9/9/09 Chemo day one

“Hey cowgirl, are you ready to round this thing up?”  B’s warm body enshrouded mine as I was blinking the sleep out of my eyes.  The kat-man-budda (our large siamese boy) crawled in with me for an early morning touch.   I got out of bed and put on my boots.  I’m quite a sight with my new pink tie dyed t-shirt , bare legs and boots.

medicine-150x150I got a vision of chemo while in NY last weekend.  One of the drugs is a rusty red, and I saw it going in the port-o-love and directly to my left breast.  It traveled like a fireball and turned into a pale yellow, cooled by the ocean of blue that is my spirit.

I’d say this trail is full of surprises.  Some of them are so sweet.  Some are hot, decaying and frightening.  I saw a mangy fox in our garden this morning.  She was just sitting there by the pepper plants.  She looked really bad, weary of the road.  She was quiet as she got up and walked slowly into the woods.  Her trail to me seems so much harder than mine.  Not many would give her anything but a bullet to put her out of her misery.

My chemo cycle is 14 days long.  The infusion is day 1.  I return again in two weeks, on day one for another infusion.  The experience was relatively uneventful, the port-o-love works well, easy access and dismount.  All staff were very accommodating.  It’s quite a peaceful place.  The kids decided to go to round 2 with me instead of one.  We’re cool with that.

Lasso1-150x150At this point my visualizer is really active.  I drew the whole time I was hooked up except for when I was eating.  Yea, I was hungry and ate all of the fresh fruit and cottage cheese and green salad they gave me.  When you’re a soup snob, hospital minestrone just doesn’t get a rise but being the trooper he is, B helped me finish the soup.  This first pic was just a close up of one I’d done earlier of the lasso gathering the disorganized cells.  I just had to get it on paper again.

I was particularly aware when the Adriamycin was put in.  Saline Adriamycin-150x150dripped from the bag, Cytoxin was to go in after the A, which was put in through a separate attachment.  The port is cool, they can draw blood from it or put meds in.  When it was time for the A to go in, the nurse used a separate insertion tube because does not come in a bag like the other stuff.  It was in two large syringes, very red liquid.  My automatic response was something like ‘there it is’ the stuff some refer to as battery acid.  (I’m not going there.) So B and I were driving home wondering who was the one who said “hey let’s put this stuff in a human and see what happens…”  (Kinda like who decided to eat the first lobster?) I am amazed that our veins can withstand something that can apparently burn your skin if it leaks out of the port.

I was reading love mail, and had to tear myself away so we could leave.  And so I’m home now.  Feeling ok, like my brain knows something is in my system, but my body is trying it on for size, not sure what to do.  My guts know something is in there, so I’m practicing the gut massage the accupuncturist taught me, and look forward to seeing him tomorrow.  Then back to the center for a shot to stimulate white blood cell production.

 

Cowgirls-home-150x150It’s good to be home.

Lifted

Flight-150x150As we called and emailed loved ones, friends and colleagues, a web of light began like a tapestry around us.  The love mill spreads fast.  I came to appreciate email because although it seems at first impersonal, it tended to give the reader some time to absorb such unexpected information.  Like this blog, we are able to get information out to those we knew would want it…  We have been getting surprises dropped off on our doorstep and in our mailbox, positive and G.O. energy coming in our direction, phone calls, cards, well wishes, food…love is blowing in the late summer breeze.

Last Sunday didn’t turn out at ALL as I thought it would.  I was feeling a little wrapped up in myself, and planned to do errands with B, and start working on our bedroom which is sorely in need of TLC.  Alas, instead a friend picked me up and swooped me off to her house and we walked her beautiful property.  We saw a pair of sand-hill cranes that have been hanging out on her land for about a year.  It was incredible.  We ate delicious tomatoes and cucumbers from our gardens, soup made by her daughter, we talked and laughed.  She told me of an inspirational dream that she had as a young woman.  She also asked if we’d accept a gift of a cleaning person every other week during treatments.  I found myself letting all that she had given me today wash over me like a warm tide.  It has been like this with so many of you.

