Wednesday, July 11, 2012

The Lord of the Cancer: The Return of the Lymphoma


As I sat there in complete numbing disbelief after getting the results of my PET scan, I just sat there. With tears falling down my face, I just felt dumbfounded. I didn't even know what to think. I was in such shock I felt no one would understand. Ok maybe the Soviets kinda felt this type of shock after getting beaten by the USA hockey team in 1980. Or the "shock" the Iraqi's felt after George bush's shock and awe campaign. Either way, getting the news of my cancers return destroyed the very lining of my soul. Every day I would cry myself to sleep. I had to tell work that my cancer returned again meaning more treatment, meaning more time off again. I couldn't afford to be off of work. Working was the only thing that kept me sane, that kept me laughing,(you would too when it was nothing but a female royal rumble every day) Sorry guys! :) but most importantly, I worked to provide for my family. I know people offer help when someone is in a rut. But what was i suppose to do? I'm not going to ask people for help or straight up give me some cash. People go crazy for money. Especially white people. You know you guys do just admit it! Haha! But in all seriousness, I had a lot of people offer to help me out, and my answer was always the same. I know it's the stubbornness in me, but I take extreme pride for what I've accomplished in life and handling this situation on my own with Lidia is something I'm pretty proud of. Plus borrowing money just makes things awkward in the future. "Hey man, you owe me 400 bucks from the time I helped you out." "Oh yeah, I'll get it for you, next time I see you, and the next time you see and ask I'll keep saying the same thing until you forget or take me to people's court. But in the meantime, let's hangout!" Yeah, not happening to me.

Merry Xmas Daniela!
I was back where it all began, the Loyola Cardinal Bernidine Cancer Center. I was in the clinic waiting for Dr. Smith to show up to tell me the full entire news with Lidia. I remember bursting out in tears to lidia, begging her that I could no longer do chemotherapy. You do chemo just once and it just changes the complete balance of your body. Smith shows up and tells us that the tumor is only localized to my throat. Hearing that I could give 2 shits, I wanted to know what the treatment plan was. He told me I needed an autologous stem cell transplant. I was like what the fuck is that? Doc I know Im a nurse but I'm a patient right now, tell me what's gonna happen? I asked him if chemo was a part of the transplant. He told me, "oh yeah, you'll be receiving several rounds, plus one round of high dose conditioning chemo right before that transplant." I tried to hold it together and asked him if there was an alternative to chemo. He said, "Its either the stem cell transplant or you let this kill you." I knew there was no way out of it. My biggest fear to feel myself slowly die from chemo was going to become a reality again.  I asked my doc what are the chances that this fixes everything.  Back then I never learned to catch onto doctor talk, when a question is asked about survival, doctors are highly trained to dodge the question and answer in a way which sounds like they answered their question.  I can't remember what Smith said to me, but I was sure damn satisfied by it if I was going to refuse chemo and 10 minutes later pumped about the treatment. The treatment this time was 3 cycles of R-ICE. Rituxan, ifosfamide, cytoxan, and etoposide. I only recognized 2 of the drugs but I said to myself, "Fuck it, let's do it." Slight problem though, each cycle required one day in the outpatient cancer center followed by 3 days admitted to Loyola's oncology floor. Reason I had to be admitted was one drug was to be given continuously over 24 hours. I also was required to have another central line put in me. This time it was a Hickman line placed on the right side of my chest through minor surgery. Obviously, I hate central lines, and it was such a pain in the ass. I crazily decided to try to keep working through the first phase of chemo, have one week chemo, and work the next week. I began the first cycle of R-ICE the last week of October. The following week I was able to enjoy Daniela's very first Halloween! I was even able To go trick or treating with Lidia and Daniela! The side effects weren't as bad as R-CHOP, but chemo is still chemo and I could tell my body feeling different. Hair started falling out again. This time it was everywhere, and when I say everywhere I mean EVERYWHERE, which I was somewhat ok with. Haha! The 2nd and 3rd cycles went by. At this time, I looked like a hairless Filipino chihuahua. I had to learn how to shower without getting my Hickman line wet so basically I wasn't able to wash the entire right side of my body which sucked major ass. I had one month of rest in December before I would begin the auto stem cell transplant. Since i knew i had one month free of everything, I demanded to Smith my oncologist to have my central line removed. He told me in January they'd have to reinsert a new central line. As long as i was line free, i was haaaapppy. Having a central line restricts so much movement. I feel like i cant do anything, drive, do housework, even pick up Daniela as once you have a central line put in, you have a specific weight limit you can carry. I was able to enjoy the holidays with my family, Thanksgiving at the Matias' and Xmas at my sister's, Ate Mare's. Lidia and I were very excited as it was Daniela's first Xmas and New Years. Looking back not even 7 months ago brings so much joy and anguish to myself. Just seeing my daughter dressed in her red Xmas outfit getting all her presents from everyone brings a big smile to my face, at the same time, I had no clue what I was getting myself into with the transplant, or what the outcome would be. But as December rolled by, i was still able to enjoy my time with my loved ones. You can say the month of December was a mini September to me, not as good, but it'll do.

