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August 4, 2017

So I used to spend lots of time after adventures writing up a trip report and sending them out to friends who enjoy outdoor adventures like myself.  I haven’t done this is quite some time, but felt like this past trip with my boys and good friend Brian Dickinson and his son Jordan was well worth it.  Plus Brian made a pretty awesome YouTube video to share.


Picture near the summit

So here it is:  Kids Rocking Snowking

I have been looking at Snowking Mountain for quite some time. It seemed like a great mix of seclusion and beautiful views in the North Cascades. Thus it become the goal for a weekend trip with myself, my to boys, Colby 12, and Cade 10, plus my good friend Brian and his son Jordan 10. Honestly there was not much current beta on this mountain. I was using the 75 scrambles book for the bulk of my beta. Shortly before our leave date, I realized that the approach road (1570) was permanently closed.   I briefly thought I switch to Mt. Daniel, but the allure or the North Cascades was just too much. Besides, I had recently taken my boys to the movie “Dirtbag – the story of Fred Beckey”. Thus the idea of the remote North Cascades seemed even more enticing.

We headed out from Snoqualmie just after 6am and hit the local Starbucks for some coffee and breakfast, then it was on the road. We arrived at the trailhead at like 9:30, then got geared up and ready to go. The road (FS 1570) to where it is permanently closed, was fine except for a creek crossing that is almost next to the block-off point. Anyhow we had a Jeep so it was not an issue at all. We then parked the rig and started to load up our gear. There were two other cars at the “trailhead”. We were then packed up and ready to head out. A long road walk awaited us. The road is now pretty overgrown and has two spots that are totally washed out. Granted they are both easy to navigate past. The extra walk took us about 1:45. The boys grumbled a little bit about the road, but they were troopers! Finally we hit what is the actual trailhead and took a small break. The trail was for sure a climbers trail as it went straight up. We cruised up on the trail stopping from time to time to rest, grab some food and water and for bathroom breaks. Eventually we ran into a solo person coming down the trail. He said that he had gotten up the trail, where it opens up into sort of a small basin. However the basin was covered with snow and he was not able to follow the trail, thus he turned around and was heading back. We kept on moving, the boys were awesome and we made it to the open area at around 4800’. Here, is where we hit snow and the trail disappeared until it. We found some markers that seemed to take us to the right of what looked like Point 5116. However everything that I had read stated that the key was to stay left. We ended up just heading up to the top of Point 5116 to see if we could get a better look at the terrain and pick-up the trail. Honestly we saw nothing but thick forest all around. There was not a good idea of where a trail might be. We saw the next objective that we needed to scale, which was point 5450’ – however there was quite a bit of evelation gain that was needed to get there from where we were. Not to mention that Cyclone Lake (our hopeful camping spot) was still a ways past that on the map. We looked at the boys and they were looking a little bit tired. Thus we talked and decided that this was going to be our campsite for the night. It was about 4:30pm anyhow. The boys had been going for over 6 hours by now with full packs.

We set up camp. The black flies were out of control. Brian got the stove going (we camped on some snow patches, so we had a water source) and freeze dried yum it was! After that we all jump into tents as the bugs sucked and really our campsite was not equipped with great sitting areas. We then went to bed. We woke up just before 5am and started getting everything ready to head out in the am. We had put together a plan to try and find the trail. After some bushwhacking we actually were able to pick it up again. From there it was sort of on and of the trail, we were able to mostly follow it up to the top of Point 5450’ However I will say there was a bunch of bushwhacking that went along with getting up to the top of the point. At the top we found another tent and a great camping spot, with views! Our spot was not quite out of the trees, so the views were good, but not great. The trail down from the point is actually pretty steep right from the top. Once you drop down, there are two smaller humps that you have to go up and over to reach a point where you can access Cyclone Lake. The lake was still covered with snow. The area near the lake is beautiful. It was about here were we caught up with the two guys who were camped up at Point 5450’. We talked with them briefly and then, kept on going. We leapfrogged a couple of times however on one of the “bumps” they were trying to side-hill traverser across it, but it looked pretty nasty, so we just decided to go straight up an over and follow a moderate snow slope to the top. This proved to be the winning route for sure. We had to navigate a bit now, but the two guys were not in sight anymore. From here the next task was to gain the ridge. From here to the top, we were in mostly snow. The snow was soft, but not slushy, thus it made for some great travel. There were a couple of spots were we dropped onto the rocks, then back to the snow. We finally saw the two guys again they had gain the top of the little bump. This was the last we saw of them, as I think they bailed. The next bit was a steady climb to the summit on snow.

Once we got near the summit ridge, the slope got much steeper. Here we had the boys pull out their ice axes as we traversed across the face of the peak looking for the best way to get onto the rocky peak from the snow, while avoiding some large moats. We found a way onto the rock, then finished the with a short, but easy scramble section to reach the summit. We reached the top at noon and spend about 30 minutes at the summit. For the USGS markers. We didn’t look hard for a register, not sure if there is one or not? But no worries. I snapped a few pictures of the markers for proof. The summit is at 7433’. Now we looked back at the path and realized that we still have a long way to go to get out of here.

