Friday 10 July 2015

Progress Report and some FAQ’s



Dr. Hugh Tildesley
This past Monday I completed my third infusion of the poisons. So far (day 5) things are fine, this was not the case on the last cycle. There is usually a feeling of intense well being the first couple of days after treatment, no doubt related to industrial doses of steroids used to combat the side effects of the drugs. There then usually follows episodic fatigue necessitating a nap of 1-2 hours on days 4 and 5. The nap is non-negotiable. The second week is usually benign with slow and steady recovery of energy. Last week I suffered from a profound decrease in appetite, no taste for food and I got behind in my hydration. This was undoubtedly worsened by our unprecedented heat wave. The result was unneeded weight loss, one of my enemies. We have come up with some strategies, which include tapering the steroids more slowly; recording food intake on my calorie counter and Deborah has found a formula for a high protein drink, which is palatable.

So is there any objective news of response? Since starting therapy my liver function tests have normalized. My albumin (protein) dropped but I am hoping this is related to the weight loss and dietary mischief. I plan for 1 more treatment commencing July 20, a CT scan on July 24. (Donovan’s Birthday).  This will tell me if there has been a response.

Much to my chagrin the promised timeline for the genomic testing has not been met. We still have 2 weeks but it was understood that this information was to have been available 1 month ago. Escalating messages are now commencing.

Am I still working? The short answer is yes. Two ½ days every second week. I still enjoy the patient contact and it is hard to walk away from 31 years of doing what I always wanted to do.

I am also wrapping up some research projects. Over the last month we have completed 2 papers, which are being submitted and have had 2 posters accepted for the upcoming International Diabetes Federation meeting to be held here in November. We are also completing filming of our virtual diabetes centre, more on that as we get more material uploaded to our site.

Naturally this summer did not go as planned. We were to have left for Prague on June 24, then to Denmark for a cycling tour June 30. Deborah was to return home on July 8, the Pope and I were to then play golf in southern Sweden, followed by defense of our championship at the King Leopold III invitational tournament and then a quick few days experiencing Irish golf. My friend and stellar TWA member gracefully took my place as the Pope does not travel well alone, he is often challenged as to where he has left his glasses, which causes a cascade of often unrelated but stressful variables. Peter and he are now in the south of Sweden and shortly will travel to Waterloo for the tournament.

The Falsterbo Golf Club Southern Sweden
Peter anxiously awaiting payment
Somehow the Pope convinced Butler to take his clubs to Europe. The night before he was to leave for Europe, he deposited his golf bag at Peter’s and then scurried off to Europe. Peter had a first class Air Canada ticket to Copenhagen. He presented to the check-in and was unceremoniously informed that the second golf bag was indeed not within his bag allowance; apparently the second bag is “not really a bag”. Peter is an effective debater with some valid points regarding what is indeed a bag. Unfortunately the argument feel apart as the weigh scale read 75 pounds! This is half the Pope’s weight! The charge, a sweet $225.00.

Nevertheless, he paid $5K for the ticket; try to earn some customer loyalty!

Another example of the company motto:
                                                     
                                                      
 WE’RE NOT HAPPY UNTIL YOU’RE NOT HAPPY


My diminished workload unfortunately does not lead to too much mischief; I continue to read a book a week, a real luxury. This leads to a trivia question? What do the Beach Boys, Elon Musk and the Wright brothers have in common?

Answer: Hawthorne

Beach Boys lived in Hawthorne and went to Hawthorne High School. Elon Musk’s SpaceX rocket assembly plant is in Hawthorne and the Wright brothers lived on 7 Hawthorne in Dayton Ohio. Naturally this is a plug for you to read “The Wright Brothers”, a fascinating tale of things we never learned in school.
Hawthorne High School
7 Hawthorne Wright Family Home

                                                
SpaceX Factory Hawthorne CA
Until next time.

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