Tuesday, November 29, 2016


Post Round 3 Session 1 continued.


It is Tuesday now and 7 days have passed since my first go-around with this cocktail.  During that period of time my body has returned to somewhat normal operation and my mind is clearer for sure.  Yesterday I notified the Nurse of the various effects that I have experienced over the last week.  In most cases all of the reactions/effects were as expected but one was of concern as it was not in any of the material or expectation.  It had to do with some blood in my stool that should not have been there.  I, personally, am not surprised as that area has been the focus of many new activities starting up after the removal of the Ileostomy.  I await any further comment from my nurse.

Today I feel more normal and I am now waiting to see my dentist as I work through long planned appointments this week.  I had one with my “eye guy” yesterday but was unable to chat with him as he took an extra day off and I will see him in January instead.  His team conducted their normal baseline glaucoma tests.  There is one test in that series that is video-game-like test where you click every time you see a light flash in a sphere.  For some reason, that test drives me crazy and it lasts forever.  Apparently it is only 5 minutes per eye but it is irritating – perhaps only to me.

Over the last couple of days I have received a tremendous amount of support from the folks I sent my note to on Friday.  Please be assured that I appreciate all of the support and enjoy hearing from each and every one of you.   It is nice to catch up and hear about what is going on in your lives too so please do not stop dropping a line.  I also got a lot of support for the blog idea and only time will tell if it is an effective tool to communicate and share information.

To that end we spent the weekend at Lake Bernard doing some of the winter-ready tasks that have been left undone until now.  With the help of Andrew on Saturday Freddi, Tara-Lee and I wrestled the docks into their winter position in hopes that we do not have as much damage by the ice as we did last year.   I believe we will still have several weeks without ice in the lake but we will be ready when it comes.  Tara-Lee and Kaia were with us for most of the weekend and they provided us with lots of entertainment and diversions.  All in all a good weekend.

I have been pondering my situation over the past few weeks and have resolved to get some things out of the way.  These are things that most people have already addressed but in my “invincible suit” I have left some of them undone or at least incomplete.  So I am turning my attention to such things as a complete financial plan, a current will and last testament, a complete “death book” and of course the needed Bucket List.  Don’t get me wrong, I do not have any information that you are not aware of but I am feeling conscious of my mortality in this current situation.  It is also something that I felt was only fair if I tidied up some of my affairs to make life easier for Freddi and my family.  This, I remind all of you, is something you should address and have behind you regardless of your current situation.  I admit that I have been lax in these areas with the exception of ensuring that there were traces of effort along the way.  Tomorrow I am meeting with my financial house representative to structure the diverse information about assets and liabilities. This is one task I have been avoiding as I was always comfortable with the knowledge that there was something to manage and therefore there was no need to worry much about this.  However, the state of semi-retirement has caused me to think more about this and I am seeing the cracks in the mortar on this uncharted and not so well thought out plan.  Tomorrow I have to face some smartly dressed young math major at the office in a big building with lots of glass and stainless steel and admit that I have done a crappy job of managing my finances.  Then I will have to listen to this wiper-snapper tell me all the things I should have done.  I feel very much like Stephen Leacock when he wrote of his Financial Career https://www.youtube.com/watch?v=9IV6xT00ZZ4 .  I expect it will all work out in the end and we will get to a plan but not without some squirming on my part. 

Some of the other things I mentioned will be addressed as we move forward getting our proverbial stuff in order.  I am particularly fond of thinking about the Bucket List as it seems to be less responsible than the others.  I wonder why that is .......

On Thursday of this week I am departing for my Christmas visit to Pemberton to deliver the Rodier Christmas gifts for the family.  That trip has recently become a tradition and I thoroughly enjoy the visit each year.  To enhance this trip this year I am going to be accompanied by Tara-Lee and Kaia.  This should be a lot of fun as we work through travel and visiting together.  I know TL and Kaia are good and easy travellers but it will be different as usually I do it alone.  I am sure there will be some fun events as we work our way across the country.  We plan on returning on Sunday as I have some tests that must be completed on Monday to allow for a second session of Chemo on Tuesday.

Once again, thank you for your support and feel free to correspond through email.  I will do my best to respond in a timely manner.   Be well and happy....... 

Saturday, November 26, 2016

Post Chemo Round three - Session 1

Sat. Nov 26, 2016

Today is Saturday and it is day four after the commencement of my new Chemotherapy sessions.  In this update I am recording some of the more significant reactions I experienced during my week on Chemo.  I am doing this to ensure that I recall what happens and in what sequence.  That will provide me with a gauge for some weeks in the future where timing is critical as I try to maintain a somewhat ordinary lifestyle.  There is probably more detail here than most would prefer to read but I just have to get it down.

I approached this chemo session with great trepidation as I was informed they were changing “my cocktail” and I was to expect a number of different side effects.   With each defense mechanism comes a series of short comings that we normally would not appreciate or request.  In this case the Dr Team was aware of my neuropathy (causing numbness and ill effects to my hands and feet) resulting from the last go-around and decided to avoid the drug that was known to cause such effects.   This replacement drug is known to upset the bowel and cause cramping and frequency or inability to pass a stool at all.  As a result, the team armed me with Imodium as well as a highly effective stool softener.  When I questioned this practice of being prepared for either reaction I was told that I would know what to do.  Now that gave me a great deal of confidence!  I started to see some of the humour that would result in this treatment.

On Tuesday I sat through my three hours at TOH in the Cancer Centre and met up with some folks I had not seen for the past year.  At the end of my session, where the nurse kindly reminded me of all the things I had inadvertently forgotten, I was tethered with my mobile Chemotherapy bottle and sent on my way.  Being somewhat stupid about this stuff, or non-acceptant of the inability to function completely after a treatment, I set out to a number of small chores for the balance of the day.  I succumbed and only completed half of the inventory and returned to the house to rest.  That night I watched too much Homeland as the steroid they administer during the session tends to override the practical sleep patterns. 

On day two I decided to stay close to home and rest when possible.  In so doing I managed some catnaps plus experimented with some of the drugs they had given me for various effects.  Without going into any detail, I have to report that all of the drugs are very effective.  The nausea drug relieved the nausea, the constipation drug relieved the constipation, the diarrhea drug did not do its thing quite as quickly and I did not try the other more serious drugs which are the second line of attach drugs.   I did manage to sit down and read about all of the potential side effects of the chemo drugs and then the other drugs to fight off those side effects.  I do believe that I need to spend more time with my pharmacist to better understand this seemingly counterproductive war of effects of these drugs.   I did manage to eat and drank lots of water as I had been instructed.   That night I did get some sleep but that was accompanied by some very vivid dreams.

