Team Noah

K.T.S.O.O.B.L*
*"Kicking the S--T out of Burkitt's Lymphoma"



Dartmouth Med School Class of '09
Sarah & Noah
Quilt
Wheel
Dr. Hoffman, the Moose
Sarah (Goodrich) and Noah
Quilt Given to Noah by the Salt Bay Survivors (Sarah's Clergy Group)
Picture of the Chemo Progress Wheel (made by Tom Wilson)

Photo of Dr. Hoffman, the Moose, wearing his bracelets. (Moose - gift of Chelsea and Whitney Hoffman)

cards from kids
Foulger Holiday
Birthday Cake
Evelyn, Noah & Brett
Thanks to the Children of the Congregational Church of Boothbay Harbor for their cheerful "get well" cards to Noah.
A Foulger Family Holiday collage
Birthday Cake
Cake
Deer at window Deer
Updated Wheel
Noah's Bike
Deer at Noah's hospital window
updated wheel
Christmas Bike

Update History

9/5/08 Noah started back into his medical school rotations at the end of April. He completed Psychiatry in June, Neurology in August, and just started Pediatrics at the Barbara Bush wing of Maine Medical Center in Portland. More importantly, Noah and Sarah Goodrich are now engaged and planning to be married next summer. They've entered a contest for a wedding in Maine. If the video on the home page doesn't work, you can catch their video at YouTube.
7/21/08 Sarah's birthday. Noah proposed! She accepted!
7/14/08

Noah met with his oncologist, Dr.Marc Gautier, this morning to review the results of his 6-month post-chemo pet scan. All clear!!! [Ed: Amen!]

To date, Team Noah has raised $9,090!!

May/08

Dear Family and Friends,

It's high time that I contribute something to this website myself. I want to send a huge thanks out to everyone who prayed for me, sent good vibes my way, checked the website constantly and provided support to me, to my family, and to each other. It truly was a team effort and now that the most recent PET scan was clear and I'm back in school I think it's safe to say we did it!

BUT, Team Noah's work is not done. Our lives have all been touched by cancer. I'm sure that my lymphoma was not our first time and unfortunately I'm sure that it won't be the last. For this reason I'd like to shift Team Noah's focus to easing the cancer burden for those currently fighting and for those who will fight in the future.

We can do this now by raising money for the Norris Cotton Cancer Center at Dartmouth Hitchcock Medical Center. I (along with many other members of Team Noah) am planning to ride my bike in The Prouty, an annual cycling/walking event to raise money for research and patient services at Dartmouth Hitchcock and I would be honored to have your support in this.

If you can donate, any amount would be great! Just follow this link:

Team Noah Donations for the Prouty

Want to come to join Team Noah for this event, raise money, and come to Hanover on July 12 to ride or walk? We'd love to have you and signing up is easy.

Just go to:

      • http://www.theprouty.org
      • click "Register Here"
      • Read and agree to the terms
      • Click the bubble next to "Join a Team"
      • Scroll down to Team Noah, fill in your info and you're ready to go!

Thank you all so much for your help. I will never forget the Team Effort that went into beating Burkitt's Lymphoma and I'm looking forward to continuing our work together in the fight against cancer!

