Fertility (2)

May by Sophia detail womanBack when I was first contemplating the pregnant woman hanging clothes in Sophia’s painting, I was also contemplating my own family history with fertility.

I’m the first in my family (as far as I know) to be diagnosed with a “reproductive” cancer. No history of breast cancer, ovarian, or uterine. The cancer in our family has been on the male side, skin cancer for the fair-skinned fisherman who was not a fan of sunscreen and lung cancer for the heavy smokers.

7-Amazing-DIY-Remedies-For-HysteriaAnd yet, I remember learning when I was in college that “hysteria” meant “womb sickness,” and thinking that my family had a long history of hysterics. And when I first saw a therapist and was greeted with considerable fear and concern about the process, I wondered if there were women in my family history who had been locked up for their hysteria. I remember being glad I was born in the time I was, when we stopped putting hysterical women in asylums. The women in my family are all a little crazy.

Fertility has been a dangerous time for women in my family. There are at least two major cases of postpartum depression, one in my generation and one in my mother’s, that were so dramatic I can’t discuss them here. Menopause, too, has been marked by more-than-the-usual drama. These are family secrets, and at this time I’m not ready to reveal, but they do play on me.

The one and only risk factor I seem to have for ovarian cancer is that I am childless.

I have registered for genetic testing, to see if I have the BRCA gene. I don’t think I do– only 20% of ovarian cancers are because of the gene, and there’s no history. But it is important information for my sister and her daughters. It will be 4-6 months before I can get an appointment for the genetic counseling. I’m not sure how that can be, but I’d guess it’s because of an increased fear about the gene throughout the population.

Get yours on etsy! https://www.etsy.com/listing/182153479/uterus-plush-uterus-soft-toy-uterus?ref=market

Get yours on etsy! https://www.etsy.com/listing/182153479/uterus-plush-uterus-soft-toy-uterus?ref=market

When I was first diagnosed, I couldn’t help but think how beautiful a word “ovary” was. And since I didn’t “need” my ovaries anymore, how easy it would be to just take them out. I still think it’s a beautiful word: ovary, ovarian, egg, fertility. Like hysteria, another beautiful word, that reminds me for some reason of Ophelia bedecked with flowers…. floating down the river. Sad, romantic, tragic words.

 

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Home and the Eating is Good

lettuce june 21I got back home on Saturday and although I had a cold I needed to tend to (thank you Airborne, cold caps at night, and Tylenol now and then to make sure I didn’t get a fever), I was determined to use these last few days before treatment well.

I’m not anywhere near where I was physically a few weeks ago, so my real hope was to make some simple dinners for me and Steve and do my own harvesting (and just a wee wee bit of weeding) in the garden. I also got into work for 2 hours yesterday and did 2 hours of work online. Not too shabby.

tomato sauceThe cold is almost entirely gone, and we have had some great eats. On Sunday night I pulled out a remaining jar of tomatoes and cooked up some sauce with green garlic (two bulbs that were growing too close to another so I pulled them early), garlic scapes, shallots, salt and olive oil. I was inspired by at NYTimes set of recipe suggestions (I can’t resist reading those) that talked about quick tomato sauce. She recommended cooking it only 10 minutes and using an immersion blender to turn it into sauce. Brilliant. But my pan was too shallow for the immersion blender, which is OK because we like it chunky. Pour over 3-cheese tortellini (frozen) and serve with a salad with radishes and the last of the year’s asparagus. So, so good to be home.

last asparagus and radishesLast night I kind of pushed it, but I was glad I did. I was really craving cardamom rice for some reason– the kind in Jerusalem with chicken thighs. It is really not hard to make at all, and I had all the ingredients. I even took the time to carmelize the onions. And even though I couldn’t taste all the spices, it had a great texture and I could definitely smell it. Again, salad on the side. I am so in love with white balsamic vinegar, olive oil, mustard and lime juice as a dressing.