On day three I wanted to stay close to home but I had to go to the CCAC office to have my bottle removed.  That was a relatively simple procedure and I renewed some acquaintances at their clinic.  Once freed of the bottle I ventured outside with my list of things that I had to do.  Once again I only managed to get a few things done and reluctantly returned home to sleep.  I was also experiencing cramps which led to periods of reading in the upstairs bathroom.  In the evening I tried to eat a regular meal that I had prepared for Freddi and myself and managed to get most of it down.  I did get some quality sleep over that night.

Today I am feeling much better but still require a dose of Imodium from time to time.  The cramps are still present but they are only occasional but severe when they come.  The fogginess in my brain had been lifted and I was thinking more clearly (or so I think anyway).  My energy levels are better and my sense of humour is returning much to Freddi’s chagrin.  There are some chores to be done to ready our environment for winter and I believe we could get some of them done.  I am sure that by tomorrow I will be ready to take on more and will have passed through most of the inconvenience of this session.  I have 11 days ahead of me before the next session.

Be well and happy!



 

Friday, November 25, 2016

Nov 25, 2016

Part 4 - Nov 25, 2016


This part of the blog is new as we set up and prepare for the next stage in this challenge.  It starts with an introductory e-mail and will continue with some updates as activities and milestones are passed.  It is my hope that I will be able to capture my thoughts and reactions to the future events as we walk this trail.  To ease access to new information I will make each entry a separate entry and these can be accessed through the first page index.

Please feel free to send me your thoughts as I appreciate hearing from you.  I draw to your attention that your comments below will be public and an alternate method would be to address your comments to my e-mail directly if you prefer privacy with your thoughts.


Friday, November 25, 2016

I have not provided an update to this group of friends and family since February because there was really nothing new or interesting to report on the subject of my challenge with Cancer.  During that period I have enjoyed a great and normal summer doing all of the things that we do during a hot summer.  We had some great family events during the summer and at Thanksgiving where all of us were together at the cottage enjoying seasonal activities.  The largest event this period was the birth of Tara-Lee and Brehn’s little girl on September 19th.  That provided all of us with much joy and happiness as Kaia Elizabeth is a happy and healthy bright spot in our family.

But, to get to the matter at hand, that same day I was invited to have my Ileostomy reversed on September 20th and I happily accepted that date.  Dr Auer and her team performed the surgery late in the day and I was up and about in hospital, the next morning.  The recovery from that situation and surgery was far greater than I ever imagined and now in week 9 I am still being very careful about intake and output.  It has been suggested to me that will be the case for more months ahead.  I am Ok with that as the alternative, which I lived with for more than one year, is not a very convenient or happy place to be.  So check, another milestone achieved.

In late October I was invited to do my routine CT scan and endured the horrible liquid they push on you for 2 hours before the tests.  The tests are simple and pain free so they go quickly.  Dr Auer had set up a follow-up appointment for the surgery on October 29th where she expressed her happiness that my recent surgery was successful and I was on the road to recovery.  However, she had seen the results of the CT and the blood tests and felt compelled to update me.  Unfortunately she had no good news on that front.  The test showed additional and new Cancer cells in my liver and now in my lungs.  I was hit with a severe sinking feeling as I had an inkling of what was ahead.  Dr Auer detailed what might happen but I had to wait one week to see Dr Jonker (Medical Oncologist) to get the skinny on what he thought we should do.  I met his associate on Nov 7th who informed me that I would start chemotherapy treatments immediately on a two week cycle.  The only difference from previous treatment would be the “cocktail” they used for the treatment.  My bigger cycle would be three months with 6 treatments in total for this go-around.  Then there would be a re-assessment and then start again.  No one was very clear about the number of cycles or the eventual outcome of such steps.  The aim is neutralize the cancer and prevent growth and movement.

The last two weeks have been a time to reflect on the situation and ready myself for the Chemo process.  This offered some personal challenges but it also changes my outlook on what I can and cannot do for the upcoming period.  Once again I will have to assess my physical limits and make sure that my emotional state stays strong and positive.  I should be able to do this but will have a better idea when I understand the effects of the “cocktail” I referred to.  Freddi, Lucy and I have just returning to Ottawa after a 7 day respite in Cancun.  The weather was warm and breezy and a good spot to decide on some things.  (Happy to share my thoughts on MX at another time).

One thing I pondered was how necessary it was to send numbers of emails to you my friends and family.  To reduce that flow I have decided to put my thoughts and writings into a Blog which I have called “Newest Challenge”.  That way, if you are interested in what is happening, you can go to the site and see what has transpired.  This will eliminate those update emails I have been sending out.  It is my hope that the blog will update and inform others while providing me with a platform to organize my thoughts and write about my experience.  The writing is cathartic for me and in some cases of interest and informative to others.  The blog can be found at http://paulrchallenge.blogspot.ca/. I have completed the set up to include some of the previous history of this challenge so all is in the same spot.  For new information, please look at the most recent blog entry. 

Feel free to drop a line at my emails should you have any questions or would like further clarification of current situations.

I hope this finds all of you well and happy and enjoying each and every day.

With love, Paul

Part 3 - August 2015 - Feb 2016

This part of the blog is based on e-mails that were sent out to a group of friends and family.  These e-mails log my activities and progress  from  August 2015 to February 11, 1016.



August 28, 2015 – Note sent out from Tara-Lee
Hi All,

I just wanted to send all of you who have stayed close along Dad's journey a quick update on his surgery day. 

First and foremost I want to thank all of you for keeping so closely in touch with him along this journey. It has buoyed his spirits in many a quiet moment. As you all well know, Dad is a warrior and has kept a hugely positive, zen like head space as he's navigated the ups and downs of this journey. 

Today was a daunting day, but in true Paul Rodier style he embraced what was ahead of him with resolve and was met with great people looking after him along the way. Both his Drs worked very tirelessly on a long surgery to a good end. Dad will fill you in on more details when he is up to typing. 

We just wanted to take a quick moment and let everyone know he is doing well and resting. Thank you all again so so much for all of your love and support!! It means the world to all of us! 

 Love and positive vibes to all
Tara-Lee and Freddi 



September 10, 2015

Good day all, this is day 13 in the hospital and I have been pretty silent as they have managed to keep me pretty busy over the past period.

First I would like to thank Tara-Lee and Freddi for communicating with you after the surgery.  I was very happy they did that and have certainly appreciated their support over the past few days.  I have communicated with some of you through various means over the this period but feel I am strong enough right now to get out an update to let you know that I am OK and getting better daily.

The past few days have been a trial but rest assured that the actual surgery seems to have achieved the objectives.  Both Dr. Teams were able to have at me and do their necessary work.  It was an exceptionally long day of 18.5 hours from arrival at The Ottawa Hospital (TOH) until I was installed in Room 7118.  Once I woke up the next day we started the road to recovery with the excellent help of the Registered Nurses, Technicians and of course the ever present Dr. Teams.  In the first few days I made some progress and even started to eat some small things but a turn of fate introduced some complications that required attention. 

