Happy Mother’s Day…to me

I have strict instructions from my youngest child to lounge in bed on this day, awaiting the fete that my family has prepared for me. I’m not much of a lounger, but I am today. My coffee is delivered while I prop myself up on a slew of pillows, and I resist the urge to leap out of bed and hit the ground running, as I do on most days. I savor the coffee knowing there is no long list of things to accomplish. No lunches to pack, no permission slips to sign, no laundry to run, no carpool to drive. Today is for relaxing.

My favorite girl rushes back into the bedroom with a coaster for my coffee mug. She grabbed it out of the drawer that holds the snarky cocktail napkins and bar accessories in an effort to bring some luxury and festivity to my morning coffee. I wonder if she read it before bringing it to me.

I can hear the preparations taking place in the next room, and I await the unveiling of the day’s bounty. As I smile at the fact that my favorite girl has orchestrated a production to celebrate me, I have a revelation. It’s a big one, an important one. I might even call it a watershed moment, which I much prefer to the more popular, Oprah-spawned “aha moment.”

The kernel for this watershed moment germinated this past week. As I enjoyed my usual yummy green curry at the favorite Thai place at which a group of my best girls gather occasionally for lunch, the topic of Mother’s Day came up, and a discussion ensued. Everyone discussed their plans for the upcoming holiday, and I noticed something remarkable. In talking about this holiday, which has typically been a mighty hard day for me absent my own sweet mama, I wasn’t plagued by a sense of dread.

Could it be? Was it really happening? At lost last, after 7 years without my mom, was the pain of Mother’s Day easing?

When it was my turn to talk about plans for the big day, my dear therapist friend at the table began explaining to the others that it’s a hard day for me. I love having my own in-house counsel. Our two families have spent the last few Mother’s Days together, celebrating poolside with delicious food cooked by her hubs and copious glasses of bubbly poured by mine. She and I have plumbed the depths of the dichotomy of mourning the loss of my mom while trying to enjoy the day as a mom. Tricky business, that.

In the midst of this impromptu therapy session, another friend piped up with a most honest and very good question: instead of being sad about your mom, what about being happy about your kids? Can you focus on what you have, instead of on what you’ve lost?

Brilliant idea.

Why didn’t I think of that?

Seriously.

My sweet mama would approve of this idea, wholeheartedly. In fact, knowing that she’d be so bummed about and would feel responsible for me being sad and dreading Mother’s Day has made the day all the more difficult. I know I should be happy. I know I should enjoy my beautiful, funny, charming, challenging, and amazing kiddos on this day, especially. But missing her, wishing she were still here, and raging against the wretched system that steals her from me makes it hard to do that. Alcohol helps. Lots of it. Preferably champagne. But even with a bottomless glass of bubbly, this day has always been a tricky course to navigate.

Hearing my sweet friend ask such a simple and innocent question, however, changed everything. Instead of gnashing my teeth at the Kay Jeweler commercials and shaking my fist at the festive tents full of flowers and balloons and sweets popping up in the grocery store parking lots, I felt a sense of peacefulness. A subdued calm infuses me this Mother’s Day. I’m not going to go so far as to say that a sense of celebration reigns, but I’m getting there. The fact that I feel subdued calm instead of outright rage is progress, people, major progress.

While it may sound simple to some to simply shift the focus from what you’re missing to what you have, I offer this: losing someone you love, particularly to a cruel and powerful disease, makes it hard to think straight. Losing someone you love makes it hard to put one foot in front of the other and soldier on through life, even if that’s what you really want to do. Losing someone you love dampens even the most festive of occasions. Even though I look lovingly at the faces at the table for the Mother’s Day feast, I’m thinking of the one place that’s unoccupied, the one party guest who’s missing. Though I’m surrounded by the people I love the most, spending a day in exactly the way I want, and while I have a bazillion things for which I am grateful, sometimes the one thing I’m not grateful for manages to supersede everything else.

But not anymore.

Today the tide has shifted and the planets are aligned. Today the bountiful sunshine that radiates on this mid-May Texas day reaches all the way into my heart and warms my battered soul. Today I will bask in the love and good wishes coming my way from my nuclear family and my extended family of close friends. Today I will finally enjoy Mother’s Day. I will focus on what I have, not what I’ve lost.

Happy, happy Mother’s Day.



 

 


Torrents

Cancer steals so much. All the time. Every day. This I know for sure.

A couple of days ago I smacked my head upon this truth and watched helplessly as my dear friend experienced this for himself. His dad died from cancer a decade ago. Ten years, yet the grief was as raw as can be, the loss as crushing as it was a decade ago.

His dad was a handy guy who could fix anything. He made a good living — and supported four kids — with his hands. My friend learned from his dad and is handy too. Although his livelihood isn’t manual, he can fix anything, like his dad. He just doesn’t always believe it until it’s done.

