November 3, 2015 (Tue) – Time to Get Naked

OK, I know I have your attention right now. Either one of curiosity to see where I take this or one of revulsion wondering what personal picture I might post. Well, getting naked may mean lots of things. But we will address (or undress) these a bit later in the post. That, of course, is assuming the internet and WordPress police did not nix my post because of the title.

LCAMBut first things first. November is Lung Cancer Awareness Month. Oh no, not another cancer awareness month! Well, actually November should be the biggest month because, unbeknownst to most of the public, lung cancer kills more people each year than the other top three cancers (including breast) combined. And each cancer has its own color used in support. White is often used for lung cancer. So anytime you see something white this month, think of the survivors like myself that are battling to stay ahead of that curve. I’m not much of a political activist and luckily we have several other members of our “club” that do a wonderful job at bringing awareness to much larger groups. But please keep this in mind over the course of the month. You only have to have lungs to get lung cancer.

As I mentioned in my last post, we were getting ready to head out for a vacation extraordinaire to Carmel and Pebble Beach about 8 h20151023_094748ours up the coast of California. Extraordinaire does not come close to describing this trip. If I had a bucket list, which I don’t, this would definitely have been on it. Courtesy of my very generous brother and his wife, we stayed in the most amazing place(s) imaginable. Here’s a picture looking up from the backyard from our first stay-over of 5 nights. And a link if you want some more detailed pics and info about this place. Yowza Yowza. Click on it for the full effect.

Oh, bPebble Beachut the trip was not over. Six of us (the “golfers”) moved down to Casa Palmero for the last two nights which made us eligible to play at
Spyglass and Pebble Beach, some of the most awesome courses in the world. Now, I won’t reveal my golf scores because they approximate the thermometer reading in Palm Springs in late summer. But the score did not matter. The courses were what matJacuzzitered. And being with family. Just amazing. As for the accommodations, they were just absolutely top notch. We had a continental breakfast each morning delivered and set up as evidenced here. And we even had our own private backyard (with 9′ wall) with Jacuzzi. Perhaps that Pebble Beachis where on20151027_083434e of the references from this blog title comes in. I’m not telling. Suffice it to say, it was a trip of a lifetime.

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Now, on to more serious biz-wax.

This past Friday I had my double-your-pleasure combo of a brain MRI scan and PET scan. Got the results late in the day. The good news is that my brain MRI seems to indicate a fairly stable situation. Ta da. And the tumors in/around my lung continued to progress at a slow rate. So, that’s sorta OK news. But this is shoe-droppingwhere the other shoe dropped. And dropped like a size 20. The lesion (tumor) on my pancreas skyrocketed to over 7cm. That’s centimeters, not millimeters. The official write-up has it as “dramatic increase in size and metabolic activity of 7 cm pancreatic/peripancreatic mass.” No cancer patient likes to read the words dramatic increase. That equates to about 2.75″ for those of us not on the metric system – not quite the diameter of a baseball but coming close. Plus there is another “new nodal metastases lateral to the left psoas muscle in the upper pelvis, measuring 4-5 cm.” That came out of nowhere since it hadn’t shown up before. Needless to say this report was a bit of a sucker punch in the gut. And it explains the increasing pain I’ve been seeing in my upper gut that is currently only held at bay with increasing doses of Vicodin.

Knowing thospital_gownhat we would have the results in time, I had scheduled a meeting with the lung-onc specialist at Moores yesterday so that we could go over the results and chat about options. Bottom line: I will be leaving the AZD9291 trial shortly. First, they are scheduling a new biopsy to do all of the genetic testing for markers and “expressions.” And immediately followed by, yes, more radiation treatment, this time to my pancreas and left psoas muscle. The day before radiation treatment begins, I will chug my last A-team pill. So “going naked” means, for one, going without any oral cancer medication for the duration of the radiation. It also refers to my
state of dress, or undress, during said radiation treatments. As I’ve indicated before, I lost my modesty long ago.

