Tuesday, August 14, 2012

Get a Room!


Today was Julie's first day of treatment and look who she ran into!  Imagine that!  Mr. and Mrs. Gauby, side by side, in a nausea induced state of bliss.  Good times.

Actually, it was a pretty freakin' awesome day - as far as living with cancer goes.  Jeff is continuing to ROCK the Interferon infusions with a little help from Ms. Lorna Doone, and Julie was warmly welcomed into the MSTI family today for her first FOLFOX treatment.  While Jeff receives treatment 5 days a week, Julie only goes in once every 2 weeks.  I know she was nervous and anxious to get started today - and thankfully she's had little side effects. 

One day at a time.  We can do this!


HAPPY CHEMOTHERAPY DAY!!!

The Crazy Cousins put together a few uplifting diddies for Aunt Julie.  Enjoy! 

THE Perfect Cheer!
Gimme a C!
C-H-E-M-O Song

Monday, August 13, 2012

Big Week!


Good afternoon!  I apologize for the delay in updates - but there has been little new information to forward.  Julie, Megan, Allison, and I - along with our families - spent the last week basking in the tropical breezes of Maui.  It was a wonderful opportunity to leave our cares and daily responsibilities behind, and just enjoy the company of our loved ones.

Just kidding.  In the last 2 weeks Allison moved her family of 6 into a new house, Megan played nurse to her husband who endured ACL surgery and will be grumpy for the next 9 months, Julie accompanied Jeff to chemo appointments while maintaining her own busy schedule of appointments, and I hung a "do not disturb mommy" sign on my bedroom door and slept for a week.  I'm only up and posting now because my family is out of clean underwear.

Jeff is showing Interferon who's boss - thank goodness!  Last week he powered through 5 straight days of infusion at a 33% reduction.  His side effects have been minimal and he is enjoying his daily outings to MSTI.  Julie claims he has the entire staff wrapped around his finger.  The moment he checks in for his infusion he orders a huge all-meat sandwich, chips, soda, and his new favorite - Lorna Doone shortbread cookies.  I have to smile while typing this.  The thought of Jeff ordering piles and piles of food, telling jokes, and entertaining the entire floor while bags of the devil's juice flow into his body makes me so happy. 

Tomorrow Julie starts her chemo treatments.  Her drug of choice is FOLFOX, and her side effects should be easy breezy, lemon squeezy.  As you know, there is a genetic component to all cancers.  Our grandmother (my mom's mom) was diagnosed with colon cancer in her 60's, and lived 30+ years beyond her diagnosis.  Way to go Grandma Patten!  Tomorrow the 4 of us plus Caitlin will receive genetic counseling from the oncology team at MSTI.  We are saying goodbye to red meat and embracing a diet of high fiber foods.  A clean colon is a happy colon. 

It has been brought to my attention that many of you are having difficulty posting comments on this blog.  If you are not a blogger yourself, you can post a comment below by clicking on the little 'comment' icon, type your comment in the white box, and where it says "comment as" - open the drop down menu and click on 'anonymous.'  Your comment will be posted as ANONYMOUS, so make sure you sign your name in the white box at the end of your comment.

Thank you for keeping the Gaubys in your prayers.  I will post daily updates this week as Julie starts chemo.

jen

Friday, August 3, 2012

There's a Hole in Your Gut Dear Julie, Dear Julie

I am looking forward to the sunrise tomorrow.  Today was a hard day.  I'm thankful it is over, and I am thankful for the opportunity to wake up and try again tomorrow.  A friend gave me important advice recently.  She said I shouldn't fight off or ignore the negative thoughts that cloud my mind. Instead, I should invite the thoughts in, reflect on their meaning, and then release them.  I do not need them and they will not help me - but I cannot ignore them.

