Wednesday, 27 April 2016

27/04/2016


27-04-2016
 
 
I think that it is probably about time, to make a little entry into this ‘ere blog.
 
It has always been my intention to use this keyboard as my sounding board for when things get shitty on my journey battling this awful disease. It has been a very good tool for me to use when I’m down, real low.  It has managed to take the bad thoughts from my head and stop me from dwelling on them and this has been an excellent way for me to keep positive, even if the content of my entries, on some occasions, have sounded less than great.
 
This content is not going to be “less than great”.
 
  It had been a while since I was last down at the hospital, so yesterday, I had a couple of appointments down there, the first was with a magnetic resonance imaging suite (my last one of these was March the 1st) and the second was with Emma, my consultant to discuss the results of the first appointment and what course my ground breaking, experimental treatment should take next.
 
  As she entered the consultation room she caught me in mid flow of one of my, oh too common, trachea induced coughing fits, as these can be so easily brought on, a change of temperature from room to room, a laugh that catches you off guard, crawling under your van to fit a set of fog lights or walking past a group of beautiful people that all choose their own “off the shelf” scents to adorn themselves with, are all ways to make me unable to speak and bring on quite uncomfortable coughing.  The only way I have found to get over this is to take the trachea all apart, give it all a clean and breathe slowly.
 
  So there I am with half disassembled plastic neck jewellery, red faced and teary eyes, standing over a sink with snot dribbling out of my neck all stringy, stretching from my doss-rag to the plug hole, I am most definitely not looking my best, but I was glad there was a sink in that room or it would have been a lot messier.  Still, Emma could see I was in control of the situation and she just about gave me enough time to finish my pipe cleaning before she tells me about the MRI results.
 
  “It looks like the tumour has not got any bigger since your last MRI. I’ve looked at your last 3 MRI’s this morning and from the end of December to the Beginning of March there was massive growth in the size of the tumour, but between March till today there is no sign of growth. I’m really happy about this. This is a good thing. I’ve had a fellow consultant look at the scans too and he agrees, the tumour has stopped growing.”
 
  She said all this with quite a large smile on her face and I could see she was genuinely happy about these results.
 
  I too am happy about this, I’m not out of the woods, but before I went to Poole on Tuesday I thought something had changed, I feel different, I have a bit more va-va-voom, I have been able to do slightly more physically demanding tasks, rather than just play with my Lego and I have been getting through a plate of food in 20mins and not the ¾ of an hour it was taking. This is all good things. Plus I have been able to reduce my daily morphine intake by about two thirds.
 
  So what does happen now?
 
  Well, also during this appointment, Emma wanted to look at ground zero with her own eyes (via the regular, smaller nose scope) to see how it was reacting to this chemical and my bodies own immune system now attacking it, as she could see on the scan there was a “large area” of necrosis in my tongue, this is dead tumour ( another good thing) and as there is no sign of my tongue about to start bleeding out, she has agreed to my request of having this trachea removed, whoop whoop. This will increase my quality of life as I will be able to get out and about ( once I am healed, as I do not want to get an infection there, that would be a right pain in the neck! ) and we can book our family holiday, oh yes, major memory making.
 
  As concerns continuing treatment, She will be putting in a request for more of the same drug from the Italians for me as there is still some parts of this tumour that could do with being highlighted to my immune system, so that it might attack it some more.
 
And who knows what that might mean.
 
There you have it, a little round up of how things are, so hurry up summer sunshine, I want to have a garden party or two.
 
This is me Steve Royal full of good things.
 
Have a week.
 

Sunday, 10 April 2016

10/4/2016


10 / 4 / 2016.

 
 

I started this one a couple of days ago but didn’t get much written down as it all happened oh so quickly.

 

7/4/16

 

Should I stay or should I go now? No one actually knows at this point in time, I thought I was going back home after the general anaesthetic but the day ward think I’m staying in over night.

As you have guessed, I am here again, my home from home, Poole hospital for round 5 (ding ding) of the pre-test-trial chemical (try saying that with a swollen tongue) and this time I’m in for extras too. Yes I get to have another biopsy or seven and a trachea change, at least I’m getting knocked out this time so I won’t know about it until it’s done and possibly a few hours later when my pain receptors wake back up, that’s not something that I’m really looking forward to, still, it has to be better than round 4 that had some discomfort to it and I had my big brother with me on that day so I put my brave face on, the face that says “this is alright really, no problem”  but I’m quite sure the grip I had on his hand probably told a truer story. Fortunately one of the hose lock connectors joining the syringe to the needle saw fit to rupture and my tongue was saved from the last 10% to 15% of the chemical, alas our arms were not and both my brother and I received a short and unexpected shower.

 

I’ve just been informed that there is zero intention of my presence being required in this hospital tonight, yeay, and that I am going to get to try out something new, well new to me, according to the anaesthetist, it reaches the parts that morphine just can’t quite reach, gabapentin.

One hell of a size of pill though, wasn’t sure if I’d be able to swallow it, then again it is a pain med so, bottoms up!

 

Hmmm, why does Mr. Soft of the 1980’s come to mind?

 

Gosh, this time they’re giving me a ride to theatre on a flying carpet, that’s nice.

 

All done, waking up in recovery, in pain, unable to talk (I was expecting it this time so I’m not freaked out) calmly I sign for some paper and a pen and upon receipt of said utensils I scrawl “TONGUE PAIN 10/10” and very shortly after I receive a dose of morphine in my cannula, a short time passes,

“How is it now?” I’m asked by a nurse.

