Friday, August 18, 2017

Insight

There are times that I sit in my condo quietly thinking about, pretending, that it's a normal Sunday. That I'm just resting to prep for a long work week ahead. That in a few more weeks I'll be going somewhere crazy like the alps in Europe to go paragliding. Or go hiking in Colorado, or camping in Montana. I dream about the day that I'll be strong enough to actually achieve these dreams. But in the mean time I stave off the intense nausea and just try to make it to the next minute without puking. Or try to ignore the pounding headaches that come intermittently. I go in for IV fluids regularly. This usually makes me feel a lot better. But in the meantime this immense discomfort is my life as I know it. It’s hard not to make this emotional. My physical being often translates into an emotional reaction. I get upset. I cry. Then I try to calm myself. Sometimes the only reprieve is sleep. So I drug myself into dreamless oblivion. But I always wake up. Most of the time right back into the same uncomfortable state I was in before. But at least I get a break. And there are the few times that I feel better when I wake. There's always that.

Just when I think I've got my feelings in check, the fear creeps up on me. Barely there, so I don't know it even has a presence. Then slowly, bit by bit, it rears its ugly head. It takes everything I've got to keep it from going full crazy, but I do it. This time I felt it come on when I was told I needed to go on blood pressure medication,  that I was getting a blood transfusion, and that there are some clinical trials they're keeping in mind for me. It all means that the clock is ticking. My body is wearing down so it needs more help and the options for healing me are now in an experimental phase. Scary and hopeful at the same time. It's what comes next when it's all they can do. The way I see it, I'm on borrowed time anyway. I've had longer than was expected, so I should be thankful. And I am. But it doesn't shut out the want and need for a bit of peace of mind. If only...


I don't need to be told that this is what it means. It’s easy enough to figure out. But I also know that Dr. El Rayes is going to bat for me. He's got my best interests in mind. It's him, his PA, and his nurses that keep their eyes on my well-being by constantly making sure my nausea is in check and that I’m getting plenty of fluids. That the side effects are under control. Even when I’m not complaining about them. They know to check on me because of the staff that look after me. They even did more tests and discovered that my body was starting to make more blood, so the transfusion was unnecessary. He took my case to the tumor board twice to discuss my possible treatment. It is comprised of some of the leading  oncologists and surgeons at Emory. This board meets once a week to discuss 10 cases. He felt mine was important enough to discuss twice. Out of all the people getting treatment in one of the best cancer centers in the country, mine was a case he chose to share with his colleagues. I am humbled and have an incredible respect for these people. And I have tremendous gratitude for it.

I long for the days where the anonymity of good health gave me ease of spirit. Living on the edge of this microcosm of pseudo celebrity due to how public I've been with having cancer has mostly been a blessing. But I wish there was some way to turn off the attention sometimes. I find that people mean well. They only want to be supportive, but I think I speak for most of us dealing with this disease when I say that sometimes a normal conversation is a welcome minutes long vacation from the life we are currently living. I go out every once in a great while when I feel good enough to do so. When I long for social interaction.  

Raising Arizona chemo
I began this blog because it was too much to tell my story to people over and over. I needed a way to tell people one time without telling the story repeatedly. It’s been good for that. It then evolved into helping others understand what people in my position go through. Those of us who are fighting against cancer invading our body and permeating our thoughts. I realized as I continued to write, that people were actually listening, that they wanted to know more about cancer.  About what we go through and how their actions affect those of us dealing with it. I feel at this point that it's my duty to let you know things about cancer that you wouldn't normally know.  Things that all of us have been in the dark about.  Those of us who didn't know enough about how bad that this disease really is and how widespread it is, are open to the knowledge.

I'd like to tell you about cancer language. How it influences us. The things that you say and what they mean. The disease is hard enough, so let me tell you how to speak to me or anyone dealing with this illness and what kind of reaction it invokes. At least within me. Because the things that you say and do affect us.

There are times that I feel burdened with the responsibility of making others feel comfortable that I am sick. Please don't tell me how difficult it is for you. However difficult it is for you, it’s a lot worse for me. When you go on with this type of talk, it can be stressful. This is not something that I am good at. Not for myself anyway.  Maybe for those that I'm comforting.  This can be very taxing to do repeatedly. I appreciate  that you have feelings about the subject, but I’m not sure how I can make this better for you without making it hard on me. If you feel this way, maybe offer me a hug or let me know if I need anything, you’re happy to help.  I have a tough time trying to make you feel better about my illness.

Please don't ask me if I'm OK. We both know I'm not. I have Stage IV colon cancer and have chemo every two weeks. I have good moments. If I look like I’m doing ok, then I am at the moment.  If I’m not, I have the wherewithal to remove myself, or ask for help.  The incessant questioning only makes me feel distanced from the normal life I so long for and only touch upon on occasion. A prolonged "How ARE you?" with an overly concerned stare falls in the same category.

