Larry Fischer vs. The Bastard
News From the Battlefront (8/21/13)
The War Continues (8/30/13)
Battle Is On The Offense (9/11/13)
Fighting From the Kitchen (9/25/13)
Round Three (10/11/13)
Four and Out! (10/29/13)
Drawing New Battle Lines (11/1/13)
Return to the Battlefield (11/22/13)
News From the Battlefront August 21, 2013
On August 10th I received a call from my doctor with the news… TUMOR. Yes, it hit Belinda and I like a ton of bricks. Not something you are expecting at age 56 with hunting season just around the corner. Thank goodness that our friends Dave and Nancy Doran arrived on the 11th. They have intimate experience with cancer and its consequences.
On August 14th I had an MRI, and on the 15th I met with my pancreatic specialist to confirm that I have a 1-1/2" size growth on the head of my pancreas.
Yesterday we returned from Salt Lake City where I underwent an upper GI scope and deep ultra-sound, along with several biopsies, reconfirming the initial prognosis. The biopsy will confirm the makeup of the tumor and help the oncologist mix the appropriate chemotherapy.
So the battle plan is as follows; I meet with my pancreatic specialist next Tuesday and the oncologist on Thursday. They will determine when to start chemotherapy and at what dose. The biggest obstacle we must over come at this time is to shrink the tumor so it can be safely removed. The tumor as it stands is collapsing the portal vein from the liver and blocking the pancreatic duct. After shrinkage, the pancreatic specialist will remove the tumor, along with the head of the pancreas, and rebuild/reroute everything accordingly. For those of you who are curious, this procedure is called the Whipple method.
We are sorry that we have dropped the news to you in such an impersonal way, but frankly we do not think we could emotionally call each and every one of you.
So I ask that if you are religious, you keep Belinda and I in your prayers as we fight this beast. If you have a tendency to wager, then put a few bucks on me because I'm going to beat this like a rug.
Larry, Belinda and Family
P.S. When you are out hunting this year stop and skip a rock, or smell the ponderosa pine bark, or just stop and stare into the fire when you are enjoying a drink after a long day afield. Enjoy the hunt for me!
The War Continues August 30, 2013
First I want to thank each and every one of you who responded via e-mail, phone calls, cards and letters. Your support was both heartfelt and reassuring.
When I last contacted you about my pancreas, Belinda and I had just returned from SLC on the evening of the 20th with my son-in-law Hans as chauffeur, daughter Diana as medical consultant and granddaughter Oakley as nursemaid. The rest of the week was to be spent recuperating from the biopsy and strategizing on how we are going to beat this Bastard while waiting on results from the biopsy from the Salt Lake City hospital.
But The Bastard was not going to play fair!
Before we could meet with the pancreatic specialist on the 27th, he, The Bastard, decided to turn me a bright banana yellow. So, Saturday the 24th found us once again in the hospital having a stint put into my bile duct. Thankfully, my color has now returned to normal and my bile is moving through the system.
The news on the 27th was not what we were all hoping for, The Bastard (tumor) is malignant and, because of his moving and pushing against my bile duct and portal vein, the Doctor declared him at stage 3.
The positive is that he is a run-of-the-mill, street punk, pancreatic tumor (adenocarcinoma), so the oncologist can mix a special cocktail--Oxaliplatin, Irinotecan, and Fluorouracil for those who want to know--to shrink his ass and the pancreatic specialist can then jerk him out. Then I plan on using him for catfish bait.
So this week the battle lines were drawn.
I will have the port placed in my chest on September 3rd, and then we will start chemo on the 5th. Chemo will run for approximately four months then the surgeon will rip him out!
Then the healing will begin.
So we planned.
I had never heard the following words spoken to me. On Thursday, Dr. Zuckerman the Oncologist said to me, "You need to gain some weight. Start eating as much as possible to get ready for the chemo treatments."
It seems that one of The Bastard's tools is to speed up my metabolism, which I thought was the results of the amazing effort I had put into my diet the last six months. I have had to buy clothes so often the past month, that I am starting to employ the Jack Reacher method--buy one shirt and pant for the week, then a new set next week, discarding the dirty clothes in the trash at the store.
But, the good news was to start eating a lot of carbs! Thursday evening at the grocery store was pure bliss.
But The Bastard had other plans, and weapons.
Thursday, late evening, I receive a call from my primary physician regarding a routine blood test I had received earlier in the day. It seems my blood glucose level was at 530, and I was in need of insulin. So I was instructed to go immediately to the emergency room at the hospital and begin treatment to bring my blood sugar down to a manageable level or we could not have the port placed on Tuesday or start chemo on the 5th.
Belinda and I just returned from my overnight stay, where I learned all about insulin and how to be a diabetic. Now I am the proud owner of a blood glucose machine that I test my sugar levels three times a day, and give myself shots up to seven times daily. It seems this Bastard has used all of his tricks to try and break me and mine.
Well let me tell you, he has not seen anything yet! The poison cocktail we are going to feed him is something even the UN might question, and I and mine are not going to back down one bit. So please keep us in your thoughts and prayers and remember to wear a little purple. Purple is the pancreatic cancer color, pink was already taken.
