Wednesday, August 27, 2014

Blood, Sweat, and Tears

Blood, Sweat, and Tears...                         August 18, 2014

My friend and former colleague on the Hill used to end phone conversations with fellow downtrodden members of the minority with “keep the faith” or “fight the good fight”.  I think about that line and the man who said it nearly every time someone asks how I am doing.  I’d like to make Charlie proud.  I’d like to say that I’m fighting the good fight and keeping the faith.  I’d like to say that while I may have lost a couple of battles, I am winning the war, and the sweet spoils of victory will be mine.

I can’t say any of those things, because they just aren't true.  The truth is I am getting my ass handed to me.  I can’t “fake it ‘til I make it” as my beautiful cousin once advised.  All anyone has to do is look at my face or hear my voice to know the truth.

Blood…

The first cycle (4 treatments) of chemotherapy included a cocktail of Andryomycin and Cytoxin among other drugs, including anti-nausea meds and anti-histamines.  I thought they were pumping me full of “pre-chemo drugs” in vain attempt to ward off the brutal side effects, but my inner cynic knows the truth.  They pump me full of anti-nausea drugs and antihistamines so my body won’t fight the onslaught of the offending cell-killers by ridding itself of the “medicine”.  My medial team is well versed with the body’s natural reaction, which is to reject any toxins or anything foreign by way of vomiting, diarrhea, etc.  Essentially, the body responds with an allergic reaction to the onslaught of cell-devouring drugs pumping into my veins. 

My belabored point is this, these drugs work so well at killing my cells, that they kill more good cells, such as red blood cells and white blood cells, than I am able to live without.  As if mouth sores, thrush, early onset menopause (yes, menopause at 34), and vacillating between extreme constipation and shit-my-pants diarrhea aren't enough of a carnival ride, a blood transfusion became necessary on Thursday, July 24th.  

My blood levels were so low that I became anemic and nutropenic, meaning I did not have enough white blood cells to fight any kind of infection or enough red blood cells, platelets, hemoglobin, etc. to heal from any injury.  Let’s put it this way… I have bruises on my arms from simple blood tests that were taken over four weeks ago.

Blood of my blood…

Luckily, my Uncle Eamonn and Cousin Shannon were in town from Atlanta and able to direct donate their blood in my name.   Despite the state of my blood levels, my team decided to move forward with round five of chemotherapy, which switched to a new drug called Taxol, on Monday, July 21st.   Ironically, my uncle and cousin were simultaneously giving blood that would be pumped into my arm less than 48 hours later.  Both during and after this process, a question began to plague me: are they killing me to keep me alive or keeping me alive to kill me?  I still don't have an answer to that one.



Uncle Eamonn and Shannon donating blood on my behalf. 
Thank you! I love you guys!

Sweat….

Fighting breast cancer via chemotherapy comes with many side effects.  Some are well known due to their dramatization in film and television.  Hair loss and vomiting are usually the first to spring to mind.  As discussed, in previous posts, the nausea can be controlled with marijuana and morphine derivatives such as Phenergin.

However, when most people think of hair loss, they are primarily horrified with the loss of hair on the head, which can be traumatic for some women and men.  The loss of the hair on my head didn't bother me much.  In a way it has been liberating.  The weather is too damn hot for scarves or wigs.  Particularly given the fact that one of the not-so-oft discussed results of chemo is early onset menopause.  With the heat of summer and hot flashes, I choose me, and right now that means bald. 

To be honest, hair loss has it's perks!  It's not like male patterned baldness, where I lose the hair on my head, but it starts growing like a weed out my ears, nose and bum!  Conversely, I am delighted not to have to shave my underarms, legs, or those annoying long hairs on the knuckles of my big toes, (ladies, you know exactly what I am talking about!?!). 

I suppose it’s the same reason I don’t often wear make—up.  While it can be fun to get dressed up and accentuate this or that feature for my husband, it is a false portrayal of self and that’s always bothered me. 

I have scars on my face, now a pleasant reminder of a carefree adolescence and far simpler time.  Years of summers spent on Lake Havasu and a lifetime at the beach are evidenced by the beautiful brown sun spots and freckles dotting my face, shoulders and chest, reminding me of a childhood filled with water skiing, snow skiing, swimming, surfing, riding bikes, riding motorcycles, roller skating, playing cops and robbers, and drinking from hoses with my cousins.  The crow’s feet at the eyes and lines bracketing my mouth are a result of years of laughing and smiling, a gift from God in my opinion.  I cherish each and every “flaw”.