Back home for a short 2 hours, and then off to a Boy Scout cookout where I was greeted by hugs, concern and warmth from so many.  A 13 year old boy, who has been friends with E since kindergarten, came straight up to me and handed me a bag and gave me a big hug.  It had a hand knit light blue shawl with a prayer under the ribbon that was tied around it.  He said it was made by someone in his church and that he thought of me when he saw it.  He called it a prayer shawl.  Parents whom we have known in scouting for as long as E has been involved came to me throughout the afternoon.  The boys cooked an amazing dinner and so did the Old Goat Patrol (dads).  At the end of the cook out, E came to us with a large cooler with pink ribbons around it.  It was a gift of food from two new scouts and their moms for our family.

Lifted-150x150I immediately came home and drew LIFTED.  I basically blew off the plans for the day and it became a spontaneous combustion of human connections.  E helped me make a picture of an angel and we have started putting names and numbers of all the people who have offered themselves to us.

Telling Family

For the first few days in Tucson, the only people who knew about my diagnosis were my surgeon, my primary care doc, B, S (the friend I was visiting in AZ) and I.  After the visit, I attended a work related summit at a very luxurious resort.  It was from that spot that I called all 4 brothers.  It was time for me to put the word out and they were the first ones I needed to talk with.  I was lifted after talking with them all in spite of the tears their love brought on. To some, my family’s support is amazing.  To me it is what I wrap myself in whenever I am in need.   I am so grateful for the love I share with my family.

After those conversations, I went out to dinner with some colleagues that I’ve known for many years. We had a delicious dinner where I exclaimed that the roasted beet and goat cheese salad I was eating was making me feel something inappropriate.  We all laughed.  The next night, I recommended that salad to others and I totally got into imagining them all in their own sensual bliss.  It made me laugh out loud.  It reminded me of a part in the book Like Water for Chocolate where our main character makes a sensual quail with rose petal dish which affects those eating so much that her sister runs out to the outside shower, stripping along the run as she tries to cool herself off, only to set the shower on fire.  She runs out and gets picked up by a Mexican on horseback and rides off all naked into the sunset.  It struck me as so funny.  Everyone was practically licking their plates. Good medicine.

Once we had all the scans done (that’s ANOTHER story), I decided to take a trip to NY to talk with Mom.  I hadn’t told any of my NY people because I did not want it getting back to Mom through the love mill.   I knew that this news would be better understood if she could see me.  Both of my kids had stuff they had to do at home, and honestly, I think they both needed a break from me.  This dose of mortality is too close for comfort no matter how you slice it. 

The ride down was beautiful.  There are not many cars on the highway at 6am on a Saturday.  I put in JT’s greatest hits and did one of my favorite things.  I sang at the top of my lungs practically all the way south.   Thanks to the luxury of long legs, I was able to get in the groove, especially at times when my knees could navigate the straight-a-ways.  “Fire and Rain” and  “How sweet it is to be loved by you” had me just rockin’ out.  The performer in me especially loved it when a car would go by.  The rest of the ride was rather boring.

 When I finally got to Mom here’s how it went:

 Mom: Sweetheart, it’s been such a long time since I have seen your hair that short! It must be easy to take care of.

Me: Yea it really is, I love it.  Mom, I have something I came down to talk with you about, it has to do with my health.

Mom: What is it sweetie?

Me: I was diagnosed with breast cancer this summer.

She looked at me with eyes losing their sight to macular degeneration, and a mind that goes into stall sometimes.  It looked like the information was filtering in slowly.  I reached for her hand, her skin was smooth as silky tissue paper.  She squeezed.

Mom: breast cancer?

Me: yea, thankfully it has not spread to other parts of my body. 

Mom: well that’s a relief, so it’s just in your breast?

Me: And probably in some lymph nodes. Remember when Pop got his nodes out after that melanoma?

Mom:  Yes.  So can they take it out?

Me: I’m going to have chemotherapy first to shrink it down so the surgeon can get it all.  Do you remember when P had breast cancer 9 years ago?

Mom: I do remember that. 