I have had three issues to deal with that were not necessarily in the Plan.  I seemed to reject food, had an internal fluid mass that was of interest and I had some draining issues around my incision.  Each of these issues have been addressed over the last few days and the individual specialist have started me on a new course to recovery.  For example, today I will move from supported diet and liquids to add some whole food.  Granted these are small amounts and small steps they are movement in the right direction.  The fluid mass is still worthy of note and following but no radical actions will be required in the short term.  On the incision front I am equipped with a fancy new draining VAC that is drawing the unwanted fluid away and allowing and encouraging healing of the incision.  All three things seem to be working in harmony as I am feeling better today.

Although I am attempting to make this brief, I have to add that I am extremely impressed with the level of care I have received and the compassion and caring provided by the RNs, technicians and hospital staff.  They have been wonderful even when things looked grim.

My departure date from here is still a discussion point with the professionals but I now do see that I will be able to get out of here one day.

It is my sincere hope that this finds you and yours well and happy and I once again thank you for your continuing support.

With love ....... Paul




September 19, 2015

Good morning, I am so pleased to update you that I woke up this morning at Lake Bernard.  Freddi picked me up at the interim holding condo in Ottawa and we had a nice evening and dinner with Tara-Lee.  It has been 3 weeks since I left here and the fall and sunny weather has made some significant changes in the environment.  It feels very good to be sitting on the porch enjoying the view, the smells and the quiet.

Firstly, I would like to thank all of you for your support over the last period as I have received phone calls, e-mail and cards from many of you and I have enjoyed the visits I had in the hospital.  I can simply say thank you but remember how important it is to support someone who is sick and in need of stimulation.  Your continued support and interest is a very powerful thing. 

From a health point of view I can now officially report that I am significantly lighter than when I left here.  What with the removal of parts, lack of food for a 10 day period and laying about in various reposes for 3 weeks I have shrunk!  It is my serious target to reverse that over a period of time.  I am advised that I need to be cautious for 4-6 weeks and I respect their estimates on that front.  I am now learning about my new diet restrictions (low residue) but I do not see them as too restrictive – with the exception of no peanuts which are a favourite of mine – and Freddi and I are watching this area of mending carefully.

When I left the hospital on Tuesday of this last week, I was freed of all of the IV lines and for a short while I was limited to simply an ileostomy.  It felt so nice to walk without my stand and bags.  However, shortly after arriving at the condo a Community Access nurse arrived and connected a portable vac-bandage over my wound.  This machine draws away water and encourages healing.  It is an amazing device and my healing process will be reduced easily by 50 %.  In her most recent visit on Friday she told me I may be able to lose it next week.  It does restrict movement much but it is just one of those inconveniences with benefits.

So the upshot of this update is to tell you that I am making progress, understand what I must do next and to start the process of rebuilding.  I will be in the condo for another week or so and then will return to Lake Bernard to enjoy the fall season here. 

Once again, thank you for your continued support and I am happy to respond to your individual interests in my well being.  It is also my sincere hope that bit of news finds you well and happy and enjoying everything that you do.

With love ...... Paul



October 4, 2015

Good day to you.

 It is Sunday morning and I am enjoying sitting at home after a great family breakfast.  It is a cool September day with only occasional sun breaking through the clouds.  But that is not why I am keying this note today.

As you might recall I was released from the hospital after 17 days of care by the good folks on 7East of the TOH.  For my convalescence I chose to utilize Tara-Lee’s condo in Ottawa as everything is on one floor and it was convenient and available.  I stayed there from Sept 15th until September 30th.  On the last day I migrated to the cottage to continue my convalescence enjoying the transition of the seasons.   While in Ottawa I was visited by the community care nurses regularly to change the vac-bandage and teach me about the maintenance of the Ileostomy.  In what seemed like no time the vac-bandage did its magic and sealed the wound in record time.  I was able to shed the portable vac-bandage by Sept 24th.  One more attachment left behind.

Being at the cottage has been a very inspiring and I find that my energy level is creeping back up but naturally not fast enough.   I will be seeing a Physiotherapist this Tuesday to try to get some muscle re-built and start a regular exercise program.  This operation and hospital stay has left me very weak and down approx 20 lbs from my normal weight.  As a result I tire easily and am not getting the restful sleep I require.  My approach to this is to resist the temptation to get involved in boat activities, fall cottage activities and minimize my list of things that I would like to see done.

A recent visit with Dr. Auer gave me some insights as what my immediate future will be.  The next steps commence on Oct 8th when I will start another 6 rounds of Adjunctive Chemo which is the insurance chemo treatment administered after surgery.  I think of it as the last rinse of the cycle before normal life can be resumed.  These sessions are targeted at two week intervals and hopefully my WBC count will support the shortest overall timeframe to get through these rounds.  Dr Auer suggested that once complete and out of Chemo for a month she would be reversing my ileostomy and starting a normal body function again.  If I see this timeframe correctly and all the stars align I should be ready for a vacation in Hawaii for early March 2016.  One always needs goals and that is mine at this point.  I have been in this process for the last 12 months so getting through the next 5 months should not be too hard.

In addition, I would like to express my sincere thanks for all of your inquiries, cards and thoughts as they have made this much easier knowing that you are in my court.  Thank you.

One last point, and an important one for sure, we are going to be having our Thanksgiving dinner here at Lake Bernard with our entire family together as Gray, Bree and Skylar are coming next week to spend a peaceful week with us.  We are all very excited to have them visit and know that we will share some great times during their visit.

Happy Canadian Thanksgiving to all of you and I hope that the weekend will bring great family times for all of you.

With love ...... Paul



November 5, 2015
Good morning to you from beautiful Indian summer soaked Lake Bernard.  It is a sunny warm (for Nov) day in a quiet calm environment that so differs from the busy summer timeframe here.

It has been a while since I wrote to you as there has been little to write about.  However I have had some update requests and felt it was now time to update all of you about my rather routine schedule these days.

First I want to update you on our Thanksgiving timeframe as we had Gray, Bree and Skylar here for the week starting on Thanksgiving weekend.  We also had Tara-Lee home for the period and Brehn dropped in later in the week.  It was a very busy but fun filled family time.  We managed to eat well, laugh lots and we managed a couple of cool boat tours of the fall colours.  We spent the time just being family and tackling some of the fall projects.  Overlapping the final day of their visit was a visit from my brother Richard, Barb and Tiffany who dropped by for a couple of days.  That was also a very low key visit but most enjoyable as we do not see that part of the family very often.  It was a busy time but most enjoyable enjoying family time.