My friend was fixing the spring on our gate (one of the many things he’s helped with around our house). The spring on the outside of the gate had lost some of its tension, and the screws holding it in place had wriggled loose after seven years of use. How many hundreds of times has that gate banged shut as my busy little family comes and goes? When we were building our pool, the gate and the fence came down, to be replaced by temporary, orange plastic fencing (seen behind the slabs of flagstone) that couldn’t contain my dogs. My then 7-year-old chased the escaped dogs across a very busy street, unaccompanied, but that’s a story for another day.
In the process of repairing the spring on the gate, my friend broke his screwdriver. The one that he inherited from his dad. No big deal, it’s part of a set and he has several others the same size. But he was upset–really upset–because along with the screwdriver, he felt like he lost a piece of his dad.

His rational brain knows that the screwdriver isn’t indicative of his dad’s presence or absence. His intellect knows that having the screwdriver doesn’t mean that he still has his dad, or that by not having the screwdriver he no longer has a hold on his dad’s memory. But his irrational side mourned the screwdriver. His emotional brain felt that he’d lost another part of his dad. As the wise poet Ralph Waldo Emerson said, “Sorrow makes us all children again – destroys all differences of intellect.  The wisest know nothing.”

I’m very familiar with the destroying of intellect in times of grief, and I know just how my friend feels. After my mom died, I hung on to all kinds of her stuff: cookbooks, costume jewelry, unfinished embroidery projects, even her ratty old college sweatshirt. My dad has the more personal items — her glasses, her wedding ring, her driver’s license. I desperately wanted a piece of her, any piece, to remain, so I clung to her things in hopes of finding pieces of her.

Guess what? It doesn’t work. The desperation, the clinging, the hoping against hope are all for naught. Once the person you loved with your whole heart is gone, snatched away too soon by illness, there is no holding on to them. I’ve learned this slowly and painfully in the almost seven years that my mom has been dead. Her stuff is just that — stuff. It’s not her. She’s gone and that’s the brutal finality of experiencing the death of a loved one.

I’ve written before about how grief sneaks up on us, and can buckle our knees out of nowhere, even after years have passed. I know that this is what happened to my friend the other day: he was going about his business, engaged in a simple task that took little effort and yet would yield great satisfaction when done. The sun was shining, the workday was done, and a cold beer accompanied him as he unscrewed the rusty, spent screws from my gate. But once the screwdriver broke, so did the dam that most days holds back the torrent of sadness that is life without his dad. How many times has he said he wished his dad were here to help him with a DIY project, or to admire his handiwork upon a project’s completion? Too many times to count. And in the midst of an ordinary task being done on an ordinary day, the torrent rushed through.

“It’s so curious: one can resist tears and ‘behave’ very well in the hardest hours of grief.  But then someone makes you a friendly sign behind a window, or one notices that a flower that was in bud only yesterday has suddenly blossomed, or a letter slips from a drawer… and everything collapses.”  ~Colette


Model prep

The American Cancer Society’s Couture for the Cause is fast approaching. As in tomorrow. I’m experiencing equal parts excitement and terror about modeling in the fashion show. Since this is my second time to model in the Couture, the excitement should be outweighing the terror, but alas it is not. Ask me tomorrow which feeling prevails. Hopefully it will be excitement. Sadly, all the fun and triumph surrounding this event are overshadowed by the unexpected death of our sweet dog Harry. It has been a long, hard day at our house, following a sleepless, sad night. I can only hope tomorrow is better. I’ll have a couple of my besties modeling with me this year, so it will be a great comfort to have them backstage and on the catwalk with me.

Getting ready for the show is pretty easy, assuming there are no big bumps in the road like the one we’re experiencing as we grieve for our dog. There’s the model survey to fill out (height, weight, hair & eye color, favorite designers, personal style, etc) and a full-length photo to submit. Then show up for a fitting of the outfits I’ll be wearing; show up for rehearsal with finger- and toenails painted red; and show up a few hours early for the event to have my face painted and my hair teased and tousled by a team of professionals. Oh, and procure the items on my “bring list,” which this year include a pair of brown platform sandals, a pair of black peep-toe platform heels as high as I can manage, and a strapless bra. Last year, I modeled between mastectomy and reconstruction, so there was no need whatsoever to bring a bra, strapless or otherwise.

In fact, last year I modeled having been sprung from the hospital just a few weeks before the big event. That nasty post-mastectomy infection damn near kept me from being able to participate in the most terrifying and most amazing experience I’ve ever had. This year, I’ll skip the hospital part and head straight for the show.

Last year, I had no idea what I was getting myself into but was coaxed and cajoled by some people I really love (that means you, Yvonne) and some people I’d never met but who assured me I’d be perfect, just perfect. All of the other models were cancer survivors, save a dozen or so real-life models to really showcase the outfits and lend an air of professional gravitas to the event. There were several other breast cancer survivors among the non-professional models, and they happened to be a lot farther along in the cancer “journey” than this fledgling model was. Every single one of them was done with reconstruction and didn’t bat an eye before showing me their results. Only at an ACS event would it seem perfectly normal to be closely examining a complete stranger’s breasts, but that’s how cancerchicks roll. 

Needless to say, last year I was a teensy bit unsure about taking the stage and strutting my stuff on the catwalk among hordes of people who’d paid a lot of money to get into this gig. My body was a train wreck, my mind was somewhere between blown and trying to follow along, and my emotions were all over the place. I’d managed pretty well at that point to wrap my head around the cancer diagnosis, but dealing with the infection that threatened to be an unsolved medical mystery — not so much. 

