Time for me to lay it all out on the table for my treatment plan.
Diagnosis: I have stage 4 head and neck squamous cell carcinoma, HPV positive, met. to lungs.
Status: The tumors are gone from my neck and only 2 very small tumors are visible in lungs as of last scan 6 weeks ago (5 months post chemo.) Next scan is end of this month.
Initial Treatment: Cancer started on tonsils and spread to lymph nodes, which is when it was detected. Initial treatment was daily radiation with weekly chemo. Tumors disappeared and we thought I had beaten it. (sound familiar?)
2nd treatment: After 8 months x-ray found 4 medium sized nodes on lungs. Scan confirmed and found dozen more smaller nodes on both lungs, most in locations of lymph nodes. Biopsy confirmed it was same cancer due to HPV present. Treatment was triple cocktail of chemo (cisplatin and docetaxel every 3 weeks, targeted immuno-drug weekly.) Tumors shrank and most 'disappeared', but as doctor informed me there is still an invisible core at each tumor site that chemo can't reach. No regrowth visible after 5 months.
My activity: First thing I did after terminal prognosis was to research all the phase 3 and 4 trials that might buy me enough time to get to the next big breakthrough. Initially I was optimistic, but gradually reached conclusion that all treatments including the most radical had the same fatal flaw: they tangle up cancer cells so they can't divide and eventually die, but it is slow process and not at all like the normal apoptosis. Metastasized cancer always develops resistance to chemo drugs. Targeted immunotherapy drugs haven't shown they can do much better.
Simultaneously I started researching MMJ. What makes me optimistic is that both THC and CBD induce apoptosis using methods already built into cells. Cajun has thread explaining THC's role blocking ATP production without which cells can't live. CBD starts a protein cascade, which is another system built into cells. Fascinating stuff, sorry I don't have a link to that research anymore.
MMJ use to date: I started using 1:1 FECO (full-plant extract cannabis oil) during 2nd round of chemo. I tried to follow RSO protocol dosing orally 2x per day. Started with grain of rice and slowly built up to gram of oil. Problem was that I still felt too impaired to work as accountant at dosage high enough to treat cancer. I switched to higher THC 2:1 ratio that I tolerated better but still couldn't maintain high dosages.
Since then I've tried tacking with blend of about 8:1 THC:CBD without psychoactive effects. It was limited run experiment because since law change in WA state oil good for medical use is hard to find and much more expensive. Currently I'm out of oil. I will start harvesting from my perpetual grow this week and still arrives Wednesday to start making own oil.
I do still use small doses of both CBD and THC strains for other conditions that I used to take a dozen prescriptions for.
My original plan: Juice the whole plant including buds to extract THCA which is not psychoactive. I have since found that a) THCA does not have same cancer fighting effect as activated THC, and b) even though carboxylic acid attached to THCA is hydrophilic juicing was not very effective at extracting it. I did a test of left-over leaf/buds and made some very potent cannabutter.
New plan with room for improvement:
1) Juice the plant for the health benefits at least from leaves, probably buds too. I don't think much THC is lost as THCA in juicing, but I'm open to everyone's input on this. There is so little data to go on out there.
2) Make oil from leftovers of juicing, dried as if curing whole buds.
3) Use tacking to build up to maintenance level daily dosage of 200-300 mg total. I will try to dose 5x day this time around.
4) Eventually add suppositories to increase to full gram/day dosage. If next scan shows any growth I'll add this immediately.
5) Continue working as much as I'm able, because being able to work is part of my healing process.
The strains I'm growing now are mostly THC: Dutch Treat, Chernobyl, White Widow, Black Cherry Soda, Critical. I also have Hash Bomb, which is 5+% CBD and 15% THC.
I have ordered 2 indica THC strains (K-Train, Blue Mystic) because I've read purer indicas are better for cancer. Not sure about that but want to cover all bases.
Also ordered 2 1:1 strains (Dance World, Medical Mass) because I want to hit from as many angles as possible.
I welcome suggestions on any part of this plan. Because this is stage 4 metastatic cancer I want to nail down details as tightly as possible.
Thanks to everyone for all the posts that have motivated me and helped me pull this together. You are my dream team.