only 5 years left to live? What would you do differently, or what would you stick to doing the same way?

I have started reading (really reading) my insurance policies when I get the new updates, and was taken aback yesterday when I read that I could collect benefits from my life insurance policy since I have been diagnosed with cancer. I am glad that they make this available, and I might even use it later in life, if my version of ACC is as sneaky as others have experienced and returns, causing additional medical bills to mount up, but reading it took my breath away. I had forgotten (thankfully) how life-ending it felt to be told that I had cancer - and seeing that rider on my policy brought it back to me in a rush, as if it was June 30, 2006 all over again. I have no idea what the future holds - the cancer may come back soon, or years from now, or I could die from a completely different reason, but I am optimistic that the world will be hearing from the Cheeky Librarian for quite a while longer. On one level, I really think we have just today to make any difference - we might not be here tomorrow. The life projection figures for ACC are really good for 5 years, kind of slip at 10 years, and really not good after that. But the projections are not recipes to live a life by. In the past, I generally planned 10 years at a time, so planning 5 years at a time at this point in my life isn't much of a change (hey, I am middle aged, after all!).

I still hold on to the plan to head to the beach and be with family and friends if they find any other tumors - I am a realist, and would like to try a hedonistic lifestyle if I get the chance. But I am so glad I had the strength to return to work twice to a job I feel makes a difference in this world. If I had decided to cash in on the life insurance, and stay away from work, I wouldn't have met the people I have (hopefully) helped access the research information they need to become the health professional researchers and clinicians of tomorrow (maybe saving my own life in the future?). I wouldn't have participated as a team member in some of the exciting projects we have going at the medical library, and with my colleagues in the library profession (yes Virginia, librarians have exciting careers - consider becoming one). If I hadn't returned to work after the surgeons did that initial job on my cheek, the radiation series done to eliminate any microscopic cancer, or after the pearl removal in November, I wouldn't have been able to see my kids participate in some of the things they have done in the months since those medical treatments. (The Euro/US dollar exchange rate hasn't helped me, but we still have number one daughter overseas, having the kind of experience I had always wished for both kids!) Face it - I had the chance to curl up like a Cheeto in the middle of my floor with the diagnosis and treatment for cancer, but I didn't/couldn't/wouldn't consider it. Thanks to the support of my caregivers, my family, my friends, all cheering me on in their various ways, it was not an option that was in my mind (except during the darkest days). I would rather be paying for a Golden Scion than living like a Cheeto, and I thank everyone that has helped me stick to that plan.

Adenoid cystic carcinoma in the news

Kaiser patient gets surprise up-front charge
http://cbs5.com/wrapper_consumer/seenon/kaiser.MRI.deductable.2.695207.html
story also posted in this blog: http://penpressclub.org/2008/04/journalist-loses-job-then-has-to-fight
Check with your health care providers, especially before that next MRI - more and more of them are charging the copay/patient portion of the fee to you up-front. If you know it ahead of time, you might be able to work out a billing agreement with them, rather than having the office staff surprise you by asking for the money at time of service.

They will race to help a friend
http://www.masslive.com/wells/republican/index.ssf?/base/sports-0/120783167642710.xml&coll=1
This is the second race for the Physican Assistant Student Organization at Springfield (Mass.) College. Here is the website for the race: http://race-for-research.com/default.aspx . I posted about their first race last year: http://cheekylibrarian.blogspot.com/2007/04/racing-for-cure-in-massachusetts.html

Family raises money for rare cancer in their mother's memory
http://www.clickondetroit.com/health/15829660/detail.html
This is another story on the upcoming fundraiser for the Live Like Andi Foundation http://www.livelikeandi.org/, in memory of Andi O'Connell. A quote from Micheal O'Connell: "There are thousands of people out there like her that endure this and fight these cancers and diseases every day, and those people need to be celebrated." It is my honor to keep mentioning fellow ACC folks (or AdCC, whichever acronym you use) in this blog, to make sure they and their lives are celebrated.

Saturday, April 05, 2008

Adenoid Cystic Carcinoma in the news

Here is a great story by Jonathan Stein about how a community has pulled together for a person with ACC and their family - Seabrook [Md.] home receives makeover: http://www.gazette.net/stories/040308/lanhnew174355_32369.shtml It is also a story about how cancer doesn't respect the fact that you might be going through a ton of stuff already when it hits your life.
The family is staying at a Hilton Gardens - didn't I say earlier in my blog that the Hilton is the best hotel chain EVER?! Nice to see that they have heart, as does the entire community of Seabrook.

