| ARTIST | SONG |
| Shout Out Louds | Impossible |
| Hot Hot Heat | Bandages |
| Beastie Boys | Sabotage |
| Moby | Alice (Radio Edit) |
| The Sugarhill Gang | Rapper's Delight |
| Snoop Dogg & Dat Nigga Daz | Gin and Juice |
| Snoop Dogg | Who Am I (What's My Name)? |
| Nelly | Country Grammar (Hot...) |
| The XX | Crystalised |
| The Duke Spirit | The Step and the Walk |
| The Apples In Stereo | Dance Floor |
| Run-DMC | My Adidas |
| DJ EZ Rock & Rob Base | It Takes Two |
| 3rd Bass | Pop Goes the Weasel |
| 2Pac & Talent | Changes |
| Broken Bells | The High Road |
| Broken Bells | The Ghost Inside |
| The Roots & Cody Chestnutt | The Seed (2.0) |
| Shout Out Louds | The Comeback |
| Groove Armada | I See You Baby (Fatboy Slim Radio Edit) |
| The Raconteurs | Level |
| Lo Fidelity Allstars | Battle Flag (Feat. Pigeonhead) |
| Shout Out Louds | Fall Hard |
| Mark Ronson featuring Kasabian | L.S.F. (Version Revisited) |
| Neon Trees | Animal |
| The Temper Trap | Sweet Disposition |
| The Soft Pack | Answer to Yourself |
| Radiohead | High and Dry |
| Queen Latifah | Ladies First |
| Spoon | I Saw the Light |
| N.A.S.A. | Gifted (feat. Kanye West, Santigold & Lykke Li) |
| Beck | Girl |
| Leona Lewis | Happy |
| Florence + The Machine | Kiss With a Fist |
| Michael Jackson | P.Y.T. (Pretty Young Thing) |
| Digital Underground | The Humpty Dance |
| Hockey | Learn to Lose |
| Hockey | Too Fake |
| The Duke Spirit | Neptune's Call |
| Citizen Cope & Santana | Son's Gonna Rise |
| Cage the Elephant | Ain't No Rest for the Wicked |
| The Charlatans | Blackened Blue Eyes |
| Groove Armada | Get Down (feat. Stush) |
| The Charlatans | Weirdo |
| Portugal The Man | Work All Day |
| The Chemical Brothers | Galvanize |
| Cut Chemist | The Audience Is Rural |
| Company of Thieves | Oscar Wilde |
| !!! (Chk Chk Chk) | Heart of Hearts |
| Eminem | Lose Yourself |
| Dr. Dre | Nuthin' but a "G" Thang |
| Gorillaz | 19-2000 (Soul Child Remix) |
| Paper Tongues | Dance About It |
| The Almost | Hands |
| Jack Peñate | Everything Is New |
| Max Sedgley | Happy |
| Snap! | The Power |
| Run-DMC | Walk This Way |
| The Big Pink | Dominos |
| The Bravery | This Is Not the End |
| She Wants Revenge | All Wound Up |
| Paper Tongues | Trinity |
| Infadels | Can't Get Enough |
| Puscifer | The Mission (M Is for Milla Mix) |
| Edward Sharpe & The Magnetic Zeros | 40 Day Dream |
| Portugal The Man | The Home |
| The Roots | Here I Come |
| Spinnerette | Ghetto Love |
| Silversun Pickups | Panic Switch |
| Black Sheep | The Choice Is Yours |
| The Duke Spirit | Send a Little Love Token |
| The Heavy | How You Like Me Now (Single Edit) |
| Say Hi | Oh Oh Oh Oh Oh Oh Oh Oh |
| Beck | E-Pro |
| The Vines | Get Free |
| Placebo | For What It's Worth |
| Phoenix | 1901 |
| Nine Inch Nails | Capital G |
| LCD Soundsystem | Daft Punk Is Playing At My House |
| Peaches | Talk to Me |
| Lady Sovereign | Jigsaw |
| BPT & DM Binxter | Moody (BPT Original Mix Radio Edit) |
| Dave Matthews Band | Funny the Way It Is |
| El-P & Aesop Rock | Run the Numbers |
| Jack Peñate | Be the One |
| Cage the Elephant | In One Ear |
| Danger Mouse & Jemini | Ghetto Pop Life |
| Oasis | Champagne Supernova |
| Santogold | L.E.S. Artistes |
| Saul Williams | List of Demands (Reparations) |
| The Verve | Bittersweet Symphony |
| Will Smith | Summertime |
| The Dead Weather | Hang You from the Heavens |
| Band of Skulls | I Know What I Am |
| Radiohead | Planet Telex |
| Lady Sovereign | I Got You Dancing |
| Naughty By Nature | Hip Hop Hooray |
| The Cure | Freakshow (Mix 13) |
| Rage Against the Machine | Renegades of Funk |
| Beck | Leopard-Skin Pill-Box Hat |
| Peter Bjorn and John | Nothing to Worry About |
| Louis XIV | There's a Traitor In This Room |
| Working for a Nuclear Free City | Troubled Son |
| Lords of Acid | Do What You Wanna Do |
| Billie Holiday | Spreadin' Rhythm Around (Lady Bug vs. Lady Day RR Remix) |
| Dr. Dre | Let Met Ride |
| Stereophonics | Maybe Tomorrow (Decade In The Sun Version) |
| Coldplay | One I Love |
