Think he's growing his own solar system in that head of his

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Hi all

hope everyone is hanging in there.

Our rollercoaster ride did another loop the loop today when we met the oncologist face to face as a family. This was our first face to face since Sept 2020 and it was really weird being back in the cancer centre and following the previously trodden paths from when my husband had his 6 weeks of treatment.

The latest MRI didn't bring good news. It didn't really bring unexpected news either if I'm being honest. We can see the changes in him now. This was the first scan images we had seen since Sept 2020 as during the various video appointments over the past two years they've been unable to show the images (that has been frustrating to be honest). Today's images showed two active areas of tumour growth separate to the original site plus at least two other small spots that are presumed to be tumour activity. The second tumour that they wanted to monitor with this 6 week interval scan has more or less doubled in size (in line with GBM4 published average growth rate)  Honestly, it looked like he's growing his own wee solar system in there, One area of active tumour growth is at the edge of the ventricle and is in the shape of a crescent moon just now. (If i don't find some humour here I'll lose it!)

So where does this leave us?

He's been offered chemo to try to stabilise things. Higher strength TMZ than he had during his 6 weeks of treatment way back at the start that would be taken 5 days on/23 days off. You guys know the drill with that one. The odds of it having any effect aren't great - 1 in 3 chance it might stabilise things/slow them down a bit.  My husband is considering this option but is worried about the side effects and the main side effect appears to be fatigue. That's the one he is worried about. He just wants to be able to run every day for a long as possible. I get it.

The oncologist has emailed through a pile of information that we will read and digest over the coming days. He's calling back on Monday to see what he's decided to do.

As expected, he wouldn't be drawn on timelines here. (I'm sceptical of them anyway - we were told in Sep2020 he had 12-15 months..... and he's still here and in remarkable physical shape) What the doctor did say a bit back to front was that he had 9 to 6 months or perhaps considerably less. When we asked if that was with or without the chemo, he said either way.

So that's where we are at right now. Not a great start to the week. Been a few tears today (mine) but we'll get through this.

If anyone has any words of wisdom on taking the higher strength TMZ please share them. Everything I've read indicates that fatigue is the main side-effect and as I've said that's the one he wants to avoid as if he is fatigued he can't run...yes every decision here is linked to running.

Tomorrow can only be an easier day.

love n hugs to you all.

Wee Me xx

  • FormerMember
    FormerMember

    Hi Wee Me,

    I hope you are all doing as best you can be, you have had such a lot of info to digest and  I know your emotions must be so all over the place with taking in this news. 

    My hubby just started his 6 weeks of radio and chemo post surgery so im  very new to all this, so i dont have any experience to share. But i think so far ure hubby is doing amazing with his bravery and his running and dont focus on these timelines, I am never going to ask.

    You are such an amazing and kind inspiration to this group and to your family, once you have gone through all the info perhaps ring the Dr back if you have more questions.  You need time to understand the options The one thing that strikes me about all this is that everyone is so individual in their respones to treatment etc, and ure hubby has shown such strength so keep focused on that.

    Sending you hugs and strength, you can get through this...your words shine a light on so many others at testing times, keep some strength for yourself and take care xxx

  • Like your husband, I chose not to pursue the adjuvant higher strength TMZ when it was offered one month after the initial six weeks of radiation with lower-dose TMZ. . I had two main reasons: from my reading , it seems to be much less effective when the tumour is unmethylated, which is my case. Obviously, everyone is different and it may well work in some cases. The second reason was quality of life. I didn’t want to feel nauseated and exhausted half of every month, which seems to be relatively common.  But then again, I know there are people who suffer few side effects. Hopefully, some of them will reply to your post. Good luck to both of you, whatever your husband decides. 
    PS I really appreciate your warm and thoughtful contributions to this forum We Mee. 

  • Ouch! That's really rough but good that you can still find the humour in it all! Do you know what the genetics of his tumour are? I guess you know that certain mutations are much more susceptable to TMZ. Unfortunately a lot of people, including my wife, have the wildtype version. She started on the high dose TMZ last month and yes the only main side effect was fatigue but only for those 5 days. After that she was fine. If his tumour does have the wildtype genes then I guess it's whether he feels the extra time it could give him is worth the fatgiue. I can understand why he wants to cling on to his running right now. He could perhaps try one month and then decide if it's worth it?

    All the best,

    Chris

  • The initial tumour was methylated so we can perhaps assume its friends have the same pathology. I suspect he'll try one round of this and see how it affects him. If he suffers too much nausea or fatigue that costs him running time then I suspect that will be an end to it. That was his main reason for not taking it when it was first offered back in Jan 2021.

    In his ideal world he wants to feel well, run daily and then just drop. He is scared of a long slow decline in health which I totally understand. 

    time will tell...

    love n hugs

    Wee Me xx

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