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Never Give Up
  Michael Dougherty
    July 15, 2008
May 2005: Top of the World

 •   40 years old
 •   Just married the love of my life
 •   Perfect honeymoon
 •   Pregnant by September
December 2005: This can’t
     be happening
• Day after Christmas, Jennie starts
  bleeding
• Spend New Year’s in the
  emergency room
• Middle of January, James, our son,
  dies at 20 weeks
March 2006: Bad to Worse
• Lump under my ear turns into salivary gland
  cancer
• This is what the CT scan of lungs said:
• “Multiple nodules, bilaterally too numerous to
  count”
   – May 2006
• How I felt:
• “We’ve been looking for the enemy for some
  time now, we’ve finally found him, we’re
  surrounded, that simplifies things”
   – Lewis “Chesty” Puller, 37 year USMC, most
     decorated marine in history, upon landing in Korea
     1950
May 2006: Panic

• Lung surgery removes largest nodule,
  confirming worst fears, lung mets
• Cross country odyssey: Stanford, MD
  Anderson, Memorial Sloan Kettering,
  2nd, 3rd, 4th opinions
• Opinions are all over the map
July 2006: Radiation

• 6 weeks of head and neck radiation
• Lose all sense of taste, barely able to
  eat
• Maintain weight, thanks to Jennie
• Develop lifelong aversion to Ensure
September 2006: Lung
         Surgery #2
• Assemble team that agrees we should
  pro-actively remove “too numerous to
  count nodules”
• 8 hour double thoracotomy reveals 10
  nodules
• Pathology confirms only 4 are cancer
• Surgeon is giddy
November 2006: Chemo

• 3 – 4-day cycles of Cisplatin and 5FU,
  over 9 weeks
• Nasty, nasty
• Manage to walk every day, and
  maintain weight
• Chemo ends the week before
  Christmas
Goodbye 2006

• And good riddance
• Hello 2007
• Never been more excited for a
  New Year’s Eve in my life
March 2007: New year,
         new scan
• All Clear!!
• Surgery and chemo have slowed
  things down
• Chance to breathe
May 2007: Another scan

• All Clear again!!
• Starting to feel like we may be ahead
  rather than chasing
• OH, By the way … A miracle!
August 2007:
Charlotte Hope
September 2007: Scan time

• A couple of buggers appear
• Nothing bigger than 10mm, looks like
  a total of 4
• Very small
• Not surprising, most likely were left
  behind by the surgery
• Not necessarily new buggers
November 2007: Cyberknife
• Highly targeted radiation shot directly
  at nodules in lungs
• Objective: Obliteration
• Fiducials (gold markers), are placed
  down my throat into lung next to
  nodules
• Groundbreaking, now Cyberknife has
  something to aim at
• For 10 hours and 4 days, Zapped!
April 2008: Scan

• 3 buggers remain, but no new ones
• Very good news
• Of the 4 we Cyberknifed, it looks like 3
  were obliterated
• Might as well Cyberknife again
• July 2008: Fiducials placed, ready to
  go
Mr. Toads Wild Ride
• What have I learned?
  – Stay tuned
• How have I changed?
  – Cut out sugar, most animal protein
  – Weekly acupuncture
  – Take 40 immune supplements per day,
    including non FDA approved drug
    imported from Panama
  – Pump my heart, 1 hour a day, walk, run,
    bike
• How do I feel?
I Feel Good!
Don’t back down

• “You can back me up to the gates of hell
  but I won’t back down”
  – Tom Petty, “Don’t back down”
• “Don’t give up, don’t ever give up”
  – Jim Valvano, (1946-1993), V foundation for
    cancer research
• “Never give up, Never slow down, Never
  grow old, never ever die young”
  – James Taylor, “Never die young”
• “If I keep moving, it can’t get me”
  – Lance Armstrong, “It’s not about the bike”
Attitude is everything

•   You are stronger than you know
•   Believe in yourself
•   Courage
•   Perseverance
•   Push the envelope
With hope anything is
      possible
With hope anything is
           possible
• “Get busy living or get busy dying”
• “Hope is a good thing, may be the
  best of things, and no good thing
  ever dies.
  – Morgan Freeman, Shawshank
    Redemption
Perspective

• You must live in the present
• It’s the only time we have
• Take chances, push fear from your
  mind, what are you afraid of?
• Tell people you love them
• Say you’re sorry
• Don’t postpone things
• Stop feeling sorry for yourself
Develop compassion

• For others
• Be helpful and kind
• Somebody always has it worse
• Give back, you have the power to
  change someone's life
• “Put a little love in your heart, and
  the world will be a better place”
    – Mary Mary
Take it one day at a time

• It’s going to be a good day or a great
  day
• Sloooooow down
• Carpe diem
• Appreciate life
• “You’ve got to stop and smell the
  roses along the way”
  – Mac Davis
Once a day: Good Belly
        Laugh
And when in doubt …
    • You dance
I Believe in Happy
      Endings

Thank you for giving
me this opportunity!!!