(Sorry, no pics of that meal– it was all I could do to harvest the dill and make the yogurt sauce at the end! But here’s a link to the recipe.)

peas june 21There’s usually a gap in garden produce now– the lettuce we’ll have until it bolts in the heat, and in past years I’d have beets, too– until the zucchini kick in. But I’m lucky this year in that the peas are doing well. Peas are a total gamble in this area.  (Wait until next year when I employ my trusty greenhouse!)

I had to go downstairs and look at the seed packets to see which ones have the purple/pink flowers and which have the white (I can’t believe I was smart enough to write that down). I didn’t get any vines with white flowers (unless they are the very stunted ones at the end of the row). Those are the shell peas– hurrah! That means these purple flowers will soon turn into tender snow peas! And that will get us pretty darn close to zucchini season and green bean season.

Tomorrow I start my last round of treatment. Three more. Quite a happy countdown.

 

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Check-in

room viewGreetings from St. Mary’s College in South Bend, Indiana. Or, more specifically, the Inn at St. Mary’s, a beautiful hotel on the edge of campus where I’ve been staying since Sunday. I’m here all week giving talks on The Saint John’s Bible as part of a conference with keynote speaker Sandra Schneiders, IHM.

After a day of travel on Sunday, and a little walking around to see Notre Dame’s campus, and doing my own talk Monday morning then attending talks in the morning and afternoon, I have basically moved into the hotel and stayed there. My neuropathy is quite intense, but I feel very clear-headed and not fatigued like I have in the past. Still, I haven’t been able to attend sessions other than my own, and the energy it would take to get to and then navigate the social situation of the dining hall has been beyond me. Instead, when my parents were here Sunday to help me get set up, we bought some food at Whole Foods and I’ve been eating in the room. It helps that the hotel provides a full hot breakfast, and I have eaten twice at the hotel restaurant, once with Sister Sandra and once on my own.

Every day I am picked up at the hotel at 1 p.m. (as S. Sandra is dropped off) and taken to the venue– which is about 2 blocks from the hotel. I facilitate a discussion with the conference participants from 1:30-2:45 p.m. Then I am driven back to the hotel.

It’s a little surreal.

room selfieAnd yet, on Tuesday when I pushed a bit to get up and dressed and attend the liturgy and S. Sandra’s talk, it was clear I needed to pace myself. I got a ride back at the 10 a.m. break and took a nap. I am ready for another nap come 3:30.

So now in the morning I have my breakfast, then take a bath. I work on my slides a bit and then take a nap from 11-12. I eat lunch and I’m good to go at 1. When I get back I put on my comfortable dress, take off my turban, and here I am.

The topic of the conference is the Resurrection in the Gospel of John, from her book: Jesus Risen in Our MidstIt offers a reading of John 20 that might help 21st century Christians with a healthy skepticism about physical bodies rising from the dead to better understand the mystery of the Resurrection and the meaning of Christ’s appearances (in a glorified body) to Mary Magdalene and the other apostles after the crucifixion.

It is not an easy read. But also, I had thought it might have specific significance for me at this time. The basic premise is that Jesus (in all his fullness) is not his human body. God became flesh and lived among us. Jesus was also resurrected– this is a major tenant of our faith (along with the resurrection of the faithful). And the Resurrection must be for a purpose (after the Crucifixion conquers death and reconciles us to God).

There’s too much to get into here (too much, really, for even a 4-day conference). But the discussion focuses in large part on the glorified body of Christ risen from the tomb and with the apostles for 40 days before Christ’s Ascension into heaven. The gift of the Holy Spirit, but also the apostles understanding of the nature of Christ, of the temple destroyed and rebuilt in three days, of the New Covenant. And, ultimately, the witness of the Body of Christ, the Church and all believers.

week 15 selfie in South Bend

week 15 selfie in South Bend

And Jesus Christ is not his mortal body. Perhaps I can understand that in a different way right now. Because I draw on my eyebrows and put on my presenter clothes and tie up my favorite turban and look in the mirror and think: “Who is this?” Earlier in treatment, I have recognized myself, my face. But this week, I look strange to myself. I can’t feel my hands and feet and I’m unsteady. I see an altered person in the mirror.

