Wednesday, June 18, 2008

Appointment with the oncologist

I did have my appointment with the oncologist this morning despite being stopped by CSX freight trains twice on the way. I had a stop in the lab first for blood work where every reading was perfect. Typically when I go to a physician’s office I have a really bad case of white coat syndrome and my blood pressure is usually elevated. When I take it at home, it’s fine. When the physician’s assistant took my blood pressure today it was 110/70 so I was in a relatively calm state of mind.

My oncologist is the regional melanoma specialist and we’ve always had a very open, honest and frank relationship. As Dr. Guthrie examined me he determined that there had been some shrinking of the lymph nodes that had originally been of concern. The four day chemotherapy regimen that I followed earlier appears to have had some positive effect. My oncologist does feel, given the other circumstances that I’m dealing with - the rehab, that continuing the chemotherapy regimen is the most appropriate option for me and I concur.

When I first was diagnosed with metastatic melanoma in 2006 I knew there was a possibility that it could recur and that I would not experience a normal life span. That does now appear to be more of a likelihood. Cures for melanoma that have entered other body systems are rare. The fact that the chemotherapy will be of some benefit does not mean that it is likely to be a cure.

During the appointment Rick was with me as well as a co-worker of Rick’s, Dr. Reuben Brigety. Reuben has been an excellent resource to us, helping us with questions. At the conclusion of the exam I did ask Dr. Guthrie, if the Temodar continues to be successful, what time frame am I likely looking at. His straightforward answer was nine to twelve months.

After the appointment as I was waiting for the transport van to take me back to the rehab center, Rick and I were sitting in the lobby of the medical building for about twenty minutes. I am not on this journey alone. Rick is being as strong for me as I am attempting to be strong for him.

Let me be clear, this does not mean that Barry is giving up. This does not mean that Barry is going to stop fighting this. What it does mean is that Barry needs to understand the parameters that now surround his life.

I continue to draw incredible strength from all the emails, phone calls, blog comments, and cards. Those of you that know me well, particularly in the Supply Chain office, know that in the True Colors personality profile I am high green (very data driven) and dealing with this in a green fashion is the only way that makes sense to me.

While this is certainly not the news I had hoped to receive, it is the news I expected to receive. My sense of humor is still intact. My zest and joy for life is here and not going anywhere. Each day is going to be lived to the fullest.

There certainly have been positive elements to this journey. I have had the opportunity to truly discover how many lives I have touched even when I was not aware of it. I have developed an inner peace that I didn’t realize was possible. I also always feel as if I am surrounded by the thoughts and prayers of all of you that are part of this journey with me.

7 comments:

Anonymous said...

Barry is correct. We will make the most of each day. A wheelchair ramp is being planned for easy access to the house. It will be built in the back garden area. We think that is an appropriate location so Barry can enjoy the garden as he enters and exits the house. Also, it will provide him the opportunity to make certain I am keeping the garden in shape!
I had a nice visit with Barry's mom and sister Chris. I understand where Barry gets his strength and courage.
I am so proud of Barry's determination to gain as much mobility and independence as possible. He takes his PT seriously and I know he will reach his maximum medical improvement soon.
Each one of you has been a Godsend with your prayers and good wishes. Barry is truly blessed to have you in his life.
Rick

Anonymous said...

Barry
Two things you said in today's blog struck me. You have touched so many lives even when you weren't aware of it. In many ways I count myself among that group. I was telling Leslie that I have known you over half of my life and I am not even from Baltimore! You always exude confidence in an unassuming way. That's probably why people are drawn to you.
Another trait is that you analyze things and then take the best course of action. I have seen you solve issues that I thought were impossible. So who knows where this road will take you. One thing is certain. You might be driving, but someone is always sitting next to you.
Scott A.

Anonymous said...

I have only known you a short time but you have touched my life, and continue to with your blog in a way you may never know. Our recent trip to Nashville was so much fun because of you. I hope to go back to the little hamburger 'hole in the wall' with the incredible food, and I will think of you! Your strength and determination is very touching and I wish we could all snap our fingers and make you better! We are all gleaning so much from your journey and you are leaving footprints all over the United States, touching many people. I can't thank you enough for giving! Please do some fun things in the days ahead, making more memories! Robin

Anonymous said...

Barry,
You know that the doctor's are not always right. They are "practicing". They don't know everything. They are using statistics. Those stats contain people on the low end and others on the high end. The will to live and the power of prayer can change things!!!! I truely believe it! When I was nine, my mom was diagnosised with breast cancer and it had already spread across her body. They told her that she had 6 months to live. She baffled them all when she lived for 6 YEARS! She had the will to stay with my dad and raise 4 children. Plus, her family and friends were praying for her. You seem to have the will and people are praying for you, so try to break the curve on the stats.

Ann in Mobile

Anonymous said...

Barry....just want you to know we (in Kansas City) are following your progress and read the blog often. Hopefully you feel our best wishes coming your way. You and Rick are in our thoughts and prayers daily.

Anonymous said...

Barry,

You already know how much I am hoping that you can overcome this time in your life. From my past experience dealing with similar situations with Robyn I know exactly what you are feeling and going through. I want to thank you from the bottom of my heart for your phone call last night it met so much to me. I enjoy our phone conversations as much as you do. I will keep you in my prayers and continue to hope for the best for you and Rick. As several people have indicated time frames are only a best guess. Keep the positive attitude, enjoy every day the way you always have and the way you say you will. As I mentioned to you last night Pappy our Chaplain from the HOG group (Harley's Owner Group) is including you in his prayers as he too is battling his own cancer. As I saw when I was visiting you earlier this month you have a lot of friends, family, and co workers and care takers wishing you the best. Keep up the hard work with your PT it really do appear to working. Love you, Steve

Anonymous said...

Hi Barry,
Jim really enjoyed his visit with you, in fact he may have already planned his return visit. Also, thanks for posting that great photo of you and Rick.

I am sitting in a hotel room on Kent Island, MD where I am attending a conference. I was so sorry to read the news. But your positive attitude and the love and support of your friends and family is the strongest message resonating through this blog. I don't know why you have been sent on this journey, but you are setting an example of courage and joy for us all. Thoughts and prayers to you and Rick.