Showing posts with label pet scan. Show all posts
Showing posts with label pet scan. Show all posts

11/15/2018

A Lung Cancer Diagnosis

November 2018: I have posted about my different diagnoses throughout this blog. It's been a while since I've posted about being diagnosed with lung cancer.

It all started three years ago in August 2015.  I was in the first years of a serious relationship with my boyfriend, Jeremy.  We were passed that milestone moment when you realize your significant other is your forever person.  We were planning our future together and talking about getting married.

It was also the beginning of my career as a letter carrier.  By choice, I was on walking routes. I was walking approximately 35-40 miles a week.  I would walk anywhere from 6 to 12+ miles a day. Carrying mail was more than a job. It was my career and my passion.

I would run at least one 5k (3.1 miles) a week after work with my runner's club.  I was enjoying running for the first time in my life. There were times I'd run two or three 5k's in a week.  Running wasn't just the annual 5k for charity any more.

As active and healthy as I was, I had a persistent cough and some random breathing issues.  There were a few times between late 2014 and July 2015 that I felt a heaviness in my chest, something similar to bronchitis. Each time there seemed to be an acceptable explanation (post nasal drip, virus) to justify the breathing problems.   It didn't seem too serious at the time.

When breathing issues interfered with exercising and running, I decided to get things checked out. I went to  a doctor for my breathing problems.  I had a chest x-ray. The result...a mass in my right lung.  Further testing revealed a devastating diagnosis.

We heard the words, “inoperable”, “incurable”, “terminal”.  What seemed to be minor turned out to be inoperable, incurable, stage iv lung cancer.  It was late stage, stage 4, non small cell lung cancer. At the time of diagnosis, lung cancer had already spread throughout both lungs and to my spine.  

I asked:
  • How long to I have to live?
  • How did I get lung cancer?
  • What do I do now?

Statistics said I had a 3 to 5% chance of living one year.  Lung cancer in young healthy adults, especially women, was on the rise.  My lung cancer is caused by the EGFR gene mutation. It’s not genetic or something I inherited from my parents. It’s genomic, something in my DNA has changed and mutated.

The mutation meant I would have targeted therapy treatment instead of iv chemo.
Days before we heard, “incurable” and “terminal”.  Now we heard something promising. I had a chance at living a normal life.  It’s almost like, “normal life” echoed as it came out of my nurse navigator’s mouth.

Over the years my treatments have been targeted therapies and radiation treatments to my lung and spine.  I take a chemo pill once a day that targets the mutation that is driving my cancer.

I was able to stay at work and continued living my active otherwise healthy life. Things were as normal as they could be with quarterly PET scans thrown in to monitor disease progression. Or in my case, we watched tumors and nodules shrink and disappear. the targeted therapy did it's job. I was No Evidence of Disease within 8 months.

Our moment of relief lasted 6 months. Then the nodules and tumors returned in my lungs. We monitored that growth for 10 months. In the mean time I had a bronchoscopy biopsy to test for a new mutation. I switched targeted therapies because I tested positive for the t790m mutation.

Life is back to normal, for now. Well, as normal as it can be with quarterly scans and blood labs thrown in to monitor for disease progression.

x

4/21/2017

You Take the Good with the Better Than Bad

I had a pet scan and an appointment with my oncologist this week. The pet scan showed what appears to be more evidence of progression at my primary lung tumor spot in my upper right lobe. We've been monitoring this since October 2016.
Lisa Moran, April 19, 2017
The next steps will be two biopsies. Blood work has already been sent to Guardant for a liquid biopsy. Hopefully, something will show up on this test. It's my second Guardant biopsy. The first didn't show anything, not even my EGFR gene mutation. I will also do a needle tissue biopsy.

With the biopsies, we are looking for any newly acquired lung cancer mutations and we need to confirm it is lung cancer progression instead of delayed radiation scarring. If it's cancer, I will be adding radiation to my treatment plan.

The scarring is a possibility. But my blood work numbers have continued to increase, a sign of progression. Plus, my radiation oncologist office called to schedule my radiation consultation. If you ask me, that's kind of putting the cart before the horse to schedule a treatment consult before my biopsy.

My oncologist said this is a good report. My targeted therapy, chemo pill, is still working throughout my body. There are no new nodules or tumors. There is only this one location of possible progression. Radiation treatments should take care of it.

Several people have referred to this as a bump in the road. It feels more like a detour. Either way, I'll be able to get back on track.

What can make a setback appointment a little more acceptable? A visit to an art exhibit to see paintings and drawings from Monet, Renoir, Picasso, Degas, Matisse and others. Masterworks is currently on display, for free, on campus at my cancer center. I'm thankful for the opportunity to see these works of art in person.