And yet, from 1-2:30 p.m., talking about a project I know so well, or even in my room here, resting and reading and eating food from the fridge, when I am speaking or thinking or having dinner with Sister Sandra– I am myself.  I am not out in the world the way I have been, and I know for the next few months I will be in this circumscribed world in a different way than even the first twelve weeks. But I am here. Greetings from South Bend. Wish you were here.

Flying over Indiana

Flying over Indiana

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Thursdays

hope chairUp until Memorial Day, my chemotherapy treatments were on Tuesdays and Thursdays were my worst days in terms of recovery. I called them my “down days.” I meant that I was down on the couch, not that I was feeling down, though Thursday evenings I usually wanted to start canceling any plans I’d made, feeling like I’d reached the point where I wouldn’t “recover” fully until after the chemotherapy was over. I made myself not make any decisions on Thursdays. Fridays were always better. Aside from the anemia fatigue, things did perk up on Friday.

I even looked forward to these two weeks off treatment, thinking I’d be up and going on Monday and have a few good days at work and then the conference, which starts this coming Monday.

hospital breakfastBut Thursday night I was apologizing to my body. It was a full week and a day since I’d had a treatment, and I was still “down” on the couch. I was full of regret. It felt like this time I’d gone too far– the triple dose was too much, and this damage might be permanent. That’s the awful thing about these particular side effects: the neuropathy that has gripped my feet and fingers so that I’m unsteady walking and have trouble opening a jar; the chemical burning in my nasal passages and sinuses; my burning skin no matter how many balms I put on it. And my mind takes over from there– what have I done to my bones and bone marrow? What did I let them do? I am so sorry, body. Hadn’t I been told that neuropathy sometimes never completely goes away? Did I not take this treatment seriously enough?

But Friday was better. Most of all my mind and sight cleared. The poisoning had let go of my face. I could see farther and concentrate better.

I drove myself to the appointment for a blood draw in the morning and waited for the results. One of the nurses who saw me sitting in the waiting room gave me a pep talk, saying that it would definitely be better for next week. My oncology nurse came out smiling– all the blood counts were in normal range. I have immunity back. I have good hemoglobin numbers. The transfusion and the Neulasta were doing their job.

I was able to work on getting together my printed notes (a guard against chemo brain) and polishing my presentations. I was able to work over the phone with my student worker and get important things done. I did a load of laundry, hung it on the line, took it off the line when dry. I harvested some lettuce and pulled some weeds. I ate well. I drank my 3 quarts of water and continued to move the poison out. I tended to my skin.

june irisesToday, Saturday, is better still. I still have the neuropathy, my skin still burns, but I am coming back to myself. Really what Thursday is about is the struggle, the fighting, fighting the cancer and processing the chemotherapy. This time around it was a week of Thursdays, taking me down and down to my low point, Thursday night. But then Friday came, and when I opened my eyes I could tell the damage would not be permanent. I could tell things were ever so slowly turning around. I was going to be OK. Again.

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At the Cancer Hospital (2)

treatment roomThis “triple whammy” week has been challenging, but not in the way I thought it might be. Everything was harsher and a little longer than usual, but the side effects are still mostly annoying and not painful. I had some bone pain from the larger dose of Taxol, but not until evening Friday-Saturday, and it was easily treated with Alleve and some homeopathic lotion. On Sunday it seemed like fatigue and the worse-than-normal neuropathy were the only symptoms left to subside. And I got a little too optimistic, maybe.

Steve’s daughter Julia and her boyfriend Marc are visiting, and there was finally a movie we wanted to see at the local cineplex (Love and Friendship, a really fine film and so enjoyable). So we headed to a late afternoon matinee, which made dinner a little bit of an issue. And we went to pick up sandwiches at a local place. Big mistake on my part.

In my defense, I was counting on that Neulasta shot I got with chemo to work on my WBC count. I thought some of the bone pain might be that bone marrow kicking into high gear. But no. That doesn’t kick in until a week after treatment– Wednesday for me.

