Dave Hahn Weight Loss Plan Not Approved By FDA

I’m glad so many of my friends have come to read and comment. That’s good, because I need to make a small announcement:

Remember all that weight I lost last year? Well – funny story about that – it was apparently not due to what a hot stud I was, or to eating better, or to working out, or to anything else that I might have bragged about during the past year of grinning and gloating.

Therefore, as I do not condone the use of diseases to lose weight, I retract any dieting advice, especially all the dieting advice, I doled out during the past year.

And I’m not saying I necessarily will, but just for you sticklers out there: I reserve the right to stop being such a sickly-looking thing and to get good and fat after all this is over. Pass me another cookie.

Quote ~ Joel Siegel

Cancer changes your life, often for the better. You learn what’s important, you learn to prioritize, and you learn not to waste your time. You tell people you love them. My friend Gilda Radner (who died of ovarian cancer in 1989 at age 42) used to say, ‘If it wasn’t for the downside, having cancer would be the best thing and everyone would want it.’ That’s true. If it wasn’t for the downside. ~Joel Siegel

Definition: Cancer \Can”cer\, n.

1. (Zool.) A genus of decapod Crustacea, including some of the most common shore crabs of Europe and North America, as the rock crab, Jonah crab, etc. See {Crab}.

2. (Med.) Formerly, any malignant growth, esp. one attended with great pain and ulceration, with cachexia and progressive emaciation. It was so called, perhaps, from the great veins which surround it, compared by the ancients to the claws of a crab. (1913 webster)

The Rainmaker

So far, I think the worst thing about having cancer was finding out that I had cancer.

Since then, I feel like it’s been nothing but good news. My bone marrow is clean, I’m not going to die – then the chemo isn’t (so far) as bad as I expected – then my pulse goes down, my cough is gone, my blood tests are better, the nurse is cute, the cookies are delicious (my appetite is back), and I feel more energetic. I mean, even the drought seems to have stopped since they told me I have cancer. I made it rain people! I made rain!

Now, surely there have been things that could be called bad news since the diagnosis – my website got hacked, the cancer is in a later-stage, Comedy Central changed the set of The Daily Show and gave Adam Corolla his own time slot, etc. Certainly all tragedies. But give me a break, nothing compares to that call from the cancer doc.

MOPP – Mustard Gas Previously Used to Treat Hodgkins

Dr. Crazy Finds Cure For Cancer

Mustard Gas was first used by the Germans in World War I to gas French soldiers. The gas only killed 1% of the soldiers exposed to it, but the side effects of the chemical were enough to significantly slow whole advancing armies and to contaminate large areas of land that could have been used in strategic positioning.

Mustard gas is a chemical weapon that is dispersed in aerosol form. There is little, if any, immediate effect, but 4-24 hours afterward, those exposed to the chemical experience severe blistering of the skin and lungs. Exposure to more than 50% of the body is usually fatal.

Between the 1940′s and the 1980′s, mustard gas (in liquid form) was one of the key ingredients in chemotherapy for Hodgkins Lymphoma. During World War I doctors found that exposure to mustard gas slowed cell division in those exposed to it, which is the main objective of most cancer treatments.

That’s right, mustard gas is used to cure cancer. Even today it is still used in some places, it is the first drug in the MOPP chemotherapy cocktail.

I, however, am treated with a newer kind of chemotherapy cocktail, ABVD, and nobody’s giving me mustard gas. It’s no wonder, though, that chemotherapy has gotten such an intimidating reputation over the years.

100% Chance Living Will Kill You

In 1996 an international study identified 7 factors that consistently predicted the probability of remission in Hodgkins Lymphoma patients. (Well, actually, they were looking for the probability of what they called the five-year “Freedom from Progression of Disease,” or FFPD. I interpret FFPD to basically mean remission.)

The probability of remission is much different than the probability of survival, so you have to be careful not to read the results as such. It’s easy to get carried away with cancer statistics.

The 7 factors include things like age, sex, and the measure of certain chemicals in your blood. As I understand it, a patient without any of these 7 would have a remission probability of 84%. For every factor you have, you lose 7%.

According to this test, my probability of remission is around 60% for the next five years. That means, according to whoever these people are that developed this project, that I have a 60% chance of losing this cancer and staying cancer-free between now and 2010.

But why stop there? Since we’re discussing statistics, I should mention that progressive heart disease is much more likely in Hodgkins patients following chemotherapy. Moreover, patients that receive chemotherapy treatment for Hodgkins Lymphoma are 4 times more likely to develop lung cancer, and are at an increased risk to develop leukemia within the first 10 years following treatment. In fact, according to the National Cancer Institute, the number one cause of death among Hodgkins patients is second cancers that develop following diagnosis.

Be that as it may, the Dave Hahn Institute of People Who Are Nuts says that if you don’t take the chemotherapy to cure your Lymphoma, you have a 100% chance of being an idiot. If it happens, you should feel lucky that you lived long enough to develop a second cancer, heart disease, or whatever else.

Realistically, I think these numbers – and really, any cancer statistics – should mean very little to an individual cancer patient. There are just too many factors involved to make any of these statistics worthwhile. Every individual responds differently to the treatment of cancer, and considering all the things modern medicine still doesn’t know about this thing called cancer, there’s really no way to know what will happen.

So, while these numbers are, I suppose, impressive or intimidating, they don’t effect me much. The really valuable thing that can be taken from all this is that tomorrow is not guaranteed, and you better not let today pass without making the most of it.

