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On Episode 290, I chat with Sherry Chris, one of my favorite executives in real estate. I have seen her present numerous times at many different events, including every Inman Connect event since she discovered Inman News at a NAR Conference back in 1999.
Sherry was born in Quebec and moved with her family to London, Ontario at a young age. Real estate became a career right out of university and Sherry spent a number of years with Royal LePage, a large Canadian franchise.
Realogy came calling roughly 15 years ago and Sherry was instrumental in the launch of Better Homes and Garden Real Estate. She has since added ERA and runs the Expansion Brand Portfolio for Realogy.
Time Log
02:10 - You are an Ontario native, right? What part of the province did you call home?
04:50 - What is the biggest misconception Americans have about Canada?
06:15 - You attend university and receive your MBA from Ivey. What were your career plans at this point? Is it safe to say real estate was not part of the plan?
07:35 - How did real estate enter the picture?
10:25 - Very early in your career, you keyed in on remaining humble. Can you share your thoughts on how important this is, especially in today's digital world?
14:10 - After a long run with Royal Le Page, you make the move to the US. What prompted this change in direction?
15:30 - You join Realogy in 2006 and by 2008 you are CEO and President of Better Homes and Garden Real Estate. This is right in the middle of the Great Recession. How did you overcome this challenge?
19:10 - I have seen you numerous times on stage at InmanConnect events. It appears you and Brad have a tight relationship. Is that right?
23:40 - In my research I discovered the values you implemented at BHGRE. theAcronym is PAIGE. Can you share these 5 values?
27:55 - You are now President and CEO of Expansion Brands Portfolio at Realogy Holdings Corporation. What part of this role excites you the most?
31:15 - You serve on the Advisory Board for New Story. This is a great organization. Can you share their mission?
35:40 - If you could give one piece of advice to a new agent, what would it be?
Connect:
Find | THE REAL ESTATE SESSIONS
At Tresonline.com
Find | Bill Risser
On Twitter
On Facebook
On Youtube
Find | Sherry Chris
On LinkedIn
On Facebook
On Instagram
On Twitter
New Story
RATE & SUBSCRIBE
At Ratethispodcast.com/REsessions
On Apple Podcasts
On Google Podcasts
On Stitcher
THE REAL ESTATE SESSIONS PODCAST
Episode 291:
Host: BILL RISSER
Guest: Dr. BRAD O’CONNOR
Episode Summary
Meet our guest in this episode, Dr. Brad O’Connor, Chief Economist at the Florida Association of Realtors, currently based in Orlando, Florida.
Live at the Florida Realtors Convention 2021 at the REBarCamp in Orlando, I sit with Brad, who grew up in Dayton, Ohio, and he expounds deeply on the real estate and housing markets. He shares his perspective on the economics surrounding the market over the years and how it relates to the pandemic and current trends.
Top Takeaways:
“Prices are rising very fast… but you’ve got to go a little deeper into why that’s happening; prices don’t always rise for the same reasons.”
– [Dr. Brad O’Connor]
“The best thing you can do is read; read a lot.”
– [Dr. Brad O’Connor]
Don’t try to get there overnight; you’re not going to
– [Dr. Brad O’Connor]
Episode Highlights:
[00:30] Intro to this live episode
[01:24] Meet today’s guest “Dr. Brad O’Connor.”
[03:20] Did you always plan to become an economist?
[07:20] Building the connection with Florida Realtors.
[10:10] What were you thinking would happen as the pandemic started on “March 20th, 2020”?
[13:10] Discussing the reasons for the current housing shortage.
[16:00] How long before the builders catch up with population growth?
[18:10] Comparing the current rise in home prices with a similar occurrence in 2005.
[23:56] What do you see in the next five years?
[26:32] What advice would you give a new agent?
[28:51] How to contact Dr. Brad.