We thought about trying to see if would could cut across some of the areas we went to get to the top, in order to make the trip a little bit shorter. We quickly realized that was useless and decided that we should just follow our tracks back out as it was actually easier. We finished our trip back to our camp site with a full-on bushwhack up to point 5116. Basically we figured that we had to climb up anyhow so might as well just attack it head on. When we got back to the tents, it was closing in on 5pm. We figured that we had at least a 3.5 hour hike to get back to the car. The boys had done awesome so far and we were worried about having them put full packs back on and then have to go down the steep trail. Plus we thought there might be a high likelihood of needing headlamps for the hike on the road to get back to the car. Thus we talked and decided as much as it would worry the heck out of our wives, the best option was to stay one more night and then hike out in the morning. So we did. It was time for another round of freeze dried goodness and then off to sleep.

We got up about 4:30 and then were on the trail by around 5:30. The hike out was steep for sure and after watching the boys navigate the roots and obstacles with full packs, it was clear to us that we made the correct call. We were back to the car around 9:30.

There was a Skagit County Sheriff who just pulled up to our car and asked us if we were Brian and David.  Yes we said.  “Great that makes my job much easier!”  Yep we worried our wives!  But we were all safe and made the correct call.  I now own a Spot device however!     All in all an incredible trip. All three boys were superstars. I really thought early on in the trip that I had picked something that might be too hard. However they rose to the challenge. In typically North Cascade fashion the truly hard part was the approach, the climb was the fun relaxing part of the trip. I would not recommend this hike for kids however. Despite the fact that we took our boys on this, they have climbs such as Adams, Baker, Mt. Daniel, St. Helens and Camp Muir on their lists of accomplishments. Not your ordinary 10 and 12 year-olds!

We were also quite pleased that we got two 10 year-olds and a twelve year-old to the top of Snowking, when we saw men around us who went 0-3. Proud papa moment for sure.

The area is beautiful, remote and rugged for sure. It was a great introduction into teaching our kids some dirtbag skills.

Kids Rocking Snowking

WP_20170702_16_26_07_ProTough Terrain




Finding Hope

June 20, 2017



Hope – It’s what can help to keep us going. Even when the darkness surrounds us. Hope is the light in the dark. “However dark the night, however dim our hopes, the light will always follow darkness.” – Louis Zamperini (He is the guy from Unbroken if you don’t know the name). A while back I had submitted my name to a non-profit organization that pairs up cancer survivors with other cancer survivors to create a mentor/mentee relationship. I put my name in as a potential mentor. Well just a few weeks ago, I was contacted that I would be a good fit for someone looking for a mentor.

We have traded some emails and had a good phone conversation. What I found out was that this person actually has been at this longer than me. They are at 12 years – started with the same type of brain cancer as me, but since then has had several growth periods in which the brain has morphed into a more aggressive grade. Tumor progression is a very common thing that occurs with slow growing tumors like mine. Anyhow they seemed totally down, depressed, and tired of the whole process. Tired of the repeated rounds of chemo and radiation, tired of the medications, tired of the waiting for MRI results, just plain tired of the whole crappy process. I can totally relate. Waiting is the name of the game with brain cancer. Waiting on the results of an MRI to see what the next year of your life might bring. It is a world that consists of counter attacks. You wait for the tumor to do something and then you pounce on it and go after it. Counter attacks require a great deal of patience and waiting. But “the waiting is the hardest part” (Tom Petty quote). It’s during this constant waiting that can lead to despair, frustration, fear, and anger. It really sucks. I think after 12 year of the frustration, they have started to wear down and become bitter. Causing them to let the darkness creep in. You wait to hear the words “Your MRI is stable” and then you are supposed to be overjoyed with happiness. Then you wait again for the next MRI… Stable is not the description that typically brings joy to one’s heart.

For example have you ever heard these types of conversations?:

“Hey Jim how is your new job going?”

“It’s stable.”


“Hey Bill, long time no-see, how is the family?”

“They’re stable.”

As you can see “stable” is a pretty awful description that actually provokes more negative thoughts than positive ones. But that is the reality of brain cancer.

This is what brings me to this concept of hope. As we all know “Rebellions are built on hope” (Rogue One). I really think the person that I am mentoring has lost some hope. Hope can be easy to lose and hard to hold onto, but it’s the key to being a survivor. After years of treatment, that sort of works and a tumor that has slowly become more aggressive over time, their hope has started to wane.  It has slowly been eroded.  It’s like the frog put in water that is slowly brought to a boil.  The frog will adapt to the slow changes in temperature until its too late and the frog get’s cooked.  I think brain cancer is a lot like that, you adapt and deal with each type of treatment and each setback.  However, through it all, your hope takes a slow and almost unnoticeable beating until you reach a point that it’s gone.   You have to have hope to survive cancer. Hope is what will guide you in the dark, it will keep the horrible thoughts at bay, and keep you moving one foot at a time forward through the cancer slog. Hope is a critical piece. It’s essential.

One source of hope is seeing other cancer survivors who have made the journey, been victorious. and shown that there is a chance, and hope for a better tomorrow.  These amazing warriors bring such hope and strength to those of us in the midst of the battle.  I know that I have many, many heroes that I watch and follow from afar and from up close.