2 bags of stem cells collected
Happy 1st bday Daniela!
In one of my previous blogs, I give a simple explanation to why I needed an auto stem cell transplant. Autologous stem cells were stem cells that were taken from me. After the R-ICE chemo was over and December came and passed, once January came along, that's when I re entered hell. A line was placed back into the right side of my chest. And I needed to get neupogen shots every day for one week prior to the stem cell harvest date. Neupogen shots help increase red blood cells, white blood cells and platelets in your body by stimulating bone marrow production. And when you stimulate bone marrow, a couple days later, when your bone marrow is hard at work making new cells, it hurts like a beotch! I guess this is what lance Armstrong put himself through to cheat in the tour De France. So every time the nurse would inject the neupogen in my arm, she'd ask me what I'd do for the rest of the day. I would always tell them get on my bike and ride for several hours so I can be the next tour De France winner. I think one of the girls was a real cyclist as she gave me a sour look.  The following week, I was hooked up to an aphresis machine which took blood from you peripherally put the blood through the aphresis machine and there was a centrifuge at the bottom of the machine that separated the bloods components.  My stem cells were collected.  The main job of stem cells is to develop into any bodily cell type there is.  By how?  I have no idea, I haven't read that far yet.  But stem cells can replicate to become more stem cells or become muscle cells, bone cells, skin cells, even go into your bone marrow to make red blood cells, white cells, and platelets.  So that's the mini-crash course on stem cells.  Once 4 million stem cells were collected, I was done with the aphresis step and had to wait for the conditioning chemo which was to start the following Monday.  Which was absolutely awesome because Daniela's 1st bday was that Thursday Jan, 12. 2012.  Lidia and I were able to enjoy her bday, bringing her to Woodfield to get her pictures professionally done.  After that, we opened some of her presents then had cake!  Watching her tear into the cake was such a joy to watch!  Even I got to tear into some of it!

Once the following Monday, January 16 came along, it was time for the hardcore conditioning chemo.  The whole point of conditioning chemo was to give higher doses of chemo to destroy your immune system and bone marow so the stem cells could graft easier and work immediately and not have your old immune system interfere.  It was going to be every Tuesday, Thursday, and Saturday, with Monday being a prep day.  This time I was to have the chemo and transplant done outpatient at the cancer center at the High Dose Unit.  When I started Tuesday, the first drug was Busulfan, which just gave me the biggest pounding headache, it got so bad, I seriously thought my head was going to explode.  My mom was with me the entire time and against my wishes, she facebooked everything, and wrote something preposterous saying, ohh dzay-are has his hands on his porhead. He's ok I tinks. Prays por him. (People, don't have a facebook after 60, it just gets embarrassing.  For you and for who you're writing about.  Unless you're still cool, which I'll still be.)  I obviously wasn't ok.  After a rest day Wednesday, Thursday, was highdose Etoposide, which I've had before so I thought to myself that this would be a cinch.  Boy was I absolutely wrong.  Since it's an alcohol base drug, I got smashed to the point where I stopped functioning, I was vomiting everywhere, I spiked a pretty bad fever, and my blood pressure dropped to 60/40.  I couldn't get up because with my low BP, I'll just fall right back down.  Unfortunately even with fluids pushing through my IV, I still had to go to the hospital.  After a another rest Friday, Saturday I was able to finish out my last high dose drug in the hospital, and depending on how everything went, I would go home the following day.  This drug was Cytoxan, another drug Ive had before and had no problem with.  But of all the high dose drugs I've ever encountered, this was absolutely the worst one.  Not because it made me ill, vomit, give me a headache, none of that.  What the thing was that made this the worst drug ever was that in high doses, Cytoxan destroys the lining of your bladder and urethra.  So.....to prevent that from happening, I had to have a foley catheter inserted up the goods.  For those that don't know what a foley cath is, it's a silicone or latex tube inserted into your urethra to allow you to urinate.  doesn't matter how small the tube is...nothing is suppose to go in, only out.  I remember the pain so clearly, even though I was highly drugged with ativan and benedryl.  the feeling of the tube going in was so incredibly, insanely, intensely, and horribly pain shattering.  I remember moaning to the pain, and  actually crying because it hurt so much, and remember folks, this tube was already lubricated.  once it was in, a balloon was inflated to keep the tube in my bladder, and the sensation was just horrible.  I really don't know how to put it in words how horrible that experience was but it's something I will refuse to go through again, unless I'm dying and I can't pee.

