Ground Control to Major Tom – How ARE you?

10 Apr

Please forgive me dear readers for it has been one month and two weeks since my last update.

I admit I am almost running from all things that smack of 2012 – whether it be blogs, art bras, foods I found enjoyable … even clothes.

My problems are plain old every day problems now. It’s trying to figure out how to get the kids home from school every day with me working and an inconsistent, bandaided sitter approach to afternoons after our nanny quit.

It’s trying to figure out how to get a little extra sleep – past 6:30 – with three kids and two dogs who all arise at the crack of dawn and want to know on a given day what the weather will be, did we know it was the 1st of the month, would there be soccer, and what to do when their arm falls asleep. The last one happens in the middle of the night, too. As does visiting because they are cold, hungry, scared, or not feeling well.

We had strep and flu at the same time at the house. Our puppy apprently likes eating dog poop but last time she did it she threw up all over everything.

It’s good – normal. Vacuuming three times a week, washing clothes and hair often because of allergies, focusing on remodeling opportunities down the road, worrying about the impression I make at work. Planning trips between soccer and scouts and swim.

But then I am reminded that I’m not normal – and won’t be. I get a comment at my company retreat that I look so different – why am I growing my hair differently?

I have this super strange thing going on with my mouth where my tongue is inflamed and taste buds are enlarged and instead of just worrying about what kind of crazy thing I have going on – allergies? a virus? I have to set up an appointment to talk to my oncologist.

When I feel gas in my belly – is it the beans or is it cancer?

When I don’t get a good night of sleep and have to take a nap the next day I am reminded that my body is still only recovering from that “year and a half long battle” that you hear referenced in stories about other cancer fighters. I am that person.

I struggle with day to day being so mundane, so good, and yet so shadowed. I try to right myself by focusing on the accomplishments – a soccer win, kids scoring, perfect report cards, a win at work, a beautiful new master bedroom … and it helps most of the time.

But there are days when it all comes back – when the pain and fear of losing myself, my family, my battle … when all I want is just a break from this crazy thing that I now have that’s called life … and I yearn strangely for the days when I only had to worry about getting myself through the day as if that was enough. Now it seems like it’s never enough.

But, in general, when asked how I am, I am good. I am great. I am alive and healthy and happy. But don’t expect the same level of frenetic behavior as last year – I can’t make a bra and work and live and love. I can’t start a foundation and work and make dinner and clean up the dog poop. Some of you will – and can – and I totally love that you can.

I can’t any more. And that will have to be enough.

Prognosis Good, Surgery Curative

20 Jan

Cameron, the 10 year old lab mix dog that saw me through trials and tribulations of cancer and treatment is apparently cancer free as well after open chest surgery last week.

We went in on Tuesday to meet with a surgeon – to talk about options. He was the best in town, we were told – referred by our vet and other doggie parents – and Davis and I took off from work to attend.

We stood there with an anxious dog while Dr. Kerpsack reread some of the materials we had and then laid it out – Cameron either had a cyst (benign) or thymoma (cancer) based on all the imaging and all the studies and all his experience. If it was cancer, surgery was necessary and soon – if it was a cyst, it could get big enough to cause him trouble later but it wasn’t urgent. But, if we wait, guess what? It could get too big to operate at all. And, oh by the way, because our vet had conveyed a sense of urgency, he had scheduled time to take care of it today. What did we think?

I am still reeling with the intensity of these last few weeks – the recurrence of cancer in our lives, the pain of not knowing what to do, and then the difficult decision to put our helpless sweet animal through what would end up being open chest surgery. Now, remarkably, he is up walking around – we have to keep him from jumping on the bed – he doesn’t know his own limits it seems, only I know mine more acutely now than ever.

I think I am going through some version of PTSD – not that it was combat in the traditional sense, but certainly trauma. And for the entirety of the journey I feel I was able to keep moving – to not allow myself the moments of doom or anxiety that could have enveloped me.

The irony is I feel it now.

I feel such a sense of commitment to Cameron’s recovery that each decision – should he be allowed outside? Should he be forced to sleep in the guest room? When do I give him his pain meds? How do we separate him from the puppy energy? Each step has taken on a gravitas that is seeping into my bones.

All those feelings of loss and pain and loneliness are here again – retrograde.

The irony is that he’s doing great. The surgeon claimed that the prognosis was good and they removed the mass which it turned out was thymoma. It was 6cm by 10 cm. They also removed a giant lipoma (fat mass) that had developed under his chin – 30cm by 30cm. Now he is the dog formerly known as frog dog. And I can tell he’s loving it.

