June Breit's Story

Mesothelioma is a stealthy enemy that lurks unseen for decades, then suddenly springs a deadly ambush,
For me, the ambush began with vague respiratory symptoms that I initially chalked up to flu.
I was in my early fifties, in excellent health. My husband and I regularly hiked and biked the recreational trails near our home, and I was an avid swimmer and free-diver. I had no association with asbestos that might have linked my symptoms to asbestos-related cancer.

When the symptoms worsened and I became overtly short of breath, my primary physician suspected walking pneumonia.
We were both startled when xrays revealed not an infection, but a massive amount of fluid on my left lung. My chest was subsequently tapped for over 3 quarts of fluid that laboratory tests deemed "unremarkable".
Less than a month later, the fluid recurred, and my doctor scheduled a thoracoscopy, a procedure that examined the pleural space of my lungs through an endoscope.
During the procedure, a biopsy was taken of some tiny lesions clinging to the membranes of my lungs. Meanwhile all the doctors involved kept reassuring me that there was really nothing to worry about since my lungs themselves appeared healthy.

True terror set in when the biopsy came back as positive for malignant mesothelioma, epithelioid type.,
As a Registered Nurse with nearly 30 years experience I knew that the diagnosis was considered a death sentence. The thoracic surgeon confirmed this when he advised me to "go home and get my affairs in order".
Unable to fully digest the news, my husband and I began a frantic search for information that might provide some measure of hope.

Ultimately, I located a handful of physicians at national medical centers that specialized in treating meso.
    Because there is no "gold standard" when it comes to meso, deciding on a treatment boils down to personal choices and beliefs. Even with a healthcare background, it was hard for me to make a decision- the choices all seemed so dreadful, and there were no guarantees of success.
Weighing the limited options was agonizing. What if I underwent extensive surgery or heavy duty chemotherapy only to spend the last few months of my life in pain.
Was it better to do nothing?. All the while I felt time ticking away, and dread that my tumour would grow.
There was nothing to do but plunge in and hope for the best.


   I was fortunate not to suffer any major complications from the EPP surgery. But still, recovery was difficult.
The after effects of the surgery, chemo and radiation combined included chronic pain, shoulder drop, scoliosis and a decrease in stamina.
        Because extended survival with meso was essentially uncharted territory, there were  few  guidelines to help me navigate my recovery. I went through a great deal of trial and error before I was able achieve optimum pain control, and I required Physical Therapy to help me compensate for the impact of surgery on muscle systems and body posture.
The biggest surprise came when I tried to swim: I sank like a stone instead!

Turns out you  need two lungs to be able to float, so now I use my grand daughter's

"noodle" when we go to the pool.


So here I am, nearly five years later, despite the gloomy prognoses, and still going strong. In these five years, I've met some truly amazing people, and though I've mourned the passing of many of them, there are more and more stories that end with survival.
That's a miracle to me, and a glimpse of what might yet be accomplished if meso research received the funding it deserves.

I now devote my energy towards bringing about the necessary changes in attitude that will see the meso "death sentence" become a thing of the past. I hope that in another five years we will not need these stories of hope; instead, hope will be, well, as natural as breathing.

Wedding Day Photo

Email received today, Saturday 4th April 2009

Dear friends in the Meso Community.

I consider you to be my second family in many ways, and have shared a lot of things with you as a result.
I want to share one last thing, not for sorrow's sake,
but because I wish to hold nothing back, and because I want to urge you all to go forth and change this world for the better.

I have been deteriorating over time, and saw my meso specialist yesterday in order to see what strategies he might have to suggest.
As I feared, the hat is empty of magic tricks, and there is nothing left to do but get my affairs in order and make as graceful an exit as is possible.

I have been so lucky in so many ways, as that same advice was given me over 7 years ago, and I chose to fight, gaining myself those years to spend with family and friends.
But now, like so many warriors before me, I have run out of options. I will be calling in Hospice services, and will no doubt be increasingly involutional in my activities as I wind down my life.

I have been told that it is not unreasonable to plan to attend the Meso Symposium in June, but beyond that, things get doubtful. So, hopefully I will get to see many of you in DC!
For all of you, I want to say thanks. Thanks for your commitment to eradicating this horrible disease, and for the kindnesses and encouragement you have extended to me personally.

I also want to say, please fight on. I will be doing so until I no longer can. I want to spread the word to others, and let them know that here but for the grace of fate go I: what happened to me could easily happen to them - we ALL must raise our voices and insist on a ban of asbestos and a cure for meso.