My treatment plan is around the adjunctive Chemo which is very routine as my Chemo starts on alternate Wednesdays for 3 days them 11 days getting stronger again before we start the process again.  That process will continue for the next 8 weeks.  My first Chemo session in this round was a little tougher as I was weak and run down as a side effect of the surgery.  To that end I have started a Physio Therapy program to re-build my strength and muscles that were zapped while in hospital. Tuesday was my best day for a long time but I am now in the Chemo cycle so I cannot say that about this particular day as I am in day 2 of 3.  During the days at home with Chemo I have a bottle which is emptied into my blood stream through this miraculous little heat pump that is affixed to my chest.  That is a 46 hour process that causes some inconvenience ass it is yet another appendage on my body.  The system is removed on Friday.

I am trying to move up my next sets of appointments to ensure we get through this program at the earliest date possible.  I am not sure how successful I will be but the end is in sight and perhaps I should be more acceptant of the schedule that my Drs have in mind.  Both Freddi and I are ready for a post program vacation as this has been a stressful year.  We shall see what we can organize for the New Year.

Thank you for your continued support and taking the time to read this update.  Now get back to whatever you were doing and make it a great day.

With love ..... Paul



December 22, 2015

Good morning, I hope this day is a good one for you.  As I look outside and see white stuff all over the lawn and in the forest behind the house.  Today is the first full day of the Winter Solstice and the days will start to get longer starting today.  That is good news to me and I hope it fills you with hope that the dark season is retreating.

But alas, that is not why I am tapping out this note today.   I am writing today as it has been several weeks since I last wrote to update you on what is transpiring in my challenge with my health.  In my last note I explained the routine process I was embarking on and some thoughts on what might be the subsequent process.  Well, the picture is a little clearer but there still are some factors which could alter my optimistic view of the days/months ahead.  Most importantly, last Friday was the end of my last scheduled Chemo treatment for this cycle.  The treatment was routine with some nausea and listlessness and the requisite lack of sleep.  However, it was the last one and that is very welcome news for me as I now will not have to be exposed to this treatment in 2 weeks hence.  The current view is that I will have 6 weeks where my body can expel the remnants of the Chemo uninterrupted before I have my next CT Scan.  The scan is input for the Medical Oncologist (the Chemo Guy) to assess the presence of any of the “bad guys” and then decide if all the elimination routines over this year have been successful and I can be declared “Cancer Free”.  That is the ultimate goal and to hear that phrase from Dr. Jonker will be very welcomed.  The test and subsequent meeting with Dr. Jonker will happen during the last week of January.  They are scheduled and in the interim I will continue to build mass, strength and eliminate the remnants of the Chemo.  That means regular diet, exercise based on my Physio Therapist program and drinking lots of liquids, some of which will come in colourful wine bottles.

Once I am finished with Dr. Jonker I will be meeting my Lead Oncologist (Dr. Auer) who will then decide upon the reversal process for the Ileostomy that she created when doing her surgical procedure back in August.  It is my hope to have that done and over with prior to our Hawaii vacation at the start of April.  That will mark the removal of all physical evidence of the health challenge and start a new phase as a Cancer Survivor.

All is very positive at this juncture and I thought it was a good time to share this news with you.  Also I would like to thank you for your interest, support and messages over the last period.  It is always nice to hear from you and be assured that your attention and support has helped me to get through this rather lengthy and trying year undertaking some rather demoralizing, inhibiting and in some cases humiliating experiences to achieve this rather sought after goal.  My spirits are very strong right now as I enter the “Wait” stage in anticipation of a good result.  And I have you to thank for the support that bolstered me through this last year.  Thank you.

I include here my best wishes for a Happy and healthy Christmas holiday and my sincere hope that the New Year brings much happiness and great moments for each and every one of you.  I hope this time is filled with great family events and the exhilaration that come with the Christmas season.

With love ...... Paul


11 February 2016,

Good evening from a cold Lake Bernard.  I hope this note finds you well and happy.  Since I last wrote to you Freddi and I managed to get away for a short Dominican Republic vacation.   We flew down on a Saturday in January and relaxed at an all-inclusive Lifestyle Holiday and Vacation Club in Puerto Plata.  We have never been to an all-inclusive but we got a handle on how to benefit from such a program pretty quickly.  We managed to eat well, drink tropical drinks on the beach and rest and read.  It was a truly a relaxing time.

When I last wrote I was entering into a period of “wait” for results of treatment and tests.  That period is now over and we are settling into a different routine.  On Monday this week I met with Dr Jonker to get the results of my CTScan and blood work from January.    The results were very positive news as I was told there is “no presence of Cancer” based on the testing that was done.  That means that I am now on the watch list for every 3 months for a period of time.  I am very pleased with that news as it tells me that the last year of treatments and surgery have paid dividends and I can start to resume my normal patterns.  There is only one thing left to remind me of the surgery and that is the ileostomy.

Today I met with Dr. Auer to get the disposition of the ileostomy.  She was very happy about my test results and then she asked me if I was ready to have my ileostomy reversed.  I asked her if she had time this afternoon but then she explained that it isn’t that simple and that there are a few folks ahead of me on the list.  However, she did do the documentation to get me in the queue and to start with a test that will determine if I am ready for reversal.  I do not have the dates but suspect that the test will happen pretty soon with the operation for reversal to be sometime in late April or perhaps a little later.  Her scheduling person will reach out to me in the near future.  This means that this will not happen before our early April family vacation in Kauai but it is in the works.  Apparently, the surgery is tricky and there will be some time to re-adjust to normal bowel functions but Dr Auer was pretty confident that my surgical effects will be marginal as I am in pretty good health and fortunate enough to have had a successful August surgery.

 As an aside, I have recently undertaken a Gov’t contract for a short period at ESDC (Economic and Social Development Canada) to provide some strategic advice for a large crown project with multiple stakeholders.  I started two days ago so I do not have a fix on the work yet but long enough to know that this will be a challenge for all involved.  This opportunity was presented to me by one of the members of our networking group and demonstrates the power of networking. 

All of this news is very good news to me and my family as it clearly indicates that the time invested in treatments and surgery were worthwhile and that we are heading to a better time ahead.  The last year has been stressful, uncomfortable and difficult for many of my close family members but I have to salute them and you for sticking with me through that year.  It was very reassuring and comforting to have you in my court and I will treasure that for a long time.  Since I will likely have little to write about after the reversal of the ileostomy I will likely not be a regular in your “in” box but that will not mean that I have forgotten your investment in my year.  I thank you for your support throughout this period and wish you nothing but good health and happiness as this year unfolds.

Sunday, November 20, 2016

Part  2 - Feb - Aug 2015


This part of the blog is based on e-mails that were sent out to a group of friends and family.  These e-mails log my activities and progress  from February 2015 to August 2015.

