Thursday, July 24, 2014

Exciting Happenings

Sarah's Reaction
Well, in the span of 5 days the Evans Family had a lot of excitement. 

Two weeks ago Kevin, Sarah's boyfriend (and also high school sweetheart), came to us and asked us for Sarah's hand in marriage.  We gladly gave him our approval.  He wound up proposing in Montana where they had gone for a job interview for Kevin, and a mini vacation.  They were sightseeing in a ghost town at an old church and Kevin got down on one knee, proposed, and was taking pictures the whole time.  Multitasking.  So now our youngest daughter is officially engaged.  We know Kevin's family and we are so happy to have them all now a part of our family.


Last week, Donna and I were also in Sunnyvale at the headquarters of Pharmacyclics, the company that makes Imbruvica, the drug that I am now on.  About a month ago I had received an email asking me if I would be interested in participating in a Patient / Caregiver Advisory CLL Forum.  At the time I knew nothing about who was putting it on, or what it was really about.  I first had a screening interview that asked me about my diagnosis, my history, and my treatments.  I must have done a good job in telling my story because at the end of the interview they not only asked me to come, but Donna as well. After two weeks they sent me the itinerary and Pharmacyclics was identified as the company that was putting on this Forum.

On Thursday we flew to San Jose and that evening we went to a Reception / Dinner where all the participants, the consulting firm coordinating the Forum, and members of the Pharmacyclics team gathered.  I was able to speak directly to many of the Pharmacyclics team including a doctor that I had seen many years ago at UCSD, who now works for Pharmacyclics.  I kidded her that she probably knew me pretty well since she had performed a Bone Marrow Biopsy on me.  The staff that we met told us that this was the place they knew they WANTED to work for.  We were able to ask questions about what the future held for their drug.  Because of a non disclosure form we had to sign, I can't get into specifics, but let's just say I am VERY excited about the future.  The reception was opened by Bob Duggan, the CEO of Pharmacyclics.  His opening remarks were very powerful, and you could immediately tell that this is his passion and his life.  We could tell that his passion has spread throughout the organization
Bob Duggan, CEO of Pharmacyclics
with Donna and me
.
The next day we were taken to the Pharmacyclics headquarters.  There were 9 patients and 2 caregivers at the session.  Bob Duggan again came down and spoke to us, once again with a passion and fire you rarely see.  He spoke for about 20 minutes, which for a CEO, must be a very valuable piece of his time.   Then all the participants spoke about their journeys, how long they have been living with CLL, and their treatments.  This was a VERY informed group, most of the patients have had CLL for over 5 years, most have been treated many times.  Once again, I can't get into the details, but it was clear they wanted our opinions on issues and patient advocacy.

At our lunch break, the Chief of Oncology Operations asked the group if any of us would want to go over to their other building and meet some of the staff that is working on Imbruvica.  She told us that it would be very rewarding for the staff to actually see real people that are taking Imbruvica and what a difference it has made in our lives.  These staff members never interact with patients so she thought it would be a great experience for both of us.  So 6 patients and Donna went over to the building and into a giant conference room.  There must have 50 Pharmacyclics staff people in the room.  Each of us told our stories, how we had failed other treatments, how close to death we all have been.  After about 3 patients spoke people actually left the room in tears.  I was the last one to speak and by then I think more than half of the staff were crying.  It was a very powerful and moving experience for both the Pharmacyclics staff and the patients.

At the end of the day, Bob Duggan once again came down, thanked us, and took a picture with all of us.  We then were able to talk to him individually and he seemed delighted to be able to do this.  I know I haven't ever personally met a billionaire, but he is so down to earth and passionate, it was amazing.

We feel blessed that we were able to participate in this Forum and we hope that we contributed something positive, not only to Pharmacyclics, but to future patients journeys.