As for what follows the radiation treatment, that is up in the air a little since there really are several options. There is another clinical trial (EGF816) going on in Boston and NY which we are seeing if I qualify for. There is also a combination of Opdivo (nivolumab) and Tarceva (erlotinib) which may work, but the chances of expressing the PD-1 marker is fairly low in a non-smoker and Opdivo works much better in smokers/former smokers. And choosing one of the drug options will eliminate my possible entry into one or more clinical trials. It gets pretty complicated trying to lay all of this out. Although I am in search of a second opinion, right now I still have confidence in my doc. As she indicated, my first two courses of treatment (Tarceva and AZD9291) were slam dunks as the right option at the time. We are now in somewhat of uncharted territory and there is no absolute right answer. My onc still is leaning towards starting off with chemo (carboplaxin and pemetrexed) which is given once every three weeks in a 2-hour infusion. If that fails to help, we can always come off that and try one of the other options. But things may change over the next 10 days – stay tuned.

So I’ve been on two trips recently. One from a bucket list and the other just about the opposite. Perhaps it rhymes with bucket? 🙂

But I sCraig and Kim at Rotary11032015till have options and new drugs are coming out fast and furiously. Just doing my best to stay ahead of that tsunami.

And, as always, my wife has been right by my side the whole way. I just have to end on this picture.

Business as usual. Day at a time.

October 4, 2015 (Sun) – Road, Meet Firestone

For those loyal readers that have been with me a while, you may recall my blog post last Spring about chameleons. Well, today we diverge from lizards, itsy bitsy spiders, elephants and any other animals/insects I may have used in the past. Yes, I know a spider is not an insect. But technically it is an animal. I do work in a science museum dontcha know.  No today, boys and girls, we learn about rubber. And by rubber, I do not mean that we are having the “talk.”

Burning rubberThe rubber I’m referring to is that the material that covers wheels and comes in contact with pavement. One of the online dictionaries defines rubber meeting the road as “at the point in a process where there are challenges, issues, or problems.” When push comes to shove. When the petal hits the metal. I’m sure there are other metaphors but that should suffice. Unless you are not from the US and don’t understand our crazy idioms.

After meeting with my lung-onc-doc to discuss my glow-in-the-dark PET scan results, here is where we stand. Since my right hip was the only area of my body that was giving me any physical grief, it was decided that I should start a radiation series to take care of the two spots that popped up there. Problem being, one of those spots is the same one that I had zapped almost two years ago. So they need to tread lightly and spread out the treatments over 3 weeks with a lower dose to lessen the risk of permanent damage to the bone in Radiation machinethat area. They opted not to nail my left hip since it was not bothering me at the time and it would increase the risk of anemia. So this past Thursday, I began my first of 15 (actually 14 – more on that later) zappings to fry the fuzzies in that area. I’d include a picture but it would be r-rated. So I’ve included a generic one that is pretty close. I was disappointed that I didn’t get any new tattoos as they were able to use the old ones that were still there. The plan, since I had no other symptoms, is to remain on my A-team (AZD9291) drug until the end of this month when I have another set of PET/MRI scans. Hey, I have an idea. Perhaps I can hire the VW software engineers to tweak the PET software so that my scans come up clean. Whaddaya say?

Backing up (that’s a pun, but you won’t get it for a few sentences), I have never felt well ever since returning from SF with that nasty cold. AmoxicillinThe doc prescribed some Amoxicillin (yes, the pink stuff you gave your kids for ear infections) since I was experiencing symptoms of a sinus infection. This past Wednesday, I had to leave work early because I was feeling so, er, here we go again: crappy. On top of it I was developing some stomach discomfort. Aaah! Could it be cancer that showed up in my pancreas giving me a wake-up call? Could it be an ulcer? Could it be a side effect of the Amoxicillin? Could it be constipation? Could it just be a friggin’ stomach ache?Stomach pain

So, I know several co-workers and even a couple board members read my blog, so if you prefer not to feel awkward the next time you see me, you may want to skip the next paragraph. Fair warning.

I took Thursday and Friday off work as I couldn’t get off my recliner. As the stomach issue seemed to be getting worse, my doc prescribed some laxatives to help, er, eliminate, one of the potential causes listed above. Now you get my pun about “backing up.”  And yet the stomach discomfort never really went away. And of course, now my left hip is giving me some discomfort so I am limping like an old man with two bad hips. I know, I know. I am an old man. But some of the pain could be from just sitting on my rear end now for 4 full days. I’m surprised I don’t have bed sores. I tried getting off my duff to walk around our culdesac but I barely made it one loop and had to quit due to fatigue. Now that is feeling old. I find myself getting jealous of anyone doing anything washing-machineeven slightly athletic.