Thursday, April 03, 2008

Off topic - the Scion now has vanity plates

I just had to report: I received word that my application was approved for vanity plates for the new Scion xB that is in my garage. After April 23, the Scion will be known as the: CHEEKY1.
You can read more about the Scion in my other blog posts: http://cheekylibrarian.blogspot.com/search?q=scion

Information for Lydia and others searching for answers

Lydia wrote a comment on the MayoClinic post, asking about more information about hair coming back after radiation, and how to deal with radiation side effects. The thing that helped me most to plan for side effects was to go to my nearest medical library, ask them for information on radiation side effects, and took the information they gave to me to my radiation oncologist to discuss which ones I would be dealing with.
One site that the library sent to me was MedlinePlus, where there is a Health Topic page on Radiation Therapy: http://www.nlm.nih.gov/medlineplus/radiationtherapy.html
You can also locate a library at MedlinePlus (either public or medical) that has said it would help you with medical questions: http://www.nlm.nih.gov/medlineplus/libraries.html
Another source of information for you might be a cancer support group, specifically one that deals with head/neck/oral cancer and its treatment. You can often find out how others have coped with cancer treatment and its long term effects. The group, Support for People with Oral, Head, and Neck Cancer [SPOHNC], has a page listing local chapters here: http://www.spohnc.org/localchapts.html
Keep asking your questions, and make sure you write down the answers you receive, so you can refer back to them later. I have found that the radiation oncology nurses are a goldmine of information and support - ask your questions to them as well as your oncologist. Your husband is very lucky to have your support on this difficult road that you both travel.
As to my individual case, in case this information is of use to someone else: Now that I am over a year out from the last radiation treatment, I find that changes are not coming as fast as they were right after treatment ended. Some things, such as mouth soreness, have eased up in my case, although I cannot yet tolerate real crunchy or hard food, and some days tomatoes still make me get mouth sores (but hey, I was allergic if I ate too many tomatoes before the cancer, so no biggie.) I doubt that I will be able to do spicy foods or alcohol ever again - but I have had enough of both of those before, so not too big a deal. Lack of taste has eased up, but still bad enough that I eat by texture (no meat, and other things are on a case-by-case basis). My saliva level has improved, but I still shy away from sweets, bready foods, and sugar drinks, since my goal is to keep my teeth. I have some pain to the touch around the jaw that received most of the radiation, so I still don't hug people on that side, and have to cover my face up against extreme cold and hot weather. The hair that I lost on the left side of my head has just about all grown back, with the exception of a strip that follows the facial nerve to the skull base - that is still bare, and only serves to drive my hairdresser crazy when I get a haircut (she has a hard time getting both sides even now).

Adenoid Cystic Carcinoma in the news

Story from Coon Rapids, MN -
Retiring Chaplain Relies on Humor, Family, Faith: http://abcnewspapers.com/index.php?option=com_content&task=view&id=2254&Itemid=1

Wednesday, March 26, 2008

MayoClinic's entry for Salivary Gland Cancer

Thanks to a long-time friend, ME in Columbia, I checked out this link at the MayoClinic.com site: http://www.mayoclinic.com/health/salivary-gland-cancer/DS00708 . Before my episode with a parotid tumor in 2006, I never knew that salivary glands caught so much crud - some benign, some cancerous. Take a look at the Signs and Symptoms, and get yourself screened by your dentist or your primary care provider if you have ANY questions. Since mine was a (very) painful lump, some of the specialists I saw dismissed the cancer idea, saying that usually cancer was in the painless ones. Get ALL lumps, bumps, whatever, checked out. If you don't like the way the first caregiver checks you out, go to another one. But sometimes, it will take years to diagnose - nothing, especially the health care system in the world, is perfect. And don't figure you are out of the woods because you aren't a smoker or tobacco chewer - neither am I. There isn't any reason for Adenoid Cystic Carcinoma, or many other cancers, that they have found so far.

Tuesday, March 25, 2008

Adenoid Cystic Carcinoma in the news

Catholic Central High in Novi [MI?] to host 10k/5k run, 5k walk and fun run April 12, 2008 Goal: Raise Money for Rare Cancer http://www.expertclick.com/NewsReleaseWire/default.cfm?Action=ReleaseDetail&ID=20786
This Live Like Andi Run, Walk & Fun Run fundraiser is in memory of Andi O'Connell, and includes a high-heel race. Her children will be selling cheetah colored wristbands that say "Live Like Andi", since in Andi's opinion, "cheetah print IS a color". The funds will be going to the Adenoid Cystic Carcinoma Research Foundation.
(Added 3/27/08) Another news story about Andi: http://hometownlife.com/apps/pbcs.dll/article?AID=/20080327/NEWS19/803270634/1036

They have a website for her foundation: The Live Like Andi Foundation http://www.livelikeandi.org/. The logo - yep, it includes a cheetah ribbon. Man, I hope I continue to live like Andi - I bet she would have approved of the Golden Scion and my Gypsy bike that now reside in my garage!