Please don't tell me about every person that you or anyone you know, that has died from cancer. This is not a good topic to engage in with me or anyone else with a cancer diagnosis. I don’t know how to respond to it and it really makes me feel like you look at me like I’m a walking corpse.

Please don't tell me about every treatment that every other person with cancer has gone through. Every cancer is different and is treated as such. It’s based on type of cancer, what stage it’s in, genetic testing, what the individual is capable of handling, and more. I have been going through this since June 15, 2016. I have and am continuing to explore every option. If you think a certain treatment is worth me looking into, feel free to send me a link or article. I’d love to read up on it.

Don't look at me with pity. I can see it in your eyes. It’s one of my biggest pet peeves.  It’s a sure fire way to create distance between you and me.

If I'm out trying to have a good time, don't go into a long diatribe about how I should be handling this. For example - my diet, alternative treatment, the drugs I need. I'm trying to escape it. Even if just for a night. Tell me you'd like to talk about it with me another time. I'll be happy to discuss it with you when I'm not at a party, at a concert, or being social.

Do smile at me. I promise I’ll smile back. I love that.

Joke around – it’s ok. I like to laugh. I’m sarcastic and I love a good sense of humor.

Hug me. Not excessively or dramatically, but like you would anyone else. I remember what it’s like to see my people and say hello or goodbye with a hug. I promise you can’t catch what I’ve got.

It’s ok to give a kind word about it. Just don't go on and on. My cancer is not about you.  I will shut down and be thinking about how to get away from you.

What I’m saying is that I'm still the same person despite having cancer and everything that goes with it. I never expected that it would become what it has with the way that I’ve chosen to cope with this. I choose to be open about the journey to help you and me understand it. Don't get me wrong, I expect some conversations about it. It's often sweet and I am moved by the concern and support. It gives me strength to keep being strong mentally, when I can’t be physically. Everything that I endure puts a strain on me. So for the first time since this has invaded my life, I’m asking for your help to get through this and help others with cancer get through it with a better way of communicating. There's a way to speak to those of us dealing with this. It's with encouragement. Or normalcy. Look at us as the friend we are. The friend you used to see us as. Not the person with cancer. We will respond to you in turn, a better way. Though we suffer, we are not the disease that plagues us.

My hope is that through more dialogue that we can ease the burden that cancer causes in everyone touched by it. Including those of us that have it and those that love someone with it. That when I give the details of the treatment that I go through and the emotion that is triggered with my experiences, that you will have a bird’s eye view of what it is like. That it somehow gives enough insight to stimulate compassion for each other. We humans are capable of some incredible moments of beauty. I see it every day. Sometimes we need encouragement to understand the right way to treat each other. I welcome it, I believe if we give each other the right direction, our worlds will fill with more honesty, ease of mind, and love. I think we could all use more of that.



The most authentic thing about us is our capacity to create, to overcome, to endure, to transform, to love and to be greater than our suffering. ~ Ben Okri





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Friday, August 4, 2017

Gratitude

Emory University Hospital was bustling the day that I went in for chemo. It was the first time I had gotten my infusion there. Each time I go into a new location, I wonder how my craziness will be received. My oncologist didn’t know what I had been up to, so when my father told him about my antics, he told me that he had to see it. So I obliged. My friend Stephen had come in town and joined us for this costume. We went in as Austin Powers, Dr. Evil, and a fembot. At previous chemos, I had gotten used to walking into one place. Going to the university hospital was different. We had to go to the lab on one floor, then to my oncologist’s office on another, then the infusion center on yet another. This was incredibly funny! The exposure to the costumes was bigger than ever before. People had the strangest reactions. Some couldn’t help but laugh but refused to make eye contact, some asked for pictures with us, some immediately started conversations with us. We continued to dance, laugh, crack jokes, and hand out lollipops as we walked around the hospital. And all the while, we had the Austin Powers theme song playing out of a speaker we had with us.

Austin Powers Chemo

I find myself at a bit of a loss these days when I face my treatment. The waiting game leaves me fiddling with my hands like a child nervous about a punishment. There are days that are harder than I think I can handle.  Then some that are surprisingly tenable. I went into this chemo thinking I'd be alright. After my four week break from treatment, I felt strong. I didn't expect the pain and extreme nausea. Waking in the middle of the night to empty my stomach with retching heaves was not the plan. It felt like someone had punched me hard and left a bloody pulp where my stomach was supposed to be. I finally went to my GP after a few days. She gave me a strong antacid and contacted my oncologist. Within an hour Dr. El Rayes' office called me and had me go into the infusion center for IV fluids and meds. I had started to feel better with the IV anti-nausea meds. So we proceeded with the pain meds. Within minutes I began throwing up again. This time it wasn't stopping. They took me to the hospital where they kept me overnight for observation and to stop the vomiting. The level of care I received was incredible, even if I was itching to go home.

