Thursday, February 12, 2009

Baby Oil Dries My Skin

3.5 weeks to 2.5 weeks after the diagnosis

Sorry guys, that your so on the nächsten Post warten mußtet, aber in den letzten Tagen ist wirklich nicht so viel erwähnenswertes passiert. Habe seit meinem letzten Eintrag einige wichtige organisatorische Dinge erledigen können. U.a. habe ich mir einiges Info-Material über meinen Krebs von der deutschen Krebshilfe schicken lassen. Wirklich sehr gute Infos zu Thema, mit einigen Anregungen für einen guten Umgang mit der Krankheit. Kann man sich alles kostenfrei übers Internet schicken lassen, is echt ne gute Sache. So nach und nach bekommt man also ein Bild von der Krankheit und man erkennt, was eigentlich alles dahinter steckt, was es bedeutet schwer krank zu sein. Dadurch, dass ich körperlich in einem guten Zustand bin, ist mir das schon ein wenig schwer gefallen, to accept the Sun After all, the diagnosis of lymphatic cancer, would be so crass as it sounds, 30 years ago was a death sentence even for me.
Now I want to tell you briefly about my last three days:
As some of you may know, is one of the possible side effects of chemotherapy, sterility, that is infertility. For each male patient, it can happen that are destroyed by the chemo not only diseased cells but also healthy cells with low resistance (including root hair cells, so the possible loss of hair). Sperm are in this category. Therefore, one which mostly oncologists advise you about einen möglichen Kinderwunsch Gedanken zu machen. Obwohl für beinahe alle männlichen Patienten die Wahrscheinlichkeit sehr gering ist, dauerhaft unfruchtbar zu bleiben (wenn man nicht schon unfruchtbar ist), kommt es doch in einigen Fällen vor. Außerdem liegt die durchschnittliche Regenerationszeit von Samenzellen im Bereich zwischen 5 und 10 Jahren, je nach Intensität der Therapie und wer möchte schon wie in meinem Fall erst mit 35 Vater werden? So wie ich Euch kenne – mit Sicherheit einige ;-)
Um verhindern zu können, dass man niemals Vater wird, gibt es die Möglichkeit des Eingefrierens von Samenzellen. Genau das habe ich die letzten 3 Tage gemacht. Also ab in die Hautklinik der Uni Tübingen, dann ans competent laboratory relayed been and from there we went from famous to those infamous cabin: You can imagine not looked like this: I guess its size times to just under 3 by 3 feet, just enough room for a bed and a chair, runtergelassenem a window with shutters and a bright neon light, which started after about 4 minutes to flicker. Not exactly the most romantic mood to focus on his best friend. Oh man, the first time hats a bit taken, especially to me at first herumgeschwirrt nor the medical technical assistant in the laboratory in the head, which was about 60 and looked like the witch from Hansel and Gretel. And damn - you Not tried before, at the right moment to take in a tube has a circumference of about 4 cm ????!! Its not that easy my friends, I'll tell you ;-) After 15 minutes, I was finally ready and I've moved quickly unremarkable.
Well, anyway, I had to give up within 3 days, 3 samples, one of which was tested for my sperm count and their motility, so if I'm ever procreate. My Result: Tadaaaaaaaaaaaaaaaaaaa: 35 million sperm, which are well shot about the only way in the eyepiece of the microscope, looking for an egg to fertilize. No kidding - who would have had a great mobility. Well, but we are glad. Gell, treasure ;-) ?
The other two charges then it was already better, just that I unfortunately only at the end of my second "act" notes the porn magazines under the bed that support me in my business, ought to have - DAMNED -
;-) This morning, then nor the last test given, and now they go to a laboratory in Koblenz, where I signed a contract for nitrogen storage, which will cost me about 350 Euros a year. Nevertheless, I think it was worth the effort.
Yes - and this afternoon we went, finally, everything
sonography and final interview before therapy. The sound was extremely positive, according to my oncologist really affected only the right neck area, but this pretty hard. With a special method, he could represent the blood flow through that area, which is reflected in a good picture of the activity of the immune system. Were really impressive shots. The result is, finally, that I am ill on the first, ie lowest stage. Although I have had some luck, because the doctor had told me that the preliminary findings of the bone marrow results were positive. The fourth would Stage means. Fortunately, this finding also went to a special lab, probably to Ulm, the retired and this diagnosis has assured that the bone marrow is not affected. You see how important a second opinion in such Cases.
is based on the therapy is that I probably, if everything goes well with health insurance, as expected, a weaker chemotherapy - in combination with the antibody therapy get, and finally - to be really sure that no malignant cells are no more - a radiotherapy.
They are definitely the recommendation of my oncologist. These results and those of my whole "staging" go now to the reference center in Cologne, which then, in consultation with specialists who have worked on include studies on Hodgkin will make a final treatment decision. As all expected, I will next Weeks out, so that when it's going well over the next week can begin the therapy.
As you can see, I can be really happy that we have recognized the disease so early. So I want you finally give up the way that if you someday ill with something unusual your heart do you seek in any case a second opinion and should not let you get rid of so quickly.
how important this can be, you can see in my case.
Otherwise I wish you all a relaxing on weekends and a good time -
Get me back to you again next week if there is something new.
you feel embraced dicks
your Felix