[29:49] Outro
Episode Notes:
Brad shares he didn’t particularly plan to become an economist but had several things he wanted to try out in college, which he did till he finally decided on Economics. After school, he knew he wanted to become an Economics professor. He later moved with his wife to Orlando when she got a job there, after which he got a job opportunity with the Florida Association of Realtors and is now the Chief Economist there.
Before the pandemic hit the U.S, Brad had started to prepare for the possible impact on the economy, and the initial expectation was for prices to remain stable. Fortunately, what was not expected was the speedy recovery of the market, with Florida being at the forefront in the U.S.
The current housing shortage, however, started before the pandemic. This occurred because, at some point, people got the idea that the cost of housing would continue to go up and consequently built a lot more houses than the demand at the time. After the great recession, many building companies were put out of business, while the few that remained have been very conservative in building. Due to the population growth afterward, most of the housing from the previous cycle was absorbed by 2013, and builders have been struggling to keep up with population growth. The pandemic only made the situation worse. The decline in construction due to inadequate building companies, workers, and skilled labor has been a significant factor in this housing shortage; hence the government is now creating incentives and awareness for more people to get involved with this line of business. Another long-term constraint is the inadequate supply of land for building as the population grows.
Brad compares the current rise in housing prices to a similar event in 2005, followed by a massive drop in price. Since 2011, the statewide median sale price of houses has not been down yearly. First, there is an increase in demand for housing because the millennials are more prominent in population size than the previous generation. Secondly, following the pandemic, people now prefer to relocate to other areas because of the flexibility to work from home. So, unlike the previous situation where demand for housing was going up due to business speculation that the price will go much higher, the current rise is due to the actual need for housing to live. Even house flipping is much lower than in 2005, which depicts a much safer situation. It shows that the demand is not majorly due to business interest which can quickly disappear after 2005. Additionally, if the market drops, there is already a shortage in supply, which will cushion the reduced demand on price.
Explaining that the market has gotten to the peak of how frantic it will be, Brad believes as prices keep going up, some of the buyers will step out. Consequently, the price will normalize back to the usual statistical pattern with no expected abrupt shifts over the next few years. In the rest of the year, there might be fewer sales, and the rate of price increase will slow down over time.
Brad’s advice to new agents: Many agents have benefitted from using statistics when working with clients. If it seems daunting, don’t worry, you don’t get there overnight. The best thing you can do is read, read a lot, like the news, Florida Realtors’ newsletters, or just related articles. If you read enough, you get smart and better interpret the statistics, which is a handy tool in your arsenal.
Resources Mentioned:
Connect:
Find | THE REAL ESTATE SESSIONS
At Tresonline.com
Find | Bill Risser
On Twitter
On Facebook
On Youtube
Find | Dr. Brad O’Connor
At [email protected] / [email protected]
On LinkedIn
RATE & SUBSCRIBE
At Ratethispodcast.com/REsessions
On Apple Podcasts
On Google Podcasts
On Stitcher
Thrilled to replay this fun chat I had with Phil last September. If this is your first time hearing this, enjoy!
Episode Summary:
Meet today’s guest, J. Philip Faranda, the founder and broker of J. Philip Real Estate based in Westchester County.
In this episode, I sit with Phil, who is based in the suburbs north of Manhattan, and he shares his unique insight on the real estate industry and describes his impactful experience working so far.
Top Takeaways:
“The hospitality industry is the only industry in my opinion that can make real estate look like a walk in the park.”
– [J. Philip Faranda]
“There’s no market you can’t break into if you follow best practices.”
“If the truth can kill it, it needs to die.”
– [J. Philip Faranda]
“Every single one of those 120million leads that are sold to Realtors every year, that’s some agent who didn’t take care of a customer.”
– [Bill Risser]
“It is clear to me that most Real Estate mistakes… it is downstream from something that was unbrokered or under- brokered.”
– [J. Philip Faranda]
“Everything you do today is a love letter to future you.”