I didn’t get halfway through the sandwich before I was in the bathroom for a very bad hour. And that threw things off enough I went into the cancer center as soon as it opened Monday for blood work and scan and doctor visit and then finally a hydration IV. My WBC differential was at Zero. Now I know to stay away from public germs for a few days. So it’s good that happened before I got an actually serious infection.

Although I would have rather been in bed than sitting in the cancer center for 5 hours as the appointments unfolded, it is never a waste of time to be in that place. For a couple hours I was seated in a section with a number of people from Cold Spring, my favorite small Minnesota town, where I lived before I got married.

Behind me was one of those great groups of women accompanying a sister/colleague/friend. In their 40s, I’d guess, all trim and cheerful and each one carrying something for their companion. I’ve seen them once before. They have a lot of energy and they had gotten good news that day. At first I thought maybe it was J’s last treatment– there is definitely a different energy and bounce in the step of those folks and their companions.

They chatted behind me on all things people. Coworkers at the restaurant (golf course?) and who is getting married.

At one point one woman said: “Did you know he was a triplet?”

“He has a brother, just a brother, not a twin, right?”

“No, they were triplets, but one of the babies died.” Both brothers are getting married this summer.

“Really? I knew they had girlfriends–it’s been good for M. He’s more responsible.”

“It was in the Record.” That confirmed for me that they were from Cold Spring. The Cold Spring Record is the most comprehensive and best written small town newspaper I’ve ever seen. Nothing misses their attention in this town of 3,000.

Then a local farmer came in with his wife and mother (I could tell it was his mother because they had the same voice). I’d say he was in his 60s, and the mother, impossible to tell around here, could have been 90. They took seats across from me.

The farmer, who was missing a pinkie from a farm implement accident, had swollen hands. It looked like what you might expect from radiation, and he was sitting in the radiation area.

The women knew him, and one came over to greet him. And his ability to deflect her questions about his own condition were masterful.

“How are you doing?”

“Oh, I’m doing good.”

“We’re here with my sister J. The treatment is really working for her.”

“Oh, that’s good.”

“How many treatments do you have?”

“Oh, no treatments, they just check my white blood cells.” (This struck me as untrue– as he had the blood work and then was doing the usual wait to see if he’d go to treatment.)

“Oh. And if the cell count is good do you get treatment?”

“No, they just check the blood and my doctor looks at it.”

“But do you know how many treatments total?”

“Just the blood. They check my white blood cell counts.”

“Oh, OK. Well, best of luck to you.”

“Yes, and to your sister.”

After she left, the three talked about the family, this sister and that sister. When they were called and bounced off to the treatment room, he smiled at me. “Are they all sisters?” I asked. “Could be,” he said. “Seems so.”

Then after a bit I heard the mother saying to the wife, as they went over various stories of local families: “Do you know those boys?”

The wife responded: “They were triplets, but one of the babies died.”

When you live in a small town in Minnesota, it is a challenge to keep your story private.

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Garden

Kathy sowing ground cover

Kathy sowing ground cover

My sister came to help me this week, during a challenging round of chemotherapy. Since the beginning I’ve been doing everything possible to stay healthy for a week-long conference at St. Mary’s College in South Bend, where I’m the afternoon speaker. At first I thought we might delay treatment by a week so I could go, but my doctor’s plan was to do an entire round in one week (usually a 3-week process) and then give me two weeks off. That was a very daunting prospect, so I arranged to have my sister here just in case things turned ugly in terms of side effects.

I am pleased to report on this side of things that it did not turn ugly. It was intense, and I had some minor bone pain in my legs, serious neuropathy, and felt completely poisoned/metallic for three days instead of two, but I kept eating and sleeping and every day was a significant improvement. This week I have some therapies planned for detoxing and skin support, and on Thursday I will get a second blood transfusion to bring my red blood cell count up (I do not want to think about what this treatment did to my blood count numbers, but I am expecting significant anemia fatigue this week). And I will be good for the week in South Bend!

lettuce bedMeanwhile, my sister Kathy cleaned my house better than it has ever been cleaned before, kept us fed, and even better, we got the rest of the garden in. By which I mean, she helped set up the second side of the irrigation (and we put it on a 5-outlet system so there will be no moving of hoses at all, just flipping switches), plant winter squash in the raised beds, and she hoed the potato patch (where I’m not planting beans or onions) and seeded it in ground cover.

