Paul's Heart

Life As A Dad, And A Survivor

Archive for the category “Cancer”

Dangerous Comments


***I want to state, the following is not a political rebuke against the President of The United States, but rather an explanation, given the current health crisis that our country is going through, the importance of letting scientists do their jobs, and not mislead or suggest unproven or ideas not even conceived, yet intended for as close to as immediate as possible usage.

On Thursday, April 23, 2020, the President made a clear statement to a representative of the health department, to investigate the possibility of looking into “digesting” or “injecting” disinfectants into humans as a possible treatment (just as he pushed for the use of prescriptions used for Malaria and Lupus), and also the use of ultraviolet radiation for use outside and inside the body.  This is not up for debate.  He made the statements, nothing was taken out of context, nothing was sarcastic.

I am not going to comment on the ludicrousness of the idea of treating humans with disinfectants as this issue was addressed when we were children, and as I taught my children when they were three years old… it kills.  Instead, I am going to concentrate on the use of the ultraviolet radiation concept.  While acknowledging there could be a potential possibility, the current crisis does not provide time for research, my personal story is why.

The pictures that are posted above, are taken from my now thirty-one year old medical file for my Hodgkin’s Lymphoma.  I am sharing these for one reason and one reason only.  So you can understand, just how dangerous, an unresearched treatment can be.

For decades, going back even before the 1960’s, radiation therapy was a commonly used treatment for Hodgkin’s Lymphoma.  It led to a high remission rate as far as cancers go.  There were short term side effects from skin burning to sore throats, and other issues.  But something was missing from the research.

As decades went by, so did the modes and methods of delivering the radiation change, or loosely put, improved, still producing similar successful results, but still with the extreme immediate side effects.  But again, information was still missing.

So, in the Winter of 1989, when I made the decision to treat my Hodkgin’s Lymphoma with radiation, a machine called a linear accelerator was going to be used to deliver the treatments, thirty over six weeks.  If you look at the first picture, you will see short term side effects listed, which were pretty much accurate.  But in the circled area, are what is called the “long term side effects”, or potential for.  Bone and muscle issues were a possibility, but so was something called “pericarditis”, an inflammation of the lining around the heart.  That was all that was listed.  Likely, that was all that was researched.

The next photo, in the circled area, shows the dose that I received, 4050 rads.  Next time you get the chance to ask anyone involved in x-rays or radiation, how bad 4050 rads are for a human being.  I actually watched a friend who worked at a nuclear power plant break down in tears when I answered his question about my radiation.  The other pictures are actual polaroids taken preparing me for my treatments.

Nearly eighteen years after my radiation treatment ended, my chemo ending a year later, I found myself in an operating room having emergency bypass surgery for a “widow maker” heart blockage.  The cause?  Radiation damage.  Go back again, and look at that first picture.  Do you see that anywhere?  Of course not.  Because long term side effects were not researched beyond even five years.  Had it not been for a flukey feeling, I would have died.  My cardiologist guaranteed it.

Following the recovery from the surgery, I was seen at a “survivorship clinic” at Memorial Sloan Kettering Cancer Center in Manhattan.  A doctor there had been studying late effects from treatments for Hodgkin’s Lymphoma for a long time, but not something that was mainstream.  After my first few appointments, the following damage was diagnosed and determined to be caused by the radiation therapy in addition to the bypass:

  • heart valve damage
  • other blood vessels needing repair or bypass
  • carotid artery damage (both affected)
  • muscle loss in the back of my neck and shoulder area, causing my head to drop forward
  • both my shoulders pull forward on their own from the muscle loss
  • upper torso pain as well as spine issues
  • Barrett’s Esophagus (a precursor to esophageal cancer), as well as other issues within my digestive system
  • a 76% lung capacity (the lower left lobe is considered “dead”)
  • restrictive lung disease
  • several unidentified spots on both lungs, being observed and monitored for development, possibly into lung cancer

Again, go back to that first picture.  Think medicine missed the call?  Research was not done back when I was treated.  I opted for radiation because I felt chemotherapy would have been more difficult to go through, not knowing what would affect me later in life, because medicine had not researched it.

Today, medicine knows.  Radiation therapy has been researched properly.  Follow up protocols have been established because besides developing late side effects, it has been discovered, us Hodgkin’s patients can live a long time, a long time for these effects to develop.  Scientists have learned that more can be done with less and concentrated beams of radiation, resulting in less damage.

