Thousand Trails – South Jetty (Florence, Oregon)

Back in July we headed to Florence for a 50th family reunion and to get Miette and Brier to Florence, since its been so stinking long since Miette has been there and Brier never has. We stayed at the Thousand Trails in Florence. The campground is couple minutes south of the Siuslaw River bridge. Its on the same road that goes to the Dunes recreation area.

Overall, the campground was good. Tall pine and fir trees, lots of shady sites (actually, most of the sites looked shady). The downside to our stay and our bad electrical connection. The Airstream was giving a slight shock to us. After a couple hours of troubleshooting and by process of elimination, it turned out to be faulty campground electrical. We didn’t have an electrical tester, but the folks who tested it just after we pulled out and the end of our stay tested it and kept on moving.  We kept the Airstream unplugged instead of moving because we were next to family and it was a such a large and shady spot.

The campground was at a good location. There was no ocean views and wasn’t accessible to the ocean by foot, unless you wanted to walk for an hour or two. But it was only a couple minutes out of town. One thing I’m not digging about the Thousand Trails is the dusty gravel roads they have. These campground are old (obviously, the electrical is old). If you have a clean rig and RV going in, you will not going out; at least in the summer time. It’d be nice if they could spray the roads to keep the dust down. The loops are kinda tight for a long setup, especially if the neighbors aren’t being real careful about parking their rigs; some weren’t leaving a ton of room.

The amenities weren’t great. The pool was a pool. Nothing special. The lodge wasn’t anything to write home about. But there’s enough to do around the area that made this a non-issue. These aren’t really “resorts”. If you have that mindset going in, you won’t heading out. Its just a good, private place to park your RV for a few days. The bathroom facilities were decent but not as nice as Little Diamond (Newport, Washington). The staff wanted me to wait for them to clean before I took a shower. I politely said I’ll only be 5 minutes and they could start in the meantime. So there’s a lack of customer service issue that seems to be a theme with Thousand Trails, at least the two I’ve been to recently. There was also some sort of confrontation between two staff members. Sounded like someone was getting fired and the one being fired wasn’t having it. “Give me your key and radio” was repeated to a guy replying with “are you firing me? Are you firing me?” and so on. A little awkward for the guests to encounter when trying to just check in.

Oh well. I’m sure they worked it out. Maybe.

Thousand Trails – Little Diamond

We took the Silver Eagle up in a northeasterly direction to meet up with Shilowe and Dave at the Thousand Trails Little Diamond campground last weekend. It was the first time getting the Airstream out in the woods since last year at Cascade Peaks near Randle/Packwood; that too used to be a Thousand Trails.

This trip was hot. Over 100° leaving Tri-Cities. Over 100° on our way there. Over 100° on Saturday and Sunday. Monday brought some light rain in the morning which was such an awesome relief. However, once the clouds burned off it left a heavy humid hot day once again. Oh well. The kids had fun. There was swimming, there was fishing (even though there were no big fish) and there were s’mores and campfires. Overall, the place wasn’t spectacular but it was nice getting out of the 110° weather in Tri-Cities that weekend. It’s also good to be in the pine trees. Everyone is happier in pine trees :) We should all live around the fresh scent of evergreens.

Here’s a quick summary of the trip, wrapped up in a 5 minute video and some photos after that.

Update on the Airstream Coffee Shop

Well, as you can see, I haven’t been keeping up with the documentation of the remodel of the 1964 Airstream Sovereign that we converted to a coffee shop. Starting a business was hectic. Remodeling an Airstream and starting a business was even more hectic; so the documenting of the remodel fell to the wayside. I do have photos and hope to put something together up here showing the process after the fact. But until then, you can check out the finished work at stromcoffee.com.

Airstream Coffee Shop
Ström Coffee’s 1964 Airstream Sovereign.

We are really pleased with how well the Airstream turned out. It’s an eye catcher for sure.  We also had an espresso machine designed after the Airstream. You can see that here. The crafts people at Slayer Espresso did a great job with the aluminum.

So… hopefully more to come at a later date. Running a coffee shop is time consuming 😉

 

NEOPLASTIC CELLS (EWINGS SARCOMA) – PART 4

So the story left off with us hightailing it out of Seattle Children’s hospital in Seattle. Miette was glad to be out of the hospital, even though we think it was all an adventure to her. Little did she realize at that time how much she would come to despise hospitals. We went back to the hotel and a little after that, Miette and Kelly went swimming. She was looking forward to it all day.

Not showing the extreme worry on your face, to your cancer stricken child, so they can continue to have fun was going to be a huge challenge from now on. We had yet to tell Miette what she had and what it meant. She still only knew that she had a bump on her leg that needed to go away. She didn’t know the severity or the impact that it has on people. As her parents, we were in crisis mode – and reminded of it every time we looked at that bump on her leg. As Miette, it was just another (but different) day and some swimming fun.