Oh, and I must have rubbed off on our 19-year-old washing machine as it crapped out over the weekend as well. OK, cue the violins. However, getting you to feel sorry for me was not the intent of this blog. Just keeping you up-to-date. And notice I didn’t say cue the harps. We are a long ways away from even thinking about that.

Unfortunately, (oops one more whine – bear with me), because of the radiation treatments, I will have to forego my trip to Chicago next weekend for the LVNG With Ambassador training. Bummer. Don’t think I’d be up to it in any case. Right now I’m more concerned about being able to make our upcoming vacation to Carmel/Pebble Beach. My radio-doc is cutting down my radiation treatments by one day so I can head out on this road trip the day after my last zapping.

kfcIn the midst of all this, I have totally lost my appetite. In fact I have an anti-appetite where just the sight of food makes me gag. Hey, maybe I’m pregnant. So my wifey, my wonderful wifey, brings home KFC (Kentucky Fried Chicken) figuring that if I will eat anything, I’d eat that. Having her sacrifice to stop by such a verboten place is like asking a vegan to stop by the meat market for some fresh steaks. Of course, I couldn’t even take a bite the night she got home. Me not being tempted to eat fried chicken is like Trump avoiding cameras. Never happens. I was able to force myself to make a decent dent in it the next day but overall I’ve lost 5 lbs in a week. My doc is not going to be happy. But my pants thank me.

I was also asked to tell my story for the CancerCommons website so if you are somewhat new to my blog, here is a decent short summary of my journey up until recently.

Stay tuned as things could be changing in the next few weeks.

Business as usual. Day at a time.

July 27, 2015 (Mon) – A Triple Decker of Tasty and Not-So-Tasty Morsels

Triple Decker SandwichMy wife knows I love club sandwiches. She will invariably guess correctly when we go out to eat at a casual restaurant if a club sandwich is on the menu. What can I say? I like predictability and knowledge that I will enjoy all ingredients included in said sandwich. Call it comfort food. Or call it a boring husband.

Yet, my journey to date has been anything but predicable. Hopeful yes. Predictable? Not usually.

Thus begins my quickie (don’t go there) summary of my most recent triple decker sandwich, aka my set of 3 scans last Friday. Unfortunately not all ingredients were mouth watering. Smacking my lips and gagging at the same time – now that’s a lunch entree that would result in a nasty Yelp review.

BaconLet’s start with the bacon: My brain MRI came back, once you got through all of the medical gobbledygook, as “No significant change right cerebellar metastatic focus when compared with most recent exam...” Obviously not written with proper grammar in mind but I will forgive the transgression this time. Bottom line: upstairs fuzzy is hibernating, hopefully like Rip Van Winkle. Yea!

Triple mixtureNow mix some castor oil with pureed Brussels sprouts. I had no idea there was an “s” on the end of Brussel, did you? Squirrel!  In any case, make a nice paste with those two ingredients, perhaps add some Vegemite for texture and spread on your sandwich. That would be my kitty-cat (CT) scan of everything else. Again, skipping over the impossible-to-decipher technical jargon, here is what you get: “Progressive malignancy in the lungs and mediastinum. Suspect enlarging renal metastasis.” That’s where the gagging kicked in. But I was mentally prepared based on recent history and had my virtual barf bag handy. So no cookies were actually lost in the process. Bottom line: same ‘ol, same ‘ol story when compared to the scan results for the last 3-4 scans. Continued growth in the fuzzy boys below my noggin.