Hooray for being in a muuuuuuuuch better place this time around.

And hooray for actually liking the outfits I’m going to model on Saturday, and for hopefully not having a mink headwrap this time around.

While there is a lot of prep work that goes into pulling off a successful Couture show, thankfully most of it is done by others. I’m pretty sure there’s not another cause I’d be willing to model for, even though it gives me an excuse to buy new shoes. All this fashion show prep reminded me of a story Trevor shared with me a while back, about what the Victoria’s Secret models go through before their big fashion shows. Seems the Telegraph followed VS model Adriana Lima leading up to her fashion show. Lima is a bit more serious about prepping for her show than I am for mine:

She sees a nutritionist, who has measured her body’s muscle mass, fat ratio and levels of water retention. He prescribes protein shakes, vitamins and supplements to keep Lima’s energy levels up during this training period. Lima drinks a gallon of water a day. For nine days before the show, she will drink only protein shakes – ‘no solids.’ The concoctions include powdered egg. Two days before the show, she will abstain from the daily gallon of water, and ‘just drink normally.’ Then, 12 hours before the show, she will stop drinking entirely. “No liquids at all so you dry out, sometimes you can lose up to eight pounds just from that,” Lima says.

Say what??

I can assure you that I will most certainly not stop drinking entirely before my show. If anything, I’ll probably be drinking even more than usual. I will most definitely raise a glass and send up a toast to my sweet dog who is no longer waiting to greet me after my big event.


The Phantom Tollbooth

Remember that book from back in the day? It was also made into an animated movie by Chuck Jones, the genius of cartooning. It was written before I was born, by Norton Juster and was illustrated by Jules Feiffer. Not sure what either of them has gone on to do, but perhaps the Tollbooth was enough.

thenewyorker.com

It’s the story of a boy named Milo who unexpectedly receives a magic tollbooth, which he explores in a toy car. Along the way he becomes lost in the Doldrums, where thinking and laughing are strictly prohibited, and is rescued by Tock, a lovely giant watchdog with an alarm clock attached to his belly. The parallels between this story and the cancer “journey” are many.

I was thinking of The Phantom Tollbooth yesterday as I noticed a phantom pain deep in the area formerly known as my right breast, where the evil post-mastectomy infection set up camp and decided to stay awhile. The pain itself wasn’t strong enough to take my breath away, but the implications were, and my mind immediately began racing: what if the infection is back? what if it never fully went away? There were signs of that damned infection, after all, during The Big Dig, which was 9 months after the infection first made itself known.

It’s been a year since The Big Dig, which was my best option for defense against the infection after 267 days of oral antibiotics didn’t fully slay that beast. Nearly a year later, a random pain in the area of my body that was my Ground Zero still has the power to bring me to my knees. Not because it hurts so badly, but because of what it represents.

The idea of the infection once again rearing its ugly head scares me. A lot. I don’t think about it often because I’m busy living my life, but once in a while, as in the case with the phantom pain, the thought does cross my mind. If it did come back, or if it reasserted itself after lying dormant, I would freak out. And yes, that is the correct medical term for becoming reacquainted with the mycobacterium that made a cancer diagnosis at age 40 seem like a walk in the park. The cancer part was easy (relatively speaking) but the myco damn near destroyed me.

Looking back on that dark period of my life is like watching a movie. I see this girl who’s going about her charmed life. Sure there are things that could be better but for the most part it was indeed a charmed life. She lives this charmed life rather out loud, and does “all the right things” to ensure that the charmed life has plenty of staying power. Baseline mammograms at age 36 because of her sweet mama’s premature death; a meat-free, plant-based diet free from preservatives and other nasty; daily exercise; a premium placed on a good night’s sleep; plentiful fresh air and clean water; an all-out avoidance of hormone-filled dairy products for her and meat products for her kids; a plan to deal with the stresses that sometimes darkened her door.

This girl was the last person you might expect to be felled by cancer. And yet, she was.

It’s hard for me to recall those dark days. Of course I know it happened and I was there, but my brain seems to protect me from all the gritty details. After taking in the diagnosis, deciding on the bilateral mastectomy, enduring the surgery and thinking I was on the road to recovery, the infection hit and knocked the wind right out of me.

There’s a vivid PTSD associated with the whole infection thing. I’d bet there’s a whole separate PTSD associated with the cancer thing, too, and it comes out in strange ways, such as a phantom pain sending me straight from normalcy to crazy town without stopping to collect my $200. Could be that the phantom pain in my chest was from 4 sets of tennis on Sunday after a tough upper-body workout on Friday. Or it could be from the wear & tear of multiple tissue excisions and general gutting of the infected skin during the infection’s salad days. When I was a kid, I had pneumonia, and some part of the illness settled in my left lung. For years after that illness, I’d often feel a pain/fatigue in that same spot. Perhaps the phantom pain in my chest is similar.