February 12, 2015
Hey there,
Last word was that I would be seeing the Surgical Oncologist on Feb 19th to continue my discovery with her.  That changed on Tuesday and she requested that I see her today to discuss the results of all the tests that were conducted since I saw her on Jan 15th.  So I went to see her today and had our discussion.  That discussion resulted in lots of talk about results and the development of a plan to go forward.
Unfortunately, the plan cannot be defined yet as there is an Oncology Team “round table” that must be undertaken on Feb 23rd.  However, the landscape has changed with some of the test results.  The big change is that they discovered cancer cells in a liver cyst when they did the biopsy on Jan 28th.  That is significant as they now feel pretty positive that those cells are similar and have travelled  from the Colorectal cancer area to this organ(Metastatic Disease).  That means I am now considered to be Stage 4 and not Stage 1.  That is the bad news.

The good news is that a plan is formulating to deal with this as much as they can and it will start on March 18th when  I start a series of Chemotherapy sessions working on a 2 week rotation.  On Feb 23rd the Oncology Team will finalize these conclusions and agree on the plan.  My Surgical Oncologist will have a telephone appointment with me on the 26th to lay out their recommendations.  It appears that it could shape up to Chemo, then surgery and perhaps more chemo.
Also on the up side, the Surgical Oncologist suggested that I take our Hawaii vacation and start any program after we get home. 

I am sorry if this note is a bit technical and not more substantive but that is the phase of this journey that I am in.  I have been inundated with new information, risks and potential results including statistics of responses to this type of treatment and it will take some time to digest and react to the day’s news.

In the interim, be content that I am in good hands and I have a strong support team with friends and family.  The next year will be a tough one but we are out to beat this.
I hope you and yours are all well and happy.

February 24, 2015

The bottom line is that I will be served up some Chemotherapy for a period of time (2 to 3 months) and then I will be re-assessed for surgical treatment.  There is a consensus that surgery is possible and will provide benefits (if required).  There is some “hope” that the Chemo could obliterate the Cancer thereby negating the need for surgery as the cysts are small.   

That in itself is very good news as recovery is a potential that the Drs are discussing.  I am somewhat relieved as the surgery loomed heavily on my mind.  So now I will settle in to dealing with Chemotherapy starting as soon as we return from our visit with Gray, Bree and Skylar (commencing tomorrow) followed by a rest in Hawaii until Mar 16th.  My current schedule for Chemo starts on the 17th with three activities at the hospital.  I will get my first round blood tests done, have a port to my main artery inserted surgically and have my baseline CT Scans all on that first day of treatment.  The following day I will have my first 3 hr session at the Cancer Centre which is followed by 2 days of home Chemo treatment.  These treatment days (and perhaps a couple of days after the treatment) will be days for me to watch and gauge the reaction that my body has to the cocktail of chemotherapy.  My job will be to manage the side effects of the Chemo.

In the interim, Freddi and I will enjoy our vacation and send best wishes to you for wellness and happiness.  I will keep you updated as we move along this path.
Love you guys.....

March 18, 2015

Hey there, yesterday went well as they transformed me to a cyborg by implanting a direct access port to my jugular vein.  The port went in well and I snoozed through the operation. I am a bit sensitive on my right shoulder and am being watched by Freddi to ensure I don't do much for the next 7 days while it heals.  She has already started at me when I started the fire for the evening.

Quick update on this very busy but interesting day today. So far my Chemo has gone with few side effects.  I participated and learned the Chemo "in-hospital" routine and then was sent home with a portable infuser which continues the treatment for 48 hours.  So I do not know the extent of the impact on my physical and mental well being but so far I am doing very well as I only have some small side effects.
Thank you for your continued support and I apologize for "stock" messaging but I do want to keep you informed.
I will update again after the Chemo is complete on Friday.


March 21, 2015

Dear Friends,
It is my hope that this note finds you well and happy.

Today is Saturday and I am in the denouement of this my first round of Chemo.  I find it mildly amusing that I think about great literary turns when I am in “think process” these days but when I sit down to jot a note I am devoid of clever nuances.  I guess that is all part of the experience.  So instead of trying to be clever, interesting, intriguing I will just tell it to you as it is.

My last week has been a very full one with many firsts learned and the acceptance of the fact that this cycle will return several times.  The week also included a couple of other activities that compounded the week’s events to form a tri-fecta of inconvenience. First I started the week with a horrendous head cold which originated either in Kauai or on board the silver transport from there.  That allowed the nuisance of a huge cough and a runny nose. Second, I had my port-a-cath installed as a surgical procedure which left my right shoulder both sore and weak as I was told not to lift anything for a week.  Oh and by-the-way, stay out of the shower to avoid getting the port-a-cath wet.  Monday was a blood test day which was a simple and efficient procedure.  That was to ensure that my body was “strong” enough to take on the Chemo program which started on Wednesday. 

To explain a little about that program, there is a session for 3 hours where they check you out, order the Chemo and then drip (in my case) two drugs simultaneously into my blood stream.  That takes about two hours to completely drain.  Once completed, the kind nurse injects what is called a “push” dose of drug 3 which only takes a few minutes.  After the push to get that drug started the nurse then connects me to a “bottle” that contains a 46 hour dose of the drug that will drip in through the port-a-cath while I go about my life.  From about 12 pm Wednesday until 10:30 am yesterday I was tethered to this bottle while I carried out my usual functions.  It continued to work while I ate, slept, watched TV, read (sort of) and drove about doing my messages.  Once complete the bottle is disconnected and the drug dissipates in my system over a further 48 hours.  That is the process.  It is somewhat inconvenient but an effective way of getting Chemo into the system for 3 days allowing the drug to do its job.

During the Chemo time there are a litany of things that could happen and the nurses and the system prepare you for any and all circumstances to happen.  The first time reading, listening and digesting process is overwhelming.  None-the-less one must be prepared to deal with these “side-effects” and I was equipped with prescriptions for many circumstances all with the proviso that they may be required.  Admittedly, I was very worried about these effects and am happy to report that over the period of Chemo I had only a few of the reactions and seemingly at a low level.  Yes, I was nauseated, fatigued, could not sleep, could not focus or maintain attention for long periods, cold sensitive, headachey, emotional and a few other things but I am fortunate that nothing was so severe that I required any medical attention.  I remained pretty close to home as that is where I felt most secure and safe.  My appetite has been impacted slightly and my taste centre has taken a sabbatical.

What lays ahead?  Well next week I have several tests to be completed that have been requested by my Drs.  Another CTScan, another MRI and a visit with the Dr to chat about how things are going.  Basically, life will be normal until I start the process again on Wednesday Apr 1.  This repeats every two weeks for the next unknown period of time.  In time we are hoping that the drugs will do enough damage to the cancer cells that I will be free of these cells and we can stop.  The Dr team is still out on what follows but the results of the Chemo play heavily into future decisions.