Hitting the Cancer Treatment Books (or Clinical Trial Studies)

Once we got back home, the most important project I have ever undertaken started. Cancer research. Cancer treatment research. It sounds simple. It is anything but simple. In order to understand the treatments, one must understand the cancer. In order to understand the cancer one must understand the human body.  What is the cancer doing? Where did it come from? Why can’t it be stopped? Why doesn’t the immune system just fight it? What really is “chemo”? When did they start using chemo to fight cancer? Why does chemo kill cancer cells? Why is it called Ewings Sarcoma? What makes it different than other cancers?

Tons of questions. Too many to list. Biology and science; the two topics I wish I had paid more attention to in school. I believe, in schools today, teaching kids about the human body to the detail they teach math and English for the sole purpose of getting them ready to fight cancer should be high priority. The name of the class should have “cancer” in it. They will fight it, someday. Either for themselves, for their kids or their parents. At some point in everyone’s life, cancer research will happen. It should required in one’s senior year of high school so it will be as fresh as possible. Understanding the research, understanding the writings of study papers and clinical trials is so much easier with an educated background in biology. That education will be more valuable, by far, than say Trig, or the solar system or a foreign language. I took German  in high school. I never used it after that, but I had to a take a foreign language class; it was a requirement for graduation. If I was required to take a class that helped me get a head start of understanding what cancer is and does, I would be much better off and equipped to handle “life”.

Initial Alternative Cancer Treatment

But back to our story. Hours of research turned into days… and then weeks. We didn’t like the unknown of what was proposed to be put in our daughter’s blood stream. Maybe we dived in backwards, but we started researching chemo agents first. I will get more into that research later. At the same time, we began searching for a naturopath that would assist us with helping Miette and begin to build our team of doctors. We were referred to a doctor in Spokane, Dr. Latitia Dick (Windrose Naturopathic Clinic). We spoke on the phone and decided to take Miette up there and do an initial evaluation. We took the first open time slot available. The person who referred us to “Dr. Tish” was a recent Bastyr University graduate so we felt it was a good lead. She is a second generation naturopath and had the education and background to support her practice.  At Miette’s evaluation, Dr. Tish first went into diet/food intolerance and the changes we could make. We already were pretty organically and whole food minded so there wasn’t  a lot of changes. We made a point to cut out as much fruit and sugar as we could. We also started Miette on what is called Constitutional Hydrotherapy to kick start her body’s defense mechanisms. Our primary goal, before deciding on any conventional treatment (chemo) was to build up Miette’s immune system as best we can via a regimen of herbal and vitamin supplements and the hydrotherapy. If natural treatments also made a dent in the tumor, then even better. Miette’s tumor was a slow growing tumor. We were hoping to slow it even further. The ongoing treatment plan that formulated after a couple visits to Windrose was hydrotherapy twice a week (this means two trips to Spokane each week) and the following list:

  • Triton MRL
  • Natrum Sulphuricum
  • Natrum Murr
  • Iodoral
  • Thymus PMG
  • Drenatrophin PMG
  • Eleuthero Root
  • Vitamin D 4000
  • Fish Oil
  • Symphytum 30c
  • Comfrey poultice

Each one of these has its own benefit. Not all are attributed to directly fighting cancer. But they ALL attribute to the immune system, strengthening Miette’s body and getting her ready for the fight of her life. As you can imagine, this list, which needed to be replenished about every 30 days wasn’t free. Conventional cancer treatment is virtually “free”, as long as its a child. I say virtually because there’s still insurance deductibles, the cost of trips back and forth, lodging while staying in another town for treatment, healthy meals (organic and whole foods), etc. Natural treatments such as this list is ALL out of pocket. Alternative cancer treatment such as this is frowned upon by conventional minds. The FDA, NHI, ACS, Hospitals, etc and all insurance companies are conventionally minded to say the least. I won’t go into a rant about the money aspect of this conspiracy right now (I will do that later) but I will say giving Miette the BEST chance of overcoming this was at a huge financial cost, one of which we are still struggling to overcome; as every family who has ever battled cancer could testify. Going with conventional only would have been cheaper. But we knew that wasn’t an option whatsoever. We were going to go into debt to whatever degree it took.

Constitutional Hydrotherapy
Miette During a Hydrotherapy treatment

Thankfully we had friends in north Spokane who let us stay with them during these twice per week treatments. It takes a village to raise a child and it takes a village to battle cancer. Thanks to them and to all those others who helped us along the way. We hope we never have to repay anyone in the same way.

We went with this treatment, starting towards the end of February and went with it until chemo treatment started at the beginning of May.

So, while this immune system build up treatment was going on, the chemotherapy research was happening at the same time. Let me tell you how disturbing that process was… well, I’ll tell you in the next post.

To be continued….

