Tuesday, December 28, 2021

A SECOND SURGERY?


                           Linda and her snug little home.

                                            Courting days

                 Murphy, the Prince of Darkness, lurked inside

Linda received what I believe was the standard treatment for advanced ovarian cancer in 2008:  surgery to remove all visible tumor, followed by weeks of platinum-based chemotherapy.  She had the benefit of cutting-edge medical practice at the SCCA (Seattle Cancer Care Alliance), which includes the Fred Hutch cancer research people.  Her surgeon was a leader in the field;

 Linda died three years later, but only after we enjoyed a lengthy period of remission during which time we traveled to Egypt and northern Mexico, and enjoyed quality time at our place in Borrego Springs.  At the time that her remission broke down (her cancer returned) her hair had grown out to a fine, beautiful shade of gray.  After remission she was subjected to additional chemo, but to no avail.  In common with most 3C OVCA patients, she died after only about three years following diagnosis.

The research outlined below seems to show that a second round of “cytoreduction surgery”, following remission and accompanied by more chemo, may add as much as 20 or so months to overall survival time.  Also, it is implied, the quality of this additional life is or can be high.

I asked about a second surgery when Linda relapsed but was told that it would be of no real value.  Maybe now, with new wrinkles in tumor detection and better chemo a second surgery would be useful.  Nevertheless, as I relive Linda’s pain and misery after surgery, which I recall painfully after 13 years, I am cautious.  OVCA is a terrible, cruel, implacable disease.  Society should concentrate on early detection, effective treatment, and ultimate cure (or even prevention, if such a thing is possible).  In the meantime, I guess that studies such as these that lead to greater remission time are valuable.

 God!, how I hate that f…ing disease!

https://consumer.healthday.com/cytoreductive-surgery-plus-chemo-better-for-recurrent-ovarian-ca-2655898360.html 

 

2 comments:

  1. Hi Myrl, you're often in my thoughts. Nora

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  2. I'm glad you wrote the first paragraph. It set the tone for learning what might become the new standard treatment, without going down the rabbit hole of wishing she had the second surgery. It is wonderful for all your readers to hear about how fully the two of you lived during her remission. I always tell people that she and I stepped up our time together those last years and for that, I am so grateful.

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