Kathy was insistent that the whole garden go in. A friend of hers back in Seattle, a cancer survivor, had impressed on her the importance of my continuing to do what brings me joy. The garden. And so she had arrived with a mission. And I wondered if it really gave me that much joy. Better not to push it, right? Though I know that winter squash are so easy and will fight off weeds on their own– and how ready I will be to cook them come October!

radishes and asparagusAnd it is true that it feels like a miracle (and really it does every year) now that the world is lush and green, early June! after a hard freeze May 14, to be eating greens and asparagus and now radishes from the garden every day. How did that happen? What joy! There is food out there! There is lettuce and there are peas growing up the fence…

Steve’s daughter Julia will hill the potatoes this week and help with the weeding. She’s arrived on the heels of my sister’s departure with a mission, too. “Can’t wait to garden!” she said.

And yet, all these things my sister did while she was here– I have to say they were nothing to the cultivation of our relationship. Our visits and talks were what were most nourishing and important for both of us. Our paths diverged quite far in adulthood, and this time has been a tremendous gift, as we’ve been able to share with each other our stories as adults for the first time. I have such serious “chemo brain” part of the week that much of this is swimming or soupy, part of even that relationship work is surreal. Kathy remarked on the richness of the metaphor of the prairie outside my living room and bedroom windows– what was burned black and now is incredibly lush and green. A good parallel to treatment. And. Here it is June 5. Garden in. Food. Sister.

IMG_0727

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Avatar

bitmoji-20160527151931I still like what I see in the mirror. Being bald hasn’t bothered me, though it’s always surprising.

Because I never properly shaved my head, I have funny little silver hairs that stick up over much of my scalp. They stir a bit in the breeze I make when walking.

My friend S. Dolores Schuh very kindly shared a story with me from her battle with cancer 27 years ago. She had a position parallel to my current position providing hospitality to resident scholars at the Collegeville Institute for Ecumenical and Cultural Research at Saint John’s Abbey and University. That scholar program is how I first came to Saint John’s, following in Kathleen Norris’s footsteps with a desire to get back to the Midwest, preferably near a Benedictine monastery, and finish a memoir.

Sister Dolores was lucky to have Father Daniel Durken as her good friend to companion her through her cancer. She only was able to tolerate a few chemotherapy treatments, so her hair never fully fell out. Fr. Daniel called her “fuzzy duck.” With my little wisps of hair, many times I look in the mirror and see a “fuzzy duck.” It is easy to hear Fr. Daniel, my good friend and neighbor in the editorial offices at Liturgical Press, saying that with his eyes crinkled up in a smile.

5-sigourney-weaverBut a few weeks ago I looked in the mirror and saw Sigourney Weaver. Riley, to be exact. And that sense persisted, maybe a darker, stripped down, warrior. Someone with serious business to do. Killing the alien. Staying alive. Boy did I like seeing Sigourney Weaver in there.

It made me think of all the bald women roles. If you Google “bald stars” or “bald celebrities” you’ll get a big bunch of men. No stigma. If you Google the same for women you’ll get a bunch of women who aren’t actually bald but have “buzz cuts.” Google “bald women starring roles” you’ll get a surprising number. I had thought of Natalie Portman in V is for Vendetta and of Demi Moore in G.I. Jane. but not of Charlize Theron in Mad Max. I missed the whole Cynthia Nixon Wit head shaving. The articles linked to these women note their brave choice to go bald for a role.

Sigourney is my new FB “profile photo.” My avatar. It surprises me to see her there. It won’t last long. It’s a softer Sigourney I sometimes glimpse in the bathroom mirror.

bitmoji-20160527151641My niece turned me on to an emoji app where you can make your own avatar: bitmoji. She has been using it and sending wonderful messages. Her avatar has a tightly pulled back ponytail that makes her look somewhat androgynous from the front.