Stripping and Polishing

Like most people who just acquired a vintage Airstream, I spent time envisioning what it would like when it was done. Shiny, mirror like polishing, new tires, wheels and hub caps, new lights, new windows, designer interior, gold plated steps, diamond studded this, ruby studded that. It was going to be grand. 

But first, a cup of coffee to get started.

1964 Airstream remodel
Having some thinking juice while looking things over

Stripping Off The 50 Year Old Look

Where to begin. I knew I was needing to find a shop to park this in so I could remove and keep material protected from the elements. It was October and the weather was going to be turning any day and renovating outside wasn’t an option. So until I found a suitable shop everything I was going to do at the house would be exterior stuff. I started with stripping things off the exterior and getting ready to strip the clear coat off. Before polishing, the 50 year old clear coat needs to be stripped off to get to bare aluminum. But before using stripping agents, the entire Airstream needed a good bath with a good scrubbing. I used a pressure washer to remove a thin layer of green haze that old trailers on the west side of the mountains tend to develop. After the bath I began to strip it. I tried three different stripping products: Citris Strip from Home Depot, Eldorado PR-5044 (from Vintage Trailer Supply – VTS) that we had left over from Miette’s Airstream work and finally the nasty stuff; Aircraft Paint Remover that I got from AirstreamSupply.com (they used to be in Auburn, Washington but moved to Utah).

Airstream Clear Coat Stripping Citris Strip
This is the Citris Strip.

Citris Strip is the most non-toxic of the three but the least effective. It stripped, don’t get me wrong, but some spots it didn’t touch and it needed to be left on for 2-4 hours (I washed areas off before 2 hours and it wasn’t stripping it). The Eldorado stuff was next best in effectiveness but it missed some spots too but didn’t need to be left on as long; maybe 30 minutes? The Aircraft Paint stripper was the fastest (visibly dissolved the clear coat in 15 minutes) and most effective but also the most toxic. We don’t like toxic. Thankfully, 90% of the clear coat I was able to remove between the two others and only had to use a small amount of the toxic stuff to get the stubborn areas.  I could have saved a whole bunch of time by using the Aircraft stripper, but having a cancer surviving daughter, toxic stuff just isn’t in the cards anymore. I spent a couple days between using each stripper product and washing the Airstream.  It took longer than I wanted.

Most people say to remove the plastics before stripping but I didn’t. I was replacing all the exterior lights anyway so I left them on. The windows were made of Plexiglas which I was going to change out to tempered glass so I didn’t bother to mask those off.

Polishing – Which Method?

Most people save the polishing for last since there will be exterior skin work that needs to be done during a restoration project. However, for the weather reasons stated above, I started on the exterior first. There seems to be two ways of polishing a vintage Airstream: the “Perfect Polish” or the “Black Bar” method. I won’t go into a ton of detail on how to do each one (there are a lot of other websites and posts on Airforums.com describing the details of each method) but I will say I used a hybrid approach after trying the Perfect Polish only method. I started with using Nuvite F7 and the wool bonnet. That was not taking off some of the stubborn spots. It was bugging me, seeing some splotchy areas in addition to it taking a long time just to try and get those splotchy areas less… splotchy. So I ordered some F9 and tried that. Not much a difference and it still took a long time. Then I went to Harbor Freight, grabbed an 8″ spiral buffing wheel and a bar of brown polish compound. I used the buffing wheel on the polisher with the brown stick and wow… what a difference. It covers less area at a time compared to the wool bonnet but it cuts through the metal much faster. I did two passes with the buffing wheel method compared to over and over and over and over with the F7/9 and wool bonnet.  I’m sure there are better products to use than what I got at HF, but using the buffing wheel method as the first step is superior in my mind.

Airstream polishing
This is after two passes with the buffing wheel. It would’ve taken me twice as long with the wool bonnet and F9

Once the first initial cut is done and you can get to the clean, raw aluminum (the first pass creates a reflection – granted, with an ugly pattern in the sunlight) then the Nuvite F7 does much, much better and goes faster. Then, after the F7 I went to the C and then on to the S. So the process I used: Black (or brown) Bar –> F7 –> C –> S. Don’t worry that there’s 4 steps in there compared to the 3 steps for the Perfect Polish method… it was still faster. I’m not gonna say my polishing job was really great; I couldn’t spend a great deal of time on it since I need to get this Airstream completely renovated and converted in a matter of 3 or 4 months. But I’m satisfied. Better products than HF should give better results as well. I’ve read that Fastenal has good cotton buffing wheels. I will know what to do for Miette’s Airstream polishing job now.

Airstream Polished
This is before the final S polishing

Of course, I found all the polishing stuff out through the 3 months of polishing on and off (this blog won’t be an exact chronological description of the process.  I’ll jump around a bit). I will say polishing in the cold isn’t doable. The metal is cold and is harder to cut. The warmer the metal is the easier it is to cut. So I polished outside, in October and November except on the really cold days. If it got below 50° I bailed on the polishing.

