I’m Done. No, You Are Not.
When we go to the dentist for a cavity to be filled, we pretty much know what to expect and how long it will take to get through, the Novacaine, the drilling, and the filling, and that’s it. When it is done, it is done. The cavity has been fixed.
A couple of days ago, I wrote about one of the top two issues concerning Hodgkin’s Lymphoma patients, in efforts to avoid going through traditional cancer treatments such as chemo and radiation. This post is going to be about the other situation. It is also another question that comes up at least once a month across my feeds.
“My mid way scan came back, and I am in remission. The doctor wants me to keep going with my treatments. But if it is gone, why do I need to keep going?” A reasonable question, and using the analogy of the dentist visit above, most do not have to return to the dentist for any more work on that particular cavity. So, if the cancer is gone, why does someone need more treatments?
Science and medicine, in its research of how to treat Hodgkin’s Lymphoma, determine the methods, the medicines, the dosages, and the durations of the treatment plans, that have the best chances to put a patient into remission. As I mentioned in the other post, Hodgkin’s Lymphoma has one of the higher remission rates for cancer. It is because of all that research, that an oncologist will put together a treatment plan that gives the best chance for remission.
So when the treatment works so good, and a patient ends up in remission sooner than anticipated, why isn’t that good enough? Because. The treatment plan is not just about getting into remission. It is about staying there. What will be the best chance for “long term” remission. Certainly reaching the short term goal of remission is huge! But a patient wants to stay there.
If you have ever dealt with a sinus infection, or anything else requiring antibiotics, chances are, you were given a regimen to take for up to ten days. What some will do, is as things look better, or start feeling better, will stop taking the antibiotic because it worked. And within a couple of days, the infection comes roaring back. If you are lucky, you can still take the same antibiotic, or possibly for a longer time, perhaps need a different medicine.
The treatment plan for Hodgkin’s Lymphoma is no different. When I began this journey 35 years ago this month, I had already completed radiation alone which my doctor had not recommended, and though I achieved remission, I developed new disease, meaning I would have to go through chemotherapy, something I desperately wanted to avoid. The plan was to go through a regimen six months of a cocktail called MOPP-ABV, a treatment rarely if ever used any more (thanks to medical advances). This was a brutal cocktail, highly toxic, but effective in treating Hodgkin’s. It had a lot of side effects, back then, these were not really managed, you just dealt with them.
Following the completion of my fourth cycle, my scans came back with the greatest news. I was in remission. And in my head, that is all I thought I was going to need. But not only did my oncologist want me to finish the other two treatments, for the total of six as planned, he actually told me that he would like me to consider two additional cycles, even calling them “preventative.” I thought to myself, he had to be out of his freaking mind!
As I got to the end of my sixth cycle, it was decision time. I had held my own during all six cycles, and my oncologist felt very strong about me going through two more cycles, which he felt would give me my best shot at not only remission, but long term remission, staying there. I heard him. All I had to do was have enough faith and trust, that it outweighed the Hell that I had gone through the previous six months. I decided to go though the additional, preventative chemotherapy which I finished thirty-three years ago.
Though I cannot say what would have happened had I only done the original six, or worse, stopped after the four that got me to remission, what cannot be argued, is I have lived four decades since my treatments ended. And that was no accident or luck. I trusted science. I trusted my doctor. And it paid off.
As I said, this situation comes up often on social media, and I always relate my story. Very rarely do I ever hear back if someone decided to stop after hearing remission, or if that had worked out for them, staying in remission, or relapsing, until two days ago. I was contacted off-post by someone commenting on my reply. He was one who “quit” after his four cycles and being told he was in remission. His Hodgkin’s came back. Unfortunately, he also was not able to go back to the treatment regimen from before, because that is not how you treat relapses. He ended up not only going through more difficult level chemotherapy, but also a stem cell transplant. As he put it, just because he “wanted to be done with it.” He did mention to me, that he often wondered if things would have been different had he continued on, and now uses his situation to encourage others, to stay the course, the full course.
When it comes to treating Hodgkin’s, or any cancer really, there is no room for “coulda, woulda, shoulda.” Follow through on what the experts, the doctors want and need to do, to put you into long term remission. I know treatments are not easy to endure, but believe me, they are a lot better than the treatments that I went through, and definitely better than what my predecessors went through. Best of all, side effects today are now mitigated for the most part, whereas we just had to put up with them.
Paul's Heart 