Composing my own, I gave her short hair, and then on one of the last options, I found a turban among the hats. I was so excited. I’m having great fun adding her to messages and texts.

I’ve also continued to enjoy playing with tying headscarves, though I have been less than successful. I perked up at an episode of Black-ish, my favorite sit-com, when, in a very ordinary scene with the four kids talking in the twins’ bedroom, older daughter Zooey and younger daughter Diane sit off on one bed and Zooey ties a headscarf on Diane’s head. It’s like any older sister/younger sister doing each other’s hair– but it’s also very different. The head scarf looks awesome and the action is done matter-of-factly and without comment.

Jessica pettwayOn Monday I watched some youtube videos about headscarf tying. Many of these videos are gorgeous fashion shoots with R&B music and elaborate styles. Jessica Pettway is a master: https://www.youtube.com/watch?v=XDTD8Q7xEys. I can only do #4.

 

neno naturals Headscarf TutorialBut my favorite video was from nenonatural.com. You have to watch it. Delilla of “Hug My Hair” does the head scarf tutorial and her instructions are at the right pace and very detailed. I like the triangle tie and can do a modified one where the triangle is twisted and tucked in back. I also like the one that has a thick and thin twist and has a tail (in the photo). I tried doing this for a trip to the airport on Monday, but it fell apart by the time I got there– thank goodness I had thrown a pre-tied turban in the car!

I’ll keep working on it. I have months of baldness to go…I need a few thinner scarves (time to go back to the Somali shop). Pretty sure I’ll nail it. Delilla and the host Heather’s conversation is priceless– and you won’t believe what happens when they hand the host her baby (skip to 9:45).

at IKEA BloomingtonOnce I got to the airport, I had some wait time before my sister arrived, so I went to IKEA. It was Memorial Day and the store was not crowded, but there was beautiful ethnic diversity. There were several groups of South Asian families in brightly colored, summery khurtas (tunics), scarves and pants. There was also amazing headscarf watching with a variety of East African women ranging from sleek and simple to very colorful, and color-coordinated, scarves. It was so inspiring. Here’s to the normalization of headscarves as a beautiful way to wear your hair. And baldness. And boldness. And avatars of all kinds.

 

 

 

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Oncology

imgres

PET scan machine

I’ve been thinking about oncologists lately. I think it’s hard for most of us to imagine a “call” to oncology, or choosing oncology as a specialty, if we ever think about becoming doctors at all. So much bad news to give. So much pain and suffering for their patients. And the very crude tools of chemotherapy, radiation, and surgery to offer as treatment.

All these appointments and treatments have kept me focused on the physical body, but also draw attention to my relationship with doctors and other health care professionals.

Up to now, my medical experience has been primarily limited to “the annual exam.” And that means taking off my clothes, having a doctor, physician’s assistant, or nurse practitioner do some probing, with gels and instruments, and then press my breasts for possible cysts and tumors. In other words, it has been pretty intimate.

As kids we’d take off our shirts and the doctor would have us breathe deeply under the cold metal of the stethoscope. Then he’d give us a shot, a band-aid, and a lollypop. Occasionally, we’d hand over warm urine samples, before there was a system to slide them into the wall right from the bathroom.

doctor-roomBut at the oncologist visits I don’t even take off my socks. The doctor listens to my chest through my clothes, asks if I have any abdominal pain when he presses there, checks my ankles for swelling, and then I just answer questions. We review numbers. I answer questions about side effects. We look at the schedule. We look at the computer more than my body– where my data is stored, data I also get weekly through “mychart” online.

It has struck me how very modest all this treatment is. Many chemotherapy patients use a cream to numb the port area and we’re instructed how to put Saran wrap over it to protect our clothes. The nurses, when they access my port through my skin to draw blood and deliver the chemotherapy, ask me to pull aside my shirt and bra strap so it doesn’t get the antiseptic on it– we don’t want to ruin the shirt! When I fainted the first day and was sitting in a chair afterward with debilitating abdominal cramps, one of the nurses pulled my shirt down to give me more privacy (really the last thing on my mind). It was a sweet gesture. She also rubbed my back, which was even kinder. When I get my Granix shots for a white blood cell boost, I unzip and present my belly for the shot, the most intimate I get with any of the treatments.