Hope also comes in the form of new advancements in cancer treatment and options. Attending seminars and learning about the new treatment methods that some very talented and intelligent people are working on is one way to provide hope to the masses. Locally we have the Seattle Cancer Care Alliance, working hard to cure people and to give people hope for a better tomorrow. The Alliance is UW, Children’s Hospital, and Fred Hutch all pooling their resources to create better outcomes for patients with cancer.  They have quite the power team.

This is the group that has provided all of my treatment.

Here is your opportunity to help provide Hope to cancer patients. By helping to support the SCCA!  You can be a great agent of change and a person who supports hope.  Hope to all cancer patients that are battling to stay healthy and alive.

Run picture

Defeat Goliath is planning to be at the Head for the Cure 5K race! And we would like you to join us!  This is a run/walk event, so no worries if you are not a runner.  They offer some great awards and prizes for kid speedsters as well.

Here is the skinny:

Sunday July 9th at 8am

The Location is Marymoor Park

6046 West Lake Sammamish Pkwy NE Redmond, WA  98052


Here is the link:

When you sign up make sure to click join a team and then select Defeat Goliath.  Since I missed the walk this past year, this is DG’s big event for the year.

Also some exciting news on the DG website, my sister has been working on some really cool DG gear and posters. She has been taking some of my mountain pictures, adding some of my quotes from my blog and making, T-shirts, mugs, hats and posters.

Check it out here:

We would love to see you out at Marymoor helping to due your part to bring hope to those that need it the most!


A Great Man Goes Home

April 2, 2017

It was about three years ago, Jess asked me one night “Do you know who Rian Fiske is?”  I said “Doesn’t ring a bell, but I bet you that if I saw him I would recognize him.”

“They go to our church and he helps with production work.”

“Why do you ask?”

“I just heard that he was diagnosed with colon cancer.”   That nasty C word.  Followed by a sinking heart.

Fast forward about a year.  I am coaching Cade’s baseball team and receive my roster, I see that I have Joshua Fiske on my team.  The parents listed are Rian and Rebekah.  Cool I thought, it will be fun to really get to know them better.  There was a night of practice that is still vivid in my memory.  It was spring break – Cade was actually gone somewhere with Jess and Colby.  I was home because of work.  I still held some hitting practices with kids that were around. I invited parents to come help if they wanted to.  Rian brought Joshua and came to help.  He pulled me aside and said let me know what to do, I am happy to do anything, however I really don’t know anything about baseball.  It was a great night.  Joshua is this high energy, super kind hearted boy, who has a big heart and a big smile.  Rian shagged balls, ran around, and had a blast.  This night sticks with me because that was a great example of what being a father is all about.  He came and did something he wasn’t great at. He did this because he loves his son, because his son wanted him there.  I know when my Dad died, and I spoke at his memorial service, I talked about his presence and how important that was to me.  He made me the priority and no matter what would just be there for me.  I think our world focuses a lot on what we can provide our kids, what things we can get for them, but all they really want is our time and attention. It was a great example to me that I need to be there for my kids, even if it means I am pushed out of my comfort zone. It’s not about me, it’s about them and meeting them at their level.    Rian provided me with an example of how it looks to jump into something for your child, regardless of your abilities.

After that, I felt like we established a bond that was unfortunately due to both sharing a connection to cancer.  The bond is formed by living and understanding the challenges, frustration, and fear that comes with living through cancer.  By fear, I am not talking about the fear of dying, but rather the fear of how the end might go and the challenges that come with a body that is being ravaged by cancer.  Also by the biggest fear, which is that of leaving our families behind. Not being there to watch our kids grow up, not being there for our wives.  That is truly the fear of cancer.   It is hard to articulate that connection, as it’s not completely tangible.  No it did not catapult us to being inseparable friends, but somehow whenever I saw him I knew that he was someone who completely understood how I feel.  When I found out in December of 2015, that my tumor was growing again, he came to my house with a group of great men from my church and prayed for me.  I felt like I was composed, until Rian prayed for me, then the emotions came out.  The emotions came out as he knew the position I was in, he understood the roller coaster of the diagnoses that the cancer is bad, that the cancer is on the move.  He has been through the crushing reality of being told that you are not Superman, the cancer is on the move.

I had the honor of visiting Rian in the hospital prior to his passing.  Going there, I was taken aback by his unbreakable faith.  He knew that regardless of the outcome, he was going to be going home to heaven.  His complete faith in Jesus was unshakeable and honestly something that I wish I had.  He told me that he was going to pray for my healing.  I told him, first things first, that I was going to pray for him as my healing can come later, but right now was his time.  He looked at me and said no it would happen together.  That God was certainly big enough to heal us both at the same time.  I will be completely honest it was a challenge as the cancer had spread throughout his body, including his brain. He was displaying symptoms that are common with someone fighting brain cancer.  In some ways, I felt like I was watching my own future play out in front of me.

I then watched as he was adamant that he would pray for each person who came to the hospital.  Here was this man, whose body was being overrun with cancer, yet he was the one who chose to pray for everyone else.  At the last Passover, Jesus washed the feet of the disciples.  He already knew what was coming, the path that he had to walk, but prior to that, he chose to humble himself and wash the feet of the 12.  He didn’t ask them to lavish him with gifts and provide a big send-off.  No he washed their feet.  Knowing that soon he would be strapped to a cross, attached by nails driven through his arms, and legs.  He chose to serve.  Serving to show his unconditional love.