– [J. Philip Faranda]
Episode Highlights:
[00:34] Intro
[01:16] Introducing our guest, J. Philip Faranda.
[03:00] About Phil’s background and interests.
[17:26] How Phil started in Real Estate.
[24:53] About Phil’s real estate company, J. Philip Real Estate.
[33:35] Discussing Zillow Real Estate marketplace.
[46:44] The Beverly Carter Foundation.
[53:03] Phil’s advice to new agents
[55:13] How to contact Phil
Email-
[56:25] Outro
Episode Notes:
After studying liberal Arts, Phil thought he would go into writing or teaching. Still, he started his first job was selling supplemental programs to Catholic schools, which he did for seven years while resisting opportunities to go into real estate with his friend. Eventually, he was offered an apartment and a monthly draw to work in Real Estate, and he took up a passion for Real Estate. He also shares that it fit his issues with attention, and he enjoyed the versatility in the experience.
At some point, Phil also took a year off to work as a Bartender and later worked in mortgages for five years. Doing this, he learned that there wasn’t much of a difference between real estate in Westchester and Manhattan, especially if best practices are followed. He took the course and started his company.
In describing the inspiration for his real estate company, J. Philip Real Estate, Phil shares that he had to go by J. Philip to differentiate himself from his father. So, he had to answer to the name J. Philip in school, which later became the name of his company. The brokerage grew and now has close to 100 agents. Phil had picked up blogging to keep himself sane after the market crash in 2008; however, it ended up boosting his brand, growing his following, and helping him recruit more agents as the blog created an impression that the company was more significant than it indeed was. Phil shares that he deeply enjoys blogging and all that comes with it.
Phil shares that his company was the first brokerage in his market to syndicate to Zillow marketplace ahead of everyone else. After he sent an email to Spencer Rascoff, former CEO at Zillow, pointing out a need for a change in the strategy of marketing Zillow, he was asked to be on the advisory board. After working there for a few years, there was some misapprehension towards the changes, but he believed it was necessary.
Phil believes that Zillow will have to reinvent itself to stay ahead of the curve. Addressing the concern agents have about competing with Zillow, Phil explains that most real estate mistakes come from unbrokered or under-brokered deals based on the poor performance of agents; as such, the focus should be directed at such poor practices.
Talking about his work with the Beverly Carter Foundation, where he served as President, Phil narrates experiences that made him realize how agent safety had been under-discussed in the industry. He started blogging on it, and not long after this, Beverly Carter was murdered, which got the industry to realize the need to protect agents. After discussing with Beverly’s son, Carl Carter, the foundation was started.
“Agent safety is a big thing not just from the point of view of getting home alive but going through your day without being harassed or targeted by creepy people.” Bill encourages listeners to listen to the episode with Carl Carter, Beverly’s son, and visit the Beverly Carter Foundation website to learn more.
Phil’s advice to new agents: Stay in touch with your database and past clients. After doing all the work to create a relationship with a client that results in a transaction, you have wasted future efforts if you don’t do any follow-up. “If you care about the future you, then stay in touch with your past clients and database.” Everything you do today is going to have consequences, so monetize your past successes.
Connect:
Find | THE REAL ESTATE SESSIONS
At Tresonline.com
Find | Bill Risser
On Twitter
On Facebook
On YouTube
Find | J. Philip Faranda
On LinkedIn
RATE & SUBSCRIBE
At Ratethispodcast.com/REsessions
On Apple Podcasts
On Google Podcasts
On Stitcher
Episode Summary:
Introducing today’s guest, Erinn Nobel, the Chief Cultural Officer at Real, a national brokerage founded in 2012. Born in Anchorage, Alaska, she now makes Bellingham, Washington, her home.
In this episode, I sit with Erinn as she discusses how she got into real estate and the changing trends in brokerage models that will redefine real estate in the future.
Top Takeaways:
“Culture is non-negotiable.”
