TomLand's Avatar

TomLand

Punta Gorda, FL

  • Patient: Pancreatic Cancer
    Patient Info: Currently in active treatment (initial surgery, receiving chemo rounds/radiation), Diagnosed: 8 months ago, Male, Age: 61, Stage IV
  • TomLand's Avatar  

    Experience about 1 month ago

    TomLand

    Decision Point: Following failure of the Gemzar treatment we discussed several options. I was all set up to try the Folfirinox treatment, another type of chemo that is proven effective with my type cancer. It also has much stronger side effects.

    The next morning the Doc called with some new alternatives. One is only available at Sloan-Kettering at the moment but sounds like it has good promise. Doc expects it to be available locally in the next 4 to 6 months. If it continues to show good promise I may switch to it when available locally.

    The third good choice is another study similar to the previous one only it is a blind study - I will not know if I have the test drug or not. The base drug is Capecitabine. This is FDA approved for colon and breast cancer but not for pancreatic - what I have. I know I will receive that drug. It is in pill form and is noted as having small side effects. This has been used some for Pancreatic cancer with good effects. The variable drug is Ruxolitinib, a new drug that is not approved by FDA for any treatment. It also is in pill form with few side effects expected.

    I decided on the third choice which allows me to stay at home as well as has good promise to kill the tumors.

  • TomLand's Avatar  

    Experience about 1 month ago

    TomLand

    Oh No (Cancer has spread/Metastasized): Scans at the end of my 3rd series of Gemzar treatment show it has lost effectiveness. New tumors showed up in bones mostly, vertebrae, hips and ribs to the extent one rib has fractured. This has brought on intense pain in my back and great difficulty just getting around.

    • Petesgirl's Avatar

      Comment 29 days ago

      Petesgirl

      My heart goes out to you. You, without a doubt, have to be the bravest person ever, or the stubbornest! Maybe some of your Kentucky orneriness coming out. I would advise anyone who ever thinks about giving up to read your story. By sharing your experiences, you have helped Pete and me feel more positive, even when there seems to be nothing to be positive about.

      Thank you for being you , and God Bless you!

      Linda

  • Petesgirl's Avatar  

    Wall Post about 1 month ago

    Petesgirl wrote on TomLand's wall

    Thanks for your response. It makes me feel good to know that someone else out there is dealing with similar "stuff".
    Just a little word of encouragement goes a long way. It sometimes seems as if a caregiver is invisible and nobody notices our pain too.

    It is great to hear from somebody else from Kentucky. I have driven past Sloan's Valley many times in my life. I actually work for Lake Cumberland Regional Hospital in Somerset. Pete's surgery was done at the University of Kentucky. Great place to be in February and March of this year!

    I am actually looking forward to beginning his treatments..... that is , looking forward to beginning so we can get them behind us, at least for a while. We are uncertain bout how far his cancer may have spread. Have a CT and a PET scheduled for this week. He had 9 positive lymph nodes, so you know that means there are some cancer cells still somewhere in there.

    Do you have a feeding tube? Pete lost half of his stomach, along with all the other equipment that a whipple can take, and has been on a feeding tube ever since surgery. He is eating small amounts of solid food now, but cannot eat enough for proper nutrition. I was wondering if you are able to eat properly, or at all.

    Thanks so much for sharing your journey. It makes it easier for those of us that are a little bit behind you in ours.

    Hugs and prayers.

    • TomLand's Avatar

      Comment about 1 month ago

      TomLand

      Thanks for the reply. I'm sure he will come around and realize how helpful you have been, by your own choice.

      I've been gone from Sloans Valley pretty much since graduating from Burnside High School (yep, there used to be a HS there) in 1968.

      Here is an idea that may help move your sweetie into acceptance and out of the dark hole of "Why did this happen to me?". The link is to my site on Caring Bridge, you can check it out then go from there to the main page to set up a site. Donations are not required and the site is free. I have found keeping the journal soothing for myself. Somehow putting things in print makes them more real and acceptable.

      http://www.caringbridge.org/visit/tomland1

      Hope it proves helpful.