So there’s my version of the polishing method. I”m sure others have figured out something similar using the two methods. I can say this after finishing the polishing… renovating an Airstream is WORK.

Acquiring a 64 Airstream

One of the first orders of business, when one decides to open up a coffee shop in an Airstream, is to acquire an Airstream. That we did. We had been searching for a while and waiting for a decent one to come up for sale which was in our price range. We found a 30′ 1964 Airstream Sovereign in Port Townsend, Washington on Craigslist for $2,300. That would be a 5 hour drive.  So my dad and I rose early in the mornin’ and took off for Port Townsend. Yep, just like that. I pressed that button. 5 hour trip to buy a $2,300 fifty year old trailer sight unseen and drive it back? No problem. Just to compare, I’ve spent days… DAYS researching what dishwasher to buy and becoming completely indecisive about it. DAYS, I said. Well, not this time. I have a plan.

The Condition

We got there about 1pm. The body was in pretty good shape except for some dents in the back above the bathroom window. It was already gutted, which saved some time. The floor material was in decent shape but it was old and the strength was fading. No floor rot or mold anywhere for the most part, which was surprising for it being a western Washington Airstream. The tongue was rough, but it could be cleaned up. No lights worked: running lights, brake lights, marker lights… nothing. I bought a cheap set of magnet towing lights at Harbor Freight with knowledge that the lights didn’t work. There were no holding tanks, no drain pipes, no water pipes. The vents were all goners. The glass in the windows had been replaced with Plexiglas (Apparently the original windows were not tempered glass and broke easy). The jalousie window next to the door was froze up and wouldn’t open or close. The interior skin was rough.

Airstream Interior
The interior

This was a 50 year old trailer and it showed. But this was expected. I planned on replacing almost everything I could, except for the exterior skin and the frame. There was one other Airstream that we thought about that wasn’t gutted and needed just as much work. That was going for $2,000 in Tri-Cities. That one wouldn’t roll without replacing wheels and tires. The only other vintage Airstreams that were close to our budget were in Montana, southern Idaho or western Oregon. None of them were under $3,000 so this was really a good deal.

So here we were, in Port Townsend, looking at a 50 year old trailer that we needed to drive 5 hours. The tires looked very, very, very, very old. It had split rims. That means they are very old as well. The tires had cracks (a lot) in them. That wasn’t a good sign. I debated stopping by a tire shop in Bremerton before making the long trek back. However, delays prevented that possibility so we ended up going for the 5 hour trip, hoping the axles, wheels and tires could survive it.

64 Airstream
Oh boy. The rims look original. The tires can’t be but, man, do they look old.
Delays, Delays, Delays

The first delay was my fault. I knew the 60’s Airstreams required a 2″ ball instead of the 2 3/8″ ball. But I never moved the 2″ ball to the receiver before we left. I was bright enough to throw the 2″ ball in the truck though. I brought tools, but not a pipe wrench. Thankfully the seller’s neighbor had a couple so we got that taken care of.

64 Airstream
Hitched up and (almost) ready to go, once the lights start working.

The next delay was much longer. About 2 hours. The magnet lights weren’t working quite right. The signaling was all messed up, even though we had it hooked up correctly. We tried swapping out connectors, wires, lights testers, etc. Ended up taking it to a Uhaul down the road and they helped us fiddle with it as well but still couldn’t get it to work. Afters 2 hours I decided to try a thicker gauge wire and it worked. The problem was, those magnet lights were only long enough for a 20 foot trailer so I bought an extra length set to use them on the 30 foot Airstream. So they used a gauge of wire just thick enough for 20 feet and that’s it. Found that out the hard way. Don’t extend the wiring of magnet lights while using their original gauge. 20 feet means 20 feet. Ok, got it. Finally, around 6pm, we were on the road back home.

64 Airstream
Fueling up on the other side of the Hood Canal bridge. And no, I don’t love the cat door.
Good Job, 50 Year Old Airstream

The trip home was pretty boring, which was good. I only went 60 mph the whole way back though. Wow, that was a long trip compared to 75 mph. It was a long, stressful day but we made it home. No blowouts, no axles breaking. Its a 50 year old trailer. Name another 50 year old trailer that can make a 350 mile trip with mostly original everything. Probably can’t. All was good.

Coffee Sweetener

We love coffee. Mostly, we have latte’s. Mostly, in those latte’s, we put a little coffee sweetener to it in the form of syrup (10ml to be exact). The syrup we usually use is Monin syrups. They have the least amount of “crap” in the ingredients. We don’t get too exotic with syrups, usually keeping Vanilla and one other flavor. We were spending $5.39 per bottle at the local Cash and Carry. When we are out of syrup and still want something added to the latte, we use sugar. The problem is, the sugar collects at the bottom of the cup. This is a problem.

