Sunday, June 29, 2014

Not accepted and other bad news

Last Monday night there was a prayer & worship service gathering to lift up myself and others that are sick in our church.  The time was so sweet and intimate with the Lord and loved ones all around.  We even skyped in family members and friends that were not able to physically be there.  It was the most special time that I will never forget, it meant a lot to Ryan and family to see all the support and love the UFC continually gives in abundance.  My favorite part was  worship, singing aloud to my great God......it was very very special.  It was a perfect way to send off Ryan and I, as we left early the next morning to Maryland.  The flight went pretty well surprisingly, I wasn't in much pain and slept most of the time.  On Wednesday, I had just enough energy to do some sight seeing around DC....I mean how could we have been that close and not gone out to see such important history!

Ryan was so sweet and arranged everything, we got a 3 hour personal tour in a fancy brand new Mercedes Benz....I felt like a celebrity!! We were able to catch the major monuments at the National Mall, before headed back. It was perfect.  I loved seeing Ryan so filled with excitement and joy as we both could be cheesy tourists together.  I'll post some pictures below. That day ended with a brilliant lightning storm right outside of our hotel.  It was so awesome!!  I kept thinking how mighty and powerful our God is, and singing a song (I think I made up) "did you hear the thunder roaring...." Im pretty sure the lyrics are different-but it seemed appropriate :)

Everything about the screening went well, NIH is a wonderful place with very friendly staff, we felt welcomed and cared for.  We were there all day, and the last part of the screening was to meet with the Clinical Associate and then the Attending Physician.  After having all our questions answered and  having the study explained to us, the Clinical Associate said she'll be right back with the Attending Physician after they look over my CT scan to pick out which tumor would be best to remove for harvest of the cells.  She was only gone a few minutes when they both returned and the Attending Physician said he had bad news.  After reviewing my CT scan and comparing it to the CT scan I just had done on the 18th (only 8 days prior) that the cancer was growing at such a rapid rate in my lungs that I was not a good candidate for the study.

The news was devastating to us both, and the rest of the day was filled with tears, hugs and a lot of I Love Yous.  We talked about the reality of a sooner death then originally thought.  We talked about how far we wanted to go to find a solution.  We talked about my quality of life I have in these current days and wanting to make sure they are without pain. We talked about God, and how we will trust in His sovereign plan-no matter what.  We also know that I am not without hope, and I am not without fight.  Even now as I right this, I feel pretty "normal" and I can't comprehend that something is killing my body more and more each day.  So bottom line is that we are not giving up and will look for another door to open, but in the meantime, making the most of each moment we have together.

I am in a lot of pain these days and could tell the cancer was growing by the way my body was experiencing pain, seems like each day there is a new spot.  I just recently started a better pain management plan, but it will need to be adjusted.  I'm going to request new radiation spots to help my pain as well.  Besides the pain, my cough is the biggest issue.  I have horrible coughing fits, where a lot of gunk is coming out-I'm assuming mucus from the tumors.  Well this mucus feels like it rises up in my lungs then gets to the point where I feel it block my airway and have a deep, violent cough until it comes up, and these last anywhere from 2-10 minutes.  They come from no where too, it's not like it only happens after I'm being active, I can be sitting on the couch for an hour then-boom-it hits.  Like I said this is the most concerning, as there are sometime where I feel like I literally cannot breath because the mucus is too thick to have air break through.  However, when I'm not having a coughing fit, I am fine, so it's very up and down....front and back....side to side....it is pretty much is a tornado! Haha. We will see Dr. Jae Lee on Wednesday to discuss what's next.

I want to make known an opportunity for you to help Ryan & I during this time that is also tax deductible.  My Pastor wrote it best on his weekly email, so I"ll just copy & paste it here....