Triple mixture 2Finally, layer some Limburger cheese with anchovies and sprinkle some ground up ghost peppers (those that know, know) for good measure and you have completed my meal. Some of you might actually like this. Yeech. This last set of ingredients comprised my third scan – my shoulder MRI which, when chewed up and digested down to words I could understand, came out like this: “Magnetic resonance imaging of right shoulder demonstrates features (‘features?’ Really?) of an active inflammatory phase of adhesive capsulitis. Nonspecific focus of signal hyperintensity and replacement of fatty marrow within the coracoid process Frozen Shoulderpossibly reflecting a metastatic focus given the patient’s history of lung cancer. This focus may be mildly sclerotic on CT. Stress remodeling of the coracoid process is thought to be less likely.” Bottom line: Looks like I have a case of “frozen shoulder” which will probably be treated by an ultrasound guided injection of steroids directly into the achy area. Then most likely continued home PT rehab. Problem being that this may not be allowed under my current AZD9291 (A-team) trial. We shall see.
Ashes

And if you nuke this sandwich to just charred remains, as I would suggest you do in any case, you may get what is alluded to in the last paragraph as “reflecting a metastatic focus…” So there is a possibility that not only do I have a frozen shoulder, but a fuzzy with a parka is hanging out in the tundra. The plan is to keep an eye on it and perhaps do another MRI on my shoulder after having received the steroid stab. Maybe it’s just an empty igloo. Stay tuned.

Had my regular lung-onc visit today but was seen by a sub since my regular onc was out of town. So, although he was not in a position to prescribe any specific course of action, he was pretty certain that we will be staying on the same route for at least another 6 weeks. He was especially happy that all of the parts he checked out seemed to be in fine operating condition. Obviously he did not check out all of my parts…

Business as usual. Day at a time.

July 18, 2015 (Sat) – Why Me? If Only. And Other Time Wasters

why-meEarly in a cancer patient’s diagnosis, the “why me” pops its ugly head. I say ugly because no good comes from asking that question. Some of us quickly get past that futile endeavor while others have a tough time shaking it off. Certainly lung cancer can have some obvious direct causation connections: smoking, long term asbestos exposure, even living in an area with high levels of naturally occurring radon gas. Yet many of us without any obvious causes have to accept the fact that life can be random. Roll of the dice. Luck of the draw. Turn of the wheel. Mutant gene. Who knows? And more importantly, should I care? No. It is what it is and stressing over what might have caused it just takes energy you need to weather the storm.

if-onlyIf only is not any better.

If only I had built a better wall with my cereal boxes when I was a kid sitting at the breakfast table with my smoking parents. I would surround my bowl and duck Cerealsmy head into the enclosure with boxes of Sugar Pops, Sugar Frosted Flakes and Sugar Jets forming a barrier. Now that I think about it, it’s more surprising that I don’t have diabetes with that diet. Yes, those were the actual names of the cereals back then when they weren’t so PC health conscious. I can almost guarantee they have just as much sugar these days but that is a bad word now. But perhaps second-hand smoke from 50 years ago was the culprit.

JointIf only I hadn’t partaken in college. Could that have caused the bad boy fuzzy that sat around for 40+ years and just now decided to rear its ugly head? Would have enjoyed eating the brownie version more anyway.

popcorn scraping 2If only I hadn’t scraped the asbestos-laden popcorn off all of our ceilings in our house. Although I wore a good respirator, maybe something slipped past. Could one of those minuscule fibers that I possibly inhaled been the snowball that got the avalanche started many years later?

But once again, do any of these “if only’s” have any proactive benefit in the healing process? Of course not. So why waste what valuable time I have in doing something so detrimental? Not gonna.

What ifNow “what if,” “if only’s” cousin, can play both sides of the fence. If used looking backwards, it takes the same shape as “if only” since wondering what might have been is wasted breath. And trust me, wasting breath is the last thing you want to do as a lung cancer survivor. But if you use “what if” looking forward, it can have a positive benefit, as long as what follows that phrase are actual steps taken. What if I am able to get into that clinical trial? What if I spend more time Googling new treatment options and bring them to my oncologist? What if I connect with other NSCLC survivors to compare notes and exchange info? What if I win the lottery? OK, maybe that last one is a bit out of my control but hey, hope is a good thing too. And I have to pay for our bathroom remodel somehow.

