Monday, March 24, 2014

Episode 15: Dreaming

I had another dream on Friday night. I've struggled with whether or not I should post it because that would mean admitting that sometimes I am rather frightened. That is not an easy public confession.

Picture medieval England. Think Crusader, King Arthur, Knights of the Round Table, etc. The battlefield is littered with the bodies of footmen and horsemen and there are only four of us left to fight on each side. (I have no idea who we're fighting for or against but that's irrelevant. I don't even know how I ended up in medieval England.) Because we're down to the last four, it is now a matter of hand-to-hand combat. It is at this point that I, as a soldier, become frightened. I'm weak. I'm tired. I just want to go home. I become aware that if I fight I might not survive. I decide to run back into the forest away from the battle. I mention my plan to my teammates. I thought that they would have been a little more supportive but I was wrong. They turn on me and explain that if I don't fight with them they will kill me themselves. Talk about a dilemma. If I go into battle, I will probably die. If I don't go into battle, I will definitely die. Oh, the anguish. It's at this point that my dear husband wakes me up. He has noticed that I'm having a very bad dream. It's lucky for me that he has such broad shoulders. When I wake up, I am not in a good mood. A few weeks ago, someone else with cancer said that she felt that her body had betrayed her. I can't go that far. That seems a little extreme but, then again, I can't say I'm very pleased with my body at the moment. After all these years of being "a good girl", I really had expected better behaviour from it.

On Sunday, the four of us went to church as a family. I haven't been out much lately and to get all four of us out at the same time is impressive. The closing hymn was, "Be Thou My Vision". That was our wedding song 20 years ago and is one of my absolute favourites. Look at verses 3&5. Given my dream on Friday, was the playing of this song on Sunday a small-"c" co-incidence? I think not. "It's Friday, now but Sunday's a-coming." (Tony Campolo).

Be Thou my vision: verses 3 & 5

Be Thou my breastplate, my sword for the fight;
Be Thou my armour, and be Thou my might;
Thou my soul's shelter and Thou my high tower,
Raise Thou me heavenward, O Power of my power.

High King of heaven, when the battle is done,
Grant heaven's joy to me, O bright heaven's Sun,
Christ of my own heart, whatever befall,
Still be my vision, O Ruler of all.

Friday, March 21, 2014

Episode 14: Why the wait?

The lab sent my report away for an HER2-neu assessment which they just got back yesterday. The pathologist is now reviewing the information and I will most likely be called next week to be given an appointment time. What is HER2, you ask? I don't know yet if I have it or not but here is the info.

"Receptor tyrosine-protein kinase erbB-2, also known as CD340 (cluster of differentiation 340), proto-oncogene Neu, Erbb2 (rodent), or ERBB2 (human) is a protein that in humans is encoded by the ERBB2 gene. The ERBB2 gene is also frequently called HER2 (from human epidermal growth factor receptor 2) or HER2/neu. HER2 is a member of the epidermal growth factor receptor (EGFR/ERBB) family. Amplification or overexpression of this oncogene has been shown to play an important role in the development and progression of certain aggressive types of breast cancer. In recent years the protein has become an important biomarker and target of therapy for approx. 30% of breast cancer patients." (http://en.wikipedia.org/wiki/Her2)

"In about 1 of every 5 breast cancers, the cancer cells make an excess of HER2 due to a gene mutation. This gene mutation and the elevated levels of HER2 that it causes can occur in many types of cancer — not only breast cancer. This is a gene mutation that occurs only in the cancer cells and is not a type of mutation that you can inherit from a parent." (http://www.mayoclinic.org/breast-cancer/expert-answers/faq-20058066)

The key here is that this protein is an important indicator of the treatment and therapy that will be chosen. To personalize, this means that the pathologist is now reviewing my report based on the new information and then can choose an appropriate treatment plan. Just to clarify, chemotherapy is a general term that is also known as a cocktail of chemicals and the precise combination of chemicals that goes into the cocktail is determined by the results of the various tests.

Further, this wait that I've been through is apparently quite standard. The doctor's office checked my timeline against others and they were all very similar. This wait has been good for me. Having most of my energy back since the surgery, I'm doing more around the house again and helping my husband in the office. It's not the fact that I'm doing more that matters here. The really cool thing is that I've been thinking about other things quite a bit. I actually forget about the cancer. As much as I love being the centre of attention for a little while, even I get bored with myself eventually, and it's so nice to know that there is life without cancer.

Stay tuned for more ... (information, self-pity, and hopefully a bit of humour).

Monday, March 10, 2014

Episode 13: Waiting

Aaargh! I had thought that by now I'd be writing a very different episode, something with substance. But unfortunately, there is nothing new. Today is two weeks since the surgery and only just this morning did the pathology report arrive at the surgeon's office. This has been a long wait and will continue until I hear from London with an appointment date. This week? Next week?

This has not been a good week. As calm as I may appear, I am getting tired of waiting. I've been doing a lot of sleeping which is to be expected recovering from surgery. Unfortunately, when I'm not sleeping, I'm generally feeling sorry for myself. Too restless to rest and to weary to put the restlessness to good use. Not a good combination.

The other night I had a dream that I was living in a glass house in the middle of the forest. I was standing in the middle of the living room watching a young deer walk by. All of a sudden, the deer bounded away. I knew there was only one reason for a deer to hurry so quickly: a wolf was near. I was worried because I knew I would see it through the glass (and vice versa) but I reminded myself that all the windows and doors were closed so I would be okay. I was wrong. The wolf came in through the open door and grabbed my arm. That's when I woke up. I think the symbolism of the wolf is fairly straight-forward. My arm hurts.

I am, however, a bit more perplexed about the glass house. There are two possibilities running through my mind. One, which I think is the more likely, is that I always felt somewhat secure in the idea that truly bad things only happen to "other people". I could be compassionate but from a convenient distance. Now, the glass house of my own immunity has been shattered. I've had to contemplate my mortality. It's not fun. I told my husband that I'm not comfortable with dark, small spaces. He thought I was joking but I wasn't. I've become "other people", the one everyone feels sorry for, the one for whom noone has the right words. I've seen the pity and the helplessness in their eyes, their desire to wave the magic wand and make it all better. But they can't. Noone can walk this for me.

Not so long ago, the lady from Episode 5 came to visit me after my surgery. I'm clinging to her words, "This is do-able." I hope she's right.

Monday, March 03, 2014

Episode 12: Bored

So it's been one week since surgery: Monday to Monday. The nurses are pleased. They say I'm healing really well and obviously had an excellent surgeon. My arm is sore. I could be taking more Tylenol. It does get a lot of exercise though since I'm left handed so that's good. I'm up and moving, making my own coffee, sitting on the sofa with the laptop. Today I'll wash up and do my hair (with help). Tomorrow, I see the surgeon for a follow-up and to find out the results of the pathology. Chemo? Radiation? Nothing? Who knows?

I heard about this one man who went to see his doctor. He said, "Doc, I'm in pain. When I touch my leg, it hurts. When I touch my arm, it hurts. When I touch my neck, it hurts." So the doctor ordered a bunch of tests and had the lab look at everything. After about a week, they called the man at home and said, "Well, we have the results of your tests. Your finger is broken."

Say goodnight, Gracie.