Thursday, December 29, 2005

WHAT'S NEXT FOR ME?

I saw my oncologist today, and here's the scoop. I've dumped my reluctant surgeon for the famous surgical cowboy, Dr. Sugarbaker. He's more willing to be aggressive surgically even in IIIB cases like mine. I'll be meeting with him soon to discuss what's next. Here are the alternatives: 1. He won't do surgery (if he won't, no one will). 2. He'll do a relatively minor operation and remove the tumor in my lung and on my adrenal gland (if that IS a tumor--some dispute there). 3. He'll do a big big operation and basically clean out the left side of my chest and leave a big gaping void. The goal in 2 or 3 is to remove all the cancer and pronounce me cured. I've stopped chemo so I can flush out my system, and should know what's coming soon. Wish me luck!

Thursday, December 22, 2005

YET ANOTHE REASON TO HATE WALMART

Here's a legitimate story:

After a collision between her minivan and a tractor-trailer five years ago, Debbie Shank now spends her days in a wheelchair in a nursing home, able to move only one arm and two fingers. Brain damage and memory loss has drained most meaningful content from her conversations with her husband of 30 years.
"She'll ask about the boys, she'll ask about the cat," says Jim Shank.
"Whenever I'm there, she thinks it must be a mealtime. We don't really hold a conversation."
Her 17-year-old son is in the Army, which she knows, but he's scheduled for deployment to Iraq next year, which she doesn't know. She also doesn't know that there is a war in Iraq.
To help compensate for the terrible injuries she received in the accident, Shank and her husband sued G.E.M. Trucking and James David Shivers, the driver who hit her, in U.S. District Court in 2000.
According to that lawsuit, Shank suffered damage to her brain stem and other injuries, and was in a coma after Shivers' tractor-trailer struck her near Cape Girardeau, Mo.
The lawsuit was settled for $900,000; after attorneys' fees and other costs, Shank's share was less than half -- just $417,477. The court set up an irrevocable trust for the money so it could only be used to pay for her long term care, and the money was sent directly there. Her husband received just over $119,000, presumably for his loss of consortium.
Before the accident, Shank had worked the night shift stocking shelves at a Missouri Wal-Mart so she could spend her days with her sons so she could be a "better mother". "It's all she ever wanted to be," her husband says. Luckily, she had gotten health insurance through her employer. It paid for her huge medical bills after the accident.
But because she later got a settlement from her lawsuit, Wal-Mart's health plan administrators demanded she repay the money her health insurance paid toward her care. To press the case, the retail giant's health plan is suing the Shanks in U.S. District Court in St. Louis. The lawsuit, filed by the Administrative Committee of the Wal-Mart Stores Inc. Associates' Health and Welfare Plan, claims that her total medical expenses exceed $469,216, and it demands that amount in return. Plus court costs to get it. Plus interest.
But wait; while Shank's settlement was $900,000, she only actually got $417,477. Shouldn't that be the limit? No, the company says: it wants all $469,216, as spelled out in its policy. So if the company wins, the amount in Shank's trust will not be enough; the family could conceivably have to come up with nearly $52,000 more than what they won in court.
Jim Shank had anticipated and feared just such an outcome. He received a letter two weeks after the accident that, he recalls, said the insurance would not cover his wife's care unless he signed over their right to lawsuit proceeds. Not surprisingly, he signed it so his wife could get the care she desperately needed to survive.

Wednesday, December 21, 2005

INTELLIGENT DESIGN DUMB SUPPORTERS

Here's a few quotes from the judge's 126 page ruling finding Intelligent Design to be religion. They point up some of the "arguments" of the supporters---yikes!:

The board members wanted a 50-50 ratio between the teaching of creationism and evolution in biology classes (p. 95)
The President of the Board also wanted to inject religion into social studies classes, and supplied the school with a book about the myth of the separation of church and state. (p. 96)
Another board member said "This country wasn't founded on Muslim beliefs or evolution. This country was founded on Christianity and our students should be taught as such." (p. 102)
At a meeting, a board member's wife gave a speech, saying that "evolution teaches nothing but lies," quoted from Genesis, asked "how can we allow anything else to be taught in our schools," recited gospel verses telling people to become born again Christians, and stated that evolution violated the teachings of the Bible. (p. 103)
Other statements by board members included "Nowhere in the Constitution does it call for a separation of church and state," and "liberals in black robes" are "taking away the rights of Christians, " and "2,000 years ago someone died on a cross. Can't someone take a stand for him?"

Thursday, December 15, 2005

AN EVENTFUL MEDICAL DAY

Just got back from the doctor with results from the PET scan. I arrived the same time as a fire, so we were evacuated for a while, and then I got to see da man. Here's the good news. A few months ago they told me surgery (the only possible cure) was out because things had gone too far (Stage IIIB). . They were hoping, instead, to stabilize my cancer for as long as they could. Then came Avastin. The PET results were great---cancer still in one lung and the adrenal gland, but only there, and it's gone way down in intensity (there's just an inflammation in the other lung). Now there will be a conference of surgeons at the Brigham to decide whether to operate. They have to wait a month or so for the Avastin to clear my system, but if they do operate, they might get it all by taking out the tumor and the adrenal gland. The bad news is that I won't be teaching in the spring, which is a bummer. The good news is that this could cure me. But I have to wait and see if the surgeons decide to go for it. My onocologist thinks they should. So do I.

Saturday, December 10, 2005

SURPRISE!

Last year I wrote a little comic mystery. It's now out and available for Xmas, Hannukah, and just as a gift to yourself. The story of how it got published is a good one, but I'll save for a later time. Here's how you can get your very own copy online (I've been told to promote! Of course I'll sign anything you buy. And you can get the download version for only 6 bucks!).
The IUniverse store has the browse feature set up, so you can look at the table of contents and a sample chapter (actually the introduction, which is very different from the chapters, alas):
IUniverse Store (scroll down and click on browse to look in the book and table of contents):
http://www.iuniverse.com/bookstore/book_detail.asp?isbn=0595375537
It's listed in Amazon, but the page says "out of print" because it isn’t in the warehouse yet. But it will be soon. And it should soon be at Barnes & Noble as well.

Friday, December 09, 2005

JUST IN TIME FOR XMAS

Here's the "Scared of Santa" photo gallery. I don't know which is funnier---the terrified children or some of the genuinely creepy Santas:
http://www.southflorida.com/events/sfl-scaredsanta,0,2245506.photogallery?coll=sfe-events-headlines&index=1

Tuesday, December 06, 2005

A BIT OF A SETBACK

There's a minor medical mystery that's cropped up in my treatment that's set me back a bit. After I got my transfusion I was full of energy (relatively speaking) but now, less than two weeks later, I'm exhausted and out of breath again. So I went for chemo yesterday and discovered my red blood cell counts are way down. No one knows where the two bags of red blood cells went! So they stopped chemo (except for Avastin) and I'm getting two bags full on Wednesday again. This time they hope the cells hang around for more than a week or two. The result is I'm pretty tired all the time. Next Monday I get another PET scan to see how my cancer is doing (not well, I hope!). Keep you posted.