This week is my third round of chemo. Long day today, short day tomorrow (unless there are fluids, then it's another long 'un), and then a shot - once a month. And this is our halfway point.
It's crazy, because going into it, that's the scary part: the chemo. (Dear God, they're going to pump cytotoxic chemicals directly into my heart? :thud: ) In practice, the actual chemo treatment is pretty pleasant and mundane, and with the nausea and pain medications available, management of those symptoms is getting better and better. Most people at least get to the car before they get sick-sick. So, it's not perfected. But we are lucky and I haven't been sick. So, it's like a lousy date. Z comes with me, we bring our own food (because all the snacks on the crack cart are pretty much genetically engineered to feed your cancer and shut down your metabolism - seems like a poorly thought out plan for offerings), pull the curtains and watch movies.
The scary part is scheduling a mid-point scan to see if anything new has cropped up, or if the cancer is even responding to the therapy. I feel like I'm being required to play Russian roulette. Even if this chamber is empty, I know there's a bullet in one of them. It's only a question of when it'll come up. I will live with this gun to my head for the rest of my life, pulling the trigger in increasingly longer intervals. Trying to come to terms with that reality is probably the most challenging part of all of this. From what I understand, it's something other cancer survivors understand, so it's nice to know this isn't some psychosis seeping into my mind, stealing my joy. I'm joyful, and I'm thankful. But I did not want to play this game. It's a stupid game. Who knew the scary part would be inside my head, and that I would have to learn to accept it and find the beauty around it? If I can find the harmony and the beauty in this, I will have snatched the damned pebble and Z will have to quit referring to me as Grasshopper.
But one of the beauties found in unexpected places is in the treatment room. Everyone is kind. Everyone is friendly. Everyone is cheerful. I'm telling you, if you ever want to see the most determinedly positive group of people, check out a chemotherapy treatment room. Even the people who clearly must feel like hammered dog crap can pull it together enough to be polite and kind, to smile at a stranger, to joke with the nurses. There's a lot to be learned about the resilience of the spirit in that room. I am learning. This is how you roll with the punches, people. Dang. I am in awe.
I could sleep. They have warm blankets, and the therapy chairs recline. But I choose not to. Not because I'm anti-nap, but because mentally, I feel more engaged and participatory if I'm awake. (I'm a big fan of not being awake if you don't need to be - case in point, sedation dentistry - there's nothing I can do there, and any "help" I try to offer is going to get in the way and likely to get me hurt in the process. Knock me out, do your dental magic, and wake me when it's time for more Percocet. Beautiful system.) But during chemo, and especially with the Rituximab, they want to know how you're holding up, how you're feeling, what your status is. Every 30 minutes. I don't know about everyone else, but my groggy, just awoken from a nap state is not the most articulate state. I would marble-mouth some kind of answer about being fine before even doing a full mental system check (Am I fine? I don't know. I was asleep!) Then they'd hear me and Z laughing over some inside joke and the next thing I'd know, they'd be inquiring into my drinking habits. Just, net delta, I feel better about staying awake during chemo. (For now. Come November, I may be begging for a gurney in the lobby so I can get a head start on the napping. And I guess that's the key - you deal with it in the way that works best, and if you find your approach isn't serving you well or helping you out, then change your approach. This is your body, and your healing. Go with what you can. There's no judgment to be passed or received.)
And on that non-judgy note, some of you may have flicked your eyes to my comment about the crack cart and thought, "Uh-huh. No judging, huh?" Yes, that's right. Knowing what's crap to eat when you are in a diseased state, and calling it like it is is OK. Understanding that sometimes patients are so nauseous that they simply cannot choke down proteins or fats, or even stand to smell them, and that when you're in that spot, you get what calories you can keep down to avoid a state of starvation, is imperative. The two aren't mutually exclusive. You can know better and still have to make do. You can disagree with someone's choices and still support and love on them. And when it comes to nutrition, particularly in the US, it takes a darned determined individual to sort through the kickbacks and faulty science and fads to figure out what's what and what's going to kill you. I am not even certain I've got it figured out, and this is my Thing. It's what I do - nutrition therapy is my go-to. And I can still laughingly refer to the carb-riddled snack cart as the crack cart. Because peanut butter cups are my crack. I know whereof I speak, y'all. And for now, I can resist the crack and eat the healing foods. There may be pictures of me absconding with peanut butter cups in the 10# sack from Sam's by November. I get that.
So today, we had a date. And I have made him promise me that after this is done, and we've paid off all the bills, we will start going on legitimate dates. Dates that don't require pre-emptive Ibuprofen and Benadryl 30 minutes before arriving for our reservation. Dates that might permit me to wear a dress or dancing boots -- for a reason. And I have promised to do my best to be there when it comes. That's the deal.
Be encouraged,
~Dy
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