Wednesday, February 26, 2014

Absurd but ok

 

“At any street corner the feeling of absurdity can strike any man in the face.”

-- Albert Camus


Lots of things have happened since I blogged yesterday, which makes yesterday feel like two months ago. 

Right after I posted my blog I got a call saying that my entire plan was to be rearranged in a whole new way, with surgery not for weeks and weeks and, instead, hopscotching in front of surgery, I was to start taking Tamoxifen - an anti-hormone pill that I've been dreading. 

"Yikes!!!!!!" I said! 

Me scared of that pill.

I'd been hoping to put Tamoxifen off for months and months and months, and was secretly even hoping maybe that everyone would forget about it and it would fall off a cliff. But ok...


Then today I got two very interesting phone calls:

1. The surgeon's nurse called to say oh my! Guess what!? We had a cancellation! Can you be here at the hospital tomorrow at 5:30 AM for a 7:30 AM surgery? I said sure… So I'm having a re-excision surgery tomorrow morning. Isn't re-excision a cool word? 

Dr. Nelson gets to cut open the same scar for the third time. Re-incise the same incision. Perhaps I should have a zipper installed. She will be scraping out a very thin lemon peel slice of remaining invasive ductal carcinoma that's right up against my ribs in the very back of my chest area. I hope she doesn't go crazy or slip and accidentally scoop out a rib and then stab my heart and kill me. I don't think she will. I trust her.

2. HEB pharmacy called, leaving an automated voicemail that my prescription was ready to be picked up. My Tamoxifen. A drug that I have to take for 5 or 10 years and that has a huge long list of side effects, and has to be delicately balanced depending on where you are with hormones. 

Hey, okay, I get it… The long-term survival rates are much better with Tamoxifen. 

But still, I think I should be able to discuss this with somebody before I start popping this little pill of a pill. How personal and lovely and charming and warm this voice mail from my grocery store makes me feel. I think I still have free will. I am not taking one molecule of that drug until I have a face-to-face meeting with my oncologist to discuss the side effects, not to mention the fact that I'm taking another prescription that is supposedly very not ok to take at the same time that you take this. I'm not going to blithely drive over to HEB and pick up a prescription and start popping it with nary a word. Well, I might, if it were more of a fun drug...

That's my latest final plan. I think. It's dada. 

I'm ok with all this!
I'm this with all ok!
Ok this is with all me!

"If at first the idea is not absurd, then there is no hope for it."

Tuesday, February 25, 2014

Lull

I am in a lull. A ditch. At time of nothingness, a vacuum, a vortex. Nothing.

Ticking away the moments that make up a dull day
Fritter and waste the hours in an off-hand way
Kicking around on a piece of ground in your home town
Waiting for someone or something to show you the way

I'm in the in-between. The in-between time, between chemotherapy and radiation. I guess my doctors weren't talking to each other so one of them was ready to start me on radiation, while another of them in another room in another corner on another planet wanted me to have a third surgery, while the third of them, the oncologist, was merrily managing my dripping. The radiation expert did not know that I needed a third surgery so was planning to send me off to the microwave right away. She was shocked and surprised when I reminded her that I was supposed to have a third surgery. I had no idea that I was the one to bring this news to her, I thought they were talking to each other behind the magic curtain. 

Now the surgeon's schedule is too booked up and she cannot fit me in. So everything has come to a screeching halt. My radiologist called me at home the other night to say that she would set up a special meeting with her colleagues on Monday, which was yesterday, to discuss and re-present my case to them. I thought that was very nice, and it made me feel good for a few days.

Tired of lying in the sunshine staying home to watch the rain
You are young and life is long and there is time to kill today
And then one day you find ten years have got behind you
No one told you when to run, you missed the starting gun

She said that she would call me on Tuesday. So here I am. It's Tuesday and I'm 
like a bug stuck with a pin, stuck to Tuesday, stuck at home, like a 15-year-old girl in 1973 waiting for a boy to call her. The Austin Cancer Center (my place) likes to call my home phone, so I'm just sitting around waiting for my home phone to ring. I'm doing laundry and rearranging bookshelves and I just watched an interesting movie about a girl with autism called Fly Away. And I'm trying to eat healthy food and all that stuff but I've got to say this is damn boring as hell and very frustrating. I feel like a useless used sour cream container that's just sitting there at the bottom of the recycling bin, I'm not even being recycled, I'm just sitting there.

