Getting Closer to Death

I still stand behind what I have said. I still believe it. I still believe that death is inevitable for us all, that God never promises to bring healing but to tell a beautiful story in our death whether it is sooner or later, tragic or ordinary. But I am learning that having courage in the face of potential death gets harder the closer you get to it. Today I’ll receive the results of my latest MRI. If the scans look good (no tumor growth or tumor regression) then we continue with my monthly chemo regimen. If the scans look bad then we’ll have to pursue an alternative set of treatments. Back in early October it was easier to receive the news that the chemo/radiation combo didn’t seem to work because there was a fairly similar and not-very-invasive next step available (what I’m doing now). But the further we get down the line of available treatments the more nervous I get. So attempt number one didn’t work (surgery). Attempt number two didn’t work (chemo and radiation). And today we’ll find out if attempt number three worked. How far down this list of treatment options do I want to go? With each new attempt death becomes more and more of a reality–and if I were to be quite honest what scares me most about death is not the death itself. No, what freaks me out most is two things, one is leaving my family behind and the other is an odd sense of purposelessness in the present.

We’ll see. It could be that, as my mom jokes, the latest MRI will reveal that what they thought was a tumor turned out to just be a gnarly scab. (Oddly, by the time most of you read this there will already be an update with test results) Regardless of test results today I’m just tired. I’m tired of being tired. I’m tired of being useless. I’m tired of my wife being tired. I’m tired of my kids being stressed. I’m tired of my dog eating my cats poop on top of my pile of laundry that we can never keep up on. I’m tired of feeling guilty at every single doctors appointment. From my oncologist, to my naturopath, to my physical therapist, to massage therapists, and everyone else I either have to lie or let them down when they find out that I’m tired of trying to eat healthy, of drinking the amount of water I need to, of doing my exercises at home, and…the list goes on and on of things I should be doing.

I hope and pray that it’s good news today, but it’s hard not to live in the potential reality of it being bad news.

 

(don’t worry friends and family, don’t freak out too much. I’m doing my best to give you an open and honest window into the ups and downs of my own personal experiences with cancer. One moment I feel great and the next I feel terrible. One moment I’m filled with hope and am an inspiration to the world and the next I’m banging my head against the wall and feeling worthless. I want you to see and be a part of both ends, of both extremes because its the reality of what all this is like. Thank you for walking with us in all this…even if its only through the virtual world known as the interwebs)

My Wife Just Can't Understand

My wife just can’t understand what it’s like to go through what I’m going through. She can’t understand what it’s like to have all the extra hormones that I had to deal with while I was hopped up on steroids for six months. Crying at a moments notice, being moody, irrational, and generally having a different emotional disposition are all things that she just can’t understand.

Try as she may my beautiful wife who is chronically thin has no idea what its like to pour on thirty pounds in just a few months. Even worse, knowing that the extra pounds are not permanent keeps one from justifying purchasing more clothes to cover the new girth. She just absolutely doesn’t get it! She can’t imagine how awkward it is to need to use a rubber band to hold my pants together ’cause the button won’t reach the buttonhole.

She’s never had something foreign growing inside her, sucking her life’s energy and strength to feed its own growth. It’s as if I have a parasite living in my back…but its not a parasite, it’s a tumor. There’s no way she can comprehend the loss of control one feels with something like that being inside of you, one with you, and yet completely foreign. She just can’t get it.

Jess doesn’t know what its like to be nauseous day in and out, for food to not sound good for months at a time, and to be stuck on your back all day every day. She doesn’t understand how boring it is to be on bed rest, to not feel good enough to read, and yet to realize that there truly isn’t anything good to watch on TV. Nope, she doesn’t get it.

I keenly remember when I was at the hospital the transition that happened as I lost any need for privacy. So many doctors and nurses had looked at my body, poked and prodded it, that I lost any sense that there was anything to hide. Jess can’t understand that. She can’t understand what its like to be exposed so many times and so regularly that you forget you might have anything to be ashamed of.

Jess can’t understand how taxing it is to have to go to the doctor all the time, to feel like you’ve got a chain connecting you with your doctor ’cause you aint ever going to get to far from ’em. No way, no how she understands that frustration.

Speaking of frustration!!! She has absolutely no way to understand how annoying it is to have to pee constantly! I swear I’m like an eighty year old man (my apologies to any eighty year old men I just offended)! I pee every five minutes…and there’s no way my wife gets that. She can’t understand what that’s like for sure. And it’s not just pee either, no way she understands what severe constipation feels like. It is a miserable feeling that she just can’t sympathize with.

Thank God I got a vasectomy last year.