A great alternative is simple syrup.  Not only is it easier on the wallet than store bought syrup, it is extremely fast to make (5 minutes). We use organic sugar and filtered water so… its organic syrup :) It also doesn’t collect at the bottom of the cup. Liquefying the sugar allows it to be suspended in the coffee, thus making a more uniform flavor. But most of all, this is another way to cut out unnecessary ingredients from the diet and is inline with consuming natural ingredients.

So here’s the complicated process of making some very simple syrup. Pay attention. Study it and take your time.

Simple Syrup
  1. Get a sauce pan
  2. Add 1 cup of organic sugar
  3. Add 1 cup of filtered water (even though you’re boiling it)
  4. Bring it to a boil
  5. Turn off the burner.
  6. Let it cool.
  7. Bottle it up.

Blue Bunny Make-A-Wish Video

Miette’s Airstream has sat in the driveway for a few months now since its been winterized for the cold weather. It’s very difficult to not notice a big bright shiney reminder of what our family went through in 2012. It helps us not take for granted the things that we overlooked before. I’m not going to say its an everyday slap in the face, but its tough not to notice that we have to be careful when pulling into the driveway to avoid running into “Miette’s Airstream”. Miette likes to camp out in it every once in a while so it’s still getting used while hibernating :)

Airstream in snow
The Silver Eagle in white.

Spring is just around the corner and we are getting anxious to hook up the Silver Eagle and get out of the cold gray weather! No plans yet but I’m sure we can throw something together at any moment. In the mean time we changed the look of the website and also posted another video of Miette. Blue Bunny Ice Cream was a sponsor of Miette’s Make-A-Wish event and did their own video of her special day (Make-A-Wish did a video of it as well and can been seen here).

That’s all for now.

Neoplastic Cells (Ewings Sarcoma) – Part 3

The last post I wrote, telling the story about our journey with childhood cancer, ended with Miette’s smiling, yet nervous face suddenly falling asleep in the scanning room. Lisa wasn’t in the room, she was with Brier in the waiting room. I went into the scanning room with Miette to stay with her until she was sedated. I mentioned the uneasy feeling about seeing and experiencing this part. It was just me and her. I was trying to keep things light with her, smiling and joking, taking pictures of her… but on the inside I was scared as all get out. One of the hardest, hardest, HARDEST parts of being a parent is staying emotionally collected during times like these. I realized I had to; there was really no choice. If Miette saw how scared I was, then that would be a horrible thing to do to her. The amount of strength it took to stay calm for her was more than an entire day of playing ball, but it was all within those 10 minutes of her getting connected with wires and ready for sedation. Once Miette’s eyes rolled in the back of her head and the nurses closed them, I kissed her on the forehead and whispered my love for her. They said they’ll take good care of her and I left the room. I had already started failing to contain my emotions almost immediately after she went to sleep. By the time I left the room I was a mess. For some reason, the reality of what was happening came rushing in. I was standing in the deep sublevel bowels of a children’s hospital, white hallways every where, not knowing which direction I was supposed to go; nurses, doctors and equipment were all around… we were now a part of ‘it’. The ‘it’ being the nightmare. Our beautiful child was in the hands of strangers. Those few minutes of being alone were very, very dark minutes.

A nurse showed me how to get back to Lisa and Brier. From there we decided to try to go eat something. We looked through the gift shop a little bit after eating, trying to kill time while Miette was still getting scanned. We came back to the room where Miette was prepped and waited a bit longer than we were told for her to be brought back. They rolled her in while she was still sedated and explained to us how should would probably wake up. She had a breathing tube in her mouth and it might need to have assistance coming out when Miette started to wake up. About 15 minutes later she started waking up. She was very groggy but started to quickly come out of it. She saw us and dozed in and out for a few minutes. A Child Life Specialist (someone who helps talk to kids and helps parents while they are visiting the hospital) that met us when we first came in that day showed up. She started interacting with Miette. Around that time, the co-chief oncologist, Douglas Hawkins, came by and said he had the results of the scans.

The Doctor Shows Us the Scan Results

Oh boy, here we go. This was where the rubber meets the road. We didn’t know much about Miette’s cancer but we did know metastasis was NOT something we wanted to see. We didn’t have any idea if the cancer was elsewhere. Was it all through her leg? Was it in her other leg? Was it in her lungs? Was it in her brain? Was it all over? Dr. Hawkins walked us to a computer sitting just outside the room. He logged in and brought up some images. He started flipping through images that didn’t mean anything to me. Then I saw two legs. It was the MRI of her lower extremities. Two legs. One with a white blotch on it.

There it was…. the tumor. The cancer. The thing that builds hospitals. The round growth that brings in cranes and steel and large excavators and employment and parking garages… that small (compared to a hospital) round thing on her leg. It has changed our lives completely. It changes millions of lives every day.

