Maybe Today?

Today I go in for the PET scan to determine if the cancer is gone. I will not know the results until I meet with the doctor this Friday the 13th!

This fourth chemotherapy has been the hardest treatment yet. They used the same medicines but it was harsher on my body. A little more painful, internally, and longer-lasting exhaustion.

The internal pain is vaguely familiar. I remember once doing daredevil stunts as a kid, we climbed on top of the roof of our garage, then jumped off. When I landed on my feet I felt my guts jar. I’m sure it jostled my diaphragm, kind of an almost-hernia. It didn’t knock the wind out of me but hurt my guts. That’s a little what this feels like.

And my neck pain is not in the back but the front. Again, this is slightly familiar pain. Like when you are trying hard to blow up a balloon that won’t expand. Your cheeks are sore but the discomfort includes your neck and ears.

Dizzy

And the stomach pain is manageable. I still can’t tell if I am hungry or have a sour stomach but a little food every hour calms it down.

All that said, I hope and pray that I am cured. I’ll do what the oncologist says, even if it means more chemotherapy but I continue looking forward to when it’s over and I can be pain-free and drug-free.

“The Lord God took the man and put him in the Garden of Eden to work it and take care of it.  And the Lord God commanded the man, “You are free to eat from any tree in the garden;” Genesis 2:15 (Certain restrictions apply.)

I.V., IV

Today’s chemotherapy might be my last. This morning the doctor reviewed the blood tests showing my cells have recovered from the last round and I can tolerate another. Then she explained in two weeks we do the PET scan to see if there are any remaining cancer cells. If so, I get two more doses. I appreciate a back up plan but firmly expect this disease to be gone now. Expect the best but prepare for the worst. If my prayers are answered and the doctor’s original assertion is correct, the cancer is gone now after four doses.

Today was the typical round of several bags and syringes running from 9:30 am until 3:00 pm. On the way out I rang the bell, signifying my last visit.

So I have the next three weeks to endure the side effects. The next five days involve a racing heart, hot flashes, four hours of sleep at night, tingling fingers, and avoiding sick people because my immune system is suppressed.

For sure the chemo effect is cumulative. At first I thought it would be sick the first week and getting better for the next two weeks, then the next dose. But, each dose make me a little weaker with longer recovery. Last week I felt more tired than ever. So I’ll see how this last one gets me.

“Come to me, all you who are weary and burdened, and I will give you rest. Take my yoke upon you and learn from me, for I am gentle and humble in heart, and you will find rest for your souls. For my yoke is easy and my burden is light.” said Jesus in Matthew 11:28

“What does not kill you makes you stronger” Sorry Kelly Clarkson but your famous lyric makes for a catchy break-up song but not real life. What does not kill you makes you weaker. And that’s a good thing.

“Three times I pleaded with the Lord to take it (pain) away from me. But he said to me, “My grace is sufficient for you, for my power is made perfect in weakness.” Therefore I will boast all the more gladly about my weaknesses, so that Christ’s power may rest on me.  That is why, for Christ’s sake, I delight in weaknesses, in insults, in hardships, in persecutions, in difficulties. For when I am weak, then I am strong.” says Paul in 2 Corinthians 12:8

So, I’m ok feeling like a marionette with half the strings cut. God’s grace saved me, gave me life everlasting, and lets me lean on Him as I walk THROUGH the valley of the shadow of death, stopping to catch my breath.

Last Chemo…

This Friday will be my last scheduled chemotherapy treatment. I’m looking forward to it. I’m familiar with the faces and personalities of the many tech’s and nurses at the cancer treatment center. The layout of the maze-like building is no longer a mystery. I know when and where they are going to poke me with needles. The “beep-beep-beep” alarm will sound at the emptying of each bag of I.V. The friendly volunteers will offer warm blankets and baskets of snacks. My wife will be nearby, reading a book, playing her games, watching me sleep on and off.