Waiting.

And you run and you run to catch up with the sun but it's sinking
Racing around to come up behind you again
The sun is the same in a relative way, but you're older
Shorter of breath and one day closer to death

I know, I know, I'm not useless and this will pass and this is just a temporary thing and everything is going to be okay and life is wonderful. I get it. But part of the problem with having breast cancer is that it sort of sucks your identity away a little bit, and although I think I've managed to hold onto my identity pretty sort of, this feeling of waiting around for other people to tell me what to do feels very gray and foggy and I feel myself getting gray and foggy and misty, I'm kind of evaporating and getting thinner in terms of taking up space in the world. This must be what it feels like to be older and to be in poor health and to be buffeted around in the pinball game of doctors where you ping from one doctor to another to a nurse to a phone call to an appointment and on and on. Ping! Ping! I don't like that. In fact it keeps me up at night so I can now add lack of sleep to my stupid list of stupid stuff that is stupid.

Every year is getting shorter, never seem to find the time
Plans that either come to naught or half a page of scribbled lines
Hanging on in quiet desperation is the English way
The time is gone, the song is over, thought I'd something more to say

I'm in my nice home, with my nice tuna salad, and my nice yellow squash with butter and salt and pepper, and my nice television, and my nice new bookshelves. And I'm nice. And my couch is nice. I've done all the weeding and now the yard looks nice. The laundry is coming along nicely. 

Home, home again
I like to be here when I can
When I come home cold and tired
It's good to warm my bones beside the fire
Far away, across the field
The tolling of the iron bell
Calls the faithful to their knees
To hear the softly spoken magic spell

After I had my second lumpectomy, my surgeon clearly said that I would need to have a third one between chemo and radiation. She said this to ME. Somehow, my oncologist didn't know this, and when I mentioned it to her she said the chemotherapy would probably take care of the remaining margin left in my body. But then my radiologist, who apparently never heard that I was supposed to have a third surgery from anyone, said that chemotherapy sometimes doesn't get at any remaining margin because of impeded blood flow to that area due to previous surgeries. Well, that got my attention! Now I'm all like, hurry up and get this remaining margin thing out of my body stat! Let's go to surgery right now! I don't want any cancer cells in my body at all! 

So I'm getting conflicting information. I can deal with this, I know I'm not the center of the universe for doctors, or breast cancer, or surgeons or anyone. I don't expect perfection, but I would like to move along to the next stage, because the stage is flattening me.

Here is my plan:
1. Get call from a doctor. This doctor could be a radiologist or a surgeon.
2. Rush off to have surgery at a moment's notice. Or, alternately, hear that I don't need to have surgery. (Which will result in a debate with me). Or, alternately, write down a date in my calendar to have surgery sometime in the next few weeks.
3. Start radiation.

Just waiting for item number one to commence.

Lyrics: Pink Floyd "Time" (of course - but you knew that)

Thursday, February 20, 2014

10 things about my radiant journey, make that 11

Getting ready to start radiation therapy 

1. When you have surgery your body is sliced open with a really sharp knife. After the slicing and removing or twisting or sewing up or fixing up your secret innards section of surgery is over, you have to be put back together. From the inside. You are sewn, cauterized, melted, glued or magicked - all of your cuts and seams stuck back together neatly. Sometimes this glue or mouse-thread or magic sticky stuff makes teeny tiny blood vessels inside your insides get kind of stuck together and not work very well. Little capillaries or tiny little arteries might not be connected to the same rivers and streams they used to be connected to. 

This means that anywhere in your body where you had surgery you might have weird little patches of patchy little towns and villages that are no longer receiving the same nourishment, the same bloody nourishment, that they used to. They might be kind of cut off and isolated from the body's main circulatory system. Like a walled off little village that doesn't communicate effectively with the outer suburbs and counties and states and countries of your universe. 