So that is where we are now and where we are heading.  Once again, I apologize for “stock” messaging but I find this to be the only solution to inform those who I care about and have indicated their support of this cause.  Please be assured that I treasure your support, friendship and family connections as I go through this.  It means more than you can imagine in terms of ability to make it through some of the times.  Please stay in touch
With love,


April 18, 2015

After a period of silence with most of you I feel compelled to update you on my progress as you have indicated that you would like to kept in the loop.  First, may I say, I appreciate your interest and continued support as I traipse through this path of discovery.  Your support helps me immensely and for that I thank you.

My first round of Chemotherapy (Mar 18th) caused some side effects that were manageable and I have outlined those to most of you.  However, only some of you had further details that became more evident at the beginning of the second cycle.  Apparently the round one Chemo beat the hell out of my white blood cells (WBC) and when it came time to have my blood tests before my second go around they discovered that my counts were below their acceptable levels to continue.  As a result I was asked to wait a week and re-do the test and then start the Chemo.  The subsequent blood test also failed as my count was down even lower.  That happened a third time and finally on Monday of this week I managed to have a test that was above the acceptable level of WBC.  In effect what that meant is that I have skipped a full two week cycle between treatments. 

On Wednesday this week I sat through my treatment period at the hospital and went home with my portable bottle of Chemo which continued for 46 hours.  Yesterday I had the bottle removed and I am in the period where the Chemo dissipates until my next treatment which is currently scheduled for Apr 29.   This round had a reduced concentration of Chemo (due to the brutalization of WBC last time around) and as a result, so far, this round has resulted in fewer side effects.  Although I am feeling punk and eat out of necessity but fairly regularly I am fortunate that I have not been exposed to side effects that I have seen (far too often) in movies these days. Note: recently watched The Judge and although I feel it is a great movie, I had no idea how Cancer played a role in this film.   My side effects have been mostly nausea, lack of sleep, and some other small but easy things to deal with.  I still have a few days where new signs may appear but I feel that I am comfortable enough to share my new experiences with you.

All that being shared, my longer term prognosis is not very clear at this time.  We will continue to do bi-weekly treatments until sometime in late May and then we will do some follow-up tests to see how this is working out.  The CT Scan and the MRI will then compared to the baseline tests that were undertaken at the outset of Chemo and decide what is next.  I will commit to keeping you informed of any changes that come up and in the interim, should you have any questions please do not hesitate to reach out. 

In the interim, I once again thank you for your interest and I certainly hope that your lives are filled with health and happiness.
Love Paul  


May 13, 2015

I am writing to you today for a number of reasons:
          - It has been a great day
2        -  A dear friend of mine reminded me that “No news is ..... no news”  contrary to the more familiar expression that we all have used and loved., and
3        - You have expressed an interest for which I am very grateful.

Today I was finally given the “go ahead” for Chemo treatment number 3 which is unfortunately a couple of weeks late due to the pesky WBC count that continues to be low for three full weeks after my last treatment.  Now, I have been informed, that low WBC count is not common but it is also not uncommon.  That reflects the rigour that this precise process exercises as each case is reviewed and treated individually to ensure safe and progressive improvement during the treatment periods.  So to be common and uncommon in the same time is an outcome we learn to live with.  To address this problem my Dr. has prescribed a super drug that will encourage those WBC to get their proverbial “shit” together and improve my counts more rapidly.   That happens on Saturday morning after my Chemo treatment is complete for >24 hours.

To be clear, I am happy that I am able to take the treatment and even happier that this drug will allow me to get back onto a 2 week cycle.  It is my recent understanding that the regular treatments are important to gauge its progress more accurately.  I will be having another MRI and CT Scan soon to measure the bad guys in comparison to the baseline test done a few months ago.  The Oncology team will use that information to determine what the next steps are and hopefully they will share that information at my next appointments with the Medical and the Surgical Oncologists.

In summary, we are back at it and I am well and happy with this treatment.  The side effects vary each time and I am unsure of what will happen in the next couple of days but I am ready for anything as I am still focused on the end game.  Please feel free to drop me a line if you have specific questions that I can answer.  If you have hard questions that I may not be able answer, please address them to your priest or some other guide that you may rely on.

Thank you for your interest and support.  We, our family, very much appreciate you.
With love Paul


May 27, 2015

It has been a couple of weeks since I have had any news to share but today I was able to have my next treatment in the appropriate 2 week cycle.  That is largely due to the work of a supplemental injection of liquid gold that stimulated my WBC  to do their thing.  The result was a fighting tough WBC count when I did my blood tests with the “bloodletter” on Monday.  I am happy to have my body ravaged by Chemo, as it all contributes to the end game, on a regular basis.  This WBC stimulant (Neulasta) is actually a shot deal per treatment.  I was mistaken when I noted that it was a one shot deal period.  So I have learned to inject this to myself after my treatment is complete plus 24 hours.  That will happen on Saturday this week.  I hope then to have my next Chemo treatment on June 10th.  My next physician follow-up is with the Surgical Oncologist on June 11th.  I am hoping to get some clarity of the future (I will even settle for a little bit of a picture at that time).
In the interim I am dealing with the side effects as best I can and usually only have about 5 days of discomfort.  That leaves 9 good days before we have it again.  In those good days I am doing my assignments from the “Gardner” in the family as well as putting in boats for our Boat Storage Clients. 

It is my hope that this note finds all of you well and happy.  I appreciate your support and interest in this challenge that we are facing.  I will update when things change of when there is something interesting to report.  Feel free to ask questions, in the interim, if this is not clear or you have time to tickle the keyboard to satisfy your curious mind.
With Love Paul

Wednesday June 10, 2015

Good afternoon all, once again it has been a two week period since I have had anything new to report to you.  In my last note I had just completed my 4th Chemo session in the appropriate two week cycle.  Well that happened again today as the Neulasta (liquid gold) has motivated the lazy WBC to an acceptable level for a regular Chemo session.  I am happy, as much as one can be happy about such as treatment, that my cycle has been regularized.  That improves the chances of a successful conclusion of this treatment. The 3 hour treatment in the hospital went without a hitch and I am now equipped with a chemo bottle that will pump into my blood system over the next 48 hours.  After that, on Friday, I have that bottle removed and I start the climb back to feeling better for the next 9 days.  My 6th planned treatment is currently scheduled for June 24th.

Over the last two weeks my side effects were limited to nausea, sleeplessness, fatigue and a few other less important side effects.  I am happy that my appetite and taste buds have not been affected and I am maintaining my weight and enjoying my meals.  One might think that I am storing up for potentially less interest in food in the future.  The down side is if I do not lose my appetite I may have to resort to sizing up my Sporting Life wear for the summer.  Not an outcome that I am striving for.  

