Category Archives: health

Breakn’ a Sweat-Great Aloha Run 2015

One of my students showed up to summer school class every day with large over-the-ear headphones listening to this song by Skrillex and The Doors-Breakn’ a Sweat (a largely repetitive, but somehow catchy electro/dub step song-you probably will not like). But, this song was in my head as I trained for the Great Aloha Run of 2015.

Skrillex and The Doors-Breakn' a Sweat
Skrillex and The Doors-Breakn’ a Sweat

I wasn’t even sure I could do the 8.15 mile Great Aloha Run (and just to clarify, I am talking about walking it, not running). My friend said multiple times, “you can always back out if you are not up to it.”  My plan was to just get up and get out there and see what happened. Up until Monday (race day), the longest training “run” was a 1.5 mile walk. In keeping with my 2015 goal of becoming STRONG I felt like it was important to at least get myself out of bed and get down there and try. My January training was stymied by a mega migraine that put me back several days (See Professional Vomit Queen). We woke up extra early to make our way to the Starting Line. IMG_3060 I stood on the corner watching the sun come up with my little team of two (Debbie and Ross). We stationed ourselves at the back of the pack along with the wheelchair participants and stroller moms and watched the sunrise reflected over Aloha Tower.

Great Aloha Run-sun rising
Great Aloha Run-sun rising above the starting line.

Twenty thousand people had the same idea I did and were out there for the  Great Aloha Run! Interesting side note is that many more were registered and just didn’t show up. I am sure they had many good reasons, but come “game day” it didn’t happen. This is what the front of the line looked like (or so the newspaper told me). 

Great Aloha Run 2015
Great Aloha Run 2015

Despite a bad knee (Debbie), a bad calf (Ross) and sore hips (me), we finished! At one point, I jokingly said, we should do the Honolulu Marathon in December. This idea was introduced around mile 7, so the enthusiasm for it wasn’t as high as I had hoped.

Finish Line
Finish Line-Ross in green

We completed the race in 2 hours and 25 minutes. Plus, when you add the time and distance to get to and from the start and finish line…we totaled 9.73 miles!

Runkeeper tally!
Runkeeper tally! 9.73 miles!
Dynamic Duo in our fancy new "finisher" T-shirts!
Dynamic Duo in our fancy new “finisher” T-shirts!

When my own children used to agonize over writing essays for English class, I used to tell them…It doesn’t have to be perfect, it just has to be done. Words on paper are better than no words at all. That is how I felt about this race. We could have been a lot faster and trained a lot more, but we still got out there and did it. Plus, we were together, which made it all the more fun! What’s my current situation? Still plugging away at maintenance chemo every three weeks. I had treatment yesterday and slept 12 hours straight in recovery last night. Still teaching! Still doing!

The Musical Chairs of Cancer

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Set-up for musical chairs

Do you remember the childhood party game Musical Chairs? I used to love going to birthday parties and playing that. When the music started, you would walk around the circle casually, sometimes touching the chairs, just listening to the music playing a happy tune until some unseen hand took the needle off the record (Yes, we played that game with vinyl albums!) As the music suddenly halted,  you lunged into the nearest available chair-hoping not to be the extra child without a seat. If you were unfortunate enough to be the last one standing, you were out of the game.

I compare my current situation to that childhood game. I go along living my life, teaching classes, walking, going to church, watching movies, listening to music, and then suddenly, it’s time for a PET scan.  There is a breath holding few days where we wait for the results…Will I still be doing the daily drive to work (#hitraffic), watching Chopped on the Food Network, hiking the Aiea Loop trail, and generally being “normal” OR will I be thrown back into the grind of surgery, weekly chemotherapy, blood testing, and hospital visits. Each scan, I wait for the music to stop, and then determine if I am with or without a chair.

Last year on Valentine’s Day (incredibly bad timing), I received that call that my cancer had returned. Since March 14th, I have earned frequent flyer points at Tripler Army Medical Center. The current status is a monthly (which really means every three weeks) maintenance plan of Avastin and careful monitoring of my CA 125 levels to continue indefinitely (like in forever).  Side effects of all of this include some pretty unkind migraine headaches and fatigue, but this is small “kine” stuff compared to the radiation and frontline chemotherapy.

