Monday, June 5, 2023

New Treatment, New Beginnings, Endings that are a Beginning

Met with my Oncologist last week and we discussed more about my PET scan results.  She still feels the Elacestrant (Orserdu)is the drug for me because of the ESR1 mutation. She also presented my case at tumor board, and though it seems like a LOT of new metastatic disease, the overall volume of disease is not completely awful. Sorry for those of you lurkers counting down my days with glee-I’m not going anywhere soon. Many of the bone lesions were not even caught on the CT. How is that possible? You ask. 

Well, let me put on my ‘CT Tech of 27 years’ hat and tell you….a CT takes images through your body like slices in a loaf of bread. Each slice is a certain thickness and then instead of just stacking those slices up on top of one another, there is a small overlap so no space is missed. But….that does not account for things like breathing motion-which you can mostly control by holding your breath when the tech asks you to, and the simple fact that CT does not pick up activity, but rather the lesion itself, and it has to be a certain size to do so. Whereas the PET picks up the metabolic activity of the cancer. In layman’s terms-they are there, they are active, but they are small. 

Even the liver ones. 

Speaking of…..I am getting an MRI of my liver next week at the recommendation of one of the Radiologists at Tumor Board-thanks Dr. Neprud!  Kept me from having to ask for it. It will help us see those little boogers better and serve as a baseline for the future. So, my NKCH MRI peeps-I’ll be at the Pav on Wednesday 6/7 at 2pm. I’ll pop a “I hate MRIs and really tight spaces and am weirdly claustrophobic” pill prior to arrival but if you’ll have my eye cover and ‘concert-loud’ country music ready to go, I might just bring some treats…..

I got my Elacestrant last weekend and took my first pill on Saturday night. And I’m fine!  No really, just a little nausea for the first couple days, and now nothing.  I’m definitely happy for nothing so far! And last week I had blood drawn and got an Xgeva shot-to help with the bone health and hopefully the bone pain. Speaking of bone pain…we are going to hold off on any radiation or anything else related to that for now. Dr. Satelli thinks that as the Orserdu starts working and gets in my system that the pain will subside because it’s stopping the progression of the bone mets.  Keep your fingers crossed that works. Bone pain is not like any other pain I’ve ever had, and it’s hard to describe. Sometimes it’s achy, sometimes it’s sharp. Mostly it’s just uncomfortable. The hardest thing is finding a sleeping position that enables me to make it through the night.  I’ve got a pretty good concoction of pain meds that work well enough to get me 6 hours of decent sleep. And if I get a good nights sleep then my day is good. If not, well, you can imagine…

So right now that’s where we stand on the treatment horizon and I’m good with our plan. I go see Dr. Satelli June 29th and I’ll find out then if we will be scheduling a PET or how we proceed to monitor how the new regimen is working.  

In the meantime I’ve got life to live!  One of those things was celebrating the marriage of a sweet girl and one of Hailey’s dear friends; Jocelyn and Joey. Their ceremony was beautiful and we were honored to be a part of it-as guests and being asked to make their guestbook. I made a circle with their name on it for their guests to sign, and Hailey asked me to make her a new classroom sign for the former Ms. Hasenohr with her new married name Mrs. Wilcox -both turned out pretty good if I do say so myself  





We didn’t close down the reception because we had to get up and head to Oklahoma the next day for my Uncle Ron’s Memorial Service and celebration of life.

The service was lovely and probably one of the ‘best’ I’ve been to as far as memorial services go. It was clear the pastor and band members knew my Uncle. They spoke, played and sang from their hearts. Even though it was obvious they were hurting from his absence as much as we were, they knew he wanted us to celebrate the life he lived and the joy his homecoming in Heaven brought him. I know he was greeted with open arms by his savior and then reunited with his Mom and Dad-Flora and Herb, his sister Linda, his brother Tom and his niece Monique-oh, what a party that must have been! 

The guitar to the left is one my Uncle gave to one of the Church’s band members to learn and practice on. 
Then next to it my Uncle’s bass(what he played during services) and his favorite blue and orange Broncos shoes.
Since Ron wasn’t there to play bass on Sunday, they went ‘baseless’ in his memory. 


Biggest Bronco fan I know and love. Well, beside my cousin Chris….

We honored his request of ‘pizza and beer’ as some of the last words he shared with his oldest daughter Nicole were his desire for that. The last four remaining Trumble kids were there-my Mom and her last 3 sisters:
Aunt LuAnn and Mike Baird, Aunt Amy with baby Carter, Aunt Mici and Kathy, Aunt Jeanne and Donnie, my Mom Sharon. 

I got to see many of my nineteen cousins (I’m number 3) and though we couldn’t find a tattoo parlor in Bartlesville, OK to do our ‘Cousin Tattoo’ we had a great time. Lots of orange and blue in honor of my Uncle’s favorite team 

Don’t ask, but I’m pretty sure this chant was along the lines of ‘Tyler poops!’

The gang

#cheers2Ron

Girl cousins present:
Kim (my sister), Kari (me!), Holly, Laurel, Nicole (3 sisters) and Angela (our sister-cousin)

The boy cousins:
Robby, Luke (Ron’s son), Chris and Tyler 

10/19 Trumble cousins 

Aunt Kathy, Nicole and Laurel 

My cousins Christina, Ang and me

Uncle Mike and Aunt Lu with Angie

Me with Nicole and Laurel 

Aunt Amy (Ron’s wife) and Angie

Me with Uncle Mike and Aunt Lu

Angie with my niece Abi 


Chris with Aunt Amy 

I’m so glad I got to see these amazing people I call family. I hate that it was because we were saying goodbye to an incredible human. I mean, if we’re gonna get kicked out of a hotel lobby for being too loud, I wouldn’t want it to be with any other folks.  After all, it is kinda what this family is known for-being too loud. 
My uncle was kind and generous and caring and loved big and loved his God. And every chance he got he shared that love through his service to others. The legacy he leaves is a big one. 

Since we were in OK and only 20miles from Pawhuska, I got to check off another bucket list item of visiting the Pioneer Woman’s Mercantile and restaurant. ✅
We had a delicious breakfast and did a little retail therapy to mend our hurting hearts. 
But I definitely want to go back to do a Ranch tour! 


All my love and safe travels to my family heading back to their homes. 
Love big and don’t waste a second, because tomorrow isn’t promised. 
#cheers2Ron

Love,
k