We did take advantage of feeling somewhat better last weekend as we travelled to BC to help Skylar celebrate her 4th birthday.  She was very funny as she reacted to our visit, her birthday party, her first overnight with us while Mum and Dad had a sleep-over in Whistler and generally hanging with us during our short visit.  Gray and Bree made sure we felt welcomed and we certainly enjoyed the busy but relaxing visit.  We returned on Monday and managed to cross paths with Tara-Lee in the Toronto airport.  She was heading west and we were heading home.

Tomorrow I am meeting with the Surgical Oncologist, my lead of the Oncology Team, to get an update from her point of view.  I am looking forward to that conversation as it may shed some light on what the next few months will look like.  I am not expecting much more than that as I have learned that the “future plan” is very much influenced by results of the current treatment.  In other words it is little steps toward a successful conclusion of this overall treatment plan.  Please feel confident that if I find out anything “interesting” I will further update you with an addendum to this biweekly update.

That is about it.  My life routine is not very exciting these days but we are soldiering on to a successful conclusion a little bit at a time.  Overall my energy level is down but I am buoyed by some repetitive comments from friends that I “... look really good.”  I know that it is meant positively but I always feel that I must have looked like hell before all this started.  To those lovely people who have made that comment, I thank you. 

Please be well and I look forward to hearing from you should you have any questions, concerns or stories to share with me.
With much love ...... Paul


June 12th 2015

Addendum:
Yesterday I did meet with the Oncology Lead at The Ottawa Hospital.  Tara-Lee joined me so she could meet my new lady friend.  Dr Auer is a Surgical Oncologist and has acted as my guide through this journey and gained my trust by being open, honest, empathetic and clinical.  Our discussion yesterday was one of “next steps” as she had some good news that all of this Chemo has been working by shrinking the small tumors in my liver.  That is one good bit of news.  The other was that there still is no further metastases to other organs at this time.  That is fantastic news as the presence of additionally affected areas provides different options that are less palatable.   So that was my good news yesterday. 

On the flip side, she did confirm that both she and my Medical Oncologist are in agreement that there will be surgery in my future.  That route is no longer a possibility as the planning has already started at their end.  That includes a new appointment with the liver specialist next week, another visit with Dr Auer, setting a date and then winding down the Chemo prior to that date.  Since all of these steps are lineal I will not know the exact time of surgery for a few days/weeks.  But for gross planning purposes she thought it might happen around mid August or thereabouts.   Although this causes some trepidation in me (thus it is flip side to “good news” in my mind) I recognize that this is a required step to “eliminate” the presence of this cancer in my body (or at a minimum give me my best chance at getting to be an old bugger). 

I am very happy with this knowledge but still a bit apprehensive about the surgery.  I have watched too many medical shows and have never been comfortable with the idea of a bunch of hands pushing and pulling parts that belong inside one’s body.  I expect I will come to grips with this in time.
That’s it for now and once again, thank you for your support and notes of encouragement.  They help tons....
Enjoy the upcoming weekend and make the best of every day.
With love ... Paul

June 24, 2015

It has been a couple of weeks since I have sent out any update on the path through the bush that I am wandering along.  In that period, I completed my 5th Chemo treatment, shot myself up with “super WBC agent”, felt generally crappy for a couple of days and experienced some of those inconveniences that are assembled in the treatment package.  Those and other side effects tapered off after a few days and I been fortunate enough to enjoy some family outings, great dinners, cold beer and some wine and generally carrying on as a normal retired dude.  What that means is that the “honey do” list (some of which is self inflicted to be fair) is changing daily and it seems to be growing and not shrinking.  That being said I have tons of help in getting those early summer chores done and am grateful for Freddi and Tara-Lee’s participation.  Gray is winging his way east later this week to give us a hand on a construction plan that was developed Tara-Lee who recruited him.  We are happy that we will have some time as a complete family unit for a few days.  But I digress .... as easy as that is away from the original intent of this note.

My current status is that my 6th Chemo is now in progress after a visit to the hospital for the morning.  It all went well and I am equipped with the right meds to fight the side effects for the next two days.  (I see some Netflix in my future).  On Saturday I do another dose of the miracle WBC agent to ensure that I am ready for the next round in 2 weeks.  I did see the Medical Oncologist this week and Dr Robillard agreed with the approach that Dr Auer suggested and we all are waiting for the call from the Liver Oncology specialist ( Dr Mimeau – like “finding mimeau”).  I am in the “hurry and wait” mode as I expected the call almost immediately after my conversation with Dr Auer a couple of weeks ago.  That appointment will be pivotal in establishing the timing of the future actions. (number of Chemo treatments left before surgery, surgery date, extent of surgery etc.) These are all interesting things to know but I have learned to be patient (as a patient) and all these things will become clear with time.  I feel like a Carlos Castaneda student and recall his quote “All paths are the same, leading nowhere. Therefore, pick a path with heart!”  So I continue to put my faith in the hands of those who are on my Oncology Team and I seek the path with heart as I pick my way along this path.

I mentioned that I am trying to continue as a normal person and to that end I was challenged by my long time friend Dr. Jim to a game of golf ( he is not a member of my Oncology team but a strong supporter on my life support team).  To be fair neither one of us has played a real game in the last two years due to various medical intrusions in our lives.  The game was set at Mont St Marie on a picturesque setting and beautiful day.  Fortunately, we pulled out all of recent Tiger Woods shots that we could muster and laughed heartily as we worked our way around the course.  We have decided to use that score card as a base line and feel no need to share the numbers with you.  Enough said on that topic other than I enjoyed the round immensely.

That is the brief update and I would like to thank all of you for your continuing support and please be aware that I am a lot better off knowing that you care.  Thank you and I hope to see you on the lake during the summer.
With Love ....... Paul

July 01, 2015

Hello to all in my family and friend group.  Happy Canada Day to all of you and I hope you had a great day.

My day was enhanced in many ways.  First our children completed their “gift task” of refurbishing the screened in hallway and bathroom on the old cottage.  Gray and Tara-Lee with the help of Brehn and Freddi completed this gift today and all I have to do is the finishing.  I have the easy job here.
In addition we managed to re-arrange and set the waterfront for the summer.  The boat lift was relocated as well as establishing a better environment for swimming and boating.  We are set for the summer.  I would like to send a big thank you to Adam and Anne for their help in that task.
But, while we were doing these great outdoor task, my Dr ( Jonker) called.  He is the Medical Oncologist responsible for my Chemo treatments.  He advised me that they talked about my case on Tuesday during the round table and they made a decision that my next step was to organize surgery as soon as possible.  As a result he has cancelled any further Chemo to set me up for surgery in early to mid August.  He has pre-empted my Liver Specialist appointment next Tuesday but I was happy to hear his news on Canada Day.  I respect the fact that he was working and reaching out to me on a holiday.   What that means is that I will no longer have to experience the Chemo program with its inconvenient side effects and I can now look forward to feeling better every day.  They want me off any of that stuff for a minimum of 6 weeks.  The idea is to be a strong as possible for the surgery.