Bathroom2How’s that for a segue? Yes, we are biting the bullet once again and are currently remodeling our master bathroom. Only a Bathroom1couple months after redoing our guest bath. And only two years after our total kitchen transformation. I figure if I let my wife keep changing things in the house, she might lay off changing her husband. Or changing him out. So far so good. We were what-iffing whether we should do this remodel, just as we asked that same question two years ago before doing the kitchen. But now, like then, we are looking toward the future and I plan on getting many years of magazine reading time on the new throne. OK, these days it would be iPad reading time, but I think you get the picture, even though you may not want to.


rotary_logoI’m going to cheat and use a “what if” in the past. What if I hadn’t joined Rotary almost 10 years ago? That is not something I want to think about as it was one of the more important, and rewarding, decisions in my life.

Recently I was asked by our incoming Rotary President (Peter) to provide the beginning-of-the-meeting 2-minute inspirational message. It was truly an honor to be asked, especially for Peter’s inaugural meeting. Our club always has the Mayor of San Diego do the swearing-in ceremony so I was sitting next to him at the front table. So how about the Chargers, Mr. Mayor? Nah, we only chit chatted about Rotary Spiel July 2015nothing in particular. But as for my message, the last time I gave one at this club was just after being diagnosed a little over two years ago. It was my coming-out party, so to speak, although I had already started up my blog.

So this time around it was a similar message. If interested in reading the text, you can click on the graphic.

But the major surprise at Rotary was something I never saw coming. My wife had told me she wanted to come to the luncheon and I had assumed it was to hear me give the inspirational message. Yeah, right. Little did I know the true reason.

Here’s the background: many of you know that I have volunteered as a Rotarian “reader” to one of our elementary schools we have partnered with. However, instead of reading, I found I was much better able to keep the 1st grader’s attention by doing simple science experiments. If the students were any older the science would have gotten over my head. There is another Rotarian, Doug, that has been teaching science as a volunteer for many years at another school. So, that sets the stage. Speaking of stage, Doug was sitting next to me at the head table but he did not have a clue as to why. They just asked him to.

The incoming President always has their own agenda for the year and typically has one or two new programs they are introducing. So as Peter was introducing his plan, he mentioned a new science scholarship that they were creating and began discussing what it would be named and in whose honor. So I thought thought “Cool, that’s why Doug is up here. They are going to honor him by naming the scholarship after him. Awesome.” Yet when I turned to see the PowerPoint slide behind me, I saw both my picture and Doug’s. Turned out the scholarship was in honor of both of us, and in a nod to Bill and Ted’s Excellent Adventure movie, it was named “Craig and Doug’s Excellent Science (CADES) Scholarship.” It was jump started by a very generous $30K donation by another Rotarian and is intended to be perpetual. I was absolutely humbled and I must say, wiped a drought-breaking drop or two off my face. Very cool. The scholarship(s) will be given to students that are entering the science field in college.


3-ferOn the medical front, next Friday I will be enjoying a 3-way. OK, get your minds out of the gutter. I’m talking scans here. Of course there will be the usual CT scan of my chest area and the MRI of my brain to check on fuzzies in those locales. But since I have had an ongoing shoulder issue that has prevented me from playing softball, I asked if they could “throJuly scan calendarw in” a third MRI of my shoulder to at least determine what is going on there. I have done PT, and then I’ve rested it for months, to no avail. So we shall see what my options are. I may have the results of the scans by the end of the day on Friday. Stay tuned. And yesterday was my one-year anniversary from entering the A-Team (AZD9291) clinical trial. Yes, I’ve been popping that magic pill for 12 months and I will continue to see how long I can milk this puppy. Although I cannot imagine anyone wanting to milk a puppy…

Business as usual. Day at a time.

June 19, 2015 (Fri) – Into Each Life Some Rain Must Fall

If you haven’t read my prior blog, this won’t make much sense.

I’ve heard this saying before but never really knew where it came from. It actually originated with Henry Wadsworth Longfellow in his poem “The Rainy Day.” But that is kind of a dark and dreary poem, and thus not appropriate, so I will only steal the one sentence.

Soggy spiderAbout that California drought I was hoping would continue? Well, this spider got a little dose of El Nino this past week. Down the spout I washed. Not all the way to the drain but enough to put a damper (oops) on my climbing ability. Essentially, and honestly no surprise to moi, my scans showed continued growth in the various areas (9 locations to be exact) previously showing progression, typically in the neighborhood of 3-4 mm increases. However, my onc-doc was more positive in indicating this growth is still pretty small.