Today I was overwhelmed with negative thoughts.  Julie had her wound checked again and doctors have decided not to close it back up, rather, fill it with moist gauze ('pack it'), tape a maxi pad over it, and let it heal from the inside out.  Seriously.  This is America, folks.  We landed a man on the moon for crying out loud!  I'm pretty sure we can do better than a maxi pad, but if Julie isn't complaining about it I should probably zip it.  Her friend Zack who is staying with her and helping care for her is being trained to un-pack and re-pack the wound himself so she doesn't have to go in and see Dr. Verner every day. Thank you Jesus, and Zack.  I controlled my sensitive gag reflex yesterday to stay with Jeff while he puked up his toenails, but there is no way in hell I could pull dressings out of Julie's gut.  No thank you.  And don't even get me started on changing her maxi pad.  Dr. Verner assured her that she can still start chemo on the 13th with an open wound. 

My next area of concern is for Jeff and his Interferon treatments.  As you know his treatments have been halted indefinitely.  I overheard the nurses at MSTI yesterday saying that they only see about 2 or 3 Interferon patients a year.  I think I know why.  Interferon is a beast - and if it brought Jeff Gauby to his knees in 72 hours, I can't imagine what it would do to someone less fit, less tough, less driven.  It's crazy, really.  Jeff was a meth addict for YEARS!  Have you googled some of the ingredients commonly used to make meth?  Here are some fun ones: gasoline, acetone, chloroform, camp stove fuel, paint thinner, battery acid, cold medicine, and drain cleaner.  He was consuming these things for breakfast, lunch, and dinner for almost 20 years and Interferon is toxic to his system?  I'm throwing my hands up in the air right now. 

MSTI is continuing to take wonderful care of Jeff, even though he isn't officially receiving treatment right now.  He's receiving IV fluids daily, as well as anti-nausea, antacids, and rounding things out w/ a little anti-anxiety med.  They will draw blood on Monday and decide where to go from there.  I'm relieved that he is beginning to come back to life a bit.  He was pretty out of it for the last 2 1/2 days or so.  As of this evening he's been vomit-free since 2:30-ish this afternoon.  Somebody needs to give that guy a medal.  He's been to hell and back this week.

My final negative thought that I am embracing and releasing tonight is an unfortunate and unsettling event that occurred earlier this evening.  I took my boys to the public pool so they could have some fun and I could have some reprieve.  I was looking forward to 2 hours in the shade, listening to the kids frolic in the pool while I read a good book.  Not an hour into my quiet time and some fool POOPED IN THE POOL.  Are you kidding me?  Don't they know what I'm going through right now?  The cesspool was evacuated and I spent the rest of the evening googling how to thoroughly disinfect from poopy pool water exposure.

Bring it on, Friday.  Let's see what you've got.

jen 

Thursday, August 2, 2012

Update on Jeff

Dr. Zuckerman has decided to suspend Jeff's Interferon treatment indefinitely.  He is displaying 'stage 3 toxicity' which basically means his body can't take it anymore.  Jeff will revisit MSTI on Monday and decide if he will continue w/ the remaining 3 weeks of treatment.  This is neither good news or bad news.  Just news.  He is currently receiving IV fluids and anti-nausea meds to help him feel better.  We will keep you posted.

thanks,
jen

Tough Stuff

Hello friends.  I'll start this post tonight with a disclaimer.  We (Julie's family, but mostly me because I'm writing the posts) aren't going to sugar coat things on this blog.  Julie and Jeff are both terminally ill.  It's an ugly, depressing, gut-wrenching reality.  We are facing it head on and determined to fight with every ounce of our beings.  We (Julie's family, but mostly me because I'm writing the posts) tend to use humor to deflect our pain.  We (I) don't mean to come off flippant or crass, but sometimes we just have to let loose.  Additionally, nothing will be revealed in this blog that hasn't been discussed with Julie and/or Jeff beforehand. 

