Monthly Archives: July 2013

The Squamous Chronicles. I am a platinum ligand.

This afternoon I’ll get my 7th dose of 1.8 Gy of x-rays on the way to 54 Gy. The machine doing the deed is a Varian IMRT. It is a very impressive bit of technology. It has a continuously variable aperture and intensity. The rad tech opened the access panels up for me yesterday and showed me the innards. There is a rather large microwave generator inside with waveguides piping energy … somewhere. She said this TrueBeam system could also do electron beam therapy. The machine has a built-in CT scanner to verify that the sorry sod strapped in is aligned properly.

Last Monday I officially became a ligand for platinum. Got the first dose of cis-platin. Somewhere I have molecules- DNA- that are ligated as Pt complexes. The first dose hasn’t been much of an issue. The anti-nausea meds definitely have side effects though.

Five more weeks and 5 more cis-platin doses to go. Week one was without serious side effects thanks to Dulcolax.

Heap Big Stinkum

The current movie “The Lone Ranger” is a real stinker. The buffoons who produce pictures like this should not be encouraged with good attendance figures. You can’t build a movie solely on a sight gag consisting of Johnny Depp with a dead crow on his head. In fact, I’d rather not invest anymore heartbeats on the topic. <end>

The Squamous Chronicles, part deux: Into the beam we go.

My adventure with Head and Neck Squamous Cell Carcinoma, HNSCC, soon enters a third phase.  A week from this writing I’ll don my custom prepared plastic mesh mask and they’ll strap me onto an x-ray machine. Oh yes, one other thing. There’ll be a weekly dose of cis-platin coincident with irradiation. Turns out that there is a synergistic effect with radiation and platinum poisoning cis-platin chemotherapy. No doubt it is related to the fact that platinum is a heavy atom with a lot of electron density ripe for scattering. Platinum ligated to DNA during irradiation is a bonus as well I suppose. Your own DNA as a ligand for platinum. A funny thought for someone in the catalyst business.

The first phase was the identification of a swollen lymph node and its subsequent removal from its cozy perch on my right carotid artery. Here I learned first hand why cancer is destructive. Mutant squamous cells from some molecular-genetic train wreck are washed away from their birthplace to lodge in distant locations. In my case, the aloof cells got hung up in a lymph node. There, they invaded the node and proliferated to the point where much of the lymphatic tissue became necrotic, likely from blood starvation. The node was not especially painful. Well, until the biopsy needle went in. Then it became very, very angry. But I digress.

The second phase, post surgery, was the adventure of finding suitable oncologists. This is a little bewildering. It is easy to get overwhelmed by information. I went for a second opinion and soon thereafter chose the Anschutz Cancer Center at the University of Colorado in Aurora. I’ve already had medical students and residents sitting in on consultations and exams.  The medical oncologist is a research professor specializing in head and neck cancer. He sees patients on Fridays too. The radiation oncologist sees a lot of HNSCC and seems knowledgeable and confident.

More to follow.

Comments on Edward Snowdon

I have to say that I am tickled to death over what young Edward Snowdon has done in regard to his leaking of the NSA PRISM project. Funding and compelling otherwise well intentioned civil servants to sift through the transmissions of US citizens and allies under the false idol of “national security” represents a sort of cancer of civil society. The future is not for the faint hearted. Unfortunately, the faint hearted are in charge.

The assertion that X number of terrorist attacks were prevented by internal espionage activity is patronizing rhetoric uttered by functionaries who are powerless to actually prove it. Obviously we have enemies. We’ve earned it. The US is not a target simply because “we love freedom”, a slogan so infantile that it is a wonder that Bush II was able to utter it with a straight face. We are a target because of decades of foreign policy overreach.

The US federal government and allied corporations are so brain addled over Middle Eastern politics and security that congress is deadlocked over what amounts to a new form of the guns v. butter problem.  Congressional members, I’ll say Republicans in particular, live in another world distorted by wealthy patrons.  In their view, civilization is something that markets do rather than the other way around. This is a natural viewpoint if you control a lot of wealth- or hope to.

Simplistically, we input defense dollars into the military machine and privately owned petroleum comes out the other side. So, the stockholders of Exxon, Chevron, etc., are protected from risk on foreign territories by the US armed forces. US taxpayers pay for this but petroleum companies seem to carry little of the burden.

What we have gotten in return for our foreign petroleum adventures is pushback in the form of guerrilla warfare, commonly called terrorism. The term “terrorist” has been transmogrified into some form of supernatural evil. Really, a terrorist is a criminal. Killing people and destroying property is a crime and it is immoral. It is not evil incarnate. We are not in a supernatural battle between good and evil or God and Satan.

If Snowdon’s action was to shine a little light on how the government commits espionage on its citizens, then I say good for him. In doing so he broke the law. He violated contractual agreements on disclosure and should pay a price for that. But in regard to accusations of treason based on what facts are available, I cannot agree with that charge.