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Jess Spence Treatment and Travel Plan

  • Things are looking good..

      24 February 2017
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    I thought I would do a quick update and wanted to share my latest scans. Three weeks ago I had my final surgery so I am free of all medical implants and have my body back. I can’t do anything strenuous for a few weeks as they cut into my abdomen and it is taking a while for my body to settle down so I am taking it easy and have developed an obsession with planting herbs and pottering in the garden.

    I had a PET scan in late Jan and things are looking good. The treatment has got rid of a lot of the tumours, they now can only see two small ones in my liver that are under 1cm, but they are not very active. Most of the bones seem to have little or no activity and there is no presence of any uptake in my bowel. My doctor was really happy with the results and said he hasn’t seen a result that dramatic before for this treatment.

    So now I have 3 months until my next scan, I will head back to Melbourne for this and then another one in 6 months. The doctor seemed pretty confident that I wouldn’t need another round of treatment for a year or more.

    It has been a long road to get to where I am now, there have been a lot of ups and downs but I am really happy to have found a treatment that works well and I can keep doing it until it is not effective. The type of cancer I have is slow growing, so it is anyone’s guess on how long it will take to come back. In the mean time I am all about getting my body back to a healthy and fit state and then will embark on finding a job in a couple of months.

    I have spent the last two years in a cycle of treatment, recover, treatment recover, so it is so nice to know that I have so much time just to recover and get on with life. Cancer will always be a part of my life now, but I think I can strike a balance of living a relatively normal life with it.

    Thanks for all your love and support it has been incredible and I look forward to hopefully sharing more positive results in three months x

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  • Summer Break!

      22 December 2016

    After a year of radiation, chemo, surgery, complications, PRRT treatment I am finally on a summer break! The treatment went well in Melbourne, I had two rounds and it knocked my socks off (so much for being well tolerated!), it was up there if not worse than chemo, but the good news is that it is working. I went over to have my first treatment with pain in my shoulder and ribs, a week post treatment all my pain had gone and it has not returned. The scans showed that it has reduced all the tumours and the last scan I had only really showed one liver tumour and a bit of ‘grey shadows’. So I am now on a break until the end of Jan, then I have a scan to see where things are at. If things are stable then I have 6 months until the next scan, if things are growing then back to Melbourne I go. Even though the treatment is pretty harsh I am glad that I have found something that is working and I can keep going with the treatment until it is not as effective, there is not set amount I can do. I am hoping that everything has settled down and I will only have to do one round every year to keep on top of it, but you never know what is around the corner, so just happy to be free of harsh drugs and enjoying feeling normal for once.

    I am just waiting for one more surgery, hopefully that happens in late Jan, just a minor op and that should be the end of surgeries for hopefully a long time. I am hoping by Feb I can put a lot of this behind me and build a normal life (well a new normal, as it has been two years of overwhelming medical challenges), I will always need treatment but I am hopeful that treatment will be few and far between.

    I would just like to thank everyone that has contributed and made an impact on my journey. Financially through Givealittle and donations I have spent $97,000 on medical treatment and $14,000 on flights, with enough left to pay for scans and Melbourne treatment for the next year – this is just incredible and I am so grateful.

    Thanks again to all my friends, family and support crew you have made life fun and enjoyable even when I have been at my worst.

    I hope everyone has a lovely Christmas and New Year x

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  • Surgery, complications, new diagnosis and new treatment plan..

      10 September 2016

    I finally had bowel surgery on the 15th June and all went well, it took over 5 hours and there were a few complications, but all went to plan, they removed all the tumour and 8 lymph nodes. I was out of hospital within 5 days and flew back to Gisborne to recover.

    Unfortunately, within the next week I had got an infection and was given antibiotics, it didn’t seem to work. To cut a very long story short I had a few A & E hospital visits and then a drain put in, but that didn’t work so I got air lifted to Auckland hospital to be back under my original surgical team.

    I had 9 weeks with a drain and was having surgery every week for 5 weeks to have it changed and speed up the process. I finally got the drain out and hopefully that is the end of a rather challenging two months!

    Also I have had ongoing shoulder issues, after a MRI and a consult with a Ortho doctor it seems my scapular tumour is bigger than initially thought. It is taking up about 2/3s of my scapular, still within the marrow, but causing the pain. I will get it looked at again after treatment and see if I need more surgery or if treatment will sort it. In the meantime I always have strong pain meds on standby..