This is a follow-up to an earlier story that I had posted last August: http://cheekylibrarian.blogspot.com/2007/08/news-that-we-have-lost-fellow-adenoid.html

Sunday, March 16, 2008

A visit to the pain clinic

I have had an initial appointment at the pain clinic, and have come away without any pain medications at all. That wasn't my goal, you understand - this appointment was due to the increased pain I had been feeling since January. The good news - the thyroid medication that my oncologist had increased is doing its work, improving my mental state and energy levels. And there is no bad news.

While I was in the pain clinic, I had to fill out forms that would be used to determine what level of pain I was experiencing. Other than not knowing what pain to describe on what line (I guess they don't figure folks could be having more than one pain, such as the one I have on my craniectomy site and the one that I feel where the radiation concentrated on the left side of my face/neck), I came away feeling very fortunate that my pain is not so high as to be unbearable. On the quality of life scale, I am a 10 - I can work full time, I get out for errands and for social occasions, and I don't let pain stop me from doing things. The doctors gave me permission to stop the low dose of gabapentin (the side effects were deal breakers to me at this time), they reminded me that they would be there if my pain increased later, and they said they keep my quality of life in mind with their treatments. I figure I will save their big guns for a later date, if pain increases or if I have to go through more treatment in the future. For now, I can distract myself from most of the pain that goes on and in my head.

The next doctor appointment is April 1 (appropriate, ain't it?), when I see the radiation oncologist. I have not seen him in person since he discovered the pearl in my head - I am looking forward to seeing him and thanking him for that nice bit of detective work.

If you have questions about pain after you have talked with your health care professional, a good place to start for answers on the web is at MedlinePlus:
http://www.nlm.nih.gov/medlineplus/pain.html Check out the Go Local link on the right side of the page to see if there are health professionals near your location that deal in pain management.

Adenoid Cystic Carcinoma in the news

These stories showed up in my regular search of Google News:

Love and Death - from the March 16th edition of The Roanoke Times:
http://www.roanoke.com/news/nrv/wb/154766

Two Women Fight One Battle - from the March 13th edition of The Daily Record (Dunn, NC):
http://www.dunndailyrecord.com/main.asp?SectionID=1&SubSectionID=1&ArticleID=94994

Trick Golfer Entertains 152 at 'Spirit of the Y' Dinner - from the March 6th edition of the Republican & Herald (Pottsville, PA)
http://www.republicanherald.com/site/news.cfm?newsid=19364497&BRD=2626&PAG=461&dept_id=532624&rfi=6
(I have posted about Ben Wittner before: http://cheekylibrarian.blogspot.com/2007/07/another-person-in-news-with-acc.html )

Moving Tale an Early Entry in Short Story Competition -from the February 21st edition of Luton Today (Great Britain)
http://www.lutontoday.co.uk/545/Moving-tale-an-early-entry.3801901.jp
(this is a followup to a story I posted earlier: For the love of Andrea -
http://cheekylibrarian.blogspot.com/2007/10/news-item-about-fellow-adenoid-cystic.html )

and while not necessarily news, the Cheeky Librarian did get into a newsletter recently, the UNMC Connect, Winter 2008 issue: http://www.unmc.edu/connect/ , and scroll down the page until you see the black & white photo of the Cheeky Librarian, where you can click on the pdf of the story.

Wednesday, March 12, 2008

The greatest cartoon EVER!


Two reasons why this cartoon is great: one, because the artist, Dave Coverly, emailed it to me and gave me permission to post it to this blog (and I think that is one of only two times I have been in direct contact with a cartoon artist - heady stuff!); two, because the topic fits me perfectly - I am lousy at pearls (link to previous message about the pearl in my head), and pretty good at origami. I saw it in the March 8th edition of Parade Magazine, and just had to share it with you all! (Click on the image to open a larger version.)
You can check out more of Mr. Coverly's art at Creators.com, where they archive his Speed Bump cartoon series: http://www.creators.com/comics/speed-bump/16095.html.
He also has a website that had another great cartoon - a librarian cartoon that he will sell as a poster: http://www.speedbump.com/librarian.html .
Thanks again for giving me permission to do this, Dave - you are the best!