So in a nutshell, that is my update and I wanted to share my good news as quickly as possible due to the nature of the news.  As my sister-in-law says “ Bam bam bam “ and the Chemo has done its part killing off those Cancer cells.  Enter the next path route and we walk tall feeling good about our progress.  My thanks go out to my Dr Team and especially for my Family/Friend Team.  Your support makes me feel great about getting there.  Off to the next stage and a good 6 week break before we face the next challenge,

I love you guys and once again thank you for your encouragement and support.  It means a lot!
Now to get out there and make the best of the summer.  I hope you do the same.
Love ..... Paul


July 23, 2015

I feel compelled to update you nice folks who have taken the time and energy to reach out to me over the last while about my progress through this path in the woods.  My current status and well being is at a high point as I have been out of Chemo for a month now.  During that time the effects of Chemo have diminished and I am able to operate like a normal human being.  By that I mean I can address some of the ToDo items in my life that need to be done.  Granted I am addressing the easier ones as I do find that my overall stamina is down a tad. 

Over the last month, the period of time since my last update, we have travelled to the Calgary Stampede (a Freddi bucket list item), played golf with Dr Jim and a good group of Lake Bernard annual tourney  golfers, enjoyed some social evenings with friends, visits from Lucy, Gray, TaraLee and Brehn.  The house has been filled with lots of excited chatter about construction projects, travel plans, garden challenges and successes as well as long meals in the “tree house” (aka screened in porch) complete with philosophical discussions about life, love and happiness complimented with much lighter topics filled with humour.  It has been a very busy month filled with many good memories. 

On the medical front, as noted in my last update, I have been Chemo-free as “they” want most of that stuff out of my system before they undertake surgery to remove parts that are or may be affected by cancer cells.  They know that my liver does contain a number of such groupings of cells that have to be removed.  Last week I spent some time with the liver specialists and they talked about their involvement in the surgery to remove cancer cells.  They expect this to be about a four hours surgery and they are keen to do this as soon as possible.  Dr Auer, my surgical oncologist is also involved as a specialist in colorectal surgery and scheduling this surgery will require coordination of schedules of two Dr teams.  I think I threw a monkey wrench into the scheduling as I asked Dr Auer specifically if she could be the surgeon instead of one of her cohorts.  She replied that she would try but had some vacation planned in August.  I hope I am fortunate enough to have her involved as I have a lot of faith and confidence in her as a person, surgeon and specialist in this area. 

This week I met up with Dr Jonker, medical oncologist (Chemo guy) and he concurred that surgery seemed to be the best plan but he would reserve judgement of post-surgical Chemo until one month after the surgery.   He did inquire and advised me that liver specialists are still in control of the surgical date but one has not yet been established.  So I wait and bide my time by enjoying the summer weather and doing some regular type work.

It is my sincere hope that you are making the best of the summer and enjoying your summer activities and getting out doing things that are different and fun during the period of the year that allows us to enjoy the great outdoors.   Once again, I thank you for your interest and support during this life trial that we are experiencing.  My whole family appreciates your support as it buoys my overall well being and gives me strength.   The end result of this support is that I am less grumpy and less demanding as I know that you care.  I do appreciate all of the support I have received.  Thank you.

I will send out another brief update when I secure a date for the surgery and then I will start planning my recuperation period.  Until then onward and upward as we address ToDo items and enjoy some golf with friends.  With much love I wish all of you great days during the summer and good health and happiness.
With Love ........ Paul

August 9, 2015

Today being a holiday, I am certain that I will not hear from any scheduling or Drs on a Sunday.  As you are aware from the last update, I am on a holding pattern for surgery.  The issue seems to be the scheduling of two surgical teams on the same day.  The Liver team are willing to do this on Aug 14th but Dr Auer is on vacation at that time.  She took the time to call me this week and we chatted about options of dates and process.  My choices were two separate surgeries approximately two months apart which has the benefit of doing the liver surgery ASAP.  The second surgery, rectal resection, would then be done in late October after recovering from the first surgery.  The second option was to wait two additional weeks and try to combine thee surgeries into the same day.  Dr Auer said she would be available and would try to get that timeframe with the liver team. 

I chose the two-for-one as I would appreciate only doing that once as I think the recovery will be trying.  So now I am, once again, on hold waiting to hear that our plan can be accomplished.  I will be getting confirmation, one of these days, that the liver team agreed to the plan.
In the interim, I have been feeling fairly strong as I have not been beaten up by Chemo since the end of June.  The effects of the Chemo have lingered a bit but basically all things are getting back to normal.  I have been playing a little golf and doing some tasks around the cottage as well as some effort on work at Lightning Tree Consulting.  The summer has been somewhat rainy and overcast but this weekend is a perfect weather weekend.  We managed a couple of evening cruises with hot appies and cold beverages in the pontoon boat with friends.  It is a nice way to spend time as the sun sets in the west.

I do hope this update finds all of you well and fills the information gap, as much as I can, at this time.  As before, if you have any questions feel free to contact me by return and I will try to respond as quickly as I can.  Thank you for your continued support and best wishes for a happy balance of summer.
With love Paul


August 14, 2015

On Wednesday of this week I decided to be the less patient patient and placed a call to the Liver and Pancreas Unit at The Ottawa Hospital (TOH).  I have been patient just long enough and felt it would help me and others in my world if we knew what date the surgical teams were planning to schedule my surgery.  My inquiry was responded to quite quickly considering their vmail message said they “....would get back to me within 2 business days due to the volume of calls”.  Oopps got to stop here as I feel a rant coming on .....
The nice “booking coordinator” decided to call back right away as she had planned to contact me ......   In the end we confirmed that her team and Dr Auer’s team had agreed that August 28th was a good day to undertake this surgery.  That being said there would be several touch points before the surgery to check blood, other indicators, MRI and instructions of what to do and not do in the days leading up to the surgery.  I suspect I will get more details of the post-surgery activities. or lack thereof from my point of view, in the weeks or days ahead.  What I do know is that they will keep me in the hospital for a week and then send me home with some support of new and wonderful drugs.  So I am happy as the wheels of motion are turning and my next adventure starts shortly.

In the interim, I am currently enjoying a comfortable visit with my Brother, sister and sister-in-law in the warm sunny morning rays in Henderson NV (just outside of Las Vegas) as this news opened a window of opportunity to visit Richard and Barb who have been very supportive from afar.  Distance is not always our friend and I felt it would be great to take a trip and visit them.  So Lucy and I travelled down here yesterday and will be returning to Ottawa on Sunday.  We enjoyed a peaceful day yesterday which was punctuated by great claps of thunder from the desert thunderstorm.  Today however, the weather returns to the normal heat and sun.
My best wishes to all of you for health and happiness and I will send an update once the Drs are finished messing inside my temple.

Love to all ......... Paul