Very likely it’s nothing to worry about, but once you’ve  danced with the devil that is cancer, any twinge or spot or pain sets you on high alert. Some of us head straight for the catastrophic death spiral my sweet friend Lauren writes about. As she so knowingly puts it “The catastrophic death spiral makes us think a lump in our thigh is thigh cancer, a headache is brain cancer, and shortness of breath after running is surely announcing lung cancer. The catastrophic death spiral is the vortex that is cancer.” My recent phantom pain sent me spiraling before I had a chance to reel myself back in to the land of rational thought. It’s worrisome enough to have already dealt with the havoc that cancer brings, but to also feel the aftershocks of that disaster just stinks.

I expect that the constant looking over my shoulder is common in cancerland. But I don’t like it. I’m rather known for my heightened sense of justice and the idea that if you do the hard work/right thing, you’ll get the payout. But bad things happen to good people every day, and life isn’t fair. People who take good care of themselves get cancer, and people who treat their bodies to a buffet of Animal House-style debauchery outlive them. I know this, yet I’m still brought up short by the phantom pain’s effect on me and how quickly and effortlessly I returned to the catastrophic death spiral.

I was probably foolish to think that there would be an end to the cancer “journey” and that the incidences that trigger PTSD would gradually disappear. I should have known that even after logging many miles and paying the requisite tolls in this “journey,” I would forever be circling, just shy of my destination, and always consulting the map. Once Milo returns home from his trip on the tollbooth, he sees a note, which reads, “FOR MILO, WHO NOW KNOWS THE WAY.” I’m looking for my note and wishing I knew the way.

Phantom Tollbooth's Map of Lands Beyond


Shuffling the Pack

Another story from our fine local newspaper. Yes, it’s about cancer, and yes, it’s sad. Consider yourself forewarned.

Last month, there was a wonderful story called “Shuffling the Pack” about a woman, Tina Borja, and her dog Buck. Two years ago, Tina found a lump in her breast and became one of the the “one in eight” women in the United States to be diagnosed with the dreaded disease. She endured the all-too-familiar treatment of lumpectomy, mastectomy, chemo, and radiation to combat her cancer. During the misery that is cancer treatment, as Tina grew weaker, Buck took over as the pack’s alpha. According to Tina, it was no longer her job to take care of him; he decided it was his job to take care of her.

Reminds me of my sweet Maddy, the All Time Ever Best Dog in the History of the World. She and my sweet mama got sick about the same time, and both were going downhill fast: mom’s cancer was eating her alive, and  Maddy’s advanced age (98 in dog years) resulted in some nasty degenerative problems that no pet owner should have to witness. Long story short, my mom knew she wasn’t going to win her cancer battle and was heartbroken about the idea of me losing her and my beloved dog at the same time. The vet gave Maddy a few weeks to live, while Mom was given a few months. Darned if that dog didn’t defy the odds and live nearly 6 months past her predicted expiration date. She held on for several months after Mom died, then quietly let me know it was her time, too.

But back to Buck. And Tina.

After enduring treatment, Tina was pronounced cured of breast cancer. Not “in remission,” Tina says, but “cured.” Big difference. And one that this cancer survivor won’t feel comfortable assuming, ever. As I’ve written about here and here, “cured” isn’t something I consider. To me, “cured” connotes a permanent state, while recurrence is always on the horizon.

Tina looked at it differently, and didn’t think about recurrence. After being pronounced “cured,” she felt safe. She probably figured she’d endured so much hardship that she deserved to have a big payoff, i.e., a long, healthy life. Instead, she was hit with what every cancer patient dreads: recurrence. One day, out of the blue, she started  having trouble with fine-motor skills. Everyday stuff like typing and signing her name became iffy. After the all-too-familiar scans we cancer patients endure, Tina learned she had four tumors in her brain. Her breast cancer was not cured but in fact had spread.

