Doug's Battle for Health


Life's too good to leave it unfinished!


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January 2007
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Gotta Tri

"Live as if you were to die tomorrow,
learn as if you were to live forever."

Mahatma Gandhi
"We look forward to the time when the power of love will replace the love of power. Then will our world know the blessings of peace."
William Gladstone

Monday, January 29th

A Self-Congratulatory Mountain out of a Statistical Molehill


You may have heard in the news this year that the US's cancer deaths had decreased for the first time. It was played up pretty big and included a rare visit by President Bush to Bethesda's National Institute of Health to proclaim, "Progress is being made!" The same president who cut the National Cancer Institute's budget by $72 million between fiscal years 2005 and 2007.

Since record keeping began 70 years ago, each year the number of cancer deaths have risen or remained the same. But in 2003 "only" 556,902 died of cancer. This was a decline of 369 people over the previous year. In 2004, we lost 553,888, a decline of 3,014 over previous year. This "big" drop represents just over 1/2 of 1 percent. Unfortunately, this pattern seems to be more of a statistical hiccup as opposed to any great breakthrough. Better screening and awareness has helped and is certainly true in my immediate family.

The American Cancer Society's (www.cancer.org) own publication, "2007 Cancer Facts & Figures" tends to be accurate and shows 570,280 deaths for 2005, an increase of 16,392. 564,830 deaths for 2006, a decline of 5,450 and an estimate of 559,650 for 2007, which is a decline of 5,180 over the previous year. Certainly difficult to draw the kinds of conclusions and trumpet the kind of success that the media and politicians claim.

According to government data, the average age of US cancer patients at death is 73 years. This varies by cancer type and other factors. The average age at death is 69 years for breast cancer, 71 for lung cancer and 75 for cancers of the colon and rectum. So with our baby boomer population heading into these age groups, we expect to see a growing statistical mountain.

Doug on 01.29.07 @ 01:49 AM PST [link]

Friday, January 26th

Doing Well in Deutschland


Just a short post to let folks know that I am hanging out here in Germany and doing well. At some point I need to compile a list of things that are stange to me over here. Now I understand that Europe has been here many times longer than we have existed as a country , but they just seem so different.

I am talking about doors that swing outward to the street. Cars that look like you wouldn´t fit inside. Elevator doors that you have to open yourself. Gasoline at $7 a gallon (probably why the cars are small). Greetings that include a kiss instead of our customary hug. Breakfasts of cold cuts and cheese. Restaurant bills that are added up at your table after the meal from memory and then you add the tip and tell the waiter the total where he makes change from that. Oh, in his language of course. And prolonged staring at something different is normal.

I could go on, but that gives you a taste of it.

Auf Viedersehn

Doug on 01.26.07 @ 12:33 PM PST [link]

Wednesday, January 24th

Cologne, Germany - Again


Just got into Cologne for my second trip. This time I flew directly here with a layover in London. According to the sun, it took me about one day as I flew out of SFO at 6:30pm and got into town here about the same time the next day.

Once the awe and amazement of the destination has faded, the travel is a little rough. Plus, I already miss the family. Can't complain too much, considering where I am. The reminder is that the purpose of the trips is to extend my time with them.

I hope this greetings from Germany finds all of you healthy and happy.

Doug on 01.24.07 @ 11:39 AM PST [link]

Tuesday, January 23rd

A Day on the Slopes


There are so many things about spending a day skiing that just feel so good. I am not sure if it is the fresh mountain air, the beautiful snowy mountains framed by a bright blue sky, the easy exercise that lightly burns the thighs, the exhilaration of sliding down the hill, the hot lunch on a sunny patio, or a one-on-one day with Nick, that makes it such a great day.