Larry, Belinda and family
Battle is on the Offense September 11, 2013
Once again we want to thank all who have reached out via cards, letters, e-mails and phone calls. Your support is pure adrenaline. I'm harvesting your strength and in turn this bastard has begun to feel our wrath!
Last week was a whirlwind. Started Tuesday when I entered the hospital and had the Port put in place. For those who do not know, the port is where I receive my chemo injections. Instead of trying to stick me in the vein they implant this device, run a tube over the top of my collarbone then insert the tube into my heart vein. Thus the medicine is pumped directly into my system.
Wednesday found me at the barber getting my chemo cut. No one wants to wake up with clumps on their pillow. Now I won't know if it's me or the dog!
Thursday found us bright and early at Mountain States Tumor Institute for the first of eight chemo sessions. The three drug combination that I'm receiving is called folfirinox. I like to refer to it as FU. Each session lasts about 8 hours then I carry a ball of chemo home while it is slowly pumped into my body for the next 48 hours.
I know that all of you have heard the horror stories like I have of chemo and the side effects. Well I'm sure they are all true from extreme nausea, diarrhea, mouth sores and worse. But thank God I was spared all of that. The only side effect I experienced was the feeling that the Bastard was curled up in a little ball crying like a baby as we rained terror upon him. What a satisfying feeling to finally be on offense instead of defense.
Now after recovering from a little fatigue, I'm getting stronger and readying for the next treatment come on the 18th of September.
We got this Bastard's attention, now it is time to kick his ass and prepare to get him ready for catfish bait.
Larry, Belinda and family
Fighting From the Kitchen September 25, 2013
Well, we finished round two of Chemo and now we have fallen back to regroup. That does not mean we are not fighting, just healing up from the chemo and its side effects and learning how we can fight using the kitchen. Yes, we are throwing everything at the Bastard including the kitchen--sink and all!
New developments from chemotherapy included some stomach pain that lasted for a couple of days. I'm sure it was just the cells reacting to the chemo. It was uncomfortable, but I've had worse pain from too much ice cream.
The neuropathy, described by the doctors as sensitivity in the hands, feet and throat to cold, has now showed up as well. The doctors don't know exactly what sensitivity is; how about your hands feeling like someone is jabbing ice knives into your fingers when you touch something in the freezer or fridge. A pair of thin leather gloves helps and not touching or drinking anything cold! Minor inconveniences.
On to the next battlefront, the kitchen. I'm reading a book called Anti-Cancer by Dr. David Servan-Schreiber, which he explores and then verifies how changing our diets and adding certain foods actually combat the cancer cells and more importantly keeps them from obtaining new blood supplies which is needed for growth.
So we have started a regiment of three cups of Japanese green tea, small amounts of dark chocolate over 85% cocoa, and lots of turmeric in our cooking. We also have modified some of my vegetable intake, like Brussels sprouts. If I can undergo Chemotherapy, I can eat my vegetables!
So keep the prayers coming and please send me photos of your hunts. Remember purple is the lucky color this season!
I've attached a photo of Nurse Kratchet playing with my ball for your enjoyment. The nurses have all noticed that I have a big ball.
Thanks again for all the support and keep thinking positive for us and negative for the Bastard!
Round Three October 11, 2013
First off I cannot thank all of you enough who have reached out to Belinda and me - from Dave Golden having the Crush the Bastard bracelets printed, to the hundreds of you that purchased them and are wearing them proudly, to Bill and Tracy Dunn at Zipper Bows/Grizzly Broadheads who have contracted with their broadhead coater to apply purple Teflon to anyone who sends their broadheads to Bill, to my business partner who had shirts printed with the TBM logo and purple ribbon and surprised me. Thank you from the bottom of my heart. As my daughter Becky said to me from Sicily, "Dad, I did not know you had so many friends." Neither did I!
As I finished round three of my chemo I was struggling to find something interesting to write. Round three started out predictable like the first two, three days of chemo, then a couple of uncomfortable days, then rehabilitate and renew my energy for the next round.
So with that as a model, friends Rod and Peggy Bremer of CRKT, planned to arrive on Monday and spend a couple of days with Belinda and me.
Monday found me feeling a little puny, but nothing to worry about. Tuesday morning was worse and by mid morning I was back in bed with some Oxycontin as company. Well it seems the Bastard doesn't have any new tricks, just back to his one-dimensional playbook. He decided to plug up my bile duct again. Now, if you recall, less then 60 days ago we had to have a stint put in place to open this duct and return my color back to normal. No, I hate chaquita banana yellow. So Wednesday found us back in the hospital where my doctor replaced the "less expensive" temporary stint with a new high tech metal permanent one. Take that you Bastard!
He is starting to remind me of the little brother that would never really hurt you when he hit you, but he just continues to hit you in the same place time after time and pretty soon you have a sore spot.
As of today, Friday, I'm feeling much better and am making my run to get renewed and energized for round four of chemo. We have a CT scan scheduled for the 29th of October to see how much we have shrunk the Bastard. So I ask that everyone think shrinkage for the rest of October and the chant will be "4 and Out!"