If I can help by sending you any of the advocacy material I have amassed over time, please don't hesitate to ask. To have my life curtailed because of a preventable cancer is the most frustrating thing imaginable. And when I think of all those who are so much younger than I, with so much more of their life unlived, who are facing the same unnecessary end, I am filled with righteous rage.

We as a nation and a society have the power to do so much good, yet we throw money away on celebrities, athletes, and other folly, leaving our fellows to suffer the ravages of diseases we have created through our own short-sighted greed.
I had hoped to live long enough to see a cure - if not for myself, then for the others who follow. Please keep fighting to make it so, and I will go in peace with that promise warming my heart.

Love and hope,

June Breit  

Also dated the 4th April

In response to a post you had on ACOR, I had put a message on the MARF bulletin board asking folks to send their stories to you for your website. I would be happy to have you put mine there and have attached it to this email.

Basically, the story I'm attaching is missing a few updates: my meso returned in October of 2007 in my remaining (right) lung. I was able to stabilize it with 3 cycles of Alimta and the sealing of my pleural space, but the chemotherapy caused lung inflammation that left me dependent on supplemental oxygen. Recently, I began having even more trouble breathing, and it turns out that my meso has spread via my lymph system and is all through my right lung.
I would not be able to have any treatment, as chemotherapy would probably kill me. So, there is nothing left for me to fight with.

I HATE this disease, and pretty much consider myself to have been "murdered" by a society that chose to let asbestos be used even though it was known to be toxic.

I spent a wonderful 8 weeks when I was 40 years old, travelling all through Australia and NZ. I thought NZ was the most beautiful place I had ever seen, and seriously considered moving there (If I hadn't met and married my husband, I probably would have.)

To this day, I crave the potatoes I had when I was there. I believe they're called kumera (koo mer rah) and they were the best thing I ever tasted - couldn't get enough of them!
Anyway, my story is attached. See if it meets your needs and let me know if you want anything else. I've also attached the brochure I use in my advocacy efforts. It's designed to be printed front and back, then tri-folded. Maybe you can adapt it for NZ?  I'll look through my stuff and see what else might be useful, and send it along.

God bless you for your website and for spreading awareness!

Fondly, June Breit

Butch and June out on the deck.

I'm so sorry I'm making you "hunt and peck" at the keyboard!
But I am so honored that you are keeping the stories alive for all the brave meso warriors who have fought and lost. We have to change this somehow, and turn complacency into caring, indifference into awareness. Sites like your's DO make a difference, and I bless you for the effort!

June,


More from June
Dated 23rd April 2009

Dearest friends,

I've decided to postpone Hospice while I try for one more rabbit out of the magic hat. There is a small study in Australia that shows some response from a drug called Sutent, an oral chemotherapy agent used in renal and intestinal cancer.
When tried on meso patients who had exhausted other chemotherapies, about 15% showed improvement /stabilization. Sutent has some worrisome side effects, so my oncologist insists on half dosage for me, along with close monitoring of lab results.

The odds are slim, especially with the lowered dosage, but I didn't want to throw in the towel without availing myself of all the reasonable possibilities. With luck, this may give me some additional time on this planet, and strengthen the case for Sutent as an option for patients who are in the same leaky boat as me. We'll just have to see.....it may do nothing at all to change the course I am on, or it may be a godsend - won't know if I don't try.
One of my doctors opined that it was "merely postponing the inevitable", but that's life in a nutshell, isn't it?

I started the Sutent yesterday, and it is my fondest wish to have good news to report in a few months' time. But whatever happens, thanks for hanging in there with me on this journey - you are the BEST!
Love, June

I replied to this letter,
Hi June,
I am so pleased that you have found something else that may in the end prove to be a Godsend for you and others. I always believe that we are put on this earth for a reason. Perhaps this is yours and it will succeed for you.
It is about hope isn't it. And when it is given to you
"GRAB IT WITH BOTH HANDS AND MAKE THE MOST OF IT"

And perhaps one of the doctors remarked "merely postponing the inevitable" So what !
If it was his life I bet he would have all his colleagues out there looking for some help for him.
Who is to say it's not the best thing to happen for you.