Before the transplant, during and after.
Now the easy part, the transplant!  Everyone was always afraid of the transplant, what would happen after the transplant?  Would it work?  I could have cared less what happened with the transplant as long as that chemo was done.  I was left weakened, destroyed, and really tired.  The next Monday, January 23, I had my Auto transplant.  It only took less than an hour.  It was just like a blood transfusion.  They took my vitals very frequently, and kept monitoring my breathing to see if I was ok.  Like I said earlier, it was easy as hell.  The following days due to the high dose chemo, my lab results plummeted.  So I needed constant blood transfusions and platelet transfusions.  I even had a nose bleed for over 10 hours!  About a week and a half later, my lab results were starting to improve, but I'd still feel yucky and not 100%.  I was highly irritable at the time and I just wanted it to be all over.  Finally, after the first week of February, I was discharged from the outpatient unit.  But I was to continue my isolation period for 2 more weeks meaning, I still had to eat processed foods, nothing fresh, all meat needed to be well done (yuck)  no yogurt, no salad, and foods needed to be eaten after 24 hours.  It was a lot of cooking for Lidia and I, as our cooking skills improved drastically.  The month of February flew by, after the isolation period, I was able to go out again, drive around and enjoy seeing people.  Again, the thought of me being ok was back.  But I was no where near the strength I used to be.  It really took a couple more weeks to regain my strength.  100 days after the transplant, I was to have another PET scan, but I tried not to think about that.

Stacy King!!
Vegas Strip!
I tried to live my life as normally as possible with a few changes!  I was eating a lot better and exercising every day!  Who knew my life would finally change for the better?  I also went to a couple Bulls games with Munn and up to Milwaukee with Frank.  Things were starting to look real well for me!  To make things much much more better, Smith my oncologist cleared me for travel in The middle of March!  Since Lidia and I never had a honeymoon, this was the perfect opportunity.  We decided to go to Vegas and to San Francisco to say whatup to my boy Vince.  Being in Vegas was so much fun, my cousins Xia, and Con live out there with my Auntie Rita so we got to see them everyday we were out there.  It was a buffet galore!  Ever since the transplant, my appetite dropped tremendously so I tried hard to eat as much as I can.  We stayed at the cosmopolitan and let me tell you, that place is the shiznit!  Fucking awesome,  and our suite was a wrap around suite meaning our room and balcony covered a very very large portion of the floor.  It was an absolute blast and I really want to go back there again.  But with me capable of drinking and eating a lot.  Because not being drunk in Vegas is no good at all.  I mean it's fun but I'm sure if I was trashed I would have done some crazy stuff.  It was great seeing all my old buddies from the Philippines in San Francisco.  We stayed at Vince's place and again it was a food fest at the Bay.  Huge ass steaks in San Jose, awesome bing but I don't think it was really bing, Korean food with Kit Kat, In and Out, coffee at some place where the chick wears nothing but a bikini, and out to the mutha f-in club with Tracy, her husband, Kitkat, and Anna and her cousins.  I also found out Ronald, Anna fiancee was gonna propose to her when she was gonna go to the Philippines a month later, and it was so hard to keep that secret from her so instead of keeping my mouth quiet, we asked her stupid non-subtle questions that made it obvious Ron was gonna propose...(Sorry buddy, but great job on the beach!)  Seeing family and friends made me feel like everything was behind me and I was ready to return to work the following week.  Finally!  Again, my life was coming back to normalcy.  It was about 2 months of me missing work with about 3 weeks back in october-novemeber missed.  I was sick and tired of missing all those days of work and not getting paid.  I wanted to actually have vacation hours and actually take a vacation with my family.  Sometimes people would ask me when I'm on leave for work, "Hey man, how's the vacation from work?"  When people ask me that, I want to punch them in the face.  This isn't a vacation, this is the fight of my life, and for 2nd time, I felt like everything was ok.  I prayed everyday for God to heal me.  I attended mass when I was feeling ok, and I was confident I was in the hands of the Lord and I was going to be ok.
Anna before getting engaged!