Noah

4/7/08 Noah had his first post-chemo pet scan on Friday and met with Dr. Gautier this morning to review the results. All clear! No cancer! He'll have additional pet scans every three months during this first post-chemo year. Thank you for your prayers, your good wishes, your words of encouragement, your friendship, your love.
3/20/08 Noah is recovering from all that chemo with astonishing speed. Knowing that his make-a-wish-like trip was coming at the end of March has certainly been a motivating factor. He leaves on Saturday to go skiing out west! May this journey be filled with joy. We are all grateful to God for the strength Noah has been given.
2/22/08
Growing Hair
Noah is suddenly growing hair like crazy again. He is working at rebuilding his strength in preparation for his make-a-wish-type trip out west one month from now and in anticipation of beginning his studies again in April. He'll have another PET scan at the end of April. He appreciates your continuing prayers and invites you to set your bracelet aside. Everything is looking up.
2/7/08 Job 1 for Noah right now is rebuilding his strength. He is spending lots of time working out at a gym. His wish trip (thanks to everyone who helped to make this happen!) will take place at the end of March. Noah tried on several ideas but decided, in the end, to go to Squaw Valley in California, with an overnight in San Francisco at the end of the trip. He's always wanted to ski way out west and is looking forward to breathing life into this dream.
11/30/08 Noah's port has been removed and they let him keep it! Patient is doing well under care of his brother, Chris.
1/29/08 Noah will have the double port removed from his chest first thing tomorrow morning! His brother, Chris, will accompany him to and from the hospital. No more port - wahoooo!
1/17/08 Noah has climbed up out of the bottom of this last round of chemo and is now making plenty of his own new blood cells. Hooray! Dates for PET Scan & Removal of Port have yet to be determined. Today Noah is training a new group of volunteer medical students so that they can assist patients who wish to quit smoking.
1/13/08 Noah has been in for regular blood count check ups since the chemo ended. His counts are still low and blood transfusion was necessary but they are expected to come up again any day now. The Patriots continue to provide offer good medicine!
1/6/08
last chemo


The chemo is over!!! Now there is one more Rituxin treatment (next week). Perhaps no one has ever been happier to walk out of a hospital. This cycle, however, will still be working on his system for another couple of weeks and there are at least a few more medical procedures to go but the chemo part is over!!!
1/3/08 A few friends show their colors:
Members of Dartmouth Medical School, Class of '09, show their colors. They raised $650 to donate to the Leukemia and Lymphoma Society in celebration of Noah's finishing up with chemo tomorrow. (see top of page)
1/2/08 This is the longest week so far for Noah who is anxious to be done and out of the hospital. He went into this round of chemo with a cold - hopefully that will not complicate recovery. Go Noah!
12/30/07 Noah was released from the need to remain in the vicinity of the hospital on Wednesday, Dec. 26th. He celebrated Christmas with his family in Boothbay Harbor on Dec. 27th! His big Christmas gift was a road bike (a Fuji Newest 1.0), with which he hopes to ride in one or more cancer bike fund-raisers this summer. Not so coincidentally, his girlfriend, Sarah Goodrich, found a similar road bike under her family tree on Christmas. Noah felt well enough to ski the fresh Saturday morning powder up at Sugarloaf and will head back to New Hampshire today. The sevents and FINAL round of chemo begins tomorrow, New Year's Eve. In three weeks, the chemo will be over.
12-20-07 So far, Noah has avoided rehospitalization. He will not be able to leave the vicinity of the hospital, however, until his blood counts are high enough. Therefore, December 25th will be spent in New Hampshire and Christmas will be postponed until he is well enough to go home to Maine.
12-15-07 Noah survived a tough week (some rookie was assigned the job of sending the chemo up his spine via lumbar pucture and it took four tries!). Noah was, of course, sore but incredibly understanding. As he said, "Everybody has to learn on someone." Also, he was fairly nauseous & sick for a while - probably due to all that messing around with his spine. Usually, after this cycle (Cycle B), he is readmitted with an infection. However, Dr. Gautier is trying to avoid that scenario so that Noah may be home for Christmas. After a week of hospitalized chemo, Noah was released, therefore, with 2 heavy duty antibiotics, an antiviral, and an antifunghal med. Let's hope this works! The next week or so will be difficult but maybe Noah will not have to be readmitted this time.

During the week, deer came to visit the tasty bush right outside Noah's hospital window. Note also the updated chemo wheel. Last chemo is set to begin on New Year's Eve.
12-10-07 Having recovered nicely from the last "C" round of chemo, Noah enjoyed his weekend which included a little skiing and snow-shoeing! Today the last evil "B" treatment begins so the next three weeks will be rough but - it's the last "B" cycle and that's something to celebrate. Then one more "C" in January. Only six more weeks!!!
12-9-07 Sarah's Christmas Story Each year, Sarah's Christmas story has a kernal or personal truth in it. This year, Rose Reinvented Christmas.
12-5-07 Noah had a very special Happy Birthday phone call from Joe Andruzzi, former Patriots guard, who is himself recovering from Burkitt's Lymphoma. Joe is a great guy! May he continue to heal and be well again. (info about Joe)
12-4-07
Dream Trip

TODAY IS NOAH'S 25TH BIRTHDAY!!
(He was born 25 years ago today during the Army-Navy Game).