Me: You know she would be happy to talk about it if you ever want to learn more about how hers went.  I feel so healthy, isn’t that ironic? That’s why I cut my hair so short.  If it falls out because if the chemo I didn’t want to deal with big clumps.

Mom: That was a smart idea. You have beautiful hair.

 So that was that.  My mother is an angel.  She always has been.  Now she is a cute angel.  Her hair is always flyaway.  She has an innocence in her eyes that I’ve come to just adore.  The fact that her mind is blank some of the time, makes me sad, but she is not in pain. I asked her what she thinks about when she is quiet, and she said ‘nothing at all’.  She describes it as just disengaging for a time.  She completely responds to my affection when I visit.  I crawl in bed with her in the mornings, we laugh and snuggle.  We hold hands all the time.  She laughs at herself, and at stories we remember together.  She loves her family more than herself.  Being her only daughter is an honor.  She is such a beautiful person.

 Now that Mom knows, the world can know about my diagnosis for all I care.

9-3-09 Acupuncture

I’m fascinated at my willingness to let a man I just met stick 3 to 4 inch needles in my feet, legs, shoulder, and gut.  There really is no hesitation on my part to balance the world of allopathic medicine with a more intuitive and natural approach.  It’s not even a choice.   It feels so balanced as my acupuncturist and herbalist work together to help my body get ready for and tolerate chemotherapy. 

If I saw a porcupine with less than ten quills, I’d think she must have had quite a reason to protect herself.  As I was lying there completely blissed out with about that many needles in my body, I was not exactly sure what I was seeing.  My eyes were closed and the colors green, like springtime growth, and lavendar swirled through my mind.  I have tried to draw it, but have not been able to capture what I was seeing.  

I was alone at this point, and I allowed myself to be distracted and picked my head up to see less than 2 inches of one of those needles sticking out of the center of my belly, about mid way between my navel and sternum.  That meant that more than 2 inches was inside me.  All I said was “WOAH girl.”   And as I was tempted to start looking all around at my quilly self, I let the urge pass and sank back into my spring green and lavender visions.

I left with a very strong feeling that I might choose not to use the pharmacy prophylactically this round.  I’m so curious to first see how my body responds on it’s own and to attend acupuncture on days 2 and 3 of the 14 day chemo cycle.  I want to let the herbs and acupuncture help restore my body’s excellent ability to do it’s job.  I’m not into torturing myself…truly.  I have been encouraged to ‘stay ahead of the nausea’ by P a survivor of 9 years and by the chemo ed nurse.  I am so interested in what I will choose when the time comes.  I’m open to many possibilities as I chose to be when I gave birth to A and E.   My sweet long time friend T reminded me tonight how giving birth puts things into perspective.  I feel blessed to have had that experience.

9-2-09 how much can I swallow?

The herbalist sent me a list of 5 supplements to add to the jar of dirt for preparation for chemo.  She said that the accupuncturist may add to the list.  The oncologist’s nurse called to say she added a 4th medication, this one a steroid, to the 3 anti-nausea drugs that are awaiting pick up at the pharmacy, for ingestion after the first chemo.  In Dr. Suess’ book You’re only old once there is a page about taking pills that’s really funny to read.  I’m so damn compliant that I want to do it right, but I can’t imagine how I’ll keep track of it all.

Did you ever drink so much water that you just cannot imagine swallowing anything else?  It takes a lot for me to drink a gallon of water a day, but like a good italian, I’m stubborn enough to do it.  I’ve been imbibing at that rate since the first CT and bone scans to flush all the nuclear sugars, contrast and other injectables out.  Well, the chemo part of the therapy is something that one wants to flush out as well, so if anyone is thirsty, come on over.  I’ll be hooked up to the hose.

Does anyone remember Mr. Creosote from Monty Python?  “I couldn’t eat another bite.”

9-1-09 ChemoEd

Going to a cancer center exposes one to a lot of people, with cancer – imagine that.  Sitting in the waiting room is eye opening — sort of.  People seem to be optimists or pessimists, and a few Buddhists.  The disease perhaps has the potential to transform a person, but, more frequently it seems to just pull into relief a person’s pre-disposition — bitter and disillusioned people simply become more so.

