F&#K This Can

It was over a year ago when I wrote my last post to commemorate my 30th birthday. In that blog on August 21st, 2021, I mentioned a possible recurrence. A small spot appearing on the MRI scans that could have been either tumor or scar tissue. And then I left you hanging…

I’m sorry about that, but in some ways my lack of writing was a good thing because I was simply living my life. The lack of any blog follow up was mostly due to exhaustion post-work, but it was also because I was playing with my adorable nephews, finishing my sailing certifications, buying a sailboat, and exploring my romantic life. Yet the lack of writing did not mean there were not medical updates to share.

When the small spot appeared in the summer of 2021, it was the first clank of the proverbial “can” landing since my surgery and treatments in 2018.  The can that entered my life when I was 12 in 2003. Since then, it has always been “kick the can down the road.” Surgery in 2004, I kicked the can. Radiation and chemotherapy in 2014, I kicked the can. Surgery with a failed experimental treatment, radiation, then almost four years of immunotherapy, I kicked the can. And now the can has stopped once again. Honestly, “f&#K this can!”

I’m sorry for the language. I’m usually level-headed and anger isn’t an emotion I often associate with. But I’m angry because things have been good! Not that they haven’t been good during my past recurrences, but I have finally aligned how I’m living my life with what I value (even during a pandemic). Now, my life is interrupted once again by this can.

It’s been a slow march since summer 2021 of multiple “stable” scans, but with increasing symptoms, particularly seizures in my right arm. Since that summer, I’ve had 122 of those seizures. Except for being tiring, they’re harmless. I’ve had them on a first date, on an airplane, at a wedding, and during work presentations. It’s kind of like collectable cards! “How many unique places can my brain fire up too much electrical activity?” (joking)

I’ve been writing down a symptom log since the summer of 2021, which I recommend every patient does (particularly those with brain tumors). In addition to the seizures there has been some dizziness, sensory change, and changes in hand dexterity. But the seizure change seems to be the best indicator for the tumor growth as seen in the figure below:

Slow growing tumors like mine are a blessing and a curse. They’re not as aggressive, but it’s difficult to know when it’s time to act.

Well…it’s time to act now.

I will be undergoing surgery next week, Monday, December 5th followed by rehab and chemotherapy.

As you can see in the MRI above, there is a nodular tumor about 1.5cmx1.5cmx2.5cm. In addition to this, there are tumor cells like sand spread on a floor. The nodule can possibly be resected with surgery. The sand-like cancer cannot be removed (hence the need for chemotherapy).

The problem, as it has always been, is that the location is directly in the motor cortex that controls movement for my right side, so we can’t just pluck the tumor out.

When Dr. Wen, my neuro-oncologist and Yoda of the brain cancer realm, said it was time to act, he immediately referred me to my surgeon Dr. Bi. Not only did I love her demeaner, but also, she is doing innovative work with neuromonitoring. (see below)

Given the risk of functional weakness and/or loss on my right side, she will be using upwards of 60 to 70 electrodes to measure the electrical signals throughout my right upper and lower extremities.

I may have to make some challenging decisions in the next few days as we get the results of a functional MRI and consult with Dr. Bi. The more tumor we can resect the better my long-term outcomes are, but also the more movement I might lose. Thus, I’ll very likely go into inpatient rehab following the surgery and then outpatient rehab to regain as much function as possible.

After all of that, we will make decisions on when to start chemotherapy (which I’ll go into at another time).

I know all the above is a lot to process, so sorry to smush it into this quick blog post pre-surgery. But I felt one, it was a necessary update, and two, it was important to express and normalize these emotions.

When I left my appointment with Dr. Bi, I got into my car, looked around to see if anyone was there, and screamed. I’ve never done that before. In fact, I probably could have let out a better scream, but give me a break, it was my first time! I highly recommend everyone does this at some point to let out the stress we all carry. It helps, and it made me laugh too!

I needed to scream because I’m angry. All of what I’ve talked about with surgery, functional loss, rehab, and chemo is not to cure my cancer, but only “kick the can down the road.” F&#K this can! I’m going to give it a kick as hard as possible, but please, do not confuse that with a warrior mentality. I don’t subscribe to the “battle won or lost” verbiage. I’m going to kick the can as hard as possible while trying to maintain a good quality of life. I’ve done the hard work through deep reflection and writing my advanced directive to know where those lines of “quality” are. I expect I’ll have to adapt “how” I live, but I won’t compromise “what” I live for.

So, I guess let’s kick this f&#$ing can! 😉

8 Replies to “F&#K This Can”

  1. On Monday, December 5, I will be thinking of you and all the people who will make this surgery possible.
    May you all be well.
    Thank you very much for this life- giving blog!

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  2. Really sorry to hear of this recurrence and the worsening seizures. I wish you solid contact on the can this time so that it keeps rolling a long way down the road.

    My can seems to be still rolling with continued stable MRIs and no symptoms to speak of for now, but it never completely leaves one’s mind, does it.

    Good Luck Jeremy!

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  3. Dear Jeremy,
    We were glad to read your update . We have been with you your whole journey. there is not a week that goes by that prayers are not said for healing for you in outTemple Concord in Syracuse. We are on your team. Know that we will continue before and after your surgery. We send our love to you and the whole family. Best regards Carole and Harvey Koenig
    Keep us in the loop

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  4. Jeremy…I have talking about you lately, sharing the wonderful human being you are and how fortunate I am to know you. My prayers will keep coming, and positive thoughts and strength will always be sent. I will look for updates and how I can help.
    Love to you always, and to your family💜

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  5. I pray all will go well with your surgery on December 5. Thank you for the blog post and the update. All my thoughts will be with you on December 5. Your can will be kicked a heck of a long way down your road. God Bless you with successful surgery.
    Rick Hamilton

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  6. Hi Jeremy i havent followed you for a while but i still think of you when i remember your grandfather Ron. I wish you all the blessings for a successful outcome. You inspire me .
    Sincerely
    Rita Greem
    Westlake

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  7. Hi Jeremy,

    We are all hoping that you kick that can into outer space! Thinking of you all, and hoping with all of our hearts that all goes well on Monday.

    Stephanie (One of your grandpa Ron’s nieces)

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  8. Hi Jeremy,
    I am just seeing the posts about your surgery today (Dec 5.) and catching up on your blog. I admit, I laughed when I pictured you screaming in the car, and laughed again when you wrote that you did too! I’m thinking of you and sending positive vibes your way, keeping an eye on updates and kicking any f&#$in can I see in your honor. Sending love from Boston. Erica Robinson NBTS

    Like

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