| Infadels | Universe In Reverse |
| The Kooks | Do You Wanna (Single Mix) |
| Dave Matthews Band | Crush |
| Coldplay | Lost! |
| MSTRKRFT | Bounce (feat. N.O.R.E.) [Extended Version] |
| Plump DJs | Shifting Gears |
| The Kooks | Always Where I Need to Be |
| El-P & Central Services | Jukie Skate Rock |
| Poe | Hey Pretty |
| Freestylers | Don't Stop |
| Jasper James | It's On |
| Gorillaz | Stylo (feat. Mos Def & Bobby Womack) |
| Trona | Smash 'n Go |
| Freestylers feat. Ragman | Pocketful of Sadness |
| El-P & Trent Reznor | Flyentology |
| The Asteroids Galaxy Tour | Around the Bend |
| Slaughterhouse | The One |
| Prodigy | Get Up Get Off |
| Jamiroquai | Feels Just Like It Should |
| Trick Daddy | Let's Go |
| Justice | D.A.N.C.E. |
| Led Zeppelin | Ramble On |
| Oakenfold featuring Brittany Murphy | Faster Kill Pussycat |
| Dinah Washington | Is You Is or Is You Ain't My Baby? (Rae and Christian Remix) |
| The Game & 50 Cent | Westside Story (Clean Version) |
| Snoop Dogg & Bee Gees | Ups & Downs |
| Freestylers feat. Ragman, Bad Manner & Ewan O'Brien | Could I Be Dreaming |
| Quad City DJ's | C'mon N' Ride It (The Train) |
| De La Soul | Ring Ring Ring (Ha Ha Hey) (UK 7" Version) |
| B Funk Productions | Disco Rockin' |
| Yo Majesty | Club Action |
| Madonna | Ray of Light |
| The Submarines | You, Me and the Bourgeoisie |
In an 15-16 month time period my father was diagnosed and ultimately lost his battle with leukemia, my daughter Isabella passed away and my wife was diagnosed with cancer while pregnant with our son Jaden. These events shaped me. They led me to a life of endurance sports and charity. They led to the belief that blessings come out of the worst of times and now they have led me to the 2017 Ironman World Championships.
Friday, April 9, 2010
Hope Next Exit Playlist
Thursday, March 18, 2010
April 3rd Coming Quickly - Hope Next Exit Update
Hello everyone. Reaching out as a reminder about April 3rd.
Thursday, March 11, 2010
Hope Next Exit - April 3rd + Surgery Update
edars Sinai at 10am. I should say Crea arrived at 10am. While the hospital is amazing, the parking situation is not so amazing. It took several lots and 30 minutes before I gave up and parked at the Beverly Center and raced back. Shortly after I made it back to Crea we had to head to imaging for an ultrasound of the affected area. The picture at the right is Crea and I waiting for the docs to come for the ultrasound. This ultrasound was to look for the cancerous nodes and nodules and mark a path for the surgeon so he could more easily get to the cancerous area. One approach is to actually inject die in the node but, as it turns out, this was not the chosen path. The approach chosen was to simply mark the skin with X's indicated affected areas.After a few minutes, the ultrasound was underway. I am not sure but it seemed like I was more nervous than Cre
a. I am not sure why but I think it stems back to the loss of my daughter. I remember clearly sitting in the hospital while an ultrasound was performed searching for a heartbeat that was never found. Ever since that moment I have not been the biggest fan of the ultrasound. In this instance, however, the ultrasound was serving a great purpose. The doctor was able to find 5 Lymph nodes and/or nodules. One was in the thyroid bed itself and the others were to the right of the bed. One X marked the spot of th
e nodule in the bed. Two X's marked the beginning and end to the area containing the other 4 nodules. Once we were done here we actually headed over to the waiting room where Crea would be admitted for surgery. I would say the mood was pleasant but tense. Crea is an incredibly strong person........I would say far stronger than I in certain capacities. If she was nervous........she certainly wasn't showing it. Just prior to Crea being called back for surgery we were able to take this next photo. I posted it online so you may have already seen it. You can see the X's that I refer to above. Looks like a tattoo gone bad but a very useful tattoo it was.
