A short update
Dr. W = Oncologist
Dr. R = Neurosurgeon
A few days ago, I had the opportunity to meet with my oncologist.
I am now tappering off of the dexamethasone
This will take several weeks before my body will be ready to be “dex” free.
I have mentioned to you that I felt my weight had increased. Thank you, steroids, and COVID quarantine.
I had one surprise at this appointment.
I actually weight two pounds less than six weeks earlier.
And to that, I ate another donut.
I enjoyed it.
Now I am sitting in an unknown.
With yet another brain MRI to be scheduled (it has been seven weeks since my last brain scan) and the opinion of Dr. R, I will need to decide on what “I feel” is best for treating the situation.
And honestly, today I don’t know which I will choose.
I am waiting for the approval and scheduling of the MRI.
I am waiting for a very busy neurosurgeon to speak with a busy oncologist.
They will be discussing exploring or determining the feasibility of resection of the CNS metastasis. Will that be one, two, or the possibility of all three tumors.
Dr. W was happy to tell me that a new drug has now been approved by the FDA for treating MET HER positive brain tumors.
Tucatanib has met approval standards with possible improved Central Nervous System penetration. This, I would be taking in daily pill form and would be combined with my continued Herceptin and Xeloda infusion. I will also continue taking my daily Anazatole, which helps to decrease the amount of estrogen my body produces.
This sounds like a great option. But there are always side effects.
Dr. W specifically spoke of the choice I had previously made to have surgery. (oophorectomy “ovaries removed)
I wanted the surgery to take place because I no longer wanted to be taking the drug Lupron. I had already had a hysterectomy years earlier. Why would I need my ovaries?
My life during the Lupron phase of treatment was painful with side effects.
I just did not want the Lupron in my body.
The surgery eventually took place, not needing the Lupron drug has granted me far more quality of life over the past few years.
At the time, removing my ovaries was not fully supported by Dr. W.
But after the fact, at today’s appointment, Dr. W was admitting that the surgery was the right choice for me.
This part of our conversation is now on repeat as I think about getting to the best possible outcomes.
How am I physically feeling
My body had become accustomed to the dexamethasone and now as I am tapering back off.
I am now again experiencing the symptoms and side effects of brain lesions and long term cancer treatment.
The energy I was enjoying two weeks ago is now in the toilet.
I am learning to get back into the habit of taking breaks during the day.
I’ve always expected a lot from my physical and emotional stamina.
I am grateful I had the opportunity to have those weeks of feeling “normal”
Not everyone has that experience while taking steroids.
This isn’t an easy thing for me to accept but I will.
Quarantine should be a time of relaxation.