Aug 9, 2011

Cocktail Party Notes on Napkins and a Red Carpet

Posted by Joules Evans
Diana, David, Heather, Vanessa
If you were watching pictures from the SCAR Project documentary screening/cocktail party wallpapering Facebook last weekend, you probably noticed we had a very special guest with us.

Yes, it's true that Pulitzer nominated SCAR Project photographer David Jay did make a surprise visit to Cincinnati for the screening. (It was his first trip ever to Ohio, btw—imagine his surprise when we took him for a walk across the Purple People Bridge and he also got to see the blue grass on the other side;)  It's also true that Cincinnati SCAR Project subject Vanessa Tiemeier and Dayton SCAR Project subjects Heather Salazar and Diana Featherstone made a special appearance, and each shared their SCAR (an acronym for Surviving Cancer. Absolute Reality.) Project stories.



Diana, David, Flat Jolene, Heather, Joules, Flat Jolene,
Vanessa, Flat Jolene, Pam, Litsa
But there was also another guest of honor: Flat Jolene. Flat Jolene travels the world in search of epic adventures for the original Jolene, the SCAR Project subject we recently posted about here. Flat Jolene's mission includes "raising awareness about young adults (men and women ages 18-49) who are living with metastatic disease." The SCAR Project Cincinnati Exhibit is in sync with that mission. We'd like to thank Flat Jolene for coming to our cocktail party!


Flat Jolene is in the building!
We'd also like to thank the original Jolene for being my very special guest and co-blogger on this post.

So without further ado, here's Jolene's story, in her own words:
So, a lot of people have asked me to share my story about my fight with cancer. I decided to write it here so anyone and everyone can read it. Just to warn you, it is long, but here it goes.

When I was 17, I felt my first lump in my right breast. I ignored it for months until I finally went in for my annual exam and the nurse practitioner felt it. She immediately freaked out and referred me to a surgeon who ordered an ultrasound. I was like . . . “What is this bitch getting me into? I'm TOO young for this to be cancer!"

I went and got the ultrasound and we found out that it was solid and not a cyst like everyone thought. After that, I went to the surgeon and he gave me the option to either have a biopsy or get it removed. I decided to get it removed. So in July of 2003, I had my first lumpectomy. A few weeks went by and I didn't hear anything about my results so we figured that no news was good news. I started college to become a medical assistant and after my first day of school, I came home to find my surgeon sitting on my couch with my family! OMG, talk about house calls! He explained to me that my results took so long to come back because they had to send the pathology to Stanford since no one at the local hospital knew what it was. He then told me my diagnosis was a Phyllodes tumor. He said that before me, he had never even heard of it. It was borderline malignant and he didn't get clean margins. His understanding from what he read about it was that it would be best to do a single mastectomy followed by radiation, then reconstruction.

Being a 17 year old girl, my boobs were my best friends! I couldn’t imagine walking around with only one boob. What an idiot! If only I knew back then what I know now!! The surgeon decided to send me to a specialist at the UC Davis Cancer Center who had seen Phyllodes before. The specialist advised that a mastectomy wasn’t needed and we'd take the wait and see approach.

In October of 2003, I had my second lumpectomy to get clear margins and remove the second borderline malignant Phyllodes tumor from the right breast. After that, we did follow up visits every 3 months for a while. Eventually, it went to every 6 months and I was clear for about a year and a half. In February of 2005, when I was 19, I had my third lumpectomy for another borderline Phyllodes tumor. My doctor still didn't pursue the mastectomy because he felt that it wasn't going to turn malignant and wanted to preserve my breasts due to my young age.

June of 2008 rolled around and my doctor retired and my insurance changed, so I had to find a different Surgical Oncologist. Of course, I slacked on that until I felt a lump in my left breast in October of 2008. I found a really great surgeon and he did a lumpectomy that December. Immediately after that lumpectomy, I started to feel a lump in my right breast. It was pretty big by the time I got into to see my surgeon and at that time we decided that I was done getting lumpectomies every few years and it was time to do the double mastectomy. My new surgeon couldn't get me scheduled until February of 2009 for the double mastectomy. By that time, my tumor was 11CM; the size of a softball. I had grown out of my B-Cup bra and even out of a C-Cup bra. I thought my boob was going to explode! It was so painful!! The pathology report from my mastectomy showed that the tumor in my right breast was, in fact, now a malignant Phyllodes tumor. My left breast had more Phyllodes tumors and DCIS.