    The major change in my diagnosis came when the tumour they removed in surgery was tested and it turned out to be a neuroendocrine tumour (a rare type of cancer), this is very different to bowel cancer, even though it is still cancer it is treated differently. As you can imagine this was a massive shock but as it turns out it is a better cancer (if there is such a thing) as it is slower growing and I am told better behaved. It does make me question the 19 rounds of chemo that I have already endured, most likely it was not really necessary, but it is in the past and I cant change it, so not dwelling on it.

    I have had a lot more tests and now know exactly what type of neuroendocrine tumour it is, further tests also showed that I have a few more tumours than originally thought, but they are tiny, the main ones left are in my liver, right scapular and a few ribs. Unfortunately the best treatment is targeted therapy which is not available in NZ. So I have to go to Melbourne for treatment (it’s called PRRT). This will cost around $35K for treatment and a further $5K for flights/accommodation etc. I still have $22K left in the medical fund pot, so only $18K short. It is the best treatment for this type of tumour and just unfortunate that NZ doesn’t offer it nor fund going to Melbourne. I have just been to Melbourne for a consult at the Peter Mac Cancer Centre and am starting treatment on the 22nd of September.

    This treatment is every 6-8 weeks in Melbourne, I only have to be there for a few days and then back to NZ, I might have to have oral chemo like I did when I did radiation earlier this year. There shouldn’t be too many side effects, just fatigue, nausea and a bit weaker, but that is pretty standard for me know. I will do four rounds of this, so pretty much another 6-8 months of treatment. I then plan to take a break from the medical world and just try to build a normal life for a while, I am still told that I will never be cured, but hopefully they can reduce the size and growth of the remaining tumours, but I don’t really believe doctors so keeping positive and am sure I can still negotiate my way out of this haha.

    Anyway I have a bit of a work to do to get my health back on track, still pretty weak from the last 2 months of issues, only can walk about 20 minutes and physically am rather useless, but I know I will bounce back and be back into yoga and long walks in no time.

    There are no words to really describe the last 20 months, but I am glad I have some solid answers now and have a good treatment plan. I have been extremely fortunate to have such a supportive family, friends and community, without all your help I would be in a rather difficult, physical, financial and mental state. People have asked my family and friends about this page and wanting to still donate, so in light of my new medical adventure across the ditch I thought I would turn it back on for a while for anyone new that wanted to add to it. For those that have already donated I am forever grateful and you have made all my medical decisions possible, I now have the best treatment and medical team because I was able to fund it.

    I spend a lot of time in Auckland now and hoping to start working part time over the next few months as I am needing a bit of mental stimulation! But will see how the first round of treatment goes before exploring my options.

    If anyone wants to get in touch you can email me on jess.spence03@gmail.com

    Thanks and will post more regular/shorter updates over the next few months x

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  • New Treatment Plan

      16 March 2016

    I had a amazing break over summer, I managed to have 2 months off! It was great to feel very normal and to enjoy the festive time without needing regular naps.

    I managed to get two MRIs and a CT PET scan done in Auckland and they all showed positive results. Which allowed me to met with a surgeon to see if surgery was possible. He recommended radiation first so I am currently doing 6 weeks of radiation and oral chemo in Auckland to try to shrink the bowel tumour and hopefully all going well can have surgery in a few months. I am over half way through the radiation and it is pretty taxing, but I am lucky to have a great support crew in Auckland. I will do all the scans again in mid May to assess if surgery is possible and will go from there. The liver and bones still need to be addressed (hopefully the oral chemo keep them in check), but the main priority at the moment is to deal with the primary tumour.

    It is hard to believe that it has been over a year of treatment, but I am still optimistic that I will be able to return to some normality at the end of this treatment plan. This page has now closed but I thought I would continue to post updates.

    Thanks again for all your support, I am forever grateful x

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  • 19 rounds done and now summer break!

      14 December 2015

    I have completed my 19th round of chemo and now on a 5 week break from all drugs! It is great to feel normal again and it is very exciting to have 5 weeks of normality.