Ewings Sarcoma tumor on MRI
One of the most scariest images a parent will ever see.

It was a bright white compared to the rest of her leg. It was obvious. Something you could see from across the room. It was just a white splotch on her leg.

It was the scariest thing I have ever seen in my life.

Knowing that this round white growth was alive was a very creepy feeling. Like some evil thing was in the room… watching you. I just stood there looking at it for what seemed like an eternity. Dr. Hawkins was zooming in and out and changed to a different slice to show us the extent. He gave us a size: 2.5 cm. Then he started to look for the PET scan. The PET imaging showed how active the tumor was and if there was cancer anywhere else. This was the part we’ve been anxiously waiting for; has the cancer spread? He brought up the PET scan imaging and… no metastasis that they could see! It was just the tumor on the leg. I remember Lisa grabbing my hand and squeezing. We found ourselves having a mini, quiet, internal celebration.  There eventually would be many more of these “little victories” throughout her treatment. I never realized how important these little victories would be. If you’re in this situation, go after those little victories. The goal is to get them to add up.

Dr. Hawkins brought up the CT scan images as well and said the lungs looked good and confirmed that there was no cancer in the lungs. At this point we started asking some questions: Was the cancer inside the bone? The answer was, no, not that they could see. How active was the cancer; how aggressive?

Ewings Sarcoma PET Scan Imagery
The PET imagery shows the tumor (circled in green). The brighter the red, the more active the cancer.

He brought the PET scan back up and told us the SUV rating on tumor was at 1.7. The SUV rating is also referred to as the FDG Uptake. FGD Uptake is considered the rate at which a cell consumes glucose. In my understanding, with a PET scan, Miette was essentially injected with nuclear glucose. The equipment that is used to scan for cancer actually detects nuclear isotopes that are attached to the injected glucose. The more a cell consumes the injected nuclear glucose, the more isotopes are collected in that area. Cancer is hungry for glucose more than most cells, so this is how the PET shows cancer. The isotopes show up on the scan as anything from dark maroon, to red, to yellow and then to white (low end to high end). Miette’s brain was bright white with bright yellow on the edges. The brain devours glucose more than cancer, as it appears – at least more than Miette’s cancer. Dr. Hawkins said this 1.7 SUV was on the low end, which was good – the lowest he has seen was a 1.5. The higher the number (and the brighter the spot, which Miette’s was not bright), the more active and aggressive the cancer cells. He said the average SUV rating for Ewings Sarcoma was around a 5 – little victory. The high end would  be anywhere from 12-15.

Let’s Talk Treatment

After the review of the scans (about 15 minutes worth of review) and having a better understanding of what was going on inside Miette’s body, Dr. Hawkins brought us into another room while the Child Life Specialist (Sarah) stayed and kept company with Miette. Also joining us in our initial discussion about Miette’s treatment was what’s called a “social worker” employed by the hospital. This was not a DSHS social worker. This immediately raised flags with me and was the beginning of what would be an “awakening” to the dark, scary side of the medical establishment. A children’s hospital may have a lot of whales, dolphins, pretty murals, cute animals, a positive as can be design with large daylight windows and smiling faces… but underneath all that, in the bottom floors, where the gears turn and hidden inner workings of the visible external “friendship” reside is where we found ourselves at that moment. Only, we didn’t know how big the gears were. We didn’t know the extent, so we still had a bit of naivety.

So there the four of us were. Lisa, myself, Dr. Hawkins and the social worker (I apologize, I can’t remember her name). The social worker introduced herself and said she was there to help us, answer any questions and provide any resources we might need.

Yeah right.

Dr. Hawkins handed us a document with the treatment plan. It had the Seattle Children’s logo, but was from the University of Washington Department of Pediatrics. It starts off with “Your child has recently been diagnosed with Ewings Sarcoma”. I immediately thought this to be odd. My initial internal reaction was “Wow, they know exactly what they are going to do, even though we just found out the extent of the cancer”. For some reason, this didn’t compute. How could they know what to do before knowing what the situation was? This was the first time I felt like we were on a manufacturing line and that we’ve been there the whole day and didn’t even know it. I felt stupid that I didn’t recognize it. I understood everything was scripted since it was a day of scans, but now the treatment was scripted as well? They had this document printed out for us before we even arrived in town! In hindsight, this was the beginning of my realization that all cancers are grouped into treatments. I understood different cancers had different treatments, but as someone who never had to worry about it, I figured when someone was diagnosed with cancer, the patient sat down with the oncologist to figure out what to do next and what the best treatments would be, based on that person. Not the case. We were presented with a treatment based on Ewings Sarcoma, not Miette with Ewings Sarcoma. This was the beginning of trouble for us, though we didn’t fully grasp the extent it would end up being.