Nick’s school had a teacher workday on Monday so we knew the slopes would be quiet. We went up Sunday late afternoon and had the great fortune of spending the night at the Powell’s cabin in Soda Springs. They have a beautiful spot on the water at Serene Lakes, which changes from a summer swimming and fishing spot to an ice rink and cross-country ski field this time of year. The weather, though cold, was perfect. The winds from the day before had calmed and there wasn’t a cloud to be found. Our day at Sugar Bowl couldn’t have been better as the slopes were vacant and so were the lift lines. Our last run of the day off Mt. Disney was so lonely that it got spooky.

I started Nick skiing when he was about 5 and still remember boosting him onto the chair lift. I realized this trip that I am still doing everything for him from packing all the clothes and gear that he needs to renting his equipment and picking the runs. It won’t be long before he may have to be skiing without me and I worry that I haven’t taught him enough independence. So this trip I began making him conscious of what he needed to wear and bring and the little tips that make for a good day on the slopes.

Now I am packing those same long johns as I prepare to fly to Cologne, Germany tonight to return on Feb. 2nd. This trip will be solo. The bulk of the time will be spent with friends that live in Bonn and some light sight seeing.

Doug on 01.23.07 @ 08:26 AM PST [link]

Thursday, January 18th

Living by the Needle


Lying on a massage table with my face pressed into the donut pad, I was trying to relax. Still suffering from a head cold, she reminded me that I couldn’t cough or move at all. Not wanting to take any painkillers that day, I described to Dr. Mateki where my shoulder pain was located as she chased it down my arm with tiny needles.

It’s the oldest and most commonly used medical procedure in the world. Mainly used for the release of pain, acupuncture is being practiced by thousands of doctors around the globe. In the US alone, close to 10 million adults have had acupuncture.

I tried to remind myself of these statistics as I lost my acupuncture virginity. As she located where she wanted to place each needle, she would give my skin a little “wap” with her finger and then insert. Sometimes I couldn’t feel it while other times she would hit a little nerve or spot that hurt. By the time she was done, I had close to 50 needles in my neck, back, arms and calves.

Since I had to lie still for about 45 minutes, it would have been nice to take a nap just to pass the time. Unfortunately, the lady on the other side of the curtain had beaten me to it and was snoring loudly. I was also having some trouble completely relaxing and was battling a stuffed up nose.

After the pins came out, I was in a daze and on wobbly legs for awhile. She let me know that I would be soar for a day or two and then start feeling better. Her goal was to address the pain but to also get my system balanced and healthy. The needles stimulate the nervous system and get it to release the body’s chemicals like dopamine and others.

I will follow up with many more visits. But until then, another trip to Germany is just around the corner. I fly over to Cologne for more Dendritic Cell Therapy on Tuesday.

Doug on 01.18.07 @ 04:03 PM PST [link]

Wednesday, January 17th

Chinese Medicine


Why is it that a medicine and practice that has been around for thousands of years is considered alternative medicine in our country? It seems our medical community is just coming around to admitting that accupuncture, accupressure, as well as herbal supplements may actually be of benefit.

Today I get a chance to have Dr. Mateki work on me. She is a Chinese trained doctor as well and an American trained MD. She has found some success in helping cancer patients ease the burden of chemotherapy and the pain of cancer. She actually practices out of Alta Bates Cancer Center as part of their "comprehensive" care.

I am looking forward to the appointment and will share the gory details.

Doug on 01.17.07 @ 12:08 PM PST [link]

Sunday, January 14th

Pain Management


When I began experiencing severe pain through my shoulder and right arm, my oncologist sprang to action prescribing painkillers. I walked out of his office with prescriptions for Vicodin, Oxycodone and Ibuprofen 800mg. Though I was thankful for the pain relief, my new-found health focus forced me to research the damage that these drugs can do. Unfortunately,all of these are hard on your liver and kidneys.

Oxycodone is one of the most powerful medications for pain control that can be taken orally. And it is primarily given to cancer patients for pain management. It is found with trade names like OxyContin and Percolone. I refer to them as my Rush Limbaugh’s. Besides being very addictive, side effects include nausea, constipation, lightheadedness, rash or itchiness, dizziness, and emotional mood disorders.