– [Bill Risser]
“We really needed to define our purpose statement and our core values.”
– [Erinn Nobel]
Episode Highlights:
[00:32] Intro
[01:16] Meet today’s guest, Erinn Nobel.
[02:11] Erinn shares some of her background.
[04:56] What is the biggest misconception about Alaska?
[06:15] What were you planning to do before you started Real Estate?
[08:40] What encouraged you to join EXP Realty?
[15:25] What is Real Brokerage doing to take the idea of Revenue Sharing to the next level?
[18:04] What are some of the things you worked on as the Chief Cultural Officer of Real Brokerage?
[20:52] The role that Real Brokerage is playing in closing the gender gap in Real Estate.
[22:01] Erinn talks about Real Brokerage listed on the NASDAQ.
[23:56] Erinn’s advice to new agents.
[24:30] How to contact Erinn.
[25:19] Outro
Episode Notes:
Erinn is the Chief Cultural Officer at Real. Real estate was not particularly one of the options Erinn had considered while growing up, even in college. Being the daughter of an architect, she had a passion for quality design and graduated with a degree in Industrial Design. She had worked on space planning and design for offices, but while less busy at some point, she decided to get her real estate license to try to make some money and ended up going entirely into it.
Following the demoralizing recession around 2009, Erinn had decided to focus on implementing more tools to serve her clients better. Later on, she decided to research brokerage models and found the model and technology at eXp Realty to be a perfect fit for her. Her husband, who had a Ph.D. in cognitive science, also joined in at eXp.
The eXp national brokerage model is unique, with one brokerage in a state but many support staff scattered across the country. The traditional model of the bricks and mortar brokerage is not here to stay, agents are usually on the move, and they need a certain kind of technology to support it.
The founder of Real, Tamir Poleg, approached Erinn for insight on his brokerage model, which appealed to her. The brokerage uses both the “capped commission” model and the revenue share model but with an app-based working approach. Based on these new kinds of models, teams will be a dominant force in the industry. As an agent or broker, you can be licensed in one state and operate your team anywhere that the brokerage is open by adding licensed agents in that area under your team name.
Erinn’s first step as Chief Cultural Officer of Real was to carry out a culture exercise to define the business’s purpose statement and core values. The purpose statement is “to build a shared future together.” One of the primary core values of the company is “Work Hard, Be Kind.” Erinn explains that when bringing new leaders on board, they are first given an orientation on the company’s core values.
With over five women in leadership positions at the brokerage, it plays a significant role in closing the gender gap in real estate. This would most likely attract more talent from women looking to find a platform to achieve more in their careers.
Being listed on the NASDAQ is a considerable step for Real, opening the door to many potential investors. It also brings the reputation that the company is solid and they know what they’re doing.
Erinn’s advice to new agents: Interview as many brokerages as you can. You’re going to need support, especially in this market. It’s a tough industry right now, and having a great brokerage to support you as you kick off your career is instrumental.
Resources Mentioned:
Connect:
Find | THE REAL ESTATE SESSIONS
At Tresonline.com
Find | Bill Risser
On Twitter
On Facebook
On Youtube
Find | Erinn Nobel
On LinkedIn
RATE & SUBSCRIBE
At Ratethispodcast.com/REsessions
On Apple Podcasts
On Google Podcasts
On Stitcher
Juggling two careers is never easy. For The Machree Group real estate agent Mackenzie Grate, being an educator by day and a real estate agent in her free time is a challenge. But her passion for helping other people settle into their first home, as well as the amount of support she gets around her, fuel her to keep moving forward. “Mack-of-all-trades” Mackenzie sits with Bill Risser in this episode to share her knowledge about real estate investing, interior design, and supporting you in becoming financially independent. Tune in and be inspired by Mackenzie’s story as she walks us through her real estate journey.