Let’s Start Tomorrow

Dr. Hawkins reviewed the treatment plan and said Ewings Sarcoma has a very favorable prognosis of a 75% five year survival rating. It used to be very low up until the 1970’s and 1980’s. Most kids died of Ewings Sarcoma before that – I think the number thrown out was under a 20% five year survival. Dr. Hawkins talked about the progression of surgery along with chemotherapy for a major reason why the rates increased. He stayed positive and confident that Miette would be with us in five years. Of course, we went to the side effects section of the document and starting asking about them. He agreed that there were some bad side effects and that chemotherapy “wasn’t pretty”. He didn’t go a lot into the side effects outside of what was on the document. He stayed close to the document and didn’t provide a whole lot of information beyond it. The next statement took us by surprise: He said he would like to start treatment tomorrow. Excuse me? Well, more accurately, he would like to put the port in Miette tomorrow and start treatment the day after that. He said this is what nearly all families do; start treatment immediately. Wow. We didn’t hesitate for one second to say no. No way. Really? People just start without thinking about it? Without a second opinion? We were scared of cancer, but we also knew to be scared of chemo.

We Will Work Together With You

So, we declined starting treatment immediately and explained we’d like to go home and think about things. It had been an extremely difficult day and difficult week. He was OK with us needing time to think about it and promised us that “they are here to help us and work together with us to make sure Miette has the best chance to come through this”. Ok, we thought, cool. We’ll go home, research the treatment and find a naturopath to work with. We knew going into this that chemotherapy would be the treatment that the hospital would recommend. However, this was completely contrary to our way of life, regarding healthcare. Allopathic care was not in our bag of tools. But we still understood cancer enough to know chemo was on the table, even for us. We asked if his team is open to working with a naturopathic doctor, since that is our philosophy on healthcare. He explained as long as it doesn’t interfere with the chemotherapy’s effectiveness, then yes. We asked about what the hospital and treatment intended to do about nutrition. Dr. Hawkins said we would be assigned a nutritionist. That’s it. That was the extent of treatment outside of chemotherapy – a nutritionist. We were not impressed.

We left the meeting feeling a little better (not really, but its hard to explain – little victories) about Miette’s situation – knowing the cancer hadn’t spread and that it wasn’t as aggressive as it could have been – but still scared (as you know what) about our daughter having cancer. We were also beginning to sense an uneasy feeling with what we now call “the establishment”. It was only Seattle Childrens back then. Now, with more understanding, we realized it is a whole lot more than just one hospital. Of course, it was February in Seattle; overcast, light rain, dark trees, cold – you get the picture. Dark and gloomy and our child had cancer. We were still numb and probably pale faced by the time we left the hospital doors. But we got out of there as quick as we could once Miette was fully disconnected and fully awake. We weren’t going to spend one extra minute there.

To be continued…

 

Government’s Pharmaceutical Permit Fee

I recently read an article written by an author who thinks the government correctly dealt harshly with Johnson & Johnson over the illegal promotion of the drug Risperdal. As a background, this drug was promoted and used for treatments that it wasn’t approved for (this is called “off-label” use – don’t get me started on that… in this post) while downplaying the severe side effects (Hmm, sounds familiar. *Cough* CHEMO *cough*). This resulted in some people dying from taking the drug (another cough). The FDA fined Johnson & Johnson $2.2 billion for doing this.

This article is a mockery of logical thinking. It’s a slap in the face of “real people” thinking. You ask, what is “real people” thinking? To me, it’s a common sense that those who are outside of a certain situation can recognize, when those who are ingrained and buried deep inside a situation are unable and/or unwilling to recognize. In this case, those on the inside of the situation are the government and the pharmaceutical companies.

First, a $2.2 billion fine is literally a slap on the hand to Johnson & Johnson. The article calls the action that the government took regarding Johnson & Johnson’s violations “dead serious”.

Go To Jail. Go Directly To Jail. Do Not Pass Go.

The government can’t be “dead serious” about pharmas doing wrong things. If the government was dead serious about not letting these extremely large corporations break the law – in this case, killing people – they would do what the government usually does to individuals who kill people: put them away. The individual lawbreakers, those that commit crimes on the street, get put in prison. A prisoner is in a state of confinement or captivity. Confined from what? They are confined from their normal life in society. They are removed from society and enter into a state of captivity. Captivity is a state of being kept in one place and not being able to leave. Putting a company away would mean dissolving them. Making them go to a place where they no longer are allowed to be a part of society, where they no longer get to partake of the things that a non-captive corporation has the freedom to do – make money. A prisoner is not allowed to do business with society. If a big company kills someone, then that company should be held to the same standard.