                                                                    Kolean BBQ!

That was until the the Monday we returned  from San Fran, I felt a lot of pressure grow on the left side of my neck. 

Monday, July 2, 2012

Don't wake me up when September ends part 3







This is what I saw come down the aisle...beautiful
I looked down the aisle and I saw my bride to be and all this flood of emotion came pouring through my mind. I felt my eyes start to well up because all I could think about is how far we've gotten together as a couple because of this Goddamned disease, all the fear, all the pain, all the sadness and uncertainty all gone just by seeing how beautiful Lidia looked coming down the aisle. For those that know what the dress looked like, it was a simple dress but had a certain edginess to it. I'm a huge fan of blade and the matrix and seeing that dress was my idea of bridal badassness. If Lidia had a gun and sword and started killing everyone in the middle of the church, I think it would have been awesome. Well except that half my family and friends would be dead. Lol! I took Lidia away from my father in law, and no threat was issued like what I expect to do for Daniela's wedding. I looked into Lidia's eyes and I told her how beautiful she is. I don't know if she said anything back at me because all I could think about was how freaking sweaty I was. I had such a nice shine to my head and I was so hot, I'm sure you could have fried an egg on my head. The unity candle was our only hiccup throughout the entire ceramony. The unity candle represents exactly what the name implies, me and Lidia's unity to each other. Problem was, we couldn't get the dang thing to light up! I laughed to myself and I said to Lidia, "If this is any indication for anything in the future, we're gonna be in trouble!" Communion came by and it gave Lidia and I some extra moments together. Since I pledged without Lidia's permission that my wedding was going to be the first live wedding on Facebook through pictures and status updates, I needed a quick pic as our first unofficial "husband and wife" pictorial. I whipped out my phone and snapped a quick pic of Lidia and I with a handful of our family and friends getting communion in the background. Once that was over, the priest said the final blessing and introduced us to everyone as husband and wife. I grabbed her hand tightly looked her deeply into the eyes, and the very first thing I said to my wife as her husband was, "I love you."

Hope Jesus forgives me for taking pictures during church!
I don't know why I do this
Coming out of the church was complete pandemonium, with everyone taking pictures of us on the church steps. I see my boy Z taking a pic and give him my patent "I'm pointing at you picture." Followed by yelling at a random car in the street that I just got married! With them replying, "Crazy ass guy!" I went back to Lidia and I held her hand and looked up to see how nice the sky looked. It wasn't too hot, it wasn't too cold, it was actually pretty perfect. That was the one word to describe everything so far. Unfortunately, I knew today was going to end, but the thing I didn't know was how fast it was going to end.