Side effects for Vicodin include an allergic reaction, weak breathing, seizures, clammy skin, severe weakness, dizziness, unconsciousness, yellowing of eyes or skin, unusual fatigue, bleeding, or bruising, constipation, dry mouth, nausea, vomiting, decreased appetite, muscle twitches, sweating, itching, ear ringing, and linked to stomach ulsers.

So the lesser of the three evils seemed to be the Ibuprofen. That is, if it helped the pain. Considered nonsteroidal anti-inflammatory drugs (NSAIDs), it is commonly found over the counter as Tylenol and others. NSAIDs reduce the flow of blood to the kidneys and impairs function. The most common side effects from ibuprofen are rash, ringing in the ears, headaches, dizziness, drowsiness, abdominal pain, nausea, diarrhea, constipation and heartburn. Ibuprofen may cause ulceration of the stomach or intestine, and the ulcers may bleed. So, in typical pharmaceutically controlled fashion, a prescription to ibuprofen usually warrants a script for H2-antagonists.

H2-antagonists are used in the treatment of acid-related gastrointestinal conditions. Over the counter you can get cimetidine (Tagamet), ranitidine (Zantac), famotidine (Pepcid), nizatidine (Axid, Tazac). Though it relieves ibuprofen’s most dangerous side effect it comes with its own. Most common are diarrhea and other digestive disturbances, plus headache, dizziness, tiredness, and hair loss.

One of my health books talked about the over use of antacids and how that decreases important stomach acids. In addition, type A blood types traditionally do not produce enough stomach acid, thus not sufficiently digesting food and allowing it to rot in the colon. (Hmmm… colon cancer?) Another book recommended taking bitters before meals to stimulate acid production. So I have opted for light use of ibuprofen without the H2-antagonists. And as predicted, I have not felt any adverse stomach acid.

Doug on 01.14.07 @ 01:30 PM PST [link]

Friday, January 12th

The Dark Side


A strong antioxidant, a mood elevator, a boost in cognitive function, a youth potion and the potential to reduce chronic disease? Yah, but how does it taste going down? Research is showing that chocolate has many benefits to our health. Touring a chocolate factory in Cologne, Germany last month, we got to see how the process goes from bean to fermentation to crush and then to butter. The resulting cake or butter has a wealth of flavonoids similar to those found in green tea and red wine. These compounds help to thin the blood, lowering bad cholesterol and increasing the good cholesterol levels. A recent Harvard study showed that people who eat chocolate on a regular basis have 1/5 the heart disease rate of those who abstain.

Antioxidants are measured on an ORAC scale for value to the body. A serving of fruits or vegetables contains about 2,000 units while a serving of chocolate hits 9,000 units. The Journal of Nutrition reports that women who regularly eat chocolate have increased blood flow to the skin and 25% less skin damage associated with wrinkling, sunburn and skin cancer.

Before you run straight to See’s, the bad news is that you can only enjoy certain chocolates. Most candies have high levels of saturated fat. By the time it becomes milk chocolate, it has been so diluted with milk and sugar that it is bad for you. The recommendation is to look for dark chocolate with at least 70% cocoa content. Still, this is good news for us chocolate lovers.

Doug on 01.12.07 @ 02:31 PM PST [link]

Tuesday, January 9th

Mind Games


As I was matter-of-factly working the Play-Doh out of Alex’s hair this morning, I was thinking about the similarities between books by cancer survivors and books by parents with Autistic children. Just like with my cancer diagnosis, when Alex was first diagnosed as autistic, we bought and read just about any book we could find. There are several written by parents who used 70 hrs a week of training or chelation or vitamins or voodoo on their children to get results. To me, these books all had one thing in common. They added guilt to the myriad of other emotions already on my plate. My child, like 90+% of the other autistic kids out there, has never broken free of her prison. I am one of the thousands of parents that don’t get to write a book about their kid.