I just feel a little buffeted this time around. I have no additional bandwidth to process all the newness. The new normal again and again and again. It’s one thing to get a strategy for sleep with a new puppy. Quite another to layer on the adult dog recovering who wants to go upstairs but can’t with doctor’s orders and how do you keep them separate and happy with one adult available during the day over a three day weekend?

My husband has borne the brunt of the sleep disruption because I have no capability – no reservoir of strength any more for sleep disruption. I am so very thankful. Where would I be if I were truly sleep deprived instead of just sleep altered?

I also have no capability for additional responsibilities. I am ridiculously thankful we have the puppy – who else could we cuddle and coddle while going through this emotional rollercoaster? And she’s amazing and cute and funny and potty trained.

I went back and reread the notes and cards that you all sent throughout my most focused battle – with each day it gets better – you’ll look back on this and realize that it really did suck – and that every victory is worth noting.

It was a good reminder of the path I have taken – and now that I can help my dog take it too as best I can.

Anxiety is back – that old familiar feeling

6 Jan

Blogging is cathartic for me. So, I hope I get some of that good juju by taking a break today to put it all on the line. This one will be all over the place – because that’s where I am right now. But ohwell, another day in the life.

I have a ball of anxiety in my stomach curled up consuming me right now. I have always tended toward anxious – that is the type A personality after all, but occasionally, it comes back. It is like a ball of warmth that sits in my belly – reminding me every minute that I am not in control. Hi there ball I say – and it rustles and coils.

It seems to coincide with lack of sleep. And, here we have again, lack of sleep. (puppy – more on that in a minute)

It seems to coincide with multiple workstreams of powerlessness – a lack of a plan or control on a few different fronts.

So, here I am with multiple issues (none life threatening, none that are massive), but without a means to corrale my feelings, emotions, or plan a next step, I am paralyzed with my anxiety ball until I either get enough sleep, take enough meds, or come up with enough plans to make it all better.

After the initial euphoria that the dog’s cancer was operable, there are qualifications. The surgeons are suggesting multiple surgeries to remove it, multiple procedures that would be violently invasive – requiring drains and stitches and recuperation and recovery. He is fine right now, laying next to me on the bed. He even managed to play a bit with the puppy at her insistence this weekend. How can we put him through such pain and uncertainty when he has no visible distress right now? How much discomfort should we force on him just to have him with us another six months? I fight back tears even as I write this – how do you decide someone else’s well being? When they have no say … and yes, he’s a dog, but the echoes to my past two years (how can I expect him at 10 1/2 to recover what I am still reeling from in terms of invasive and corrective surgery? how can I not provide him the same support and therapy that he provided to me?)

I am having trouble with my hip – a consistent muscle ache that leaves me unable to sit or stand certain days. Is it the cancer back? I have appointments with physical therapists and masseuses and have started doing yoga and exercising – but what if that’s not enough?

And, the puppy. She is wonderful – sweet and loving and curious and soft and hilarious. But she is up in the night – how do we balance what we know is right (giving her access to the yard) with the needs of the family – SLEEP. I think we’re going to have to go against my humane judgement and crate her at night in the back room. Sanity and our health and happiness has to come first. I remind myself that some dogs live outside all the time. And then I start to second guess – was it too much to take on to make this addition now? Was I wrong?

Sleeplessness is a funny thing – it deprives you of your ability to compartmentalize, to fairly judge the severity of issues, and you forget how powerful an agent of destruction it can be.

OK, my anxiety ball is a little smaller now – I know it will grow the next time I think about end of life for Cameron and the decisions we must make, but I also must remember he is our dog and he is loved and happy right now.

I must remember that we are kind and loving den mates for our puppy – who is learning what she can do, and we are learning what we can do. As Davis mentioned to me last night – sometimes these last few months my desire is not met by my capability. I can not do the sleepless nights right now.

And, I think and hope and pray that this is just my muscles struggling to understand how to support and manage my new self, and not the cancer back. Enough is on the plate right now.

I heard a hilarious rant the other day from a lady who had lost her mother, her boyfriend, her apartment, and was diagnosed with cancer.

She said “Does God really give us only what we can handle? I picture him up there sometimes laughing – oh, she can take a little more. And the angels saying, God – what are you thinking?”

 

The New Year’s Blog – 2014 and cancer-free … for everyone?

