Tag Archives: nivolumab

A Happy Update

After seven years of remission, the cancer had returned to my lungs. I decided to rechallenge with immunotherapy. After all, it had worked so well before. Even with the risk of an autoimmune reaction it was a gamble I thought worth taking. The big question was if and when the side effects would come roaring back.

My third immunotherapy infusion brought on fairly serious joint pain, especially in my left knee, leaving me hobbling and my wrists very sore.  This can happen — because the brakes are essentially taken off the immune system autoimmune side effects such as arthritis, colitis and diabetes are not uncommon. In my case the discomfort was bad enough that I decided to stop immunotherapy and focus on getting pain relief, so I started taking prednisone, 60 mg per day, after we returned from a long weekend in Chicago to celebrate my mother’s 90th birthday. (It’s been an eventful month!). 

CT Scans of my chest, pelvis and abdomen followed a few days later and nurse Virginia called me with the news from the radiologist report on my drive home to Keene from Boston. I was navigating traffic but the gist was that three tumors in my lungs are shrinking away. The actual wording in the report:  “Since April 19 2022 two previously large solid nodules have nearly disappeared and a third is substantially smaller. There are no new or growing measurable lung nodules.”

“It’s great news,” Virginia said. “You’re clearly very sensitive to immunotherapy. It’s somewhat unusual to see this strong a response after only three infusions.”

It was such a relief to hear her words, and Katharina and I savored that news. We will be monitoring the response and are hopeful that, like last time’s which lasted seven years, it will be a durable one. 

 

1. Rube Goldberg on a Drunken Bender, or How I Hope my Immune System Fights Cancer

 

Rube on bender

Dr. James Mier called me two days before Thanksgiving to tell me I had two new brain tumors. He delivered the bad news as gently as possible — the tumors were extremely small, they could easily be zapped with high dose radiation, and if all went well, I’d be cancer free once again.

But still, two new brain tumors? I felt I had made so much progress fighting cancer over the last four years, but once again reality was intruding on my plans for healing. I did the best I could to take him at his word, but a question kept nagging at me — does my immune system work in the brain, like it has been in the rest of my body?  Continue reading 1. Rube Goldberg on a Drunken Bender, or How I Hope my Immune System Fights Cancer

Immunotherapy researcher Gordon Freeman takes stock

It had been almost a year since I had last visited pioneering cancer researcher Gordon Freeman in his office at Dana-Farber. On this blustery fall day I was using a cane, hoping that the reason for my limp and sore thigh was tendon and tissue strain, not new cancer or complications from treatment, recent surgery, and radiation.

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Gordon Freeman

The security guard in the lobby printed me a temporary ID card and pointed the way to the staff elevator that would take me to the fifth floor.

“You’ll have to swipe the ID once you get in the elevator,” she said. “Otherwise you won’t be able to get up there.” Continue reading Immunotherapy researcher Gordon Freeman takes stock

Beating the Worry that Comes with Cancer

For a Stage IV cancer survivor I’ve got a lot going for me:
— Clean brain MRIs for more than a year; cancer free from the neck down for more than two.
— My older son is getting married in a few months. My younger son, who graduated last May, just got word he’ll be teaching in Austria next year on a Fulbright program.
— My wife and I support each other, and we’ve weathered the storm of a Stage IV cancer diagnosis, surgeries, radiation treatments, forced semi-retirement, and the uncertainty of a cancer diagnosis.
Despite my good fortune at being a complete responder, so far, in a clinical trial that I am fortunate to be part of, I can’t shake feelings of unease.

Continue reading Beating the Worry that Comes with Cancer