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January 25, 2006

Someone out there praying?

Is someone out there praying, "Please keep my mother/wife/sister/friend/co-worker from having to have Chemo?" Because if you are, you must have a direct line to God's ear.

Today was June, the half-way point in the Gemzar treatments. Only, June was cancelled too. (If anyone is keeping track of my numbers, my White Blood Cell count was 2.5 -- higher than it's been and lower, too -- and my ANC was .63 --down from 2.5 last time it was too low. The ANC is the number that tells them how well what white blood cells I have will fight infection. So, of course, I am on precautions -- wash my hands, avoid crowds, etc. No problem washing my hands. The rest? Well, I'll do my best.)
Now, the nurses reassured me that I was still being the model patient and that it was because the Gemzar was still in my system. I was being given time off for good behavior. I choose to believe them.

I also found out (in an 'oh, by the way' sort of way) that I will be having radiation for seven weeks, not five and a half. Since it was just the nurse, I don't know why the discrepancy. I think I get to see Dr. Chaing sometime before I start, but if not I will ask Dr. Pelley.

Speaking of 'Oh, by the way', you should see my abs. Not that I have a six pack or anything, but I do have purple and green lines running all over the place along with two tatoos on the sides. Very colorful. I did the simulator thing today, where I was in the CT scanner for about a half an hour. With my arms over my head. By the time I could bring them down, I wasn't sure I was going to be able to. Interesting. And it looks like I will not have to have a form after all. I'll keep you posted on that one.

I don't quite know why it is so important to me to 'do it right'. As if, if I comply and it all goes well, the treatments will work better? Or, if I am very good, I deserve to be 'cured'? Or to prove that I really am healthy, except for this one little thing? I feel alternately angry, disappointed, sulky, scared and elated at missing treatments. I mean, come on, I've only gotten 50% of my treatments. This just doesn't feel right. And I think the same thing could happen with the radiation if my counts are too low.

Well, so what? You (okay, I) can only live my life so much tied up with this. I have other things to do. I promised Daddy that we would see the Grand Canyon when he graduated, and since we were sort of slated to 'graduate' together, it would be a wonderful celebration. I got a brochure from ElderHostel (we finally qualify!) with great trips to the Grand Canyon. I'm booking one whether or not I'm finished with my treatments. The doctors can just catch up with me.

January 24, 2006

Interesting things catch my eye

I find that things that I might not have thought of as meaningful strike me differently these days. I have been drinking giner tea that Rae brought me as it helps to settle my stomach in the morning. My faithful Red Rose doesn't sit as well. I am down to one cup of 'real' tea a day, usually in the afternoon. Anyway, the brand of the ginger tea is Yogi and they have little taglines similar to Salada. Today, my tag line was "It's not life that matters; it's the courage that we bring to it."

This made me think. It really isn't about how long we live, but how we live our lives. I know this sounds trite and obvious, but I guess it is part of the process. You can 'know' something, but it takes longer to internalize it and to apply it to your daily life. This is just a step along the way.

January 22, 2006

Have you ever been in an accident?

You are driving along when all of a sudden, you lose control of the car. Nothing you do, much as you try, gives you control of the car. The scenery whirls by in frozen moments. You can see the other car that you know you are going to collide with; it's coming towards you, you know you are going to hit it, and there is nothing you can do. The snow is still falling, other cars are still driving on the road, unaffected by what is going on in your car, the world still turns and yet you know you are headed to sure disaster.

Well, that is sort of what I am feeling at the moment. I have no particular reason to feel this way. Well, no new reason, anyway. My chemo is going well. I have an appointment on Wednesday to simulate my radiation. It takes two of these to set up the radiation. All is going according to plan. Why the glum thoughts? I am feeling as well as I have since my surgery. I even have some energy.