What does this have to do with me? Do you remember me telling you that even after my second surgery, the doctor said that a tiny little margin of cancer cells had been left inside of me? A crescent moon? Well that slice might not have gotten effectively poisoned. It means that even though I've had chemotherapy, there may still be a little tiny bit of cancer inside my chest, inside my breast that's still there, unpoisoned, untouched, lying in evil wait. I think I have to go under the knife again: lumpectomy number three. 

2. You're supposed to start radiation four weeks after chemotherapy ends, six weeks at the outside. It's been two weeks so far.

3. When your breast is radiated you get tattoos, little dots that help them guide the beams in. Wonder if I can get some kind of a design, like little yin/yang signs or little teeny tiny peace signs? Or I get to pick the color of ink?

4. My doctor thinks that only my left breast will be radiated, but she wants to discuss my complex case with her Tumor Board before she makes the final decision about whether they also will be radiating my lymph nodes. That is a board that I never hope to be a member of. Or see in Chance when I play Monopoly. Meet away, leave me out.

5. The radiological side of the Austin Cancer Centers office north is on the right side of the hallway. I've never been over to the right side of the hallway and I found it much more comforting and delightful than the sickening and poisoning left side of the hall. I never want to go to the left side of the hallway again. Never thought I prefer the right over the left, but in this case I do.

6. They recommend California Baby calendula cream to help your skin with the burning. It supposedly works better than any prescription.

7. Tests show that high levels of antioxidants or vitamins A, D, E, or C render radiation therapy ineffective.

8. I will be receiving some kind of new accelerated radiation beam, I hope it's not a freaking microwave, that will make me only have to have 20 sessions instead of 30. This means I'll go every day Monday through Friday, at the same time of day each day, for four weeks straight. Each session will be only about 15 minutes. I will need to schedule it around my yoga practice, my personal trainer schedule, my tennis lessons, my pilates, and my membership and duties as a member of the board of the ballet, and the museum, and opera, and my duties as a guest lecturer at SXSW and a model for Fashion Week and running a local food bank. Actually I meant I'll try to schedule it around my viewing of the Today show, driving kids in a van, and occasionally going to Thundercloud Subs for a tuna sandwich.

9. My friend Rebecca used to try to steal bites of hamburgers from my radiologist's son and we discussed that today in my meeting.

10. The plan is still as clear as mud. I'm having a mammogram tomorrow, and then my surgeon and my radiologist and my oncologist and I and the scheduling department in the hospital and my cardiologist and perhaps the media and Pres. Barack Obama all need to consult and figure out what/who/where/why is happening first, tests, or CAT scan, or surgery blah blah. Everything depends. No one knows anything yet and everyone was confused by everyone else's requests and information. So it's a boiling pot of sticky jam but soon will cool to a sensible plan. 

11. None of this bothers me. NOTHING AFTER CHEMO SEEMS LIKE A BIG DEAL. As long as I'm not being injected with rat poison I'm delighted. Bring it on.


Monday, February 17, 2014

I'm baaaaack......I thiiiink

I'm conscious. 

I saw my doctor today at her Lakeway office because that's where she works on Mondays. I guess people who live in Lakeway get much more beautiful views and gorgeous offices that look like something out of MOMA. It was swank. If I ever do chemo again I'll be sure to move to Lakeway and use this location. Or just probably jump off a cliff. 

Dr. Gorrebeeck, my mass-ologist, says I look great (which I'm sure is on a sliding scale of the word "great," sliding all away down to maybe about a 3.4 if you're thinking about like a balance beam routine at the Olympics or something.) But I'll take it, I'd rather look "great" to her then look like I'm on my way to the ER again and my blood numbers look crappy but in a way that's normal for someone 11 days out from a 6th hit of poison so she felt tepidly delighted about it/me. 

Side note - when I was lying on my floor at home in front of the refrigerator, on the non-pacific ocean of my floor, apparently my blood pressure had gotten so low that it was kind of cool and sexy in an ER textbooky way, so that the seven (!) paramedics hunkishly occupying our house got all excited. One kept pulling my eyelid to see how white it was inside because it was so spectacular. This one large dark handsome guy (let's call him Kent) kept saying "Hey!!! Guys, come over here - check this out it's totally white! Oh wow, look at this, it's a perfect example of (something medical something something)."  I missed the term as I was blacking in and out. Then another guy or two (let's call them (Dorf and Ian) would rush over, yank down my eyelid like a roller shade and say "Oh man that's really cool!" I was thinking to myself: "Oh goody I've always wanted to donate my body to science and now at least my lower eyelid can assist these delightful young men in their learning about loss of blood to the head!" Also: I can hear you and I can feel that. It was very dreamy as in like a dream, not as in awesome.

