Paul's Heart

Life As A Dad, And A Survivor

Archive for the category “Side Effects”

National Stroke Month


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I am not sure what the other leading causes of death are, but I am certain that auto accidents, heart attacks, and cancer have to be in the top five.

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Timing is everything when it comes to dealing with someone who has had a stroke.  Effects from the stroke can be minimal or severe, short term or permanent.

So what exactly is a stroke?  There are a few main types.  The first is called an ischemic stroke, which for simplest terms, is a blood clot in an artery going to the brain.  It can be caused by fatty substances building up a blockage, or even due to an injury.  Another is called a hemorrhagic stroke, which yes, that means bleeding out.  A common cause of this is a blowout of a blood vessel, called an aneurysm.  Finally, there is the TIA, the transient ischemic attack.  Often times this is not considered a “stroke” per se, but rather a “pre stroke.”  If you have one of these, chances are likely that a stroke is more common to occur.

The truth is, without awareness, you may never realize if someone is having a stroke, and just consider a situation odd.  But having had one relative die of a stroke, another suffer a stroke, my awareness of my father having a stroke following surgery for lung cancer led to a discovery that was definitely unexpected.

My father had just has part of his lung removed for cancer.  The surgery went as anticipated, but his recovery took longer.  He would not wake up.  When he was finally alert, they brought him to his room.  But after the first 48 hours, he was expected to resume normal behaviors such as eating and drinking.  Instead, clearly  my dad was confused.  Both my brother and I witnessed several odd circumstances such as my father claiming to need his glasses to eat, he could not see the food and coffee placed in front of him.  I knew my father wore glasses, but not every moment.  He was not blind, and definitely did not need glasses to see things directly in front of him.

But when a certain food item was placed in front of him, a conversation started that would probably save his life.  A particular food item sparked my dad’s appetite, a mozzarella stick that I purchased down in the hospital cafeteria.  Yes, I know, an odd food choice served by a hospital, but I was glad to have it, trying to get him to eat.  He took a bite and then offered the following compliment, “this is good… how did they make it so soft?”  I thought my dad was just goofing around, though he normally does not have that type of humor.  I told him, “Dad, it’s a mozzarella stick.”  And then he sternly responded, “NO, it’s a carrot stick.”  We exchanged back and forth a couple of times, but clearly my dad was not joking.  My brother and I looked at each other and knew something was wrong.

The sad thing is, a doctor was just in to see my father, and pretty much pronounced him, “recovering well.”  But following that conversation with my dad, I dragged the doctor back in, and then a neurologist was called in, and yes, after further testing, my father had not only suffered a stroke, but two of them.  And more effects from the stroke would be discovered.

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A family member is the best opportunity for a quick response to someone having a stroke.  We know how our loved ones act, speak, walk, and go about daily activities.  And just because they do something odd, does not mean that they have suffered a stroke, it could have just been a moment.  But being aware of the following expression, might just make a difference to someone you know and/or love:

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The clip art on this post, were all taken from the American Heart Association and American Stroke Association web sites.  But one word, FAST, says it all.  Fast not only describes the symptoms and response needed, but also tells you how quickly you need to react.

You can make a difference.

Thank A Survivor


The following is a speech that I just gave at a local Relay For Life event where I was being recognized as their 2015 Honorary Cancer Survivor.  I want to thank fellow survivors who helped me prepare this speech with their input and feelings that they felt should be expressed to current patients and survivors.

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I think we will all agree that 25 years of surviving cancer is a pretty big deal. But what you may find hard to believe, up until I hit this particular anniversary, I have never given myself credit for surviving cancer this long.

You see, I battle an issue called “survivor’s guilt.” Yes, that means exactly what it says. I have walked through these 25 years wondering why I have gotten to survive my cancer, while so many either do not, or face recurrences or new cancers. Do not mistake my gratitude, I have a lot to be grateful for, including two beautiful young daughters. But having gone through cancer in a time period when survival was based on a “five year survival rate” plan, I have wondered ever since “why me?”

Tonight, I finally give myself a break. And instead I ask myself, “why not me?”

It has been a long time coming to get to this realization, and it is because of our Naples Relay For Life Survivor Committee Chairwoman, Olyvia Eldridge, that I wrote this particular speech this evening. Olyvia, by showing this survivor what has been done for him, I realize that being a survivor is not just about being a visible statistic to other cancer patients and survivors. Being a survivor means supporting other patients and survivors.

So tonight, I want to draw your attention to the hundreds of cancer survivors here this evening, and by survivors, that also includes patients either just diagnosed or going through treatment. Now with a show of hands, how many have survived cancer since at least 2005?

Take a good look around you. No, take a long and lasting look. With the theme of this year’s Relay being “Wish Upon A Cure,” I have but one wish tonight. And even if you are not spending the entire night with us, you can make my wish tonight come true.