I’m reminded of the story of a person, who knew themselves to be impatient to a fault.  But, who spent their entire life acting, pretending to be patient.  Patient with family members, and strangers alike everyone received the same count to 10, a deep breath,  a smile, and start again from the top.  And at that person’s funeral that person was eulogized, celebrated for their patience – which was all an act, a façade.  And so were they a fake, a fraud, or a patient person?

What I learned at ChemoEd:  we have to keep the bathrooms and kitchen even cleaner than we do.  That I will buy soft bristle toothbrushes and hydrogen peroxide for P to gargle with.  Probably I will add Cranberry juice to the shopping lists, just, because it is tough on infections.  Our diet is good and so we just need to keep it up.  Drink a gallon of water a day.  Don’t let the nausea and diarrhea get started.   And that we can’t really predict how P will react to the drugs – just more walking in the dark – but, hair loss and GI distress are fairly routine side effects.  This stuff is just plain toxic, it kills everything and we just hope it kills the bad more than the good.

Telling the kids

The doc said I’d hear the results of the biopsy Friday, two days before I left for Tucson.  She called me at the end of A’s softball practice.  I think it may have been more difficult for her to tell me than it was for me to hear.  I don’t know when it happened, but I think somewhere in my grey matter, this idea had been brewing for some time.

Without being able to talk with B immediately, I thought and thought about whether to call him in AK, with no guarantee that his phone was on or able to get a signal. What time was it there anyway?   I did NOT want to tell E before the birthday sleepover at his friend’s house, nor was I going to tell A before the big 18U tournament.   I ended up leaving a voicemail for a colleague/friend who is a breast cancer survivor.  She left me a voice mail saying how sorry she was and that she absolutely wanted to support me.  She ended the vm with “love you” which is not a phrase I speak much with colleagues, but it did give me the first suggestion of grief.

I spent the next two days mulling this breast cancer diagnosis in my head.  I wasn’t exactly fixed on it, but definitely distracted by it.  At the tournament on Saturday I tried to say focused on the games and the girls as much as I could.  I found myself saying “I have breast cancer.”  “I can’t believe I have breast cancer.”  It is so strange to wrap my brain around this.  Who should I tell at what point?  I wanted B.  I wanted this to go away.  I didn’t want my kids to be living in fear.  I needed to start processing it out loud at some point, but our situation was such that it was not the time.  The universe had other plans and at the time and I was ok with that.  Didn’t like it, but I was ok.

For a short while our children were on the east coast and their parents were in the air going in opposite directions.  While up in the air between Portland and Chicago, I saw a plane and imagined it was B’s plane.  I had not seen him for probably 2 ½ weeks and wouldn’t see him until I returned a week later.  It didn’t seem like a long time for people married 19 years, but under the circumstances it felt like a year.  I missed the comfort I felt around him.  Our bed, usually a place where we find comfort together, became a lonely place, even with my warm son sleeping so soundly next to me.

Loving someone like your own child is such a complex and beautiful thing.  I do not want my children to hurt but pain is part of life.  When they were younger, it used to be very easy to comfort them.  Yet, this is not something a hug, a band-aid or a piece of ice will comfort.  I was fairly preoccupied.  I missed B a lot and he was basically not reachable in Alaska doing exciting things, and learning about how life has treated our friends for the past 20 years.  Come to find out everyone’s life was complicated by something…and so it was with us now.

I have no lingering thoughts about my own death except that it will happen.  I know, brilliant, eh?  Well, it helps me to think that way because my ongoing conversations with A, E and B will have to acknowledge this at some point in our lives. It seems more like a conversation over a life time rather than an event.  And so it goes.  As with most any child, it is such an uncomfortable and daunting topic for them, and for us at times too, I’m sure.

