Hi to one and all,
For so long I wished I could talk about, share and support the wonderful courageous members of the community. Thank you for allowing me to join.
I was diagnosed in August 2011 with grade 4 GBM. The shoch and horror was enormous. My wife was 9 months pregnant with our first child. The prognosis - what an Oncologist must estimate for you based on statistics, not measuring up each individual's factors as that is impossible - I was told that it's untreatable but will operate. I had surgery just one week after being diagnosed. My surgeon managed to debulk more than she originally thought possible. My child was born 10 days after surgery. My surgeon then encouraged to go ahead with radio and chemo with the stark prognosis that I should live 9 - 12 months, with treatment. We decided to throw everything at it. I had 6 weeks radiotherapy and an mri after 4 more weeks which showed the tumour was contained, no longer growing. That was a fantastic result. After a few weeks I started on Temozolomide Chemotherapy, which I'm sure you'll have come across. Each four weeks I had a 5 days course of Chemo. The original plan was to have 6 cycles and see if it works. After I completed cycle 5, the scan showed zero change since scan, post completion of radio. It was positive that it remained contained and I was coping well with the treatments. My oncologist at this point felt the chemo was having the effect of containing the tumour, but now we felt more confident to put all efforts and minds in perhaps researching a different treatment that may work better, as I was coming to my final round of chemo. My Oncologist with such kindness, trying her best to work out something, suggested we both do a little research. We sent off my scan pictures and medical report to many world renowned specialists in Oncology, from the US to Germany and the reply from every one of them was the same. That I'm getting world class treatment and it's the best there is. [We are so fortunate to have the most unbelievable NHS, I have only gratitude and pure admiration for the world class doctors and staff that make up the service] - but that's a separate topic. We then went ahead with chemo cycle 6, my last one I had left to try. We had a scan after a few weeks. My oncologist took us to her computer to show there had been a shrinkage of my tumour albeit a small amount. That was unexpected. Temozolomide was just over 5 years in use in the NHS. It was developed in Canada. There was a summit of Neuro-oncology which my oncologist was part of and present there was a professor oncologist from Canada who has been working on the Temozolomide. He was shown my case and how it dented my GBM. He was very interested in seeing this further and asked if I would want to continue with more rounds of Temo. The NHS to protocol provides 6 cycles. Therefore I was considered to be a trial, as the drug was still relatively new, and through that the NHS will fund further treatments. I went on to have another 7 cycles, each 4 weeks apart. After the total of 14 cycles my oncologist felt confident that it's stable, asleep. I've always been very aware GBM sprouts again, and that was the message I received many times. I had progressions in late 2017, noticed in its very early stage by a 3 monthly scheduled scan. I had 9 more cycles of treatment until we were happy that it was stable again.
I know I have been very fortunate. My world has changed. I feel so much empathy for all of our community people. I've told only the positives of my story. Like everyone, it is frightening sick, morbidly horrible and meltdowns. Feeling hopeless and depressed, feeling your days are very much numbered as this cruel and crass Cancer lurks to attack us. There is nothing more worrying and stressful than knowing it's not going away any time soon. Life is meager and a struggle. There are also the "side effects" caused by surgery and treatment. I have now Epilepsy, thankfully controlled, Retinopathy, Hormone Deficiency, cataracts. The list goes on and life is a struggle. I just try and feel fortunate even when my emotions are wrecked feeling unfortunate.
I've gone on for long enough. Sorry!
Very best wishes to each and every person in this wonderfully welcoming community. Thank you very much.
Rafs
Not coping very well at the minute. My 44 year old brother diagnosed with GBM4 in Dec 2020. 2 debulk ops in right frontal lobe aggressive started to grow again after operation and another tumour found that could not be operated on. Just finished whole brain radio therapy last week. His left side does not work. He is in a hospice until we can get his home sorted as he kept falling and my sister in law could not cope they have 2 small children.
He has been given months to live.
I struggle to know if we should be realist and talk about him leaving us or live in hope that he will be a longer term survivor.
I actually read your post out to him yesterday during my visit and it did make him happy.
I just wonder will his hand/arm/leg ever get better. He is so disabled at present and it's hard to see.
Like others on this forum, he was perfectly healthy 44 year old man beginning of Dec with no underlying health issues and now he can hardly walk.
I feel like we have all been pushed off a cliff and are hanging onto the side.
I just look constantly for stories of people who have this and are still here and look at the date of diagnosis and calculate how many months they have survived.
Thank you for asking. Much appreciated. X
Like you LMFMay I look for positive stories and they can be hard to find, one reason is long term survivors are getting on with their lives and don't want to be reminded. My then 22 year old son was diagnosed in December 2017 and given the standard prognosis of 12 to 15 months, his scan showed no visible tumour (the original was 5cm) at the end of treatment and continue to do so, praise God, and as far as we can tell he has no effects from all he has been through. As Rafs says every one is unique and thankfully it is a relatively rare condition so there isn't the level of research and data that there is for the more common cancers but one thing is consistent, to try and learn to enjoy the present and not worry about what is to come - easier said than done I know. There is more about our journey in my profile.
Hi, it is awful what your brother is going through and what you are going through, with your care, companion and compassion you are for him, it's all so tough. So brutal. It's the ever evil C of gbm.
When I was diagnosed nearly ten years ago, a good person who I would confide in, said to me that whilst I was being deliberately positive in my thinking for the outcome of my treatment - life itself, he thought I was being naive as to the severity of my disease. Prognosis (statistical) 9 months, I said that's the goal to beat.
EVERY PERSON, EVERY PATIENT IS INDIVIDUAL, and whilst we all have what I call "suffering equivalence", no one case is exactly the same as the other. I feel desperately sorry for your brother and for yourself, I wish I could be of help and even encouragement for him, such a fantastic person, heroic champion and fighter for and against GBM.
I can't express enough how I wish you and him, the very best. Nobody has a right nor is it possible to dictate to you what and how your life is going to be. Keep it up! You clearly have the will for what it takes to get through this most tortuous and challenging time. It's devastatingly tough and brutal, but I hope and pray for better days, better news.
Keep strong
Rafs
I replied to Bluees post, i was intending it to be for LMFMay. Equally for Bluees, I was 24 when I was diagnosed, 34 YO now.
I can barely imagine what you and he have had to put up with, the trauma the brutality and sheer overload. As I say, one person, one patient knows very well their own story and all the emotions and difficulties, all the while to be aware that he does not know exactly what and how it is in another's circumstance.
My heart goes out to you both and I'm aware how incredibly harsh the journey is. Nobody dictates outcomes. Statiscally, what prognosis is based on, it's an average which means half are above it. Doctors, bless them, are required or feel it their prudence to give a prognosis. It's there to try your very best to beat.
Warmest regards
Rafs
Rafs thanks so much for your reply and to Bluees and Haymaj. Hearing your stories has really helped. I read them out to my brother and he started to cry (which is unlike him) because it gave him hope and he was touched that people had taken the time to write their stories.
Isn't it amazing how you go through life and so many silly, insignificant things are important then the explosion of Cancer happens and everything changes.
He has had an MRI scan following the whole brain radiotherapy and has an appointment with his consultant in 2 weeks
Thanks again to everyone and my best wishes to all.
I've come round to the conclusion that hope is all we have so as long as he is alive let's keep it. Xxxx
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