Noah is absolutely thrilled with his birthday/bracelet surprises! Thanks to ALL of you for taking part!!!

1. The first surprise was a check for $5,000 to plan a dream trip. There is no make-a-wish foundation for those who are older than 18 but you helped to make-this-wish for him! A little background info: When Noah first met with the Dean of Students of Dartmouth Medical School, Dr. Joe O'Donnell (who is also an oncologist) following his diagnosis, Dr. O'Donnell suggested that Noah make a list of the things he has always wanted to do and then to go do them. Of course, there was no time to do any of these things but Noah did make a list. Near the top of his list was a great ski trip out west. Noah is hoping to take this dream trip next spring and is thinking about Jackson-Hole.

2. The second surprise is $2000 that will be used to reduce one of his many med school loans. Noah is very happy about this too!

While there is no big party planned for today, Noah looks forward to celebrating his birthday and more after his treatments are complete. Thank you to Aunt Alice who came up with the bracelet idea and ordered them, to many family members (Marcia, Davis, Rebecca) who helped distribute them, to Sarah Goodrich's extended family who were fantastically supportive, to Phyllis Van Siclen who has a contagious enthusiasm, to friends from California and Washington State to Florida and New Hampshire and Maine who contributed to these special birthday surprises. Noah is truly overwhelmed and grateful for your support. Thank you. Thank you. Thank you!

12-2-07 Noah got to come home Friday afternoon and hang out in Boothbay Harbor. Good food - good football. Saturday evening he went with his brother, Chris, and mom to see the Harbor Lights Boat Parade (chilly!). Later that evening his high school friends, Evelyn and Brett, surprised him by coming over with a German chocolate birthday cake. He left Sunday morning, got to spend some time on Sunday with his girlfriend, Sarah, in Biddeford, and headed back to Hanover. On Monday morning, he has a routine hospital appointment. Tuesday is his 25th birthday!!!
11-25-07

Noah had a nice Thanksgiving, although he was in the hospital all week. Russ was with him all week. Russ, Noah, and his housemate, Brent, played a good game of STRATEGO Tuesday evening. Sarah and Chris arrived on Wednesday. Dartmouth-Hitchcock served a good institutional Thanksgiving dinner at noon. Through the generosity of the hospital, the four of us - Noah, Chris, Mom & Dad had turkey luncheon together on Thanksgiving day. This was preceded by a rousing game of RISK! Then for dinner Noah had a delicious home-cooked Thanksgiving dinner made by various family chefs on his mother's side of the family. The hospital offered a private conference room so that Noah could see family members briefly and share a surprise birthday cake (chocolate mousse cake from Lou's in Hanover - yum!). He was released on Friday night. Saturday he went over to Killington with his mom and dad, where family members were staying and skiing. There he found a comfortable couch, watched football with his cousins, had a good afternoon nap, and following an informal meal, returned to the Hanover area. He'll be tired for the next week or so as this round of chemo kicks in. Round 5 is over - two more to go! Foulger Holiday collage

11-18-07 Noah started his fifth big round of chemo today. His family will all be with him for Thanksgiving and will bring a home-cooked Turkey dinner over to the hospital. May you all have a blessed Thanksgiving, bearing in mind that it is possible to give thanks to God in all circumstances. Go Noah!
11-16-07 Another change in plans: Noah will start the next treatment on Monday, November 19 and will consult with Dr. Fisher after that.
11-12-07 Change in plans. Noah will consult with Dr. David Fischer at Dana Farber in Boston on Tuesday, Nov. 20. The start of chemo treatment 5 will be delayed a few days, therefore, and will start on Wednesday, Nov. 21, at Dartmouth Hitchcock.
11-10-07 Noah ended up with 4 units of blood and had a few frustrating days in the hospital. As of this morning, however, his blood counts have jumped back up again and, after receiving some platelets later today (hopefully later this morning), he'll be released from the hospital for a few days. This Friday, chemo round 5 (of 7) starts up. Thanks for your prayers, your cards, your cookies, your good wishes, your support.
11-9-07 As expected, the Rally-Meister had his blood levels up to 170 Friday (500 required to get out of jail) and we look forward to his continued recovery.
11-8-07 Noah spiked a fever last night (not welcome but not totally unexpected) and was readmitted to the hospital. Now in room 116. Received 2 units of blood this morning. If events unfold as they did after the last B cycle of chemo, he should start making his own blood sometime soon.
11/01/07
Noah Red Nose