Larry and Belinda
Four and Out! October 29, 2013
Today, as most of you know, was the scheduled CT scan to see if and how much we shrunk The Bastard. Eight A.M. found me under the scope so to speak, with a follow up with my pancreatic surgeon Dr. Barton to follow.
As we, Belinda, Blake, my mother Pat, and I sat in the examining room waiting you could have heard a mouse fart.
Dr. Barton walked in and I jokingly asked him if he had his knives sharpened, meaning was he ready for surgery, he replied, "How about this Friday?" Nobody responded. He couldn't be serious.
Dr. Barton went on to say, "I do not know what you and Dr. Zuckerman, the Oncologist, did, but I have never seen anything like this. The tumor has shrunk significantly!"
At that point emotions overcame me, because I knew it was nothing that I or the Oncologist did, it was all of you collectively with your prayers and positive thoughts that shrunk The Bastard! Thank you!
Four and out!
Friday the battle for supremacy takes place. At noon Dr. Barton will begin surgery, known as the Whipple method, to remove the tumor as well as the head of my pancreas, part of my small intestine, a section of my stomach, gall bladder and various other parts and pieces. After jerking the bastard and my infected parts out, relegating them to fish bait, he will then spend the rest of the time reconstructing, after gutting me like a fish!
The whole procedure will take approximately six hours and will require a hospital stay of 7-10 days. I told Dr. Barton I will be out in four days, one has to set some goals!
Now comes the most important part of the equation. We need you now more than ever to ask the Lord to guide Dr. Barton's hands as he works and to be with Belinda, myself, and our family as we face the most difficult part of the battle with The Bastard.
With your help I know we will "Crush the Bastard."
Thanks again for all of your support and if possible reach out to Belinda during this difficult time. Hey I'll have all of those good-looking nurses taking care of me!
Drawing New Battle Lines November 1, 2013
This isn't an easy update to write. It's not what anyone was expecting.
Short version: They went in, couldn't get it out, grabbed Larry's gall bladder, and closed him up. The battle will continue.
Long version: The Bastard has an alias: Deception
Larry was in surgery for 4 hours. They cut him open and moved everything to get down in there, but when they got there things were not as they appeared on the CT scan. It was like The Bastard was all puffed up when the first CT scan was taken. The last CT scan looked like he was all curled up, but it didn't show that his claws didn't come back in, they are still stretched out and deep into the portal vein. They tried to retract those claws, but were not able. They can cut and replace part of the portal vein, but too much was involved. So, they were not able to remove the bastard. They did remove Larry's gall bladder; one less thing The Bastard can use for ammo.
Larry's estimated stay in surgery recovery was 1 to 1-1/2 hours, but he was in recovery for almost 3 hours. Seems the epidural they put in did not work. But instead of a 7 to 10 day stay in the hospital it will only be a 3 to 5 day stay. He's on the 6th floor, Room 6028, St. Lukes, Boise. He still has a lot of healing to do because of the nature of the surgery. They still cut him open from one side to the other, moved everything out of the way and "played" around in there. Read as: Larry is NOT feeling very good and is NOT happy.
New battle plans: More chemo, if The Bastard didn't like it the first go round, then he isn't going to like it the second round either. Hopefully, we will get him shrunk even more.
While we are doing this, we are calling on more expert help. They have some doctors in Houston, Texas that, according to our doctor, are just as aggressive as Larry and specialize in "portal vein replacement" (and I may have all the terminology wrong, but I think you get the idea). So we are going to work on getting a consult to see if they want to try to remove The Bastard.
TEXAS HERE WE COME!
The BATTLE continues!!!
Return to the Battlefield November 22, 2013
Well, it has been three weeks to the day since Dr. "Big Hands" Barton spent the better part of Friday morning wrestling with The Bastard inside my gut. Big Hands realized that The Bastard was not going to let him peel him off my portal vein without killing me, so he had to submit, but not before he gave The Bastard a couple of nookies! Since then I've heard a few rumors, but as Mark Twain once said, "The report of my death was an exaggeration."
I am here to tell you that getting almost cut in half, then having the WWE hold one of its main events inside you, was no picnic, but that was three weeks ago.
The cut has healed nicely and I have another scar that will make most women melt! I'm eating well and my weight is holding at a respectable 203 pounds. Additionally, I'm walking two miles a day and we are scheduled to start chemo again on November 29th, although, I was ready and willing to start this week. One should not dally, but get back into the battle as soon as possible.
Other good news from the battlefront is that we are scheduled for a consultation at MD Anderson in Houston on the 16th of December. Consultation is hospital code for we need to bill him and see just what shape he is in for the next round. Kind of like getting recruited for college football at an NAIA school, where they want you to play, but you got to pay!
Dr Barton recommended that we head to MD Anderson, telling Belinda, "The doctors down there are as aggressive as Larry." And that's just what I need, an ex-bull riding surgeon with little hands. NO FEAR!
So, The Bastard may have thought he bought some time, but the results are still the same, with your continued thoughts and prayers we are going to "Crush the Bastard!"
Larry, Belinda and Family