ime passed and then Crea's Mom and I were allowed back. Crea will kill me for posting this picture but this was what I walked into. It gets me a little upset even seeing it today. She was so out of it and in pain. Tough to watch when you can not really do too much to help. After some time here, Crea was moved to her own room (we were in post op here) to settle in for the evening. Once there and settled in.........I hate to admit it but I fell asleep for 2 hours while she remained awake. The release of stress from everything being over and having gone well made my eyes extremely heavy. To shorten the story from here, Crea was released the next day. She was very tired and very sore and spent most of her time resting..........and catching up with Lost Season 5 so we can watch the final season together. A week or so later she was back at the doc having her stitches removed. At this appointment we also received the news that 7 nodes/nodules had been removed. Of the seven, six were cancerous. The doc was very confident that he removed it all. This isn't to say it wont come back but the odds of a return keep decreasing as time goes by. Crea is technically considered in remission at this point.Thursday, March 4, 2010
Hope Next Exit Celebration Postponed
I was worried everyone would be upset that we postpone so I really hope you understand and I really hope you can make it when the date is finalized. Your support has been incredible and TRULY has helped us both to date. We still have an amazing reason to celebrate and look forward to doing so with you. We will still have amazing food and an amazing list of drinks at the bar (plus beer and wine of course) with bartenders to actually make them for you, s'mores will make a very special appearance at the fire pit, we will still have a raffle and hopefully we have some amazing weather!
Dates currently being considered are
April 17 - tough day for Crea as she has a 15 hour work day
April 3 - Day before Easter and not sure house is available
April 24th - best date if house is available
Let me know your thoughts. Thanks for understanding. If you want to donate in honor of Crea now, you can get to the link above. In case that doesnt work, you can go straight to the site at http://pages.teamintraining.org/los/lavatri10/4mywife . You can also wait for the party and you also dont have to give at all so please feel NO pressure.
Before I part, a special thanks to Jesyka Lueck who offered up this party as a way to help and offered up her time and the time of her friends to make the party successful. The same thanks goes to Lori Jomsky who jumped in to help make things happen and secured a ton of donations so that we could eat really really well at the party. Thanks to Nick and Jon for opening up their home to all of us for this event.....still waiting for them to let me move into this amazing house and lastly a thanks to Chris Schauble......our favorite NBC morning anchor who got the real scoop on the weather for me so that we could more soundly make this decision. Last thanks goes to my amazing wife Crea for putting up with me, for being my best friend and for being an amazing mother to our children.
We cannot wait to see you guys in April to celebrate a cancer free wife and make strides to a cancer free world!
Tuesday, February 23, 2010
Hope Next Exit
1)There was such a big disparity among the first three surgeons that we were left very confused with how to proceed, and
2)I really believe Crea just needed to get through the Holidays, pushing all of this talk of cancer to the back burner. Christmas time, and the Holidays in general, hold a special place in our hearts. These times are even more incredible with little children so, for the sake of savouring Jaden's 5th Christmas and Thalia's 2nd Christmas, we did not discuss the decision needing resolution. It was also nice to have Tiana around. She is 18 now and off being an adult so I know Crea wanted to just enjoy the moment. It was hard for me but I just let it be.... trusting all would be well.
After the Holidays, we determined to go back to see Dr. Adashek. He was the first surgeon we visited and the one we felt most comfortable with. We returned to see him at Cedars Sinai and informed him that we had been making the rounds getting multiple opinions. His response.....which for me confirmed he was the right surgeon........was to hold a mock roundtable pretending to be the other surgeons. He gave the arguments for their stance on the approach that should be taken concluding that no surgeon was wrong.........it was just a matter of opinion. It was amazing to see him take such a neutral position simply to help us in making our decision.
Shortly after the visit, Crea confirmed she wanted to use Adashek and then we went into a holding pattern waiting for the hospital to confirm a surgery date. When confirmation came back, February 24th was the day..........the day we never thought would be here again.........the day my wife would be operated on to have cancer hopefully for the last time. It is the sequel you never want to experience.
