Home

Yes, Sharon and I are home, and like comfort food, it felt so good to be here. We packed for a for 5-month stay in Seattle . We were there for just over 5-weeks. Amazing how much we need to unpack and it in itself may take us weeks.

The experience was eye opening in so many ways. Mostly emotional and also gave us insights into how some facets of healthcare work. It is so complicated. I would think there are some really smart people in the world who could organize our care in a better way.

I have now passed the 1-week mark regarding the new medication I am taking. So far so good. I am scheduled for some medical visits locally here in Sacramento and then I will have an appointment at Fred Hutch on Monday Nov 28 to get checked out and pick up my next month of medication.

Just prior to our departure from Seattle we took a trip to their Arboretum to check the fall colors. From our previous visits to Seattle, the turning of the trees seemed delayed, possibly by drought or warmer weather. At any rate, the colors were glorious.

Thanks again for your support, caring and prayers.

Stay safe.

Larry and Sharon

Compassion is Alive

In our world of discord, be it political, social, financial, racial, or anti-semitism, there is still compassion in our society.

Today, I signed consent for my clinical trial of one, and late this afternoon picked up the medication at the Fred Hutch pharmacy.

Through my cancer journey I have survived and lived through many a physical ailment – bowel obstruction, spinal nerve root compression, chronic neuropathy in my feet. I feel that none of that compares to the emotional pain I have endured this past month. The crush of the decision that I was disqualified from the “cure” (or even the flip side effect of death while trying for the cure) was more than an anvil dropping from the sky. Then the weeks of waiting for my liver to heal, and the subsequent push and pull between my doctors and the drug company to approve my trial.

All in all, the tremendous power of your caring and prayers have brought Sharon and I through these honestly depressing days. Tonight I begin the new therapy. I have one more treatment tomorrow and a blood test on Monday after which we will return to our home in Sacramento.

Over the next several months we will gage the response to this treatment. Frankly it can go one of three ways – no effect, suppression of the lymphoma, or remission of the lesions which will then allow me to try for the bone marrow transplant and the cure. It is unspoken which way we are praying for.

We will keep in touch. In the meantime, a heartfelt thanks to all.

Larry and Sharon

Watch and Wait

For patients who have CLL there is a treatment named “Watch and Wait.” I was in that treatment for the first 3-years after my diagnosis. What it really means is “Wait and Worry.” I feel like I am in that mode right now.

Since our arrival in Seattle we have been worrying. This past week, I received an IV treatment of a drug that fights CLL and other similar leukemias named Obinutuzumab. We also had a clinic visit with our doctor who said they are working hard on trying to obtain the compassionate use for the drug named pritobrutinib.

In the meantime, the lymphoma bump on my neck continues to get bigger. The two treatments I have had here did not seem to calm that down. We thought we might, in the best case scenario, have the new drug this week. However as the week comes to a close, no drug, just worry.

To address my enlarging lymph node, today we had an appointment with the Radiation Oncology department. In layman’s terms, that means blasting my neck with radiation to slow the lymphoma tumor’s growth. I have received this type of radiation before, in the summer of 2019 just prior to my CAR T treatment. Because this would be my second time, for a relapse, the dose of radiation will need to be greater than the last time. As there is only so much radiation one part of the body can receive, I would prefer not to do this if at all possible.

So we wait and worry. If the new drug shows up at our doorstep sometime next week, we can hold off on the radiation. I am waiting to hear as there seems to be some kind of hang up in coordination between the clinic and the drug company. Believe you me, I am leaning on my contacts to make this happen. My doctor here is very committed and responsive. We all want this.

We hope the worry will be put on a temporary hold sooner than later. In the meantime we wait.

Larry and Sharon

Moving Forward

We met with our doctor today who provided positive news in that the new medication we are attempting to receive has been approved by the drug company, Lilly Oncology. Next steps are for approval of the paperwork, meaning consent and protocol documents. The hope is that the medication arrives here within the next week to ten days. With Pirtroburtinib in hand we will be given the green light to return home to Sacramento.

I will be monitored at home and will need to travel to Seattle on a monthly basis to pick up the medication. Since this drug is not FDA approved, no pharmacies will have access to it. If this works, the travel is a small price to pay.

The last bit of the conversation today revolved around whether or not the bone marrow transplant will be attempted again. Should the new medication bring me to a complete remission we could be back in Seattle in the Spring.

In the meantime I have also been advised to live as we have in a Covid bubble. Limiting our exposure because I am still, and will be, immunocompromised, and any setback would affect our chances of this cure.

Thanks again for all the support we have been receiving.

Larry and Sharon

The week behind, the week ahead

If you are following along, this past week my bone marrow transplant was cancelled, or some would say put on hold to see if an alternative therapy can bring down my lymphoma to a remission level so low that we can try again.

The week has been emotionally tough and we are hanging in there. My liver is healing from the toxic effects of the last drug I was taking. We have been informed by Lilly Oncology that they will make the drug Pirtobrutinib (LOXO-305) available to me once all the I’s have been dotted and the T’s crossed. We do not know when that will be.

This week I will have an IV infusion of a medication I have been given since July, Obinutuzumab. The hope is to keep my enlarging lymph nodes in check until Pirtobrutinib arrives. I have an appointment with my Oncologist on Tuesday and expect some kind of update, one way or another, regarding the schedule and as a result when we may be returning to Sacramento.

A friend of mine sent me an article I want to share. Written by Aakash Desai,MD, MPH Division of Medical Oncology, MayoClinic, Rochester, Minnesota, and published online this past October 6, 2022 in the journal of JAMA Oncology, it tells the story of how analogous treating cancer is to playing a game of chess. We found it very close to the way many of decisions for me have been made. The article is titled and you can read it by clicking on the title: “Avoiding Checkmate-Playing Chess with Cancer.”

We have appreciated all the caring we have felt this past week.

Larry and Sharon