View from the Oceanside of Tripler Army Medical Center
View from the Oceanside of Tripler Army Medical Center

In the meantime, I am listening to the music and focusing on my One Word for 2015! That word is Strength.  Rather than making a series of New Year’s Resolutions about working out, eating less, and reading more, I am choosing to focus on a single word-focusing all my efforts towards building strength…in my body, in my mind, in my faith, and in my relationships. My plan for 2015 is not a single day event, but hopefully a series of activities that will make me stronger. Physically, I feel better now than I have felt since January of last year. I plan to run (haha-just kidding) walk in the Great Aloha Run in February. Am I ready? Absolutely not. But, the training process has begun.

Great Aloha Run Hawaii
Great Aloha Run Hawaii

I believe I’ll still have a chair in the game come next week! You are not behind. Start now. What is your One Word for 2015?

Where are they now?

One of my favorite magazine (and now internet) features has always been the “Where are they now? segment. Something about being in the dark with zero information regarding a person, and then “BAM” right back into all the nitty gritty of their lives-some interesting, some bizarre, some tragic…….is so compelling. I thought I’d take you on a little Where are they now? trip.

1. David Cassidy-former star of 70’s show The Partridge Family and frustrated hard rock musician (I learned that in VH1 Behind the Music) in a pop music world has plummeted to the world of drunk driving in NY, garnering what appears to be a second DWI (the first from Florida).

David Cassidy Then and Now
David Cassidy Then and Now

The rookie cop evidently didn’t recognize the former teen heartthrob. (I think I would have.) Let’s hope he’s back on track now!

2. Mary-Kate Olsen My kids were fan of the twin powerhouses (to include Ashley Olsen) from the television show Full House. The favorite movie of our family was I am the Cute One. You can find this gem on http://www.youtube.com

I am the Cute One video from www.youtube.com
I am the Cute One video from http://www.youtube.com

Now, she has a jewelry line that makes a BILLION dollars in sales a year.

3. Haley Joel Osment Evidently I was not the only one who wondered whatever happened to the Sixth Sense boy. ABC news had a recent feature on him with this photo (and article)…What?!?  That’s Haley Joel Osment? He is still making movies and currently is filming a movie in which he pays a Nazi.

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Haley Joel Osment filming a new movie in September of 2014

4.  Walter Cronkite-As a child I used to watch the CBS Nightly News with my parents and listen to Walter Cronkite say, “And that’s the way it is.” Sadly, he passed away in 2009.

Walter Cronkite-CBS News Anchor
Walter Cronkite-CBS News Anchor

I could spend hours searching the internet and dropping down a rabbit hole of information, but I wanted to share with you one that recently stuck with me.

5. Diem BrownYou may or may not know of this reality TV star who made her mark in the show MTV Real World/Road Rules Challenge. What impresses me so much about this woman is that even though she diagnosed with Ovarian Cancer at age 23, she fought relentlessly and optimistically against this cruel disease until she passed away at 34. If you follow Twitter, you may know that her last tweet (posted days before her death) showed her resilient spirit.

Diem Brown Tweet
Diem Brown Tweet

Her fight (chronicled in People Magazine) focused attention on this silent and slippery disease. Here is a reminder of the symptoms:

Symptoms of Ovarian Cancer
Symptoms of Ovarian Cancer

Common myth: Your annual PAP smear does NOT detect Ovarian Cancer!

Where am I now? Doing well! After a total of two surgeries, 25 radiation treatments, and 28 frontline chemotherapy infusions, I am undergoing maintenance Avastin infusions every 3 weeks to keep this disease at bay. In the meantime, I can be found teaching Physics to some pretty darn amazing students on most days!

 

Trying to get up that great big hill!

Koko Head Crater

At one time, not too long ago, I was actually able to walk up Koko Head Crater-it was challenging, yet not impossible. The popular Oahu hike was approximately 1 mile…straight up…1048 stairs/railroad ties up the side of a enormous cinder cone.  The view from the top was spectacularly breathtaking. These days, I think I could only walk from the parking lot to the trail head. However, even when I was able to successfully complete the hike, there were a few other folks that passed me like I was standing still.  On the way down, still others were barely making it up.  My challenge was a cake-walk for some and an impossible dream for others. Food for thought as I refocus my efforts toward getting healthy.