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Never Give Up - Mike Dougherty 2008

  • 1. Never Give Up Michael Dougherty July 15, 2008
  • 2. May 2005: Top of the World • 40 years old • Just married the love of my life • Perfect honeymoon • Pregnant by September
  • 3. December 2005: This can’t be happening • Day after Christmas, Jennie starts bleeding • Spend New Year’s in the emergency room • Middle of January, James, our son, dies at 20 weeks
  • 4. March 2006: Bad to Worse • Lump under my ear turns into salivary gland cancer • This is what the CT scan of lungs said: • “Multiple nodules, bilaterally too numerous to count” – May 2006 • How I felt: • “We’ve been looking for the enemy for some time now, we’ve finally found him, we’re surrounded, that simplifies things” – Lewis “Chesty” Puller, 37 year USMC, most decorated marine in history, upon landing in Korea 1950
  • 5. May 2006: Panic • Lung surgery removes largest nodule, confirming worst fears, lung mets • Cross country odyssey: Stanford, MD Anderson, Memorial Sloan Kettering, 2nd, 3rd, 4th opinions • Opinions are all over the map
  • 6. July 2006: Radiation • 6 weeks of head and neck radiation • Lose all sense of taste, barely able to eat • Maintain weight, thanks to Jennie • Develop lifelong aversion to Ensure
  • 7. September 2006: Lung Surgery #2 • Assemble team that agrees we should pro-actively remove “too numerous to count nodules” • 8 hour double thoracotomy reveals 10 nodules • Pathology confirms only 4 are cancer • Surgeon is giddy
  • 8. November 2006: Chemo • 3 – 4-day cycles of Cisplatin and 5FU, over 9 weeks • Nasty, nasty • Manage to walk every day, and maintain weight • Chemo ends the week before Christmas
  • 9. Goodbye 2006 • And good riddance • Hello 2007 • Never been more excited for a New Year’s Eve in my life
  • 10. March 2007: New year, new scan • All Clear!! • Surgery and chemo have slowed things down • Chance to breathe
  • 11. May 2007: Another scan • All Clear again!! • Starting to feel like we may be ahead rather than chasing • OH, By the way … A miracle!
  • 13. September 2007: Scan time • A couple of buggers appear • Nothing bigger than 10mm, looks like a total of 4 • Very small • Not surprising, most likely were left behind by the surgery • Not necessarily new buggers
  • 14. November 2007: Cyberknife • Highly targeted radiation shot directly at nodules in lungs • Objective: Obliteration • Fiducials (gold markers), are placed down my throat into lung next to nodules • Groundbreaking, now Cyberknife has something to aim at • For 10 hours and 4 days, Zapped!
  • 15. April 2008: Scan • 3 buggers remain, but no new ones • Very good news • Of the 4 we Cyberknifed, it looks like 3 were obliterated • Might as well Cyberknife again • July 2008: Fiducials placed, ready to go
  • 16. Mr. Toads Wild Ride • What have I learned? – Stay tuned • How have I changed? – Cut out sugar, most animal protein – Weekly acupuncture – Take 40 immune supplements per day, including non FDA approved drug imported from Panama – Pump my heart, 1 hour a day, walk, run, bike • How do I feel?
  • 18. Don’t back down • “You can back me up to the gates of hell but I won’t back down” – Tom Petty, “Don’t back down” • “Don’t give up, don’t ever give up” – Jim Valvano, (1946-1993), V foundation for cancer research • “Never give up, Never slow down, Never grow old, never ever die young” – James Taylor, “Never die young” • “If I keep moving, it can’t get me” – Lance Armstrong, “It’s not about the bike”
  • 19. Attitude is everything • You are stronger than you know • Believe in yourself • Courage • Perseverance • Push the envelope
  • 20. With hope anything is possible
  • 21. With hope anything is possible • “Get busy living or get busy dying” • “Hope is a good thing, may be the best of things, and no good thing ever dies. – Morgan Freeman, Shawshank Redemption
  • 22. Perspective • You must live in the present • It’s the only time we have • Take chances, push fear from your mind, what are you afraid of? • Tell people you love them • Say you’re sorry • Don’t postpone things • Stop feeling sorry for yourself
  • 23. Develop compassion • For others • Be helpful and kind • Somebody always has it worse • Give back, you have the power to change someone's life • “Put a little love in your heart, and the world will be a better place” – Mary Mary
  • 24. Take it one day at a time • It’s going to be a good day or a great day • Sloooooow down • Carpe diem • Appreciate life • “You’ve got to stop and smell the roses along the way” – Mac Davis
  • 25. Once a day: Good Belly Laugh
  • 26. And when in doubt … • You dance
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  • 107. I Believe in Happy Endings Thank you for giving me this opportunity!!!

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