To be an oncologist feels closer to hard science than what I usually think of as medicine. My oncologist works with numbers, charts, scans, progress. He works with protocols and assessments and managing treatment. He “sees” the cancer (in my case we had a diagnosis and treatment plan before there was even a scan, just based on the report from the fluid in my lung) and then he treats it with poisons, various doses and kinds, and helps his patients with the consequences of the treatment. The best oncologists (and I have the best) also encourage patients and work with them to carry on their lives in a difficult time and be able to do what is most important to them. And I think he and the nurses have confidence in what they know and what they have seen– a certain predictability to the side effects and treatment cycles. And what they have read. And what is coming and how treatment has improved over time.

This past week I have been working on a Q&A piece with Dr. Anton Koekemoer. He is an astrophysicist in the Hubble Space Telescope program who works on the images coming in from deep space. He has become involved with The Saint John’s Bible project, which includes images based on the Hubble images, giving talks on science and Christianity– really talks on the beauty and glory of Creation.

hs-2014-01-a-large_webWhat first struck me about the images on his site is how different they are from what I usually imagine space. I think of space as empty, dark, and still. But the images are full, colorful, and active. What does it mean to be a scientist and work with “views” of space like this? What does it mean to be a doctor and work with my scans, my weekly numbers, this constellation of atoms, of materials that give a picture of a person suffering and healing?

My next doctor will be a surgeon. I expect to meet with him or her once, maybe twice. And then that doctor will be in my body in a way no one ever has, cutting it and transforming it. And I will be unconscious and I would imagine veiled from sight. Strange. Powerful strange.

 

Information on the image from the Hubble Space Telescope above:

Object Names: Abell 2744, Pandora’s Cluster

Image Type: Astronomical

Credit: NASA, ESA, and J. Lotz, M. Mountain, A. Koekemoer, and the HFF Team (STScI)

Click here for full text on the image.

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Chemo Buddies

My other chemo buddy was Flat Stanley, who came for a visit from California. It's the only photo I have of one of the treatment rooms.

My other chemo buddy was Flat Stanley, who came for a visit from California. It’s the only photo I have of one of the treatment rooms.

I remember the first treatment, when I had expected to be sitting in a big room or rows of chairs getting chemo with a bunch of patients, and it turned out we each had our own room, thinking: “How am I going to make any chemo buddies?” This is part of the experience, so says whatever literature I was reading at the time.

I was ambivalent about “chemo buddies” from the beginning. In film we’ve seen where the girls in the psych wards lose friends to suicide or in the treatment facility lose friends to overdoses, and where people– especially young people but often just friends of the lead character– die of cancer. What would that mean? Was I ready to take that on?

And when the cancer survivors, and cancer patients, started coming my way, not in the chemotherapy room or in an organized and focused support group, I felt tentative and guarded.

My friend D with her daughter, who graduated from HS last weekend, at a scholarship award event.

My friend D with her daughter, who graduated from high school last weekend, at a scholarship award event.

Today I visited with my new friend D, who I met back at the “Look Good Feel Better” event in St. Cloud and then ran into again in the lobby when we shared a treatment day and time. We liked each other immediately, and of the group I would say were maybe similar in outlook and attitude. Today we talked about side effects, staying well through treatment, and hats.

“How are you doing with the heat?” she asked.

“I’ve spent a few nights on the couch with a cool cloth on my forehead,” I said.

“I’m sleeping bald. I’m just hot.”

“I’m sleeping bald, too– I’m hot and uncomfortable sleeping.”

“And around the house? Are you going bald”

“Yes, more and more. My husband has adjusted to that.”

“I’m comfortable around my husband, but that’s it. My daughter has seen me bald, but it’s still weird. I don’t want to be bald around my kids.”

“My stepdaughter is visiting and I’m careful not to be bald around her. And friends or people coming to the door. I keep a hat handy.”