I find it difficult to make plans more than two weeks out. Why? I tell myself I don't know what is coming, I don't know how I feel, but I suspect it's more than that. I don t know if I will still be here, and what is the point? I was going to turn Mensch's room into a guest/craft room for my sewing and knitting. Well, Daddy has moved in there and more or less taken over. So much for that, but in a way, it makes more sense. Who knows if I will ever sew again? Mendon also sent me an article about how victims of crime, accident and disease react to their situations and the reactions of the healthiest survivors. So I know how I am supposed to be feeling to best cope, but getting my head and heart to cooperate is challenging. I am planning on making spinach lasgana for dinner tonight though. (Thanks for the idea, Mara. It's been a long time since I've made it and, though Daddy likes it, it just isn't something he cooks.)

There was a site Mara printed out for me that had an article on depression in pancreatic cancer patients. They found no corelation between positive outlook and survival, only quality of life. I was really relieved to read that. Not that I enjoy wallowing in the depression. My mood does affect my quality of life, but to say that it affects survival is to blame the victim. "If she had been more positive, she would have survived." I guess, what I am trying to say is, don't worry. This, too, shall pass, as Gramma is fond of saying. And my funk won't make me die any sooner, either. It just makes me a pill to be around.

I am sorry to violate the 'keep it nice and light' rule of the blogs, not that I am alone in breaking that one. Maybe I am just looking for an outlet. Or some sympathy. (Don't give into that one. It never did anyone any good.) Or maybe just a place to lay it out in the open. I think the things that get in the way are the unspoken things.

PS Gramma is having carpel tunnel surgery on Feb 1. I'm sure she would appreciate hearing from any of you. Let me know if you need contact info and I will email it to you.

Off to make lasagna. I love you all and really, truly wish I could remove this cup from your lips.

January 18, 2006

May is such a balmy month

It wasn't so balmy out this morning, but the chemo month of May went well. (One month closer to Graduation!)
We got there in plenty of time. (I was going to drive myself, but it was snowing so Daddy drove.) My blood counts were 'good', the chemo was smooth and I went back to work, where I am writing this. I don't even feel tired. Yet. I probably will tonight. But I just wanted to reassure you all that I am well and am doing well.
Love to you all. (Keep your fingers crossed that radiation goes so smoothly. And that they are both effective.)

January 15, 2006

Re-Focus

Friday was a beautiful day, in the low 60's, with a slight breeze. It was so nice, Daddy and I went out and worked in the garden. We trimmed the raspberry bushes down so we would have a larger harvest next summer. We also cleaned up some of the things (like tomato plants) that got missed in the swirl of November.

Rachael and Eric came in late Friday night (acutally early Saturday morning) so yesterday we had a faux Thanksgiving dinner. We had a turkey in the freezer that we cooked with most of the trimmings and now we are making soup. Soup is alway a good thing. Rachael and I chipped away at the boxes under the desk. Two more (and a laundry basket) to go. Baby steps, baby steps, but progress.

In one of the boxes, we came across some of my better photos, mounted on matte board. You may each have one of your choice next time you are home. They look quite nice (if I am allowed to say so myself) once matted and framed. Cheap and easy art work. We never had enough wall space to hang any of them.

Cindy and I have been working on Mendon & Kristen's wedding quilt. Wednesday after chemo, I am going to drop it off at the Lake Metro Parks quilt show. Neither of us expect it to win anything, but it will be fun to see it hanging with the other quilts. And I have been knitting a pair of slipper-socks for Daddy. I hope they shrink when I go to felt them, otherwise they will fit Sasquatch.

See? I can be normal.

On the dis-ease part, Dr. Pelley finally called on Saturday to see how my cold was coming along. I didn't run a temperature on Friday, so we agreed it was viral and no need for antibiotics. He decided I don't need to make up this missed chemo either. (yea!) And Dr. Chaing (my radiologic oncologist) has moved my radiation up to start Feb. 8 instead of the the 13th.

January 12, 2006

Sorry I am a day late

Not to worry. The internet was down. I called SBC, Nathan, and they got me hooked back up, but we detoured the airport. I'll have to talk to you to get it set back up, but at least we have access again.

