February 2nd – 100% Cancer-Free…Now what? Today Dave, my parents and I heard the words that we have been hoping to hear for the past 14 months…I am disease-free! As of today, I can officially call myself a cancer survivor. Unbelievable…it will take me a while to adjust to this “new status”.
Both my oncologist and my surgeon confirmed that the tumor, in addition to all of the other areas they biopsied during surgery, revealed no active cancer cells when they were placed under a microscope. This puts me in a much better place than where I was after my last surgery when the pathology report revealed that there were still microscopic cells living in my stomach/pelvic area.
So, I’ve spent the last 14 months single-mindedly fighting this disease…now what am I supposed to do? Unfortunately, I am not “off the hook” quite yet. The Dr’s gave me 50/50 odds that the cancer will come back over the next 3 years. Although 50/50 doesn’t sound great, it is much better than when the odds were stacked 90% against me after my first surgery. They explained to me that given how well I responded to both the chemotherapy and to the surgery, “I am the best case scenario of an unpredictable situation”. Basically, this means that they hope my odds are better than 50/50 but they don’t want to make any promises given how unpredictable sarcoma can be.
The Dr.’s said that I will now go back to “watchful waiting” which means I will have CT scans of my chest, abdomen and pelvic area every 3 months for the next 5 years. 70% of recurrences happen in the first 3 years and 90% of recurrences happen within 5 years. So, if I can get through 3 years without the cancer recurring, we will all rest a lot easier. If I can get through 5 years, we will be ecstatic!
The common reaction that someone has when they hear my news is to say “Let’s celebrate! That is fantastic”. The truth is, I don’t really feel like celebrating right now. I have been actively mobilizing against this disease for the last 14 months…now that I don’t need to fight anymore, I am just plain tired! It feels like I haven’t stopped running since last December and now I just need a break. ]
I also feel that the biggest battle/challenge isn’t really over, in a way it has only just begun. Trying to live cancer-free, knowing that every 3 months over the next 5 years I will be “tested” (physically and emotionally) to see if the cancer recurs seems a lot harder to me than what I just handled. There is something deeply gratifying about actively treating your condition every month…you feel like you have some amount of control. Watchful waiting seems a lot more terrifying to me. Although I know I have to “forget” about these quarterly check-ins and live life one day at a time, that is much easier said than done.
I have just begun to digest all of this news. It was a bit of a surprise to me that I had mixed feelings when the Dr’s gave me this GREAT news. I thought I would be tremendously happy and what I find is that I am a bit sad as well. On one hand, I am so, so grateful that I have won this battle and don’t need to actively treat my sarcoma anymore. On the other hand, I have been so focused on handling and attacking my cancer, that I feel there is a bit of a void.
A good friend of mine equated my situation to post-partum depression and I think the analogy works well. From the moment you find out you are pregnant, you spend every waking minute doing everything in your power to produce the most wonderful, healthy baby that ever was to be born. “Giving up” is just not an option. When that baby is born, you are thrilled to have a child but you also struggle with questions such as “what do I do now?” “What will define me?” I am convinced that this is the reason why so many cancer survivors run marathons or do other amazing athletic feats. Part of it is to prove that their bodies are strong, but a bigger part I believe, is due to the fact that they need another “task” to be single-mindedly committed to.
The more I find myself facing these post-treatment challenges, the more I admire the mission of Lance Armstrong’s Live Strong Foundation. Armstrong realized that although putting resources against treating the disease is the most important thing to do, it is also critical to help patients live strong after they have survived the disease. The Lance Armstrong Foundation just donated $1million dollars to Memorial Sloan Kettering to help them develop a survivorship program. I am thrilled to say that I will be a part of the committee to determine how that money is best spent and what programs need to be developed to help those of us who want to figure out how to adjust back to “normal” when things will never really be normal again.
Writing this journal has been so cathartic for me. I feel like although I no longer have cancer, I have so much more to write and express about how this disease has changed, and will continue to change my life. Please continue to follow up on me as I will continue to write.
January 29th - Lounging at Home and Loving It The past week has been great.  The surgery was not nearly as difficult this time so although I have been watching a lot of trashy TV and reading lots of magazines (I can debate, in detail, the 8 different POV's on the Brad and Angelina "love child"), I have been up and about as well.  Every day I have tried to do something fun that gets me walking (the Dr's say that I should try to be active if I can handle it).  Dave and I got home from the hospital last Saturday and enjoyed having his parents visit for a few days.  It was so nice to have them here and for them to see how well I was doing.  My friend Joy who works for Victoria's Secret made my week by delivering lots of wondeful, comfy pajamas to wear as I was recovering.  We received visits from so many friends and family (Aunt Blab and Uncle Barry, Emily, Justin, Jackie, John, Todd, Rosie, Julie). The highlight of the weekend was that my friend Ann was in town from Seattle and she surprised me with a visit!  It was so wonderful to see her.
During the week I had a lot of fun going to breakfast with Alicia, Tina, Alanna, Jamie and Robin...since I am on a low-fiber, low-fat diet, I have been restricted to eating very few foods. This week has been carb heaven!  I think that I can become a food critic for pancakes...after sampling about 8 different kinds this week (EJ's is still the best).  Yes, I will be very happy to go back to a diet that has some fruits and veggies in it. 
I am planning on going back to work for a few days this week because I am feeling so well.  The topline report from the Dr. has been very positive but I will know all of the details on Thursday when we meet with my surgeon.  Keep your fingers crossed.  I will write again after our Dr's appointment.

Enjoying dinner with both sets of parents at our apartment

 

Ben and Shaun helping Dave blow out the candles on his birthday cake
We enjoyed so many wonderful visits from family and friends

January 21st – 6 Rounds of Chemo and 2 Surgeries – DONE!

 Hello everyone. I am home and so happy about it! I left the hospital yesterday (Saturday) around 11:00AM and have really enjoyed getting used to the comforts of home (a shower…the first in 5 days, a bed that doesn’t move every 15 minutes, a menu more extensive than crackers and jell-o).

Overall, I had an excellent stay in the hospital…much, much better than expected. As Dave said, the surgery was not nearly as invasive as the Dr’s had believed it would be (they don’t know until they really look inside). The incision they had to make was not quite as large as the last one (so I am able to move a bit more easily), and since I was only under general anesthesia for about an hour, I was able to get back to being “myself” a lot more quickly. I kept on saying to Dave in the recovery room, “I am trying to think of something really funny to say but I am thinking too clearly to come up with anything!” (For those of you who may remember, I will never live down the fact that last time I was in post-surgery I said to my dad “Thank God I got Dave to marry me when I did because now I am damaged goods!”).

I was SO, SO LUCKY in that I once again, got my own private room. It made a huge difference in helping me sleep better during the night and being able to host lots of wonderful visitors who came to see me and make the time go more quickly. Although I was not able to eat for about the first 4 days, I made the time pass by doing laps around the hallway (14 = a mile). The first day it took me a while to just get around once but by Saturday morning I was a speed demon pushing all of the other surgical patients out of my way (think Roller Derby). I took full advantage of the services at Spa Memorial and received two great foot massages and enjoyed having a bit of music therapy with Martha (my mom, sister-in-law Emily and I got to sing Brown-Eyed Girl, Que Sera Sera and Rocky Mountain High). It was very apparent at times during the week that my room was definitely having the most fun on the surgical floor.

I got permission to leave on Saturday which was great. Dave and I packed up and I waved goodbye to the floor and to the wonderful staff of nurses (who I hope I never have to see again under these circumstances). Dave and I walked about 6 blocks home from the bus stop which felt really good and now I am enjoying resting at home and having Dave’s parents visit from Chicago. I think Dave is a bit horrified by my TIVO selection for the next week (Melrose Place and Beverly Hills 90210 re-runs, Law & Order SVU, The Bachelor, and America’s Next Top Model). I am hoping that in addition to killing cancer cells, I will also kill a few brain cells while I recuperate.

Dave and I got a “special sign” on our way home which makes us more convinced than ever that the cancer is really gone. There is a deli a few blocks away from us that I have always jokingly said “gave me” cancer. (I ate there and got a horrendous stomachache right before I was diagnosed). Anyway, Dave and I never have walked into that deli again and I always curse it as I walk by (completely irrational I know, but fun nevertheless). When Dave and I were coming home from the hospital, we saw that there were chains on the door of the deli and the deli had been permanently shuttered and shut down. It must be a sign…

I will be visiting Dr. Singer and Dr. Maki within two week to (1) have my incision checked (2) review my pathology report and (3) continue to get shots until my blood counts return to normal – hopefully within the month (once that happens, I am taking invitations from those friends who want to take me for a manicure and sushi dinner!).

So, that’s it for now. I will be home for at least a week recovering so please call, email and visit.

Check Out The Photos Here

January 18th - Surgery Update


Jen had surgery yesterday and is doing very well. The quick update is that the doctors are pleased with the surgery, and Jen is in the hospital recovering for the next few days.

Jen is tired and in some pain so she asked me to fill in as the guest editor today, but overall she is doing great. She’ll be in the hospital until this Friday or Saturday, and then she’ll be home recovering and getting her strength back over the next couple of weeks. Phone calls and visitors are welcome.


Here are some more details on the surgery for those who want to know more of the specifics. Overall, we think it went well. Dr. Singer was expecting to operate for 2-3 hours, but he only needed about 45 minutes to remove the remnant mass from the tumor in Jen’s abdomen area. Unlike the last surgery, they did not need to remove any of her colon or any other organs. He sent tissue samples off to the lab for analysis so we’ll know more about the results in about two weeks. However, for now we are celebrating that Jen has successfully taken another step on this journey!


A special thanks goes out to our friends MaryBeth Laughton and her husband Brad Rodrigues! This past Monday, Jen was a bit down and was not looking forward to her second major surgery after six rounds of chemo. She was also taking a series of medications to get ready for the surgery so it was not a very fun day. However, a package from MaryBeth and Brad arrived to brighten the day. MaryBeth is working on the new Nike line of clothing inspired by Lance Armstrong. She sent Jen some great stuff, including a LiveStrong hat signed by Lance! Jen wore the hat to the hospital, and it helped put her in a good frame of mind for the surgery. Thanks, MaryBeth and Brad!

That’s all for now. I’ll try to post another update in the next couple days.
- Dave

The Magic Button - Jen pressing her button for more pain medication a few hours after surgery.

 

 

Getting Stronger - Jen starting to feel better on the morning after surgery.