She seemed glad we were on the same page on that issue. She is a much more public person than I am– with a daughter who just graduated from high school, a more public job as a medical tech where her clients don’t know about her cancer. She wears her wig often. I feel like my whole small town knows, everyone who knows me knows, and they can just deal with the scarves and hats.

“Chemo Buddies” are an interesting part of the cohort. I have run into and visited with another woman from the class at the Cancer Center. Unlike support groups, which often have a larger number of survivors, we are in the exact same place right now. There is another woman, someone I didn’t know in college but was in a Facebook group of alumni with me, who I consider a “chemo buddy.” Our conversations are the same: side effects, how many weeks left, and being bald. D. recommended a summer hat source. I recommended an essential oil blend. She gave me the inside scoop on a holistic/wellness therapist who has joined the Cancer Center. I gave her the scoop on oncology facials.

We check in– we know about good days and bad days and hope the good days outnumber the bad. We know how much we don’t know, and are freaked out by changing protocols with the possibility of new or different side effects. We are learning as we go along, and by the time we’ve learned what we need to know, we’ll be on to another part of the journey.

If D. came over to my house, I wouldn’t reach for my hat. Or maybe I would.

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May

May 2016 prairieLast week was a long week. I have had a relatively easy time in terms of side effects, but for about three weeks the fatigue that set in was very difficult to work around. It turns out it was due to extreme anemia, as we watched my red blood cell (RBC) and hemoglobin counts go down. I am relieved to find out it is not the cumulative effects of the chemotherapy and that something can be done to treat it.

Last week, then, I didn’t receive treatment on my usual Tuesday, received a blood transfusion on Wednesday, then received treatment on Thursday. By Thursday my white blood cell (WBC) count was so low they considered not giving me treatment. So I began a 5-day series of Granix shots on Friday to bring up the WBC.

I am grateful that people give blood, and that our blood supply is safe, and that there are ways to treat these blood issues, which otherwise would have caused an interruption or even inability to get treatment. And since Friday I have felt so much better. Two weeks ago I cancelled a poetry reading in St. Paul, and really I could not have done it. But I could have done it this Sunday. I feel back on schedule, with my naps and the hours I can devote to work a couple times a week.

May has been an odd month all around. There were freezes right up to May 15, the normal last frost date. And there were 90-degree days, too.

burn through windowTime is going very slowly and strangely– there is an interiority to this journey that is unlike anything I’ve ever experienced. I’m in this world of “self-care” with attention to the body, to changes, to temperature and time and laundry and food… Things that were once routine can feel overwhelming, and then a simple morning at work checking off tasks and getting things out and clearing the desk puts everything right. But from my couch on a Thursday (now a Saturday or Sunday, with shifts in my oh-so-reliable appointments) everything seems impossible and it can feel like I’m losing touch on my normal life.

May prairie colorsThe prairie outside my window has mostly looked like the painting hanging in my room. May. Sophia used a flesh-colored paint for some of the stands of prairie. It looked, along with the lemon yellow and white, sherbet-y and unreal. But for a week or so I saw those exact colors  out my window.

Then Saturday, with cracking and smoke and ash on the screened-in porch, the prairie out my window was burned. It was reduced to this 2-D puzzle of black patches and green paths. The wind blew all day Sunday, a wind we get every May and June (usually right after I’ve transplanted the fragile tomato seedlings) that feels like it will blow everything away. It whipped the laundry on the line. It blasted me on the porch. But I hardly noticed it when my friend Kate and her boyfriend Steven, and my husband Steve and I set about getting the irrigation in the garden, pulling the weeds, and getting most of the beds planted: peppers, cukes, zukes, and beans.

In the wind on the porch, after church and my Granix shot, I’d had so many fears– about sunscreen/sun exposure, about the extent of the weeds, about dirt under my fragile fingernails, about getting the trellis up, about energy and what to do and what to let go of– it had all felt impossible. And then, at the end of the day, as I sunk down into a cool bath, everything felt right again.

oak prairie burn 5-2016

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