Wednesday, December 18, 2013

BLOGGER RECESS

http://ljb-quiltcutie.blogspot.com/2013/12/blogger-recess.html

I will never figure this out.  This blog Google's robot allowed me to post on Myrl'sBlog.  I am a bit of seaweed tossed about in a roiling ocean of technology.

Monday, December 16, 2013

FORCE vs USPSTF: An important tussle.


Linda in Christmas Pageant, at 11.
With Halo
Joseph seems rather young for the part
 
This seems more than usually idiotic.  You may remember our old friend, the U.S. Preventative Services Task Force (USPSTF).  As I understand it, USPFTF is an all-volunteer, all expert panel recognized (but not supported) by the Feds.  ObamaCare is taking cognizance of it, though, to the extent of ruling that procedures not rated A or B by USPSTF will not be covered.  Can that be right?  I’ll have to check*.  Anyway, the USPFTF has ruled that cancer survivors be deemed not eligible for genetic testing.  Here is why I think that is a mistake.  Ovarian cancer and breast cancer are both influenced by mutations in the genes named BRCA1 and 2.  So, let’s say you survive one of those cancers or the other.  Neither cancer REQUIRES those mutations; they only increase a woman’s odds of contracting them  So, it seems to me, if you have survived breast cancer (for instance) it is of considerable importance to determine whether you are carrying the BRCA mutations, because if you are your chances of getting ovarian cancer are unusually high. 
To be fair, I should read the actual USPSTF decision, but right now I don’t feel like being fair.  FORCE (I’ve written about that, too) – Facing Our Risk of Cancer Empowered – is up in arms.  Read this link.  Maybe you will want to sign the petition.  I did. 
*No, that isn’t exactly right.  Obamacare only approves plans that offer coverage for procedures that USPFTF rate A or B.  The problem is that this panel of experts is completely ignoring the needs of cancer survivors.  FORCE is righteously enraged. 
 
 

 
 


Friday, December 13, 2013

THE BECK FAMILY CHRISTMAS LETTER, 2013

 
To paraphrase Ramses II: 
She for whom the Christmas tree shines its brightest.
 
Well, heck, it’s Christmas time again.  This is the third Christmas without Linda, and I seem to be missing her more all the time.   She loved the holidays, and her enthusiasm transmitted itself to all around her, making things special.  It won’t be that much fun this year, but I know she would want me to give it a try, and I am.  I spent Thanksgiving with Carolyn (and stayed on for her birthday), and in a few days I am going to Cordova for Christmas and New Year’s.  There I will meet my two great grandbabies, Seamus and Evelyn, for the first time, and also enjoy the company of my three granddaughters, one daughter – and, of course, their various male support staff.  It should be a blast.  Still, Linda’s little ornaments will spend another year in their box.  I urge you all to consider making an end-of-year contribution to cancer research.  Go to
and do it to honor Linda.  Write something in the “guest book”, too.
I am planning to cover the back of this page with pictures, so let me use the rest of this side to tell you what I’ve been doing, and what the immediate future holds.  I did get away from Bellingham some during 2013, but not to anywhere exotic.  I did the usual rain-avoidance stint in Borrego Springs; and I also had a great week in Flagstaff with Kristen and Joe.  I like that country (the Colorado Plateau and the Big Rez), and I hope to return frequently.  I have spent a considerable amount of time and energy in Seattle, trying to help out with ovarian cancer research.  As all of you probably already know, I am a volunteer with the Marsha Rivkin Center for Ovarian Cancer Research (where I am trying to help Dr. Rivkin himself with various writing projects), and also a “research advocate” with the ovarian program at Fred Hutchinson Cancer Research Center.  Other than that I just hang out in Bellingham, trying to keep the house livable and the cats fed.  So far I have succeeded – with the help of Molly for the first task, and Bunny and David for the second.  When I am in Seattle I stay with Karen, and we explore the cafĂ© and movie scene.  And that’s about it.  Not very exciting?  Heck, I’m 80 – a weekly beer with the boys fills all my social needs, darned near.
As for the future, well, gnutz, I get to have another joint replaced.  January 10th is the date, and the weeks before that are filling up with things I need to do – joint replacement class, stop medications, start other ones, see the doctor, see the nurse, make out my will, etc., etc.  When I got my first tin hip, maybe 20 years ago, I don’t recall all this fuss.  I’m sure it all is helpful – and of course it also helps guarantee full employment in the medical professions.  So, anyway, recovery time for an OF is of the order of six weeks, so I may not be able to spend much (or any) time in Borrego Springs this winter.  I should be recovered enough for Karen and me to take our planned trip: visit Kristen and Joe in Flag, then tour Indian Country.  I will wear my bola tie and Navajo silver belt buckle and fit right in.  (Hosteen Beck, I will be.)  After that – no clue.  Continue to help out in Seattle.  Keep adding to my blog*.  Keep drinking beer with the boys.  Keep the house passable until Linda and Paul buy it  and I can move into a nice mobile home with no stairs.  And make sure my fat cats are healthy.  Pretty exciting, don’t you think?
·         http://www.blogger.com/blogger.g?blogID=6665628846095491748#overview/src=dashboard
So anyway, HAPPY HOLIDAYS! 
Blogger won't let me post the second page.  Grinch!
 