She’s now enduring radiation on her brain, a last-ditch treatment that will most likely buy her some time, but it comes at a great cost. “With this cancer, you never know,” she says. “Will the cortex go first? Will I lose my speech? Or my motor control? Or my inhibitions? I could be running in the streets naked.”
Before any of that happens, Tina wants to make sure Buck has a new home.
So…it’s not enough for this woman to be dying of metastatic breast cancer, she also has to make plans for her dog to go to a new home? That is wrong. Just wrong.
I give Tina a lot of credit. Nowhere in the two articles I read about her is there a hint of “poor me” or “why me?” but instead, she’s focused on taking care of business. According to last week’s article, Tina “believes the right home is out there, that somewhere, someone is willing to give him the place in the world he deserves. A place with room to run, and someone to make him feel secure.”
Isn’t that what we all want, really? When we boil our life’s pursuits down to their essential elements, don’t we all want someone to give us the place in the world we deserve? A place with room to run, and someone to make us feel secure?
While my heart is breaking for Tina and my sense of righteous indignation is roiling over her situation — and that of millions of other cancer victims out there — I can’t help but be really moved by the love she has for her dog. I’m a dog lover and a cancer victim myself, so I’m ripe for the picking here, but even the most hard-hearted among us surely must be a teensy bit verklempt here.
For everyone concerned — animal lovers and “I’m fine without a furry creature in my life” alike — good news. Well, if you can consider anything good about Tina’s situation. After the initial article ran in the paper, more than 150 people emailed the columnist, Lisa Gray, and 100 of them expresed interest in adopting Buck.
Tina read every single email. I knew she was good people. She was reportedly overwhelmed, in a good way, and she replied to everyone who’d inquired about making Buck a part of their family. “Dear all, Your collective response evokes more adjectives than I can name: heartwarming, tender, encouraging, overwhelming.”
One email stood out among the horde, and curiously, it wasn’t even written by the person who might end up with the dog. Brett Felker recently had to put his dog down, and his stepmom, Kristy, emailed Tina. Brett’s dog, Boogie, was a blue-heeler mix, just like Buck. Boogie was a cattle dog on the Felker family ranch in Odessa, and Boogie lived a long, happy life with Brett on the ranch. At age 16, however, Boogie’s ranching days were over. The day that Kristy read about Tina’s plight was Brett’s first day back on the ranch without Boogie. Kristy took action, writing to Tina, “Perhaps we can see if Brett is ready for Buck. I think they both might need one another.”
This was a bold move by Kristy, and one that Brett could have interpreted as meddling. I know this, because I’ve been there. My beloved Maddy girl has been gone from this earth for 6 years, but I can still recall like it was yesterday how much it hurt to say good-bye, and how raw it felt to even consider getting another dog after my heart had been ripped out by her absence in my life. I remember saying I will NEVER get another dog, because the pain was too deep, the loss was too great. But in a matter of days, I knew that I would NEVER live my life without a dog as a part of it. I missed that sweet face in the window as my car pulled into the driveway. I missed that full-body wiggle when I walked through the door. I missed that comforting thump of the tail every time I entered the room. I missed the solid warmth and soothing presence of a furry body next to me as I reposed.
Brett wasn’t there yet when Kristy sent him the story of Buck. It was too soon, and he wasn’t ready. But Kristy soldiered on anyway, like a good bossypants, and emailed Tina. Then she took the bossiness one step further–which I love, by the way–and forwarded the emails between Tina and herself to Brett. Brett decided he was interested in Buck, because the blue-heeler side of Tina’s dog reminded him of his own beloved Boogie, but he wasn’t sure he was ready.
Tina replied in admirable dog-mama fashion, saying no pressure, but think about it because he seemed like a good match for Buck. I love that Tina wasn’t concerned with securing a home as much as she was with making a good match. That’s a good dog-mama for ya.
Tina and Brett are planning to meet soon, and Tina is sure it will be a good match between Brett and Buck. So sure that she’s already planning to take a picture of Brett leading Buck away. She says “it’ll be a brand new pack, each starting over, but each knowing what it means to be loved.” I sure hope Buck keeps this photo in his heart, forever:

The spring of my discontent

As the spring equinox draws to a close, I can’t help but notice that today is the beginning of the season I dread. Springtime is hard, really hard, and today heralds the beginning of the period of time that hurts my heart. Three events in a short span, one right after another, that bring heartbreak.
An anniversary, a birthday, and Mother’s Day. Bam, bam, bam. Just when I get through one, the next one is right on its heels, waiting to slam into me like a brick wall. But instead of mortar and bricks, this wall is made up of sadness and loss.
Today, the first official day of spring, is my parents’ 47th wedding anniversary. 47 years. Just a few years shy of the big 5-0. I can imagine myself planning a gee-gantic golden celebration: friends, family, neighbors, cake, champagne, confetti. But one thing is missing: the bride.

Mom's photo for her wedding announcement in the newspaper

My mom’s chance to celebrate her golden anniversary was stolen by the vicious beast we call cancer. Stupid cancer.
My parents set a great example for what a successful marriage is all about. Give and take, support, and sacrifice. Good years, lean times. For better, for worse. Most definitely in sickness and in health. While they had a lot of good years together, I sure wish they’d have had more.

That hospital smell

That hospital smell. Yuk.

It’s been a while since I’ve smelled that familiar and powerful smell. Yet as soon as I walked through the sliding glass doors for my CT scan, the smell of sickness, helplessness, confusion, fear, uncertainty, and anxiety flooded my senses. I’m back at the hospital for a scan of my chest and abdomen, to peer into the inner workings of this body of mine to determine if that wily cancer beast is setting up shop again.

As much as I hate being here, smelling that hospital smell, I’m strangely comfortable here. Although I haven’t had my all-important cup of coffee or one bite of breakfast, and although this is the last thing I want to be doing this morning, I’m not too grumpy. I know exactly where to park to get me closest to the Outpatient Imaging area. I proceed effortlessly to the hospital registration desk, the payment cubicle, and the Imaging reception area. The ubiquitous white ID bracelet circles my wrist like an old friend slipping her hand into mine. I recognize some familiar faces. There’s the kindly, grandfatherly volunteer who guides lost patients, so eager and proud in his dapper red vest and jaunty bow tie. There’s Christy the phlebotomist who remembered that I have young kids, and asked how they’re doing. There’s Mary the nurse who took pity on me when this cancer “journey” first began in May 2010 and I was in the imaging area all day for tests. She took pity on me and presented Amy and me with a pink Astros jersey, just in time for Mother’s Day. Another familiar face: Lily, who was my nurse in the OR during one of the many surgeries to try to contain the infection and clean up the swath of destruction it left in its wake. I first wrote about her a while back, and was tickled to see her smiling face today at Methodist. Lily is a breast cancer survivor herself, and she showed Amy and me the scars from her mastectomy years ago. Choosing to forego reconstruction, she put her cancer in the past and bore her horizontal scars with a quiet dignity and strength that often pops into my head. Imagine my delight when I see Lily ‘s face on a poster announcing her as the recipient of the 2011 Care Award. Well done, Lily, and well deserved.