 

January 15th - Off to Surgery...Much Sooner than Expected

I had a good CT scan last week and my oncologist and surgeon agreed that I was ready for sugery, as expected. My blood counts were good enough that my oncologist said that I could have surgery as soon as my surgeon was able to fit me in. We all assumed that would be in about 2-3 weeks. Well, when we met with my surgeon on Thursday, his schedule was so booked, that I had a choice to have surgery this Tuesday the 17th or not again for 3-4 weeks. I decide to get it done with sooner rather than later. Right after I made that decision, I realized that this meant I had one day of work to prepare for being out for about 3 weeks. So, I've spent the last 48 hours running around like crazy so that I can go into surgery feeling like everyhing is being taken care of.


Having completed all of my work-related tasks, it is now slowly sinking in that in just 48 hours I will be having my 2nd major surgery in 12 months. The good news is that the surgery will be very similar to my last one so I know what to expect. Although the surgeon's main focus this time will be removing the remnants of what remains of the dead tumor (versus finding a living tumor and removing organs with it), he still expects to remove parts of my intestine and colon and shift lots of my abdominal muscles so, it won't be an easy ride. I should expect to be in the hospital from 4-7 days and then recuperating at home for about 10 days to two weeks.


It is very hard to get motivated for surgery this time. Last December, I was feeling so sick (fevers, night sweats etc.) that I was willing to do anything to uncover what was causing my pain. I also had never had surgery before so I was a bit naive and curious. Now, I am feeling GREAT and annoyed that I have to go through this again. I find myself much more keenly aware of what I will be missing: I won't be able to really exercise for 3-4 weeks, won't be able to lift weights for 6 weeks and will be on a no-fiber, carb/protein-only diet for the first few weeks post-surgery (most people would love this diet but I hate it!). Today, as I took my last spin class for a while (my instructor dedicated the class to me which was very nice), I was bummed out. I know that the minute I wake up from surgery on Tuesday evening, I will accept the condition I am in and do whatever is needed to recuperate quickly. But, until I am in the position, I am grudgingly accepting what is to come.


Dave and I have been doing a pretty good job of trying to take our minds off of it. Johnny Castle and his fiance Rosie took us to the Knicks game on Friday night (courtside seats, I was so sad I forgot my camera!) and we had a great brunch with good friends yesterday. We've also been indulging in all of the foods I know I won't be able to have over the next few weeks. How funny that I am gorging on fruit and raw vegetables since I will miss them dearly!


Since I will most likely be out of commission for most of my hospital stay, I will have Dave provide updates when I am in the hospital.

Enjoying a NY brunch with the Spielmans and Rippergers before surgery

 
January 8th - Goodbye to Chemotherapy

I've spent much of the past week getting used to the fact that hopefully I will never have another round/cycle of chemotherapy again. Although I still am experiencing and will experience the same symptoms for the next month (sore throats, fatigue, occasional bouts of nausea) the doctors believe that in as little as 2-3 months, my blood counts will have completely recovered and I will feel completely normal again. Unfortunately, hair takes about 3-6 months after chemotherapy is completed before it begins to grow back, but that is the only side effect that won't bounce back within 3 months. There are some cases where cancer patients continue to feel fatigued long after chemotherapy ends but I am betting that that will not be my case (I took a 90 minute spin class today...so there!) The truth is, I have felt pretty much like me over the past 5 months but my Dr's tell me that I have probably gotten used to a "lesser" form of me and that I will be pleasantly surprised when I bounce back. I do get tired a lot more easily, and my nails/skin are cracked and dry so, I am looking forward to "the new and improved me".

A
lthough I am very glad to be done with chemotherapy, there are some things that I will really miss about it. Most everything that is written out there about chemotherapy is about how terrible it is (physically draining, emotionally challenging etc.) So, rather than list the 100+ reasons why I agree that chemotherapy is not an option I would choose voluntarily opt for, I thought it would be fun to list 13 great things about chemotherapy that I will definitely miss (in no particular order).

13 Great Things about Chemotherapy

13. Multiple visits from attractive single, male Dr’s. in the hospital (unfortunately all they want to know is if you’ve gone to the bathroom or not)
12. You can never own too many fashion accessories…all of the designer bandanas, scarves and du-rags sold at Barney’s show that there has never been a better time to go through chemotherapy
11. Staying in touch with friends and family has never been easier...everyone is calling to check in on you
10. Extra money in your pocket, and extra space in your cramped NYC apartment by eliminating hair salons and hair products from your list
9. Painful waxing sessions are a thing of the past...I am as smooth as a baby without the assistance of any spa technician
8. Head rubs feel great...it's amazing how much better they feel when your hair is not in the way
7. More time on the weekends because you can't get manicures or pedicures
6. Steroids give you an excuse to eat anything, anytime...and you don't gain weight
5. Unlimited access to drugs that boost your blood counts like Epogen (good thing there’s no drug testing in my spin class!)
4. An extra 20 minutes of sleep in the AM...no need to blow-dry!
3. You experience absolutely no guilt taking long, luxurious naps on the weekends...
2. Fear of cuts and scrapes = no visits to the dentist
1. A built-in excuse not to do anything you don't want to... I am going through chemo after all!
I have my 3rd CT scan this Tuesday and I meet with my surgeon, Dr. Singer on Thursday. I should know after that meeting when I will be having surgery (something I am definitely not looking forward to). I will keep everyone posted. Have a great week!

December 31st- Happy New Year and a Recap of Cycle 6 I never thought I would ever be able to say this but I am done with chemotherapy! It is really amazing to me that I have completed 6 cycles..there were times when I began this process that I thought I would never, ever, be done. The irony of the whole thing is that I feel like it went by pretty quickly. I guess that I am very blessed that I did not have bad side effects and was able to continue living close to my typical lifestyle for most of the past 5 months.

My last hospital stay was a bit bittersweet. I am so happy to be completing chemo but there is a strange comfort in feeling like you are proactively doing something every month to prevent the cancer from returning. Although I won't miss the needles, the night sweats, the steroids etc., I do feel like it will be quite an adjustment realizing that the "treatment" is behind me, and now I have to believe that we have done all we can to minimize the sarcoma's return.

I was rewarded with a private room for my final cycle of chemotherapy which was great! I had lots of visitors given the holiday week and I spent a lot of time reading, watching movies etc. Unfortunately, my veins have become more "tired" with every cycle so I was a bit of a pin cushion this time. I think I got pricked more times in the past 3 days in the hospital than all 5 previous cycles combined.

On Wednesday night, before I left the hospital, I received a really beautiful gesture from many of the hospital employees that had treated me over the months. About 10-12 of the IV and Chemo nurses gathered in my room and rewarded me with chocolate truffles and a rendition of "Jolly Good Fellow". It was at that moment that I realized, "oh my god, I am done!" I was so grateful to these women who have become my "extended family" over the last 6 months. I told them that they have made what could have been a pretty unbearable experience, much easier and that I am forever thankful for what they have done for me. I will miss them all, however, I don't want any more visits to the hospital!

The first few days at home have been pretty good. I have been really tired and I'm not sure if this related to the chemotherapy or the fact that I am finally allowing myself a bit of "down time". I am very focused on taking care of myself over the next few weeks since I will most likely have surgery at the end of January. We will know more on January 12th.

So, 2005 comes to an end and Dave and I just celebrated the one year anniversary of our dealing with my sarcoma (my diagnosis date was Dec 30th). This past year was an extraordinary year...I learned that I am capable of handling great things if I need to, and I have a much better sense of what is important to me in life. Although I would not trade the past year for anything in the world, I am looking forward to 2006...a year that I know will be filled with hope and many, many good things!

Happy New Year to you all!
Jen celebrating the end of round 6 and hopefully the end of chemo forever!
Dave and Jen celebrating that chemo is over
- Mom and Dad spending Christmas Day at the hospital with Jen
Jen had great friends visiting like Meg and Kat
- Jen's not so cushy room...but at least it was private!
Done At Last - Removing the last needle of the chemo treatment
Colleen, finishing up with Jen's last round of Chemo
Jiyon was Jen's nurse and always made her laugh
Nila was a great chemo nurse...quick and pain-free!
all of the nurses toasting Jen
Jolly Good Fellow - eating truffles and singing "jolly good fellow"
December 23rd - The Angels in My Life I've never been a particularly spiritual person. However, this past year has made me extremely aware of many people in my life who I believe are real angels. I looked up the word "angel" in the dictionary and here is what I found:

A typically benevolent celestial being that acts as an intermediary between heaven and earth...or a human representation of such a being; A guardian spirit or guiding influence.; a kind and lovable person; One who manifests goodness, purity, and selflessness.

I am so fortunate to say that I believe that I know many people who fit this description and I'd love to acknowledge just some of them in this journal entry. For the past 3.5 years, I have been fortunate enough to be involved in a weekly Women's Group run by an amazing group of individuals who formed a company called Workability. The women's group is composed of 5 women including myself and is moderated and run by a man named Ken who I would call a "life coach" -- someone who is dedicated to helping you determine what you want out of life and helping you get through the obstacles that prevent you from having what you want. Joy, Maria, Robin, Kelly, Ken and I "meet" on this phone call every Friday AM for 2 hours...without fail. We come from different backgrounds; we live in different cities; our ages span over 3 decades and some of us have only met in person once or twice. Yet, I believe this group understands me and knows me better than just about anyone I see every day of the year. We have formed an amazing comraderie and are able to listen and help each other without judgement -- each of us is 100% commited to helping each other succeed in our individual goals. This group has listened and offered support and encouragement since day 1 of my diagnosis....through surgery, chemotherapy, and all of the "side effects" that cancer provides, way beyond just the physical side effects...the mental and emotional ones as well. They have never doubted my ability to get through this...and have taught me so many valuable lessons...that being vulnerable is a good thing, that expressing truly how you feel is a "gift" and that it is truly amazing what each each individual has the ability to handle and cope with if they don't have a choice. I am so grateful for these angels.

Another real angel is my favorite doorman Larry. I have known Larry since Dave and I moved into the building about 3.5 years ago and he is one of the kindest, most caring people I know. Not a day goes by that he doesn't provide me with some encouragement or kind words to get me through the day. When I was diagnosed with cancer, it was Larry who said "you will get through this...it's just a bump in this crazy road we call life". He so genuinely sincerely cares about my well-being...I love seeing him every morning on my way to the gym or to work. His spirit is so beautiful and I am so blessed to know him.