Now, I’m trying to get up the hill of recovery! What’s the plan? It’s a work in progress, a multi-pronged work in progress. Exercise-check. Ableit, in a much smaller fashion than BC (before cancer). My immediate goal is to walk up the hill in the neighborhood (all the way to the top). Healthy eating-check. Thanksgiving is right around the corner, but for now, it’s plenty of veggies/protein and bags of spinach (they say it’s washed, but I am suspicious, therefore  doing that hard salad spinning myself). I am re-acquainting myself with plain Greek yogurt and a sprinkle of Grape Nuts and fruit on top. It’s not as terrible as it sounds…really. Reading-check. On order from Amazon:

Small Victories-Spotting Improbably Moments of Grace by Anne Lamott
Small Victories-Spotting Improbably Moments of Grace by Anne Lamott

This Thursday marks my second maintenance treatment along with a Doc appointment on Monday. I haven’t been to Tripler Army Medical Center in three whole weeks (3.3 weeks).  I am focused on getting myself sussed each day and up by 5:17 am and back into bed by 9:36 pm (this has something vaguely to do with sleep cycles and a sleep calculator).  Still a long way to go, but the view on the way back up again is pretty rewarding. Plus, I am enjoying the lack of vomitting more than you can possibly imagine.

In a reflective mood? Maybe a little, but I’m looking backward and forward simultaneously. Musically, maybe some 4 Non Blondes will help you start your day with What’s Up?

Don’t forget to check out the sunsets on the way!

Sunset on the North Shore of Oahu
Sunset on the North Shore of Oahu

Maintaining (Cancer Free)!

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Maintaining the diet!

You go on a diet…you lose that elusive 10 to 15 pounds 20 pounds,more? You counted “points” ate Gluten free, ate low carb, ate Paleo and now you are a newly transformed person with ultimate will-power, making excellent choices in all your eating and  exercising 3-5 days a week at 70 percent of your heart capacity.  (That’s the dream of all dieters, right?) Then what? The hard work of maintenance dieting begins. The process of keeping all the work you’ve done, frozen in time, is the goal of both maintaining your weight and maintaining the results of  cancer treatments.  The rush of eliminating the unwanted pounds is gone, compliments on your dedication tapers, and friends just expect that you’ll keep that weight off and continue your journey successfully. You hope that you won’t backslide like so many dieters do and become just another statistic.

Happy Valentine's Day
Happy Valentine’s Day

On Valentine’s Day, 2014, my doctor called to say those dreaded words, “I’m worried” about your CA (the cancer marker found in blood) levels. Shortly thereafter followed surgery, radiation, and 5 months of chemotherapy. Now, we maintain the results with an  every-three-week it was “sold” to me as “monthly” treatment of Avastin. Avastin is a fancy expensive drug that has been part of my regimen since May 22nd. Essentially it is an infusion that keeps the cancer cells starved of blood so that they don’t develop into tumors. Side effects for me are primarily headaches, which I am learning how to fend off more effectively. Why didn’t I get the ‘loss-of-appetite” side effect?

Avastin
Avastin

How long do you have to keep your maintenance diet going?  Weight loss professionals say that maintenance should really become a lifestyle change and it should go on indefinitely What, no more sugar forever? I don’t think so.  My doctor called last week and started talking about how my maintenance treatments will continue for a year….wait for it….or forever. Forever? Seriously, Forever. Evidently doctors aren’t unanimous  in exactly how long this treatment should be continued or how long it will stay effective.

So that’s where we are. In the dreaded “maintaining” portion of our cancer diet Time to focus on the basics of good nutrition except for cupcakes,  getting the energy to walk up the hills in my neighborhood, and sleeping for more than 5 hours uninterrupted (maybe that part won’t ever happen). I’m actually happy to have the opportunity to normalize my life and not think about life and death on a daily basis. Time to kick back and enjoy the maintaining!

How do you maintain the positive changes in your life-whether diet or exercise or something else? Is a struggle or a piece of cake? I’m Curious.

 

The Waiting Game

I am scheduled for another PET scan today. I have the routine down fairly well. Cut back on carbohydrates two days before the scan, and go carb “free” on the day before the scan.  I am not a huge carb fan, but the moment you tell me that I can’t have carbs, that is all I want.  This photo is the “good” carbs, but I am thinking any carbs would be good about now.