I am just so pleased for you, that you haven't thrown in the towel yet. Don't do it. Once you lose hope I'm sure your body begins turning out the lights and there may be no turning back.
Would you allow me to add your continuing story on with your ongoing mail. There are so many people that need to hear about good things like this. That there is still ongoing studies for those with mesothelioma. That they are not forgotten. Love from Deidre

June's reply to this
Deidre,
Absolutely use anything you think would help others. Believe it or not, I'm actually a fairly private person, but when it comes to mesothelioma, I decided to live my life "out loud" so that others might learn from it and gain something they could use to fight the disease.
My friend says that when bad things happen to you, you should be a "starchild" and shed light instead of tears.....that's what I hope I'm doing in some small fashion. Love, June

You know June, you really are very special. I do hope you will continue sending results as you go along. How you feel, side effects etc. Ask your doctor what you are allowed to disclose about the drug you are using in case they do not want details posted on the net. He may interested in just looking at my site, to show him how people are living with meso and not just giving up and dying,
love from Deidre

Deidre!
I tell everyone I meet about your website, and encourage them to send you their stories. Even posted it on the MARF website a while back. You are doing important work in awareness, and every story helps to tell the big picture.
I am trying to stay active myself, but it is a struggle. My fatigue and shortness of breath often get the best of me, and there are days when it is all I can do to get out of bed. Still, I know how lucky I am to have had 7 years after my diagnosis - so many people I have met got far less time, often, only months. It isn't fair....
I just read a research article that says many people who end up with meso also have other cancers. This is very intriguing to me, as I know a number of meso patients who have, or have had, other types of cancer. Several of them have renal cancer.
A couple of the women, like me, have also battled ovarian cancer in the past. No one is sure what this means, but it seems to argue for a genetic weakness that predisposes someone to certain cancer types.

Jill is truly amazing. Her survival is encouraging, although unfortunately, the longevity is better in victims of peritoneal meso like hers than it is in pleural victims. Not entirely sure why that is except that there are more vital structures in the thorax (heart, lungs) than in the abdomen. One can live without much of their intestine, but not without lungs!
And then, epithelioid meso is better than the sarcomatoid type. It helps to have as many positive factors lined up in your favor as you can muster! Even so, meso is a tricky devil.
I know one poor patient whose meso just moved from one site to another. He started with testicular meso, and successfully fought that. Then it moved to his abdomen, and he was again successful.
Next, it moved to his pleura, and finally, his pericardium. He was unable to fight it off anymore, and he died earlier this year.
So tragic to have the disease keep coming back and claiming more and more of him.
Some day, I hope these points will be moot, and there will be effective treatment for ALL types of meso. Until that day, we who know what pain and suffering this causes need to persist in telling our stories until someone listens!
Love, June.

June,
I didn't realise you had ovarian cancer.
My sister died from that a year after my husband died.
Now they are saying that it is the asbestos that was in the talcum powder that is or was causing this type of cancer. it makes one wander if this is how my sister's started.
Deidre,

Yeah, they just had a huge recall of talcum powder in Korea, as it was contaminated with asbestos. The two are often found together in mining deposits, and if you're not careful, you get asbestos in with your talc.
It happened years ago with crayons, oddly enough. Turns out that Binney and Smith, who manufacture Crayola crayons, use talc to set the wax in some of the colors. They had a batch of contaminated talc which in turn, contaminated the crayons.

June, can you tell me how yours started out. How long before you had real big problems, what was happening to you and what it was that finally sent you to the doctor’s.
Thom went into hospital numerous times after collapsing with what seemed like a seemed like a heart attack in process , but nothing ever came of it.
Eventually he did have a heart attack and ended up having a double by pass.
He was exceptionally well after this for 5mths and then started getting very tired.
He used to have funny breathing habits when he was asleep. Not snoring.
Just funny

Were you breathless for long before they started looking into your problems. I just believe that there a quite a few signs and symptoms that show up long before you are diagnosed.
Ones that are there but not showing anything too seriously.
Love from Deidre

Deidre,
Like so many, I had subtle symptoms for about 5 months before my diagnosis.
It started out in November, and I thought I had a winter flu or cold. Kept doctoring myself with medicines to get through the holidays.
Then, in the new year, it was still there and I figured I had what is called "walking pneumonia". Kept trying antibiotics, but they didn't seem to do much good. Finally, I got so breathless I couldn't go up stairs without a struggle, and even walking became difficult. I still thought I had pneumonia, and when I went to my doctor, she did too.
She took a chest xray just to make sure, and wow! We couldn't see my left lung at all!
It was completely filled with about 4 liters of fluid. I had the fluid drained, which took 2 procedures since they don't like to drain it all at once (you can go into shock).
This was now right before my wedding. Went to Las Vegas, got married and came home.
And then a short time later (weeks) was in the emergency room with severe shortness of breath. An xray showed more fluid again - about 2 liters this time. They drained it, and like the drainage before that, it came back negative.
Fortunately, I was a nurse and I know there was something wrong. I insisted on going for a biopsy, and that's when they found the meso.
It's not an unusual story - I hear it all the time.
The symptoms of meso are so vague that it's hard to realize there's something seriously wrong. Same when it's in the abdomen......most people think they are just constipated.
Love, June