      As you will see, I was not eligible for surgery because it had already spread to the liver. I had 2 tumors on the pancreas and 7 on the liver. Having had surgery his recovery is pretty rough as I understand it, biut it gives him a chance to be a long term survivor. In my case a two year survival is rare and 5 year almost unheard of. Remind him how fortunate he is.

      Good luck on the scans. I get the results of my six month scans in the morning - can't wait. I'm always nervous but so far my results have been very good.

  • TomLand's Avatar  

    Wall Post about 1 month ago

    TomLand wrote on Petesgirl's wall

    Oh - what a wonderful person you are to hang in and continue to help him :)

  • TomLand's Avatar  

    Wall Post about 1 month ago

    TomLand wrote on Petesgirl's wall

    I grew up in Sloans Valley, KY, not far from Russell Springs. I know folks can be a touch cantankerous :) I think most of us immediately throw up a wall after diagnosis.

    I can give him three things to be happy about -
    1. CATS won the national championship!
    2. His cancer was discovered early enough that surgery was possible - mine was already stage 4 with 2 tumors on the pancreas and 7 on the liver.
    3. He has wonderful people like you who have put up with his BS and are still willing to help him.

    Tell him it is time to quit feeling sorry for himself and time to recognize who his friends are. That may be better coming from his parents, but you may be the one that has to deliver the message. Sounds like he is short with everyone so y'all have to stick together & present a united front.

    • Petesgirl's Avatar

      Comment about 1 month ago

      Petesgirl

      Just thought I would check how your 6 month scans, went-- hope everything turned out well.

      My cantakerous boyfriend is now feeling like a lucky guy afterall. I shared your story with him, as well as a few more on this site- now he is getting some idea of how much worse his situation could be, and it has actually helped him. I think some of the intitial shock is wearing off and things are becoming clearer to him now. He is not such a bear with me anymore either. Thanks a million!!! It is amazing how much help a few words can be.

      We will be starting chemo/radiation this next Monday. We are going to use Xeloda orally while doing radiotherapy. With any luck there won't be too many horrible side effects.

      Thanks for all your help!

      Hugs and prayers sent your way!
      Linda

  • TomLand's Avatar  

    Wall Post about 1 month ago

    TomLand wrote on Blue's wall

    Blue - I am male, age 61, diagnosed with pancreatic cancer stage 4 about 6 months ago. Feel free to look over my site on here. I have done chemo only but it is working to this point. Glad to discusss/share.

    • Blue's Avatar

      Comment about 1 month ago

      Blue

      Thank you, Tom. I also had Gemzar infusions. Didn't shrink the tumor but stabilized it. Hasn't spread to other organs or lymph nodes. Did you say you had surgery?

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    New Follow about 1 month ago

    TomLand

    is following Blue

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    Experience about 1 month ago

    TomLand

    Celebration (Finished treatment): Well - finished the third series of chemo anyway. It is an open-ended treatment, basically as long as I can stand it and it is working I keep doing it. But finishing a series is an accomplishment. That is 19 treatments complete. I do scans next week and then follow up with the Doc to see if it is still working. I think it is so will probably start series #4 then.

  • TomLand's Avatar  

    Wall Post 2 months ago

    TomLand wrote on Jolie's wall

    Jolie,
    I am down the road a bit in Punta Gorda, 5+ months into pancreatic cancer diagnosis. I'm sure right now you feel like a ton of bricks have been dumped on you. You might want to look at my page, I try to keep a good history. If I can be of any assistance please feel free to contact me.

  • TomLand's Avatar  

    Wall Post 3 months ago

    TomLand wrote on mpattu's wall

    Mpatlu, I was diagnosed early October 2011 with pancreatic cancer. Initial was on my wife's birthday, confirmation on my birthday 2 days later. I see a trend in looking at Hilary's response :)

    You are welcome to follow my journey through this - think you can click my name & the system will take you to my site. I try to keep it updated pretty well. So far I have had excellent results from the chemo (Gemzar) and feel much better than I did at diagnosis.