Sunday, March 02, 2008

Feeling fine

My cheeks are hurting, but not due to cancer or treatment this time. Thanks to the spring weather on Saturday, I ran around town in the Scion, sun roof and windows open, radio cranked up, grinning like I haven't grinned in quite a while. The rest of the world just faded away. If driving 20-odd miles in Omaha traffic makes me feel this good, I can't wait for a real road trip.

If you are beginning, in the middle, or just finishing your treatment, please know that there are good days ahead. I know it is hard to believe while you are going through stuff (and boy, the stuff sometimes just keeps going, and arrives in buckets), but better days will happen. They may only happen one day at a time, and spread out between a lot of crappy days, and heck, may only be a partial day, but I hope you are able to grab whatever good comes your way. Keep on rebuilding yourself, so you are ready to catch the good ones when they drop by. In the effort of keeping myself ready to catch the good ones, I still exercise my jaw, cream my radiation-dried skin, knock down the lymphedema, try to get adequate nourishment with a changed diet (I think I am now the world's most cranky and frustrated vegetarian-PETA would be proud), and find ways to rest up in between the gallivanting around. I also know that all the work I do may not stop anything new from coming - I am just trying to reduce the effects of what has already been done. I don't know how much longer this marathon called life is for me, but I want to be aware of the entire event if possible. (Since I reread my blog, I am telling this message to myself, too, especially my future self that may be going through another round of crud.)

Tuesday, February 26, 2008

Sites are out there to assist with caregiving

I saw this article in the Boston Globe: The Web gives boomer caregivers a boost http://www.boston.com/business/technology/articles/2008/02/25/the_web_gives_boomer_caregivers_a_boost/

Two Nebraska - based sites that didn't get listed in this article:

Go Local Nebraska http://medlineplus.gov/nebraska - Use this database if you are looking for health care professionals, facilities, support groups near you or your loved ones living in Nebraska.

Home Instead Senior Care - http://www.homeinstead.com/home.aspx -help with taking care of elderly family members in their own home. This service is located in over 800 cities around the world, and is based right here in Omaha.


The Boston Globe article links to the following sites that might prove useful if you are a caregiver, or if you want to keep track of your own care online:

CaregiverHelper - http://caregiverhelper.com

Lotsa Helping Hands - http://lotsahelpinghands.com

Care.com - http://care.com

Parent Care Call - http://parentcarecall.com

Houseworks - http://house-works.com

Saturday, February 23, 2008

The Scion has landed


We have a new car in the garage - a golden car, Borsheims-gold, number 390 out of a limited edition of 2500 in the world. Pretty nifty. We bought it at Performance Toyota of Lincoln (http://www.scionlincoln.com/), where Dennis Gormley would be happy to get you set up with your very own Scion! This has been a very happy day - beautiful sunshine, driving with my guys (husband and number one son), eating out for lunch, and to top it off, driving a car that started with only 4 miles on it! Sweet. This is the kind of stuff I went through cancer treatment for, folks, and I am enjoying myself to the max!
With the sunroof, I imagine that the Ninja Librarian will be back this summer, but having the wind blowing around will make wearing the head covering worth it. I think I will go back out to the garage now and check to see if this was all some sort of Willy Wonka dream, and I didn't really get the golden car.
Watch for a golden Scion sighting near you - now that we have good wheels, there is nothing stopping us from jumping out on a road trip.

Friday, February 22, 2008

Topic of the day: Peripheral neuropathy

I have been treated for neuropathic pain since after radiation ended back in the fall of 2oo6. Damage to nerves on the left side of my head and neck either happened because of surgery, or the radiation, or a combination of both, and the drug they had prescribed, amitriptyline, was doing the trick. However, it doesn't play well with the medication I take for a long-standing hypothyroid condition, so I have been off of it for roughly a week, waiting for the next visit to the doctor to figure out what might be prescribed instead. This has not been a fun week. Not much over the counter helps with cutting the pain, so I have been sleeping only a few hours a night, waking up and then waiting around until it is time to go to work again. This reminds me of the years before surgery, when I would be up due to the pain in my cheek, never knowing how bad it really was until after the tumor was removed. I know that one of the choices I have will be to not take any medication - but after this week, I don't know if I will sign up for that option. I really miss sleeping through the night!