Well, April has been delayed due to the cold. Yes, I didn't receive my 4th treatment and this one will be tacked on the end. And, no, I don't think I caught this cold from Mendon and Kristen. a) Neither of them were/are sick. b) I was fighting this off before they arrived. It sort of hit Sunday night, but it had been around before that.

So, here is the deal. My white blood cell count was up to 5 (Yes, amazing! 10 times what it had been. I think it is because my body is trying to fight off this cold, maybe? I don't really know) but they didn't give me my chemo because I felt sort of lousy and I would just feel worse -- or at least, that is what the nurse said. She also told me to call the dr this morning, which I did, but he still hasn't called back. I ran a bit of a temp last night (100.0) but the on-call felt I didn't need to go in because my white blood cell count was pretty high. So we wait, and see.

I guess this is the end of me trying to be 'normal'. I'm not. I can't make this go away by just plowing ahead. I have to figure out a new approach. One that will keep me living and wanting to live. I mean, I can stay alive if I isolate myself, but who wants to live like that? Not me. Not even for a short time.

January 11, 2006

Confession time

Okay, I have to confess. I caught the crunk lurgy. I may have picked it up at work, though no one here seems to be sick except me, or from Daddy who has a really mild cold. But I have it and I have it big. No fever though, so I am still on my feet. We'll see what they say when I go for chemo this afternoon.

Did I tell you that I am coming to hate Wednesdays? Yes, it is the one day I can't pretend that there is nothing wrong with me. That I can't be 'well'. I suppose that it would be best if I just admitted that I have a terrible disease and that the risk of recurrance, even with chemo, is 'significant'. But then I will be depressed. I am already finding it difficult to plan much farther out than a week. I don't want to look reality in the face; I want to bury my face in the pillow.

I got my hair cut. When I have radiation, I won't be able to shower so I wanted something easier to wash in the sink. I don't like it, but at least I have hair to cut.

More later after chemo. I will keep you posted.

January 4, 2006

Wednesday is News Day

Yes, we spent the entire day at the Clinic. Well, okay, we left for lunch, but it was a long day. I first met with Dr. Chang, my new radiologist, and we discussed my upcoming treatment. It should be starting Feb 13, if all goes well between now and then. It will last for five and a half weeks, five days a week.

After lunch at Aladdins, we went to Trader Joe's, then back to the Clinic. They drew blood and then I saw Dr. Pelley. We discussed the 5-FU that will go with the radiation. I also found out that I received a full dose of Gemzar this last time after all, not a reduced dose. Dr. Pelley tells me that I am sensitive to drugs (I seem to be slow to metabolize them) and so my white blood count was down again. Well, I am not spending the next week in under house arrest again. I will be careful, but I am not going into a bubble. But the good news from this is that Dr. Pelley says that after 100%, adding more Gemzar is more like multiplying than adding, so by having a larger dose for 2 times should pack an extra whollop to the cancer.

January 2, 2006

Dear Mara,

This is an open letter to all of you in response to some questions you, Mara, asked me. I feel that you should all have the same opportunity to read this and react, or not, as you feel at the moment. Yes, I am giving you permission to ignore this post.

It may take me a while to complete and, knowing my style, I will probably write a sentence that I think conveys a paragraph of information, so ask questions if what I say is incomplete or not clear.

"How was it for you to lose your mother? . . .Even though, Maman, I do want to ask you … if you want to talk about it. Are there things you are hoping we will do? Are there things you hope happen differently? That, looking back, our behavior makes sense because you did it too?"

These are the questions Mara posed, and they are good questions. I will try to address them, but I may just go where my feelings lead me.