So B and I had a decision to make.  How and when should our children hear the news?  B called me during the conference and we spoke about the fact that he was going to tell the kids he wasn’t going to the mountain that weekend, so we could be together, and that perhaps we should tell them that night.  I’d be home in two days.  “I think it might help them both to let it perculate before you get home.  Then our time can be in support and not devastation.”  There was so much wisdom in that, so we planned to have a call when the kids could both get on an extension.  No one was home at first, so I called A’s cell phone: “What is it Mom, are you ok?”  I just said I wondered where everyone was, and she explained that she would be home later.  She asked me after the initial mammogram if I had breast cancer.  “Mamograms are routine at my age sweet heart…” was my only response. She suspected from that point, more than a month before the diagnosis confirmed her fears.

SO I called late on Thursday night.  A answered:  “What’s up mom?  Is that really you?”  I asked her to get E so I could talk with them both.  When I suggested that they each get on an extension she said “oh yea, I forgot we could do that!”  I chose my words carefully.  I didn’t feel the need to fill the dead silence, but I did feel like I had to install some hopeful thoughts, sort of like blowing an annoying fly away each time it starts to hover around your face.  “I’m still me you guys.  I wanted to be there so you could see that, but right now you have to draw on all the love we have stored in our hearts to feel and trust that.  There’s nothing I want more than to be holding you both right now.”  I heard some thing on the other end, sniffling, clearing throats.  “Would it be better if I spoke with each of you alone now or together?”  Someone said “alone” which was barely audible.  E hung up.

Time with A:

“A is that you?”  I acknowledged how intuitive she was and that I suspected she has known this since my call to go back for the second mammo.  “Yea, but I didn’t want to think it was real.”   “I appreciate that sweet one and it was a real good way to protect yourself from thinking the worst.  Now we have the job to understand what exactly is real and move ahead with definite steps together. We will have to support each other when we are bummed about it, and continue to make opportunities to laugh and live.” She is so mature and deep.  She will internalize this to some degree. I hope she decides to play soccer.  The varsity coach is really A-150x150excited to have her play for him.  She’s an aggressive defensive player and I really think it will help her to stabilize the energy.  I think her strength lies in her ability to think.   Unlike some thinkers, she has shown us that she can process feelings over time.  She’s so creative, and I believe this will really be helpful to her process.        This is what she drew.

Time with E:

“Hey Buddy how are you doing?”

“Mom, thank you for telling me. I love you so much.”  He was thanking me, can you believe that??

We spoke about how to manage the myriad of feelings and how important our optimism is.  He’s certainly a ‘G.O.’.  “I wish I could be with you right now Mom” he was trying not to cry.  “Go ahead and cry, baby.  We all need to let it come when it does.  Don’t forget that we are always with each other.”  “Yea, Mom, my trap door is open, is yours?”  (Trap doors are E-150x150things we imagine in our heart and when we are together we open them up and hold our hearts together to fill them so that when we are apart we have all that lovey juice to run on until we are together again.)  “Mine is too, baby.”  “Thank you for telling me this.” he said again.   He drew a two sided image of a tree loosing its leaves like it was crying.  The other side was dark and confusing.

 

I urged both kids to move through whatever they were feeling and not let it get stuck.  To talk with anyone they felt comfortable with, us, their uncles/aunts, their friends, their friend’s parents, our family friends, coaches, teachers, each other.  To draw or write, or anything that will allow a flow of the energy.  I told them that a lot of people will help us learn what we need to know and make decisions. None of us is alone in this.  They were crying and I was on the other side of the country.  Suddenly Arizona and Maine were at the same time so far apart and so connected.

 

B got on the line after that and said they both went upstairs.  The next morning he told me they were making art in A’s room, and that they were hugging each other when he came in the room.  They watched some movie that night and slept on the futon downstairs close to B.  He said that E decided not to go to the mountain that weekend as well.

At that point I was just applying everything I had to not get caught in the undertow.  I didn’t know how else to be.  Well, truthfully, I guess I did know how else to be. When others were around it seemed easy.  When I was alone I didn’t fight it.  Part of riding the horse is feeling.  I have EastWest-150x150thought more about dying ever since Pop died two years ago.  It’s like I’m just awake to our mortality more than I was.  I want to know other’s thoughts about it, I want to talk with dying people (I’d hoped S’s husband would still be around when I got to AZ, though the odds were extremely slim), I was a facilitator of support group for the providers of hospice services for a reason.  Hearing stories of people’s transitions fascinates and comforts me.