The Monotony of Normal

I remember as a kid there was a circuit breaker (ok, I don’t know exactly what it was, but it was a box up on a pole) connected to the power lines behind our house that would catch on fire and blow every couple of years. As a kid it was pretty exciting to have the power go out. We’d rush around and find our candles and flashlights. We’d put my lizard next to the fireplace to keep him warm. And I’d obviously run out and meet my best friend (and neighbor) Brent in the middle of the street to talk about how exciting it was…but it was only exciting for a while. Eventually it got kind of boring. When power outage turned from an exciting moment to a dreaded reality (albeit a short term reality) things got incredibly monotonous.

There’s something about those exciting moments that give us something to hold onto as meaningful.  Granted, a power outage doesn’t create any sort of huge or life changing meaning, but for a time I found great significance in preparing for our new reality: Lighting a fire in the wood stove, figuring out what to eat for dinner without an electric oven or microwave, and figuring out what to do when the candles burnt out. But once the initial phase of excitement is over, once that initial flurry of activity has passed it turns out that electricity is pretty awesome and you kind of miss what it had to offer.

In a lot of ways I miss being in the hospital. I even, dare I say it, miss daily radiation and chemo. In those moments it felt like I was fighting something, like I was in the midst of an epic battle where I was the warrior leading the charge. In many ways it was exciting being able to fight something so sinister as cancer. I found great meaning and significance in doing all those things that just might kick cancer in the ass (vitamins, acupuncture, radiation, chemo, physical therapy, etc.). Essentially it was me gathering candles and flashlights for the power outage. But now the power’s been out for a while and the electric company hasn’t given us a timeframe for when it’ll be turned back on. Now gathering candles and flashlights doesn’t seem so meaningful–now that the epic battles of being in the hospital, of learning to walk again, of daily chemo and radiation, etc. are done the fight just seems so…ordinary. Monotonous. Not exciting. Meaningless.

The epic battle has now become just an monotonous way of life. The battle of Helms Deep is done and now its just a boring scene up on a windy mountain top city (sorry for the awkward lotr reference). It’s not that there’s nothing to fight, because sadly we all know that the cancer’s still there. It’s just that now there’s no end in sight, there’s no urgent or pressing battle to be won, and all my flurry of activity to beat cancer is now being stretched out from months to years with no reprieve. Swinging my battle-axe was cool when it was a few months worth, but now that we’ve been doing this for seven months with a chemo schedule that goes out another eleven, swinging my battle-axe feels less meaningful and is just downright exhausting. How long can a dude, even the most awesomest of warriors, swing his axe?

AND SO…and so I’m left with our new normal (whatever the hell that is). I’m left with the monotony of normal as its coming to be defined. Physical therapy twice a week, blood draws once a week, acupuncture once a week, being sick ten days a month from chemo, doctors appointments one to two days a week, a gimpy leg, numb feet, constipation (did I say too much?), a stiff/numb stomach and back, clothes that don’t fit, pills pills and more pills…with no end in sight. None of the above things have any sort of end. They’re like the Energizer Bunny in that they keep going and going and going.

Having cancer has obviously always sucked, but at least at some point along the way it was exciting to be fighting against it. Now I’m just left with the monotony of normal and it turns out that I don’t really like it.

The Truth About Radiation…I think

I thought I was alone in my ignorance concerning radiation treatment. Until I actually went through the process of getting radiated myself I was under the assumption that radiation was somehow connected to chemotherapy. I don’t know if I thought it was the application of the chemo drug or what, but the reality is that I had no idea what it meant to have chemotherapy AND radiation treatment. The more conversations I have the more I realize that I’m not the only one.

While I claim no mastery over the radiation process itself and while I am unwilling to do weak wikipedia research to pretend to have a mastery over the subject–I can share with you some of my experience concerning what the heck radiation is all about!

