Tuesday, October 30, 2018

VOTE, Like Your Life Depends On It...



    ...because it does. 

Tuesday, November 6th is Election Day 

     
     For me, I'm voting for IL-6th District Congressional candidate, Sean Casten.  He's a new comer to politics - he's never held an elected position before.  He's a scientist and clean energy entrepreneur, which speaks to my passion to protect our environment for generations to come. But more urgently for me and for all cancer patients, Sean Casten supports protecting the pre-existing conditions clause in the Affordable Care Act, (ACA).  If insurance companies are allowed to drop members with pre-existing conditions, I will die.  No drama here, I mean it.  My medication costs $15,000/ month and if I lose my health insurance because I have cancer, I won't be able to afford my lifesaving oral chemotherapy on my own.

     Casten's opponent is our incumbent Congressman, Peter Roskam.  He's voted 60 times to allow insurance companies to drop members with pre-existing conditions.

     Take a quick glance at this list of pre-existing conditions under the GOP health plan proposed last year.  It was published by Business Insider in an article by Lydia Ramsey on May 5, 2017.  With the conditions listed here, the Kaiser Family Foundation estimates that 27% of Americans under age 65 years could become ineligible to get health insurance.

AIDS/HIV
Lupus
Alcohol/drug abuse with recent treatment
Severe mental disorders such as bipolar disorder or an eating disorder
Alzheimer's/dementia
Multiple sclerosis
Rheumatoid arthritis
Fibromyalgia and other inflammatory joint disease
Muscular dystrophy
Cancer
Severe obesity
Cerebral palsy
Organ transplant
Congestive heart failure
Paraplegia
Coronary artery/heart disease
Bypass surgery
Paralysis
Crohn's disease/ulcerative colitis
Parkinson's disease
Chronic obstructive pulmonary disease/emphysema
Pending surgery or hospitalization
Diabetes mellitus
Pneumocystis pneumonia
Epilepsy
Pregnancy or expectant parent
Hemophilia
Sleep apnea
Hepatitis C
Stroke
Kidney disease
Renal failure
Transsexualism

     Below is a list of other conditions that could make it harder, (more expensive), to purchase a health insurance plan, according to the Kaiser Family Foundation.

Acne
Allergies
Anxiety
Asthma
Basal cell skin cancer 
(a type of skin cancer that doesn't tend to spread)
Depression
Ear infections
Fractures
High cholesterol
Hypertension
Incontinence
Joint injuries
Kidney stones
Menstrual irregularities
Migraine headaches
Being overweight
Restless leg syndrome
Tonsillitis
Urinary tract infections
Varicose veins
Vertigo.

     The above lists are exhaustive.  (They left off hangnails.) EVERYONE at some point in life will have at least one of the above conditions, and if not you, someone you love will.

     Please VOTE for Congressional and Senatorial candidates that will ensure health care for all Americans and protecting those of us with pre-existing conditions. 

Find out what District you're in and who your Congressman is:  https://www.house.gov/representatives/find-your-representative

Find out who your Senator is:  https://www.senate.gov/general/contact_information/senators_cfm.cfm

Do your homework to learn about the candidates and  

VOTE!

     Other Illinois Congressional Candidates in my area that support protecting the pre-existing conditions clause in the ACA:
Image result for Raja Krishnamoorthi for congress logo
RajaforCongress.com
Raja Krishnamoorthi is the incumbent for IL-8th District.  He has a consistent record for protecting Americans with pre-existing conditions.


Image result for lauren underwood for congress logo
UnderwoodforCongress.com
 Lauren Underwood is the candidate running against incumbent, Randy Hultgren, in the IL-14th District race.  Hultgren votes against pre-existing condition protections.  Underwood, a registered nurse with a pre-existing heart condition, shares my fears of losing health insurance. 
 

Saturday, October 20, 2018

Update: Summer Setback, Fall Recovery

     This update is definitely overdue.  Thank you to friends who have contacted me to see how I am doing because I haven't posted a blog in a while.  