 

 
 
 

 


Wednesday, December 11, 2013

IMMUNOTHERAPY and other stuff


A Michigan Fall
 
When I am home alone, which is most of the time, I have an evening routine.  I ride my stationary bike for 30 minutes, thus pretending to stay in shape.  Then I watch the BBC news, while imbibing a vodka and tonic.  Next I fix dinner, then sit down to eat it.  While eating I like to watch a TV program from On Demand, which – as most of you probably know – records certain popular shows for watching later.  Until recently this has worked out well, because it takes me about 44 minutes to eat dinner and that happens to be the length of an hour-long TV show – divested of commercials.  Lately, however, they have been fixing the shows I like to watch so that you HAVE to watch the ads – Fast Forward disabled.  Thus the show lasts a full hour, and I rarely stick around for the conclusion.  It follows that, since I usually watch cop dramas, I never find out who done it.  A small thing, but irritating.
The worst of the ads I am forced to walk features a well-known black movie star, whose name escapes me at the moment, urging me to use the Capital One credit card.  So why is this important?  Because, when I tried to watch the video that accompanies the link I am about to describe to you, I first had to watch that same damned commercial!  So, click on the link given below, but skip the video.
The article concerns a boy who entered a clinical trial studying an immunotherapy response to a type of leukemia that was killing him.  The trial, conducted at the University of Pennsylvania, studies the effects of removing T cells from the patient’s body and somehow “re-programing” them to attack cancer cells.  So far it seems to be successful.  T-cells are a part of the immune arsenal, and I have written about this kind of therapy before.  It holds excellent promise for the future.  Let’s all hope the poor kid doesn’t relapse.
I was alerted to this article by faithful reader Parkfriend.  Parkfriend lives in Canada, and has done so for many years.  She is an American by birth and education, but has taken on a Canadian persona to the extent that she now wastes vowels in such words as honorable, and (no doubt) pronounces “strength” as if it rhymes with “tenth”.  Strong medicine, that Canadian culture – don’t visit  too often!
Sorry, Parkfriend – just kidding.
 


Monday, December 9, 2013

TO WALK IN BEAUTY


Our Mexico trip, 2010
 

This isn’t really about ovarian cancer at all, nor is it an attempt to be funny.  I have been studying Navajo culture for a few months, ever since I returned from Kristen’s place in Flagstaff.  “Studying” so far consists of re-reading all the Tony Hillerman Leaphorn-Chee novels.  I have ordered a few more serious books; they lie there on the coffee table looking at me accusingly.  When I finish Hillerman I promise to give them a try.  But, I am lazy.  It’s my right; I’m an old fart.
The purpose of this blog is to share something I have gradually come to realize.  Hillerman relates how the Navajo Way consist of “walking in beauty”.  I don’t pretend to understand that; all my life I have “walked” in a constant state of competitiveness and inner turmoil.  But last night I realized that “walking in beauty” exactly describes Linda.  I’m not going to try to elaborate: you who knew her well will understand.  Even when she contracted ovarian cancer she continued on, in beauty.  There wasn’t a Sing that could save her, nor any trick of modern medicine.  But she continued.  The world really is a darker place, now that she is gone.

Sunday, December 8, 2013

BACK AT WORK


Looks like an anniversary
In our little Cowgill house
 
The purpose of this blog is to re-kindle your interest.  I have been away for over a week, and so nothing new has been posted.  The result is that my “hits” dropped from about 150/week – to 6!  And all of them from Moldova!  (Not really.)  So here are some articles I found in the NY Time, which you might want to read.  Well, I doubt if you'll really WANT to read them, but you should, anyway.
The first concerns the availability of new drugs or treatments to end-stage patients, without FDA approval.  Apparently there really is an avenue to do this (without going to Mexico), but it has its limits.  One seems to be not knowing (or not caring) about possible “deleterious side effects.”  I’ve always felt that if nothing approved will work and the patient is going to die, something unapproved could be administered without  violating any ethical guidelines,  No doubt it isn't that simple.  Anyway, here it is: 
The second item of interest is a blog published in the Times, written by an extremely articulate woman who has advanced ovarian cancer.  Heaven forfend that any of you should ever experience what she is going through, but it might be a useful exercise to promote understanding.  Linda went through this, and I didn’t help her enough.  Now I’m trying to make it up to her, when it’s too late.  Anyway, here is the latest blog: