License Renewal

Dave and I left the farm at 3:00 Tuesday in the midst of a digestive system revolt. It was a tough day. The brain MRI results were good, though. There are no new tumors and the faint trace of a new one that appeared in October has disappeared. So the daily chemo pills I take are definitely crossing the blood brain barrier and doing their job. As I puked on the side of I-70 on the way home I thought about how this is better than a new brain tumor. I go back to St Louis in 2 weeks for chemo 112. In March I will have my neck-down scans. For now, I enjoy the renewal of my license to live.

Medical Month

I have medical appointments on 15 of the 31 days in January. Some days have multiple appointments so that is 21 appointments total in those 15 days. It is exhausting but necessary. Three of those days require a trip to Barnes which is a 421-mile round trip. I am leaning hard on the piano and writing and art to keep some sense of perspective.

Tuesday I have a brain MRI and an appointment with my radiation oncologist. I am hoping my brain continues to be “unremarkable” which means the tumors we have been watching continue to be unchanged and that no new tumors or necrosis is there. I currently get a brain MRI every 3 months. For a few years I had them every 2 months since I seemed to be very good at growing brain tumors. (I’ve had 12 or 13 total. There is some confusion if the latest one was a new tumor or if it was new growth on an existing tumor.) The oral chemo pills I take cross the blood brain barrier and seem (we hope) to be working.

Chemo infusion 111 was much kinder to me than 110.

We celebrated National Labrador Retriever Day last week along with a Chicago Bears playoff victory.

The news is often too much for me to handle. I have learned to value my softness. I use it to maintain hope in this world full of hate and injustice.

Happy “I Met my Annual Out-of-Pocket Maximum” Day for those who Celebrate

Look at Madi’s Smile

Chemo 111 had a mid-afternoon start time today so we brought Madi along for the day. She absolutely loves being in a vehicle and behaves beautifully. While I had my labs and chemo, Dave and Madi hung out in Forrest Park near the hospital. St Louis was sunny and temperatures were in the mid-sixties.

In the Chemo Pod
Drip, Drip, Drip
Leaving St Louis
Playing in the Park Wore Madi Out

The cash price of today’s trip is around $30,000 so that means I will have to pay my annual out-of-pocket maximum for this trip (which is, thankfully, less than $30,000). We are thankful for Dave’s employer-sponsored health insurance. I have cancer friends who have ACA plans and are facing devastating health insurance premiums this year. Please take some time to review your own insurance coverages. If you don’t understand the difference between a co-pay and a deductible, or have other questions, call your insurance company and have them explain it. You have to be able to advocate for yourself.

My digestive issues were really bad this past week but today has been okay. I did have a fall at home after Christmas but there were no significant injuries. The bruises are almost gone. This week I have physical therapy on my shoulder. Next Tuesday I go back to St Louis for a brain MRI and meet with my radiation oncologist for the results. She will tell me if I get to renew my “license to live” another three months.

You don’t really want to know.

How are you?

It’s a simple conversation starter people use when they really don’t want to know.

I’m not making resolutions. They don’t usually work anyway but I also try to take life one step at time these days, trying to do the next thing and the next thing. I’ve been in a real funk lately. There are many contributing factors: short daylight hours, winter cold, the anniversary of my mom’s death, Christmas without my mom, rotator cuff issues, the return of hand foot syndrome that made walking painful again, fatigue, nausea, explosive diarrhea, a nation in turmoil. I have absolutely earned the right to be in a funk. I made a point to attend a Siteman Metastatic Cancer Support Group via zoom this week. It meets weekly but I have not forced myself out of bed in the morning to participate in several weeks. I am so glad I did. They asked for an update and I said, “Not good…no I’m fine…wait… I am not fine.” What a relief to say that aloud. In this group, no one’s eyes glazed over as I continued. No one tried to convince me that I really should be happy instead. No one tried to tell me how to fix it. No one changed the subject. They know I have the tools to get myself into a better mindset and that I eventually will, just like all of them. But for now, they let me wallow in it. It felt so good to say it and to say it to people who truly understand. No one said, “Well. We all are going to die someday.” I really hate it when people without a terminal illness say that to me.

I am also not a fan of well-intentioned people who see me and tell me I look so good that they would never know I have cancer. Just what does cancer look like? On my bad days, you don’t get to see me. You don’t see me suddenly have explosive diarrhea when I’m just watching tv. You don’t see me suddenly throw up as I am driving down the road. You don’t see that I carry a bag with extra clothes and baby wipes and ziplock bags whenever I leave home. You don’t see the fatigue. You don’t see the pain. You aren’t there when I get my port accessed with the huge needle. You aren’t there as I swallow chemo pills morning and night, knowing that in the next hour nausea will hit. You aren’t there to see me inside the clanging MRI machine. You aren’t in the exam room waiting for the latest test results. You don’t see my heart break as I wonder if this is my last “whatever” (Christmas, birthday, etc). When you talk about your job you don’t see my heart twist because it was not my life goal to be on SSDI at age 56 because I am completely disabled. When you speak of retirement dreams, I die a little inside realizing the chance of me living to age 65 is slim and, if I do, I will have no savings because I cannot work and our medical bills are large. Dave sees all of me, the good and the bad. He is there for all of it. Our children are also there in the trenches with me. My lab, Madi, also gets the real me. She listens attentively, never says the wrong thing, and loves me even on my most unlovable days. We should all try to be more like her.

I get it. It is awkward as hell talking to someone like me. You don’t want to say the wrong thing so you avoid me. It is probably a little scary being around me. If this could happen to me, it could happen to you, too. The dark sense of humor I’ve developed can be a bit too much for people. But I love random check-ins. I love funny memes, especially involving black labs and Diet Coke. (Speaking of that, someone sent me an adorable Diet Coke hoodie from Etsy. Whoever you are, thank you. I love it!) I’m not one to talk on the phone but I love to text, and video messaging on the Marco Polo app is fun. I love snail mail. I love to talk about my dog, my mom, my family, my favorite podcasts and true crime documentaries. And don’t forget Taylor Swift. It is hard for me to schedule things in advance since I don’t know how I will be feeling that day. I also don’t plan very many things away from home because of the cancer side effects unless it is with someone I’m willing to use that damned just-in-case bag around.

The next time you ask me how I’m doing, I’ll probably just say, “fine.” But now you know the rest of the story.

Waiting for light

I had a bad reaction to this treatment. It’s been challenging. Just when I started to recover I was hit by a bad head cold. I’ve mostly been in bed or on the couch. Nurse Madi has been on the job.

On my one partially okay day this week I made Christmas candy without my mom for the first time ever. I also baked six loaves of my favorite bread. Kneading is therapeutic.

I almost didn’t attend our monthly Cousin Breakfast, but talked myself into it at the last minute. I am so glad I did. Kelly, Suzi, Jill & Jaci – your love heals me.

Another Christmas in the Chemo Pod

Today is treatment #110 and my 7th Christmas in the chemo pod. Dave & I left the farm at 6 am. I saw my oncologist today, the amazing Dr. Bisi. They had issues with some pipes that closed some of the chemo pods in the Siteman Cancer Center. That would wreak havoc to the schedule any day, but especially so close to the holidays. Since we know our way around down here they switched me to the Cancer Care Clinic at the last minute and we are grateful. All the buildings here on the campus are connected with links and skywalks.

Waiting for oncology appt
Hooked up to the poison

Last week was one year since my mom died. It was rough. This feels like the first Christmas without my mom since last December was a painful blur. Her memorial service was December 20 and I had chemo on December 23. Christmas was a blur.

I am reading a wonderful book, “All Creation Waits – The Advent Mystery of New Beginnings” by Gayle Boss. Each day tells the story of how a woodland creature prepares for winter. The drawn illustrations are gorgeous and each animal is introduced with a quote or a poetry voice. I find it comforting to see all that animals go through in their preparations for surviving winter. When I am struggling with the lack of daylight and impending cold, this book reminds me this is a normal process of life and it is necessary to adjust my routine accordingly. These are dark times for all God’s creatures, including me.

January has 3 trips down here – treatments 111 & 112 along with a brain MRI and visit with my radiation oncologist. Hopefully my “license to live” will be renewed once again.

109

Chemo Pod Feet

Today was treatment #109. Dave & I left the farm at 6:30 am. We borrowed a vehicle because my daughter and I were in a car accident Sunday. My car took the brunt of it and left us a bit sore and rattled. My digestive system has been challenging lately and today was no exception as Dave maneuvered holiday interstate travel so I could empty my stomach on the side of the road on the way down. He is a keeper.

I’ve entered a time of heavier than usual grieving as we approach the anniversary of my mom’s death. Much like July, when I can remember details from each day in 2019, the days from a year ago are also etched in my heart. I miss my mom so much and I miss who I was when I had my mom. There was such reassurance in knowing my mom was constantly loving me and in my corner.

I am in active pursuit of Hope mostly by spending time with people (and dogs) I love.

Madi
Northern Lights Visible in East Central Il
Walking with my Personal Trainer
Wicked for Good
Madi loves to rest with me.

108

Today was chemo #108. Dave & I left home around 6:30 am and will get back home around 5:00 pm. It was a gorgeous sunny day. Hopefully I will sleep through the worst of it tomorrow. I had one of my favorite chemo nurses today, Joyce.

I am so grateful for all Dave does to help me through this. This was a photo I took as we drove away from the farm this morning.

107

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I have a dark, salty sense of humor. The chemo pod nurses do, too! This window decoration was at my eye level in the chemo pod today. Ha! Not today, Death.

Here is a link to the scripture I mentioned in the video:

https://www.biblegateway.com/passage/?search=Luke%2017%3A11-19&version=MSG