     I'm much better now.  July was another rough month.  Back in April I had a deep vein thrombosis, (DVT), and pulmonary emboli (PE) - following my series of surgeries and subsequent inactivity.  Anticoagulant therapy is standard following such clotting events. While still in the hospital, I was on a continuous heparin IV for a few days and went home on an injectable form of heparin called Lovenox.  Lovenox is no fun...either Wynn or I had to give me a shot in my lower abdomen, twice a day.  Being on multiple medications can be problematic and I started getting large hematomas at the sites where I got injections.  They were numerous and painful.  My hematologist, (who is also my oncologist), checked into alternative anticoagulants.  My choices were limited because I was on several medications that have adverse interactions with the alternatives.  We settled on an old, stand-by medication called Coumadin, which can be tricky.  The actions of Coumadin are influenced by dietary Vitamin K - which is in many foods that I eat, (ie. green leafy veggies, cabbage, brussels sprouts, etc.).  I was told to eat my usual diet and come in for blood testing a couple times per week and the Coumadin dosing would be adjusted to keep it at a therapeutic level. After a few weeks of adjustments, the sweet spot was found and blood monitoring became far less frequent.

     I was good, for about a month.  Then in mid-July I had internal bleeding causing my hemoglobin level to fall to 6 g/dL, requiring a few units of blood and a 5-day stay in the hospital...4 in the ICU. Coumadin was discontinued the day I was admitted, followed by an upper endoscopy, colonoscopy, and flexible sigmoidoscopy.  No source of bleeding was determined...but thankfully, the bleeding stopped.  The GI specialist recommended not doing anything, for now, unless I have another bleeding event.  

      The next question was whether or not to restart the anticoagulant.  The opinion of two oncologist/hematologists was to stop the anticoagulant because despite knowing that cancer patients have an increased risk of clots, for the 5+ years prior to my hip surgeries, I’d never had one.  They felt that my clotting event was far more likely to be related to my surgeries and inactivity than my cancer.  On the other hand, the GI specialist thought that I should go back on an anticoagulant because a GI bleed is more survivable than a pulmonary emboli. (I really hate it when my doctors have differing opinions.  I go to the doctors I go to because I trust each of them.)

      With trepidation, I stopped the anticoagulant.  Making the assumption that my clots were associated with my surgeries, the standard duration for anticoagulant therapy is 12 weeks.  I took them for 11 weeks before my bleed, so the two oncologist/hematologists felt that that was "close enough."  (If thought to be associated with my cancer, I would be on an anticoagulant for the rest of my life.)  However, I was, and am, nervous of getting another PE.  So...I bought an Apple Watch.  Prior to discovering my PE in the hospital the first thing I noticed before becoming short of breath was my rising resting heart rate.  Now I can check my resting heart rate everyday and make a mental note.  Maybe I can catch another PE early, before becoming symptomatic or dying suddenly. 

     Physical therapy has been vital to my recovery.  In the beginning, I went 3 times per week.  When I returned to work I scaled back to 2 times a week.  I, however, did the exercises the PT instructed me to do everyday.  Earlier this month I was discharged, after five months.  Although I was still walking with a limp, my PT and PT Assistant felt I had all the mechanics for a successful recovery, and that I just needed to get stronger.  I continue to workout on a daily basis, and I'm happy to report that my limp is definitely becoming less pronounced.  

     After going through three surgeries, joint infection, DVT and PE and spending a month in the hospital, I was very worried that my body would not be able to continue to fend off my cancer.  My last brain MRI and CT scans were in July.  I'm so relieved to report that all imaging and blood work indicate that my cancer continues to be stable on Xalkori.  My next series of MRI and scans are coming up in November.  

     Thanks again, everyone, for continuing to reach out to make sure I'm OK.    

Recent visits with friends and my brother-in-law:


     
     This past summer, we enjoyed a nice dinner with Laurie and her son, Jaime, who is working in Chicago until the mid-term elections.  

                   

                  Stephanie came to visit twice this year!  Along with Laurie, we all met in grad school...37 years ago.
                     


     Although we missed my sister-in-law, Tracey, on this trip, my brother-in-law, Bruce, met us in VT to enjoy the Fall colors.  If you haven't been to VT in the Fall, put it on your bucket list.  Burlington is a city with a great vibe!


     With other lung cancer ninjas at the Lungevity Hope Summit in Chicago, 2018.





       Kerry and I have been friends since junior high.  While on a road trip to the East Coast, he stopped by for a visit and joined us to see Nathan's comedy showcase. 









     Enjoyed an afternoon with Bill and Gwen...friends from my college days.  




 



      Dear family friend, Sumi, made a stop in Chicago on her way to Omaha and her 55th high school reunion.  Go Eagles!



 

     Family and friends...old and new...continue to make my very complicated life so do-able.  I couldn't be more grateful for their support.