Welcome to our 'Hopeful Spot'

Dear Family and Friends,

We look forward to sharing Ian's medical progress and our family's journey with all of you.

This is where we will do our best to keep you up to date on Ian's medical condition. This is how the story started:

In August, 2007, Ian developed what started out like an itchy fly bite on his right shoulder. Within two weeks it was about 8 mm in diameter, raised, red and extremely itchy. It was excised, and found to be a "stage IIB malignant melanoma". This was followed by a wide excision down to muscle, skin grafting, and what is called a sentinel node dissection. Radioactive material is injected in the original site, and all lymph nodes that accumulate the material are removed, presumably the lymph nodes that drain the original tumour.

As this tumour had aggressive features, the risk of recurrence was estimated at 30%. A search of the literature revealed several prominent names, including Dr. Lawrence Flaherty of Wayne State in Detroit. I emailed Larry, who emailed me within an hour, and called me later that day, talking for an hour. He recommended that I consider a year of high dose interferon alpha. This appeared to reduce the recurrence rate by 25-30% - ie in my case maybe to 20% from 30%. I took the drug IV at home, in Joan's hospital, and by self injection for 11 months.

I began in March to have upper abdominal pain. When the maximal treatment for a peptic ulcer had no impact, an ultrasound, followed by a CT scan revealed that I had multiple area of tumour in my liver (about 10 or so, 1-2 cm in size), an 8 cm mass of lymph nodes just outside my liver (porta hepatis), and a 2 cm right axillary lymph node. Undoubtedly the cancer had spread from the get go.

After a whirlwind of emails to experts (Larry Flaherty, Teresa Petrella, and Jeff Weber of Detroit, Toronto and Tampa respectively, as well as Paul Chapman of Memorial), an opportunity suddenly arose unexpectedly. Jeff Weber had an opening develop in a then closed study of a drug that for him looked quite exciting. Like most of the treatments of melanoma being investigated, it is an immune modulator, that helps the immune system attack the tumour. I had to be in Tampa in 36 hours to be screened. This drug is given IV over 90 minutes every three weeks. Responses are delayed. Imaging to assess response is not done for 12 weeks. Some dramatic responses have occurred much later. The main adverse effects are fatigue, diarrhea, cramps, and a rash.
I was screened on June 5th, and hope to start the drug on June 9th.

Your interest in our journey is a comfort to us. Please sign on as a follower, so we know you are there. Add a comment as you wish. If you would like, email Ian at dr_i_reid@hotmail.com.

We also want and need to hear your news. It will be affirming for us to know that we continue to be an important part of your lives.

In addition to access to the best medical resources, we are most fortunate to be blessed with all of the ingredients in the recipe for a positive outcome. We are surrounded by love... and so grateful for our closely knit family, our many precious friends, our caring community and our nurturing church family. We share a deep and abiding faith that God is walking this difficult path with us.

Please take comfort in knowing that for us, this is a journey of hope. While we are well aware of the seriousness of our situation, we wish to focus on our blessings and strengths, celebrating each day to the fullest.

Remember, continuing to include us among those who share in your joys and sorrows... sending us your messages of encouragement, faith, hope and love... and keeping us in your thoughts and prayers are the most important things you can do to support us.

Blessings to all of you,

The Reid Family


Saturday, January 15, 2011

A New Year

Christmas is behind us, and 2011 beckons. I am blessed by continuing to feel healthier and stronger. My CT scan, now done every three months, shows further shrinkage of the mass outside of my liver to less than 10% of its original size 17 months ago. It is nothing short of miraculous that after only two doses of a planned 9 doses have resulted in such a change.

My oncologists have supported my beginning to return to the emergency call schedule. I still work four days a week, and rest on Wednesdays. Unfortunately some of my colleagues at the hospital do not support my current limitations and are exerting enormous pressure to return to my previous workload. This has been a source of considerable stress and pain.

On a positive note, my family are all well. My oldest Pat, is in New York City studying and composing. He has a premiere of his suite for jazz trio and string quartet being performed in Toronto next week, after being recorded for an album. Steve is working towards medical school in the fall, and working at Dalhousie Med School. Dave is completing his third year on keyboard at McGill, played the Montreal Jazz Festival last summer, and may go to the Banff Centre with his ensemble East-West this spring.

The most important priority is to keep getting well. The cancer journey is not over, not until the mass is gone, and then for 10 years after that. Melanoma can recur in bizarre places and times. I continue to try to balance diet, exercise, rest, mental health and spritual health dimensions which I am convinced have played a role in my response to treatment. Regardless of pressures from the hospital and colleagues, I cannot forget this most important priority. I have had to discover that most colleagues are not friends, just co-workers. We are a commodity, and quickly forgotten and replaced. It is good to know this, to avoid deep disillusionment and disappointment.

My next CT will be in three months. It will be another milestone. Hopefully I will be even healthier, and still have a career in PEI.
Posted by Ian at 11:17 AM

1 comments:

  1. Hi Ian
    The Lord bless you, and keep you;
    The Lord make His face shine on you,
    And be gracious to you;
    The Lord lift up His countenance upon you,
    And give you peace.
    XO Sue

    ReplyDelete

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