I am fortunate to have so many angels in my life. People who treat me like "normal" and push me and inspire me to live life the only way I know how...to its fullest. Happy Holidays to everyone! Final Chemo Treatment in the hospital starting on December 26th!
Some of the angels in my life...my weekly women's group
Larry my doorman
 
December 19th - The Year in Review It is hard to believe that almost a year has gone by since I was first diagnosed with cancer. Dave and I were discussing what date should actually be my diagnosis date and we agreed to December 30th, the day I had my surgery and we knew that my tumor was cancerous. These past few weeks have been a bit odd or unsettling for me because I am constantly having "flashbacks" to what I was doing last year at this time...not feeling so great. I started to feel sick at Thanksgiving time and the month between Thanksgiving and Christmas of 2004 were characterized by strange fevers, night sweats and multiple Dr's visits trying to determine what was causing these things.
My office had our annual holiday party this past week and many people reminded me that at the holiday party last year, I was coughing like crazy and everyone thought I had bronchitis (turns out it was the tumor resting on my diaphragm that was causing me to cough).
This past week I also had the pleasure of watching Duke COMPLETELY DESTROY the #2 seeded Texas at The Meadowlands. Every year, Dave and I go to watch the game with our friends Kat and Rob, their children Jacob and Syndey, and Jen. We were all reminiscing about the fact that last year at the game, I was explaining to them that I had a low-grade fever for the past 10 days that would not go away...the night of the Duke game, 2004 is when I experience my first high fever (103) and the Dr's ordered extensive blood work which led to the CT scan, the MRI, the surgical visit etc.
Dave and I are looking forward to our annual "Jewish Christmas" this year...we go to 2-3 movies and eat Chinese food on December 25th and it is a lot of fun. Last year, Dave's sister was with us and I remember that (1) I kept on coughing so loudly during the movies that I had to excuse myself and (2) we were anxious about meeting with the surgeon the next day to determine if I needed surgery. This year, the day after Christmas I will be going into the hospital to begin my 6th cycle of chemotherapy. Wow...a whole year later, I know so much more about my situation but I am still dealing with it.
Dave and I have been receiving a number of holiday cards in the past weeks and we thank everyone who has sent them. Many people write something to the extent of "A happy and HEALTHY 2006". That makes complete sense and I appreciate the sentiment but it feels like a disconnect for me....maybe because I have felt very healthy throughout all of 2005. The irony of this crazy disease is that I felt my worst BEFORE I was diagnosed last year at this time. Since then, I may have been a bit sore from surgery, or I've had a few sore throats from the chemotherapy but I haven't felt sick, I haven't missed work etc. I keep on thinking, "yeah, if I could be as healthy all years as I've felt this year, that would be great!" Although I have cancer, cancer doesn't have me...I have been taking care of myself (eating well, exercising) and it has really paid off. I have to remind myself to be this good to myself when the treatment is behind me.
So, what I'm trying to say is that this year has been a GREAT year for me. I'm not necessarily spending it the way I had planned, and I don't love the fact that I have spent more nights in a hospital room rather than a hotel room travelling on business. I don't love the fact that the reason I'm not getting haircuts is not because I want my hair to grow long but rather that I have no hair to cut. And I really don't like the fact that I'm not getting manicures and eating sushi for fear of a bacterial infection rather than just a desire to save money.
But, I do love the fact that a full year has gone by and I have spent most of it just the way I'd like to...with friends and family, celebrating life. In fact, I feel like have lived more fully in the past year than I have in my entire life. I only hope that 2006 is AS GOOD as 2005...I should be so lucky!

Having fun with Kat, Rob and Jen at the Duke Game

 

Enjoying the annual holiday dinner with my study group

 

Having a great brunch with Kelly and Robyn

 
 
December 9th - An "aha" moment Do you ever have moments where someone says something or does something and all of the sudden, everything makes perfect sense and is clear? I had that moment the other day when my mom and I were exchanging emails. She had sent me some funny email that had reminded her of my personality and she explained it to me saying that "the person in this email is just like you in that their philosophy on life is 'whatever it takes, I will do it. Wherever I need to go, count on me to be there. I will make things happen".

My immediate, gut reaction to this email was "oh my god, I am just like my mother!" The quote that my mom had sent me, described her perfectly. I didn't have the stereotypical, negative reaction that most women have when they realize that they are becoming or have become their mother...rather, it was a real feeling of pride and happiness. Wow, I am honored that my mom thinks that I have these qualities because these are the qualities that I have always admired so much in her.

If I think back over the past year (and throughout my ENTIRE life), when it comes to raising me and taking care of me, my mom has lived "whatever it takes, I will do it. Where I need to go, count on me to be there. I will make things happen". From creating Halloween costumes to taking notes at ever doctor's appointment, from helping develop topics for college essays to sitting with me in the hospital through every chemo treatment to-date, my mom has been old reliable...the one person I knew I could count on no matter what.

Throughout the years, people have always told my mom and me that we look alike. I always laughed it off because I could never see the resemblance. But now I am realizing that it is the "internal resemblance" that we share, of which I am most proud. It is my mom who taught me these traits by truly living them day in and day out. I am proud to be my mother's daughter! I love you mom and I hope that when I have children that I can do for them even half of what you've done for me. I am blessed.

Today is day 9 of my 5th cycle and I am feeling pretty good. The sore throats are acting up but that is to be expected over the next few days as I counts drop to their lowest of the month. I need to rest up tonight because tomorrow I am going to see Duke play Texas at the Meadowlands. Go Blue Devils!

My mom and me...
 

 

 
December 5th - A Recap of the week and Hospital Stay #5 Hospital stay #5 was fairly uneventful. I realized after I got home that I had not taken any pictures! I couldn't believe that I didn't feel the need to document anything. News of my good CT scan results had 'spread" through the hospital (no pun intended) and I had numerous visits from Doctors and Nurses who were happy to share in my good news. I also had visits from wonderful friends (Justine, Sue), family (mom, Dave) and the by-now routine visit from the reflexologist for my foot massage (I think they are catching on to me...I'm the only one that takes them up on it!).
So, why didn't I take any pictures? What I realized after I had left the hospital was that all of the things that at one time seemed so new and unique to me, I am starting to accept as normal. These visits that at one time seemed to "fascinating" and 'strange" are now just "part of my life". For instance, I didnt' feel the need to take a picture of my chemo nurse because I've already met so many of them...and my new nurse was great but did I really want her picture? My senses have been "deadened" to the hospital experience so I didn't feel the need to document it.
Once could argue that this is a good thing, meaning that I am not as "wrapped up" in all of the emotion and pain (IV's, shots etc) the hospital experience can cause...but I also think that it is a sad thing that I've gotten so accustomed to this new lifestyle that I don't recognize it as "unique" and tend to not be as positive as I once was. I do believe that so much of any experience is what you bring to it...if you approach an experience feeling down and depressed, the experience will most likely be that way. However, if you come to the same experience with a positive spirit, you are more likely to take away a positive experience.

So, although I am SO tired of the hospital....and I would like more than anything not to have to have a 6th cycle in December, I will be bringing my camera next time and looking for the adventure in every experience I have.

I did gain a valuable lesson from my roommate this time. Unfortunately, I did not have a private room and I was assigned a very difficult roommate my first night. She had had surgery a week prior and she was having a difficult time recovering. Although the Dr's said that the surgery had been a success and that she should really begin walking and building back her strength, she chose to stay in bed all day, attached to machines and a catheter, and tell anyone who wanted to listen that she wanted to die, didn't want to live etc. I spent the first night not sleeping at all and I was PISSED OFF. Granted, I felt sorry for her and her situation, but the way she was approaching her disease and chosing to live with it was mentally draining for me. I told the nurse the next AM that it is very important for me to maintain a positive spirit and that this roommate was not helping the situation...luckily, they switched my room.

What's the valuable lesson I learned from her? That giving up is tremendously draining not only on the patient but on all the people that interact with the patient. I saw the effect she had on other people and I knew that giving up is definitely not for me...I couldn't even begin to understand what type of mindset would chose to stay in bed and wallow in their situation when they had been given "permission" to get up and go...so, I guess you can learn as much from a bad situation as a good one.
I am now on day #4 and feeling great. I have been going to the gym, going to work and all has been good. I notice that I sleep a lot at night but I haven't been too tired during the day. I was so happy to attend nephew Shaun's 5th birthday party along with my friend Scott's 35th birthday party. I will keep you posted later in the week
Shaun and Ben enjoying the bears they made at Shaun's 5th birthday party
 
November 27th - So Much to Be Thankful For My mom and dad started a new tradition this year that I find very special. They bought a tablecloth and every year our family will write on it what we are most thankful for...this will eventually become a true "cloth of art" that will be passed down from generation to generation.
Since I spent this Thanksgiving with my in-laws in Chicago, I had to email in my "tablecloth entry" and I spent a lot of time thinking what I was especially thankful for this year. As Dave and I like to say "what are we not thankful for?" is probably the better question. It seems extremely appropriate that my family and I would receive such good news from the Doctors around Thanksgiving time. It has made me even more appreciative and thankful for all that life has and continues to offer me.

I don't expect many people to understand this, but for me, I am extremely grateful for my cancer. Don't get me wrong, I am not thankful for having gotten cancer, but if I was able to "meet" my cancer, I would say "thank you"...for truly showing me how special life is and for understanding the importance and beauty in every day. When you have cancer, most people tip-toe around you and talk behind your back about how unlucky you are. The truth is that I truly, deeply feel that I am the lucky one. I have been given this amazing opportunity to have a new perspective on life. I see more beauty and love and truth in a single day now, than I ever did when I was "healthy". Living through cancer has created an acute awareness of how special life is and how much I can accomplish in every single day.

As many of you know, I find Lance Armstrong to be a true inspiration. The way he insisted on "living" through his disease and not missing out on life just because he was going through a tough time, are approaches that I have chosen to live by. I'd love to take credit for these words, but Lance expresses how I feel best: "The truth is that cancer was the best thing that ever happened to me. I don't know why I got this illness but it did wonders for me, and I wouldn't want to walk away from it. Why would I want to change, even for a day, the most important and shaping event in my life?"

So, on this Thanksgiving weekend, I'd like to say "thank you" to a disease that has:
· Taught me how to be stronger than I ever imagined I could be
· Encouraged me to know myself and my body more intimately than I ever have
· Demonstrated to me that believing in myself is the most important cure out there
· Educated me that it's not "a race to the finish" and that every day matters and should be cherished
· Proven to me that a positive attitude and a "fight like hell" demeanor are the only way I know how to live

My friends Dave and Max took me to a special premiere-screening of Rent this past week. It was fantastic and I loved it! There was a particular song that I found so representative of how cancer has helped mold my outlook on life. It was as if I had written this song after having been diagnosed. It talks about the fact that you can't waste your life asking why things happen to you...you just have to go on living and being thankful for all that life offers.

There is no future, There is no past
Thank God this moment's not the last.
There's only us, There's only this
Forget regret...or life is yours to miss.
No other road, No other way
No day but today.

Back in the hospital tomorrow for Cycle #5....

What I am most thankful for....family and friends
 
November 18th - Some Astonishing and Wonderful News I have always believed in, and lived the expression "when there's a will there's a way". If you really want something, you find a way to make it happen. Luckily, that mantra has "come true" for me most times throughout my life. Through hard work and determination, I am able to realize most of my goals. Well, I am thrilled to say that my battle with sarcoma seems to be no different. Since we found the 2nd tumor on August 2nd, I have willed it to be gone and have lived my life as if it weren't there. It looks like that attitude is working...

