He said “that would be magic” and I said “I believe in miracles”.

Understanding what we were contending with took some time.  The short story is that our surgeon pegged it right from the start and this was seconded by the surgeon in NYC from whom we sought a second opinion.  The longer story is that I underwent an MRI, a CT scan and a bone scan in one day, and metastatic disease could not be completely ruled out because of some spots that showed up on a rib, my kidney and adrenal gland.  This lead to a PET/CT scan.

MRI/BONE/CT scan day:

Scan-1-150x150

MRI  At the first hospital I had an IV port put in my right arm.  The MRI machine has a special table for breast shots.  Basically there are two cups at the head of the bed.  One simply just hovers over and aims for the cups.  “Put all your weight on your sternum.”  Wow, what a concept.  Arms were over my head with the contrast IV easily accessible.  It was actually not too uncomfortable.  I was warned that it would be loud.  As each different sound came I had different visions.  I focused on the whoosh at first and imagined great waves washing away the cancerous cells and taking them way out to the cleansing sea.  The clanging reminded me of a rain dance where all my supporters were stomping their feet, pounding their fists on the ground.  The last sound that I cannot really describe had me thinking of pac-man eating up disease, an image shared with me by a sister in remission.  The contrast was put in about half way through the procedure.  I was told that the speed at which the contrast shows up in each area is indicative of how much cancer there is…or something like that.

Bone Scan injection  After B had lunch (I had water) we went to the Nuclear medicine area at the other hospital and another IV port was inserted.  The tech was extremely pleasant.  He used my other arm, noticing that I’d “already been abused” today.  He injected one syringe of clear liquid, and of course like most others I asked if I was going to glow in the dark.  I was to come back 3 hours later for the scan and was told to drink a lot.  The CT scan was going to require drinking of a special concoction, and he said that would suffice for the required liquids for the bone scan.

CT Scan We went downstairs and I was promptly given a choice between the flavors of lemon aid, strawberry kiwi or fruit punch for the CT scan.  The lemon aid was tart and sweet and B chided me to chug the thing rather than torture myself.  An attendant came out 45 minutes later with another tall drink and said I had 45 more minutes to let this all get into my system.  I chugged this one too.  It gave me the willies.  I was so done with drinking by the end of the day!!  When I was called in for the CT scan, B had to stay in the waiting room.  The scan took like 5 minutes.  It was interesting to see the machine, and to hear this English male voice tell me to hold my breath and release as the scanner moved me through.  They scanned my whole trunk from shoulders to pelvis.

We had about 1 hour to wait before the bone scan was scheduled, so we took a nice walk around the grounds.  A wonderful golden retriever (I think his name was Frasier) was outside and I got to mush him a bit and talk to his human grand-father.  The day enabled B and I to have conversations that we never seem to get to in our everyday life, and this was a good break for us.

Bone Scan We were accepted 5 minutes early for the bone scan.  It was so well choreographed.  The tech was waiting at the elevator for us and took us into the scanning room where there was a table with a scanning device hanging over it.  I lay down and it basically took me under the scanner very slowly. There were computer monitors all over for us to be able to see the image.  Tech told us that it would look like sparkling stars, with dense areas like my bladder and maybe my toes.  When I started I was completely under the scanner.  It moved down to within a couple inches of my face and the machine slowly moved me out as my entire skeleton was scanned.  I didn’t know what to look for, so I just enjoyed seeing my skeleton.  B was able to stay with me for this one which I appreciated.  He was marveling at the constellation that was me on the screen.  She also took images of the side of my head.  We got to leave 10 minutes later after the radiologist determined that she got good shots.  I must admit that I looked at her to try to get a glimpse of what she may have seen in the images.  She is not a diagnostician, I know that, but I can’t help but wonder what she was thinking.

I guess I’d describe the day as surreal.  B and I both seemed calm and present all day.  I recall saying that I felt and looked healthy.  I cannot imagine cancer spread throughout my body.  I scanned my body several times for the areas which may be affected by abnormal cells.  As hard as I tried, I kept seeing healthy cells in my organs; in my bones…my visualizations were as calming as my breathing.  I am very aware of how focused in the moment I am.  As we drove home, B asked what news I hoped to hear on Monday.  My first answer was that it has not spread.  My second answer was that it was already gone.  He said “that would be magic” and I said “I believe in miracles”.

CIMG9074-150x150

I like Cowboy{Girl} Songs, 9/12

I’ve been trying to make more sense of the Cow Girl metaphor.  Today I remembered favorite songs from a long time ago and far far away.

The last two lines of the refrain was a lot of how I felt when I was 18. 

“‘Cos they’ll never stay home and they’re always alone.
Even with someone they love.”