“7/10” I scribe. I’m given another dose and some more time goes by.

“And now?”

 I shrug, “5/10, when can I speak?” I write on the page,

“In 10 minutes when we let the balloon down around your trachea” I am told as the third dose enters the back of my hand.

I wait the ten minutes, in slight distress and true to her word my voice is given back to me as the cuff is deflated, the next words to pass my lips is something a lot of you have heard me say before “I need a wee” the nurse gets me a cardboard bottle, I wee, I relax, I lose 3 hours.

 

Upon waking, I call my beautiful wife to let her know she can come and get me and thankfully, she does.

 

I’m home.

 

 

3 Days Later.

 

 

I believed that I would be suffering right now like I have suffered from previous rounds of this treatment. By that I mean I have 3 to 4 days of not getting out of my pyjamas as being unable to eat solids for the first ¾ of that time makes one rather drowsy, that and the increased morphine intake of course to combat the extra pain, so the necessity to become clothed kind of looses its appeal. As for the other reactions to this truly unknown journey, they involve a temporary increase in collar size, I don’t mean just a slightly swollen pair of glands, I’m on about a full on no-neck, red-neck type appearance. Never before have I had a neck that is wider than my head and that can be lopsided at times too, generally on my right side and generally quite comical to look at, I would suggest that it would be similar to sticking the ladies chicken fillets for bras just below my jaw line and this extra enlargement tends to restrict my head movement. I do take comfort in the thought that the reason my neck does go like this, like a villain from Dr. Who, just after treatment is because I believe, this unknown is working, my body can now “see” the tumour and is doing everything it can to fight it, so of course it will swell up, it needs room for the boxing ring! Ding, ding.

 

But this time, round 5, the swelling is less. I like to think that’s because the tumour is less and the boxing ring doesn’t have to be as large as before but you have to remember, this is in my mind, no-one has told me either way what is happening to the size of the cancer but from being told in January that my time is limited and as long as I’m up to date with my pain control, those closest to me and myself find it incredibly hard to believe, that I supposedly now only have 5 – 15 months left, I look and feel too well for that. 

 

What I have been told about the cancer and what I have seen with my own eyes is that it is responding to this drug in the same way that the melanomas do, it’s not a pretty picture and I think it tastes the same as a zombie would taste, but it’s a good thing. I don’t want to count chickens and I constantly want to touch wood (f’nar, f’nar), but I’m sure something is happening and I believe I am going to get the chance to make many, many more memories with my beautiful family and my beautiful friends, yes, you lot.

 

Speaking of you lot, an old (and bald), good friend came to my door yesterday, my old flat mate from an era, a true coming of age time of my life, the 1990’s where from what I am told, anything and everything that could be done, was done. I do have some memories of that time but I also have a lot of blanks, so it must have been good, right? That time of my life made me a lot of great friends (more than I think I realised) and I am happy to still call them friends, all of them characters and all of them full of love for “Top Flat”, 44b. A lot of them are you guys reading this now and I’m quite sure you know exactly what I mean. (It also seems quite apt that as I type this the radio is playing “Champagne Supernova”)

When he arrived at my door, I was nicely surprised as I have not seen him for what feels like too long a time, which is mainly my own fault for since living out here in my little patch of Dorset as a husband and dutiful father, I have kept myself away from the temptations that caused the blanks in my mind from that time, but I was worried for him as I could see that all was not right, he was crying. I ushered him away from my children’s prying eyes and questions, to ask my own question of him, to see if he was ok, his own family has gone through the cancer mill and I feared the worse for him. He was fine, but he was burdened with the momentous task of carrying and delivering a MASSIVE amount of love from a collective of beautiful, beautiful people which left me speechless (in a good way, not because my trachea was inflated).

 

You know what you have done for me, but those of you that don’t know, this collective of beautiful characters have organised themselves to touch me emotionally, to help me and my family make more wonderful memories through that most appreciative mediums, a collection of love, that if I didn’t have this tube and open wound in my neck right now limiting my excursions to my own garden or out to the hospital, I would be out there now spending that love and having laughs with my kin.

 

I am so overwhelmed by the amount of love given to me from this collective and from the guys at my old place of work and there is a chance that I fear I may feel guilty if I survive, but I’ll get over that as I do intend to keep doing everything I can to help my chances to beat this awful disease.

 

My beautiful wife is so very grateful too for these acts of true kindness, love and support you have shown us through this tough time and she has a plan (many birds with one stone), my daughter loves the look of the Pirates of the Caribbean movies and my son wants to go on “one of those, floating hotels”.  So, although our family holidays have always been fun, like Cornwall earlier this year and caravanning the years before, they have always been self catering (Steve catering), this time she wants us to be pampered and as soon as my neck is heeled without trachea, apparently we’re going on a Family Caribbean Cruise and your love that you have sent to me via Roy and Mark is so going to make this happen.

 

Thank you all for your skills in memory making, it means so very, very much to me. I will be inviting you all over to my patch of Dorset this summer, my own little bar does have a function room now so we’ll have to use it and maybe make some more memories together. Here’s to hoping the sun doth shine.

 

 

This is me, Steve Royal, remembering parties at Top Flat, bums through windows, indoor rifle ranges and wardrobes that just got in the way. Love you all you amazing people, keep doing what you do, love each other, keep smiling and have a week.