A video that was posted on Livestrong’s FaceBook page yesterday.

What a wonderful, sad, powerful blessing. I have been struggling to find a way to share how it feels to be so free while living with this disease. Today I am able to use chemotherapy, knowing that it will most likely keep my tumors from growing for 6-12 months instead of actually getting rid of them. If this chemo stops working then I have to look for something else to keep them at bay.

Quality of life is so important at this point. I have been given the option of more radiation, more surgery, more of this and that. Today I know that I am choosing to preserve some quality of life over taking every possible step to get the cancer out of my body – choosing to enjoy life as much as possible with the demons in my back pocket. I wish I could get rid of it all (and I never do give up hope on what the future may hold) but dying to get cancer out is dying nevertheless. I know I am one of the lucky ones to even have this time.

Thank you, Zach, for living a lovely life. You will never be forgotten, even by those you never met.

Zach

Spirit Week

It’s Spirit Week at River City High. Since I can’t be there I thought I’d give a little shout out to Marlaina Schroeder who has more school spirit than all of us combined. I’m missing my school family but I’m feeling so well rested and my mind and body are feeling so good.

The video below (maybe a tad long if you don’t know the kids; turn the sound ON) is something I made for my Spring 2012 Class. They were the first students I taught upon return after two years of surgery, radiation and chemotherapy. Returning to teach was a huge goal for me and we had such a memorable semester together. These three semesters in 2012 and 2013 teaching Biomedical Science have been a dream.

Nerd Day during spirit week 2012

Nerd Day during spirit week 2012

IMG_2204

Twin Day during Spirit Week 2012

Letters from my students (my biomedical science students)

Kara

Last Wednesday I went to school with a new, unexpected hairdo. A few students greeted me with, “Nice haircut”, or, “Wait, what?”; but most didn’t respond directly to me about the obvious change. We started the class period business as usual. I took attendance and sat on the front lab table to gaze in awe at my bustling herd.

The volume in the class lowered, the kids wrote their warm-up question responses and I announced, “Thanks for getting going efficiently today. Now who wants to talk about my hair?”

white_hair

I told them why I shaved my hair. I drew diagrams of the anatomy of a strand of hair and explained the interactions behind chemo and hair. I told them about how the first time I had chemotherapy I pulled my hair out one chunk at a time. David said I looked like a mangy cat. I did. (What I did not tell them is that the first hair to actually fall out was what got suddenly pulled away as I wiped myself after a good pee. I thought it inappropriate to talk about my pubic hair in a classroom so I saved that for this more public setting. And, for the record, your hair doesn’t spontaneously fall to the ground. Little by little hair appears in denser and denser chunks on your pillow or in your brush. It’s not pleasurable but it doesn’t hurt.)

They wanted to know what it was like to have a biopsy. Their aunt just had one and they remembered their mom getting one done. I told them that I had been awake during my biopsies, but in a very happy place thanks to good drugs. As I recalled the feeling of a foot- long silvery needle scraping the inside of my tumorous vertebra, I told them that other than a little pressure all I remember is that the doctor performing the biopsy was super hot.

“OMG, Mrs. Wiley, of course you would remember that,” I heard female voices squeal.

Both procedures – spaced out by 6 years – happened to be done by young, tall, athletic doctors in well-fitting scrubs, intent on poking me while I was a little tipsy. What else was there to remember?

We laughed and I continued on about the other hot guys I got to meet through all of this tragedy. Some of them seemed surprised that I could find a silver lining to almost every story. And so three quarters of the way through the 90-minute class period Josue, historically jumpy and chatty and happy, sprang the question, “Mrs. Wiley, did you ever feel like giving up?”

“Don’t ask that,” snapped another student, in my defense.

But I had bared my soul to these teenagers and they were listening.

“Of course I wanted to give up. All the time,” I instantly replied. “I cry and I cry and I cry; I call my nurse at night on her cell phone and beg her to give me some hope; I get scared. But don’t we all want to give up on things once in awhile? Somehow, if you have the capacity to do so, you have to find a way to do keep fighting. I just have to because I tell myself that “giving up” is not an option. And so I find the things that make me feel good and I focus on those. I feel good when I am here with you.”

***

But I am just so exhausted.

Last Friday David called in sick for me and went to my classes to tell them that I would not be returning for the remainder of the school year. I needed them to know firsthand that I was not suddenly dying but that I really was struggling to keep living with all that I had on my plate. They understood, they loved me, they supported me and they wrote me letters telling me so.

My Journey, cont.