Noah was released from the hospital yesterday afternoon after the fourth big round of chemo. The children from pediatrics got dressed up for Halloween and came trick-or-treating at the Hem-Onc unit. Many nurses were also dressed up for the day! He goes back in tomorrow for monoclonal antibody treatment.

10/29/07 Noah is half-way through treatment #4 in Room 105 at Dartmouth Hitchcock Medical Center. It's rough but the Red Sox won last night and Noah is going to win too! If any of you out there go to the parade, take a picture and send it to the webmaster of this site. Even better, if you're wearing your bracelets, be sure they're showing in the picture!
10/21/07 Noah got great results today from the PET Scan that was done on Friday. No new tumors! Everything is working! So... it's back to the hospital on Friday for round 4.
10/17/07
BIW Lunch
BIW Bingo
On Wednesday, Department 40, Engineering Department, at Bath Iron Works (BIW), held a luncheon to raise funds for the Norris Cotton Cancer Center at Dartmouth Hitchcock Medical Center. $750 was raised through the luncheon and raffle. This amount was matched by BIW for a gift of $1500 sent to the Norris Cotton Cancer Center in Noah Hoffman's name. Go BIW!
10/15/07 Noah had an appointment with Dr. Marc Gautier's office, this afternoon. Gautier's staff is pleased with how Noah is doing so far.
10/13/07 This was a week in which the rigors of chemotherapy were experienced acutely. Chemo is not for wimps!
10/7/07 A quiet weekend at DHMC with an extra Cat Scan thrown in. Noah really wishes he didn't have to be in the hospital. When this is over, however, he will have three rounds of chemo (out of seven) out of the way.
10/5/07
White Coat CeremonyNoah was released from the bounds of New Hampshire in order to attend Sarah's White Coat Ceremony at UNE (his wonderful girlfriend, Sarah Goodrich). He will be rehospitalized today and the next big round of chemo begins.
10/1/07 Noah had a wonderful weekend after he was released unexpectedly quickly from the hospital on Friday afternoon. The weekend included a visit from friend, Steve, and Steve's girlfriend, Sarah, who flew in from Maryland. Chris, Courtney, and Aunt Alice were also there for parts of the stunning autumn weekend in New Hampshire. Highlights included the football game at Middlebury (VT) in which, unfortunately, Colby took a beating, and dinner out at Molly's in Hanover. Everything seems to be on track for the next hospitalized chemo, which starts on Friday.
9/29 & 9/30
Walking the grounds

Left: Noah out for a walk on the hospital campus (9/29) with Sarah, Chris and Courtney

Right: Sunday afternoon football (9/30) with teammates from Colby.

Watching football
9/28/07 After a couple of disappointing days during which Noah had to be readmitted and receive IV antibiotics, he rocked the house this morning with an overnight increase which took him from a blood count of 50 to a blood count of over 600! Go Noah!!!
9/24/07 Noah has completed his second infusion of rituximab. He looks great and feels pretty well but the chemo is working in that his blood counts are now quite low (as expected). They should start to recover in the next day or two.
9/20/07 Noah has completed the second hospitalized phase of chemo and is doing impressively well. He is tired and has a sore mouth and throat (both normal and anticipated responses to the chemo) but is doing very well. Treatment with Rituximab starts tomorrow and continues next week. He receives this in the hospital but does not have to stay there. There are some inconveniences to learn to live with in the weeks and months ahead, such as a self-administered shot each day and finding soft mild foods to eat in smaller portions throughout the day.
9/17/07 Noah got through the first "light" round of chemo with minimal discomfort and is now in the first big round. They start this type of protocol with a light course of chemo to prevent something called tumorlysis (which indeed did not take place and that is a good thing). Noah and Russ played golf on Friday morning during a short break between hospital rooms. Somehow everyone in the hospital seemed to know about the golfing (inter-office memo?) and all were impressed that he had the guts to go 18 holes with a port implanted in his chest and chemo running through his veins. He has now had three of the big chemo treatments, will have two more this week and will receive the first dose of Rituximab (the smart bomb) this Friday. He is getting excellent care at Dartmouth-Hitchcock and is in good spirits. He was, once again, surrounded by friends and loved ones throughout the weekend.