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Today’s guest knows a thing or two about overcoming challenges as an aspiring figure in the real estate industry. Bennett Clark is a Realtor with RE/MAX Creative Realty and the Owner of Bennett Clark Properties, LLC. In this episode, he joins Bill Risser to share anecdotes of his career journey, their shared love of sports, his life in Kentucky, and how he got his start in real estate. Bennet shares the obstacles he faced as a young realtor and offers advice for those aspiring to enter the business. Tune in for expert tips and insights to help you get ahead!
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I do very few monologue style episodes, but once a year, as a colon cancer survivor myself. I share my journey, hoping it will get at least one person to get screened. Let's start with a resource that helped me and one I support. The Colorectal Cancer Alliance can be found at CCA.com
DONATE HERE
The Mission of the Colorectal Cancer Alliance
To empower a nation of allies who work with us to provide support for patients and families, caregivers, and survivors; to raise awareness of preventive measures; and inspire efforts to fund critical research.
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Celebrate National Colorectal Cancer Awareness Month by making a gift to provide access to high-quality screenings, care for patients and families navigating their colorectal cancer journeys and research to find a cure to end this disease in our lifetime.Your gift will be matched by a generous corporate partner, so you can make twice the difference this month!
Insert Episodes
3 words you don't want to hear? -
It is cancer.
Three words. Three life changing words.
According to the American Cancer Society, there will be 1,638,910 new cancer cases in 2012. Break that down daily, and 4552 people each and every day will hear those three words.
Wednesday, August 22nd was my day to hear those three words.
Here is a look at my week:
On Monday, I visited a gastroenterologist for my first colonoscopy. I turned 50 last year, so I knew this screening was necessary. I had put it off, but at my annual physical a couple months ago, Dr. D chided me for not getting it done. He gave me a couple referrals. I picked one and set up the exam for the first day of my vacation. I had heard all the horror stories about the prep work necessary, and I was not looking forward to it. Much to my surprise, the toughest part of the prep was no solid food the day before. I opted for Osmoprep pills, rather than the chalky drinks no one seemed to like. 32 pills and a few trips to the bathroom and I was ready for my appointment.
Other than the IV insertion (I’m a bit of a needle-phobe), the appointment was simple. I was sedated just prior to the exam and woke up quickly in the recovery area. Propofol is an incredible drug.
Dr T. came in to discuss what he found. Two polyps were removed and an “ulcer” was found in the sigmoid colon. He didn’t think it was serious, but he grabbed tissue samples and wanted them checked at the lab. He told Cindy and I he would call with the test results in a couple days.
Everyone can remember where they were when major events occurred in the world. Reagan’s shooting, the Challenger explosion or the Twin Towers falling all bring back vivid memories of where you were or what you are doing. On a personal scale, the same thing happens. I will never forget answering the phone as I drove up the Gilbert Rd off-ramp from the southern Loop 202. It was Dr T.
“We have the test results back” said Dr. T. I replied “OK”. After a slight pause, he said, “It is cancer”.
For me, there was no wave of fear, no feeling of nausea, no flood of tears. It was a desire to ask questions and find out what I had to do next. Fortunately, Dr T. did not feel I needed immediate treatment. His office would schedule a CT Scan (Monday ”“ 8/27). This is important as it will determine what stage my cancer is in, or to put it another way, if it is localized or has spread. Then, his office would schedule a surgery consult with a colorectal surgeon (Wednesday ”“ 9/5). There definitely will be surgery.
I mentioned my upcoming trip next week with Cindy to New York for the U.S. Open. He insisted we go. “Let’s get the scan done before you leave and we’ll get you in with the surgeon when you get back.” The lack of a sense of urgency was calming.
I sat for a moment, deciding who to call first. My wife or my son. I opted to call Kev first since I wasn’t totally sure how I would handle myself during the call and I wanted to “practice” with Kev before I called Cindy. It went very well, and Kev, much like his old man, wanted the facts and details.
