Hi ya'll.
You probably did not notice that I dropped out of the list for some time -
about 7 months. If you remember, I last left the list after announcing that
I was diagnosed with Cancer, and was starting treatment. 
Well I am glad to say that THAT'S over with. It was tough, and if anyone has
gone though it, you know what I mean.

So now I am back, feeling better, and a bit more fiendish. 
So for those that are a bit curious about my treatment I will give the gory
details:

1 surgery to remove a lymph node
8 treatments, 3 weeks apart
3 full-body CT scans (equivalent to about 300 x-rays each)
2 bone-marrow biopsies (if you have ever been punched in the kidneys, you
now know what it feels like.)
1 hospital stay 4 days
2 trips to the emergency room to treat complications from the surgery. 

Cytoxin(200mg) A form of Nitrogen Mustard, an alkylating agent designed to
damage DNA, thereby causing cell death to dividing cells. Nitrogen Mustard
was developed in the early 30's as a potential chemical warfare agent - now
used as a chemotherapy agent.

Vincristine (1-2 mg)
Made from Periwinkle, a poisonous plan with the primary component of Vinca
alkaloids. A microtubule inhibitor to sabotage mitosis in process, causing
cell death. Side effects include neuropathy (numbness in the hands and
feet). This also put me in the hospital for 4 days because my small
intestines stopped working for a while.

Prednesdone (100mg). A cortical steroid commonly used as an
anti-inflammatory and at high doses, it destroys B-cells causing
immunosuppression. Can cause withdrawal, as the adrenal glands shut down
with the high doses. 
The first 2 drugs are delivered through an IV and the steroid is in pill
form. It took about 3 hours to get the drugs in. The drugs are prepared in a
vented and shielded chemical lab chamber.

Additionally, I was given a new drug called Aloxi, for nausea ($800 bucks a
dose!) 

Chemotherapy has changed a lot in the last few years. I experienced no
vomiting, and lost little hair. The biggest side effects were low-grade
nausea, fatigue, peripheral neuropathy, and depression. Most all of the side
effects are gone now.

There was also an unexpected side effect - anticipatory nausea. When ever I
think about the chemo, I get nauseas. The other day, a nurse wheeled in a IV
pole into the exam room during my bone marrow biopsy, and the sight of it
made me sick. 
I also get sick when ever I see my nurse that delivered the chemo. I feel
bad about that, but it is uncontrollable. The last few treatments, I started
getting sick before I actually got treatment.


I am now in what is called a complete response state, meaning that I have
responded completely to the treatment and have little if any evidence of
disease. 
However, Indolent Follicular Non-Hodgkin's Lymphoma is currently not
curable, but it can be controlled for years or even decades. The disease
will come back, with a mean time of 14 months to recurrence. 

In April, if all goes well, I will be starting a clinical trial. A double
blind study to measure survivability with a treatment of a customized
vaccine. I say customized, because it is a vaccine for one - me. They took a
lymph node from my groin, froze it, and sent it to a company called Genitope
(www.genitope.com) in California. If I do actually get a vaccine instead of
a placebo, this vaccine will be customized as an agent that will contain the
same protein receptors my cancer cells uniquely express. It will be bound to
a some foreign animal protein. The thought is that my immune system will
generate a immune response to the vaccine, and in the process, will trick my
immune system into thinking the cancer cells are not-self. 

For those in the past who have had this Idiotype Vaccine that got this
response, most are still in remission, possibly for life. Time will tell.
Anyway, I don't expect to die soon, with the average median survival rate
for someone my age is 70% at 10 years. Since the Vaccine is very new, it is
not known how or if it affects survivability. 

Anyway, for the meantime, I will send scouted articles of some of the
bleeding edge cancer research to the group, since I am very much interested
in the subject (for natural reasons).

Anyway... I'm back. God save you all!
Nerd From Hell


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