Crea immediately had to make multiple pre-op appointments. The first was with the endocrinologist for a general physical, EKG, chest x-ray, blood work, etc, etc. All went fine with this appointment so it was on to the next which was an Ear, Nose and Throat doctor. This appointment was to evaluate her vocal chords to confirm she was okay for surgery. I was not able to attend this appointment but learned she had to have a small camera inserted up her nose to ultimately help view her throat...........not very pleasant sounding.........and not very pleasant according to my lovely wife. The results again concluded that surgery is a go. On another note, the camera was left in and now she can take photos when she blinks her eyes. Just kidding, of course, but I needed a moment here.
So........here we are. It is February 23rd as I type this entry. My wife is an amazingly strong woman and is holding up very well with less than 24 hours to go. Immediately after confirmation of surgery we shared some tears.............not really ones of fear necessarily.......more sadness that it all has to transpire again. For me, I wish I could do more. I wish I could go in for the surgery on her behalf. I can't and that makes me sad. We are confident that all will go well. Despite 3 very different opinions on the approach for the surgery, all 3 doctors shared the opinion that Crea would come out of all of this just fine. If there is one point I would want them to agree on.........they picked the right one.
We will arrive at the hospital at 10am on February 24th. At 11am there will be an ultrasound to mark the cancer to make life easier for the surgeon during the operation. My wife will also have some machine hooked up to her that alerts the surgeon if he accidentally touches her vocal chords. One of the risks to this surgery ties to harming the vocal chords leaving her forever hoarse. I guess there could be worse outcomes but I can't focus on those. I want my wife to come out on the other side of the surgery cancer free. I want her voice to be unharmed because she has been through so much already and she deserves everything to be fine. For me, I just need my wife.
Thanks for all the support from friends and family. It has been amazing. A special shout out to the Twitter world who have shown kindness to myself (@run2savelives) and my wife (@createrese) when, in the real world, we are virtually strangers. Six months ago, if I was asked if you could have great friends in people you have never met, I surely would have replied it was not possible. Today, there are many people I have never met that I would consider great friends and would go out of my way to help.
I will try to keep folks in the loop on February 24th via Twitter and Facebook. The day will be primarily one of sitting and waiting and hoping and praying. I take comfort knowing I am not in control and believe God will let the day play out according to his plan. I only ask that on February 25th, my wife is home and cancer free.
If you would like to help me honor my wife's battle you can click on the link above or go straight to my Team in Training fundraising page at http://pages.teamintraining.org/los/lavatri10/4mywife .
If you are in Los Angeles on March 6th, I am throwing a party/fundraiser to celebrate a healthy wife and to help raise funds to ensure a cancer free world for our kids or our kid's kids. I am calling the event 'Hope Next Exit'. You can click on the link below to get more information or hook up with me on Facebook
Hope Next Exit - http://www.facebook.com/p.php?i=1049301005&k=Z6AUZ5V2U2TF6BD1QJ3ZUUR2UUIB42YLQPDYF&oid=352347581336
Thanks for reading.
Friday, December 11, 2009
Dr Giuliano and CIM
I will first venture to Cedars-Sinai where Crea and I were meeting with Dr. Giuliano. He specializes on thyroid and breast cancer. He operated on my mother in law for breast cancer and was the surgeon that operated on Crea during her first run with cancer in 2004. That surgery happened on November 11, 2004 which was a mere 13 days after my son Jaden was born. We had learned about the cancer in the summer of that year and had the difficult decision of whether to fight the cancer before or after Jaden was born. Humor would lead to surely risk the wife but reality makes things more difficult especially when you have already been to a memorial service for one of your children. We chose to attack the cancer after Jaden was born, which until recently seemed like the right decision. Jaden was healthy. Crea was healthy. That all changed in early November and it is hard not to question our initial decision once the cancer returned. I believe in a life of no regrets, though, and I believe it is really all in God's hands anyway but I am human and some of those human thoughts invade my head from time to time.
I remember both days.....my son being born........and my wife's first surgery very well. I was a train wreck for both. I was the nervous Dad on steroids when Jaden was being born. I had been in that same hospital in Santa Monica 1 year 2.5 months earlier watching nurses search for the heartbeat on my little angel Isabella all to no avail. Now I was back and I was paranoid. Every time the heart rate belt moved and the heart rate stopped showing on the monitors, I called the nurse. They must have readjusted that belt 20 times but they put up with me. I remember the same nurse that had been there for Isabella was back for Jaden. It was as if we were all coming full circle from a very sad day to a very happy one. I also know I wasn't alone in my paranoia because once Jaden was born and his cries were heard there was not a dry eye in the house. They were tears of joy and tears of relief all at the same time. I remember when the OB/GYN, Dr. Gonzales first saw Jaden she cried out "we have a chubby one". She was certainly not exaggerating. He was two weeks early and still over 9 pounds. He was enormous for the first year of his life and could have been on The Biggest Loser Baby Edition. He was amazing though...still is.