Today we met with both my surgeon and my oncologist to review Wednesday's CT scan and THE TUMOR SEEMS TO BE GONE! Apparently, the radiologists who read my CT scan thought that I was a post-surgery patient and that what they were looking at was a "slight ovarian cyst" or "scar tissue" rather than the tumor. My Dr's explained that when your test results start to stump the radiologists, you are in pretty good shape. Both of my Dr's were extremely surprised saying that they never expected the chemo to work so well in such a short time (7 weeks ago the tumor was the size of a large orange and now it is miniscule). They explained that this type of chemo result is statistically seen in only 5 - 10 % of all patients! Being the overachiever that I am, I asked them why I wasn't in the top 1% and they explained that the top 5-10% is the highest percentage you can be in, they don't break it down further than that :) (C'mon, if I didn't ask, you would think I lost my edge)

So, as we are all learning through this process, the irony of cancer is that the better news you have, the more work there is to be done. My prize for practically killing the tumor is.......(drum roll please)...TWO MORE ROUNDS OF CHEMO AND SURGERY! Because I have tolerated the rounds of chemotherapy so well and have exhibited such an "incredible positive attitude" (the Dr's words, not my own), we will maximize the success by completing 2 more cycles of chemo, prior to surgery, to make certain that every microscopic cell is gone. (They need to do the operation to remove what they hope are all dead cells.) Unless they see something they didn't expect in surgery, my "tour of duty" should then be done (let's hope forever but at least for the time being).

The upcoming fifth chemotherapy treatment will be very,very carefully monitored, as this drug has a cumulative effect. Additional medications will be introduced to protect my heart. So, while we have come full circle from exactly one year ago, I still have a long road to travel...tough chemo at the end of November and December and surgery most likely at the end of January.

Dave and I celebrated last night with a trip to Cold Stone Creamery. It seems very surreal and we are still "recovering" from the news (I can't sleep, I am writing this at 4AM). So, still a lot ahead of me but it looks like there is a real light at the end of the tunnel.

After we absorbed all of this news at the Dr's offices, I ran some errands in the Time Warner Center. As I was coming up the escalator from Whole Foods, I noticed that all of the holiday decorations had been put up and that holiday music was playing over the loudspeaker. It filled me with this wonderful, thankful feeling. It made me think "wow, I have been dealing with this for a whole year...the holidays are here and I have so much to celebrate and so much to be thankful for". I will talk about that in my next journal entry.
November 15th - Making a Difference

Today is day "12" of my cycle and I think I have made it over the hump. The past 4 days my diet consisted of hot tea/milk and ice-cream because I had such a sore throat. This is a very common symptom for chemo patients when they are "bottoming out". Apparently there is a lot of cell activity in the throat region as old cells die and new ones are created. Hence, many people get bad sore throats and sore gums. The good news is that although it was annoying, it didn't slow me down. I still went to work, went to the gym etc. I slept a lot this past weekend and I believe I am on my way "up".

This week is a big week as I have my 2nd CT scan and a meeting with my surgeon to review the scan. I should find out by the end of this week if the next step is more chemotherapy or surgery and then potentially more chemo. It's funny for me to think back over the last 11 months and realize how comfortable I have become with all of the types of "prodding" I have had to deal with. In January 2005 when I had just had my surgery and was recovering, I was terrified of chemotherapy. I kept saying "I can handle the surgery, please don't make me go through chemotherapy". Now, after having a relatively easy time with chemotherapy over the last 3 months, I am dreading the surgery. I recovered from the surgery very quickly (2-3 weeks) but it is still a pretty invasive procedure. I don't look forward to the first few days of pain as my stomach heals. I asked the surgeon why he felt that we had to have surgery given that the tumor is dying and it is so small. His response was that (1) it's not good to have a foreign object inside of you and (2) if there are even a few cancer calls that are alive, it could be dangerous down the road. So, I bought into that but I wish they didn't have to open me up...apparently laparoscopic surgery is not recommended on cancer patients because there is a risk of spreading cancer cells when the needle is removed from the skin. So, surgery here I come!

I will be sure to keep everyone posted on what the Dr's decide.

I wanted to take this moment to talk about "Making a Difference". A lot of people have flattered me over the past year telling me that my attitude and my spirit are making a difference in the way that they approach their lives. I am really honored and happy to hear that. But now, it is time for me to thank all of those people who have donated to the MSKCC sarcoma fund my parent's began...you are the ones that are really making a difference.

I know that often when I make donations, I question where the money is really going. Am I making a nice, token gesture or are the funds truly helping to make a difference? I am happy to say that Dr. Maki and his research team have been able to employ the funds that we have raised to buy equipment and continue with studies that will ideally find a cure for sarcoma in the near future. Since sarcome recurrs multiple times in 80% of patients, this work will directly benefit ME down the line. Here is what the money you have donated is doing (a lot of this is medical speak but you can see that things are really happening):

The generosity of my friends and family has allowed Dr. Maki to purchase two microscopes. One is a new inverted microscope for tissue culture with a long working distance objective lens. The second is a light microscope. These items are of great use for the lab members. Dr. Maki has also been able to purchase multiple gene chips to analyze sarcoma samples.

Dr. Maki and his team are working to further determine what makes Malignant Fibrous Histiocytoma sarcomas different from all other 50 types of sarcoma, and are doing this in concert with the laboratory of Dr. Carlos Cordon-Cardo, Director of the Division of Molecular Pathology. This group is examining "oligonucleotide arrays," also known as Gene Chips, to determine how these tumors differ in 10,000 to 30,000 different genes per tumor.

Dr. Maki also works closely with a postdoctoral fellow, named Igor Matushansky. Dr. Matushansky is working in the laboratory to generate models of sarcomas, as though developing a recipe to make sarcomas from scratch He will take what are pretty close to "stem cells" and add a gene of one type here, another there, to attempt to generate sarcomas. They have an incomplete understanding of which DNA genes are needed to generate sarcomas, and are using the known data to try and find the right combination. This type of sarcoma model will give them excellent tools to study new treatments for sarcomas. So thank you to everyone that is helping make a difference!

 

November 7th - I am so grateful for friends My mom always used to say to me that if you can find one great friend, you are lucky in life. If that is truly the case, I am beyond lucky...I think I am the luckiest person in the world. What I have been so touched by over my cancer experience is how my definition of a friendship has changed. I used to think that in order to be a friend, you needed to constantly be in touch with someone, know them for a long time etc. This is not the case...what I have learned from this experience is that if you are open to "finding" and "being" a friend, you will see that friendships come from so many different parts of your life...and that they are always available to you.
  Friends who have been there...and will continue to be
My "New York"crew of friends have been so wonderful to me. Whether it be visiting in the hospital, going out to dinner or just dropping by, they have been there for me consistently, when I am feeling good and also when I am feeling down. Just yesterday, a group of us took an hour Spinning class at Equinox and it was great! My friend Jen said that I was truly inspirational for sitting on a bike and sweating for 60 minutes just 3 days after leaving the hospital but I do believe that a lot of my energy comes from being inspired by my amazing, supportive, wonderful friends.

NYC Girls - Chowing down after taking spinning class together!

 

  A Friend I just met but I feel like I've known forever
I have a very close friend and her name is Meg. What is amazing is that Meg and I just met last week for the first time. Meg is a cancer survivor who graduated from HBS with Dave's class. She reached out to me when I was re-diagnosed in August and has been a true inspiration to me as I manage my sarcoma. It doesn't matter that we haven't lived together or gone to college together or that we didn't grow up next door to each other, we understand each other at our core - what we want out of life and how we approach life to make sure we get what we want. Meg is a real role model to me...since her cancer experience, she has dedicated a significant amount time to helping others and getting the word out. She mentors cancer patients at the hospital, she is starting a women's cancer support group, and she just completed a once-in-a-lifetime opportunity-riding cross-country as part of the 2005 Tour of Hope. Dave jokes that I have a "Meg Crush". I am just so inspired by her and love what she stands for. She has become a real role model for me and a real supporter of me and my fight against this disease. I am excited for the things that she and I will accomplish together when this fight is behind me.
Meg and Jen - At long last, I meet my good friend

Go Meg Go! Riding with Lance Armstrong in the Tour of Hope

 

 

 

Friends that I don't know or have lost touch with
This experience has made me reconnect with people that I have not spoken to in years...and I love it! Just last week I received the MOST wonderful email from a sorority sister of mine that I must not have spoken to in about 10 years. I was so touched by her kind words and to hear what is going on in her life. It really made my day. This topic brings me to an important point. I have heard from so many people that they have passed along my website address to friends and colleagues and that these people have been inspired by my writing. I AM THRILLED TO HEAR THIS! What I would really, really love is for those of you who don't know me, or those of you who know me but we have not spoken in a while, to email me and say "hello". Life is too short to not exchange greetings and I must say that the greetings of long lost friends or "new" friends" are often the ones that make me happiest. Please reach out to me and say hello!

I'm feeling Good and Keeping My Fingers Crossed...have a great week and make a new friend!

 
November 3rd - Hospital Stay # 4 Is it OK for me to stop being positive for a minute and let you all know that I am tired of going to the hospital for chemo treatments? It's not that the experience is that painful, it's just that it makes me sad to realize that I've spent more nights at Memorial Sloan Kettering this past year than any other place except my own apartment.

I am learning that "greasing the right palms" is an important part of any enjoyable stay at Spa Memorial (similar to what I learned about prison in The Shawshank Redemption). Luckily, I befriended the right man and offered some Halloween candy to him and, in exchange, I was able to get a private room. Having your own room makes a huge difference. In honor of Halloween, I decided to dress up as the chemo fairy, granting minimal side effects to cancer patients everywhere. It was very fun to wave my wand and say "no nausea for you", "no sore gums for you"...if only the wand would work every time! At least the nurses got a laugh out of it.

I made another smart move this treatment cycle...I started to outsource all of my meals. Although the hospital food is pretty good, nothing beats a fresh sandwich or salad from a local deli. Thank you to those of you who brought me my sustenance J Since it was Halloween, all of the patients were given a bag of candy from the volunteers. The gesture was great but given how many dietary restrictions people have, the candy was hardly exciting. I mean, what would you rather have: a sugar-free sour ball or a large Snickers Bar?

I took full advantage of all the programs that Memorial offered this time for their patients. I had a wonderful foot massage in my room and I also had two sessions of music therapy which was great. A musician comes to your room and plays/sings you whatever type of music you like. I was very excited that the musician who visited me liked show tunes...I think we got through the whole Sound of Music and Annie before she was told that she was spending too much time with me J
I also was very appreciative all of the fun visits I had this time. The highlight was that for Halloween none other than Sheryl Crow and Lance Armstrong visited me. It was awesome! Check out my pictures to see how many wonderful visitors I had.