Thanks to my Dad, I have a beautiful smile and a contagious laugh that can prompt an entire room to laugh with me, sometimes at me.  Hey, at least they’re laughing.  Without hair, my eyes, cheek bones and smile are large and infectious.  Why hide and sweat beneath wigs, hats, and scarves?

This is the perspective cancer has granted, and I am grateful.  When you’re suddenly faced with your mortality; health, not looks quickly take precedent.

However, I must admit I mourn the loss of my nose, eye lashes, and pubic hair.  Yes, go back and read the last line again if you must.

Imagine for a moment, the loss of an extraordinary amount of weight in a very short time frame (The Chemo Diet), combined with the loss of all pubic hair.  I stared appalled at the sight after showering one day.  What happened to the curvy mother goddess that had just grown two human beings inside a strong and fertile female body?  The answer: gone; from woman to 10 year old girl in just a few weeks.
   
As for the nose hair… well, the body’s natural response to the onslaught of intravenous toxins is to rid itself of the offending chemicals by any means possible, hence the vomiting and diarrhea.  Well, one of the surprises shouldn't have been a surprise at all.  Just like an allergy to offending pollen and unusual flora or fauna, the sinuses and eyes weep in vain attempt at ridding itself of the cell-munching toxins.  

Well, when you don’t have a single nose hair to act as a dam of sorts, the watery mucus comes streaming out without provocation, usually at the most inopportune times.  This may not sound like a big deal, but combine the runny nose, blood-shot weepy and crusty eyes, bald head, IV tracks and bruises on my arms, and skinny frame.  You are left with the likes of a junkie that would do Spike Lee and Guy Ritchie proud.

Tears…

It just got real…

Since my diagnosis, I was consumed first with finding the very best medical team in the country to treat my disease.  With that checked off the to-do list, in large part due to the research and efforts of my Nina, Terri Gallardo, I quickly became occupied with managing the side effects of chemo, as well as the added side effects caused from managing the first set of side effects, abd so on.  To say it's been a painful and exhausting journey thus far is akin to comparing a stubbed toe with the loss of a foot. 

However, managing side effects has been a difficult and welcome distraction compared to the direction I now find my mind drifting.  With one more chemo treatment remaining, I can’t help but think about what comes next: surgery, radiation, Isie’s wedding (-: then more surgery, and possibly more chemo.   None of that would bother me if I hadn't starting reading up on my odds of recurrence and survival.  

Since this process began, I intentionally avoided reading up on such things.  I figured I would find the best damn medical team in the country and let them worry about the details.  However, the more organizations and foundations that become aware of my condition, the more disturbing studies I receive and thus, the more fear creeps into my psyche.

There was no hiding from the potential eventualities of a cancer diagnosis when my friend and neighbor passed away a few weeks ago.  

Ray...

"Concert in the Kitchen"

Ray would hold and sway Niamh for hours. One day he handed her back to me and said "I can't get too attached. I won't get too attached.... Never mind, giver her back to me, I'm attached and I love her.  I just don't want to leave her."

Ray and his little snow bunny princess Niamh


Ray loving Niamh the night she was born

Ray lived, laughed, loved, and shared until his very last.  I miss him dearly and promise to endevour to fight this disease with as much piss and vinegar, laughter, and love as Ray.  For the record, Jimmy asks to see his "DaDa" every day, Graham still can't get used to working in the garage late at night without you banging on the garage door in search of a beer to share, and I don't know if I will ever open a trunk full of groceries and not expect you to come bounding over to help me inside. We love you and miss you everyday.  I will see you soon... not too soon though...    

Chemo seems to have quieted the Banshee for now.  My oncologist cannot feel a tumor of any size in my left breast, nor can he feel my sentinel nodes in my left underarm.  This obviously points to a more optimistic prognosis, but is by no means a promise of a permanent cure.

My Banshee’s wail may be silenced, but she is still there trying to find her voice, while I work my ass off to suppress it, like a toddler at Mass.

In loving memory to our friend and neighbor Ray.  

Tiff