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70<br />
<strong>My</strong> Visit With Dr. Flam<br />
Wednesday, May 04, 2011<br />
First, the labs were done. <strong>My</strong> Platelet count has dropped from 236,000 to 67,000. <strong>My</strong><br />
white count has dropped to 3200 from 6400. <strong>My</strong> Hemoglobin is stable at 11.7 grams.<br />
When I saw these results, I was somewhat worried but Dr. Flam seemed to feel that this<br />
was a normal reaction to the chemo and that I was doing well. He is encouraged by the<br />
improvement in my symptoms, which he feels is an indication that the chemo is working.<br />
In fact, he is suggesting imaging after the second round of chemo, possibly <strong>with</strong> an eye<br />
towards following up <strong>with</strong> more radiation to the posterior mediastinal mass, assuming it is<br />
responding well to the chemo as verified <strong>with</strong> imaging.<br />
This is all very encouraging.<br />
Meanwhile, I am having only minor symptoms. Constipation for which I have started<br />
Colace (generic).<br />
<strong>My</strong> sense of taste has lost something since I started the chemo. No metallic taste, but<br />
food does not have the full flavor it had recently. Part of this is a holdover from the<br />
radiation treatments. <strong>My</strong> mouth remains dry and there is some inflammation of the gums.<br />
I finally have learned that I do indeed have evidence of the Polyoma Virus. I have<br />
antibodies to the T-Antigen of <strong>Merkel</strong> cell polyomavirus, according to Dr Nghiem. I<br />
suspect I received it in the mid 1950's when given the Salk Vaccine.<br />
I have been interviewed for the the NCI <strong>Cancer</strong> Bulletin, a free online newsletter<br />
published every other week by the<br />
National <strong>Cancer</strong> Institute. The interview was conducted by phone today. When the article<br />
is printed, I will post a link to it. The interview was conducted by Edward "Ted" Winstead.<br />
He has previously written about MCC for the NCI. Article 1<br />
Article 2<br />
Posted by David Shuster at 08:32PM (-07:00)<br />
Polyoma Virus Information<br />
Thursday, May 05, 2011<br />
This stuff is beyond my ability to comprehend, but from what I can put together, the story<br />
is like this. In the 1950's, there was pressure to begin inoculating the general population<br />
against Polio. This came both from the general population as there was a high level of<br />
anxiety about the disease which caused paralysis and death among many of its victims,<br />
and also from the companies racing to get the vaccines on the market for financial gain.<br />
The initial doses of the vaccine were harvested from monkey kidneys and the virus was<br />
inactivated by formaldehyde. The Polyoma Virus was a contaminant, slightly more hardy<br />
and not inactivated by the amounts used. I have read some estimated of up to<br />
50,000,000 doses of the vaccine were contaminated before they switched breeds of<br />
monkeys. The vaccine was given in the mid 50's. The evidence of a cause and effect<br />
relationship between MCC and the virus is circumstantial. The virus is present in 80% of<br />
MCC patients in the USA, but not more than 60% of the general population. People <strong>with</strong><br />
a reduced immune response are more susceptible to the disease. MCC can be effectively<br />
treated locally by Beta Interferon, injected locally. Beta Interferon is an anti-viral drug. The<br />
Polyoma virus is not found in MCC cases in Australia. Please Note. The virus has<br />
mutated and there is no threat of human to human transmission of the virus. Below are<br />
some abstracts. <strong>Merkel</strong> cell polyomavirus and MCC 2008: Feng, Moore, Chang<br />
discovered a new human polyomavirus, the <strong>Merkel</strong> cell polyomavirus Virus integrates in<br />
the genome of most MCC tumors in a clonal pattern (Feng H et al., Science 2008) Viral<br />
<strong>My</strong> <strong>Battle</strong> <strong>with</strong> <strong>Merkel</strong> <strong>Cell</strong> <strong>Cancer</strong>