ANTHONY R. VIZZARI | ARCHTOGRAPHIST

Sent from Mail@anthonyvizzari.com's mobile device from http://www.cnn.com. Neglected graves home to 'invisible dead' Duncan Shropshire stops at the edge of the treeline, where the meadow becomes a forest. His yellow linen shirt is misbuttoned and crooked, leaving the bottom of his belly slightly exposed. His 8-year-old daughter, Mia-Grace, stands a foot or so behind him, wiping her runny nose with the sleeve of her blue sweatshirt. After about a minute, she lets out a sigh of boredom. Shropshire, 51, clasps his daughter's hand and begins leading her into the Northwest Georgia forest. "This is where your ancestors are buried, back here," Shropshire says. "C'mon, I'll show you." And with a loving tug, Duncan Shropshire shares with his daughter a key piece of their family's history. Still holding ha

My book case february, 2011: #2

My book case february, 2011: #1

It was nice to visit with you again this winter, in Milford....

I had a very good visit with Dr. Reidy at Sloan. We spoke in depth about the merits and pitfall of the proposed treatment courses. In a nut shell, there is no free lunch here. You can't get benefits from any of the inhibitors / chemo without some kind of side effect. We have chosen to go with the TEM + XEL Chemo route. The good news is that it's oral medication. That bad news is that it's in a sense, traditional nasty chemotherapy. The more aggressive tumors should respond very well to this treatment. That said, we have decided to wait for another MRI in April to review disease progression. At first glance, this seems counter intuitive. Dr. Reidy noted, we don't really have a full understanding of the progression of the disease. That is, we've only seen these 2 new nodes crop up in the last six months. Therefore, it might be possible that it's not moving as fast as we think it is. While these tumors appear to be aggressive, as pathology and scans seem to ind

Spent a good chunk of time chatting with Dave at the Impossible Project. Coming soon, IP film to our studio in Chicago!

My EUS was canceled yesterday (after being admitted - they almost had the IV started). Prior to the procedure, I spoke with Dr. Patil (Radiologist) at length and he did not think the EUS was necessary. I think there was some confusion as to a need for the exam... but we both agreed not to move on it. -I am comfortable with this decision. The concern for EUS per Dr. Baum was to see if there was another tumor on the Pancreas. Per Dr. Patil, he was 99% sure this was not the case after further review of the scans. And as he put it, even if there were new pancreatic tumors, any future chemo or systemic treatment would be aimed at addressing them. (i.e., the EUS would be invasive and superfluous). Also, as Dr. Patil noted, a secondary Pancreatic cancer with different pathology would be very unlikely. So, while it is possible that there is new node and pancreas involvement, it doesn't matter much. Drug treatments will be systemic. * note the round hot spot in the images composed in Bad B

The back door of a sweet mexi-bus.... San Francisco, 2010 Tomorrow I go in for an EUS at RUSH. (FYI: EUS exams suck...). Then, Thursday I head to NYC to meet with Dr. Reidy at Sloan Kettering. Basically, I'll be consulting her about my options. I'm looking for a third party opinion. Sloan is not particularly known for their PNET work, but Dr. Reidy has proven to me to be a "smart cookie" with honest intentions. Frankly, the "US NET experts" have been less than impressive. (i.e., Mt. Sinai, LSU, Iowa, Etc.... I exclude UNMC in this category because they don't explicitly claim to be NET experts, just damn good surgeons and people...). Once I have some more info and advice, I'll take the next step. It's going to be chemo, inhibitor drugs, surgery, or a combo of sorts. None of the options are great.... and I really like my hair. As before, I feel fine. I've never felt sick. I only feel bad after I'm sliced, diced, drugged, poked and prodded.

If eating crepes is wrong.... I don't want to be right!

just a small piece of plastic keeps you from touching the sun...

Sunken ship of 'Moby-Dick' captain found In an instance of truth being stranger than fiction, American author Herman Melville turned to a horrifying ordeal as inspiration for his 19th-century classic "Moby-Dick." In 1820, the Nantucket, Massachusetts, whaling vessel Essex was rammed and sunk in the South Pacific by a sperm whale. George Pollard Jr. and his surviving crew, initially using three small boats that were aboard the Essex, resorted to cannibalism while they drifted in the open ocean for more than two months before being picked up by other vessels. The sea truly must have been Pollard's mistress, for he took command of another whaler. The captain and Two Brothers were off Hawaii on February 11, 1823, when the ship hit a shallow reef. The terrified crew, clinging to small boats, was rescued the next day by a fellow whaler. Some 188 years later, maritime heritage archaeologists, working with the National Oceanic and Atmospheric Administration, found the Two

We're about ready to head back to Madrid. I had no idea that Gaudi was hit by a bus... During the biggest comission of his life, and greatest monument in Barcelona... he is hit by a bus. That just sucks.

A Door in Barcelona, Spain: Eqyptian Queen... Skullman: A doorway in Madrid, Spain... A Shop Window: Madrid, Spain... A Different Shop Window, Madrid, Spain... 2 years ago this week, I recieved my official diagnosis via a dry phone call. So, I've made it this far. The last two years have been overwheling. We've traveled to mutiple countries, expanded the business more than twice, bought a second home, and had a major surgery. It's absoluately amazing all that has happend in a short amount of time. When I have chance to get away a visit a new place, I can breathe and think. I know that it's time, once again, to regroup and take up the cancer reins again. For 4-5 months, I felt as if it were gone. But the reaity is, it is still there. Things may get worse before they get better. However, I will continue to move forward with a passion and pursuit for discovery and new exepriences. There are many more walls and streets and doorways to meander. Madrid was exciting... and

These are notes from Prof. Baum in Germany. I think it helps explain the current condition and proposed treatment regimen better than I can. "Anthony has several extremely hypermetabolic (FDG-avid) lesions, which usually is a sign of tumor aggressiveness. Therefore he has – according to the new NANETS/WHO classification of 2010 (see attached) – a so called mixed neuroendocrine carcinoma (see page 609) which was also confirmed by the immunohistochemical studies we have performed on his primary tumor in the pancreas tail and the liver mets." "I proposed to him yesterday exactly TEMODAR+XELODA for chemo (A more aggressive alternative (if this combination fails) would be Cisplatin+Etoposid.)" "However, one could try first SUTENT for 4 weeks (approved for pancreatic NET in Europe) or NEXAVAR (Sorafenib) or AFINITOR (Everolimus), then repeat the FDG-PET/CT and measure the metabolic response to the treatment with one of the kinase inhibitors. If it fails, then pe