Tuesday, February 3, 2009

Golden Spoon Online Appliation

the diagnosis



Hey You,
has now been happening a lot. At least for the "stageing" terms. I am for now with my doctor visits by and I have as mentioned been consistently positive results. Now the only missing from the bone marrow and thus the ultrasound sonography (I get on 13.02. In the final interview)
My lungs are also perfectly fine, so I would be prepared for the therapy. Let's see already what to expect as this to me. Got to hear quite a few in the waiting rooms. Is really pronounced as some people simply go on it to tell how badly they do it through the chemo and how bad life but actually is. Can only shake his head. Sure, there are several side effects such as hair loss, nausea, diarrhea, etc., which burden a mainly psychological, but you can still see it as a process of healing. As a good fight, in which time was now to expect such a thing. Every body reacts differently to such a charge. We will see how hard that is with me.
I would now take even the opportunity to tell you a little more about my exact diagnosis: I'm in the so-called "nodular lymphozytenprädominanten Hodgkin's lymphoma" diseased.
Lymphozytenprädominant is, in my specific lymphocytes (CD20), ie white Blood cells from cancer cells are affected.
During the 80-year biological and clinical studies have shown that the Hodgkin's lymphoma can occur in several different ways: including as nodular lymphozytenprädominantes Hodgkin's lymphoma and a classic Hodgkin's lymphoma. The differences lie mainly in clinical characteristics, their immunophenotypes, their molecular genetics, its relationship to Epstein-Barr virus and its natural course. According to the WHO classification on average 95% of cancer patients on classical Hodgkin lymphoma, and only 5% of nodular lymphozytenprädominanten Hodgkin lymphoma. In general, these are mainly men aged between 30 and 50 years. You see So I lie a little below average, which could ultimately have a positive effect on my course of therapy.
For the remainder of it for now is that my pending results of the bone marrow examination (blood and tissue from the bone marrow) and sonography fails as expected, well, it improves my chances of one of the low stage (I or II) diagnosed get . Ie the lower the stage, the better the chances of recovery and lower doses, the Tharpie.
Here is an brief overview of the stages: Stage I


The cancer is only in the area found a lymph node area or outside in just one area or organ the lymph nodes.

stage II
Either of the following applies:
Cancer is found in one or more lymph node areas, located on the side of the diaphragm.
The cancer is found only in one area or organ and the surrounding lymph nodes.
more lymph node regions on the same side of the diaphragm may be affected by cancer.

stage III
The cancer is in lymph node areas on both sides found the diaphragm. The cancer may have spread to one area or organ near the lymph node area and / or the spleen.

stage IV
Either of the following must apply at Stage IV: The cancer
hat sich auf mehr als einer Stelle auf eine Organ oder Organe außerhalb des Lymphsystems ausgebreitet.Unabhängig davon ob in den diese Organe benachbarten Lymphknoten Krebszellen gefunden werden oder nicht.
Der Krebs hat sich auf nur ein Organ außerhalb des Lymphsystems ausgebreitet, aber auch entfernt liegende Lymphknoten sind befallen.

Wie Ihr seht stehen auch hier meine Chancen ganz gut, da ich mich laut den aktuellen Ergebnissen auf einem guten Weg befinde. Soweit also zum aktuellen Stand.
Ansonsten geht’s mir eigentlich gut. Hänge halt zuhause rum und versuche mir bestmögliche Beschäftigungen zu suchen. Versuche gerade mir mal einige Gedanken für meine Wissenschaftliche Hausarbeit zu machen (Voraussetzung for the present state examination), maybe I can use the time to even read some literature and to make ne structure completed. I certainly hope that your exams are going well and you well. Ye can not something be hearing from you. For my part, it's off on 13.02. further.