So happy to be going home! I convinced Dr. Maki to cut down on my steroids this cycle so hopefully there will still be some red meat for the rest of you in this next week :)
Chemo Fairy - Granting no side effects to chemo patients around the world!
October 31st - A great weekend Just a quick note to say that I am feeling great and ready and raring to go into the hospital for chemo stay #4 (OK, maybe that is a bit of an overstatement but I am feeling great). I've find that if I fill the weekend before my hospital stay with really great activities, it is often easier for me to take my mind off of the impending stay and when I enter the hospital, I have a more positive attitude. Well, this past weekend was definitely filled with great activities. Missy and Eric came to visit us from Chicago which was such a treat. It was so nice to spend time with them and although we missed Samantha and Ally dearly, it was nice to have some adult time together. Funny that even though the girls weren't with them, we did a lot of things that we would have done with the girls...Frrrozen Hot Chocolates at Serendipity, candy at Dylan's Candy Bar and big fat deli sandwiches at Katz' Deli. We walked across the Brooklyn Bridge which was a real treat.

As if two visitors from far away was not treat enough, Lynda rolled through town on her way to Europe for work. Some of us had fun on Saturday night watching Michigan beat Northwestern but we all had fun on Sunday when we went to the "Boo at the Zoo" event at the Central Park Zoo. Although Lauren is only 10 months old, we were convinced that she loved seeing the sea pup feeding...she loved it so much that she slept the whole time :)

Back in the hospital tomorrow and I will keep you all posted
Taking a beautiful walk along the bridge
We missed Samantha and Ally who stayed in Chicago
Lynda, Tina, Lauren and Jen posing in central park
October 28th - My "Can't Wait List"

This week has been a good one. I feel great and I got good news from the Dr. My bloodwork is in good shape so he is sending me back in for my 4th round of chemo next Monday-Wednesday. Odd that I would consider this good news but it means that I have not had any complications and that we are on schedule.

As I believe I have shared in my journal, the worst symptom that I have experience over the past 2-3 months has been severe night sweats. I hate the feeling of waking up drenched in sweat and it is very unsettling given that this symptom reminds me of when I was first diagnosed in December of last year (I went to the Dr. because I didn't understand why I was getting these night sweats). Well, I haven't had one in 3 weeks. I asked the Dr. about this and he said that he believes this is good news. It means that the tumor is dying and my body doesn't need to exert as much energy fighting it. We will know for sure when I get my 2nd CT scan in Mid-November but this was music to my ears!

I have started to compile a "can't wait list"; a list of things that I can't wait to do when the chemo/surgery etc. is done. Although I am living a pretty normal life, I am still restricted from some things that I really miss. For instance, I am not supposed to get manicures which I really miss. I am not allowed to eat raw fish which is very hard as I am a HUGE sushi fan. I also am not really supposed to drink alcohol. I have never been much of a drinker but it would be nice to have a glass of wine and really feel comfortable enjoying it. Also on my wish list is the ability to have a long, hard run that I feel great about. Right now, I jog on the treadmill but I am too nervous to give an all-out effort. I watch people running long and hard outside on a beautiful day and it makes me jealous. I also miss travel...I can't wait to get on a plane, go to an exotic island, sip a pina colada, run along the beach and put all of this behind me!

I am looking forward to my brother-in law and his wife (Missy and Eric) coming to visit this weekend. I will check in before I head into the hospital for lucky round #4.

 

This is what I can't wait for....
 
October 24th - Always Daddy's Little Girl

My dad is one of the most wonderful people I know. Since I was a very little girl, my dad and I have always done special things together. In addition to the daily, informal special moments we shared, we had formal special times planned that we called "Daddy Daughter Days." Without fail, my dad would plan for these special days at least once or twice a year. Over the years, I have precious memories of gong to the Ice Capades, the Circus, the Nutcracker...seeing The King and I and Peter Pan on Broadway (and having Peter Pan fly right up to my seat in the balcony!). As I got older, these "days" would sometimes become more extensive...I remember going to DisneyWorld with Dad for a week when I was 13.

When I was in business school, it gave me such pleasure to finally be the one able to initiate a special "Daddy Daughter" event. Dad had always wanted to go to Alaska so I decided to take advantage of some time off before graduation and take him on a two week trip. It was a wonderful experience. Seeing Alaska and exploring the glaciers, watching the whales was great but what was really special was spending quality time with my father.

Being diagnosed with cancer has made me appreciate my dad even more. His unwavering support and guidance has been invaluable as Dave and I have had to make a lot of tough choices and decisions. What gives me the most comfort is that my dad is always there, and always willing to help in whatever way he can. Whether it means getting up at 5AM and driving with my mom to Dr's appointments in NYC, or bringing cases of Propel water to my apartment because I can't find it in New York and it is the only thing that doesn't make me feel sick my first week out of the hospital, my dad never says "no". He is always waiting at the bus stop when I come home to visit, and he is always willing to drive me back to NY, no matter the time of night.

It is unfortunate that I feel like I spent most of my life taking those who I love most for granted. This doesn't mean that I didn't appreciate and love my dad (and others) before I got cancer, but I never really took the time to express fully just what they mean to me. If there is one thing that I have learned through this ordeal, it is that words are a gift and that if you don't chose to communicate how you feel to others, you are missing out on a huge opportunity.

The last Daddy/Daughter day we had was a few nights before my wedding. Dad took me to a nice dinner and told me how happy and proud he was of my decision to marry David. He gave me fatherly advice and wished me the best, in a way thinking that now there was a new man in my life who would take priority. However, I will always put my relationsip with my dad near the top.
In honor of my Dad's birthday last week, I took him to a steakhouse to celebrate. It was a great meal, and a perfect time for me to tell him, once again, how much I love him and appreciate all that he has done for me through the past year and in my life. You can never say it too many times. I love you Dad!

 

JenDad - Dad and I in 1976

 

Traveling in Alaska in 1999

 

...and celebrating his birthday this past week
 
 October 20th – Laughter is the Best Medicine I believe that one has a choice in life on how to look at things and that perspective greatly affects how you interpret and live your life.  For instance, if you are always looking for the bad or gloom in things, you will find it.  If you approach experiences, looking for humor and laughter you will find that as well.  I have decided to live the past few months looking at the humor in all of the things that are going on with my body and all of the things that people say to me about my experience.  For instance, when the manager of my gym said the other day, “What’d you decide to do, just shave your hair off?” or when an acquaintance said to me “I know exactly what you’re going through, I was in the hospital with a broken leg once”, I just smile and laugh!
 
So, I decided to post two things that have recently made me really smile and laugh.  The first is a song that my friend Brian Stifel wrote when his mother was diagnosed with sarcoma and going through chemo, radiation, surgery etc. and the 2nd is a note that Dave and I recently received from our friends Adam and Quyen Wilson.
 
Please keep the humor coming…it brightens my day!
 
MY LEAST FAVORITE THINGS (sung to the tune of "My Favorite Things" from the Sound of Music)
Hot sweats and cold sweats and fevers with goose bumps,
Pills that cause bloating and stop me from good dumps,
Four-am. nurses who barge in and sing,
These are a few of my least favorite things.
Baldness and nausea and stairs that cause wheezing,
Sore gums and eyebrows that don’t need no tweezing,
Steroids that make you chomp like a king,
These are a few of my least favorite things.
 
Needles and dry skin and wobbly tummy,
Pink I-v bags that make me feel crummy,
Smart Doctors that really have no news to bring,
These are a few of my least favorite things.
When my bladder burns, and my shots sting,
And my white count's low,
I lay in my bed and watch CNBC,
And then I shout out -- "This blows!"

Adam and Quyen’s “concerning” Letter

“We’ve got a problem.  No, I don’t mean cancer – that’s a solvable problem.  I mean something bigger.  We’re talking about your treatment.  As we discussed early on, surgery and chemo will only get you so far.  You must keep up with the tequila regimen.  Apparently the research coming out of the North Park Tap Institute (editors note: a local bar that Dave and his friends hung out in when living in Chicago), means nothing to you. I’ve alerted Dr. Bennett (editors note: our good friend) who will be contacting you shortly.  In the meantime Q and I have enclose a bottle of Playa Del Carmen’s finest Tequila (editors note: where they got married this past Memorial Day) to get you back on track.  A shot a day is all we ask. If you can’t do it you need to make Dave do it for you.  Tell Dr. Maki there’s no fun in putting toxins in your body if you don’t get a head buzz.  This is a loose translation from the Greek version of the Hippocratic oath but one that comes from an obscure section that he might not be familiar with.”
October 16th - Making Connections

Today is Sunday and I have had a really wonderful week. I was a bit worried about how I would feel these past few days given last month's infection but today is day 9 and I am feeling great! If I can make it through to day 12 without any major symptoms, I think I will be "in the clear" until after my next treatment.

I took a 100 minute spin class today and had energy to spare! I think that the illegal performance-enhancing drugs that the Dr's have put me on are finally kicking in (I was told it would take about 4-6 weeks for them to start working). I now understand why athletes pay top dollar for them on the black market...they are amazing! I now have to figure out how I can ask my Dr. to keep me on them after the cancer is cured...I could be Wonder Woman!

A highlight of the past few days was celebrating Yom Kippur with my family. My nephews, Ben and Shaun, decided that if Jen got to wear a wig, then they should too! So, we had a fun time dressing in grandma's wigs and taking pictures.

This weekend, in addition to seeing good friends who were visiting from Boston, I had a very special experience: I had lunch with a friend I had not seen in 18 years! Lana and I grew up together because our parents were good friends. We sat next to each other at every single-digit birthday party we had and were experienced acrobats on the jungle gym her parents had in her backyard. I knew she was a special friend when she didn't make fun of me (and didn't tell anyone) when I "wimped out" and had to be driven home at 10PM from what was supposed to be our first official slumber party. Lana and I went to different schools and as we got older, we didn't see each other as much. We went off to college (Lana on the west coast, myself in the south) and had not seen each other since (we kept in touch through our parents but our lives were never in the same city to get together). Well, we finally both live in NY and we decided to have lunch yesterday. What was truly amazing to me was how we were able to pick up right where we left off. All of the "details" of the past 18 years of our lives didn't really matter...they just painted the backdrop for a friendship that was meant to endure the test of time. It really struck me how, if both people have an intention to make a connection, you can jump right back into a special friendship. I am so happy to have "met" my friend again. It makes me think that every day is a new opportunity to reconnect or make a connection with someone.

 

Ben, Jen and Shaun wigging out!

 

 

 

 

Lana and I in 1976...