John 13:1 and 12:17 (NIV)

Jesus Washes His Disciples’ Feet

13 It was just before the Passover Festival. Jesus knew that the hour had come for him to leave this world and go to the Father. Having loved his own who were in the world, he loved them to the end.

12 When he had finished washing their feet, he put on his clothes and returned to his place. “Do you understand what I have done for you?” he asked them. 13 “You call me ‘Teacher’ and ‘Lord,’ and rightly so, for that is what I am. 14 Now that I, your Lord and Teacher, have washed your feet, you also should wash one another’s feet. 15 I have set you an example that you should do as I have done for you. 16 Very truly I tell you, no servant is greater than his master, nor is a messenger greater than the one who sent him. 17 Now that you know these things, you will be blessed if you do them.

I felt like I was watching this play out in real life.  This man was beaten and battered by cancer yet, still showed the ultimate level of love by humbling himself and sacrificing for those he cared about.  It was such an amazing display of Jesus.  One of the greatest examples I have seen in my life.  People came to give, yet they received.  Received his prayers, his love, and his great display of unwavering faith.  Rian was just like Job, he was beaten down by this beast called cancer, but he was never broken, his faith never wavered, he took its best shot and asked what’s next.  I left there wishing that I had that kind of faith.  When I reach that point, will I be like Jesus, humble myself and just give to those around me?  Will I be able to completely rejoice in the homecoming that will follow.  Will I be able to be a man as amazing as him?

He is now smiling down on us in heaven, free from the pain, free from the suffering, hanging with Jesus.

All I can say is that this remarkable man is my benchmark of what it means to display love, to show grace, to live in faith, and to push as hard as humanly possible.  To me Rian is a hero.

If you want to support Rian’s family that would be really appreciated.  He has a wonderful wife and 3 truly amazing kids.  Both Jessica and I have had connections with their kiddos, myself through coaching and Jess through teaching.  We would both love for those who read this blog and have followed my story to support this truly incredible family and this awesome hero of mine.


Happy 40th David! We’ve Got Your Back

March 2, 2017


A Note from David’s Sister

David turns 40 on Friday, March 3rd, 2017. 40 is quite the milestone.

On July 9th, we are going to run the “Head for the Cure” 5K at Marymoor Park.

Will you help me celebrate his 40th by running, walking or donating?

Funds raised by Head for the Cure support the Brain Tumor Trials Collaborative, a network of medical centers with the expertise and the desire to participate in state-of-the-art clinical trials investigating new treatments for malignant brain tumors. Funds support the Brain Tumor Center at UW Medical Center, where David is a patient. I could go on about how deadly brain cancer is, and that it is now the number one cause of cancer deaths in children, and that it is one of the most underfunded cancers we face. But I hope I don’t have to do all of that.

Your support give us all hope, and…



We have done this race two years now.  This is a 5K but you can walk or run. There is also a run for kids. We hope you will join us.

When I turned 40, my goal was to climb a mountain with my bro (something he does all the time, but I had never done). Whenever I wanted to give up I thought “this is not harder than chemo.”  I really didn’t think I could make it, and David looked at me and basically said you’re fine – keep going!

Keri, Colby and David on the Summit of Mount Adamsmount-adams

Mount Adams Hug.jpg

So glad this moment was captured. This is right when I summited- I could barely move and I went straight to David and hugged him. I know my eyes welled up and I said
thank you.



Sincerely, Keri

Photo Apr 11, 6 51 18 PM

“Losing” the Battle with Cancer

January 3, 2017

After I was first diagnosed with brain cancer, I felt like there had to be a reason why me. I wrote a post about why bad things happen to good people and really tried to get some meaning of this.  Granted the answer may just be that this is “karma” coming back at me. However I tend to think this is not the case, thus there must be a reason.  I stand five years out and here are my list of “reasons”:  1.  This blog  2.  Defeat Goliath 3.  Helping others who have been diagnosed with brain cancer.  Or 4, I don’t know as it just hasn’t happened yet.  I am not sure what to think about 1 and 2, so let’s talk about number 3.  Helping others is something that I truly do enjoy.  Information about brain cancer is not clearly defined and can be difficult to understand, there is not a set road map that should be followed by each person.  Many of the same treatment options have remained unchanged for 30 plus years – some scary stuff!  Doctors have different takes on what should be done and some centers recommend different types of treatment, not  because it is the best but because that is the type that their faculty can offer.  Toss in insurance issues and needless to say, it can be a bit daunting.  Providing any type of guidance, support, a listening ear, etc. is very rewarding to me personally.  If I can make a small difference, provide some reassurance or even just be able to understand somewhat the emotions of the brain cancer warrior and loved ones, then that is a victory.   The only downside is that along the way I have met people where the cancer was not controllable.  This is where things get hard, frustrating, and downright depressing.  At times I have been left speechless with nothing to say but tears rolling down my face.  My list of warriors extends outward not only through personal connections, but through blogs, tweets, and other forms of social media.  When other brain cancer warriors have setbacks or in some cases die, it is like a part of my own hope is chipped away.  My hope gets attacked a little bit and it’s challenging for me.  I look at is as if they can do it, so can I, so when someone is struggling, it’s hard and my hope fades just a little bit.  As Louis Zamperini says “Hope provides the power of the soul to endure.” Thus anything that can attack that hope is very dangerous.  Don’t get me wrong, I wouldn’t change things for a second in terms of being a resource for people, despite the fact that sometimes things don’t work out how I would like them to.  Miracles do happen!  And even if they don’t, we all can be better people because of the journey of another person.  I am more often left inspired and more hopefully from others than the other way around.