    In short, I chose to participate in a study, was not selected for the study drug, take only the Gemzar. I am 15 treatments in with excellent results - tumors shrinking & now metabolizing at background tissue levels. I have had to battle a number of side effects and continue to do so. Pain has been a consistent foe and the pain pills do a good job overall at controlling the worst.

    Glad to answer any questions I can, feel free to contact me.
    Tom

  • TomLand's Avatar  

    New Follow 3 months ago

    TomLand

    is following Does anyone have experience with a celiac nerve block? Could you please share with me your experience/recommendation?

  • TomLand's Avatar  

    Question 3 months ago

    TomLand posted a questionPancreatic Cancer

    Does anyone have experience with a celiac nerve block? Could you please share with me your experience/recommendation?

    • greghull's Avatar

      Answered Question 3 months ago

      greghull answered

      Tom,

      I'm sorry to hear about your pain. My mother has stage III pancreatic cancer and she had considerable pain for quite some time. I don't know if this will help you, but my mom got two shots for the pain. From my understanding, they literally stuck some kind of tube down her throat and into and through her stomach and then injected something into her. I'm not sure whether it was the tumor or the nerve, however. On her first attempt, the shot did not work very well, but it did on the second. She has no pain associated with the tumor any more. Hope this helps and I wish you all the best.

      If you would like more info, please ask me and I will ask her exactly what type of shot she got.

    • TomLand's Avatar

      Answered Question 3 months ago

      TomLand answered

      Thanks - that is something I have not heard of before, nor did I see it in my research. Would be glad to know more about it.

    • greghull's Avatar

      Answered Question 3 months ago

      greghull answered

      Tom,

      I spoke with my mom today and she said it was an endoscopic ultrasound guided celiac plexus neurolysis. I hope I have that name correct. She had it at the University of Washington Medical Center in Seattle and it has really been helpful for her. Her pain dissipated slowly, but within one month or so from her first shot, it was pretty much all gone. Hope this helps and if you have any other questions please ask me. I could probably get you the doctor's name, as well, if you like. I wish you the best Tom.

  • TomLand's Avatar  

    Experience 3 months ago

    TomLand

    Decision Point

    • TomLand's Avatar

      Comment 3 months ago

      TomLand

      The system will not save so am pasting here.

      Following the positive evaluation of the second Gemzar chemo series the decision was made to continue with a third series which started Valentines Day - hope it is sweet to me :)

    • DaveWaz's Avatar

      Comment 3 months ago

      DaveWaz

      Hi TomLand,

      Just this. What was the problem? I'd like to get it fixed so it doesn't happen to you again. You can either respond here or email to contactus @ whatnext (dot) com

      Thanks,
      Dave

  • TomLand's Avatar  

    Experience 3 months ago

    TomLand

    Celebration

    • TomLand's Avatar

      Comment 3 months ago

      TomLand

      System will not let me save so am pasting here so I don't lose the thought :)

      CT and PET scans at the end of the second series of 6 Gemzar treatments indicate no new tumors, all tumors on pancreas and liver are shrinking and are metabolizing at background tissue levels.

      After two series (13 treatments) of Gemzar it continues to work much better than expected with no sign of losing effectiveness. All cause for celebration!

  • TomLand's Avatar  

    Experience 3 months ago

    TomLand

    Side Effects

    • TomLand's Avatar

      Comment 3 months ago

      TomLand

      The system will not let me save so am posting here until it will.

      As a type II diabetic for some 15 years I can say I never experienced neuropathy. If my blood sugar went low I would get a little tingling in my fingers first, kind of a warning of bad things to come. Never any other problems and never in my feet. After a few weeks of starting the Gemzar chemo treatments I started to notice problems in my toes. At first I did not know what it was. As treatments progressed so did the neuropathy and soon there was no doubt what was going on. My feet became entirely involved and it started in my fingers. It got to the point walking was painful. My oncologist wants to blame it on the diabetes however there is no doubt in my mind it is a direct byproduct of the chemotherapy. The first treatment was Amitriptiline (Sp) which provided a good night's sleep and some lessening of the neuropathy but the improvement would end around mid-day. I have recently switched to Lyrica with better results. It does not have the increase in drowsiness effect but has improved and longer lasting reduction in the neuropathy.