 

...and in 2005
October 12th – Day 5 and Feeling Alive

It is Wednesday and I am feeling great!  The steroids have kicked in and I am eating like a champ!  In the past few days, I (1) ate 6 meals in one day, (2) attended a wedding and ate two portions of filet mignon and wedding cake and (3) woke up at 4AM to eat a hamburger because I couldn’t sleep.  So funny!  I’m trying to figure out if I am more amazed by my appetite or that my pants actually still fit me!  It is hard to really “enjoy” these few days because you feel like the drugs are taking over your body…but, I’m sure when this is all over, I will reminisce about my “two cheeseburger” days and wish I could still have them.

The downside of steroids is that they make you jittery and restless so I have had a few sleepless nights…but if that is the worst of my symptoms to date, I am really happy!
 
I am constantly reminded of how many wonderful; friendships Dave and I have.  3 years ago, Dave, Rob, Alicia and I started what is now an annual tradition…attending the Wisconsin/Northwestern Football game.  In 2003 we went to Chicago to see the Wildcats win and last year we had a blast flying to Wisconsin to see the Badgers win at Camp Randall.  This year, my treatment made a trip to the game impossible.  
 
But when there’s a will, there’s a way!  Alicia and Rob came over on Saturday with their most precious little Badger fan, Matthew, and we had an indoor tailgate.  Dave supplied the burgers and brats and we had a great time watching Northwestern win in the final minutes (well, Alicia and Rob didn’t like that part). To add icing on the cake, our good friends Rob and T, who just moved to Miami, were in town and joined us as well.
 
It was a great weekend and reminded me that every day is a gift.  

 

 

You’re never too young to love a team!
Celebrating our 3rd Annual Northwestern/Wisconsin rivalry
T and Rob joining us from California to cheer for the Wildcats
October 7th - A Rundown on Hospital Stay #3

I am glad to be home from my 3rd hospital stay. Although it was fairly similar to my other visits, I have decided that the novelty has worn off and I just don't like being cooped up in a bed for 72 hours attached to an IV pole. That being said, I will continue to do it for as long the doctors think I need to!

Unfortunately, my "frequent visitor" card didn't pay off this time and I wasn't able to get my penthouse digs. Instead, I was in a room with a very sick elderly woman who moaned most of the time. It was a bit unsettling and depressing. On the one hand, you feel horrible for this woman, and on the other hand, you are thinking about yourself and how lack of sleep is not going to help you maintain your strength. My roommate was moved after one night and my stay improved dramatically after that.

I had some really wonderful visitors this time. My friend Sylvia who moved to China 4 months ago was back in town and I was so happy to see her! It was a lot of fun hearing all of her funny "lost in translation" stories (and receiving one of her famous head rubs...not to be missed!)

Dave's Mom came in for a 24 hour visit which was wonderful. In addition to bringing hugs and kisses from everyone in Chicago, she brought wonderful chocolate brownies that Dave and my steroid-infested body really loved!

Sue brought me my biggest laugh of the 3 days...a signed, personalized picture of Arnold Scwharzenegger! It was such a great gift and brought a huge smile to my face.

On the 3rd day of my hospital stay, I was extremeley tired which scared me a bit. I hadn't been that tired during my other stays but I believe it is because they took a lot of blood from me this time (better to be safe than sorry, they were concerned that my heart rate was very low...turns out that I am just in pretty good shape). I got home on Friday night and slept for 12 hours...and now I am feeling much better!

Going to the gym, having a little shindig for the annual Northwestern/Wisconsin Football Game on Saturday during the day and planning on going to a wedding on Saturday night.

 

 
Getting ready for chemo session #3 - I wonder if there are any benefits for frequent visitors?
 
October 3rd - Happy New Year! A Time to be Grateful

This Monday night marks the beginning of Rosh Hashonah, The Jewish New Year. It is the time when G-d opens his book and decides what the coming year will be like for every individual. It is also the time when you are supposed to make ammends with anyone you have wronged over the past year. It is a time when I am feeling very grateful.

You may think "How can Jen be feeling grateful? She has cancer, she is going through chemotherapy and she has to have invasive surgery over the next few months?" However, it is how I feel. Very grateful for all of the friends and family I have in my life, and very grateful to have learned so much, and be able to continue to learn from this experience every day.

The odd thing about chemotherapy is that I have a range of "experiences" in the few weeks between hospital stays. I have two weeks when I am constantly in touch with what I am "missing" and then two weeks, when I am so happy to "have it back".

The 1st week I tend to feel pretty good but I have strange food cravings and my taste buds are altered so foods don't always taste "normal" to me. I go to the gym dilligently but it is practically impossible to go on the bike or the stairmaster or the eliptical trainer on a very high level.

The 2nd week is when my blood counts are lowest so I tend to get a sore throat and only want comfort foods that are easy to eat (mashed potatoes, ice cream etc.) This last cycle, my gums were very sensitive and it felt like I had a toothache (normal, but odd since I had never experienced this).

The 3rd and 4th weeks I am gaining strength back every day. This is incredibly gratifying. I celebrated last week because for the first time in over 2 weeks I actually wanted to eat vegetables. The other day I marveled at the fact that I could eat an apple easily whereas when my gums were sore, an apple was the last thing I wanted! And this morning at the gym, I was able to take a 75 minute spin class with almost the same strength I had before I began chemotherapy.

I am grateful for things that most people take for granted! Last week Dave and I played golf with our good friends Brett and Vishal. It was a beautiful day and I couldn't help but smile the whole time. I never would have thought when I began chemotherapy that I would be able to play golf (much less whip Dave and Vishal's butts but that is another story :) Vishal, Brett and Dave took me to play golf the day before I began chemotherapy in August assuming that it was the end of my season...but no! 7 weeks later I was out on the golf course.

So, as the Jewish New Year begins, I can't help but be extremely aware of all of the little things I take for granted in life. I hope that in the coming year, I will remember both the big things and little things and live my life truly appreciating what I have been given.

Hospital stay #3 begins this coming Wednesday-Friday. I will update everyone when I get home.

 

The Fabulous Foursome...Vishal, Jen, Dave and Brett
 
September 28th - A Beautiful Gesture

It is a wonderful thing to feel really, really loved. I remember when Dave and I got married I told some friends that I now understand why some days are so special they only happen once in a lifetime. On that day, I was so in touch with how many people truly loved me and wanted the best for me.

My battle with cancer has brought similar feelings. Not a day goes by that I don't receive some wonderful, thoughtful gesture from a friend or an acquaintance that truly touches my heart and makes me feel special. I had such an experience last week and I was so amazed and touched by it that I want to share it with you.

If you remember, the weekend of September 17th was not a great one for me. I spent much of the weekend in urgent care at the hospital trying to deal with fevers and flu-like symptoms. I was so disappointed to miss both my cousin's wedding and my friend who was visiting from Colorado.

Well, it is truly amazing how things can turn in your favor so quickly...when people truly care, they will move mountains to make things work for you.

My cousin Marc and his fiance Manami decided that since I couldn't be at the wedding, they would bring the wedding to Dave and Me. So, after getting married on Saturday night, they arranged to visit me on Monday, arms heavy with wedding cake, party favors and loads of pictures. They also ordered me a copy of their wedding DVD so I can really feel like I was there. This gesture was truly amazing! With all the hubbub around the wedding, they made time to visit me and have me share in their experience. It was so thoughtful and I can't thank them enough.

My friend Karen also was able to rearrange her schedule so she visited me on Monday night before she flew back to Colorado. I was so happy to catch up with her and our friend Joy. Joy lives just down the street but it was an equally kind gesture for her to rearrange her schedule to visit with me.

Wow...I feel really loved!

 

The bride and groom looking dashing at their wedding....
...and visiting Jen the nex day
...a wonderful visit with Karen from Colorado and Joy from the Upper West Side
September 24th - When is it OK to get excited?  The Dr. had encouraging news for me yesterday.  I had a CT scan and the Dr. compared how my tumor looked before I began chemotherapy with how it looks now.  Although it is still early on in the process, the surgeon told my family that he believes that the chemotherapy is working!   My tumor has not grown, or spread into other parts of my abdomen or lungs, and the Dr. believes he sees some early signs of tumor deterioration.  This is really good news.  So, my prize for this really good news is….at least 2 more rounds of chemotherapy!
 
Irony at its best…I never thought that I would actually be excited to continue with the chemotherapy…but I am.  The fact that the surgeon doesn’t feel the need to operate right away, and that he is suggesting that we conduct another CT scan after two more cycles and then reevaluate whether we continue with more chemotherapy or have surgery etc. is good news.  It also makes it a lot easier to go through chemotherapy knowing that it seems to be working (losing my hair and getting fevers for no good reason would be a lot harder to accept).
 
Although we have a long path ahead of us, it looks like we are headed in the right direction.  Of all the tools that the Dr’s had to choose from, it looks like the first tool they picked (the unique combination of chemo drugs I am taking) is working.  Thank goodness.
 
So, this news brings me to the question of “when is it OK to get excited by good news?”  Should I be jumping on tables singing or should I have a cautiously optimistic reaction to this?  It’s hard to get really excited because I know that I still have a long road ahead…it’s not like he said “we are done with chemo, your tumor completely disappeared so no need to even do surgery…and you are 100% cured”.  Now THAT would be great news!   
 
However, in my commitment to live life “day to day”, the news I got yesterday is cause for a real celebration! If I wasn’t able to celebrate and appreciate “the little victories”, then the road ahead would feel much more arduous.   
 
So, I guess I have come to the conclusion that it is OK to celebrate the good news AND understand that I still have a long journey ahead of me.  I think that Dave and I won’t really feel comfortable jumping on tables singing until my cancer is gone, and hasn’t come back for many years….but I know we will get there, and when we do, you’re all invited to a REAL celebration!
 
September 20th – Why Can’t I Be Invincible?  I think most people spend their lives assuming that they are invincible.   Whether it be jumping out of planes (me!), traveling to 3rd world countries without being able to communicate for weeks at a time (me again) or crossing the street without looking both ways (sometimes, me), most of us spending our lives not really thinking about the risks or consequences of certain actions.  And why not?  To live our lives constantly grappling with the “what if”, would make daily living scary, fearful and not much fun.
 
I’ve spent my whole life assuming I’m fairly invincible and now I realize I’m not.  Just as I was convinced that I was going to be in the 10% of sarcoma patients that don’t have a recurrence, I found myself convinced that I was going to be the one person who would go through multiple cycles of chemo without serious side effects.  Well, this weekend proved me wrong.
 
I went to the Dr. on Friday morning to get a routine blood count.  I had a fever which he was concerned about so he did a number of tests.  My hemoglobin levels had dropped further and I was told that if my white blood cell count dropped any further, I would need to be admitted into the hospital for antibiotics.  Although being admitted into the hospital is very common during chemo, it’s obviously something that I was hoping to avoid.
 