I would like to think that Hope looks a little bit like this picture.  My boys snowshoeing with me this past weekend in lots of powder and super cold temperatures.  They make up my hope.



Which brings me to the whole point of my blog.  Often it is said that so and so, “lost” their courageous battle with cancer.  I think the point is to try and honor that person by pointing out that they battled hard or fought the good fight despite the overwhelming odds against them.  I completely and totally realize that by using that language, people are only trying to praise the person who died from cancer.  Heck I am sure that I have said that many times about my own Dad.  But now I see things a little bit differently, I have an issue with the concept of “lost”.  Yes a person may have died from cancer, but hey all of us will die at some point.  We all will “lose” at some time in the future.  So I feel like when we use the term “lost” to cancer, it sort of implies that the cancer somehow “won”.  I now recognize that if a person, who may have died as a result of cancer, brought people together, inspired others, showed what it means to be courageous, and never quit, then in my view they have not lost anything, but gained so much more.  Those around them also have gained a ton, they have been forever changed by the person’s spirt and will to live.  Let’s not think of things in winning and losing, but how did we grow, how were we inspired, how did we change for the better as a result of this.  We grow through adversity, how we respond shapes us all at our core and shows us who we really are deep inside.  Cancer is adversity, when it’s you or a loved one.  Cancer challenges us in all kinds of ways, from physical, to mental, to attitude, financially and more. We and those around us will forever be different because of cancer.  Really all that cancer did was speed up the normal process of life, it didn’t win anything.  Technically we all have “lost” once we are born. (As a side note, I do acknowledge that this brings up a entirely different conversation about the afterlife and heaven, but I will save that as that is not the focus of this blog post.)  Back to my point, I think to use the term “lost their battle with cancer” does not do that person the proper justice, as it implies that cancer is the “winner”.

I think about the results of my Dad’s cancer, in the end, yes he did die, but in the process, he inspired his two kids forever, he strengthened bonds of family, friendship and love, he encouraged an entire community to rally around him and his family, he restored some family connections that remain tighter today then ever, he showed what it means to be courageous, and was able to tell everyone close to him that he loved them.  That doesn’t sound like losing to me.  To me he won, not cancer.  And in many ways I won, having the privilege to see him respond to the challenge of cancer.

So if you know someone with cancer, whose body gives out, just be careful saying they “lost” to cancer.  As from my vantage point, I haven’t seen anyone who “lost” to cancer.  What I have seen is amazing people, being courageous, inspiring me, motivating me,  and in the end being victorious.

I do wish I had some other better phrase to use to honor our friends and loved ones, who died as a result of cancer, so I am open to ideas and suggestions.  How can we create a better term or phrase to truly honor a special cancer warrior, without acknowledging cancer as a winner?



The Rant

November 14, 2016

OK so this post started out as a complete rant, but also has some good news.  Although I have known for a few months, I recently received the “official” notice that my oncologist is leaving UW and heading to Arizona for a new opportunity. Not good news in my book.  I really like my oncologist and he has always been great about giving me the facts and then allowing me to make my own choices.  So to have change in doctors is frustrating and a little bit nerve racking.  (I am coming up on my 5 year anniversary of my seizure, which was the start of this wild and crazy ride that I have been on).  From what I can tell, UW is making several changes, so I am not really sure what will happen or who my new oncologist might be.  I know who I would like that new person to be, however I am not sure what UW has in store.  I will find out more at my next MRI in December.  I have spent the last five years telling people to move over to my oncologist because he is the best in Seattle, but now I feel a little bit vulnerable as now I will be missing that key resource.  It is a change as I have always felt like I have had more information than many people in similar cases, like I have had this special edge.  But that might be changing.