Of the 12 others in Outpatient Imaging Waiting A, I’m the only one without an AARP membership. One woman is in her house coat, napping in her wheelchair. One is reading a large-print edition Agatha Christie novel. I’d be willing to bet I’m also the only one who packed kids’ lunches and juggled two different school drop-offs with my early morning appointment. Such is life as a “young” cancer patient.

I’m well prepared for my visit today, and look like a walking Apple ad with my iPhone, iPad, and iPod. The phone is the constant companion every mother of dependent children during school hours. The iPad is to distract and entertain, and the iPod is vital to block out the blare of the morning news show coming from the hanging TV. Today it’s Concerto for Violin and Orchestra No. 4 in D Major. Mozart reminds me to stay calm, don’t focus too much on the germ breeding-ground that is a hospital. Those of us who’ve contracted strange hard-to-treat infections after surgery tend to be on edge in the belly of the beast.

All set up with my personal electronic devices, I wait to be summoned to the back rooms of the imaging area. This is not my first rodeo, so I know what to expect: I’ll get an IV inserted in the crook of my arm (always a pleasure since my veins are so tapped out and reclusive after all this mess), then I’ll have to drink two big cups of gross-tasting liquid contrast that somehow goes down my gullet and lights up my belly for the abdominal scan.

It is not tasty.

I had hoped the pink labels on the cups would provide a clue as to exactly what this concoction is, but alas, that hope was not to be recognized.

Both times I’ve had an abdominal scan and had to drink the non-tasty drinks, I’ve been the only person in the entire waiting area to be served a beverage. The other patients waiting for their scans always stare, perhaps wondering why I’m so special as to get not one, but two special drinks.

I have one hour in which to drink this vile stuff, but I chug it down as fast as I can to get it over with. Christy, my phlebotomist/comedienne, quipped that if I had come after 3 pm she would have spiked my drinks for me.

After I’ve ingested all the non-tasty drinks and they’ve had time to light me up from the inside, I’m called back for my scan. Of course it’s freezing in the scan room, and because I’ve just chugged a 40 of cold nastiness, I’m a bit chilly. Christy makes my day by giving me a warmed blanket, and tells me to lie on the narrow “bed” of the CT scan machine. Once covered, she tells me to pull my jeans down to my knees — under the blanket — so the zipper and button don’t interfere with the scan. After drinking those awful drinks and enduring yet another needle stick, I’m not going to do anything to mess up this scan.

The machine starts clicking and whirring, and Christy and Lucas the technician tell me to raise my arms above my head, stretching them out as much as I can with the IV inserted. I do as I’m told, and Christy and Lucas leave the room. I’m all alone, except for the chugging of the machine and the computerized voice that tells me to breathe in, hold my breath, then breathe. This goes on for several cycles, then Christy comes back in to push the contrast dye into my IV for the chest CT scan. While this isn’t nearly as unpleasant as drinking the yucky drinks, it has the strange side effect of presenting a gross, warm sensation that is reminiscent of wetting your pants. Thankfully, this side effect was explained to me the first time I had the scan, so I didn’t panic.

It’s a weird feeling to actually feel something going into your veins. For this IV, I literally felt the needle entering my vein, and am happy to report that after all the needle sticks over the last 20 months, I’m not nearly as freaked out by this as I used to be. I don’t like it, but I don’t get sweaty palms over it anymore. I also felt the contrast push as it entered my vein, and I could feel it as it coursed through my bloodstream. Strange, unpleasant, and draining. I haven’t seen any clinical evidence to support this, but this whole experience wears me out, big time.

After the contrast spreads throughout its intended path, the computerized voice tells me to breathe in, hold, and breathe out a few more times, and then I’m done. By this time, my blanket is no longer toasty warm, and I’m more than ready to leave. Christy comes back in to remove my IV, and I’m all done. I feel a little woogity from all the junk that’s been injected into and ingested by my body and from the fact that it’s now getting close to lunchtime and I haven’t had a sip of coffee or a bite of breakfast. No matter, I’m done. I’m outta there, blowing off the stink of the hospital as fast as I can.