The call to Cindy was just as smooth. What do we do next and let’s not get ahead of ourselves. Let’s follow the plan, stay positive, and get to the other side. She left work to come be with me the rest of the day. I told her she didn’t need to, but I’m really glad she did.
So, why this post on TPREG? One, I know Jay. He likes stories about life as much as he likes posts about escrow. He also hates cancer with a passion and I like riling him up. Secondly, this is a great platform to get the message out to all of you over 50 that have put off getting “scoped”. Why wait? Colon cancer, when detected early, has one of the highest cure rates. I’ve heard this many times, and I know you have as well, but I still waited over a year to get my colonoscopy done. If you are reading this and under 50, think of family and friends that need to get screened. Ask them to go get it done.
Finally, I would like to let everyone out there know one more thing. The three words that matter most to me right now?
I will win.
Episode 2 - Top 10 Takeaways from Colon Cancer Surgery - Sep 26, 2012
In last month’s post, I described my feelings and experience when you hear the news that the diagnosis is cancer. Since then, I have had a colon resection, or in regular speak, they cut out about 5 inches of my colon to remove the affected area, and then re-attached the two ends. Colon is good as new.
Below is my top ten list of takeaways as a surgery noob. Yep, 51 years old and I had never been admitted to a hospital before. When looking for clinics treat various conditions,
For some of you, my list may seem obvious. For any surgery virgins out there, keep this handy for your inevitable first time.
10. The surgical staff at Banner Desert Hospital is awesome!I have no other staff to compare my surgery and recovery crew to, but I can’t imagine there is a better team out there. From check-in to pre-op to recovery, they were amazing.
9. Let the student nurse insert your IVWhile getting prepped for surgery, the nurse introduced me to Melanie, a nursing student from ASU (Go Devils!) The nurse asked me if I minded if Melanie inserted my IV. I hate needles as much as anyone, but I figured why not get a little good Karma working my way and let her practice on me? Other than a little blood that spurted on her and the floor, she did a great job.
8. Phlebotomists are modern day vampiresNo one told me how much blood is drawn during a hospital stay and recovery. I made it to my hospital room at 8pm on Friday and by midnight Monday, no less than 12 blood draws were taken. Worst of all, it seems that most draws occurred between 10pm and 4am. Why that time? Easy. The phlebotomists are vampires. A vial for the lab, a vial for them. Combine that with the insane number of draws and it makes perfect sense.
7. Hyperextending your elbow during a blood draw makes it way easierWhile I’m on the topic, one kind, gentle, middle aged, non-vampire phlebotomist gave me a great tip about keeping my arm as straight as possible during the draw. It was amazing how much it helped. I will forever remember her tip and attempt to hyper-extend my elbow every time a vampire phlebotomist comes near me.
6. Walks around the nurses station can get competitiveRegardless of how much you hurt, if another patient is taking a walk at the same time, you become possessed to complete your lap faster than them. It just happens.
5. Time can stand still the first few days after surgeryThis one is unreal. A large clock is across the room from your bed. It is not your friend. I would wake up, look at the clock and the time was 1:15. I would fall back asleep, into what felt like a deep sleep and then wake up, look at the clock, and the time was 1:20. This happened more times than I can remember.
4. Hospitals are for sick people. Get out and recuperate ASAPEnough said.
3. Much like building a business relationship, create bonds with the nursing staff. It helps.Why wouldn’t you want a good working relationship with the people that can make you more comfortable? Banner Desert nurses were incredible.
2. Pain pumps rock!As soon as I was able to understand how the pain pump worked, it became my little friend. When the light turned green, all I had to do was push it for a little morphine in the drip. If offered, always accept the pain pump.
1. There is nothing better than seeing your spouse come through the door.I told my wife prior to surgery that I did not want her holding a vigil in my hospital room. If I was sleeping, take advantage of the time to get home and get some rest or take care of things she needed to do. I told her I had around the clock care so I would be fine. However, to be honest, on the rare occasion she was not there when I woke up, I really wished she was.