Doctoro also said I've got a large splash of anemia and some sky-high white blood cells, all of which she feels are rather normal for a blob of my type right now. 

Luckily she also said I could go back to driving, which is a good thing since I got to drive all over Austin going to three hardware stores looking for flexible surgical latex rubber tubing and funnels to help three 8th grade girls build a water balloon launching creation from hell for their algebra class. Two out of three stores were out....must be a popular item. Looks like giant spaghetti. 

I am fairly pleased with the end result of the water balloon hell thing that yes could indeed launch a water balloon over 100 meters. I remain unamused with the time management skills of teenagers and yes mine leads that parade of 11:59-ishness so I cast so aspersions especially. I just feel that redoing eighth-grade right now does not fit with either my personal aesthetic or mood.

And, as we were getting THAT particular little projet put to bed, I thought I heard a voice alarmingly like Violet's piping up from the backseat at about mile 50 of tube-searching, saying something like "Oh yeah I also have to bake film video do make create a fancy iced cake tonight for speech class tomorrow" and my mom translator translated this into "Yes darling that's nice whatever you say," which also means "I'm going to pretend I didn't hear that." Sorry can't take it all on. I am currently upstairs in my bed with the covers pulled up to my chin drinking a gin and tonic and speaking this blog into my phone. I know no cake. I bake no cake. I speak no cake. I cake no care.

Which reminds me, why did I going to the hospital last week after all? Since no doctor seems to really know what the cause of my fainting was, my intuition has secretly whispered it to my subconscious. 

I know. 

My body wanted a break from chaos so it shut me down. It turned on my off switch and caused me to discontinue cease and desist all operations and fall to the ground quickly and efficiently and CLEARLY so that I could be carried away to a cave to lay still for 48 hours. The body knows.

For the first time in six months, while I was in the hospital, I lay still. For a LONG TIME. I stopped. I did not move except to the bathroom. For 48 hours. I did not turn on the lights. I did not talk on the phone. I did not watch television. I did not read magazine or a book (alarming for me). I did not have visitors except for a few family members and even then only for a few minutes. Did not want any. I wanted no input. I did not wash my face or take a shower or change out of my backless pantsless gown. It was blessedly quiet and I rested and slept. I confess, this may sound very strange, but I liked it. I needed a break and I got it. I think my brain knew this and forced it to happen even against my own will. 

Now I'm back.

People keep asking me about the tests that are going to show if the chemotherapy was effective. One of the reasons I started writing this very blog was because of the mind fuck that it is to have cancer and have the scenario that I have which means that there is no way to tell if chemotherapy was is or ever could be effective. This is what I wrote about my first few blogs because it was SO FREAKING STRESSFUL to accept. Yes cancer cells went to my lymph nodes but only a teeny tiny amount smaller than a part of a grain of rice. From there, it didn't seem to have spread to my bones or my lungs or my brain, at least not in any way that showed up on any scans. So therefore there was no tumor in my body to watch shrink under the course of chemotherapy. So therefore there is no way to rescan my body and see anything that shows the effectiveness of chemotherapy. Nothing to measure. The whole goal of chemo was preventative, just in case one cell of cancer had been circulating around in my body. I don't know if chemotherapy was effective. My oncologist doesn't know if chemotherapy was effective. My radiologist doesn't know if chemotherapy was effective. My surgeon doesn't know if chemotherapy was effective. Not one of us will ever know if all of that poison that I just took into my body did anything at all or was effective or was even needed.  That made it hard for me to take because I know I was taking something that was making me very sick, possibly for no reason. But the fear of cancer was greater than the discomfort of a no-measure leap of faith, so I took the chemotherapy. And now I'm facing another surgery and radiation, with the exact same scenario: I have no idea if either of these or ANYTHING I'm doing is even necessary. Yet here I go. It's kind of a metaphor for life: WHY???????? What does it mean? Maybe nothing. 