But knowing what I know now, would that have changed my mind to what I decided back then?  I honestly cannot answer.  I was scared shitless of chemotherapy.  But my point is, I have to let medicine do their jobs.  They are the ones researching the cures.

Now again, last night, the President said something publicly unfortunately.  I am not picking on the President or making fun of him.  I am also not saying his suggestion did not warrant any kind of scientific study.  But by blurting out the concept of ultraviolet radiation, without any “who, what, why, when, how much”, too many people looking for a cure for Covid19, put an unnecessary and unproven pressure on scientists.

I am proof that there is value in “long term side effect” research.  And I am no expert in ultraviolet radiation or used in therapy.  All I know, like many, is that we get sunburned because of exposure to the sun.  Which means that UV energy needs to be harnessed, and controlled, then determined how to be used, and most importantly, the potential for side effects, short term, and long term.

Personally, I have gotten to handle UV radiation in my former employment to disinfect surfaces.  As the scientists report, it is very effective in killing bacteria on solid surfaces, especially in an area of bio-hazard contamination, or need for quarantine.  But the key is, it has to be controlled.  You can go blind from improperly handling UV rays.  And there is certain to be some sort of damage from pro-longed use.

Like I said, this was not something to just be tossed out as some sort of bragging point to present oneself as some sort of ideaman.  This was something that should have been talked about through his appointed directors to investigate.

To be completely honest, I do not know if it would work or not.  And really, if it was a flat out “no”, I do believe that the medical experts that were by his side should have shut the door on that though right away.  But before this  can go any further, it needs to be investigated, and there is not time to investigate long term (remember, my long term side effects did not show up until eighteen years later and continue to this day thirty years later).

Right now, the scientists need to focus on what they already know has the possibilities.  To re-direct their attention for something that has not even been a consideration at this point will drag this crisis out longer.

I only wish the President would allow his committee to do the talking.  They are the ones who actually know what needs to be done and how to get there.  Is not that why he appointed all of them.?

A Tribute To Those On The Front Lines Of Covid19


I want to try something.  I have made no secret over the last many years, the huge amount of respect and appreciation for those who chose the field of medicine as their life.  They did so in complete disregard for their physical and emotional needs, for one reason, because they were special.  They possess an ability and skill to care that we could only aspire to possess.  Over their careers, I am certain they have had their shares of successes and tragedies.  But nothing could have prepared them for what they are dealing with today, Covid19.

I have many friends and acquaintances who are doctors, nurses, EMT’s, techs that I could not possibly name them all, not just because my memory is no longer what it used to be, but I would not want to forget and leave anyone out.  So, instead, what I want to do, is share a personal story about two nurses that show why everyone on the front lines in the hospital deserve our respect and appreciation for the sacrifices they are making.  And then, I would like you to offer a story of a nurse or doctor or tech that you dealt with, that went above and beyond, in a time when Covid19 was not even a thought.

It does not matter if you comment here, or on Facebook.  And I want you to share this story.  I want to fill social media with stories that show how much these heroes mean now, and what they have meant to us before, and what they will mean to us after this crisis has passed.

I have one experience involving two nurses.  At the beginning of my heart issue, when I went in for a simple catheterization, I had a nurse named Heather.  She spent a lot of time talking to me, and comforting me knowing I was scared with the uncertainty that I faced with a potential heart problem.

Fast forward to the discovery that I actually needed and went through an emergency heart bypass, thirty six hours later, when I came to in the ICU, Heather was at my beside along with my ICU nurse Joe.  She was happy to see me and that I was alert.  I was unable to talk because of all the machines that I was hooked up to.  She had completed her shift in the angio unit, and had heard that I underwent this surgery.  As one of her patients, she wanted to see how I was doing.  And it was not the only time that she checked up on me while I was there.  The point is, she did not have to.  I had so many nurses, and saw so many doctors, but she was the one that was concerned about me, and my outcome.

Meanwhile, Joe, my ICU nurse for the first twelve hours, was relieved by Jackie.  Jackie would be my nurse, seemingly for longer than a twelve hour shift.  I had no concept of time, but I do not remember seeing any other nurse.  I was more alert.  I was taking off the ventilator.  I could finally see that she had another patient that she was responsible for observing.

The time eventually came for me to leave the ICU for the next level of care.  Two days later, in the middle of the evening, a shadow had peeked through the door of my room.  It stayed there for a couple of minutes, and then quietly began to exit when I called out.  “Who’s there?”