Quote ~ Josephine Hart

Damaged people are dangerous. They know they can survive. ~ Josephine Hart

This Will Probably Not Happen

My chemo nurse said something last time about how great it was that I had such a supportive family during all this. That is definitely true, and I understand what she means. But I couldn’t help but think, are there families out there that are not supportive? Are there families out there that say, “Now honey, you know I love you, but I just don’t support your decision to have cancer.”

Or maybe it’s worse, maybe there’s a whole group of Tumor Rights activists out there that have bumper stickers and t-shirts that say things like “Metastasis Is a Right,” or “Tumors Have Feelings Too,” “Chemotherapy is Murder,” etc.

Perhaps when I go in to the Cancer Clinic tomorrow for chemotherapy there will be a big crowd of Pro-Tumor protesters with signs and megaphones, chanting and throwing paint on me.

Chemotherapy Treatment #2

Revenge of the Vinblastin

Today was the second chemotherapy treatment. Peanut butter cookies today. I wasn’t as excited about that. Anyway, I’ve put on 9 lbs. in two weeks, so maybe that’s ok.

The cookie selection was really the most interesting part of the whole session. There wasn’t much to it. They took the blood tests, I saw the doc, they pumped in the drugs and there were no problems. I watched a movie and listened to music.

And I’m glad I’ve got my headphones (thanks Cindy) with me, because I kind of wanted to tune out the Room. Say what you will, but the community atmosphere of the Chemo Room isn’t really my thing. Picture it, the poor guy next to you is having trouble as the chemo burns away his veins, everybody in the chairs – especially the older ones – are pretty hard up and not in the talking mood, the nurses are going on and on about hemoglobin and saline drips, and somebody down the way is trying to drown their troubles in Oprah. I’m not saying that I really have a problem with being there, I guess I mean that I don’t want to be there anymore than anybody else would want to be there. My parents sat by me the whole time reading the paper, and I assume, listening to the cancer chatter of the Chemo Room. My poor parents, I don’t think I could read the “feel-good” Chicago Tribune and soak in the vibe of the Room’s suffering all at once. I was happy to escape.

The doctor was quick today. There is a Chemo Room in his office that is way worse, I think, than the place I go. He mentioned in passing today that I should maybe think about switching Chemo Rooms to come to his. A little marketing on the doctor’s part – very clever, pal. In his Chemo Room, all the recliners are facing each other, there’s no dividers, there’s one TV in the corner blaring daytime TV for the blue-haired, early-bird-special kind of clientele. There, I picture myself in forced conversations about youth and future plans, and possibly being awkwardly introduced to grand daughter’s when they come to pick up Grandma. Don’t get me wrong, I’m a social guy, and I’m usually golden with the blue-hair club, but when I’m at chemo, I just want to blend into the fake leather and watch my sappy movie.

I also heard from doc today that it’ll be more like 6 months of chemo instead of 4. Bring it on, doc.

The results from my heart scan are back. I have a mild enlargement of the heart (the left side for those of you studying for the test). This is called Left Ventricular Hypertrophy. The nurse says that it’s likely from both being anemic and the tumor being wedged up against the heart for so long. I don’t know much about it, but it’s mild, and it doesn’t sound like that much of a problem.

Mom and Dad took me home and I climbed up into my hammock between the trees (thanks Rick) for the rest of the afternoon.

And I went to work tonight and played piano. There was really no reason not to, and I like my job – playing piano and surrounded by people. I do find that my fingers are not as coordinated as before chemo, but it’s a very minute amount (that might be more related to a lack of practicing lately and perhaps not the chemo), and its probably imperceptible to people listening. Or maybe it’s not and people are being kind. Either way, it’s not a problem yet, but I have heard of this kind of thing happening later in treatment. No worries, future bosses, it goes away.

Tumor PET Scan Photo

Ok, I know this flies by harmless self-absorbtion and lands squarely in exhibitionism, but come on! You know you wanted to see it.

This is a photo from the PET scan I took. That black thing is not my heart, that black thing is the problem.

UPDATE: See also, PET Scan Before and After Photos

Comments

Anita: “Thank you David. To be honest, I have been so utterly…
February 4, 2012, 10:55 am
David J. Hahn: “Hi Anita – that sounds like a terrible situation that you’re in,…
February 4, 2012, 9:47 am
David J. Hahn: “Hi Baz – I’m so sorry to hear that you and Jan…
February 4, 2012, 9:45 am
Anita: “Thank you everyone! I stumbled upon this blog this morning feeling so…
February 4, 2012, 7:04 am
Baz Reilly: “Dear David, Thanks for writing down your feelings about the Chemotherapy treatment it…
February 4, 2012, 5:25 am
DJP: “Great news…
January 21, 2012, 2:30 am
DJP: “Thank you very much for this, it seems like I do all…
January 21, 2012, 2:27 am
DJP: “Thanx for this info, we have someone in our family who recently…
January 21, 2012, 2:16 am
Mellisa: “My best friend is having the same symptoms. I am taking her…
January 20, 2012, 12:47 am
Ebenezer( must read): “Hi guys Im glad I ran into this blog. Like you all…
January 18, 2012, 9:55 pm
sylvia: “glad tito is gone:)Hope your doing wonderful!…
January 18, 2012, 5:05 pm
Cassie Moyer: “Hi! One year ago tomorrow I was diagnosed with cancer—I’m in remission…
January 16, 2012, 6:11 pm
Shana: “Hi David, I am and 15 year old girl going through Chemotherapy now…
January 14, 2012, 2:16 pm
Kate: “I was actually looking for a blog about how to communicate to…
December 24, 2011, 5:04 am
Daniela: “It was nice to hear and sad to hear what u or…
December 15, 2011, 2:17 pm