I'm good with that. 

I don't know. 

So I've got my little appointment book and I've been busily making appointments with cardiologists, mammogrammers, my surgeon, my new radiologist, and stuff like that. I'm setting up the next section of this little journey. I'm busy for a second and for a second this distracts me from what we all know deep down: maybe it all does mean nothing. 

I'm heading out. To the next part of my Appalachian Trail, which blessedly will not include poison darts through my chest. Radiation lies ahead. 

I'm conscious.

That's all I know for now.



Tuesday, February 11, 2014

A premonition

I think my last blog post was a premonition, a message from the future, because oh my friends and bunny rabbits and pages and sages and wise pebbles and my friends, I had a fall. A smear to the ground. A syncope. 

Sunday night I reposed upon the couch as per usual in my post chemo blur, waiting for the clouds to clear. But I was more flat, more like a cooling bowl of soup no one had blown on for a long time, more like an old congealing yogurt than usual. As I had said only a little while earlier on my blog, I felt much more flat and depleted that I thought I should have felt that day. I wanted to be planning my post chemo party and getting ready for a brighter future. But I didn't feel like it.

I glared upon the Olympics. I drank tea. I ate my traditional burnt toast. In a moment of forced cheer I decided to sip a Negra Modelo beer, hoping that it would make me feel more Olympian, avian, human. I took a sip, then another. It was cold and good.
Then.

A poison dart from across the veil of life pierced me and I was instantly plunged into cold boiling hot galloping ski jumping heart beats and I gasped - could not breathe or think. My heart was rocketing up up up faster and faster and I felt out of my body - in an instant. I tried to feel my pulse - I could not know how. I tried to talk to alert Mike that I needed help. Everything got black and webby with huge gaping Swiss cheese grey holes of smoke. I tried to get up and fell, laying my face on the cold floor. I was overwhelmed with sickness and doom and fear. I tried to get up again. 

I woke to my children crying and Mike over me. My head was on the wood floor, it was blessedly cold. The webs descended. Sirens were coming, my baby was crying and my only thought, even more than survival, was - do not let my children fear. My eyes closed. Men surrounded me and lifted me, pricked me and bled me, carried me and took me. 

"Often she dreamt she had two wings, and one was frightened, and one was happy."

What did I know? No thing. 
Where did I go? To a dream.
Where am I? In a room under watch.
What did I know? I was falling.
What was I? A blue bird, a paper doll.

I was lifted and carried and strapped and pierced and bled and driven and bundled and touched and oxygenated. I submitted. I arrived at an ER Sunday evening dark. I was admitted (to Harvard!? No. To the world of real writers? No. Somewhere? Yes.) I am still here. I had what's called syncope - passing out, but they don't know why for certain, so want to be careful. Want to make sure my heart is ok. Chemo drugs can be bitchy to the heart in all ways - romantically, physically, emotionally, hilariously, absurdly. A wise kind doctorman from a wise kind continent said "sudden onset syncope can be notorious" so he wants to watch me. My new heavy metal band: Notorious Syncope.

I don't need anything.
I'm waiting.
I'm patient.
Literally.

My family is ok. We are all ok. My friends and family thank you again for your love. I hope to move past all this soon. I'll go slowly don't worry.

But I wonder what I knew.


MARGARET ATWOOD

Foretelling the Future

It doesn't matter how it's done,

these hints, these whispers:

 

whether it is some god

blowing through your head

as through a round bone

flute, or bright

stones fallen on the sand

 

or a charlatan, stringing you

a line with bird gut,

 

or smoke, or the taut hair

of a dead girl singing.

 

It doesn’t matter what is said

 

but you can feel

those crystal hands, stroking

the air around your body

till the air glows white

 

and you are like the moon

seen from the earth, oval and gentle

and filled with light.

 

The moon seen from the moon

is a different thing.