If you have been treated for cancer, be sure and discuss neuropathy with your doctor, if the topic hasn't come up before. There is a page of more information on peripheral neuropathy at MedlinePlus.gov: http://www.nlm.nih.gov/medlineplus/peripheralnervedisorders.html

Friday, February 15, 2008

Online book: Responding to the Challenge of Cancer in Europe

I thought some of the readers of this blog would find this new European cancer information resource interesting:
Responding to the challenge of cancer in Europe
European Observatory on Health Systems and Policies, 2008
Available online at:
PDF file [361p.] at: http://www.euro.who.int/Document/E91137.pdf

Content:
Foreword
Chapter 1 Responding to the challenge of cancer in Europe
Chapter 2 The burden of cancer in Europe
Chapter 3 The causes of cancer and policies for prevention
Chapter 4 Cancer screening
Chapter 5 Drugs for cancer
Chapter 6 Organizing a comprehensive framework for cancer control
Chapter 7 Changes in the management of cancer: the example of colorectal cancer
Chapter 8 Survival of European cancer patients
Chapter 9 Information on cancer
Chapter 10 Cancer patients - partners for change
Chapter 11 The role of psychosocial oncology in cancer care
Chapter 12 Dying with cancer, living well with advanced
Chapter 13 Closing the gap: cancer in central and eastern Europe
Chapter 14 Cancer control in Slovenia: achievements, shortcomings and opportunities
Chapter 15 Researching cancer
Chapter 16 Making progress against cancer

Thursday, February 14, 2008

Links on the sidebar for those that can't see the sidebar

In some browsers, readers of this blog cannot see the links I have posted on the right side of the screen, so I enter them occasionally as a post so all can access them.

More information on how to blog from a fellow cancer blogger

Jeanne Sather, author of The Assertive Cancer Patient blog, is teaching a class in the Seattle area this Saturday: Blogging 101: If I can blog, you can blog. She has posted a very informative entry on her blog, linking to many types of blogs: http://www.assertivepatient.com/2008/02/blogging-101-if.html. Check out her recent post, and really check out her entire blog - it is full of great information, especially her experiences finding ways to deal with what cancer tries to throw at all of us.

Sunday, February 10, 2008

A picture of the titanium plate that is now in my head


Don't worry - it isn't the exact piece of mesh in my head! If you are as curious as I am, you want to see what the mesh looks like. This is a sample of titanium plate that the Head & Neck Resident Coordinator requested for me from one of the mesh salesmen (you knew they had those, didn't you!). I scanned it next to a half-dollar, as the surgeon had told my family that that was about the size of the hole in my head, and also included one of the tiny screws that hold the thing on to the skull. Pretty amazing engineering, in my opinion. You can click on the picture to see a larger image.
I am working out just exactly what I am going to do with this plate - coming up with some sort of good luck charm or jewelry tickles my fancy. The plate itself is very flexible, so I would have to put it in some sort of frame to strengthen it.

Saturday, February 09, 2008

Updates to previous blog posts

A student of Dr. Scott Odom (English professor dies of rare cancer at 49) wrote a tribute to him in her blog, Kirsten E's Weblog: http://kirstyne.wordpress.com/2007/12/03/adenoid-cystic-carcinoma/ . I really like it. I also like the subtitle of her blog: The Best Medicine is Prevention.



The Blogging Your Dreams contest (http://cheekylibrarian.blogspot.com/2008/01/blogging-your-dreams-contest.html ) is over, and they announced the first winner yesterday - Marty of Pennsylvania: http://www.bloggingyourdreams.com/blog/index.htm.
Her dream is to renovate an old building in her city's recovering downtown area, turning it to housing for the needy and a business center for jobs. What a cool dream! You can click on the blog link above to follow her progress as she blogs about her dream coming true.

Cheeky Librarian is in the Omaha World-Herald news

The Omaha World-Herald printed a story today by Sandra Wendel on why it is important to access health information, and how to tell what you are looking at is real: Knowledge is Powerful Medicine http://www.omaha.com/index.php?u_page=1000&u_sid=10245534.
The link will only be live for 7 days - after that, the newspaper wants you to buy it to see it. The story is good due to the author's skills with such an important topic and the collaboration of professionals at my library - Roxanne Cox, Tom Gensichen, Rose Fredrick, and Kari Stavneak. I am so glad that the author, Sandra Wendel, asked for our library's assistance.

Sandra Wendel is an author of many articles and books, an editor, and the publisher at Heath eHeadlines: http://www.health-eheadlines.com/about.php
A link to her books or books that list her work as listed on Amazon: http://www.amazon.com/s/ref=nb_ss_gw/002-5045924-7864054?url=search-alias%3Daps&field-keywords=%22sandra+wendel%22&x=0&y=0.
Nebraska has some great talent, and Ms. Wendel is a prime example!