Then, before I leave the treatment room at the end of the day, I will ring the bell signaling my last treatment. Everyone there will applaud and I will leave. If my prayers are answered and the doctor’s expectations are met, the cancer is gone and I am on the road to recovery.

But it will still be three weeks of continued side effects. I’m used to the weakness and digestive difficulties and seeing an old man in the mirror.

Soon I’ll get the PET scan to confirm that the cancer is gone…or if I need more. The unknown no longer bothers me. I’m willing to wait and return if necessary. I do not long for the familiar but will do whatever is required to be free of cancer and get back to participating in life: Work, play, rest, create.

I thank God for so many friends who are praying for me and this situation. I do the same when I am in the chair. I pray for these strangers hooked up to bags and tubes. So many are older than me, both men and women. Lord, give them strength and hope and a future.

“For I know the plans I have for you,” declares the Lord, “plans to prosper you and not to harm you, plans to give you hope and a future. Then you will call on me and come and pray to me, and I will listen to you. You will seek me and find me when you seek me with all your heart. I will be found by you,” declares the Lord…Jeremiah 29:11.

The Four O’clock Feeding

Each time I wake up, several times at night, I feel pretty much the same. Go to the bathroom, then get a drink of water to rehydrate my bone-dry, parched mouth. Blow my constantly running nose and crawl back into bed. But the 4:00 AM time is different. At this time my stomach makes bizarre, violent noises.

A normal hungry stomach has digestive fluids squirting into it in preparation for food. Then you get a little growl. That would not keep me awake. These roiling signals are more than musical. They are dramatic, theatrical, but not entertaining.

These noises are coming from somewhere throughout my digestive tract. Not just one spot but in full-stage, Dolby stereo.

How could I recreate these unearthly, peculiar noises? I’ve had two months to imagine so here you go: Get a cheap, blue, plastic kiddie pool. Put it on the roof of a minivan. Fill it with Jello. Throw in a dolphin and a piranha. Add a hand full of silverware, two original Slinky’s, and a bag of large marshmallows. Feed the dolphin a Red Bull to encourage him swim in circles. Now, lay back on the floor of the minivan and listen. Close your eyes. Yes, that’s it.

It’s not loud enough to wake my wife, but I have to wonder what sort of digestive gods are throwing punches down there. Between rounds they rest on creaky rocking chairs. I appease them with Chobani yogurt until tomorrow’s match.

“Boing, eeeewahh, shhhh, kekekee, bubbubub, t-t-t-t- “

Irritated

At first I did not know how these medicines would affect me. But now the side effects are all established, and the worst of them have been avoided. Here is a list of my current abnormalities;

  1. Everything smells like cheese. The chemo damages the fast growing cells of the lining of my nose, mouth, and digestive system. With some people, they cannot taste. But with me, my nose always runs a little, then stops, then I think my clothes need laundering but it’s just my nose.
  2. No more deep, dreamy sleep. The frequent bathroom breaks are now routine morning, noon and night.
  3. Sleepy fingers. “Tingling and numbness of the extremities” narrows it down to my thumb, index and middle fingers. Like when you’ve been leaning on your elbow and part of your hand falls asleep. It comes and goes.
  4. Sour stomach. But not indigestion. At first I couldn’t tell if I was hungry or sick. But now I eat a little something and feel better. Imagine drinking a small bottle of hot sauce, how you might feel the next day.
  5. Irritability. I’m still not used to the frustration of wanting to do many things but not being able to do simple chores. It came out a couple of days ago when I needled my son about some minor matter. I could hear myself carping. I had to apologize and ask for forgiveness that he gladly gave. “You’re going through some stuff Dad.”
  6. Irregular. No details here but I washed down a stool softener pill with prune juice with NO ill effects. Moving right along.
  7. Flat. I’m used to having inspired flashes of creativity, then making something, building, cleaning, planting, moving, buying, selling, something. I’m geared to work and rest but now it’s low and slow. I’ve also dropped all caffeine that used to help fuel frantic activity and work through tiredness. Now I get winded just picking up the cat.