But, I’m 44 — I didn’t die young, and I’ve seen the power of community.  I’ve seen what people can do when they focus on the goal and the good and not on taking credit or making money.  I see it here too as we … deal with this situation.   I’ve seen how having children changes one as well.  But I think P really hit it on the head in her ruminations about mortality, hers, and watching her father’s passing.  That, “always alone”,  in the end we are strangers even to ourselves. 

Yet, this is different.  Breast Cancer, particularly the kind we have, can be overcome.  Long healthy happy lives can be led.  This isn’t a death sentence.   I’ve recalled watching P deliver both children and the amazing toughness and endurance.   I know the fabric she is made of.  This “bump” in the road will probably take about as long as gestation.  The outcome is a little uncertain, but it will be a new life much like children at the end.

Philosophical horse shit  and weak analogies aside. Chemo sucks;  friends who drop food by and give the kids rides are angels; and I like Cowboy songs.

Cycle 1 Day 4 Saturday, 9/12

Going to A’s soccer game and talking with parents and friends.  Taking a walk in the woods.  Napping with the katz.  Baking a  blueberry pie.  Picking scrumptious sungold and sweet 100 tomatoes from our garden and making pesto out of fresh basil.  Going to the dump with E and giving in to his request to pick up a hot dog on the way home.  Talking on the phone.  OK, so there is some normalcy in my life.

I’m sure B, A and E seeing me Wed night was no fun at all.  They have been incredibly attentive, and willing to give me space as I need.  We all have friends checking in with us, some cautious about calling, dropping of incredible meals, sending cards, giving rides.  We surely could not do this alone.

I’m so interested in this body’s ability to tolerate the substances that were infused on Wednesday.  The past two days I’ve not felt 100%, that’s for sure.  I have gone to my bed when body told me to.  I’ve done breathing exercises to settle my stomach.  Ginger tea, ginger ale, ginger tonic, an occasional drug.   I was nauseous on Wednesday evening.  I’ve been sort of nauseous on and off for the past 3 days.  Nausea sucks and being sort of nauseous is just annoying.

If every day gets better, I’ll be ready to do the jig by Wednesday.  Anyone want to join me?

Cycle 1, Day 2

End-of-day-12-150x150OK so this girl wasn’t seeing any technicolored hearts or anything last night.  No matter what I invisioned the port-o-love sending into my system, the end of  Day 1 had me relating to the mangy fox.  Actually she probably felt better than I did.  I went home and sat on the deck, writing yesterday’s blog, feeling pretty good.  About 2 hours later,  I noticed sweat beading up on my nose, could feel the flush leaving my face.  Right after I asked E if he wanted some dinner,  I was in bed and close to the loo in no time.  It felt like a red stopper was pushing down into my gut and oozing its way down.  Ginger tea, hot water bottle, massage, deep breathing, closing my eyes.  MEDICATION.  It took a good 3 or 4  hours before the waves went away.  I drifted off into a very sound sleep.  I can’t wait for accupuncture today.

Accupuncture-150x150Later: Someone to clean my house, a nice long walk with D in the beautiful September air, a 2 hour nap with my katz, accupuncture, a shot of neulasta to help my bone marrow kick into high production of white cells , and not one, but TWO delicious meals dropped off at our door.  If nausea was at a 10 last night, I’m at about a .5 this evening.  Accupuncture seems to be my thing.  The photo of this drawing does not really capture the soothing blue I visualized.   My family and I are so awed by your generosity, love, and attention.  I think tonight will be a good night.

Chemo Day One

So, P and I have differnt metaphors for this.  I’m fighting, she’s riding the range rounding up li’l wayward doggies.  I’m on  search and destroy mission.  So my take on chemo is a little bit different too.

Mainlining big bags of toxic stuff, that incidently causes you to empty your guts out, and loose your hair, probably will cause premature menopause, and might diminish your hearts ability to pump — is scary.

Yes, the staff at the Cancer Center are top notch.  The facilities are really nice.  But, it looks to me like we are in for 8 weeks of flu, on a 2 week cycle.  I can tell you that the week we were waiting for results from the PT scan I was in full Fight/Flight mode.   People bringing me their penny ante horse shit don’t know how close they were to having me rip their heads off and crap down their necks.  Well I’m not to that place yet with Chemo, but, I anticipate it could get there.

I’m struggling to articulate the spouses experience of this….  Sure fear is part of it, but, more just not being in control of much.  Kinda like the guy on the front of the sled on the luge run — hang on fool.   Basically, Chemo sucks, and my job is to just keep things going, Soccer, Jujitsu, Scouts, and school.  I guess an apt metaphor is some sort of draft animal, oxen, or mule, you pull cause there is something that has to be moved.  Perhaps, the Cow girl trope is more apt than I knew.  There is something more svelt about a cutting pony than an ox — maybe I should just go along with the G.D.O. Cow Girl — alas, folks, who know me, probably would see through that.  An ox in horse’s clothing as it were.

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.”