There are two types of fevers that Dr’s look for when a patient is going through chemotherapy: the kind that warrant immediate attention and the kind that need monitoring but are considered “OK’’.  Fevers that are triggered by an infection need to be treated ASAP.  Since your immune levels can be so low at certain moments, a routine infection (like a paper cut or a bladder infection) can quickly move from a mundane matter to a serious illness in a few hours.  The other types of fevers are called “tumor fevers” and are fevers not related to any type of infection; just your body’s way of dealing with the tumor or the tumor’s way of dealing with your body.
 
I was told that my fever seemed like a general tumor fever but if it continued and got any higher, I would need to visit the Urgent Care department at Memorial over the weekend.  Well, Dave and I spent a few hours on Friday night AND Sunday night visiting Memorial’s Urgent Care Center.  My fevers continued through the weekend (up to 102) and they were making me tired and achy.  I spent all day Saturday in bed just trying to move beyond the “flu-like” symptoms.
 
Because of this, I had to cancel all of the exciting plans we had for the weekend; brunch with a friend visiting from Colorado; a visit from friends living near Philadelphia; and most importantly I COULDN’T ATTEND MY COUSIN’S WEDDING!   What do you mean I have to cancel things?  I always thought of myself as invincible.
 
The good news is that I was given antibiotics and allowed to go home both times. I’m happy to say that I started to feel much better on Monday and today, Tuesday, I am at work, celebrating 48 hours keeping my fever under 100 degrees.  It is amazing to see how quickly your body can go from feeling horrible, to feeling good.  It was not surprising that I felt so down because it was the typical time during my cycle that “bottoming out” is expected (days 7-12).  However, it was surprising to me.  I’m young, healthy and strong….why can’t I be invincible?
 
The truth is that, of course, I know I’m not invincible.  Ever since I didn’t win the 50-yard dash in the Livingston Community Summer Program in 1977, I’ve known that I have had my limits.  But no matter how many “setbacks” I have over time, whether they be personal or professional, living invincibly still is my “default” mentality.  I can’t help it.  To live my life constantly grappling with the “what if”, would make daily living scary, fearful and not much fun.  It’s just not my style.

September 14th - Welcoming Danielle Lily Zwiebach! I received the best kind of phone call yesterday! My good friend Jodi gave birth to a beautiful girl named Danielle. I am so happy for her! I realized when I got off the phone with Jodi that I am so grateful that she really lets me share in her joy. A lot of my friends are having children now and are getting pregnant and I think that some of them feel a bit uncomfortable talking with my about it because they know that my fertility is questionable at this point. In reality, I get so much joy from hanging around with my friend's kids....they make me so happy and I would never even think that because I may not be able to get pregnant, that I can't wholeheartedly celebrate all of my friend's pregnancies and births.

I was very fortunate that the Dr's did not need to remove any reproductive organs during December's surgery. The Dr's did recommend that Dave and I consider freezing embryo's because we didn't know what the road ahead entailed...we just knew that if I needed to begin chemotherapy or have additional surgery, the risk of losing my fertility could increase dramatically. During chemotherapy your body goes through menopause and it remains to be seen if your body can reverse the menopause after the chemotherapy. Some times it takes years before your body works normally again.

So, Dave and I went through two rounds IVF in February and April and not a day goes by that I am not so grateful that we have some sort of insurance policy. We don't know at this stage if I will ever be able to conceive, or even carry a child, but we have embryo's that we can give to a surrogate if we need to. Just having this option makes it much easier for me to focus on getting rid of the cancer and not be sidetracked by my desire to be a mom one day. If and when it is meant to be, it will happen. The only thing I know is that when we are finally able to have a child, he/she will be SPOILED! We will have waited way too long to not give that child everything he/she wants :-)

I am feeling pretty good today. The last 36 hours were not ideal as I had a fair bit of nausea and was very tired. I realized that drinking water was making me nauseous so I wound up getting dehydrated which really drives your energy down. So, I forced myself to drink a lot of flavored water in the past 24 hours (thank goodness for Propel and Crystal Light) and I feel like I have overcome a "hump". Let's hope my energy keeps up....and let's hope that I feel comfortable eating something more adventurous than white rice and mashed potatoes!

 

Big sister Molly welcoming Danielle into the world

 
 
September 11th - An Ode to the City I love, NYC! It's hard to believe that today marks 4 years since the terrorist attacks on the World Trade Center. It is a beautiful day in NYC today, just as it was on September 11th 2001. There are parades, tributes, rallies etc. all honoring the great city of New York. So, it seems only appropriate for me to also offer a tribute to the city I love...a city that has helped me, and is continuing to help me go through my health challenges with amazing ease.

My friend Matt R. said something to me about New York that really stuck with me...he said "New York City is a great city because it grows with you, no matter what you are going through, no matter what stage in life you are in, New York has so many options that meet your needs". I think back on my 12+ years living in or near NYC and I realize that this is absolutely true.
*
When I graduated from college in 1993 and could barely afford toilet paper, NY found the perfect apartment for me. My roommate and I put up a wall so our living room had no windows, and our kitchen was about the size of an airplane bathroom...but we had an apartment in NYC, a block from Central Park. There were a dozen restaurants within walking distance that had free appetizers during happy hour and almost all of my meals were paid for!
*
When I graduated from b-school in 1999 and decided to move back to NY with a bit more disposable income, NY found me an apartment with a beautiful balcony and lots of windows. My roommate and I each had our own bathroom (!!!) and there was actually room to have a few friends over in our living room. There were a ton of nice restaurants to chose from but we were still partial to the "cheap eats" we had come to love when we first moved here after college.

And now, given my sarcoma, I couldn't be happier to call NYC my home. Although I am feeling great, NYC living is all about convenience and I realize how lucky I am to live in a city that makes living "normal" so easy:
* I live a cross-town bus away from the best sarcoma doctors in the world.
* I live within a 2-minute walking distance from 3 grocery stores, 3 pharmacies, 4 gyms and 2 Starbucks
* Dave and I have a menu book of over 75 local restaurants who will deliver within 20 minutes, with no delivery charge!
* We live within 1 block from 3 subway lines, 3 buses...and taxis queue outside of our apartment building

New York makes it so easy to live "normal". If I don't feel well one day, I only need to take a five minute walk to get things done.

All you need to do is walk outside your door, down the street and an adventure awaits. Dave and I are discovering new restaurants and new adventures every day. Just yesterday, we wandered to a part of town we hadn't explored and wound up eating homemade custard and watching the U.S. Open Women's Finals on a big-screen TV in a local park.

I remember immediately after September 11th, there were t-shirts being sold that said "I Love NYC...More Than Ever". I think that I can say that after the health challenges of the past 8 months I love, honor and appreciate NYC more than I ever have.

September 8th – Hospital Stay #2  There are definite benefits to checking into the hospital on a national holiday.  Dave and I arrived at MSKCC on Labor Day to begin chemo cycle #2 and they upgraded me to a private, renovated room since they had fewer patients on the floor. It really made a big difference in the quality of my 3 days there.  The room was still a hospital room but it had big windows, a lot of space, a modern shower and a flat-screen TV! (go to the hospital pictures area to see how little it takes to get me excited!) The TV was great given that I spent much of the 3 days glued to the US Open.
 
The 3 days were very similar with my last visit to the hospital.  I spent most of the day in some “stage” of chemo treatment (the entire chemo process takes about 8-9 hours because you need to take a lot of medications both before and after the chemo to manage side effects), but it didn’t prevent me from walking the halls, having visitors and enjoying the “room service” menu (check out the pics to see who visited!).
 
Unfortunately, I did not receive any foot massage this time around, but I did receive a wonderful kit of cosmetics courtesy of the Look Good, Feel Better program at MSKCC.  This is a wonderful program sponsored by Estee Lauder, Clinique, Mac and a number of other leading cosmetic companies.  They donate make-up to cancer patients and have make-up artists provide make-overs in the hospital.  The program originated at MSKCC 18 years ago and is now nationwide.  I got so many great goodies and it was fun to have a make-over on our 2nd anniversary before leaving the hospital.
Speaking of our anniversary, Dave and I were hoping to go out to a low-key dinner that night.  We joked around that we hadn’t made any reservations and that we were going to “let the steroids” make the decision for us as to where we were going to eat. The hospital did a great job of getting me out at 5PM so Dave and I were home by 6PM. I was feeling tired so Dave suggested I “take a nap” and then we could go out.  Well, I was a lot more tired that I thought…I woke up at 9PM with no idea where I was!  The good thing is that I felt a lot better when I woke up, the bad thing is that our anniversary dinner never happened.  We wound up ordering in from a diner and postponing any type of anniversary dinner.
 
The great news is that I am feeling very similar to last time.  I think that I am giving myself a bit more permission this time to accept if I am feeling groggy or tired but I went to the gym this AM and came into work for a half-day today.  Let’s hope it continues!
For Better or Worse – September 7th I’m sure that everyone is curious about my hospital stay and I will dedicate my next journal entry to that topic. Today I wanted to talk about something that I have been thinking about for a long time…Dave’s and my 2nd year wedding anniversary!

It is quite ironic that we find ourselves in the hospital on September 7th (the good news is that all of the nurses/Dr’s have put us on the STAT plan so hopefully we will be able to leave in time to have a nice dinner together). I knew that our marriage would be a long road and would have many unexpected twists and turns but I don’t think either of us even ventured to guess that I would be dealing with cancer and receiving surgery/chemotherapy.

For those of you reading this who attended our wedding, you will remember that Rabbi Kasdan and Rabbi Frankel requested that we write our own vows. Dave and I had a lot of fear around expressing our words accurately and adequately but it turned out to be an extremely rewarding experience for both of us.

In my vows I said that I loved David more than I have ever found the words to say to him… “and while today (our Wedding Day), I may not be able to find the exact way to say it, I am so grateful that I have the rest of my life to find the right words to express how much I love you.”

I’d like to say that in two years I’ve gotten a start on finding the right words but the truth is I’m more lost than ever.

I’m starting to think that words will never do it justice. Instead I start to see images. The wonderful images of us traveling on safari, swimming in exotic oceans, to soccer games around the world, to the weddings and baby ceremonies for so many friends and families…
And despite how amazing those images are, there are images that I found even more beautiful:
David’s voice being the first one I heard when I woke up from surgery in December
David “sleeping” on a cot” for 5 nights to make sure that when I couldn’t get up on my own, he would be there before the nurse could get to me
David giving me a sponge bath when I didn’t have the dignity to have anyone else do it
All of the hours of research, Dr. calls and logistics that I didn’t even get involved with because David was “all over it”
The beautiful, type-written, McKinsey-style, organized questions that Dave would coordinate with our families on, and bring to all of our Dr’s meetings
David being the one to break the news to me that I needed to go through chemotherapy and that we could do it… together
David holding my hand when I first began chemotherapy…and learning all about the drugs, the chemo process, the side effects and the follow-up regimen so I could rest
David sitting with me when I had my head shaved…and telling me I was sexier than ever with no hair (and it was genuine)

Dave says that he is in awe of how brave I’ve been and how brave he knows I’ll continue to stay. But I am the one who is truly in awe of him. His strength, courage, persistence and never-ending faith in me.