Shortly after Jaden was born, we were back in a hospital for Crea's surgery. She was to have her thyroid gland removed and would later receive radiation therapy. I remember thinking the surgery would go quickly and I remember thinking it didn't go quickly. I was pacing and pacing and pacing and worrying and worrying and worrying. Finally, Dr. Giuliano came out. He said everything went well but he did have to take out a few lymph nodes and he removed one parathyroid gland. I remember the 'lymph node' news rattling my brain but I stored it away for future use.......which happens to be when the cancer came back in November 2009. Crea went home and recovered and shortly after the holidays, she received radiation treatment where she was quarantined from all of us for a month....the hardest part of course not being able to hold our new addition.
That was 5 years ago and now we were back with Dr. Giuliano. He came in and talked with us. We shared all the facts. He exuded confidence but not in an arrogant way..........it was actually quite comforting. When he talks, you just feel like everything is going to be okay. Both of the first two surgeons believed we should operate.........with the ability to wait until January/February but not waiting so long as summer. One wanted to go in and remove the lymph nodes we knew were bad and any suspicious looking ones and the other wanted to take out every lymph node. I had expected the search for a surgeon to be more a function of personality and confidence level with the doctors all sharing the same opinion on how to proceed. I had been proven very wrong to date and Dr. Giuliano continued the trend. His opinion..........wait 6 months and do nothing for now. I couldn't believe it. It was yet another extreme. I tell people that if I had to rate the approaches of each surgeon on a scale of 1 to 10, I would give Dr. Adashek a 4, Dr. Yeh a 12 and Dr. Giuliano a 0. All are very good doctors. We are probably in great hands no matter which choice we make but the three different opinions are making this a challenging process.
Dr. Giuliano felt that ultrasounds are not that reliable. He felt the tumors were small at just over 1 centimeter. He, like everyone, says this is a very slow growing cancer (he was a big part of us choosing to wait until after Jaden was born the first time). If you add all of this up, he concludes we wait and let things progress. One side of you wants to rejoice at the news and the other flashes to the doctors who said we should not wait until summer. I believe Dr. Giuliano saw some anxiety in our faces so he offered both an MRI and a biopsy in order to be absolutely certain as to whether we should move forward now or postpone. As of writing this, we really have not made a decision. I am not sure what we are waiting for. Maybe it is the Holidays. Maybe it is some comfort in Dr. Giuliano's words. Maybe it is the hope that some sign will present itself that guides us to the right decision. One sign tried to present itself when Crea was visiting Dr. Singer at UCLA for a running injury she incurred. During that visit, he asked about her general health to which she gave him more info than he bargained for. The 'sign' came when he heard Dr. Giuliano's name mentioned. He went into great detail of how amazing he is which is great when you get such a strong unbiased opinion. Dr. Giulano is very well known for being a great surgeon. His cost seems to go hand and hand with this news but when it comes to times like this, cost really isn't one of the deciding factors. In fact, I am the guy that gains comfort by a higher cost..........kind of like you don't want your sushi to be so inexpensive you worry it is going to be 3 weeks old and result in the removal of your intestine.
For now, we will keep talking about the decision and I am sure an approach will be reached by Crea and I. Truth be told, it is not really my decision. I can only offer my thoughts, my opinions and try to hear the things that perhaps she might have missed. Crea has to be comfortable with the surgeon, the approach and the time frame. She is a bright girl though so I have all the faith in the world she will make a good choice.........she married me after all.
Okay, on to the race. I really try my best during a race to zone out so I am very short with the race recaps. Truthfully, in my perfect race, I do not see a mile marker until mile 16 or so. I pull my visor down and just run. For CIM, I was in great shape. I really did not have a time goal but I did say to a few people that if I finish slower than 3:30, something went horribly wrong. My time was 3:37:07 and yes.......some things went horribly wrong.
The days before the race were uneventful. I arrived in Sacramento on Friday for the Sunday race. I checked into a Marriott Residence Inn a few blocks from the finish line (this is a point to point race) primarily so that I could have a kitchen and eat the foods I always eat. Based on this, I made a trip to Trader Joe’s and bought some pasta and pesto sauce that I and my family eat far too often. We are very busy so pasta always seems to be the economical meal from a time perspective. I went to the Expo on Friday so that I could take it easy on Saturday. I bought some extra warm weather gear because it was supposed to be around 35 degrees at the race start. From this point, I just did some work and chilled out listening to music or watching tv.... there was ton of good football on this weekend.