My first reaction to hearing my diagnosis was, "Oh, I am so sorry to all my kids. I wish I could spare you this journey." Yes, I wanted to call you all and apologize to you for putting you through what I know you will have to go through. But then, when I talked to each of you, my feeling was, 'Oh, they are so much more secure and mature than I was when I lost my mother. It won't be as hard for them. And, anyway, I haven't received a death sentence. The doctors feel I am young and healthy.' But then, I am comparing my insides to what I can see on the outside of you.

My mother was first diagnosed when I was only 12. She died 13 years later. She had cancer more than half my life. You would think that I would have had time to get used to the idea. And I did. I got so used to it that I failed to understand the outcome. It was just an ongoing part of our lives. She tried to prepare me, because remember, her own mother died when she was only 17. I think it was especially hard on her, as it would have been devastating for me to lose my mother at 17. (I can't even imagine!) But, try as she may, I just couldn't come to grips with her not being there once she was gone.

When my mother died, I went numb. Nathan was almost 5 and Mara almost 2. I went into automatic. I think I must have closed a lot of myself off in the name of coping. I know I didn't cry. I didn't cry for 2 years, and then it was only because I was under anesthetics. It (my grief?) was really difficult on our marriage. I needed your father more than ever before, and yet I was inaccessible to him. He had no idea what I needed and had no idea what to do for me or with me.

And then there was the whole process. Because my mother's tumor was a slow growing cancer, it did allow her extra time with us, but also, it killed her slowly. Torturously. Hospice was a concept that had just come on the scene and not at all in rural Maryland, where she lived. She actively was dying from March through August. Those were the 6 worst months of my life. I wanted to be with her, but had 2 small children who really couldn't come with me as she was so ill, and she was so far away. And things were sort of falling apart at home. I remember, when she was still pretty good, the doctor told her it would be weeks. By pretty good, I mean, she didn't feel too awful, but was no longer getting out of bed for much more than using the bathroom. We (she and I) figured that 'weeks' couldn't be more than 8 weeks because then the doctor would have said months. This was in March. Imagine how disgusted she was in July to find herself alive and in terrible pain. I wanted to be with her and take care of her myself, and I just couldn't. I couldn't make her feel any better. I was so helpless. And I knew the outcome was inevitable, and it would be sad for me. Not for her; she would be released from a special hell of suffering. That did make me happy when she died.

I must say, through the whole process, she always brought humor to it. I often was laughing through my tears, but I cherish the laughter. We developed a gallows humor that others thought was quite awful, but it sustained us. And I cherish my memories.

I would say that the pain from losing my mother at a young age has always stayed with me. Gradually, it stopped hurting so much, and just became part of who I am.

One of the things I do hope you will do, and most of you have pretty well, is stay in touch. Don't desert me. It doesn't have to be in person, but phone calls, emails, blogs etc. mean a lot to me. Keep me involved in your lives. Don't treat me as though, a) I will be around forever -- no one ever is, or b) as though I were already dead and just don't need to know what is going on with you. I'd love some help cleaning the attic, but I won't push it.

Things that I hope happen differently. Well, it is a different cast of characters. So I guess what I wish for our family is peace and harmony. It won't happen. Not because we are a contentious lot, but because death is messy emotionally. It brings feelings to the surface and is raw. There are miscommunications, hurt feelings, confusion. Pain. My hope is to sort out as much of those feelings beforehand when we are all a little saner. Of course, for me it will be easier. You guys are the ones who will have to live with the aftermath. This is sort of what I was talking about a couple of years ago when I invited you to clear up any end of life issues now, before I get to the end of my life. I have seen it over and over again (and lived it, too) where people want to bring up the pain of their past with someone who is dying and it is really just too late to untangle it. Let's get that out of the way now, while we have the energy to cope with it.

And I want no one to blame anyone else for anything. I know that sounds kind of sweeping, but I really mean it.

Does your behavior make sense? Sure, I suppose. I mean, what behavior? And there is still more to come. Events, behavior, life in general. How much sense does any human behavior make? If it 'made sense' it would be more consistant from person to person.

This is a little disjointed and perhaps a tad confusing, but let this begin the discussions.