Today, the lead oncologist, Dr. Gautier, was very surprised by and impressed with how well Noah is doing with all this chemo that's being thrown at him.

On other fronts, the housecleaners start coming this Wednesday (tomorrow) and will be in charge of keeping the atmosphere in the house Noah rents in Hanover (with four other med students) as sterile as possible. Members of the church in Boothbay Harbor have started preparing high protein meals from a chemo care cookbook for Noah to keep in his fridge and freezer. He's had lots of humorous cards. Your notes and gifts have been very thoughtful - thank you so much.

9/16/07 Noah had another full weekend of visits. His Dad, brother Chris and his girlfriend Courtney, and Noah's girlfriend, Sarah were in constant attendance and his friends from med school never let up in their efforts to keep Noah entertained and distracted. So far, so good with the chemo, though Noah hates the IV pole he has to drag around and can't understand why someone hasn't invented a better type of unit. Hmmmm. Maybe a patent on a new invention to revolutionize in-patient care? That could pay some of those med school loans!
He also had a brief visit from Dartmouth's chaplain who has survived Burkitt's himself! What an amazing gift, with such a rare disease, to have someone right there at Dartmouth who had his treatments in the same place with the same team of doctors.
9/14/07 Noah and Russ got to play golf this morning at the Hanover Country Club before going back into the hospital. Noah beat Russ soundly. The high test chemo starts this evening. Noah had the first lumbar chemo treatment this afternoon. He's doing well. Waiting for a room.
9/12/07

After his first 5 days of in-patient chemo, Noah was able to leave the hospital for a couple of days. He said that it felt really good to be out and that although he's a bit tired, he's trying to fit in some of the things he might normally take for granted like simple exercise.

9/10/07 Noah is doing very well with this first round of chemo. Hospital food is hit or miss but the staff is wonderful.
9/8/07 Yesterday Noah had a port installed in his chest early in the morning but chemo did not start until late evening. His dad, Russ, has been with him since Thursday night. His Colby friend, Tom Wilson, surprised him by flying all the way from Seattle to spend the weekend with him. His girlfriend, Sarah Goodrich, arrived Friday afternoon. Noah's spirits are up and he really appreciates your thoughts and prayers.

9/5/07

Noah has been busy since Tuesday with preliminary hospital matters and with medical leave-taking from Dartmouth Medical School. While it is a sad time for him (and for all of us), he is gearing up for battle and is eager to get started with the treatment process. On Friday morning, he will have a port surgically installed in his chest and will begin chemotherapy right away.
Monday night at Fenway was wonderful. The Red Sox won and there were many special moments

History

Noah noticed a swelling under his arm this summer and asked the doctor he was working with to check it out. Since it appeared to be a swollen lymph gland, he was treated with a course of antibiotics. When those antibiotics didn't affect the swelling it was decided to do a biopsy. That happened on August 20th and the results came back "inconclusive".

This led to surgery on August 25 to remove a mass about the size of a small apple. The pathology report came back on August 27 with a diagnosis of Aggressive B-cell Lymphoma. Noah next went through a battery of tests at Hitchcock Center, all of which came back negative ... no sign of cancer in his bone marrow (thank God) and no masses that could be detected in any of his scans. The pathology, however now indicated that the lymphoma was a very rare form of Burkitt's Lymphoma, a very aggressive cancer. Noah and his parents were informed of the recommended course of treatment.

Hitchcock Center is one of only a few treatment centers in the country that are administering a radical new treatment for this type of lymphoma. Noah couldn't be in a better place. The next six months will be very difficult to be sure, but the prognosis is very good because this was caught so early, because aggressive cancers are most responsive to treatment, and, of course, because Noah is young, strong and has a great attitude.

The night before treatments began:

Red Sox sign

game

 

 

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