 

Quiet-and-Sad-150x150When I’m sad I think briefly about the possibility that I may not get to see our kids move on to their independent lives.  Now this is something that I would feel sad about whether or not I had cancer.  The idea of growing older with our children is something most parents take for granted.  I want to know the partners they choose.  I want to be there as their constant unconditional support and their guide when my experiences may help them navigate their own lives or just to be silent on the phone when they call me with a heartache.  I want them to be able to call me, like I did Mom when I had no idea how easy it was to roast a chicken.  I want to send them care packages. I realize that our lives can be over at any time, so this is not necessarily a new thought, but one that returns when sadness hits.  Our midwife for A’s birth said something to me that has stayed with me all this time.  We asked something about what to do if she didn’t get there in time.  “If I do my job right, you won’t need me.”  I feel like B and I have given our children some important things.  Some of the things, like structure or saying no to a request, they don’t always like.  What kid doesn’t complain about chores?  We’ve encouraged them to have a process before making decisions, weighing the risks and benefits.  We’ve encouraged the development of pragmatism, if that is possible.  We’ve done feelings, and were together with our family for Pop’s amazing transition with 13 other family members all laughing and crying together.  Not many people want to get into conversations about death or mortality.  Seeing Scott and Pop dying, going through the deaths of our animals together, talking with whomever will engage, all helps me to just embrace it as part of the circle of life.  How do others balance the tension that must exist to some degree or another in all of us??

I have often wondered what I’d do if this happened (cancer).  I have no question in my mind that I will do treatment because my children need me as long as I can be here.  If I were 70 or 80 I may have a different outlook.  I want to join the crowds of women and men who call themselves survivors.  There is such happiness on their faces as they march forward.  When I see myself getting through the treatments and in remission I feel happy and want constant observation.

TEXT: Me to A the morning after the phone call: I love u sweet p.  I hope u r doing ok, and that telling you last nite was the rite thing for all of us.  Ur in my thoughts w/oodles of love. Mamabia

A:  I’m glad you told me momma, I love you too J can’t wait to see you

I lay in bed visualizing light around my body.  I cradled my breasts in my hand infiltrating love.  I am very aware of the biopsy area, occasional twinkles coming from the left side.  I envision my body containing the cancerous cells and holding them until they can be evicted.  I visualize holding my children close so that our trap doors bang into one another and flood each other with love.

9.1.09 Chemo Education

We attended an hour of education today at the Cancer Center.  It consisted mostly of info about the specific chemo meds that are going to be used (Adriamycin and Cytoxan) and all the possible side effects.   I don’t know, but I would imagine listening to all the possible bodily functions that could misfire, might cause your run-o-the-mill Joe/Jane to hurl right there in the conference.  But being of sound gut and fairly sound minds, B and I held our breakfast quite well. (B  cooked this morning, so there was NO way I was going to give that one up without a fight.)  I pinch myself when I think about whether it is really me getting nuclear dyes and sugars injected into my rather virgin system.  There are meds for the side effects of the chemo and probably meds for the side effects of the side effects.  When I heard that one of the chemo drugs burns if it seeps out of the vein, and that it will make me pee red for 48 hours, I was immediately lifted to the land of Shangri La and attended to internal stimulation for a long slow motion second or two.

Actually our nurse was very knowledgeable about chemo therapy an about my case, which, as you will find out in another entry, was a huge relief to B and I, and actually the norm for this establishment.  This image is a purge of all the colors and stuff that might slough from my body in this process.

ChemoEd-150x150

I don’t know what to be scared of.  This will be my/our experience and unique to us.  I plan to draw during the infusion, and have been calling the port-a-cath a port-o-love.  The port was inserted about two weeks ago, it’s the round grey thing at the top right of the image below.

PortOLove-150x150

I had visions if small colorful hearts going into my body through the port to round up the disorganized cancer cells.  The chemo drugs are agents to help corral the cancer and evict it.  The first chemo date is 9/9, Wednesday at 10:30.