On Saturday morning David and I went for a walk around the big block (about 2 miles). We call this the “Farmer’s Walk” because it goes along Farmer’s Central Road in Woodland. We do this walk a lot.

It is starting to heat up here in Woodland and by the time we got out for our walk at 10am I could really feel the heat. I almost always take water with me on walks but for some reason I did not grab a bottle on the way out. Half way through the walk I stopped to sit under a tree and I collapsed to the ground. I did not pass out but I burst into tears and my body melted into the heat. David decided to run back home to get the car but I knew I needed water in the meantime.

Two people walking towards us had water bottles so David asked if we could use some. They ended up sitting with me and keeping me cool and keeping me company until David could return with the car. Among various topics of conversation I told my water buddies that, “I have been fighting this disease for 10 years. I feel good right now; this is stable for me”.

So, this is “stable”. I am on a new oral chemotherapy now that I take once a day. I can only tolerate half the recommended dosage but may try to increase it if my next set of scans show any growth. Stable is fantastic, though.

I have been writing a lot and look forward to writing more on my blog. With lots of love, Clare

January 2013

It’s been a long road since August 2012 when I last blogged but I am thrilled to have made my way up and over. Today I am relaxed after finishing the first week of a new term at school (all new students) and excited to have had such a great week!

David and I are still madly in love with our house (and each other for that matter). I am thankful everyday that I have such a safe, warm place to come home to and that so many of our friends and family have been able to share some time with us here. I look forward to more gatherings, dinners, and functions of all sorts!

I am also absolutely thrilled to have finally figured out how to use marijuana to “make chemo my bitch” as some might say. That is, with the use of the wonderful weed I have been able to stop taking all other medications during my treatment and maintain a healthy weight, never once thrown up, make food for myself and even “enjoy” lounging, watching TV and having company while I am recovering. It’s still far from fun but it is at least tolerable. I had a little talking-to with my oncologist and made it known that it seems contrary to the Hypocratic oath to withhold such a fantastic drug to patients in need. I got a prescription so that I no longer have to do dark, parking lot deals even though he claimed he could lose his license. I’m worth it. :-)

I have had 10 rounds of the chemotherapy Dacarbazine (DTIC) since July and have switched from Stanford back to UC Davis so that we don’t have to make the major commute. I get the drug once every 3 weeks and take Thursday and Friday off of work; by Monday I am tired still but back on my feet and ready to teach again. Unfortunately DTIC is also know to be a carcinogen (yes, weird, and all the more reason I teach biology so that someday a new attack can be made on cancer that isn’t so poisonous) but at this point the benefits of being on it still appear to outweigh the risks. I have another CT scan this Tuesday; for the last 6 months my tumors have either shrunken a teeny tiny bit or stayed stable – excellent!

I hope you are having a wonderful January! With lots of love, Clare

Positive HealthNet Story

HealthNet is looking for “positive” stories for an upcoming “customer spotlight video series” (see their FB page for this post). They ask that members email positive stories to this address: health.net.inc@healthnet.com
Here is the story I sent them (and if you think it might mean something perhaps you could re-send the story and tell them how you know me?):

“Hi,

I have a positive story. I am positive that the worst part of my life has been dealing with HealthNet.

I have cancer. I was diagnosed with leiomyosarcoma in 2003. I have had 5 surgeries, 25 doses of radiation, 4 different chemotherapies and am currently participating in a clinical trial.

I am positive that the worst part of my life has been dealing with HealthNet.

I am a 31 year-old caucasian female. I was raised in a household with married parents and one older brother. I went to California public schools and continued my education through to a BS in Biology and an MA in science education at UC Davis. I am a biomedical science teacher at River City High School in West Sacramento where I am challenged and excited by a job that I love.

I am positive that the worst part of my life has been dealing with HealthNet.

My husband and I have been married for 4 years, recently purchased our first home and are enjoying the love of two, 6 month old kittens. I do not smoke (I never have). I exercise at least 5 days a week including resistance training and aerobic activities such as swimming and walking. I eat a high fiber, low saturated fat diet rich in greens and omega-3s. I do not have STDs, diabetes, high blood pressure nor am I obese. I always wear my seat belt and have a fulfilling spiritual life guided by prayer, meditation and yoga. I enjoy sewing and doing paper crafts, and have loving family and friend relationships. When life has been most trying I have had the great fortune of working with excellent counselors. When I drink alcohol on a rare occasion I drink red wine. I wear sunblock everyday. My husband and I have 7 frozen embryos and hope to someday have children (HealthNet did not assist in preserving my fertility before undergoing chemotherapy).