The day after we got back from up north (Saturday) we went out to dinner with Kristen and Donna's parents because Jeff was out of town.  At dinner we of course joked about Jeff being gone hoping the baby would stay quiet for another 2 days.  Being 5 weeks until her due date we thought the chance of anything happening was slim.  WE WERE WRONG.  At 3 a.m. on Sunday we got a call from Kristen saying her water had broke.  We quickly drove over there and took her right to the hospital.  She had started labor.  Jeff quickly bought another ticket to get the earliest flight into LAX and arrived at 9 a.m.  I went and picked him up and brought him to the hospital.  Kristen had reached a point before he got there where she was not progressing, it seemed she was waiting for him, as soon as he got there she started progressing.   4 hours later baby   LOIS GENEVIEVE came into this world.  Kristen was a real trooper thru the whole delivery and she did a GREAT job.  The interesting thing was that Kristen's doctor was not on call, so the other doctor in the group was on call.  This doctor had been Donna's GYN for over 10 years.  Since Donna was in the room and they were a little short staffed in labor and delivery, Dr. Kelvie put Donna to work helping with the delivery.  Talk about good timing. 

Lois Genevieve
Even though she was 5 weeks early she was still 6 lbs 2 oz, and over 20" long.  But being premature, she does have some issues that caused them to take her to the Neonatal ICU.  Being early means the lungs aren't completely developed so they helped her breathing for less than a day.  She was also jaundiced because of the trauma of the birth, which is very common.  So unfortunately Jeff & Kristen went home without Baby Lois, but she should be home any day now.  We are so proud to once again be grandparents.  We are especially pleased with the name.  They had not told anyone the name until she was born.  Lois was my mother's name, and is also my step mother's name as well as my aunt's name.  Genevieve was Kristen's grandmother's name.  It was so great that they wanted to honor their families in this way.
 
What a week.

I actually have NO news to report and am still doing fine.

Terry

Friday, July 4, 2014

Happy 4th of July

On Tuesday I went for my 9 month visit being on Imbruvica.  My blood numbers continue moving in the right direction and I am looking at continued success in the future.  My WBC (white blood count) is now down to 19K (normal is between 5-10K).  My WBC was 60K when I started and I am still trending downward even though it is at a slow pace.  After I had my blood test and physical exam I once again got a 90 day supply, which is the most they will give me at any one time.  I still have to pick up the drugs from the pharmacy at Moores Cancer Center.  This time I remembered to pick them up.  I continue to get them as a part of the Trial, so there is no cost to me.  I am not sure how long this may continue, but I get the sense it will be for a while longer.

I think there has been some confusion on some people's part about my routine.  I go to UCSD Moores Cancer Center (not Scripps, which is right next door).  Although I am taking a drug daily (Imbruvica) for my CLL, I still go to Moores monthly to get an IV infusion of immunoglobblulins.  This infusion is given to me because I have a compromised immune system and because I have had AIHA (severe anemia) in the past.  So it is given to me not to treat the CLL, but the issues that come up because of the CLL create a higher risk of infection and recurrent AIHA.  

My physical exam was unremarkable, which continues to be the case since the second month I was on the drug.  Keep in mind that this drug does not work for everyone.  It does have about a 70-80% success rate, which is remarkable, but there are people out there that have not tolerated it, or have developed a resistance to it over time.  But right now, for me, it is working well.

It looks like Donna and I will have another opportunity to share my journey with people.  We are schedule to go to San Francisco in 2 weeks to be a part of a focus group on people living with chronic diseases.  We don't know a lot of the specifics yet, but it should be exciting.

Since my last post I have lost two friends to the ravages of their diseases.  One was a CLL friend who had reached the end of her treatment options and opted for a bone marrow transplant.  Her sister was a perfect match, and several months after the transplant they could find no traces of CLL.  However, her body never completely accepted the graft (a condition called Graft vs Host Disease), and unfortunately she passed away as a result of that.   The second person was a dear friend who had been battling prostate cancer for over 18 years.  When he was originally diagnosed his PSA was over 500 and he was only give a short time to live.  He was on the cutting edge of treatments and battled courageously for a long time.  RIP Duane.

Once again I will make the comment that life is a gift.  You can never be certain of where this path will take you.  You can't afford to let the small things overtake your life.  You, or they, may not be there tomorrow. 

Over 200 years ago a group of tradesmen, farmers, and merchants decided that they wanted to rule themselves and form their own country.  Because of the efforts they made, America is the greatest country on earth.  Don't let this day go by without remembering how fortunate we are.


Terry