But here’s the rub, people: the fasting, the absence of coffee, the disruption of my morning routine, the sharp stab of the IV, the gross drinks, and the unpleasantness of the IV contrast are the easy part. Now, the waiting begins. Waiting to hear what shows up on those scans. Now that I’m well acquainted with my fellow cancer-chicks in the blogosphere, I know a lot more about breast cancer and recurrence than I used to. I’ve left the security of “we caught it early and think we got it all” for the real world of recurrence. Getting a glimpse into the harsh realities of metastatic breast cancer is a sobering experience. Through intrepid bloggers like the beloved Rachel and the eminently wise Susan and the witty Sarah (who had ovarian, not breast, cancer), I’ve learned first-hand that while being diagnosed with cancer, especially at a young-ish age, is scary, the really scary part is recurrence. We may think we’ve dodged a bullet or done our time or earned our freedom or whatever metaphor applies, but the truth is, it’s random and it’s scary. The periodic scans that make up the fabric of a cancer patient’s life are unnerving. There’s a delicate balance between wanting to be normal and being realistic. We hold our breath for the “all clear” while awaiting the blow that once again knocks the wind out of us and shatters our fragile peace.

 


A little levity

This blog has been mighty serious lately. With topics like this and this and this, there’s been little room for the funnier things in life.

Time for that to change.

At least for today.

No doubt I’ll be up on my high horse again, ranting away about the evils of cancer or the lunacy of Rick Santorum or the despicable-ness of Rush Limbaugh.

But not today.

Today is about smiling so hard my face hurts. About being in the company of girlfriends so funny and true. About belly laughs. About soaking up the sun and feeling the breeze.

To assist me in my pursuit of all things jovial, I present the latest list from my favorite girl: Five Things The Internet Loves. I’ve no idea why she wrote the list, or what spurred this bout of out-of-the-box creativity, but like the best things in life, it doesn’t matter.

Enjoy!

by my favorite girl

Her spelling is a bit off, but that doesn’t stop her from getting her message across:

1. People getting hurt/embarrassed

2. Animals doing ridiculous things

3. Old people rapping

4. Little kids cussing

5. Fat people dancing


Thinking about it

I ran into a friend yesterday who I hadn’t seen in a while and she asked me how I’m doing. Great, I replied, just great. And in that moment, I truly was. I’d just finished a kick-ass workout and had a few minutes to watch my team play tennis against one of our old rivals. I had a bye this week so I could enjoy the two matches going on side-by-side, plus the gaggle of tennis hens flocked in between courts to visit. Those of you living in colder climates would scoff at our gaggle, in the bright sunshine and temps in the low 50s I’d say, bundled up like Texans tend to do when it gets “cold.” There were tights under tennis skirts, gloves, hoods pulled tight around sunglassed faces, and blankets wrapped snugly. The wind was downright nippy, after all. Good thing we have such fulfilling fellowship to help keep us warm.

Anyhoo, I had a precious little chunk of time after the gym and before picking up my carpool for early-dismissal day, and I was surrounded by friends.

Great. Just great.

Big smile.

Despite the sadness that’s permeated this week with the deaths of Rachel and Susan (and the flurry of blog posts, Facebook posts, articles, Rachel’s beautiful obituary, and personal stories about Susan like this), I’m great. My schedule is full but not overwhelming (just the way I like it). My laundry is done (if not folded and put away). My closet is clean and tidy (I can’t think when clothes are draped and shoes are jumbled everywhere). I’m great.

My friend was glad to hear that I’m great, then asked, “How do you not think about ‘it’ all the time?”

By “it” of course she meant cancer. And at that moment, I wasn’t thinking about “it.”

I thought for a minute before answering. This is an important question.

How do you not think about it all the time? While I don’t think about it all the time, cancer does indeed hover around me an awful lot. Sometimes in the foreground, front & center, and sometimes in the background, inching ever closer and waiting for any opportunity to swoop in and crash the party.

I explained to my friend that for me, it’s like this: you know that feeling when you get caught in the rain, or maybe thrown in a pool, and it’s a while before you can change clothes? That feeling of shirt, pants, and undies plastered to your skin? Heavy and uncomfortable, but not debilitating? It’s like that.

When fully clothed and drenched, one can still function. One can remain drenched for a long period of time and still get through the details of one’s day. The wet clothes cling and maybe even chafe a little, but one can breathe. One can move, onward and upward and from the rainy parking lot to the car, or from the pool into the house. Perhaps one’s heart rate jumps a bit as the adrenaline rushes, and maybe one even gets a little short of breath from the shock of the deluge of water or the careening into the pool, but one is still fully functional.

Myriad reminders of cancer assault me every day. Some reminders are overt, like the news of Rachel’s and Susan’s deaths on Monday, or more covert, like the strange dichotomy of my life’s timeline: events that happened before or after cancer. Reminders can be lasting memories, like the chalkboard sign my favorite girl drew declaring “Mom is feeling better!” a day after I was sprung from the hospital after my mastectomy. They can also be tactile, like the weight of the fleece blanket I used during each hospital visit settling atop my weary body.

The visual reminders pack the most punch: the battle lines of scars that crisscross my body, of course. The prescription bottle of tamoxifen that has a long-term lease on my kitchen counter. The drawer full of bras in various sizes, from the totally flat-chested “it’s an utter waste of money” bras to the “I sure thought this would work for the finished product” bras. The humongous stack of EOBs and bills from the various doctors: breast surgeon, anesthesiologist, infectious disease specialist, oncologist, OB-GYN, lymphedema/massage specialist, GYN oncologist.