This is where the fun began! A PET scan was ordered and revealed hot spots in my right lung, right shoulder, a lymph node in my right armpit, and a lymph node in my right groin. My oncologist ordered a bone biopsy in my right shoulder because that was the easiest one to biopsy. That came back as a rare benign lesion. Then we decided to biopsy the lymph node in my right groin. Unfortunately, they didn't get a good enough sample. The biopsy was inconclusive. My oncologist decided that since the bone biopsy was negative for cancer, the other spots weren't cancer, either. What a mistake. I went back to work and went on with my normal life. About 4 months later, I had a repeat PET scan. It showed the spots were getting bigger. The lymph node biopsy was repeated, and what do you know, it came back positive for Phyllodes. My oncologist diagnosed me as Stage IV and referred me to a Sarcoma specialist at UCSF because he had never seen this kind of cancer.

I started chemo in October of 2009. I did Doxorubucin (aka Adriamycin, the Red Devil) and Ifosamide and had to be admitted to the hospital at UCSF for 6 days for each treatment. I completed 3 rounds of this protocol and had another PET scan. It showed that the cancer was unresponsive. So, in Febuary of 2010, I started Taxotere combined with another chemo that I can’t remember the name of right now. LOL! After 3 rounds of that protocol, I had a PET scan and it revealed it was working!! Yay!! My oncologist and I decided to do 3 more rounds. After completing the first round of this three, I noticed the right side of my lips were really, really numb. My local oncologist ordered a CT of my brain which came back normal.

About 3 weeks later, I noticed what I thought was an abscess in my mouth where I had 2 molars removed the year before. I went to the dentist and got x-rays done and they said it wasn’t an abscess but a cyst or a tumor and it was sitting on my nerve in my jaw which was causing the numbness in my lips. It started getting bigger and bigger and was really starting to get painful. I was, FINALLY, referred to an ENT oncologist at UCSF and he did a biopsy. The biopsy revealed a sarcoma. I, of course, assumed it was another Phyllodes. I would find out at a later date that I was wrong. On June 24, 2010, I had the right side of my jaw removed and reconstructed with my Fibula and a steel rod. I was in surgery for 15 hours and the ICU for 9 days, but I only remember 3 of them. LOL! All together, I was in the hospital for 2 weeks. The tumor measured 7 cm and grew that big in only 7 weeks!!

In August, I learned that the tumor was a whole different kind of sarcoma. So I've had 3 different kinds of cancer and they're planning on testing me for Li-Fraumeni Syndrome next month. It's a genetic disorder that increases your chances of getting different kinds of cancers and, usually, affects kids and young adults. I started a clinical trial at UCSF the beginning of this month. It's a mixture of Avastin, Taxol, and a brand new drug that doesn't even have a name yet. I have to go to San Francisco every week for eight weeks. Then we'll do another PET scan. I'm praying that this works!! Third time’s a charm, right?!? I can't wait to just be done with this and get on with my life cancer free!!

Update: Jolene's chondrosarcoma in her jaw recurred before the end of 2010. She was recently advised that the genetic testing for Li Fraumeni is positive and she underwent another grueling 18 hour surgery almost identical to the surgery she had last June. More of Jolene's jaw was taken and rebuilt. A couple of months after her most recent jaw surgery, it was determined that Jolene had two chondrosarcoma tumors growing in her sinus cavity/brain. Jolene underwent surgery to debulk those tumors and relieve some of her pain. After that surgery, Jolene (with the support of her family) decided to enter hospice care and live a life of quality over quantity. Jolene is busy enjoying time with her family and friends
Video message from Jolene:


To our dear Original Jolene: Flat Jolene was with us (in the cardboard!), but you were with us too, in all of our hearts. We have mad love for you here in Cincinnati, keeping you always in our thoughts and prayers. Thank you for your video message. It meant the world to us. You mean the world to us. Jolene, Cincinnati loves you!


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