"I spoke with Amanda yesterday, and unfortunately she was not accepted into the T-Cell trial, the cancer in her lungs is growing too rapidly for the trial to be effective.  This is difficult news to process, for all of us, but especially for her UFC co-workers.  She and Ryan will be flying home today, please keep them in your prayers, and do be praying for our team.  I’m not sure what comes next, but wanted to keep you informed.
As you can imagine, the financial burden during this time has been heavy for Ryan and Amanda.  The elders have established a “benevolent fund” allowing us to step up and help with these needs.  If you would like to contribute to their needs, make your check payable to UFC and note it to Amanda."
University Fellowship Church
25 W. 25th Ave 
Eugene OR 97405
OR if you are tech savvy you can donate online through UFC's online payment system.  You'll need to sign up for The City and make sure you add your address to your profile to ensure you get your tax receipt.  If you don't have checks I assume you are able to navigate your way through the website and instructions  pretty easy.
Here is the link:   https://universityfellowship.onthecity.org/login?seshReset=true
  • Create an account
  • Add your address to your profile
  • Go to "Giving" tab
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We both woke up Friday morning knowing it's a new day with new mercies and new opportunities.  Not getting accepted is old news now ;)  But the tornado isn't over yet...On the day of our departure Ryan started to feel a little sick.  By the time we made it to LA for our layover, his stomach was in a lot of pain.  And if you have known Ryan over the past year, you know where this is headed.....Ryan had another bowel obstruction.  Our flight from LA to PDX was horrible, he was in full blown bowel obstruction episode, we got escorted off the plane first because of his medical emergency.  Ryan made the decision to get to Eugene's ER/Hospital so he can be close. So I drove us to Eugene and dropped him off at the ER where he was quickly admitted.  He is still there and showing signs on improvement.  A quick lesson on bowel obstructions....Ryan has a history...they can either move on their own (with the help of an NG tube and other meds at the hospital) or they can be removed through surgery.  Over the past year, both of these things have happened to Ryan.  Last August he underwent a massive surgery to remove multiple obstructions, and just in February he was admitted for 4 days but that obstruction was able to pass on it's own.  The second option is what we are hoping for, and he is already making good progress.  We hope he will be released tomorrow!! Praise the Lord.

God is still good, no matter what God is good!  We saw little blessings even in the 2nd part of the tornado...too many to list....or maybe I"m just done typing ;)












Tuesday, June 17, 2014

Option 1: Step 1

Praise The Lord! Today I got a call from NIH, inviting me to there clinic for a screening. YES!!!!  This is the first step to being accepted, so Thursday the 26th I'll be there from 8:30-4:30 getting screened. (which means they will run some of their own scans, lab work, and we'll get to know each other to see if I am a good fit for their trial)  I'll know fairly quickly after Thursday if I'm accepted or not.  Prayers for that screening and that the doctors like what they see :)

An update on other things....my radiation is going well.  My lower back pain is still there but it's not the sharp pain like it was.  However, in a matter of a two weeks the spot in my buttocks is now hurting to the point I can't sit in one position too long.  Also I noticed a new weird pain down my left arm, after a few days I reported it to Dr. Haidy Lee (my radiologist doctor) she then talked it over with Dr. Jae Lee (my oncologist) and they decided to prescribe me a nerve blocker, because what I was experiencing was my lymph nodes swelling to the point they were pinching a nerve.  That medicine worked immediately! However, no sooner then that pain went away, did my left shoulder and neck area start really hurting.  In a matter a 5 days I was in VERY bad pain, so on Monday I discussed this with Dr. Haidy Lee, and she explained the cancer was growing.....sigh.....if in 5 days this is happening, what is going on in other areas of my body?!  So I will start radiation on my neck & clavicle next week to help with the pain.

Ryan and I are taking our time and enjoying each other, trying to slow down and take in each moment and go on small adventures when we can.  Ryan will accompany me on the screening.  At times like these, I realize how much God is in control, from the city we live in, to the places we work, my doctor and the WVCI team, to our church body, family and friends, it's been so humbling the outpouring of help in all forms that is being offered.

We are blessed.
God is good.
No matter what, God is good!


That's all for tonight, I'm in pain and tired-time for a bath :)
This is the syfy spaceship machine that I visit everyday, I named him Norman. 

Tuesday, June 10, 2014

3 Options

Short and sweet update-with some good news actually!!

Today Dr.Lee outlined 3 options for next steps...

#1 National Institute of Health: Clinical Trial.  All my records have already been sent in for review, and we are waiting to hear back if I qualify or not.  One of Dr. Lee's current nurses used to work at NIH, so hopefully that will work in our favor! The best part is that this trial is because of a grant, so that means treatments would be free!! WOW!  This is the best option, so prayers that I qualify for this. Oh, it is in Maryland so their would be details to work out, but I'm more then willing to go sight seeing.