Cancer changes people. Inside and out. In ways too numerous to count. In ways both miniscule and grand. Not all the changes are bad, mind, but know this: you will never read one word on this blog, now or ever, about cancer being a gift. If cancer is a gift, I sure as hell hope there’s a gift receipt, because I’m going to return it. And if you’re the sort of person who thinks cancer is a gift, you are most definitely not invited to the party.

Cancer encourages weird thoughts. Because of cancer, simple things like hearing Rihanna sing about love in a hopeless place makes me think not of star-crossed lovers in the projects, but the compassion of friends during life’s most difficult period.

Cancer panics me into thinking that any little twinge is a metastasis. Headache? My cancer has spread to my brain. Hip pain? Oh, mercy, it’s in my bones. Cramps? Ovarian or uterine secondary tumors. Just a couple days ago, I tweaked a muscle on my left side, in between my ribs. For an entire day, I couldn’t inhale fully; taking a deep breath hurt, and my first thought wasn’t the rational realization that I should have gotten a stool to reach the shelf in the laundry room, but the irrational thought that the teeny spot on my lung–most likely a byproduct of having pneumonia as a child–has grown into a tumor so big I can’t breathe.

Cancer elicits a full range of feelings and emotions. There’s exhaustion, anger, gratitude, fear, confusion, relief, distrust, joy, anxiety, and sadness. Sometimes all in one day. There are times in which I’m going about my non-cancer-related business and a wellspring of emotion surges up out of nowhere. My brain must be on constant overdrive. Sometimes the wellspring of emotion is bad and overwhelming, like the thoughts of recurrence. But sometimes it’s good, too, like the happiness humming through my heart when my septuagenarian friend at the gym showed me a photo on his iPhone of his golden retriever, Abby, covered up to her neck in his bed. Why does my heart sing at the obvious love this man has for his dog? Because cancer reminds me that life is fleeting and the good times aren’t guaranteed, so savor the small things. Cancer reminds me to be present in the moment, for you never know when idle chit-chat by the treadmill will flow into a display so sweet in its simplicity, yet so rich in its meaning. That Mr McKay loves Abby enough to tuck her into his bed with a down comforter is rich. That he chose to share that with me is even richer, and that I slowed down enough to engage him, instead of rushing off to my next to-do item, is the best part of all. In my pre-cancer life, I would have been in a rush to get out the door after my workout. In my post-cancer life, I know to slow down, listen to the people around me, and drink in their life experiences. While the weird thoughts that cancer brings get more attention, the beneficial thoughts are there, too.

I had a smile on my face all day thinking of Abby and her besotted owner. No doubt my thoughts will soon run amok again, imagining all manner of cancer-related craziness instead of lingering on the pure sweetness of a man and his beloved dog. Before long, I’ll again feel the soggy weight of wet clothes on my back as thoughts of cancer snake their way through the dense thicket of neurons in my brain.


Happy birthday?

Macy and I were watching Animal Planet (aren’t we always??) when this commercial came on. There’s a series of them, created by the American Cancer Society through the More Birthdays campaign. I like this campaign. I give it two thumbs up. The list of musicians who have participated is long — from Aaron Neville to Weezer, with plenty of variety in between. Even my personal fave, Jack Johnson, got involved.

According to the ACS:

“We believe every birthday you celebrate is a victory. Another year that cancer has not prevailed. Your birthday means everything to us. That’s why we’re dedicated to creating a world with less cancer and more birthdays. Thanks in part to our work, 11 million cancer survivors will celebrate another birthday this year. But we can’t stop there. With your help, we can create a world with even more celebrations, more laughter, and more birthdays for all.”

morebirthdays.com

Macy was puzzled by the campaign, which surprised me. Cancer has been a part of her life for most of her life — my mom was sick during Macy’s preschool years, then we had several “normal” years before I was diagnosed. Kids whose parents have cancer grow up fast — they face the ugly realities of illness, fear, uncertainty, hospitalizations, treatments, doctors’ appointments, and death.

My girl didn’t quite get the point of the campaign for more birthdays. I would have guessed just the opposite — that because she’d witnessed my cancer “journey” firsthand, she’d understand exactly what the ad meant. I guess it’s a good thing that my kid doesn’t associate my cancer with death and, by extension, with no more birthdays. It’s a slippery slope when dealing with young kiddos and disease. On one hand, I’ve tried to be open and honest about my “journey” with my kids, but on the other hand, I sure don’t want to plant the seed that makes them realize that, hey, wait — people die from this, so Mom could too.

What’s the right answer to the “how much is too much info” question? I haven’t the faintest idea. There’s so much about the cancer “journey” that lacks a definite answer. Come to think of it, there’s so much in parenting that lacks a definite answer. I’m sure there are a million and one books on amazon.com about the best way to talk to kids about cancer. I was way too busy upon diagnosis, though, to order any, much less read them. Having cancer is a full-time job, as is raising young kids. So I never found the right answer, and decided to just wing it. So far so good, as evidenced by the fact that my favorite girl doesn’t understand the campaign for more birthdays.