  • Radiation is like an X-Ray (I accidentally just typed “X-Ryan” which is kind of awesome) in that it’s shooting beams into your body. The difference is that the type of beam they use is much stronger and more invasive. Essentially you’refrying parts of your body in hopes of frying the tumor/cancer to the point of extinction.
  • Before you ever start radiation treatment you go into a room and have CaT scan of your body so that a physicist, radiologist, and a dosimetrist can figure out how exactly to shoot the beams into your body to maximize the amount of burnage your tumor gets while minimizing the amount of fryage your other body parts get. After the make a plan using your scans they’ll then bring you in, put you on the table, line you up right, and take some X-Ray’s. They’ll compare your body, with your X-Ray’s, with your CT scan and make sure that everything’s perfect. If that’s the case then you’re now good to go to get fried.
  • You get a few tattoos (I assume this varies depending on what you’re getting radiated) that help the doctors to line your body up the exact same way each time you go in for treatment.
  • So you’ve got your tattoos, you’ve got your plan, now its time to actually get radiated. Generally, if I’m not mistaken (and in my experience) you go in five days a week at the same time every day for your relatively short 15 minute radiation treatment. What you do is you go into the dark room, lay down on the hard table that’s setup in the specs that your docs have already determined, and then the radiation techs begin the awkward process of making sure you’re lined up all perfect. They wiggle you around, slide you back and forth, move the table up and down, and push your fat belly to one side or the other so that in the end your tattoos are all lined up with their lasers that are used for measurements. Once you’re all lined up they leave the room and you get to “assume the position” (for me, it was arms above the head as if I was trying to pose all sexy-like) and a giant arm maneuvers around your body and beeps. Turns out when it beeps it’s actually shooting high level radiation into your body…but the reality is that you don’t feel a thing.
  • Like I just said, during radiation you don’t really feel a thing (just like an X-Ray). Radiation, like many things, builds up over time and the more you get it the more your body gets depleted from it. My treatment didn’t include my skin (breast cancer treatments can really fry your skin in nasty ways) so I only got a minor sunburn on my skin by the end. Eventually what became normal was that about an hour post treatment I’d start to be real tired and my body would shut down a bit. But during the treatment itself I never could tell if anything in particular was actually happening.
  • Most people go in for chemotherapy treatments–this is the iconic images we have of people sitting in Lazyboys for hours at a time. This wasn’t my experience. I take pills. At home. And I grieve for those that must go in for the chemo treatments. It sucks to hang out at oncology clinics. Regardless these treatments are completely separate from radiation (though the two work in partnership together to kill cancer).

I’m sure that someone could write from a more knowledgable position about all of this, but for me this was my experience. We became somewhat close with the three ladies who radiated me every morning–I could tell you their Starbucks coffee drink of choice, I could tell you what they do on the weekends, how many kids they have, etc. They make the appointments better. I could tell you (or even show you) the maps of my body that show how much radiation my heart, lungs, and other parts received. I could relate stories (though they’re not mine to tell) of how my mother-in-laws radiation treatment varied significantly from mine and how bad her burns were among other things. There’s always more to say! At the very least I hope that, like me, you’re coming to a more clear understanding regarding all this crazy and mysterious stuff that we put our bodies through in order to get rid of these mutant cells known as cancer.

Surprise! A few stories I never thought would be in my past

I just never thought that I’d be able to claim these things as experiences that are a part of my past. Life brings surprises doesn’t it? Hmm…a few stories…

  • After ripping one out, for thirty minutes I sat there with my wife and our twenty-eight year old female nurse as she drained my bladder via a newly inserted temporary catheter. We sat there as she held me gently and talked about our kids and the weather. Later that night we all played cards together. I just never thought that, number one, I’d have five catheters ripped in and out, and number two, that I’d be playing games with the woman who did it! Awkward? No, not really.
  • On the same topic…I just never thought that I’d ever walk around with a bag of urine strapped to my leg…in shorts…the worst was when I was doing rehab therapy and had to lay down and do leg lifts. Lets just say that those bags don’t have any kind of valve to keep the fluid from going back and forth, back and forth, back and forth. Gross.
  • I never thought I’d have to re-learn so many simple things. At different points I’ve had to learn how to re-put on my clothes/shoes, re-learn to drive, I hope to re-learn to ride a bike, obviously re-learn to walk, and eventually re-learn to run among other things. There are so many things I took for granted! Who’d of thought?!
  • I never thought I’d have to inspect my feet like I have leprosy. Just a few weeks ago I got an infection on my middle toe. Mostly it was due to me not realizing that there was a sore that needed attention…because I couldn’t feel it. Similarly I never thought that buying new shoes would be so difficult! I can’t really tell if they fit, if they’re smashing my toes, etc. Strange.
  • I never thought that my four year old daughter would be a faster runner than me. My kids keep inviting me to race…I think they like that they keep genuinely winning!
  • I never thought that X-Men would bring me to tears.
  • Pit swelling. I never thought that I’d suffer from armpit swelling. Yes, it’s a thing. It’s when you gain water weight in your armpits because of those lovely and terrible steroids. Ever suffer from excessive pit fat? I do.
  • My friends call me Tony the Tiger because I’m covered in flakes. No joke (yes it was). Due to my meds (I hope it’s the meds!) my body is a peeling mess. From my feet to my head my skin scales off like a lizard. Its gross. I’m gross. And, yes, that just happened (referring to lame Tony the Tiger joke)
  • I don’t want to get gross on you here (the catheter stuff wasn’t too gross was it?) and I won’t turn it into a story…but lets just say that for three weeks of my life I’d head into the bathroom with a plunger, baby wipes, and latex gloves. It was a difficult time for me, and one that I’d like to forget.
Oh the stories, oh the things I just never anticipated, oh how I didn’t get into some of the more grotesquely awesome stuff! (you’re welcome)