    I had another CT scan at the end of November and the drugs are still working, my liver is still shrinking along with the bowel which is great news. Early in the new year I am getting two MRIs done again on my liver and pelvis in Gisborne then getting a PET scan up in Auckland (to get a update on the bones). From there the doctors will re look at my treatment plan and see what the best course of treatment is for 2016. It will likely involve more chemo, but I will worry about that next year. In the mean time I am very much looking forward to enjoying a bit of summer with family and friends in Gisborne.

    Also I have a new addition to the family, she is a very cute black lab puppy called Bud, she keeps me very entertained and is great excuse to keep walking daily.

    Thank you to everyone for the support over the last year, it have been a life changing and at times rather challenging year, but everyone has helped make it positive and a lot of the time enjoyable. If you are in the area or want to get in touch please email me on jess.spence03@gmail.com

    Thank you again for all your support and have a lovely Christmas and happy New Year x

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  • 13 Rounds Down!

      1 September 2015

    I thought it was time for a update. I have just had my 6 month scans and the good news is everything is shrinking! The bowel and liver have shrunk by about 20% so that is good news. I am going to do another 3 months of chemo then get more scans, hopefully the trend continues! I only plan three months at a time so have no idea what the long term plan is, it all depends on how well the drugs work.

    I am doing well, i have got use to small town living and adopted a very slow pace of life, yoga is going well (still cant touch my toes thou!) and enjoying long walks on the beach (got up to 1 hour on a good week). I still have 4-5 rubbish days but then have a good week before the next round. Main side effects are fatigue and nausea, so manageable.

    Everyone has been so amazing and i hope i get the chance to thank each one of you when i come out the other side of this.. So far the fund has covered $39,162 in medical bills from the Auckland treatment, $3898 in flights to Auckland and back and $6449 from my London to NZ flight..I have a nice little colour coded spreadsheet to keep track! There have been further donations out side of this also. It makes paying the medical bills and booking flights stress free and i am forever grateful for that. I will post another update after my next scans in late November, but if anyone wants to get in touch (or pop in for a visit) please email me on jess.spence03@gmail.com

    Thanks again to you all, i am so humbled and appreciative of the support! x

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  • 3 month update

      29 May 2015

    So I have completed 7 rounds of chemo and doing well. I had my first scans done the other day and everything seems stable, with some progress in my liver. It seems the tumours in my liver have shrunk which is great and the two in my bones have changed shape that indicate they are healing. The tumour in my bowel is stable. So it is all heading in the right direction! I am doing another 3 months of chemo then will get more scans and probably more chemo, but just have to take it 3 months at a time.

    I am loving being back in Gisborne with family and friends, it is very relaxing and I am keeping my self entertained. I am attempting yoga and walking to keep my self fit, I have put running on hold for a while!

    Everyone has been amazing so thank you, I couldn't ask for better people to be surrounded by it makes the whole process easier and manageable. I am still keeping positive and just enjoying each day as it comes. Thanks again for all your support, words will never describe how humbling it is and how grateful I am x

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  • Made it home!

      30 March 2015

    After a very long two days of flying we made it back to New Zealand, I have been put off long haul flights for a long time! It is great to be home in Gisborne with family and some sunshine. We have been up in Auckland for my 3rd round of chemo and all went well. I can now have one drug in Auckland that is private and fly up for the day and the other drug in Gisborne that is public, which is great. I have had a slight change in diagnosis in that they have found a few more tumours in my liver, but the treatment plan is going to stay the same, at this stage it will be a longer process. The donations to date almost cover the next 6 months of the drug that is not available in the public system so thank you all so much, words can not express how grateful I am and humbled by all your generosity. This is one battle I didn't see coming but keeping positive and thank you for all your support, Jess xx

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  • We are coming home!!!

      12 March 2015

    As you are all aware I have been diagnosed with advanced bowel cancer and it has spread to two bones. I have started chemo in London but it is all too hard been so far from home. So I have my next round of chemo on Friday and then fly back to NZ the following week. I will continue chemo in Auckland for the next 6 months, but will live in Gisborne. One of the drugs I am on is not funded in the NZ system so will rack up a bit of a medical bill! I am overwhelmed with the love and support of you all and extremely humbled by the generosity of everyone. Thank you all for you kind donations that have got me home and helped with getting the treatment I need. I look forward to seeing you all very soon, thanks again. Jess xx

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