One other good thing happened at my appointment. I was presented an opportunity to participate in a clinical research trial. I submitted blood samples to help research and improve the future of liquid biopsies. Hopefully, one day, because of my participation in this trial, invasive, surgical biopsies could be a thing of the past.

8/14/2016

Stage IV Lung Cancer/One Year Ago Today...August 14, 2015

One year ago today Jeremy and I went to the appointment to get the results from my pet scan. We scheduled it for lunch time. We had plans to break off of work, go to the appointment, get the info and plan of action and return to work.

With the ct scan only, we knew there was a large tumor in my upper right lobe and I was a good candidate for surgery. We thought we were going to find out when my surgery would be scheduled and what the recovery time would be. We got some very different and shocking information...

INOPERABLE, INCURABLE,
STAGE IV LUNG CANCER WITH METASTASIS TO THE SPINE

We did not return to work. That wasn't what we had prepared ourselves for.
Lisa's 8/14/2015 Facebook post, hours after diagnosis

Not many stage iv lung cancer survivors get to celebrate a one year CANCERversary.

I got to have one hell of a celebration last night.
F*ck lung cancer with LessThan Zero
at the 1 Year CANCERversary Party
Lisa doesn't play bass, but looked the part
while sharing her lung cancer story.

Lisa and Jeremy
I'm sure that out of the ones that get to celebrate the one year mark, not many are NED, like me.

I did not beat lung cancer. I am not cured. I don't get to celebrate winning. I celebrate surviving. My fight is ongoing and has no end.

I would love to say I'm no different than I was a year ago. But so many things have changed.
I've lost:
  • Energy
  • Half of my hair
  • My complexion
  • Friendships
  • A year of exercise and running
  • Fears
  • Life as I knew it
But I've Gained:
  • A new appreciation of life that I think I could I have only achieved by facing the possibly of death head on
  • Friendships
  • Fears
  • New traditions
  • New motto: No missed opportunities...When you have a 4 hour layover in Utah. Don't sit in the airport. Jump in an Uber and track down the best burger in Salt Lake City.





7/28/2016

A Cough Equals A Dark Cloud of Doubt

Yesterday was my 3 month PET scan. I had the usual scan anxiety. But the rational part of my brain was trying to rule my thoughts to a good outcome. I've been feeling great. Two weeks ago, I even had my best mental and physical day of the last 12 months. I had no pain. I had energy. I was feeling good. I even had thoughts of, it could be possible to have many, or most of my days, pain free and without a care.
Encourage your hopes / Not your fears
But then I crashed. I felt like I was getting sick. I never did get full on sick. I did get a cough. At first it was annoying. But this last weekend and the beginning of this week it was bad with congestion. I decided not to wait until my already scheduled appointment to report my cough. I called the Dr. on Monday.  They said it probably was just the start of an upper respiratory infection and called in an antibiotic prescription for me.  
The combo of not feeling 100%, anxiety about my scan and the sound of my horrible cough got me down. I just needed that cough and my fears to go away!!!!
How do you overcome the fear of the unknown?


The bracelet in the photo was given to me by an acquaintance that is a pancreatic cancer survivor. I don't wear it all the time. But I put it on when I feel the fears overpowering the hopes. I wore it yesterday.

The scan results reflected how I was feeling before the cough set in. No active cancer is visible on my PET scan! There will be no changes in my current treatment plan. You don't fix something that isn't broken.

My next set of follow up scans will be at the end of October, 2016. Instead of a, more detailed, PET scan, it will be a CT scan with contrast. I will also have a brain MRI. This is just a routine one year scan. There is no current reason or concern that requires an MRI.

4/28/2016

Scanxiety, Shock and Cebration

I had my 3 month follow up pet scan yesterday. I didn't have much scanxiety, anxiety about the results of the scan.  I had been feeling good and almost pain free for two full months. That's until this last Sunday when I started having horrible back pain.  I was so worried the pet scan was going to show progression in my spinal tumor since I was having 10-11 levels of pain on a scale from 1-10.
Lisa before her appointment
April 27, 2016

Well, I found out I'm NED!!!!!!  No evidence of disease!!!!!!  All the tumors and nodules in my lungs and spine are GONE!!!! And it's either a pulled or strained muscle in my back near the location of my spinal radiation.  I've never been so excited about back pain before.

It's surreal.  I was in shock.  My cheeks hurt last night from smiling so much yesterday. It's been a day since finding out and I don't think it's totally sunk in yet.

Lisa celebrating the wonderful news
I'm so very thankful for the prayers, love and support I've received from around the world.  I seriously believe that the prayer requests and positive energy that surrounds me are the reasons I'm considered NED within 9 months of my initial diagnosis. Truly amazing!!!!!!