Marti and me before the concert
I enter each challenge hoping that there will one day be an end to this. That maybe at some point I can live a normal life again. I think of the monotony of living with chronic illness. All I want is my life back. I wonder if it will come. But until then I turn to distracting myself with good times and music. So I went to visit my friends at the beach. This trip had been planned for months. We went to see Styx and REO Speedwagon. Then a few days later we saw Ratt. I love my eighties music. And though we had both been ill the week before, it was the music that healed us.

There are days that I hardly know that anything is wrong with me... until I catch a glimpse in a mirror or I see someone staring at me. It doesn't bother me, it's just a reminder. I've worn my hair so many different ways that it doesn't really matter. It's the children that are the funniest. Their raw, innocent honestly often leaves me with a smile on my face. I think the best was when I went to the airport and saw a little girl with golden curls staring at me. She couldn't have been more than 5. I smiled at her as I walked by. As soon as our gaze broke, she screamed at the top of her lungs, "Mommy! That lady has no hair!" I burst into laughter and couldn't help but think how mortified her mother must have been. She was just adorable.


Beavis and Butthead chemo
My next chemo was surprisingly doable. I went in, got my treatment without a hitch and finished with hardly any side effects but being a bit tired. This was great, because immediately after that I went to see my high school bestie. Her 5 year old daughter had received a kidney transplant a few months earlier and I felt the need to see the both of them. She had been diagnosed with a rare autoimmune disorder which led to the need for a new kidney mere months before my diagnosis.  I found the parallel of our fights for our lives so strange. Neither of us are out of the woods yet, but we both have defied the odds and survived when there was doubt that either of us would. I needed to spend time with her and to feel the comfort of being with one of my oldest and dearest friends. It was well needed for both me and Dena.
High school besties, friends for life

I've seen countless videos of moments of magic. People who suffer from cancer or other life threatening diseases. Meeting their idols or being swept away by a kind act. It makes me cry every time. I feel it deep in my heart. Throughout my entire being. My happiness for them mixing with the bittersweet knowledge of the daily pain and struggle. The fight for one instant of incredulity that drives the fight forward. It's amazing what one pure moment can do to push us into the next phase. To find the ability to progress when sometimes it feels like it never will. It helps to find the strength to take the next step when every light that guides you seems to have been extinguished. That when there seems to never be a reprieve, there might just be an extra push to not give up.

Cancer is ugly. I've never felt so hideous in my life. Not just physically, but within my being. You may not know by looking at me, but every day I look in the mirror and struggle to recognize myself. And I  realize that my care free days are over. I try to visit those days as often as I can, but they are no longer mine to keep. I know that the thrill of a first date is unreachable. That the loneliness of the lack of a possible future with someone is a constant companion. Because who would want someone so broken with cancer that there is no end to the suffering? I have no choice but to live with this, but who would voluntarily take that on? I have an amazing support system. I feel love all around me. And I am so truly thankful for it, but the intimacy of romantic love eludes me. And I have to come to terms with that. I have to focus on my health.

A good friend of mine recently told me that I'm not alone in this. And although I'm surrounded by loving people and incredible support, he was wrong. I am 100% alone in this. No one is doing this for me. This is my cross to bear. This is my body, my sorrow, my pain, and my fight. Yes, it affects everyone that knows me, everyone that has ever been or is close to me, but it's all mine in the end. It's my loss of independence. My loss of identity. My loss of health and physicality. My loss of everything I've ever built for myself. My loss of life as I knew it. And sometimes in the middle of all the love I get lost in the darkness of sorrow. And I allow myself that. To acknowledge it and then let it go. Holding onto it doesn't do me any good. But ignoring it doesn't either.

I think about how far I've come. Over a year later and I'm still kicking. Hard. Living as much as I can in between chemo sessions. None of it could happen without the graciousness of the caring people who have contributed to my life. Who make sure I have the means to remember that my life isn't just cancer. Then the good times find me and I let them propel me forward. My friends who give me plane tickets. The many that have donated to my bills, medical and otherwise. The ones who care enough to send packages or a sweet message. These things hand me gratitude on a daily basis. When I have my low moments, it's a reminder that there are people who support me. Really and truly. For each moment of magic, no matter what size, is gigantic in my world. The love, the laughter, the care, and charity that I feel directed towards me helps me find my footing in this dangerous dance with cancer. And I am thankful for even the smallest moments. Because even if I can't see the light to guide me out of this, I can feel the warmth that keeps me holding onto the hope that I one day might.


Dena and I





“One life
With each other
Sisters, brothers
One life
But we’re not the same
We get to carry each other
Carry each other
One”

“One” ~ U2





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