 

June,  thanks for letting me add to your story. the other thing I found out through a survey I did over here in NZ and through asking people who came to my website was that almost all of them had had some problem when they were young with their lungs.
Thom was a premature baby and had had pneumonia as a child. My brother also had pneumonia.
It's like the lungs have already been conditioned to accept the asbestos and for the damage to begin.

It was a question I kept asking because I couldn't understand why so many people are exposed to asbestos and they do not all develop an asbestos related disease. So to my way of thinking something needed to have happened to their lungs at some time in their life that conditioned that to happen.
Love from Deidre

Causes

My husband never had problems with his lungs until he developed meso.

  Being a premature baby and having had pneumonia as a child was all that he ever had. After those two things he was very healthy apart from 2 major spinal operations . He had one of the fastest healing rates I have ever seen.

 Even from the by-pass operation he healed far faster than most people. Apart from the lung not inflating so quickly after the op.

 You know that was the lung that was effected and nothing showed up when they had his chest open.

It was only 5mths after that that he began to get tired very quickly .Then in Nov he was in hospital for what they thought was pneumonia to start with. Then in Jan (a year after his by- pass) he was told it was meso and he died on the 1st June

Love Deidre

Deidre!
Wow - me too!
People used to say that I healed like nothing they'd ever seen. Like when I went in to have my gall bladder out, I went home the very next day.
Go figure...
I think that brought me up short when they told me I had meso - I just expected it to be like everything else in a way - thought I would lick it and move on.
Little did I know...

Deidre,
 I was thinking about what you said about Thom .... it may be that the meso lies dormant, and is triggered by an insult to the body, like his having the lung collapsed.
Love June

You must have been devastated by the rapidity of Thom's disease. You really never got a chance to get your bearing before he was gone, did you?
Did he have epithelioid meso or sarcomatoid do you know? The sarcomatoid variety can be incredibly fast and aggressive in most people.
My friend's husband only lasted 10 weeks from diagnosis to death, and that knocked her for a major loop. I've also know some patients in whom even the epithelioid variety moves very very fast, while in others, it progresses very slowly if at all. One more thing

This disease, in so many ways, makes no sense to me. One of the biggest mysteries is why it seems to strike so many wonderful people, while some very rotten SOBs seem to walk around unscathed.
It just doesn't seem fair, and I guess it never will...

they don't know enough about concerning this cancer, Deidre,

 It's funny, but I never ever had much problems with my lungs prior to getting meso.
That's part of why it was such a big shock I think. I was always very active, and my best hobby was snorkelling and free-diving, which required good lung capacity.
However, when I look at my family's health history, we have a great deal of cancer on my maternal side, and I wonder if we don't have some genetic factor that predisposes some of us to getting cancer.
There are so many mysteries about meso that science hasn't even begun to unravel.
I have heard that at a recent international conference on meso, the doctors and researchers all agreed that they really needed to do some basic sleuthing to figure out just what made people vulnerable to meso.
Interestingly, one of the researchers who is trying to do just that will be at the MARF Symposium, taking DNA samples from patients for an extensive study that will attempt to answer some of these questions. I'm planning to give her a sample myself would be very curious to know what she uncovers.
Love, June

Causes
I was devastated once I knew what it was that Thom had. But more so very, very angry. That all those manufacturers could lie and cheat just to make money. They didn't care one iota that thousands of people in the future were going to die.
They had known for decades how dangerous it is.

That is why I started up my website. So people could be aware.
Thom lasted for only 20 weeks from the date of diagnosis.
Here you are only told if its pleural or peritoneal
It's sickening to think these diseases are going to go on and on because of the asbestos that has already been used in homes etc that is unknown to be there.
I need to stop as I'm getting angry just writing it down,
Love from Deidre

I know Deidre, I am angry too......I tell everyone that I was murdered - I just haven't dropped over dead yet. That's how I see it. I am doomed to die because someone wanted to make a buck. The worst is knowing that they STILL don't care, and won't ever care who gets hurt, just as long as they reap a profit. Often, I think that humans are a very flawed species indeed - one rarely sees animals engage in behaviour approaching this level of calumny.