I am positive that the worst part of my life has been dealing with HealthNet.

I have never in my life been without health insurance. HealthNet has been my insurance carrier (through my employer) since 2008. I had an HMO and currently have a PPO. HealthNet is there for me in the stacks of paper that I have collected on my office floor. HealthNet is there for me when they found out I won a malpractice lawsuit in early 2012, immediately wanting to know if a cut of it is rightfully theirs.

I am positive that the worst part of my life has been dealing with HealthNet.
And I speak English. And I am scientifically literate. And I was born into the middle class. And I have time to make phone calls, fax documents and write appeals. With all these things on my side I know that there are others out there who are used, abused and underinsured by HealthNet in ways worse than I can even imagine.

I hope that you consider this “positive” story for your customer spotlight video series. If not please humor me with a positive response, as I have already written letters to your CEO Jay Gellert and spoken on the phone to numerous supervisors, leads, directors and one vice president all to no avail (as of last week the most recent mail communication is that although my oncologist is requesting CT scans HealthNet has decided that they are not necessary and therefore are not authorized).

Thank you for your time and consideration. When I receive my paycheck this month and note the over-$500.00 deduction for my HealthNet PPO I will assume it is money well spent.”

For Monika in the Office

It’s back-2-school time and I am so fortunate to see so many friendly faces at River City High School each day (including you Monika). While it’s still “work” I am excited to have the strength and opportunity to be back in the classroom for another semester!

This summer I started on a clinical trial hosted by Stanford University Cancer Center and after three rounds of a standard chemotherapy called Dacarbazine (I did not get selected for the trial drugs as it was all randomized), I still have my hair and things on the inside are looking stable. I will do another two rounds before more scans.

This little guy and his brother keep my lots of wonderful company.

“Meow. I don’t wanna get up for school!”

Mo Money, Mo Problems

My all time favorite piece of rap.

And the health insurance “Industry” has lots of money problems.

When a single medical director at a company where I am a longtime customer can judge, based solely on reviewing my medical records and following a company procedure that a certain medical procedure or choice about my treatment is NOT NECESSARY and therefore WILL NOT BE COVERED, then there are so many mo problems than B.I.G, Diddy and Mase ever imagined.

I don’t know what they want from me

I have been kicking cancer in the ass since October 2003 and I plan to do so without the bottom line that bankrolls profit protection deciding whether or not my life is too much of a liability.

I call the shots

As I remain optimistic in my fight I urge you to find hope and strength in the idea that change can happen; while it is scary and imperfect it may be the first delicate step in a better direction.

Stay humble, stay low

As you continue to support or disagree with new ideas for healthcare in the United States, think of me and the ways you have shown me and my family support and love through my challenges.

Wave em side to side and keep your hands high

Making choices based on evidence. It's like science!

I am facing the following options and hoping to get even more from MD Anderson on May 8: more radiation treatment that has huge risks of permanent spinal cord damage/paralysis, and kidney and bowel failure; more chemotherapy that is experimental and may again do nothing to kill my tumors like the three other chemotherapy drugs I have used; and multiple surgeries.

Ten years from now I’ll still be on top

If they had been in my biomedical science class, maybe they would have written “No Tumor No Problems” instead.

MD Anderson Cancer Center

In the summer after my junior year of high school I spent 8 weeks working at a Veterinary Reproductive Physiology Lab in College Station, Texas. I hadn’t even taken biology so I spent the first few days of my internship reading up on “the cell”. Those 8 weeks were some of the most memorable of my teenage years and while I hold a special place in my heart for Texas, I never wanted to go back there to make use of their fantastic cancer centers. But, here we go!

In a week or so David and I will head to MD Anderson Cancer Center in Houston, home to the top Sarcoma Center in the world. My oncologists at UC Davis are running out of ideas (and my disease keeps popping up in a few more random places) and it is time to head to THE place for finding the newest, must cutting- edge solutions to the oldest, crappiest disease that still plagues too many of us.

My Facebook family has given me the kind of boost that I need to make certain I fight and never give up. Your prayers, good thoughts and good vibes are needed and welcome. If you are in any position to help with our financial situation (the health insurance I have does not cover anything out of California) we have received plenty of donations to help us pay for the first trip to Houston but we hope that they will be able to help me a lot – which may mean trips back and forth for me and David. Friends have helped me set up a PayPal account and people can donate through a program called Fundrazr.  Here’s a link  http://goo.gl/LNf1A

If Texas can handle me I’m up for the fight and this time around I know a whole lot more about biology!