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Carbs

The PET scan uses a radioactive tracer with glucose (sugar). Once you starve your body of sugar, and then re-introduce it in the form of glucose, it happily travels to all areas of your body….particularly areas of high metabolic activity.  High metabolic activity is not good.  My recent scan (Sept. 5) was good, so that bodes well for today.  My number one goal is to focus on getting my body back to eating well, feeling well, and exercising well. So, what’s the hitch? My latest CA levels (the markers that they use to check Cancer) have notched up a bit. Could be nothing, could be something.

So, I am waiting. No food since last night at 6 pm. I am allowed to drink watery water (not my favorite) and I’ll be to Tripler Army Medical Center in a bit. First order of business is accessing my port, and then they’ll start the radioactive tracer. One hour of complete solitude in a dark room will follow. No music, no TV, no books, no company, nothing. (I guess they don’t want my high-intellect from listening to Morrissey or watching The Walking Dead to light up the scan.) After that, the tube. I am fairly good with the claustrophobic aspect of the tube, but my hands usually fall asleep during the scan. They used to tape down my forehead and hands, but evidently, I have graduated from this (or someone complained). Now, I just have to hold them above my head.

Results? Probably in a day or two. So much of this disease is waiting and watching. I know October is Breast Cancer Awareness Month, but I thought I’d put in a plug for Ovarian Cancer Awareness. Simply put, if you have had unexplained digestive issues for more than several weeks, it would be a good idea to get it check out. I urge you to go and check out the symptoms.

OvarianCancerAwarenessRibbon
Ovarian Cancer Awareness

No Evidence of Disease (#NED)

The words that every cancer patient wants to hear-No Evidence of Disease! I was sitting on the exam room table when the nurse came in with the report and flopped it open for me to see. At first, I had no idea what I was seeing, but then, the words jumped off the page-NED!

Radiologist's Report
Radiologist’s Report

A special girl, Morgan, brightened my day with a bouquet of Star Lillies. And yes, I want to keep “filing batter” for a long time.

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“Congrats on your filing batter”-Love Morgan

What’s next for me? Three more chemos to knock out any remaining or developing cancer cells. Then, monthly (and by “monthly” they actually mean every three weeks) chemo for a year. I still have a long haul ahead of me. Blood pressure is too high (from chemo, of course) and platelets keep dipping (from chemo, of course), WBC (White Blood Count) is all over the place, and RBC (Red Blood Count) is dipping into transfusion land.

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Tripler’s Chemo Room

BUT, I am blessed! I feel lucky every day I get into work and am able to do my job and see those students. I’ve been through the ringer-surgery, radiation, chemotherapy, but because of friends like you, my battery is recharged. I can officially say I am a two time cancer survivor!

NED-No Evidence of Disease Movie poster
NED-No Evidence of Disease Movie poster

Pet scan time-“Eyes to Thighs”

So you want a Pet?

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Leilani Kitty-Our Pet

No, not that kind…this kind…a Positron Emission Tomography (PET) Scan.

petscan
Areas of hyper-metabolic activity light up!

Tomorrow is my six month scan. We are hoping not to see any areas light up this time!  Today (Thursday) is the prep day. Starving the body of sugar and focusing on low carb eating.

A day of eating this…

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Genoa Salame and Provolone Cheese-$4.99 at Safeway

And this…

 

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Salted Peanuts

Tomorrow (Friday) is just watery water…Nothing else!

water2
Watery water

Then, they inject the radioactive tracer…and allow it to circulate in the bloodstream.

Injection
Injection of radioactive tracer element

One hour of sitting “Quietly”…no music, books, talking, moving, etc. They really mean it when they say sit quietly. After 1 hour, the dye has had a chance to circulate through the whole body (organs and tissue) and you’re ready for the scan to begin. Any areas of hypermetabolic  hungry cancer cells, will be activated and light up during the scan.

Then, the tube. It like a crystal ball to look at your innards.

pet-scan-machine
Pet Scan machine

And then waiting…for results…till Monday-an exercise in patience impatience. What makes you impatient? How do you cope?

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Seeing the doctor Monday after school.