09/24/2011
We all get into the limo and I was kinda bummed that the limo I ordered, the one where the doors opened up like a jet wasn't there. But that's alright, because once the limo's there, a limo is a limo. We all got in and headed back to the Westin to finish up the pictures. I thought to myself, "Was I gonna drink? Please don't let me go crazy like my bachelor party." Someone threw me a beer and I just shook my shoulders and hoped I wouldn't get belligerent. Pictures were taken at the terrace of the hall. Of course we had the traditional McDonald's run of cheeseburgers. It also gave me an opportunity to give my groomsmen their 2nd gift. The first one was given at the rehearsal dinner with each one getting their own gift card to their favorite store or restaurant. But this gift was even more personalized. They were Bulls jerseys with their names on the back and the numbers represented the date of the wedding. Pretty bad ass huh?

mmm cheeseburgers!
awesome lights!
Once the pictures were done, the craziness began. People started pouring in for the cocktail power hour. And let me tell you, the outside portion of the hall was completely packed! Out of nowhere people just started coming and I was like, "Is there another wedding?!" I gave a couple people a great idea, my cocktail hour was huge and immense, imagine how easy it is for someone to wedding crash. I would definitely do it! Once I become completely healthy, if that ever happens, one of the first things I'm gonna do is crash a wedding since I'll be missing a couple the next year due to current circumstance. It was so damn crowded that while walking with Lidia, I accidentally stepped on her dress and when I did I heard the loudest tear come from the dress. I laughed so hard as I saw the most pissed off look come from her face. Don't worry, it didn't rip that bad, it just sounded horribly bad. I was able to pour in a couple good hard drinks before cocktail hour began, and during the hour I intelligently took my daughter away from my inlaws and walked around with her having another vodka tonic while yelling out father of the year! No one got hurt during the process, but my asshole meter sure went a little higher. The reception started taking its place, and everything was beautifully done, the venue looked awesome, the cake was incredible, the toasts, videos, the lights by Windsor, even the prayer by McGovern was a complete joy to see. Everyone started clanking on their glasses, but since I was still updating my Facebook status on how incredibly awesome that lobster bisque was, they just had to wait! That shit was the bomb wasn't it?! You know something is really good if it delays a kiss at a wedding!

The night was progressing pretty well and our guests were taking full advantage of the extra activities at the wedding. The weird thing was, everyone was spread out everywhere so at times, the dance floor looked a lil dull. But when you have 350 people rotating from the dance floor, to the photo booth, to the chocolate fountain, then to the taco/burger station, don't forget the 4+ bars, and them "smokers" it's easy to understand why everyone was so dispersed. The thing that upset me the most was that I didn't take time to get some tacos or mini burgers. By the time I realized I wanted some it was all gone! As a consolation, I chowed on the strawberries and pineapples that we're sitting out for a couple hours. :(

The night winded down and we were all tired and sweaty. Usually we'd all go out and get more drinks or get some food but Lidia and I were honestly pooped. We go in our wedding room suite and out of exhaustion, I start taking off my shoes. But I completely forgot to carry Lidia in the room! So I tell her we had to go back out and come back in with me fireman carrying her back in and almost dropping her. Even times in my life where I'm supposed to be serious, comedic action still defines my life! I was excited to live the rest of my life in comedy with my beautiful wife and daughter as the biggest day of our lives came to a sweet close.

The source of my strength...
I'll admit I was expecting at least one person to get really crapped up at the wedding, and some people to hook up as that was the one thing lidia and i were constantly looking out for. But the fact that everyone had a great time was enough for me and Lidia. To this day we are still so very thankful to all that came! And as I currently fight my battle seeing everyone all come together at one time really touched my heart, and I love you all!

Well guys, the summer was now officially over, one of the best summers ive ever had was coming to a close. Spending time with my family was the only thing I could have ever asked for. The thought of being cancer free was spreading and our anxieties were going away. We slowly were adapting to normal life, going out to eat, enjoying each others company. September became October, the weather started getting a little chilly, and it was my favorite time of the year! Bears season!! Thanks to my boy, J.Munn I got to see 2 bears games, against the panthers and Vikings. I thought to myself finally, my life is back! 2 weeks have passed in October and my follow up PET scan was to take place. This was the first PET I was not nervous for because I honestly believed I was done, and I was cancer free. If this was all a dream, I wish no one woke me up when September ended. The next day getting the results of me relapsing, I don't think I've ever cried harder in my life. I began to realize, cancer was starting to wear me out and the thought of death finally became real. I called Lidia in a frenzied craze, and for her fear that I might do something, she had to rush home. Happiness was completely replaced with depression and despair....it was now October 16, 2011 and my mother fucking cancer has overtaken my body again.