He has been my rock and I truly believe that I would not be handling this as ‘bravely” as I have been if I didn’t have such a solid companion. I never considered myself a deeply religious or spiritual personal but I have to believe that some greater force brought us together and I am so forever grateful for that.

I also said in my wedding vows that “it is not only about marrying the right partner, but it is being the right partner” – well, I know now, more than ever that Dave is the whole package. He was the right one to marry and he has been the right partner every day since our wedding day.

Happy 2nd Anniversary! Here’s to Anniversary #3 being as far away from a hospital as possible!
Recently at the Hospital
On Our Wedding Day
September 2nd - Full Speed Ahead I met with the Dr's today and they are very happy with how I am feeling. Although it is too early to tell what affect the chemo is having, my blood work showed that I was pretty much recovered and ready to go back into the hospital for a 2nd round this coming Monday-Wednesday. After my 2nd cycle, they will move me to a "once every 4 week pattern" so that I can maximize my recovery before the next cycle begins.

At first, I was disappointed by the decision to move me from a 3 week cycle to a 4 week cycle. My type A personality is saying "let's just get this done with quickly so I can move on". However, I realize that the Dr's want to be able to administer as many cycles as they can (could be up to 6 or 8)and they want me to feel good and "live" during the process. As Dave pointed out to me, "it's better to feel good and have chemo every 4 weeks than to feel bad doing it every 3".

As I become more comfortable with the road ahead, I realize that this is not a process that is going to be done with quickly. It could be at least 6-8 months. So, I need to change my attitude from "let's get it over with" to "let me live the best I can during that time period". If I adopt the mindset "life will be good when this is over", then what am I saying about the life I am living now? Doesn't make sense...I need to live every day to its fullest.

So now we are enjoying the beautiful weather in NYC over Labor Day. We were disappointed that we had to cancel plans to visit Portland, Oregon for the wedding of our friends, Kelly and Christina. However, we have been watching lots of World Cup Qualfying Matches (US is going to Germany after their win last night vs. Mexico!) and U.S. Open Tennis.

Have a wonderful holiday weekend. My next update will be from hospital!
August 31st – The Irony of my Situation i·ro·ny  - Incongruity between what might be expected and what actually occurs
I looked up the word irony today because lately I have been feeling that so many things I am experiencing are so ironic.  For instance I expected to feel weak and lose a lot of strength over the past few weeks and I feel just as strong as I ever have.  In fact, since about last Friday, I feel about 100%.  The Doctors did say that the last week would be the time when I start to gain most of my strength back and it is really true.  This weekend I took a 90 minute SPIN class at the gym and today I ran 5 miles, no problem.  Wow, talk about incongruity between what might be expected and what actually occurs.
I also find it ironic that every morning after I have these amazing workouts and feeling stronger and better than ever, I take a shower and large clumps of hair fall out in my hands.  If I’m feeling healthy, shouldn’t I continue to look healthy?  I know that losing my hair is inevitable and that this is actually a good sign (ironic again) that means the chemotherapy is “penetrating” where it needs to, but it is depressing nevertheless.  I’ve told Dave that the hardest part of every day now is taking a shower.  Incongruity between how I feel and the side effects that are actually occurring inside of me that cause my hair to fall out…
I also find it ironic that I have spent most of the first 34 years of my life hating my hair and now I would do anything to keep it.  Whether it was a flat iron, extensive blow drying or hair straightening treatments, I have spent lots of $ and TONS of time in the pursuit of beautiful, straight hair.  My natural curly hair, that so many people would love to have, never appealed to me and I always tried to hide it.  In June of this past year, for a reason I can’t really pinpoint, I decided to throw the hair dryer and flat iron away and embrace my au naturale curls.  For the past two months I have grown to truly love my hair.  And now, just when I have made peace with the curls God gave me, they have to go…incongruity between what I’d like to happen and what will actually occur.
I never understood why women going through chemotherapy allow their hair to fall out slowly day by day rather than bite the bullet and shave it off as soon as they see the first clump.  I always thought that if I were ever in this situation, I would shave it the minute the Doctors said I had to begin chemotherapy so I could “avoid the pain”. Well, I’m here to say that it is not that easy.  I know that the writing is on the wall but I’m not ready to shave it yet…although I don’t like seeing my hair get thinner and thinner every day, I do think that there is something about disassociating yourself from your hair.  I keep thinking to myself “when I no longer recognize my hair, it wont’ hurt as much to shave it off”.   However much I try to convince myself that I’ll be read for the inevitable “visit to the salon” when it happens, I also know that in my heart of hearts I will be very sad.  Most likely there will be an incongruity between what I’m hoping to feel and what I will actually be feeling…the irony of it all.
"3 girls with great hair! Visiting with Marisa and Hannah"
August 27th - I love the NJ Shore! My parents take my nephews to Wildwood, NJ every summer for a week. I used to go with my brother when I was a little girl and it is great fun - sun, sand, junk food and amusement rides. So, I told my parents that I would have to be feeling really bad NOT to visit them this summer. The good news is that I felt fantastic and Dave and I just got back from spending two days at the beach. We sat on the beach , went on lots of rides with my nephews and sampled from about 5 different ice cream parlors. It was great!
My favorite part of the two days is that I "forgot" that I was going through chemotherapy...it was a really wonderful gift that my family could give me...to live life like a "regular" person and forgot all of the recent Dr's appointments and trials that I have had to go through.
It's hard to believe that I am feeling as good as I am but I am not going to question it!. As I enter "week 3" of my first cycle, any side effects that I had are completely gone and I have gained back all of my strength. I am going to make the most of the next week to build my strength before I enter the hospital again next week.
I am determined to really "live" through this experience. I am tremendously fortunate to have such a "team" around me that lets me live life in the way that I'd like to - - to feel normal. I am talking about all of our friends and family. Every day I am touched by either words or gestures of what people (like yourseles) have done to make me feel "normal". Thank you...I am blessed to be so loved.
Jen and Dave getting into trouble with Ben and Shaun at the Jersey Shore
Dave won a batman toy for Ben and Shaun - he's the real Superhero!
August 23rd -So far So Good

I had a really great weekend.  Dave’s parents came to visit and we toured all over New York. On Saturday we went to Sharon and Matt Spielman’s BBQ (where I proceeded to eat 2+ cheeseburgers thanks to the steroids!) and had a wonderful dinner in Little Italy.  On Sunday we explored Coney Island which was very fun (of course we made a stop at Nathan’s Original Hot Dogs to see what all the fuss was about!)
 
It is now Tuesday night and I have spent the last few days going into work.  Although it would be nice to “pretend” that I don’t feel well and skip work, the truth is that I am feeling close to 100%.  There are times when I get groggy or sleepy but they pass very quickly and I can’t be certain that they really have anything to do with the chemotherapy. 
 
Although I have stopped taking steroids, my appetite shows no ends and I am constantly eating (the Dr’s say that this is a good thing so I guess I will go with it!)  The only thing I need to do is take my temperature twice a day to make sure that I am not getting a fever. If that happens, I need to go to the hospital for antibiotics.
 
I have been living life day-to-day which is definitely a hard adjustment when you are a planner like myself.  However, it is quite liberating…not really allowing yourself to make plans more than a day or two in advance because you’re not sure how you will feel.  It really forces you to live in the moment and appreciate every day.
 
Thanks for continuing to check in on me.

August 18th-20th - Getting Back into the Real World I'm so glad to be out of the hospital. Although the stay was fine, you start to feel like your brain and your bones are starting to atrophy. I was looking forward to taking a real shower, sleeping in my own bed and trying to get back to life as normal.

This whole process is extremely odd because I am living in a constant state of "waiting for the other shoe to drop". The Dr's and nurses have told me to expect that in the 2 1/2 weeks before my next cycle begins, I should expect to feel OK for the first few days, then "bottom out" and then start to recover again. Since none of this has happened as of yet (thank goodness, no serious side effects, nausea etc.), I wake up every day wondering "could this be the day?"

The Dr's I am working with have encouraged me to "do as much as I can" and "live my life" and that is what I am planning to do. I have gone to the gym the last few days and although I wouldn't necessarily run a marathon, I am doing pretty well.

I do have to say that I have had some strange cravings for food...basically the 3 foods I rarely ate before these treatments -- red meat, cheese and pasta/breads. The Dr's have me on steroids and I have these ferocious bursts of hunger that are very odd. We are going to our friends Sharon and Matt's BBQ today and I am a bit worried that I might eat all of their cheese burgers!

A special thanks to Tina and Lauren Ripperger who went shopping with me the other day to help me stay stylish when my hair falls out (expected to happen in about 2 weeks). We went to the Barney's Co-Op and we were delighted to learn that "doo rags" are in vogue this fall. They were selling lots of bandanas, scarves etc. and when I told the sales rep why I was buying them his reply was "There's never been a better time to be going through chemo - you will be so gypsy cool!" You've gotta love him!

 

August 15th-17th -
My first Chemo Session at The Hospital
The hospital stay has been what all the Dr.'s warned me about...boring! The chemo is just an IV drip that goes on for about 4 hours every day...the rest of the time, they are pumping you with liquids (I promised Dave I wouldn't obsess about the 8 lbs of water weight I gained in 2 1⁄2 days but it is frustrating!).

Although it is not exactly "fun" to have an IV attached to your arm for 3 days, I have to say that Memorial Sloan-Kettering is a pretty relaxing place to be for a few days of R&R. I actually started to call the hospital "Spa Memorial" but I think that this is just a little too positive. They have a room service menu...that's right, I can choose whatever I'd like. And the food is pretty good. Perhaps it's the drugs but I had a grilled vegetable pizza that was delicious!

They also have a recreation center that is very nice. There is a ping pong table, a foosball table an outdoor patio and lots of arts & crafts classes. There is an integrated medicine group that visits your room a provides FREE massages, yoga instruction etc. I got a 20 minute reflexology massage that was great yesterday. And did I mention high-speed internet access in the rooms as well? For those of you who are over-worked and under-paid, this could be an option :)

Being the overachiever that I am, I have inquired and 14 laps around the floor is a mile. It gets a bit boring walking for hours every day but I am hoping that in the next few months they might open the Jen Goodman Linn fitness center, complete with bikes, treadmills, weights etc.

Leave me alone, I am going a bit stir crazy!