I do remember feeling a little more nervous than normal. Actually, nervous is probably not the right word. Anxious may be better. One reason was that I had been sick for about two weeks but the main reason I was feeling off was because of all the recent happenings surrounding my wife's cancer. This felt like a much bigger deal than just a race and that is something I preach all the time as a coach for Team in Training..........."Race day is much more than running 26.2 miles and crossing a finish line....it is about all the training, all the hard work, all the lives saved". I don't think I have actually ever run a race just for myself. I don't think I ever will because I have so many motivating factors with my father, Isabella and the many many amazing people I have come to know over the years. There is always something to grab onto and this time it unfortunately happened to be Crea. This time it felt very real and very present. I think it was weighing a little bit on my heart but I can't really be sure.
Anyway, race day came. As usual, not much sleep the night before. Up at 3:30 to fix some breakfast in my Residence Inn kitchen. Same meal as always: 2 packs of oatmeal, 2 balance bars, 1 banana this time and 2 yogurts. I actually took the banana and 1 balance bar to the start with me. The bus picked us up at approximately 5:30am and drove us out to the start. Once we arrived, I just sat on the bus to stay warm. The race didn't start until 7:00am so I had time to spare. At approximately 6:30 I jumped into the bathroom lines and afterwards actually saw some great friends of mine....Todd Weinstein (Mamuute to me), Natalie Weber (Mamuute's fiancé), Brian Raymond and Victor Perkel (Brian's girlfriend’s father and amazingly an Endocrinologist that had thyroid cancer many years prior). It was cool to see them but I quickly went on to my own space to zone out.
6:55 and I check my gear bag. The key point here, which is needed for later, is that in the bag I check was a ton of warm weather gear. A fleece hat. A jacket. Two pairs of arm warmers. All of these things remained in the bag and not on my body. On my body, in this low 30 degree weather was a sleeveless tri top, tri shorts and an Ironman visor. I did actually have on compression socks and I was wearing the ever so popular $2 gloves available at the expo. I sweat so rapidly and do so horrible in the heat that I went light knowing I would heat up quickly.
7:00 - Gun goes off and I go running. As I cross the start line, I say to myself "I Love My Wife." This day is for her and I will give 110% for her. Things are going very well. I am keeping a 7:45ish pace and I feel like I am crawling. I had in my head that this was a very fast course but had been told the first half has a lot of rollers. On these rollers, I eased the pace and, again, was feeling great. I remember thinking this certainly wasn't that fast of a course as we seemed to be going uphill quite a lot. Nothing too steep.........just uphill. There is really only a few more things to mention for the first 18 miles:
1)I threw away those $2 gloves at mile 1.5. My hands were very warm and I didn't want any part of me overheating.........hindsight being 20-20........dumb ass move.
2)I somehow kept seeing every mile marker. I would be zoning out but amazingly would manage to catch the small sign indicating where I was on the course. That was not part of the plan.
3) I do remember crossing the half way point (very obvious point on the course) and thinking I am going to kill this race, pick up the pace and finish between 3:15-3-20.
4)Because of #1, my hands were beyond numb. They were all crooked like some horrible zombie creature and I remember looking around to find myself the only one NOT wearing gloves. Because my hands were so cold, I was not able to get to my food and open it up. I could have stopped and got help but that would require stopping so I pushed forward.
5)I spent all of these 18 miles thinking about various times with Crea........when we met.....dates we had......countries we had traveled to..........the good times........the bad times...........the life we had made with each other. This was how I passed the time and focused on why I was running.
Somewhere between mile 18 and mile 20, things changed abruptly. I began to feel very dizzy. My knees were hurting from the rolling hills but that was nothing that would stop me. I remember hitting a point where I thought if I took a few more steps I would pass out. So, with great sadness, I stopped to walk. I also remember being alarmed because I was not able to walk a straight line. The white haze passed and I started to run again but the haze returned and this really encompassed my road to the finish. Things were getting worse and worse. I stopped my watch and I remember feeling like I was letting my wife down. I knew she didn't care but this race was for her and things immediately stopped going according to plan. I remember turning my GPS watch back on and trying to run 0.25 miles with a 0.05 mile walk in between. You would think this would be easy but it was all I had to make it to the 1/4 mile mark on my watch. I always tell people to run the first 20 miles with your head and the last 6.2 with your heart and I was on all heart at this point. I really don’t remember too much. I remember being bummed at not being able to high five a few of the kids that were standing on the side of the road. That is always a big deal for my son and I know that simple gesture can make a lasting impression on a child but I just couldn't maneuver.