I have been working on budgets at work for the past couple of months and even a few percentage points change couldPercentage be huge. So when I look at the growth in my cancer, I calculate a 30-40% increase in size and that seems gargantuan. However, when you really crunch the numbers, it only equates to 1/10 of an inch or so, thus pretty minimal in the scheme of things. But it’s the trend that is of concern. Each of the last three scans essentially showed this similar pattern. Here’s a cut and paste from the official write-up: “appearance of slight-mild interval worsening of pulmonary metastases and mediastinal metastases.” Whatever happened to the terms stable or resolving? I know, I know. That’s life on the spout.

The upstairs brain fuzzy showed “interval slight increase in size of right cerebellar enhancing lesion now measuring up to 11.1 mm.” Thus, it appears that, as Dr. Frankenstein said, “It’s alive!” Still some question because they apparently used the higher res, or stronger magnet, scan that could account for some of the measurement differential. Rumor has it (since I’m still waiting to hear from my radio-doc) that we will wait until the next scan in six weeks where they will be sure to use the same scan settings. That way we can actually compare fuzzies to fuzzies (ie. apples to apples) to make a better judgement on what might or might not be changing. So, it looks like it will be business as usual until the end of July or so.Singing in the rain

But you know what? Right now I’m spider-dancing in the rain because I am still doing really well. I have no difficulties doing day to day stuff including my volunteer gigs, working 40 hours per week (quit laughing Kim) and golf. I’m not playing softball because of my current shoulder issues but that is unrelated (I hope).

In terms of what is on the horizon, my lung-onc-doc says there really isn’t another magical pill for me in the near future. Apparently the new whiz-bang immunotherapy treatments are not quite there in terms of matching up with my particular situation. If any of my lung cancer peeps out there have more current info, please let me know. As it stands now my next option would be chemo-therapy. And that has me concerned. I know some of you with chemo experience would say, yup, not something easy to deal with, while others would say, eh, it’s no big deal. Everyone reacts differently and it all depends what cocktail you get. I prefer margaritas myself.

Prayer BlanketRecently a friend from our Rotary club presented me with a prayer blanket that her church friends had quilted. Now how cool is that? Thanks Diana. You know, the support I have had over these past 2+ years from every facet of my life has been incredibly amazing. I really think, no, I know, that is why I am doing as well as I am today. Thank you.

And speaking of Rotary, yesterday I had the privilege, as Chair of the Day, of introducing our guest speaker, Karen Possemato, the Chief of Staff at Illumina, here in town. Illumina is all about genomics and how that new cutting edge technology is coming into play in so many areas of our life, especially health care. It was a timely and appropriate talk, especially as it relates to my past and future journey. All very interesting, and encouraging, stuff.

Back to my spout climbing.

Business as usual. Day at a time.

 

June 7, 2015 (Sun) – I’m Just an Itsy, Bitsy Spider

Itsy spiderI’ll be the first one to admit that I’m not the biggest fan of spiders. Right now my wife is reading this and going “Not a big fan? You hate them!” Well, let’s not exaggerate. Hate them? Nah. Afraid of them? Not as long as they keep their distance. But walking through a spider web would definitely send me into muscle-pulling, swatting gyrations wondering where the little bugger was.

Unfortunately what my father passed down to me and my brothers (let’s call it respect for spiders), my son BrownWidowinherited as well. Yet he had the ultimate scare that sends tingles down my spine. See the picture on the right? That is a brown widow spider, something I did not know existed until that fateful day a few years back. If you tap on the picture to get the bigger version, you will not only get a better view of its hourglass signature, you will also notice the white round edge on the perimeter. And that, my friends, is the edge of a toilet bowl. Getting the picture? My son discovered this 8-legger after making use of the facilities in a sit down mode. Now that will give you the heebie-jeebies.