"Yesterday the bird of night did sit,
Even at noon-day, upon the market-place,
Hooting and shrieking."
(Julius Caesar, 1.3) 
Shakespeare 


Sunday, February 9, 2014

Days after ending chemo

I thought I was doing better. I thought it was the vitamin B12 supplements. I thought it was the organically bound minerals. Maybe it was. Maybe I was doing better but today I fell off the bed, no not really don't worry. Just in my mind. Mike left for golf early early early in the morning. The girls were spending the night out. I was all alone. I sank into the bed, in the dream wake alive bed sick health state. I dreamt I slid off the bed down the wall like a smear crying while the light shone red through my brain. I could  see myself from above and I could see through my clear translucent skull to the red shining bloody brain inside. It was glowing neon like a piece of art. I was crying and crying tears were leaking out of my ears and my eyes and my nose in my mouth and I was actually melting and getting wider and wider I was becoming one with the bed and the wall and the floor and even the ceiling. Hours and hours went by, days went by fast stop motion like the movie the tree of life eons went by. I finally clambered up to consciousness and grabbed my phone. It was 8:20 AM. It was too late. It was too early. What to do? I don't know what to do. I don't know what to do. I don't know what to do. I don't know what to do. I don't know what to do. I don't know what to do.

I'm supposed to be celebratory right now, looking forward to good times. But I don't feel like it. I feel like a husky dog in a race.

I'm starving
But I cannot eat
I'm polite
But I cannot abide
I'm parched 
But I cannot quench
I'm bored
But I cannot rally 
I'm packed with so much to say 
But I cannot be creative
I'm tired
But I cannot relax or give in
Please stop

Thursday, February 6, 2014

Chemo is over!

I'm done I'm done I'm done I'm done I'm done I'm done I'm done

YAY!!! Here I am with my faithful Rebecca who is driven me all over the place during this chemo time and knit me this warm hat and sat with me the whole day today on my last drip, and my faithful friend Mona who came by to hang out for the end and has made me many cups of tea. Thank you to everyone is helped me with this poisonous part of my year. I cannot name you all (well I could maybe) but I know you and thank you.

My friend Susan P. sent me the most beautiful poem yesterday called "Trouble Deaf Heaven" Sonnet 29, by Bin Ramke, where he structures the poem by asking simple sounding questions, and then answering them with very creative answers. I posted this on Facebook and you can also look it up on the Poetry Foundation website if you're interested. Right now I'm going to use his idea as inspiration and try to compose a little poetic question-and-answer thing of my own, although I'm sure it will not be anywhere near as good as his:

WHAT?
What is today? Today is the end of six events of three drugs pumped into my heart through a spike. Today is a day on the calendar that I longed for like a holiday. A holy day.

What is the end? Maybe everything is a circle and there is no end. Maybe the end of the universe folds back on itself and it's on your desk at work next to a pencil. Maybe it's your bathrobe tie as it dips into the dishwater.

Where is my life? My life exists in my mind and the minds of my friends, and in some digital ink. It's also inside of a cube and outside of the cube.

What is the child in my bed? She is a manifestation of spritelyness and leprechaun Lucky charm, a baby woman I adore. She is always welcome here.

What are the steps? They are a way to go up and down.

When do I start? I started in Africa hundred of thousands of years ago.

What is going on in the corner? The chair is turned sideways so that it faces a wooden piece of furniture uncomfortably. Behind it the corner is empty. It's a place for me to stare.

Where do I lie? I lie upon the couch and I lie upon occasion to save someone's feelings or to protect myself.

Who are the people? They are the friends that sustained me and have sustained me recently and have liked me and loved me and I like them and love them and thank them.

Why are dogs roaming around? They think they're in charge of the earth and they're loping, but they're not wolves and have forgotten how to live. It's not all our fault, it's nature.

Where is the beginning? The beginning was in a stream with electricity.

What are the atoms? They are the bits of the universe, the strings, the violin concertos of all existence and they make up couches and begniets and Georges and stars and the Mona Lisa and nuclear bombs and breasts and and violins and terrorists and tangerines and cancer and babies and toasted BLTs and vaginas and yaks and Antartica and socks and mud and jellyfish and your toaster and toenails and Paris Hilton and shit and French cheeses and AK47s and ottomans and nurses and Vladimir Putin and blow dryers and clouds and Venus and you.

Where will we be? Back in Africa I think - in a few thousand years that'll be the hub the hubbub, the power again.