The next thing I really remember is having some women stripping off my clothes in the medical tent. I did not necessarily pass out and apparently had been talking and saying all the right things. It is just all a blur to me. They had taken my temperature and the reading was somewhere near 94 degrees.......which is apparently a little low. They were removing my wet clothes and putting on dry clothes from my gear check bag. Apparently a benefit to being in such bad shape is that they send a runner to get your gear bag (another is the green hat donated by Kaiser to keep me warm....my daughter Thalia looks much better in it than I). I also remember having
a straw put in my mouth and being asked to drink. It was hot chicken broth. The first one tasted good but after the 6th a
nd 7th cup, I was done with chicken broth and may be for the rest of my life. I think my temperature was taken about 3 times and it wasn't improving so I kept being given more blankets and I kept moving closer and closer to the heater. I also remember my feet being raised....not sure why but I wanted whoever was doing it to know I was not all that flexible. Those words never came out but I didn't break so I guess all is well. After a long time, I was able to sit up and was escorted to a chair directly in front of the heater. I remember shaking uncontrollably which is very odd for me because I am rarely cold. Just today no less than 5 people came into my office exclaiming "aren't you freezing"....NOPE. It was a couple of hours later that my temperature actually stabilized to a human level. Some blood had been taken that showed I was short on calories as well........no big surprise since I couldn't really open my food. At this point I didn't even know my race time. That is a key point I failed to mention. Shortly after my clothes were stripped, I had to ask if I had a medal because I did not really remember crossing the finish line. The nurses looked into my bag and were happy to report that I had a medal..........I had finished the race!!! I very much look forward to seeing my finish photo to see if there was a blank stare.........did I raise my arms to celebrate.........I have no idea!!Thanks for reading. Thanks for all the support you have shown to my family and I. My journey is now to the Lavaman Tri in March which I am competing in on behalf of my wife and her battle. I am doing this as a participant for Team in Training. If you are so inclined you can donate at the link above or you can go directly to my fundraising site at http://pages.teamintraining.org/los/lavatri10/4mywife . Either way, I am very grateful to everyone on this journey.
Tuesday, November 24, 2009
Doctor Visit Number Two - UCLA
We arrived at UCLA and it was immediately a different feel. It was a much bigger facility with a lot more foot traffic so we began the process feeling somewhat part of a herd. I think we both were thinking the small office environment at Cedars with 6 or so chairs in the waiting room was a more inviting setting than the 40 chair waiting room we sat in at UCLA. We were greeted at the receptionist stand friendly enough. Crea handed over a packet of information that she had filled out prior to arrival and was then asked many questions........the answers of which were in this same package Crea had provided. I only mention this because it was very funny to watch my wife deal with the scenario. Crea is truly one of the nicest people I know. She is very caring, very welcoming and very friendly. She was trying to draw on all of these characteristics and hide the tremendous frustration she was feeling at having taken all the time to fill out the forms yet verbally have to respond to the same questions........just prior to each of her answers Crea would kindly point to the packet of information sitting on the desk. To the world, Crea appeared fine. To me, I knew she was boiling which for some reason struck me as funny. I could definitely see a Seinfeld episode coming out of the interaction...Seinfeld, Table for 4?
We were immediately called in to the office and were initially greeted by a student. The paperwork mentioned the possibility of student interaction which I know is vital to training our surgeons of the future but we still found ourselves a little frustrated. Funny enough, Crea was yet again responding to questions to which the answers were contained in the packet of information now residing with our student doc. Dr Yeh ultimately arrived and he had quite a personality. Dr. Yeh actually was a self referral for Crea and we were very unprepared. Crea didn't bring a lot of the medical records so we put the Dr. Yeh in the awkward position of having to rely on conversation. Funny enough, one of the papers we did have with us was from the recent blood tests which he noted were processed at a USC Lab. His comment was that the USC Lab is one of the best in the country for this type of test but he still managed to sneak in......."as much as it pains me to say that"........I love USC haters so we have to score one for Dr. Yeh at this point.
We walked Dr. Yeh through the entire history....cancer diagnosis while pregnant, surgery in 2004, radiation in 2005 and all the recent findings. He is very thorough but would definitely be a good addition to the Seinfeld episode. Add to this episode the fact that we were really not sure the proper protocol for getting the opinion of a second surgeon. Do we mention the prior visit? Would it offend Dr. Yeh? Were we committing medical adultery against Dr. Adashek? We were not sure so we remained silent on the topic. We just presented the facts and must have appeared to be medical geniuses with some of the questions we asked.
