If you have cancer.

If you had cancer.

If you know someone with cancer.

If you want to talk about cancer.

We won't pray.  We won't blame gods.  We won't give credit to gods.  

We face the diagnosis and know, it is what it is.  

To the extent that we can, we will define our own course.

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Latest Activity: Nov 26


Cancer changes lives.

We have to deal with medical profession.

We have to deal with medications.

We have to deal with new discomfort and pain.

We have to create dignity, where there is indignity.

We have to deal with family members, friends, coworkers, and strangers, in a changed way.

We resolve to go forward with strength, resilience, purpose, pride, and integrity.

We define ourselves. Cancer does not define us.

Discussion Forum

Metastasis Visualized

Started by Ruth Anthony-Gardner. Last reply by Daniel Wachenheim Jun 27. 3 Replies

This video makes it easier to grasp how metastasis occurs.Continue

Tags: metastasis, cancer spread

Sean Parker to Donate $250,000,000 to Fight Cancer

Started by John Jubinsky. Last reply by Michael Penn Apr 13. 1 Reply

Billionaire Sean Parker who was the first president of Facebook and a co-founder of Napster will donate $250,000,000 to fund immunotherapy research to fight cancer. This type of therapy fights cancer…Continue

New Hope for Hard-to-Treat Cancers

Started by Qiana-Maieev. Last reply by Ruth Anthony-Gardner Apr 7. 2 Replies

Ancient Algae Offer New Hope for Hard-to-Treat CancersPosted: 06 Apr 2016 01:57 PM PDTIn one of the oldest life…Continue

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Comment by James M. Martin on October 25, 2014 at 2:21pm

Dear Dan, you are hardly alone. When I tried lifting a 12K BTU window air conditioner into a window sill, I quickly discovered that a 68-year-old man cannot do what a 48-y.o. one can, and in many case a 58 y.o. as well. I got a case of severe constipation. Not even a "feeling" I needed to go, not even after the most potent laxative on the market, a phosphate, I think. So, three weeks later, they check me into emergency, take me upstairs and try enemas, &c. to no avail. To cover their ass to seek some sort of physiological cause of my no shit, they did an MRI. Aha! They caught my abdominal hernia and my gall stones, but they found something else that meant NOTHING to a single physicians with whom I consulted (2 or 3 of them). The pathologist found a compression fracture of a lower vertebra. I had to look this and that up on the Net and came up with the solution to not shitting for three weeks: a compression fracture may cut off the vegus nerve, the one that is linked up to the autonomous nervous system. I wasn't crapping because I never felt the need to. But the fact that we do not, a great many of us, have Dr. House in the house.

Comment by Daniel Wachenheim on October 25, 2014 at 2:07pm

I've been feeling down about my prognosis.  There is no reason to feel that way.  There are no current symptoms, other than - side effects from adjuvant therapy - fatigue, diarrhea, muscle cramps, and that case of pneumonia as a "Immune Suppressed Person", and the last scan was clean.  The next is in Jan.


This is called GIST.  I don't know if I ever said what this cancer is.  Gastro-Intestinal-Stromal-Tumor.  There is no prevention, no screening, no risk factor, and it is rare enough that most primary care doctors have never heard of it, and many oncologists have never treated it.  I knew it under its older name, gastric sarcoma.  As an internist, I have never seen another case, either.  And I have cared for thousands of patients.


I fired my oncologist.  He was such an ass. He didn't listen to me at all.  At each visit, his almost-only comment was to do a countdown to when we would be stopping adjuvant therapy.  There is no consensus on how long to take it, some references say 3 years, some say 5, and the oncology surgeon stated lifelong.  Most references are based on the "average" tumor,  Mine was much bigger, which has worse prognosis,  with a high mitotic rate, also worse prognosis.  No coincidence, the treatment is very very expensive.  When I mentioned, I might choose to take it longer, and if health plan would not cover it, I can find a source in Canada - cost for the same medication is about $5,000 to $10,000 a year instead of more than $80,000 a year - he didn't say a word, got up and left the room. 


With treatment, the rate of recurrence is 60% in 5 years, 99% in 10 years.  That is a long way away, and I should not be thinking in those terms.  Like I say, the last scan was clean.


I will meet the new oncologist in Jan after the next CT scan.  He was highly recommended. 


Like I say, no reason to feel bad.  I think it was that pneumonia.  Which is completely gone.  I still have some explosive and unpredictable diarrhea, but mostly it is under control.  No help from oncologist - trial and error, and general medical knowledge on my part.  Muscle cramps - frequent but my reaction is very strange.  They are exquisitely painful.  I have learned to know when one is about to happen, and can consciously abort most by relaxing whichever muscle it is.  When I can't, the pain is beyond description.  But I think "That means the Gleevec is in my system, which is good". Maybe some endorphins are produced, because after the cramps, comes a sensation of wellbeing.  I don't mind.  fatigue - it's like when I used to do all-night shifts, but every day.  But - it is tolerable.


Thanks for letting me vent.  Like I say, there is no reason to feel bad.  I am so fortunate to live in a time when there is treatment.  The surgery went so well, and is history.  The treatment is revolutionary.  It's just a kind of bummer state.  Now I can move forward.


Peace and good health to all.

Comment by Michael Penn on September 11, 2014 at 8:31am

That's very good news, Joan.

Comment by Dr. Terence Meaden on September 11, 2014 at 8:27am

Joan, that's welcome good news. Keep it up.


Comment by Idaho Spud on September 11, 2014 at 7:23am

Love the good news Joan.  Happy puttering.

Comment by Plinius on September 11, 2014 at 2:09am

Good news, Joan! Congrats!

Comment by Joan Denoo on September 10, 2014 at 9:44pm

Thanks Patricia and Daniel. This year and a half has been terrible/wonderful! 

Comment by Daniel Wachenheim on September 10, 2014 at 9:13pm
Joan that's awesome!!!
Comment by Joan Denoo on September 10, 2014 at 8:41pm

A big day! My chemo-port was removed today Sept 10, 2014. It was a piece of cake, only took about an hour with all the chatter and well wishes. Dr. Parviz, my surgeon and her assistant, Pat, did the job in quick order. We had a young pre-med student who was "shadowing" Dr. Parviz for the week; it gives me great pleasure to see young people coming up the ladder into medical care.

Laura and Larry went with me just for the fun of it, I didn't need a driver, or anything like that. However, they have been so sweetly attentive to each step of my care and this was a day of celebration.

Now, a few days of not leaning over or lifting heavy things, and I will putter off into autumn in good shape. 

Chemo-port removed today Sept 10, 2014 


Comment by Joan Denoo on September 9, 2014 at 12:59pm


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