#2 Foundation One Medicine.  This is where they send a sample of my blood and it gets tested for mutations and genetic stuff (pardon my lack of medical terms...) If they find a mutation, they then search for any new medicine that is our there for me to try.  This would most likely be very expensive.  My blood work will be sent there this week so they can start de-coding it or whatever.

#3 After my 3 weeks of radiation is done, start chemo again with new chemo drugs.  They do not want to do chemo at the same time as I'm getting radiation on my back/spine-I guess it would be a very dangerous combination.  Speaking of my radiation-I'm requesting they also do it to my left collar bone area as it is really hurting.

This is all very much in the unknown stage still-but at least it's some good options!!  I may get a call this week or in 3 weeks on if I've been accepted or not-so I'll keep you updated as appropiate.  At the end of our appointment, Dr Lee said we are in his prayers and he also wanted to tell me how much of an inspiration to him that I have been through this process-very humbling-so I wanted to in turn, thank you all for your prayers for my joy and strength that I have!



Sunday, June 8, 2014

Real Results

On Wednesday driving home from a lovely outside picnic dinner with friends, I noticed my left collar bone area felt weird...tight...or bulky....hard to put into words.  This was the same area that had been biopsied and tested positive for cancer, but in recent Dr. visits the node could not be felt, however this time when I was poking around, I felt something-about the size of a pea.  It wasn't in the exact same spot as where they biopsied but close by.  I wondered how long had it been there?  I had Ryan feel it too, at that point I think we both got a knot in our stomachs.  For the next morning was going to be the big reveal of the PET scan results, and for a pea size tumor to show up was not a good sign.

I don't think I can be shocked by bad news anymore, which I guess is a good thing, makes hearing it less dramatic and more of an acceptance.  The PET Scan results, did show that some of my original tumors had slightly shrank, however this good news was irrelevant because the scan also showed the cancer has spread.  New tumors showed up on my lower back on my spine, on my buttocks (weird), around my left collar bone and in my lungs.  The cancer is now in my blood stream and free to move wherever it wants.  Dr. Lee reiterated how aggressive this cancer is....that even during chemo the cancer was not phased...so we need a new plan!  We stopped chemo immediately, if it's not helping, then we want to preserve the good cells I do have by not putting them through chemo.  I will start radiation on Tuesday, I'll go everyday (M-F) for three weeks.  They are only doing radiation for the tumor on my spine since that is an area we do want it to grow and weaken the bone or interfere with my spinal cord--also it really hurts!! I thought I was just being a wuss, thought maybe I slept funny, but now it makes sense why my lower back feels like it's breaking.  Speaking of pains, my lungs can't fully expand because of the tumors so breathing is more difficult and painful and thats a little scary being that I need to breath!  The next step for fighting the cancer is to find a clinical trial that I qualify for and get into it asap!  Dr. Lee did call me after my apt. stating he found some promising new treatments that are specifically for HPV Cervical Cancer in the advanced stages.  It's immune system therapy, using my own T-cells to fight back.  There is a lot of stuff online right now about it because this past Monday at a big conference for American Cancer Society, a doctor revealed his new study.  I'll attach a link below.

I am requested prayers specifically that there is a study that will start soon and that I qualify for it, and of course that the treatment works.  I meet with Dr. Lee on Tuesday to discuss more about the clinical trials, so I'll have more information then.  As of now, I don't know too much about them....if I have to travel or not, where they are, how much they will be, does insurance cover it, lots of unknowns, kind of feels like we are back to square one. Ryan and I are doing OK.  It's discouraging, but we have hope still. It's very scary and more real then ever.  Prayers that we stay strong for each other and that we don't forget to live in each day.  That I laugh when I can, cry when I need and love more than I thought I could.  I have hope, I have faith and I have a whole bunch of fight left in me!!  My God is big and powerful and I will trust in Him during this journey.

That's all for now.

PS. Since I stopped chemo my hair will start growing back!! Yeppie for the little things :)

http://www.nbcnews.com/health/cancer/fighting-back-patients-own-immune-cells-tackle-cervical-cancer-n119286

The three large black things are my kidneys and bladder (not cancer) 
This is a front view, so you can't see all the new cancer (like the one on my spine)