Actually, the link between asbestos and fatal illness has been known since the times of ancient Egypt and Rome. They used to weave asbestos into a 'miracle' cloth for their priests and rulers. It was a miracle because they could step into a sacred fire and not get burned or catch flame. The old scrolls and papyrii from that time speak of a dreadful respiratory illness that all who wove the cloth developed and died from - they called it "the weaver's disease". And here we are centuries later, the lessons still unlearned!

The paradox for me with meso is that I see such suffering caused by greed, and yet, it is balanced out by some of the noblest and most astonishing behaviour in the people who are suffering. Interacting with meso patients has led me into contact with some amazing people of incredible spirit. The yin and yang of things I suppose.....

People like YOU, who turn their anger into action, their suffering into compassion - who reach out in an attempt to spare others a similar fate. Bless you Deidre!

Love, from June

These photos were taken at the International Symposium on Malignant Mesothelioma held in June 2009
I want to tell you all how blown away I was at the Symposium when I was presented with the quilt that had been crafted for me, and signed by so many of you.
I was dumbstruck, and awed by your generosity and kindness, and well up every time I think of all the effort and love that went into this sweet surprise.
In reality, it is I who should be reaching out to honour all of you.

symp3

You have permitted me the privilege of interacting with you at a critical moment in your lives, and have afforded me glimpses of the most amazing courage, love and strength that anyone can ever know.
It renews my faith in human kind, and helps me to go on each day with hope for the future. Bless each and every one of you. The depth of your spirit never ceases to astonish me, and I will carry it with me all the days of my life and beyond. With humble affection, June

 

Hi June.
I'm so glad you liked the surprise. I've been waiting to see who got photos of you actually being handed your quilt.
I wanted to add them on to your story.
Did you take any photos, love from Deidre
Deidre!
Yes indeed there were photos taken, however, only a few have been processed to date. I've attached them here.
It was such a wonderful surprise - I can't tell you how great it felt, and still feels. I don't do, and have never done, what I do for recognition. To me, reaching out to others is its own reward. Nonetheless, at the moment they handed me the quilt, I wouldn't have traded places with anyone in the world!! So much love, such great people!! (you included!)
Love, June

symp 09

Deidre!
The two people visible in the photos where I am wearing the quilt around my shoulders are Kathie and Bruce Travis. Kathie, in the red outfit, is the remarkable woman who made the quilt. Bruce, her husband, is a disabled (blind) military veteran with pleural mesothelioma.

They made the official presentation at the Gala Dinner on Friday night.
Love, June,

 Kathie and Bruce are a great couple. We're fortunate to live near each other, and we often all go out to dinner together and share laughter and meso "war stories".
Wish you lived close enough to join us!

Sunday, September 6, 2009 Subject: RE: DNA
Dear June,

I was going through Jill's diagnosis's and it made me wonder if all the treatments she had previously for the other cancers, helped slow the progress of the meso.
Did it help in anyway.?
What treatments she had that were different to yours.
She has both pleural and peritoneal meso,
So why has she survived 13 years so far.
What was different from her treatment and your treatments.
Is it worth finding out if you had different treatments to Jill.
It's just a thought ,June.
Love from Deidre

Sent on the 8/09/2009
Deidre!
It's hard to say, as we know so little still about meso,
including all the different forms and paths it can take.
It may well be that Jill's treatment for her other cancers helped keep her meso at bay,
or that she simply had meso that took a less aggressive form than mine.
Mine is behaving in a particularly nasty way,
as it is disseminated through out my remaining lung tissue rather than forming a discreet,
localized tumour that might be combated with radiation or chemo.
One of the problems I face is that any treatment that might destroy the meso at this juncture
also stands a good possibility of destroying what lung tissue I have left.
This is what happened when my meso recurred in the right lung in October of 2007 -
three courses of Alimta successfully halted its spread for awhile,
but at the cost of much of my viable lung tissue,
leaving me little to spare to continue fighting with,
let alone breathe. I have found over the course of working with patients
that most of the recurrent meso acts independently in just about every patient,
making even more unpredictable in nature than when it first appeared.
Makes you realize how very much we don't know about this cancer
and how much basic research is still needed.
Heard that at a recent European conference on mesothelioma
that doctors and researchers were discussing this very same problem
and trying to figure out how to address it and obtain the critical information they needed.
Love, June

 
This is quite unusual for me , but I am adding another two pages about June.
This beautiful person is still thinking how she can help others,
even when her own body is weakening.
June has a really great command of the "human condition"

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