Update My surgery was Friday, September 14th. Monday night, September 17th, Dr Buckmire dropped by with the pathology report. He was able to grab 15 lymph nodes near the cancer site. 9 tested positive for cancer. It only takes 1. Much like I knew surgery was going to happen when I heard the words “It is cancer” after the colonoscopy, I knew immediately that chemotherapy was the next step. No ifs, ands or buts.
That process starts this week with oncologist appointments. I will be interviewing at least two, maybe more. From my doctors, and cancer survivors I’ve talked to, I’m looking at treatment that lasts something in the 6 month range.
Bring it on.
Episode 3 - Therapy Treatment Begins - Oct 23. 2012
Let’s do a quick recap.
August 20th – Routine colonoscopy because I’m 51. Find a lesion. Sent to lab for testing
August 22nd – Doctor calls and says “It is cancer.”
August 29th – Take wife to US Open in NYC for our 25th anniversary because doctor said it was ok to go.
September 14th – Get colon resection surgery to remove cancer and part of my colon.
September 17th – Told by surgeon it is Stage 3 cancer and I will need to see an oncologist.
September 25th – Meet Dr Mendoca, my oncologist. She says, “You are a very lucky man.”
October 18th – Get PET Scan (Positron Emission Tomography w/ radioactive sugar water!)
October 19th – Get Power Port installed in my left chest.
That brings me to today. October 23rd. My first of 12 therapy treatments to rid my body of cancer. I know it is “chemotherapy”. I also know everyone calls it “chemo”. I am choosing to use the other part of the word and call it “therapy”. Why not?
Cindy and I arrived at the doctor’s office for my 10am appointment. First, we meet with Dr Mendonca. She confirms the PET scan did not show anything abnormal, which is good. A quick look at my surgery scars and we head on over to the “lounge”. It is filled with patients. One woman is knitting. Another woman is sleeping. Many are reading. I do not see a single laptop, until mine comes out of the backpack. Really good wifi and lot’s of power. It will be easy to get a lot of work done here.
As a newbie, it’s easy to spot the veterans. They arrive, grab a seat, and easily strike up a conversation with the nurses. That will be me soon. The nurses here are awesome. They sit and visit patients, discussing their treatment or asking how their family is doing. I am going to like it here.
Diane, one of the nurses, comes over to say hi and get my therapy started. A special needle is jabbed through my chest into the port. Just a little pinch and it’s in. Cool. I will have this connected to the port in my chest for 48 hours. More on that later.
First, I receive a couple different medications to help with nausea. After that, it’s time for part one of my cocktail. It’s a combination of oxaliplatin and leucovorin. It takes a couple hours for this part of the treatment.
Part two has to be infused slowly, that’s why I have to stay connected for 48 hours. It is a drug called 5-FU (Fluorouacil). This requires a pump or “party ball” as the nurses call it to be installed. This rubber ball will be attached and pump 5ml an hour into me until empty. Cindy and I are still trying to come up with the right way to carry this around. One suggestion, from Lou in Idaho, is to get a chalk bag from REI. These are used by rock climbers and they connect to your belt and are the perfect size for the pump. Lou knows this because she went through the exact same therapy treatment a few years ago and is still cancer free. Two days later, I return to the office to have the empty party ball removed.
The above therapy will happen 11 more times. Every other week until we are done. It looks like I will get a break Thanksgiving week as no one will be around on Thanksgiving Day to remove my party ball. I’m fine with the week off.
The toughest part of therapy is yet to come. I’ve discussed the side effects with Dr Mendonca and the nurses in the lounge. No hair loss, but maybe some thinning. I can handle that. Possible nausea but with today’s meds, it is totally controllable. Neuropathy is highly likely. Tingling, numbness, sensitivity to cold or even pain in the hands, feet, arms and legs are the main symptoms of neuropathy. There is also an overall malaise that many people experience on this regimen. Everyone is different. I like knowing what may or may not happen. I also believe a positive attitude can make a difference.