“It’s me, Jackie.”  I scolded her for attempting to leave without giving me the chance to say “hello” and “thank you” for all she did.  She had been off from work  the prior day.  She decided to track me down on her break, and come to see how I was doing.

In my life, I have been blessed to have the best care for my health.  And I am not just talking about the actual care, I am talking about the compassion, a facet of their career that is just as important, especially to the patient.  The doctors and the nurses that I have, or have had, have gotten me where I am today, still alive.  The majority of them now face the biggest challenge of their careers, and it is not just Covid19 risks itself, but emotional and physical stamina.

So I ask you, to comment and share, your story/stories, of a health care worker that is your example of proof of the unwitnessed extraordinary sacrifices you know are being made today, because you have personally witnessed them.

The Fantastic “Voyage” – 12 Years Later


At this time, twelve years ago, I was laying on a table, with no heartbeat.

I had been taken to the operating room around 4am, with a detour at the hospital chapel.  I was scheduled for an emergency triple bypass that was discovered only because I was annoyed by a symptom that I could no longer ignore after four months.  Less than twenty-four hours earlier, I had undergone a catheterization which was believed to have been good enough to correct the suspected blockage.  Instead, my cardiologist had discovered, I had a blockage that gets the dramatic nickname, called a “widow maker.”  Because that is what the type of blockage leads to, a fatal heart attack, not if, but when.

I have written before about the procedure, and you can view the page, “CABG – Not Just A Green Leafy Vegetable.”  Instead, as I have had time to do during this social isolation, I went through my medical file that I have a copy of every record from April 17, 2008 on.  I came across my surgical report from this bypass surgery.

Reading this report reminded me of a movie that I had seen on multiple occasions as a child, “Fantastic Voyage,” featuring Raquel Welch.  It was a sci-fi thriller that had doctors shrunk in size, placed into a submarine type vehicle, the inserted into a syringe, injected a patient.  The vehicle would travel through the body into the various systems finding themselves under attack from white cells, that were only doing what intended, attacking foreign bodies, and other creative situations, all in the attempts to perform a surgical procedure from within the body itself.  Seriously, check out this movie if you can find it.

Anyway, as a Hodgkin’s survivor, I was taught the importance of keeping a copy of my records for everything.  Because not every medical personnel you deal with will have necessary and immediate access.

This is not the first time I have read my surgical report on my bypass.  But as I do, I am still amazed at the detail, the effort, and the literal “life and death” status, not to mention a whole bunch of big words, that to this day, I still have not looked up as to their definitions.  The report, as understood on its own, is enough for me to handle.  So with that, I want to share some of the “cool” things that were done to me during this process.

“median sternotomy incision made… sternum divided…”

“divided left mammary artery”

“anterior pericardium was opened”

“The patient was placed on bypass, cooled, and emptied.  With the heart emptied, a crossclamp was placed and one liter of antegrade cardioplegia solution was given through the catheter in the ascending aorta.  The heart became asystolic.”

This one really got to me.  My heart was emptied of any blood, and it was stopped from beating.  I was dead.  I was on a bypass machine, but my body for all intents and purposes was no longer capable of living on its own.  The bypass procedure was now literally on the clock.

“Hot shot of warm oxygenated blood cardioplegia solution was given.”

“Valsalva maneuver was performed” (artificial respiration technically)… “the heart was allowed to fill” (with blood).

“The heart fibrolated at this time.”

“off bypass…”

“wired the sternum, closed the wound in routine fashion…”

With that, I was taken to the ICU, where I spent an unknown amount of time.  I had no windows so I have no recollection if it was even days.  The entire report is amazing to read.  It makes my experience even more remarkable because I not only lived it, but survived it.

This was the turning point for me in my survivorship of Hodgkin’s Lymphoma, a hyper-awareness with my body’s health.  I learned all of the other issues my body deals with because of the treatments that I went through to save my life over thirty years ago.  Of course now, I wonder the status of the bypass, not necessarily a lifetime solution.  No doctor is willing to give me a time-frame on the bypass lifespan.  But twelve years out, and with the progressive damage still occurring, I know that I have to still be observed not just for this, but all of my other issues.

But given the reality of the Corona Virus crisis that we are in, I have a different point that I want to make.  Though not every outcome results in a positive end, our health care personnel are amazing with what they not only can do, but the circumstances they must perform under.  I will always have the utmost respect for my doctors, nurses, techs, and all of the other personnel not just to care for one patient, to care for all.

I am thankful for you all, whether you were in that operating room or not.

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