This morning Julie met with Dr. Verner and had her incision drained due to a massive infection.  He prescribed a new antibiotic and she should be feeling a little better in a matter of days.  Probably just in time to start chemo. :)  She still has little or no appetite, but it is imperative to her healing that she eats.  It is also imperative that she gets some exercise every day.  We will cut her a little slack while her incision continues to drain, but after that we're cracking the whip!  If you happen to pay her a visit in the next week or so, please ask her what she's had to eat, and if she'd like to go for a walk.  She might not appreciate your concern, but I promise you that's just her meds talking.

Today I had the privilege of being Jeff's date for his 3rd chemo treatment at MSTI.  Jeff's official diagnosis is Stage 3b (just a smidge better than stage 4) malignant melanoma that has metastasized to his lungs.  Similar to Julie, there is no cure, only treatment.  He has a 50% chance of living 5 years.  Don't ask me why they give numbers like that.  It's fair to say we all have similar odds of survival every single day.  Have you traveled Eagle Rd. lately?  You are probably beating the odds every time you survive THAT experience.

Jeff has been part of our family for almost as long as I can remember.  He and Julie started dating in high school, the summer before I began 7th grade.  I remember it distinctly because he was Julie's first serious boyfriend, and suddenly she had immense interest in long, drawn-out, lovey dovey phone conversations.  This was back before there were cell phones, call waiting, or anything like that.  Julie hogged the phone that entire summer and I'm still a little pissed about it.  My point is that although Julie and Jeff divorced last year, there is nothing 'ex' about his brother-in-law status.  He is as much a part of our family today as he was 26 (GASP!) years ago.  Granted, he made some very poor decisions along the way, and is the first to admit to his ridiculous, asinine, almost unforgivable behavior (including but not limited to drug addiction.)  He tried getting clean many times - in rehab and on his own, but always ended up using again.  It was last fall that Julie was finally done with all of it and to protect herself and her children filed for divorce.

In February of this year Jeff finally turned a corner.  He stopped using and began repairing and building a loving and trusting relationship with his children.  We were cautiously optimistic - but things were really looking up for the entire family.  Then one day in late April Jeff's boss commented on an ugly growth along the right side of Jeff's abdomen.  In typical Gauby fashion, Jeff poo-poo'd concerns until finally his boss made a doctor's appointment for him and drove Jeff there himself.  The rest - as they say - is history. 

In the beginning Jeff felt like his diagnosis was karma.  It was his payback for treating himself and his family so poorly for so long.  He was at peace with the entire process and felt like he was getting exactly what he deserved..... and six weeks later Julie was diagnosed, shooting his karma theory to hell.  I'm happy about that.  Nobody deserves this.  Nobody.
So today I sat in the chemo suite watching Jeff writhe, drip with sweat while his teeth chattered and he couldn't control his legs from shaking.  Vomiting violently while nurses scrambled to give him something to stop the nausea.  Jeff is one of the strongest people I have ever met - both mentally and physically.  It is absolutely disgusting and heart-breaking to watch him struggle.  This drug, Interferon, is evil.  He has already begun to process the 'quality of life' argument - the pros and cons of continuing treatment.  The Interferon only extends his life expectancy by 10 or 15%.  However, the first week of the drug is the worst, and those in the know promise each week after gets substantially better.  He will receive treatment for 4 consecutive weeks, 5 days a week.  With this drug there is a small silver lining.  If he responds well the first week - he doesn't have to take it the 2nd week.  Same with week 3 and week 4.  Potentially, if he survives this week he could be done with treatment.  Or, if it is working a little, doctors will back the dose down for the following week.

Please pray for Jeff.  Please pray that the Interferon is working - and that he can have some reprieve in the weeks to come.  Either reduced doses or skipping it all together.  Please pray for him during his final 2 treatments this week.  Please pray that Dr. Zuckerman will find the right drug or drug combination to stop his vomiting.  Please pray for Julie and that the infection in her abdomen will heal.  Pray that she has a good week before she starts chemo on the 13th.  Lastly, please keep Austin, Caitlin, and Mason in your prayers daily. 

with love,
jen