The Relay For Life is about raising funds to not only find cures for cancers, but to find better and safer treatments and follow up care. And while your role in this process is so very important, as is the scientists who look for those cures, it is the long term survivors like those of us here this evening that I would like you all to just take a few moments, and not only tell them that one day you hope to be a survivor like them, but to thank them for the care and treatments that are available to you today.

Our treatments just a couple of decades ago, were quite harsh. And as we have survived all these years later, medicine has realized something very important. That while every cancer patient just wants to be done with cancer with that final treatment, to survive cancer long term, you are not the only one who needs to take care of yourself, but doctors have recognized a need to follow patients for the rest of our lives, even for the slightest of late developing side effects, so that years after having beaten cancer, you no longer face the possibilities like myself and so many others have had to face.  Because of those of who have survived cancer for so long, protocols have been written, and rewritten, and rewritten, and doctors have expanded their medical orientation from cure to now what is going to be the quality of life for a patient in 10, 25, 50 years and beyond. Because of us, doctors will now take better care of you, following your treatment for cancer. Screenings for certain issues occur annually or longer if possible, but issues are dealt with sooner than later. And as any cancer patient knows all too well, the sooner and quicker dealt with, the better. And because we are now followed up more closely, and yes, for the rest of our lives, we actually have an advantage over the average healthy person because issues are discovered before they become symptomatic.

If you spend time with one of us this evening, getting to know what it has been like for us to live post-cancer, without the care that you will now be getting, and to understand just how important this new protocol is to you, and believe that you too, will someday be a long term cancer survivor like myself, and so many others.

This is the legacy my generations of survivors have left behind. And I have faith that you will further build upon that foundation and with the help of advances in drug and immunological research, we will all someday hear those words, “you are in remission.”

I began my life as a survivor 25 years ago. I began my support as a survivor and caregiver 25 years ago. I began my advocacy for cancer patients and survivors 7 years ago, when it became known to me, that long term survivors were having health issues that were not being followed up properly. And I became a patient advocate a little over a year ago, when a dear friend lost his life, for the lack of a simple protocol during cancer treatments with a drug known to have the potential for serious side effects.

Tonight, my team, “Michael’s March”, in memory of Michael Scheidemann will walk this year’s Relay. Each hour, I personally, will walk and dedicate an hour to a cancer patient or survivor who has had an impact on my survivorship, and will write their name on the front of this t-shirt. And I invite each and every one of you, to follow me throughout the night, and write your name on the shirt as well.

In closing, as I always do, I offer these words to you…

“As I go down the road of remission, I will keep looking in my rear view mirror to make sure that you are still following me. And if you are not on that highway, hurry up. Because once you get on that road, it’s a great ride.”

Two Reasons I Do Not Like Mid-April


I think it was Ben Franklin who stated, “only two things in life are guaranteed, death and taxes.”  Of course I am paraphrasing.  But in April of 2008,  I almost proved Ben correct.

I want to indulge this post, because I am preparing for our local Relay For Life, and will not be able to post this “anniversary” post.

On the day after the deadline to file income taxes, I underwent a nuclear stress test, which had nothing to do with the tax preparation or results for the record.  I was dealing with annoying chest tightness, and my family physician of nearly forever recommended the test based on my history of having had cancer as well as other biological health issues.

Now rather than repeat the entire story, you can check out the page “CABG – Not Just  A Green Leafy Vegetable” for everything that happened by the detail.  But long story short, 36 hours later I would end up having emergency heart bypass surgery.  The cause of the blood restriction to my heart was the real shock, because up until that point, there was no reason to be concerned about cardiac issues.

The main artery to my heart had been so badly scarred from radiation damage during the period I was treated for my Hodgin’s Disease.  That was just the first discovery of many, that would now become my current world of long term cancer survivorship.

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A week later, I was sent home, along with my “heart” pillow to help provide comfort for my very tender breast bone area.  I would make my first phone call to Memorial Sloan Kettering to begin what should have been done eighteen years earlier, post treatment care.

By now, almost every area of my body has been checked for late developing side effects caused by either my diagnostic methods, or chemo and radiation treatments.  The list of diagnosis of serious issues are more than a dozen long.  For now, doctors concentrate on the major and potential life-threatening issues:  cardiac, pulmonary, immunological, gastrointestinal, neurological, muscular, and orthopedic, and of course psychological.

It is one thing to have beaten cancer, but it is another to have to deal with permanent issues that medicine had no idea they would be dealing with, once cancer patients would begin to live regularly past the magical five year mark.

This post is not about dealing with all those issues.  No, I want this post to be positive.  This year marks the 7th anniversary since I had my double CABG.  And as I have pictured above, there are only two reasons I got through that procedure and the reason I am still around today.

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