What is the dream? To get back to a day.

When will I know? When it's today.

What is today? Today is the beginning and the end. I rest.


Tuesday, February 4, 2014

Trouble me

Is it true that I'll have my very last chemo in two days? I am trying to diminish the numbness of one toe by showing my feet and toes as very tiny and insignificant in this photo. Is it working?

Doctors ok chemo five minutes before it starts, so I'll know then.

My body tells me it is so. It tells me this with a restless brain that shivers inside its cracked skull. It tells me this with a sickening stomach that suddenly doesn't want to function. It tells me this with a large lump in my throat that doesn't want to swallow it. It tells me this with a physical feeling of dread lead in my veins, lead in my heart, lead on my tongue coating it so that the taste of oranges or cheese or coffee or peanut butter or apples is leaden and coated with slimy mercury that rolls oily around and sticks in my teeth. My body is mounting a revolt, even the thought of the upcoming date with poison, which is just there right under the surface, ills me.

I think yes I'll have chemo #6 (PLEASE LET IT BE THE LAST IN THIS LIFE) on Thursday.
 
"Life is a whim of several billion cells to be you for a while."  ~Author Unknown
 
And some to run amuck.
 
People wonder if it is offensive to talk to me about others they know who have cancer, or have died from it, or are going through really rotten stuff. Yes it is ok. Will I be offended? Never. Why/how?

A roundabout illustration follows:

We, as a people, love to be offended. Why? Maybe a target at which to direct horrible fear helps. Example: I am restricting my use of the word retarded. It causes outrage among lots of people that take offense at it. And yet…I confess, I sense a tiny bit of delight in those who are very outraged by this word. Or another word or words. Or are outraged at horrible things that have happened to them by bad people or drunk people or evil people or horrible luck. I have thought about this a lot. I wonder if being outraged is kind of fun and kind of useful. (Yes of course I have raged myself). As a way to think about something. Like maybe something other than whatever is right in front of you or what is your real problem. And I think that the outrage, the offense, is something that you take (it is not given to you) – you pull it out of the other person, or the word, or the idea, and you pull it out and bring it to yourself to drool over, and to eat, to caress, to ram bloody into your mouth to eat and consume and then eyes blazing with your precious fury you are fueled with that bloody raw meat of outrage and you can then turn and spew it all over those who have outraged you, you can scream viciously into their faces, you can spit the raw stinking outrage right back on them, onto their faces, in the firelight. And you are joined by a mob of people who are cheering you on, because you are right, you are righteous in your anger and hatred. You have a license to kill almost. You have a loophole in the social contract, for a minute you don’t have to be nice or kind or polite or normal – for that minute that you hold the outrage you get to rant and rail, to yell and call names, to denounce, to call another, even a person who you have never met or heard of, you get to call that person a wrong person. A monster.

But I don’t think this works. I think that you took that outrage, you took that offense, because you wanted it. You wanted it because taking that busies you, occupies you, secretly thrills you because it takes you away. Away from maybe the real thing that freaks you out, the real awful thing that hurts you. A terminal illness, a horrifically unfair life, terribly difficult child, a horrid spouse, the fact that you don’t have the love that you want, a loss, a pain, a missing. And you don’t have to take that offense, you can say no thank you I have had enough. I believe that offense is taken, not given. Old fashioned phrases back me on this: "Please don’t take offense." Take. But anyway I never really had to come up with this argument, it was just there for me to observe. I don’t know why I think this way.

Let me tell you a story. This is how I feel and maybe it will make sense to you. My brother Max was run over walking in the road and killed by a car driven by a drunk driver when he was 18. I was 19, only 16 months older than him, and I was in college, in 1981. A long time ago. A long time ago, but. But I think about this all the time. Every day, every hour, every minute and second of every day and the night, underneath the life I live of conversation and actions, runs a stream of Max. It is there like a river. I dream of a river running under the house, under the street, under the fields. The event happened and it is with me. But this event of the driver that hit Max, another boy driving a car, the young precious boy, only 17, driving I imagine gleefully, with beer in his veins and maybe Foreigner on the radio, or Van Halen, this event is not made of outrage. Not any. The event of Max’s death is made of sadness. Mixed with pain, and beauty, and memory. Of music and laughing and mountains and comic books. Conan and Superman, first issues, big thundering pow pow blam blam fists punching on the page in dots. This even is made of love and sadness and sadness and sadness, carved out of pain and gut wrenching sadness, like a sculpture, gleaming and huge that I see and feel with awe and fire. But no outrage. I have no anger or outrage or fury or discomfort with drunk drivers, with the boy who was driving that night.
 