Struggle Bus

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Struggle Bus

Admit it…there are some days that you start the day off on the Struggle Bus to Struggle CityWednesday was that day for me. I woke up nauseated, but it was too late in the morning to call in sick and I had a full day of teaching ahead.  I asked my husband if he thought it was something I ate.  His response: “Kym, you just had chemo, so no, I think it’s the chemo.”  I always try to ascribe the bad days to something else…virus, fatigue, food poisoning, etc.  but it just keeps coming back to the fact that I am putting poison in my body in order to fight the cancer. Then, I spend most of the next week fighting the poison that is fighting the cancer. Like the shampoo bottle says: Lather, rinse, repeat.

It just doesn’t seem right.

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Chemo Infusion

In English classes, we teach that there is no story unless there is a conflict. Something has to happen to the main character in order to make the story interesting, and unfortunately, as the protagonist for our own individual story we mostly don’t get to choose the conflict.   Every time I check social media, I see so many battles that my friends are fighting…injury, injustice, illness, heartache, senseless crime, etc. My battle is unique to me, but I know we’ve all felt that feeling-How will I get through this day?

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Cancer Playlist
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Cancer Playlist

Start with the Cancer PlayList

 

 

 

 

 

 

Dig Deep.  Going through something life changing requires all your personal resources. Reach to your faith, your friends, your family. Wednesday, I reached out to my friend, and she was there. She is going through her own battle with debilitating back pain, but she searched  all over the office  just to find me some ginger!  I had one hour before class was to start to get control of the situation.  I was calculating distances to the closest  bathroom in case of emergency vomitting or worse-as one teacher-contract I had so succinctly put it-“explosive diarrhea.”

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Cancer patient

Whenever I start to feel sorry for myself, I think of the sad young man I see weekly in the chemo room. He speaks to no one and he appears to be young, mid-20’s.  His answers to the nurses are monosyllabic. His agony is evident on his face each time he comes in.  His mom comes in with him and does what she can do to ease the suffering. It just brings to mind how unfair and indiscriminate cancer actually is.

We all have conflict-some big and some small-but all achingly real. Our lives have so many pitfalls along the way that the only real solution is to reach out to each other to create a resolution to our own story. I couldn’t do this without you!

Building a tower!

This week marked two weeks of school and crossing over the halfway point in chemo. It reminded me of building straw towers in physics class.  Students started out the week with 50 straws and 2 meters of tape and were tasked with building a tower that could support a golf ball on the top. The best towers had a strong base and a lot of support. Some towers never made it off the ground: they were flimsy and poorly thought out. The winning towers were the ones in which the builders created alternate plans when encountering disappointment.

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Straw Tower to support a golf ball.

 

I want to model my school year on those successful towers and teams. Each week my actions need to mimic the successful characteristics of the soaring towers! It needs to be carefully planned with lots of support, and a fallback plan if things don’t go the way I intend.  Last weekend, I think my tower went too high. I pushed myself a little too hard and paid the price over the weekend with a brutal headache and record breaking vomitting. I was reminded of Buster’s quote from Arrested Development, “Yes, I was flying. But a little too close to sun.”

This week I had Back-to-School night on Thursday followed by chemo on Friday. Week two has been better because I know the students now and everyone is getting back into the mechanism that is school. My son’s Cross Country coach says it takes two weeks of training before the initial pain subsides. Well, I have completed two weeks of training, and I am optimistic that Monday will be my best day yet! My lesson plans are ready and alternate routes are planned as well.

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Fortunately by Remy Charlip

 

 

 

 

 

 

 

 

 

 

The test of my chemo/work schedule will be this weekend as I deal with the side effects of Carboplatin/Gemzar/Avastin. Fortunately, we had a great meal delivered by some friends at church and I had a delicious nap this afternoon. So that helped mitigate the lengthy chemo process.

One of my favorite books growing up as a child was Fortunately by Remy Charlip. For every bad thing that happened to Ned (the main character), there was an equal and opposite good thing (Newton’s 3rd Law!).  “Fortunately, Ned was invited to a surprise party. Unfortunately, the party was a thousand miles away. Fortunately, a friend loaned Ned an airplane. Unfortunately, the motor exploded….etc.”

Fortunately for me, I have some wonderful family and friends and coworkers, so I am expecting great results from this year!  What’s your favorite childhood book that still speaks to you and motivates you?

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Ned, being chased by a tiger…Fortunately, he can dig!