But wait, there’s a slight problem. The government is waiting to collect the corporate taxes from these companies who kill people; currently around 35%. In 2012, Johnson & Johnson’s taxable earnings were $10.8 billion dollars. 35% of that is $3.8 billion dollars. So if the “dead serious” government decided not to have a double standard and actually removed companies who killed people from society, that means the government would lose $3.8 billion every year and even more as the companies grow. Not including the taxes the government gets from the all the employees and stockholders of that company (remember, most large corporations are double taxed in this way). No, no… putting these law breaking companies away is not what the government wants to do. It’s not in the best interest of the government. To put the fine into perspective, $2.2 billion is just one’s years worth of growth to a company like Johnson & Johnson.

Let’s Bring it Down to the Real World

I bet you a drunk driver who accidentally killed another person with their car and ended up in prison would like to have the same leniency from the government as the big pharmas get. For some reason, when a pharmaceutical company kills someone with a drug because they were too greedy and promoting a drug for a health condition it was never going help, this is less of a crime. This is, in fact, even worse since some of these crimes are premeditated by the pharmaceutical companies. It’s done on purpose. A drunk driving killing is an accident (most of the time). The equivalent scenario of the pharmaceutical company’s behavior is someone who purposely burns down a house because they are getting paid to do it, knowing there are people inside but not really concerned about that part. Can the people get out? Maybe or maybe not. Will the patients die from the drug? Maybe or maybe not. What’s the difference? One could say the pharmaceuticals actions are merely reckless. Reckless with what? Well, with the drug of course. The fallacy to that argument, in this scenario, is that the arsonist was just being reckless with their tool: fire. But when the arsonist gets caught, they are removed from society.

At the very least, a real “person” within that law breaking corporation should be put into a state of captivity. After all, a piece of paper displayed in a frame on the wall of a corporate headquarter buiding didn’t actually kill the person. A human made the decision that “accidentally” killed someone – much like the arsonist or drunk driver. Sometimes its a committee made up of humans that direct events that lead to the reckless behavior that ends up in death(s). Regardless, behaviors, actions and directives can be traced back to a human being. A $2.2 billion fine is not holding everyone to the same law. Otherwise, the government should fine the arsonist 20% of their adjusted gross annual income. Let’s say that reckless arsonist made $50,000 after deductions. If that arsonist was treated exactly the same as the corporations who killed people, they would only have to pay $10,000 and continue to be free… and possibly commit the same crime a little bit down the road. Argue what you want, it’s the same 20% slap on the hand ratio that Johnson & Johnson received (using their 2006 net income of $11.1 billion). It’s also a slap in the face to those surviving family and friends of those who were murdered.

Actually, it’s a pretty good business decision if the goal is to make as much money as possible from a product. The drug in the article, Risperdal, made $1.7 billion in illegal off-label sales in ONE YEAR alone: that was August 2005 through August 2006. That was 15% of Johnson & Johnson’s $11.1 billion net income for 2006. Taking a 3 year window as a sample means the drug, promoted and sold for non-approved purposes (which is illegal), made an estimated $5.1 billion (if each year the drug made $1.7 billion). I am estimating because of the lack of data to show exactly how much money Risperdal earned from being illegally promoted. How does this equate with an “individual criminal” scenario with an arsonist being treated the same as a large corporation? As the table below shows, this means if the arsonist was paid for what he did – the equivalent amount of what Risperdal generated, he would net $13,000 over the same 3 year period – and NOT have to go to prison! Now, we all know Risperdal was marketed and sold illegally (which again, resulted in DEATHS) for more than 3 years, so the payoff is actually is higher. This is just used as an example – and a sad one at that. It actually shows that the $2.2 billion fine isn’t even a slap on the hand – since they were caught committing a crime, they could just chalk it up to an expense needed to generate a higher revenue stream.

Profile

Arsonist

Johnson & Johnson

Annual Income (2006)

$50,000

$11.1 billion

20% of income (one time ‘post crime fee’)

$10,000

$2.2 billion

Income from crime over 3 year period

$23,000*

$5.1 billion

Net income from crime

$13,000 over 3 years

$2.9 billion over 3 years

* $5.1 billion is 46% of $11.1 billion. 46% of $50,000 is $23,000.

The New Permit Fee

Back to the main point about the mockery of the article and the mockery of the fine. The government is not willing to forego the tax revenues generated from Johnson & Johnson and the indirect taxes generated mentioned earlier. This crime will continue because it’s essentially unpunished. Sorry, a $2.2 billion fine might seem like a staggering “what the?!?!”  amount to real people, but its just a line item on a cost-of-goods spreadsheet to the criminals. It’s essentially a “permit fee”. Pay the “fee”, after the action, and you are permitted to do this. The pharmaceutical company wins (from the extra revenue the crime generated) and the government wins (not only from the extra $2.2 billion check but the continued collection of the annual taxes that corporation provides). But the real people suffer.

It’s a double standard that is the result of the love of money. The fruits are there: the love of money is a root of evil. It’s evident in every form of government in this world – this is just one example. Makes this place (world) pretty scary. Conspiracies usually are.

Airstreams Are Cool. Coffee is Cooler. Cancer Sucks.