      Non-related to the neuropathy but also a quality of life impacting development has been swelling (edema) primarily in my feet and legs. It became quite severs pretty quickly and at its' peak severely impacted my ability to walk. A combination of a Furosemide (a water pill), elevating my feet at night and good quality support stockings have greatly reduced the swelling.

      I think as long as the Gemzar chemotherapy continues these side effects will continue to be a part of my life. I will continue to work with my Docs (the Oncologist likes to refer 'side-effects' to my primary care physician) to improve treatment results. The Oncologist says such symptoms occur in only about 3% of patients on Gemzar - guess I am one of those lucky 3%.

  • TomLand's Avatar  

    Update 4 months ago

    TomLand posted an update

    Gemzar treatment #4 of 6 in series two complete with no problems. Pain in back from tumor remains at least stable and edema in feet & legs improving with use of the medication. The marker test continued to move downward, the good direction. Conclusion - Gemzar continues to work for me.

    • lizzydavis' Avatar

      Comment 4 months ago

      lizzydavis

      Hi Tom,

      Glad to hear the good news. I too, am on Gemzar and find it helping me. Thanks for the update.

      Lizzy

  • TomLand's Avatar  

    Wall Post 5 months ago

    TomLand wrote on lizzydavis' wall

    By the way, should have mentioned I am male, age 61 - confirmation of diagnosis on my last birthday :)

  • TomLand's Avatar  

    Wall Post 5 months ago

    TomLand wrote on lizzydavis' wall

    Lizzy,
    I am also stage 4, diagnosed about a month prior to you in early October 2011. I too am on Gemzar, check out my page because there are some differences in our treatment regimes. I will be glad to discuss anything with you. Will exchange e-mail in case you prefer not to discuss in public.

    Tom Land

    • lizzydavis' Avatar

      Comment 5 months ago

      lizzydavis

      Hi Tom,

      Thanks for your post. It looks like you have had surgery. Did you have the Whipple? I am not a candidate for surgery since it has spread to 5 places. I feel well daily with the help of pain medications. My husband and I juice every evening and feel so much healthier having all those nutrients at one time. I did lose my hair a few days ago and I am dealing with getting used to it. Men don't have to worry about that. lol

      Thanks again for writing. Let's stay in touch.

      Lizzy

    • TomLand's Avatar

      Comment 5 months ago

      TomLand

      Lizzy - Mine had spread before diagnosis, 7 tumors on the liver in addition to the 2 on the pancreas. So I was not a candidate for the Whipple surgery or any other. I am on Gemzar, 7 on, one off due to being in a study. I have #3 in series 2 Tuesday morning. The first series worked well, especially on the liver tumors. Chemo has not cost me what hair I started with.

      I am not a juicer but had a call from my sister-in-law last evening regarding someone she heard about in church that credited juicing asparagus with curing their cancer. Don't know what kind of cancer or any details.

      So far it seems the one thing I/we (those with pancreatic cancer) have to do most is 'get used to' the constant changes. I don't know about you but it seems to me there is a new challenge after every weekly chemo session. My current, as of the last couple of days, is swelling in feet & legs. Oh well, this too shall pass (the sooner the better).

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    New Follow 5 months ago

    TomLand

    is following Valarie

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    Wall Post 5 months ago

    TomLand wrote on Valarie's wall

    Hi - I am also stage 4, diagnosed early October 2011. I am doing Gemzar and the first round (7 weeks in the study I am in) provided excellent results. Be glad to discuss this bump in the road if you wish. Will try the exchange e-mail feature - have just joined, not sure how anything works here :)