Oh yes, you have also a CT image from my collection (over 500 images) picked out by you can see the lymph nodes as a gray, round objects in the red circle. It looks really worn out ;-)
To date, I wish you a pleasant rest adjusts week, on you!

Wednesday, January 28, 2009

Was The Genious Gay? Wwe

1.5 weeks after diagnosis

Hey You,
times I would first like to thank you my Blog welcome. I think that this kind of "reporting" makes sense, since I have the opportunity to inform you regularly and without stress, my health and the course of my therapy. You are all part of my life and I feel in some way closely connected with you and I would love to have you be part of my destiny.
so far as it is today. My first entry since my diagnosis. You wonder, as I feel it and I tell you: I feel somehow a little easier. I know that sounds kinda strange, but since I'm ill in 2005 at the Pfeiffer's glandular fever, I had to to live my swollen lymph nodes. All nine months blood samples with lymph node measurement, always said that it is all right. No change in size and number. No change in blood count, on the contrary.
I had to live with this swollen neck, if I wanted it or not, and somehow I felt that this can not be normal. For over 5 years ago I quit smoking. Granted, I've never tolerate really ;-), but I am suffering from a chronic cough for years, despite my regular exercise through my sports studies. Three months ago it started with pain in the neck. Especially after consuming alcohol, I had the lymphoma known as typical alcohol pain in the affected area.
All the reasons I had to stay in the regular control it.
were eventually found new nodes swollen and I felt as if I was physically worse. I was poor under pressure, tired and exhausted, I always had to motivate morgends to get out of bed to go exercise, or only to the PH to attend lectures. The second operation just before Christmas was inevitable and so I ordered removed on 19/12/2008 in abulanten operations center in Esslingen my second lymph nodes. 3 weeks later I received first a positive message: "Congratulations Mr. Eppinger, they are healthy and have their lymph nodes be examined only every years, "I was immensely happy -.. to me a week later got the call that my first positive results will be revised and I, according to a special pathology of Ulm now but at a sub- the Lymhdrüsenkrebses'm sick.

The first shock was deep, but I was kinda glad to finally have a diagnosis. to finally know what really is going on. At last, knowing that all the pain I just could not quite place, finally had an origin. Somehow, joined the circle for me. I think this is one of the reasons why I deal very positively with the whole thing. I think that der positive Umgang mit dieser schwierigen Krankheit nicht nur mir etwas bringt, sondern auch meinem Umfeld, meiner Familie und meinen engsten Freunden. Stellt Euch vor ich würde gleich in eine Hysterie verfallen (danke Dustin :-x) , dann würde sich einiges ändern. "Optimismus verlängert das Leben" das ist einer der Sätze, die ich während meines Studiums gelernt habe und irgendwo steckt da eine Menge Wahrheit dahinter…
Zum Schluss möchte Ich Euch noch kurz auf den neuesten Stand bringen:
Seit meiner Diagnose befinde ich mich im so genannten "stageing": (einer Festigung der Diagnose) d.h. es ich muss etliche Ärzte abklappern, um letztendlich in einem abschleißenden Gespräch mit meinem Onkologen to identify at what stage the cancer is located and look like my next therapy.

lymphoma is usually treated with a standard chemotherapy and radiation therapy. Since I suffer from a lower form of this cancer, which is regarded as very curable, I hope to be "only" treated with an antibody therapy and chemotherapy weakened.

Meanwhile, I had appointments with a cardiologist, (who had my heart echo control for the next chemo, to be sure that my heart the next therapy survive) an oncologist, (bone marrow aspiration, to be sure that the bone marrow not affected even by mutated cells), and a radiologist (including a computed tomography of neck, has chest made and stomach in order to clarify that no other parts of the body are affected by swollen lymph nodes.)

All the results are positive for me failed, ie it is now really only my right neck area infested with diseased cells. There are no enlarged lymph nodes in the lung, yet an enlargement of the spleen and liver, which would be typical in my illness. This Friday is still a special examination of the lungs and at 13.02. have an ultrasound of the neck. The results then go to the Reference Center for Lymphoma in Cologne, will find out then discussed a useful therapy for me. You see, there is a lot going on, but all positive.

When there is news, I will inform you about it. Unless this far.

I hope you have a little enlightened and want a few good days. Especially to my boys from the PH - good luck and success for your exams, you will get the point anyway. Also, the other all the best. Fits all on you, and I'm glad about every comment from you.
Big hug,
Felix