In order to try and make sure I am in a good spot, I have been asking other people, who are in my shoes what they are doing.  I also thought I should look into Swedish – as they are the other hospital in Seattle with top notch resources and outside of the UW/SCCA group they are really the only other local choice.  I do know one of the surgeons over there pretty well, thus I thought I would do some research on the oncologists.  They recently brought on a new neuro-oncologist, whom I have not seen at events or really heard about.  So I called over to Swedish to see if they were taking on new patients, etc.  I asked if I could schedule a time to “interview” the oncologist to see if he would be someone I want to work with.  The person I was speaking with, was a little bit shocked by my request.  The response was well you need to be a patient to meet with the doctor.  Meaning I would have to go through the new patient setup and have all of my records sent over to Swedish.  My response was, “well I am not sure that I want to be a patient and I don’t want to waste the doctor’s time reviewing all of my files and data, when I may not become a patient at all.”  In my head I wanted to say that actually your surgeon has a USB drive with all of my latest MRI’s and has been already giving me some unofficial second opinions for a while now.  The person on the phone explained that they would look into this and get right back to me.  Over a week went by and still no follow-up.  Thus I finally called back to see what was going on.  I got a hold of the same person, they put me on hold and checked with a colleague and came back with the response that no they don’t allow doctors to just “meet” with people and/or be “interviewed” to see if someone wants to work with them.  Their doctors just don’t have the time for that.  I have to admit, I was pretty mad when I got off the phone.  Right then it was going to be no Seattle Brain Cancer walk in 2017 for Team Defeat Goliath.  No more supporting Swedish and the Ivy Center.  Furthermore I get that doctors are busy, however I am the one with terminal cancer, I am the one who doesn’t have time.  I was ready to go on the attack.  The medical world should work both ways, I think patients should be able to explore their options and not be forced to become a new patient.  I understand there are costs involved, but in cases of terminal cancer, I think there must be exceptions. I was ready go crazy with my limited reach on social media.  Fire the venom from Twitter, etc.  Pickett the walk and try to get donors to send their funds elsewhere.

Then about 20 minutes after I hung up, I received a call from the Seattle Cancer Care Alliance, it was from their person who works on relations with insurance companies.  Premera had reversed their decision on my case and my proton radiation was now approved.  I asked if that meant they had changed their stance on proton as a whole – meaning this would impact many others – nope, they just approved my individual case.  Which is great news.  However I am still a little grumbly that others won’t be approved.  In my case, I opted for proton over standard treatment because I was concerned about future cognitive loss and I didn’t want the full impact of the side effects from standard radiation.  Well, I did my six weeks, managed to not miss any work.  Side effects were minimal for me.  My first MRI showed Goliath was smaller, thus it can be said that proton therapy worked!  And I would say that I am the perfect test case for why insurance companies should be approving this therapy for all.  Granted the hope is not cognitive issues down the road as well.

I know that someone is going to ask how will that impact me from a financial point of view, and the answer is not much, however it means that SCCA will now be reimbursed for my treatment as I made a deal with them that they would cover all of my costs, past my normal out of pocket expenses.  Thus I am on the hook for those regardless of my insurance.  But a huge win for SCCA to keep money in their pocket!

Which brings me to the final part of this.  Since Tuesday is Election Day, I thought I would give some thought to Obamacare (Ok I started this prior to the election and, based upon the results it will most likely be gone, but I thought I would leave my thoughts out there anyhow – updated slightly):

There are two things it does for me that are huge;

  1. Lifetime Limits: It removes lifetime limits on insurance. Since I plan on living for a while, this is big because in all likelihood my life will be a continuous battle with Goliath, meaning that I will be in and out of treatment moving forward, thus a lifetime cap, might have come into play for me. Hopefully my “clock will be reset to Zero” meaning if limits are back at least I will not have to include 12 months of chemo and 6 weeks of radiation.
  2. Preexisting Conditions: Without this I am completely uninsurable, if I were to switch plans.  Thus I would be held captive forever by my insurance company.  Both of these items would have the potential to financial ruin myself and my family.  For those reasons I like Obamacare.

Granted there are many flaws with the current system and it has to be modified for it to actually work.  However I am grateful for these items.  However the costs are getting crazy, I do see that first hand.  I am on the team that works on my firm’s healthcare plan, so I have been well aware of the crazy price increases.  It’s a little bit humbling seeing the increases and knowing that I am a big reason why, they have gone up so much over the years.

Here are the things that I think must be looked at to make healthcare better and more affordable.

  1. Remove IRS as the score keepers: As a CPA, I do not like the fact that tax returns are used as a way to enforce this and hand out penalties.  I do not think this should be part of the tax code.  The tax code is constantly being used to social issues and welfare, when that is not what it should be used for.  It should be used as a system to pay federal income taxes and that is it.  I completely understand when the tax code is used, since it reaches just about every US citizen.  This won’t matter if Obamacare is gone, but I had already written this, so it stays.
  2. Empowerment of the Patient: I feel like in today’s medical environment, you go to the doctor, they make a recommendation and then you follow it.  What gets approved is all based on western medicine, what insurance companies will reimburse for and how they can best not be sued.  It’s time to expand the options.   I have talked, written and spoken constantly about being your own advocate.  And I find that sad at times, patients need to be provided with all options that are available so they can make an informed decision.  I don’t think that “blind trust” should exist in the medical world.
  3. Price Transparency: This is the biggest key, in my opinion to making healthcare affordable.  Name another industry in which the customer is not aware of the costs or not given the price of a product or service before buying it.  The answer is nothing else.  You go to a doctor and you are never told of the costs of anything you receive.  Patients are never given the option of choosing the less expensive protocol, it is all just based upon whatever the doctor recommends.  I think most people would make wise and both health and costs conscious decisions if they were to be given all the facts.  As a patient, you are not aware of the actually costs of things until you receive you EOB (Explanation of Benefits).  I can tell you from experience, they are not the easiest forms to digest!  The only reason I can think of why patients are not informed is because everyone would think that the hospital is only recommending the cheaper option to save money!  As a patient, the treatment options we accept will hit our bottom line at some point and I think, if given the chance, people will make good decisions that would help to decrease healthcare costs.  If you would present me with two treatment options that provide similar risk and similar results, I would for sure choose the cheaper option.  Yet patients are never given the results.  I truly believe that if patients had to be provided with the costs of procedures as part of the medical process, prior to engaging in treatment, I think our healthcare costs would decrease dramatically.  Yet we have no idea what things costs and how our financial situation will be impacted until after the fact.  The only time I ever had a conversation about money in the past 5 years was about how the SCCA would be covering my costs of radiation and they informed me of my financial obligation and I had to sign paperwork about it.  Honestly I was glad to do so.  I felt empowered about knowing exactly what I was getting myself into.  Let the patient in on the costs, so the patient can be part of the solution!