As I read stories of cancer survivors such as Lance Armstrong’s book and others’, I can’t help but draw a comparison to my feelings from years ago. If you have cancer, only the survivors get to write books of success. There are so many times that I doubt my ability to beat this. My great friend, Kurt, reminds me regularly that God tells us if we say we are cured, then it shall be. And my training from college athletics proves that my mind can control and assist my body. But with every new pain or escalation of an old one, a fear creeps over me. Cancer this far along is a pretty tough foe.

These feelings of impending doom seem to be cyclical. There are plenty of times when I convince myself that I feel good and can beat it. Other times, I just have to sit with the doubt and get trough it. As are my other colleagues at the Contra Costa County Office of Education, I am in mourning for the sudden loss of our friend Ginger Hom. As natural as life is, it is just so hard to make sense of death.

Doug on 01.09.07 @ 11:30 AM PST [link]

Sunday, January 7th

And in the end, the love you take is equal to the love you make.


6,500 speakers including three in each seat and even from the balcony, you feel like you are in the middle of it. So the greatest sound system, pumping out the greatest music, all choreographed to acrobatic stunts and surrealistic video. Screens on the walls and four coming down from the ceiling showed psychedelic images and pictures of the boys from Liverpool. Dancers and acrobats entered and exited from the ceiling, the floor and the sides of the small intimate stage. This is Cirque Du Soleil’s interpretation of the music by the Beatles called LOVE.

Nick and I got a chance to join in on the LOVE spectacle on Friday night at the Mirage in Las Vegas. It was a wonderful show that sucks you in on the first notes and doesn’t let go until the end. Of course, it helps to be big Beatles fans. If you haven’t picked up the album, do so. It is a tasteful remix of many classics digitally remastered taking you off guard on songs you thought you knew so well.

The show lasted about an hour and forty-five minutes. It had the amazing acrobatics that you come to expect from Cirque Du Soleil but with songs that you know well. There was also some great technology that provided wild special effects. At one point, a lone bed on stage had a sheet pulled from it that continued out in all directions in billowing waves pulled out to cover the audience in the lower seats. From our balcony seats, it looked like the bed floated on a cloud for a while before it ducked under the stage whipping the sheet with it. We kept looking for “a hog’s head of real fire.”

They are some of the toughest tickets to get, but at $100+ each, we highly recommend it next time you go.

Doug on 01.07.07 @ 06:55 PM PST [link]

Tuesday, January 2nd

A New Year


I can’t help but think that the New Year brings a new opportunity for me to beat cancer. Sometimes, that priority slips from my focus. As I start to feel OK or get engrossed in other projects, I slide into the familiar routines. I resolve to be more vigilante every day.

To me, beating cancer is more than fighting the disease, it is also fighting my old habits, emotions and beliefs. When I speak to my children, I need to pay better attention to the choice of my words, my attitude and the desired outcome of the interaction. When I spend time with Jeanette, I need to be “in the moment”, giving her everything, and not let my head move off in other directions. And I need to continue to "not sweat the small stuff."

I am thankful for the insights that this battle has brought. My understanding of other people’s struggles has grown immensely. As a result of me having cancer and because of this blog, so many people have told me of the struggles that they have been through and conquered. As a result, my tolerance of other people’s behavior and “way of being” is far greater. I guess it could have swung the other way with thoughts like, “They should be thankful that they aren’t dealing with what I am!” But that hasn’t been the case. I keep thinking of John Lennon’s writings, “What ever gets you through the night. It’s alright.”

So my resolution is to continue to love people unconditionally and to keep this battle in front of me at all times.

Tomorrow, I get to see my doctor. We will discuss the status of my health and the progress of my treatments. The good news that I have been off pain pills for the past couple of weeks (I had been on them daily for months). And the bad news that my lungs seem to be troubling me as I run a cough and feel like I only have about 2/3 the volume that I used to. Pending word from Germany, I will be heading out there again for more treatment about January 23rd.

Doug on 01.02.07 @ 12:35 PM PST [link]



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