Thursday, May 7, 2009

Getting closer to the finish line

At the beginning of my illness, little did I know that it will be so long.
I compared it to a Marathon and indeed it is a Marathon. The purpose of the treatment is to suppress and kill the bad cells to a point where a stem cell transplant can take place.
Finally after a year and a half of treatments, starting with very bad numbers (record high), I have a date for the stem cell transplant – 9 June 2009.
The last two months have been difficult. I spent most of the time in bed with stomach pains, nausea and a few other ugly side effects.
Nevertheless, when you see the end in sight, it’s a small price to pay. At least there is a horizon to focus on. I am now convinced that the hardest part of the illness in the long period of treatments, where there is no beginning or end. You just have to pull yourself to do as told time and again, with the ups and downs, freezing winter, drives to Boston before sunrise, cope with side effects, etc.
So, the next few months aren’t going to be easy but very important. At present I go to my last cycle of treatment. Towards the end of May I will undergo many tests (you name it), to ensure that there will be no surprises before they kill my immune system. Part of the preparations is to induce stem cell reproduction in my blood and then stem cell harvesting to get enough stem cells. They’ll keep my stem cells in the freezer for later use. On 9 June I will be admitted to a hospital for 3 weeks. They’ll put me in a “solitary confinement” in a very isolated room. Not to worry: I’ll have my laptop with a camera and a phone to keep in touch. The treatment is non-invasive and simple. Step-1: kill my bone marrow (immune system) with very aggressive chemotherapy for 2 days. I was told that what I had so far was a picnic, compared to what I am about to get. Then, with zero immune system, my stem cells which were collected the week before, will be infused back to me (blood transfusion). The body should then rebuild the immune system and after 3 weeks I will be done. There are some risks, but I think positive, not like a Polish mother…
The next step is recovery at home – still in isolation, minimal visits, masks and gloves, etc. The recovery duration is very patient dependent and I hope that for me it will be a quick one (1-2 months). In any case, I will be grounded for travel for at least 6 months.
Since my immune system will go a hard reset, a few months down the road I will have to get all the vaccinations and immunizations like as if I was just born. All the past has been erased. I got a huge binder with everything about the process: before, during and after, including nutrition, personal care, and lots of other information. The binder is a hit and everyone in the family already read it.
As I look forward to the last and most critical part of my treatment, I know that there could be all sort of set backs. Yet I am optimistic and believe in a smooth sail.

Now that I explained the medical situation, I can tell you what happened in the last two months.
It is now official: Inbal and Pierre are engaged! First, Pierre asked my permission which was very sweet and old fashion. Needless to say I was very happy to say “Yes!”. When Shoshi and I wanted to get married, we simply talked about it and then notified our parents. Two weeks later, Pierre surprised Inbal by proposing to her during a weekend in Cape Cod.
In April we had a big family get together and the Passover dinner in Paris! You should have seen the Excel file of all the flights and accommodations arrangements. Inbal and I came from Boston, Pierre came from a short visit to Africa, my father came from Israel, my mother from Italy, my sister, her husband and 2 kids from Holland and England. Thanks to Pierre’s family in Paris, my uncle Moishale and Francoise, we had places to sleep instead of cold hotel rooms.
Getting my father to Paris and taking care of him was quiet a task. It was a quiet visit, not running around, and mostly spending time with the family. On a sunny afternoon we took a tourist boat on the Seine river for sight seeing. First time for me.
Seder Pesach was remarkable. We were some 29 people. Thanks to my cousin Danny and his wife Nicole who hosted the evening, we had a very nice evening. Mickey, Iris and Moishale all helped too. It was wonderful. The following evening we were invited to dinner by Pierre's parents. It was the first time that almost all members of the two families got together. This was all planned long before that the kids were engaged.
I am glad I managed to squeeze this travel before I will be grounded for months.

Back at home, summer descended on us at once. One week we still had freezing temperatures and the next week it was summer (almost no spring). Within two weeks everything popped out from the ground, the bare trees turned green and you could hear everything growing fast. It is just amazing to see this every year.
Thanks to my friend Danny in Needham, I do all sort of outdoor activities. Usually he takes me to pigeon clay shooting with a shotgun. This time it was a navigation course with a compass and a map, organized by a local society. Getting out of bed was great. It was a sunny day, easy walk around a lake, good company, and a good exercise.
Last weekend Neta and Lior did the Walk for Hunger in Boston. I used to do it with them. It is a 22 mile (36 km) walk that goes from Boston center out and along the Charles river and back to Boston. They did it in 6 hours. For both of my girls it is the 5th year that they do it. The idea is to raise money for the food pantries in Massachusetts and I thank all the people who contributed and supported Lior and Neta in this event.
In the past two months I needed more care and support than ever before. Shoshy took really good care of me, day and night and I couldn’t do it without her.
Within a month we’ll have two graduations: Neta from the university (Umass Amherst) and Lior from high school. In early June we plan to have a big BBQ party in our back yard to celebrate the graduations, the young couple engagement and for me going to be locked in a hospital for 3 weeks.
The pictures below are from the events in the past two months which I described above. I hope that soon you’ll see some better and more professional pictures. I finally got into the digital SLR camera business. First I attended a one day course run by Nikon. It was an eye opener that got me the appetite for more. The next step was going on Ebay and getting a good Nikon camera and a lens. Now I need to practice and share. I always love to take pictures and now I have a great tool. Stay tuned.

Bottom line: as I get closer to the finish line, it gets much more difficult as I already witnessed it in the past 2 months. Yet the notion that remission is around the corner is what gives me the strength.
My supporting family and my optimism will help to cross the finish line, which is now in sight!

Yours
Guy




Lior and Neta in the Walk for Hunger in Boston. I just came to see and support.
Just a few interesting houses in the neighborhood:

3 comments:

Unknown said...

Hi guy,

I did not run a marathon myself, but a best friend of me did so. he said that the happiness in the end can't be described and it worth the all long way.


Dror

Unknown said...

you are simply miraculous, and an inspiration!
lots of good news, always with you. we have decided to return to israel this september instead of the next. we got the point and now can continue. very excited about that!
sending you lots of germ free hugs,
roni

Unknown said...

Hello from Palo Alto!


Guy, your journey to returning good health is upon you and all that love you! Your fight has been immense. Through it all, you have shown all of us facing our own challenges how to do so with courage and grace.

From Frank, Sari, Charles, Justin and myself I send you all of our strength for you final fight. Our deepest love goes to you.

I look forward to online chats with you during your "hybernation". Will you be using Skype?

I send you hugs and look forward to our next visit.

Terri