OK so I am finished.  No I am not going to try and boycott the walk this year.  I am going to meet with my team in about a month, figure out what is going on and then make the best decision I can.  In the meantime, I will continue to harp on empowering patients not only with their care decisions, but also with healthcare costs.




Young Life

August 5, 2016

Last October, Jess and I attended the Snoqualmie Valley Young Life Banquet. We had a fabulous time, hung out with amazing people and helped support a great cause. For us, it’s even more exciting as this summer Colby will be able to participate in club this summer (he has already been to a couple events!) (Scary as Middle School is now upon us!)

The truth is that despite the fact that Young Life was not at my high school, it still had a huge, profound impact on my life. I had the chance to go to Malibu when I was in high school. I had several close friends that went, yet I declined to go. I delivered pizzas instead to earn some extra cash.  Yep not one of my best choices ever.  However even though I declined, Young Life was still able to find me, it just took a couple more years…

My junior year of college, I was home for the Apple Cup. It was Leaf vs. Huard. The Cougs were looking to go to the Rose Bowl. A friend of mine, Jacob, got me a ticket in the student section. Prior to the game I met up with my sister as she was also going to the game. We were both together – a difficult thing to accomplish at that point in both of our lives. Since we were together, the bombshell was dropped. My Dad was diagnosed with cancer. It was advanced and he was given a year to live. As I know some of you might be curious – his was in no way related to the type of cancer I have.  I know I have repeatedly said that rule number 1. of a cancer diagnosis is never Google it and then rule number 2. is to never believe your doctors when they tell you how much time you have (they really have no friggin idea). That said, the news was not good. We knew that he hadn’t been feeling very good for a while, but we would have never guessed that it was cancer. Anyhow, the game was played, the Cougs crushed the Dawgs and went on to the Rose Bowl. Leaf was the number 2 pick in the draft (that didn’t work out so well). I went back to school in Forest Grove, Oregon. Being at school, I missed a lot of what was going on with my dad battling multiple myeloma. Because it was sort of “out of sight, out of mind”, I think I just suppressed all of my feelings and emotions about everything and just stuffed them away so that I wouldn’t have to deal with them. In the Spring, we had planned a big birthday trip for my 21st. He wasn’t feeling good, so it had to be pushed back. I remember that being a tough few days for me. Most of my best friends in College were all younger then I, thus it was an uneventful birthday. He rebounded in May and attended Keri’s graduation. That was a great time. Probably the last great time the 4 of us spent together when he still felt good.  It was fun to see him smiling again. Just before wrapping up my junior year, I received a call from Andy Martin. Him and I go way back and have been friends forever. He had been working to set-up a Young-Life Club in the Valley. He was going to take group of just graduated high schoolers to Beyond Malibu. Malibu is a camp that is located in the Jervis Inlet in British Columbia. Basically it is only accessible by boat. To get there, you drive up to Vancouver, BC, take the Horseshoe Bay ferry across the bay then drive to place called Egmont, where you then take a boat up the Jervis Inlet, where you then turn into the Princess Louisa Inlet, where you then find this amazing camp called Malibu. The inlets are in the middle of the BC Coastal Range, thus there are 6,000 to 7,000 ft peaks that rise right out of the water all around. Beautiful doesn’t even begin to describe this place. Malibu has two camps, Malibu and Beyond Malibu. Malibu has cabins, structures, and all kinds of cool things. It is an amazing place to go to camp. Beyond Malibu is nestled back in the inlet and is made up of some rustic cabins and is used as a launching point to send groups out into the wild of the BC Coastal range.

After we arrived, we met with our guides (two guides are assigned to each group) We actually had 3 as we had a guest guide for the trip! – more on the importance of this to come. Next we completed a ropes course, then did a gear check. One of the questions that our guides asked us was “Why are you here?” I remember Andy’s response was, because I am supposed to bring David here. My response was because he (Andy) told me to come. It was as simple as that. Our climbing objective was Mt. Pearkes, which is 6,078ft tall. We left early from the Beyond Basecamp via boat. We were all locked and loaded. The boat literally just dropped us off on the shore. The boat had a gate in the front, where the driver would just drive to the shore, the gate would be lowered and we all then walked off the boat onto the shoreline. The boat then left and you realize that you are now on your own for the next week. Let the hiking begin. I won’t bore with each and every detail, however each day we would hike and move to the next camp area. The trip culminated in the summit of Mt. Pearkes. The views were stunning and spectacular the entire trip, mountains stood tall breaking out of the water all around. The view would go from the water to the tops of many peaks that topped out between 6,000 and 7,000 ft.  We had perfect weather the entire trip, it was sunny with clear skies.  It rained for about an hour, when we boarded the boat to go home, but outside of that it was perfect conditions.  The climb also featured snow travel at the top, a fixed line, and some roped up travel. Nothing being very technical, but still lots of fun and an amazing experience.