At the moment of impact, even before we heard about what had happened all of the outrage instantly vanished, it popped out of existence. My parents, my sister Annabelle only 14, and I never felt it. Not an iota. We had no room if we had wanted to, we were too full of love, in the form of agonizing open heart surgery with no anesthetic, in the form of the shock of being dropped into a well from a thousand feet, in the form of having a vacuum cleaner hose like on a cartoon put up to your mouth  and the air sucked out of your lungs. But we did not think “we are too upset to be angry” or any thing like that thing. We just never, not ever, not once, not for a second, not for a what if, not for pretend or real, we were never outraged or mad at anyone. The car that hit Max, the boy that drove it, the killing crushing impact that flung Max and flung and crushed the life out of him, that took him from life to the stars, probably in the air on the way from one piece of asphalt to a dry and unforgiving strip of Texas weedy field – those moving parts and that person that was behind the wheel – they have nothing to do with Max. The moment it happened, they became removed, revealing in the light the loss.

R. B. (I will leave out his full name in case he wants it that way) was driving that car. He was 17. He was in my automobile mechanics class at Georgetown High School in 1979. He was just a tall skinny auto mechanicy guy who was in the background of my life. We moved to Georgetown from Boulder Colorado my senior year and I hated it. I am not mad at him. I was not ever mad at him. My mother was never upset at R. My father Ray was never outraged by him or by his being drunk or not, or by any person driving any car drunk. We do not represent mothers or people against drunk driving. In fact we forgot him instantly. We never noticed R. B. Now I regret that and I find he has entered the stream of my consciousness. He is in my mind all the time too. I wonder about him and I worry about him and I am so very sorry that this awful event happened to him and I forgive him, and people who drive while drunk or not have nothing to do with him and me.


Leila is my friend who helps me with writing. She is a writer and read over some of this before I put it up today. She is wise and she says "To remember Max with someone- that brings him to the present? Judaism says our immortality lies within the memories of people who knew us and who will talk about us. So you are welcoming-- inviting stories. They are what connect us."
 
I agree.

So how does this relate to me and cancer and stuff now?
 
Like this:
 
Brother

1. I'm deeply hurt by the loss of my only brother - all the time - will never go away

2. I deeply empathize with another person's loss when they tell me about it

3. Their loss and my new sadness or feeling about it doesn't make my pain about my brother any worse - or better - it's different

4. So if you know of my trauma or loss, don't be afraid to tell me about yours 
 
Cancer

1. I'm deeply affected by the fear of cancer and the terrible sickness that I feel when I take chemotherapy into my body. It has hurts me mentally and physically and continues to do so. It has robbed me of time and comfort and teaching and taken me away from things I love. It has upset my whole family and my friends. It's awful. It freaks me out and scares me and hurts me all the time and is always on my mind, under the surface. I hate it.

2. I deeply empathize with any other person's experiences of suffering from cancer or from any difficult thing. I care.

3. Their/your experience and grief, if I hear about it, will make me sad and upset. Like if a friend tells me about their illness or that of someone they know. My new sadness or feeling about it doesn't make my hurt about my cancer any worse - or better - it's different. It won't scare me or make me more sick.

4. So if you know of my trauma or loss, don't be afraid to tell me about yours.
 
Does this make sense?
 
 
From "Trouble Me" - by Natalie Merchant
 
Trouble me 
disturb me with all your cares and you worries
Trouble me
on the days when
you feel spent
Why let your shoulders bend underneath this burden
when
my back is sturdy and strong?
trouble me
 Speak to me
why are you building this thick brick wall to defend me
when your silence is my greatest fear?
Why let your shoulders bend underneath this burden
when my back is sturdy and strong?
speak to me.
 
Let me
have a look inside these eyes while I'm learning
please don't hide them just because of tears