But where does the itsy-bitsy (aka incy wincy) version come in? Not sure if this is a universal nursery rhyme so I will repeat the verse here:

The itsy bitsy spider climbed up the waterspout.
Down came the rain
and washed the spider out.
Out came the sun
and dried up all the rain
and the itsy bitsy spider climbed up the spout again

Now if that does not describe a cancer journey, I’m not sure what does. Each time I feel like I am near the top of the drain spout, along comes a rainstorm (eg. bad scans) that knocks me back. Then a new treatment comes along, whether it’s Tarceva or AZD9291, which dries up all the rain and allows me to climb back up. Now with my new set of scans coming up this Friday the 12th, I am hoping this California drought keeps up.

Business as usual. Day at a time.

May 17, 2015 (Sun) – What Router to Buy? A Cancer Blog?

Commute-mudIf you think a hard drive is a tough commute or Adobe Acrobat is a gymnast rolling in the mud, you may not get this one.

Yesterday I spent the better (or worse, depending on your point of view) part of 3 hours routerresearching and then traipsing all over town to replace my aging wireless router. For you nerds out there, I had an old “G” Linksys that would not keep our dueling iPads connected to the internet all the way across the house. Ended up buying a higher-powered “N” version that seems to have done the trick.

But, as before, this is not a blog about getting your tech on. In a roundabout way, however, it will touch on connectivity. More on that later.

Business as usualNo, I’m talking about business as usual to the nth degree. So would I be shopping for a router before cancer? Of course. Would I be spending all day at the office working on our non-profit budget on a Sunday (today) before cancer? You betcha. At dinner with friends, would I be powering down a couple glasses of sangria (spiked with tequila) followed by a Rombauer chaser, before cancer?  Absolutely. Would I typically be getting only 6 1/2 hours of sleep before cancer? Unfortunately yes. Should I still be doing all of these things at that level with cancer? Uh, no.

My wifey would categorically agree with the statement that I am pushing myself too far with this business as usual stuff. And I would be hard pressed to disagree. And disagreeing with your wife, in any situation, is not a recommended course of action. However, figuring out how to dial back my daily activities to a lower level than BC is easier said than done. Gotta have a router. Gotta balance that budget. Gotta have my Rombauer. The sleep thing? That I could work on. Maybe it would take some really bad news to press me into (in)action. Let’s not test that theory though, shall we?

ConnectivityOn the connectivity front, last you heard from me I was on my way upstairs to connect with a bunch of lung cancer peeps at the Lungevity Hope Summit in DC. Having only met 2 or 3 other lung cancers survivors in person, it was a Group photo Hope Summittotal trip to be in a roomfull (150) of them comparing notes, sharing stories and treatments and just reinforcing the fact that we are not alone. Lots of survivors there, many of them stage IV unfortunately, but the longevity ranged from the newbies (6 months since diagnosis) to 25+ years. Gives you lots of hope, which amazingly was the title of the conference. Duh.

In addition to the camaraderie, which was awesome by the way, we were also treated to several sessions put on by docs talking about the latest and greatest treatments and options on the horizon. Just keep pushin’ it out. That’s the plan.Survivor pic

BloggersOne of the more fun things was to finally meet (in person) some of my fellow lung cancer bloggers who, with the exception of Dann, I have only met on-line. Here is a picture of a bunch of us. And can you tell we were having fun? And the dinner that Saturday was to die for. Oops, poor choice of words. 🙂 Hey, dark humor has helped keep me going these 2+ years. (Photos courtesy of Randy Elles Photography LUNGevity Foundation).

Since my flight was covered by a grant from Lungevity (thank you very much), I stayed on in DC for a couple extra daACys to visit a few Closetmuseums. Visited the Spy Museum, the Newseum, and the Museum of American History. But since I am the one in charge of our budget at work, I could not justify staying at the Marriott still. Instead I found a 101 year old hotel just a few blocks from the White House. Very interesting accommodations. Although I needed neither a closet nor the A/C for the one night I was there, it was enlightening to see how they managed those features in such “classic” accommodations. The pictures speak a thousand words.

June 2015 calendarBack in the home country of San Diego, it truly is business as usual. Nothing new on the scan front until Friday the 12th when I get my next double dose. Scanxiety should kick in about the 9th or 10th. Keep those positive vibes coming so I can surf ahead of that wave and take advantage of some new options down the road.

Business as usual. Day at a time.