SC Beyond II

SC Beyond I

Pictures taken from Shawn Carnes on his 2016 trip to show the beauty of the area. He was on One Eye, so not the same mountain, but every mountain up there is beautiful.

One of the days was sort of like a rest day. We were told to spread out on the mountain and just have some personal quiet time. You could read, write, pray, sleep, whatever, but they wanted everyone to have some personal space to reflect. The weather was gorgeous – blue sky and the sun was shining. We were in an open area on the side of the mountain, looks of open space with rocks. I found a nice place, brought my bible and hunkered down. The next several hours, I went through this period of reading, sleeping, prayer, conversations with God and dreaming. It was truly a vision quest. A period of gut wrenching, sole searching for me. I was trying to really figure out this God thing and deal with my Dad’s cancer. I felt a little bit like Jacob, who wrestled with God in Genesis. I had demanded my miracle from God, I wanted my Dad healed. The reasoning was simple, lots of people have gone through miraculous healing, now it’s my Dad’s turn – a simple request. I spent time reading first and Second Samuel – the story of David. I actually think that he is the most interesting character in the Bible. He was a boy destined to become king, he was an incredible talented musician and a warrior. Yet he also repeatedly failed in many aspects of  his life. He committed adultery, murder, he performed cover-ups to hide his misdeeds, and in many ways failed as a father. Yet despite his short comings, God refers to him as a man after his own heart, repeatedly and often. He provides us a “real” story about life and the ups and downs that we all go through. Yet one thing that David also does, is come back to God and admits his failure. He is a great example of the grace of God and how forgiveness and reconciliation should work. He was forgiven by God, but did pay a steep price for his mistakes, from the loss of a son, to a rebellion by his children, and God telling him that he will not be the one to build God’s temple. But through it all he was loyal and God was with him. After my prayers for healing and a miracle, I did receive an answer, the dialogue went sort of like this:

Me: Please heal my Dad, let him live.

God: Your Dad is going to die, it’s his time

Me: But there is so much more I need to learn from him

God: He has already taught you everything you need to know.

That was it, the request was denied. The reality was going to set in over the upcoming months. The truth of the situation was that a miracle did happen on that mountain, it just wasn’t for my Dad, and it was for me. The only reason I was on that mountain, was because someone was told to bring me. During the trip, each person was given the floor to tell their own personal story of their life, of their faith, really of whatever. If my memory is correct there was 10 of us on that trip. I was one of the final three to talk. Although I didn’t really talk much, I pretty much just broke down and cried. All of the stuffing of my emotions the last year because I was trying to avoid them, just came out and I was a mess. It was what I needed, just to sit there in sadness, to be weak, to let out my feelings and to be real. To get to this process it took months and a trip to Canada to get me to where I needed to be. The final three to speak from the group all had stories to tell of the impacts of cancer on their fathers. From Katie who lost her Dad to cancer at 16, to our guest guide (whose name escapes me – ugh! I can picture her in my head though) she had guided the past couple of summers, but came back on this trip as she needed an escape as her Dad was nearing the end of his battle with cancer. She was from Vancouver, B.C. It was like I went from being on this lonely island dealing with things, probably the person to best relate to was my sister, but she was in Pullman and I was in Forest Grove, Oregon, which made that hard. I am not fond of talking on the phone, especially about my emotions! But, all of the sudden, I was  being surrounded by two amazing people who could related to what I was going through as they either were there or had been there before. Conversations with them was huge. I can’t express in words how big a moment that was for me. It is a big reason why I have the passion I do now to talk with others with brain cancer. Until you have been there, it’s hard to relate, hard to understand, and feel the pain, the confusion, the anger. The sequence of events on that trip up to the summit of Mt. Pearkes was not happenstance, it was not random, it was not luck, it was divine intervention and it came at a time when a broken down 21 year old needed it the most. That was the miracle that happened.  My belief is that somehow my Dad took a pass on his miracle that day.

The following year, I went back to Beyond.  My Dad past away that October.  My Aunt and Uncle had sent me a check to help cover the costs and told me to go back.  So I did.  This time I was again with my buddy Andy.  That year when asked why he was there and what his expectations were for the trip he said.  (paraphrased) “I know this mountain will not challenge me, but you all will.”  Famous last words, instead of perfect sunny weather, we endured a week of pouring rain, had to dig in an emergency camp as we were totally stuck in a whiteout.  It was so bad that you felt like you had vertigo as everything was completely white.  It is still to this day one of the worst whiteouts I have ever be in throughout all of my trips and climbs.  Although it was a physically tough and mentally challenging trip to deal with horrible weather that year, we still made the summit, but could not see a thing.  One big key to that trip is that there was also a girl on that trip who was a Young Life leader with Andy. She enjoyed going into the mountains and loved to hike and climb, her name was Jessica Thuot…