Under Siege

No, not me, but the disease in me is under siege by many medicines. The oncology team has put together a barrage of chemicals to surround, infect, isolate, and destroy the cancerous cells that were trying to kill me. The treatment is winning this slow, internal battle. There is some collateral damage like my hair and various other cells, but they will grow back.

I’ve just finished round three of chemotherapy last week. In two more weeks I will get the fourth and last round. Then a scan to see if the cancer is gone.

The picture of a siege reminds me of Psalm 59 where David was surrounded like dogs by Saul’s armies, determined to kill him. “Deliver me from my enemies, oh my God.” You can sense his fear and the darkness of the situation in this psalm but he concludes:

“But as for me, I shall sing of Your strength;
Yes, I shall joyfully sing of Your lovingkindness in the morning,
For You have been my stronghold
And a refuge in the day of my distress.
O my strength, I will sing praises to You;
For God is my stronghold, the God who shows me loving kindness.

Proverbs 18:10 
The name of the Lord is a strong tower; The righteous runs into it and is safe.

Awake

Most people like to sleep in on a Saturday but the morning after chemo has me wide awake at 3:00 a.m. I feel fine but the meds coursing through my veins make my heart beat faster, telling my brain and lungs that I am alert and ready to wash the car!

So, I read the news, emails, Facebook, and daily devotions while even the cats tell me to turn off the lights and be quiet. The clinking of my spoon in the cereal bowl arouses Boo Boo who begs for milk. No, go to sleep. This upcoming rainy day will be perfect for taking a nap or two.

Shadow

I’ll pick up where I left off reading David Fairchild’s tales of plant exploration in the early 1900’s.

What’s It Like?

My wife asked me what does chemotherapy feel like? I had to think. It starts with needle pokes. One in the arm to draw blood. They pull three vials to get the full blood panel. Within 5 minutes they print out a full page report and focus on red and white blood cells. Once they see that I am fit to receive the chemo (I’ve recovered from the last round), then into the treatment room.

This room is the largest in the building with many windows, lots of light and a lot more chairs. Comfortable lounge types. About 60 of them! Each one has side tables and an IV pumping station on wheels next to it. I had to ask “Are these all for chemo?” The nurse explained some people come there for infusions of iron or vitamins and they are there about an hour. But the majority are for cancer patients.

Next comes another poke. “Accessing your port” is a jab of one needle into the surgically implanted bump in my chest. It creates a tube that all the chemicals will pour into. Like a hose, they unscrew one bag and screw another for the next dose.

Finally the last poke. They save this one for the last. This medicine is the prime reason why I don’t feel any nausea or vomiting for five days. It gets stabbed into my belly just beneath the skin. “Sorry but it’s a large gauge needle.” Now I know where they recycle railroad spikes. It hurts going in, then the medicine feels like battery acid, pumping for a few seconds. It even hurts coming out. The worst is over.

The first bag of liquid connected to the port is benadryl to prevent an allergic reaction to the second bag. So for a few hours I slept as they continue to switch bags for six more hours. I was a little hungry so for lunch I enjoyed a sausage McMuffin.

I feel tired and my heart rate is up there but my blood pressure is normal. Home now, I’ve been munching on celery, crackers and dip and cherries. The injections are not done yet though. I have that strange box taped to my arm that will deliver one more dose Saturday at 7:30 p.m. It will cause a flush of white blood cells to grow and replace those that were killed today. I’m instructed to take Claritin right afterward to avoid muscle and bone pain.

So, why go through this pain and discomfort? Why persevere through months of weakness? Because I hope and pray that this treatment will heal me. Hope is my desire. Prayer is offering my desire to God and submitting to His will.

“Consider it pure joy, my brothers and sisters, whenever you face trials of many kinds, because you know that the testing of your faith produces perseverance. Let perseverance finish its work so that you may be mature and complete, not lacking anything.” James 1:2.