It really is a simple choice.
Like choosing to call my treatment therapy.
Episode 4 - Chemo and Caffeine - A True Story - Nov 20, 2012
This is part 3 of my ongoing series as I detail my experiences in my battle with colon cancer.
Last month, I covered my first visit to the infusion center. Today, I would like to tell a story that just might help others caught in the same position down the road.
The list of possible side effects for my treatment is long. Fatigue, muscle ache, nausea, neuropathy, constipation, diarrhea (both?, huh?), etc. The list goes on and on. So when I found myself extremely tired with a killer headache right after my first session, I chalked it up to the therapy. A little nausea was handled with the meds supplied by my oncologist. I was expecting these symptoms to last a day or two, based on conversations with the staff at the oncology center as well as past colon cancer patients.
7 days later, I still was not “right”. That’s when it hit me. “It” being the nearly gallon a day of diet soda I consumed over the past couple decades. Due to the immediate onset of neuropathy right after my first therapy session, I could not drink any cold drinks without experiencing a severe scratching sensation as I swallowed. So, I went from roughly 800mg of caffeine a day to zero on the same day I had my first treatment. Combine that with the fact that I had never tried to kick the caffeine habit before, and it’s easy to see that I attributed all of my distress to the chemotherapy. Unfortunately, I do not like hot caffeinated drinks. No coffee or tea. Either one of these would have prevented my caffeine withdrawal symptoms.
Now, this is usually where the lectures about the evils of diet soda start. Trust me, I have heard them all. I have had a total of one can of soda (room temperature) since October 23rd. I have consumed more water in the last 2 ½ weeks than in the last 2 ½ months. I am going to use my therapy as an opportunity to rid myself of the diet soda habit.
As for the caffeine, I am now taking about 250mg a day to keep me level. I will also wean myself off of caffeine eventually. It is just not prudent to try to do it at the same time therapy begins.
My takeaway? I will always ask anyone heading down the chemotherapy path the following question. “Is your caffeine consumption primarily from cold drinks?” If the answer is yes, then they need to be warned about neuropathy side effects and caffeine withdrawal and to be prepared to supplement caffeine when treatment begins. In fact, if you are reading this post, you can now issue the same warning.
Therapy Update
As I type this, I am about a week removed from therapy session No. 2. The symptoms were much more manageable with some caffeine in my system. Neuropathy and fatigue are my main issues. There is a cumulative effect as the treatments continue, so we will have to wait and see if the recovery period starts to lengthen.
Tales from the Infusion Center
At every therapy session, I have to hang out at the infusion center for 3.5 to 4 hours. I get a comfortable recliner, wifi, power, and roughly 12-15 comrades undergoing their own therapies. As you can imagine, it is quite a range of personalities. A few sleep during treatment. A couple like me bring laptops and iPads. Still others sit and visit. But the most entertaining compadre so far was at my last session. We’ll call him Ned. I have no idea what his real name is. Ned and his wife, Nadine (again, made up) are probably in their late sixties, early seventies. He sat next to me and I cleared my stuff off of the table between us to give him some room. Out came a portable DVD player. Good, I thought. I had work to do and I was afraid Ned would want to talk.
So Ned gets hooked up, and he’s full of jokes and one-liners. Some funny, other not so much. His wife and the nurse humored him, so all was well. Ned settles in to watch his movie, inserts his earphones, and upon starting the movie, does not realize he does not have the earphones completely plugged in. The entire infusion center was treated to a scene from, I think, “The Untouchables” for about 20 seconds. It took this long for Nadine to realize what Ned had done and to loudly bring it to his attention. I’m pretty sure Ned just thought the volume in his ear buds was kinda low.
About a half hour later, Ned
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