Dr. Yeh walked us through the evidence based theories on why to operate or why 'not' to operate. He said because of the suppressed growth, Crea might live to be 85 and die of a heart attack if we do nothing. He gave extreme examples where you would probably not operate on the 80 year old in bad health in which surgery posts many complications and you would clearly operate on the 19 year old in good health (minus the cancer) that could clearly tolerate surgery and has a long life yet to live. Enter Seinfeld as Dr. Yeh began to say that Crea is somewhere in the middle of very old and 19 (risky direction here) but then recovered to say she was clearly closer to the 19 year old scenario which would lean towards surgery.
After much discussion, Dr. Yeh wanted to perform his own ultrasound. He actually insists on this so he can see the issues with his own eyes and draw his own conclusions. It is this ultrasound where things started to turn a little south from expectations. The outcome of the new ultrasound was actually the discovery of 3 more cancerous lymph nodes bringing the total identified up to 6. While the doctor was very clear to say this discovery does not change the fact that Crea will be okay, I found the news to be a little disheartening. Maybe 'disheartening' is not the right word. I am confident Crea will be okay but the knowledge that cancer is inside my wife is frightening thus the fact that more cancer is inside my wife than originally thought is even more frightening. I think the other issue is that as a husband, I feel helpless. I can not cure my wife. I can just get my arms around things and try to comfort the situation. When the facts change, it is hard to get to stable ground.
At the end of the ultrasound, Dr. Yeh showed us the pictures he captured. Unlike the ultrasounds I am used to seeing, there was no beating heart of a baby. Instead we had to look at pockets of cancer inside my wife's neck. It is not a lot of fun coming face to face with your nemesis but that is what it felt like. I was staring into the eyes of cancer and it was not a pretty sight. Dr. Yeh then drew a diagram so we could understand where the cancer is in relation to Crea. It is all contained in the right side of her neck. Some is fairly close to the original scar and some is extended a little farther out to the side. From this news, I asked the question as to whether the original entry into Crea's neck could be utilized. Please note I could care less about the scar, where it is or how big it is. I know my wife cares which is why I asked the question. I never even notice her current scar and I doubt others do either....unless they too have had thyroid surgery and are sensitive to the process (kind of like you never notice so many Honda Elements until you actually buy one and then thousands are on the very street you live on).
My question lead to the final detour from expectations. Dr. Yeh has a more aggressive approach and believes in taking out many of the lymph nodes in the area where the cancer exists. His analogy was that if one house in the area is on fire, remove all the houses in the zip code. He presented two scenarios. One was to extend the surgery both upwards and outwards which would remove multiple sections of lymph nodes from the entire right side of Crea's neck. The second scenario was to slightly extend the current scar and take out 2-3 sections of lymph nodes. He ultimately settled on the second scenario because of data which indicates the cancer does not tend to invade the upper section of the neck. Either approach seems more aggressive than Dr. Adashek who believed you go in and get as many lymph nodes that have cancer or look suspicious. Which approach is correct.............I wish I knew the answer but all of this information sent my brain into overload.
-why didn't the first ultrasound catch all of the cancerous nodes?
-would Dr. Adashek have done his own ultrasound to find the additional cancer and should I care?
-if no additional ultrasound was done, would the additional cancer have been found during surgery and, if not, what would the consequences be?
-Dr. Yeh said surgery could wait until January/February but again seemed to indicate not waiting too long. Why? If earlier we were told Crea could live to 85 and die of a heart attack, what is the rush?
-Dr. Yeh said there is a 1% chance of harming the vocal chords during surgery leaving Crea hoarse for the rest of her life. I asked about his personal history and he said it was consistent with the 1%. Dr. Adashek said his history was zero..........why the difference? Is it the aggressive versus non aggressive approach?
-Dr. Yeh would want to examine the vocal chords prior to surgery. I don't remember this being mentioned in the first visit.
-If you go with a less aggressive approach now, and more lymph nodes become cancerous at a later date, is the next surgery more risky due to scar tissue from what is now two operations?
All things to think about. All things that invade my thoughts throughout the day. I am sure both surgeons are fantastic. Maybe there is no wrong choice here but my wife is involved and I just want her to be okay. I want the cancer out and to stay out. I want my wife to know she is beautiful with or without a scar and I want a cure for cancer. That can not happen without all of us committing to making it happen. I am certainly not skilled enough to find the cure but I can run and I can bike and I can sort of swim. I need your help though on this little journey my family finds itself on. I am committed to raising $10,000. For my wife, I will raise at least that much. If you can help with a donation, please click on the link above. If the link is not working, you can go directly to my site at http://pages.teamintraining.org/los/lavatri10/4mywife . If you are not in a position to donate, I completely understand and am grateful for your taking the time to read my long winded words.