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CARCINOID CANCER

A rare form of "slow-growing" neuroendocrine cancer

Susan Anderson - An advocate for Carcinoid and Neuroendocrine Tumor Awareness

 

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                              My SHORT Carcinoid Story

                                                by

Sunny Susan Anderson

Copyright © 1997-2008 Susan L. Anderson. All Rights Reserved.

Updated: April 20, 2008 

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I am an advocate for Carcinoid Cancer awareness and self-help support groups for Carcinoid patients and their families.  I am a survivor of a neuroendocrine cancer called Carcinoid, diagnosed May 10, 1995, and also Infiltrative Ductal Carcinoma (IDC) breast cancer, diagnosed June 18, 1999.  Fortunately for those of us with Carcinoid it is a slow growing cancer or most of us would have died before the diagnosis was found.  I am thankful I have always been an optimist; I see the glass as half full and not half empty.

I call my quest for a diagnosis “The Trials and Tribulations of Sunny Susan”.  In 1987 I was diagnosed as anemic, for the first and last time, no cause was ever found, but I was told it was “stomach bleeding”.  After years of searching for cause of abdominal and stomach pain, during surgery for an obstruction May 10, 1995, I finally had a diagnosis - Carcinoid Cancer, a slow growing neuro-endocrine cancer. 

The previous six months I had lived on ice cream milk shakes, vomiting when tried to eat anything else, in severe constant pain, and lost 62 pounds.   I had bright red “flushing” of the face, neck, chest and arms, which doctors ignored when my husband and I would mention this symptom.  I would not have been flushing without metastasis in my liver.  Over the years I consulted with several doctors, was admitted to the hospital many times for partial bowel blockages, and underwent multiples tests searching for answers.  Testing included: upper and lower GI’s, ultrasounds of liver, pancreas and abdomen, sigmoidoscopy, colonoscopy, barium enema with air, cat scans of chest, abdomen, pelvis, gastrointestinal endoscopy, stomach lining biopsy, liver biopsy, chest x-rays, mammograms, hydrogen breath test, gall bladder surgery, small bowel enteroclysis, and much blood work, but NEVER for the things that would have shown the presence of a neuro-endocrine tumor (Chromogranin-A., Serotonin, etc.).  Since then I have had several bone density scans, nuclear OctreoScans and heart echocardiograms.

What I found on the internet when I started my search in 1995 was mostly old, and I refused to accept what I read -- that with a diagnosis of Carcinoid I had only from 2 to 5 years to live.

It has been said that Carcinoid is a "looking good cancer" -- most of us look healthy and others can not tell that we have a terminal disease; also Carcinoid is one of the most costly cancers to treat -- because many people live with it for years and / or decades, thus have long-term treatment costs.  I saw four doctors, in Arizona, all were “wait and see – do nothing”.  I had the same "complaints" – pain various places, diarrhea, constant severe fatigue, and weakness I was told many times that Carcinoid is a “chronic illness” and to "learn to live with it".   No, I did not care to accept that passive role!

My search for cause of stomach and abdominal pain began in 1987 and did not end until 1998 when I consulted in person with one of the worlds leading experts on Carcinoid, Dr. Richard R. P. Warner, M.D., of New York City, who turned my life around!
 

After my diagnosis and treatment, I felt a very strong desire to assist others in their search for information and in starting local self-help groups. Since I am a Type A personality and have always reached out to assist others it was only normal for me to share the information I had found through research with others.  I have never been bored a day in my life and never have enough hours in the day or days in the week.   I now maintain 77 mailing-lists in my computer address book of people who either have Carcinoid or a interest in Carcinoid.   I send information to all of my mailing-lists when new research papers by Carcinoid expert doctors, such as the doctors at this conference, are available.

April 27, 1997, I put up my web page http://www.carcinoidinfo.info.  I provide information for medical / drug databases, information from leading Carcinoid doctors on how to treat and monitor Carcinoid, local Carcinoid support groups, humor, books, Bluegrass music, prayer lists, travel, political issues, Arizona information, cowboy poetry, and much more that may assist a person in leading a full and active life while LIVING with Carcinoid; and have links to information I wish had been on-line when I started my research.  I am happy to assist others in their quest for information and understanding, not only from my page, but from the many links available; and in starting local Carcinoid support groups for self-help.  When this page was eleven years old, April 20, 2008, there had been  267,192 "visits" to it.   The Carcinoid Cancer Foundation, Inc. also put up their web page in April 1997 at: http://www.carcinoid.org.

In 1999 I assisted Bea  in the formation of the Capital Area Cancer Survivors (Maryland, Washington, D.C. & Virginia) support group by speaking with her on the telephone, emailing her ideas for setting up a group, suggesting topics that could be presented to a group, and sharing names of some people living in her area for her to contact.  Later I assisted in the formation of the local support groups in Arizona, Ontario Canada, Texas and other locations.  I am happy to send out how to organize and topics for discussion to anyone that asks me for assistance.  I list local support / self-help groups on my web page at: support.htm

In August 2001 I became a board member of a new forming California Carcinoid Fighters (CalCF) self-help support group.  Although living in Arizona I flew over monthly for the board meetings and programs.  CalCF put on a large international Carcinoid conference in Sept. 2003.  Later I resigned from this board and am concentrating my energy on my web page and replying to the email pleas for help that are generated by my web page.

I believe anyone with a diagnosis of Carcinoid Cancer, or ANY kind of cancer needs to be pro-active and assertive.  We may be assertive without being disagreeable.  The key is practicing “The Golden Rule”, being pleasant and nice to everyone at all times, but being persistent and clear in saying what we want done,  which reports we expect to receive, and asking questions.   All doctors and their staff are people too, who must deal with stress and a heavy work-load.   Always be polite, smile, and nice to the doctor, and his staff, we need them to be our friends and not dread seeing our name on the appointment sheet.

Dr. Warner started me on Sandostatin (octreotide acetate) in early 1998, switched to Sandostatin LAR (long acting release) in 1999; added Interferon Alfa 2-b in 1999 and switched to Peg Intron-A in 2003.  This joint treatment, along with my second surgery in October 1999, that included a liver resection, has me stable.

The CAT scans in December 1999 showed a nodule at the base of my lung, which had not been there during the October 1999 surgery.  I chose to wait as I had not been on Interferon Alfa 2-b very long.  The CAT scans in May 2000 were negative; the nodule at the base of my lung was no longer there.  I feel the combination of Sandostatin LAR and Interferon Alfa 2-b (now Intron-A) shrank the nodule and has kept everything under control since then, as all CAT scans, done twice a year, are negative.

Routine testing is part of every person’s life who is dealing with Carcinoid, and requires an aggressive doctor.  Once each year I have mammograms and twice each year I have CTs of chest, abdomen and pelvis.  Three times each year we do testing of:  5-HIAA 24-hour urine test, Serotonin Serum, Serotonin Whole Blood, Tryptophan and Chromogranin-A, plus CBC (complete blood count),  Hepatic Profile, Lipid Panel, Hemoglobin A1c, TSH, and any other test my local oncologist or internists believes is necessary at the time.  Monthly we draw blood for a CBC and flush my Groshon porta catheter.

What I am doing in regard to my Carcinoid is pro-active, and it is not right for everyone.  We all must feel our own way as to how we wish to take care of ourselves and our cancer; there are no right or wrong ways, just different ways.   This is what works for me; it may not work for everyone.

December 2004, I was diagnosed with Type 2 Diabetes, so now have an additional
challenge regarding learning about a disease and managing it. 

There have never been enough hours in the day for me.    I have no way of knowing how long I will have this level of GOOD quality life (pain-free and having energy).  My goal is to make the most of each day, count my blessing, have some good “belly laughs”, assist others, and live each day to its fullest enjoying each and every one.  I fully expect to die of “old age” and not “carcinoid” I remain optimistic about my future.  As my wonderful husband, Howard, says "each day is a gift"!

Feel free to drop me a line, if you would like to "visit" or ask questions. 

To email me SunnySusan@Cox.Net  (Please see below)

NEW - I "Sunny Susan" was invited to write a Blog - NEW
on the web site of the Arizona Republic
newspaper as they have liked letters I have
written to the editors over the years. 
March 26, 2008 was my first Blog.
I have writen additional articles, but not
on a set schedule.  You may go to my Blog at http://www.AZcentral.com/members/Blog/sunnysusan


Since 1996 --- when I first located others with Carcinoid --- I have answered every email sent to me, although some replies were delayed longer than I liked. I am NO longer able to reply to all e-mails due to the volume and other things going on in my life (all good).  I do love hearing from others, but an unable to reply to all individually.  This web site will be 11 years old on April 27, 2008, and my plan is to keep it updated for many many years to come.

Since my husband "retired" I am away from my computer for days, and sometimes, weeks at a time.  Yes, there is wireless internet and we have tried that a number of places.  But, if I deal with email when we are away from home then it is not a "restful vacation" for me.

PLEASE use the SEARCH capability at the top my pages.  You may search for a word, a phrase, a drug, a treatment, a book title or anything you can think of. You may search this site only, or search the complete World Wide Web.

To speak with a person please know you may call the “telephone information and support line” of the Carcinoid Cancer Foundation, Inc. (CCF), Tuesday through Thursday  10 a.m. to 4 p.m. Eastern Time at  1-888-722-3132 (free) or 1-914-693-1001.   “The information and support line” is staffed by medical professionals.   Mondays and Fridays are research days, if you call then and do not reach a person do leave a clear message.  The Carcinoid Cancer Foundation’s (CCF) superb web site is at http://www.carcinoid.org

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CCF -  Serving the carcinoid/NETs  patient and medical community for close to forty years (chartered in 1968)
   “Meets Extensive Standards of America’s Most Experienced Charity Evaluator”
Better Business Bureau

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DISCLAIMER:  I am a patient and NOT a medical doctor or health care professional.  I share information and links to information that has been helpful to me and that I believe to be correct and good, but I cannot guarantee the accuracy of this information, except for MY stories.  I urge you not to rely only on this information but I believe you should discuss your situation and information with your medical doctors and/or other medical professionals.  "Sunny" Susan Anderson

Copyright © 1997-2008 Susan L. Anderson. All Rights Reserved.


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Send mail to SunnySusan@cox.net with questions or comments about this web site.
Copyright © 1997-2008 Susan L. Anderson. All Rights Reserved.
Last modified: 04/14/08