1 Jan

I had thought this would be the year our family escaped the cloud of cancer. Unfortunately we enter with a diagnosis hanging over our doggie – thymoma – cancer of the thymus gland. However, it is operable, and we hope he will have a successful surgery and long and happy recovery. THANK GOODNESS. The best news possible given the situation.

The parallels between our diagnosis are striking to me. We had virtually no symptoms, had a chance scan, and discovered a massive lump. It makes me very thankful for modern technology, but also concerned in general -what else are we missing if we don’t pay attention?

Although … one major difference … I was not bounced for my scheduled CT scan because there was a zebra with an abdominal wound in need. Yes, a zebra, in College Station.

After the rollercoaster of emotions the past few days, we enter 2014 with profound relief and gratitude – that our dog has the capability to live long and happy – that we have the time and resources to tackle his cancer and my recovery. That we are surrounded by a loving and caring community who loves my “Nicky Minaj pink streaks” and our giant frog dog.

These are the times when I remember why 2012, and 2013 both didn’t suck.

  • I grew to a first name basis with my insurance company and reached my out of pocket maximum. Two years running. Cool thing is – nice tax break. Now that I’m working again, I can be so thankful for our cash flow and the fact that we had amazing insurance through IBM. $300K paid in total for me the last two years. Now that we are paying out of pocket for the dog, I realize the true magnitude of that gift.
  • I realized how amazing my husband is – that support I had planned to give him was returned a hundredfold as he took the reins of family control, family CEO, shrink, Mom and Dad. He was – and is – amazing.
  • I got to see what my body is capable of in terms of healing – and it’s pretty freaking awesome.
  • I’m no longer vain about my appearance. Not that I really ever was, and yes, I do wear makeup and earrings. But there are some bits here and there that aren’t what they used to be and hey, that’s OK. I mean, I’m also missing bits that should be there so I figure it all sorts out.
  • I get to have perky Barbie boobs – OF MY OWN CHOOSING! – for the rest of my life courtesy of insurance. Those of you without having nursed three children may not realize the importance of this. And yes, picking out a size is both weird and exhilarating. Then, there’s the tatooing process – something else I never would have imagined, and in some ways I feel empowered because I am now “edgier” – right?!
  • I’m a little less inclined to sweat the small stuff – or even the semi small stuff. This year’s Christmas cards were wonky, the presents were wrapped by my six year olds ( and yes, they bought me two pillow pets and a bathmat for Christmas), – and NO ONE CARES! And I’m happy with my pillow pet! It turns out that a lot of the stuff you thought was important just isn’t.

A friend asked me last night about resolutions. For the first time in many years, I don’t have any. I have hopes – that we get and stay cancer free. That my kids continue to be as happy and curious and excited as they have been. That our puppy continues to entertain, love and grow. That our family and friends have success and happiness and all the good things there are in 2014. I will try to walk a little more, eat a little better, (I did get a fit band for Christmas!) and take care of myself. But, all of that is gravy.

I resolve to live more in the moment than before. We have always been planners of the maximum variety and I think the edge has been dulled. Let’s go on that trip we put off (yes, I got to go to New York to see Christmas lights with JUST DAVIS  this year as a present!)

Our new motto: go with happy. And if that means three kids out at 37 degrees on their new scooters, then that’s just what it will be.

I wish everyone a happy HEALTHY prosperous new year, and joy every day.

And now the dog has cancer

29 Dec

I am overwhelmed. The frivolity and happiness of the new puppy muted by the terrific disappointment and anguish of the dreaded C word again reappearing in our lives.

Like before, out of the blue. Like before, no real symptoms. Like before, fear and pain and sad.

Our 10 1/2 year old first “fur baby” Cameron didn’t eat his kibble the last day we were gone. When we came home, he was less than enthusiastic. But it could have been that we brought along a 10-week-old puppy. I mean, we knew he wouldn’t be thrilled by that addition in general, but this was downright weird. He is totally and completely food motivated.

We saw him breathing shallow, and thought – maybe there’s something in his mouth, on his neck.

Imagine our shock and surprise when we found out that based on the Xray, he had a “mass” – likely cancer.

The frenzy, the questions started anew. Where do we go for another opinion and soon? Where do we go to get the best care? What can we do? Will he die?

I cried more than when I was diagnosed. Somehow this felt worse – I was powerless. I have been a red ugly raw all weekend.

We still don’t know – a trip to the Texas A&M emergency room netted us a a 10am slot on Monday morning for a CT scan and diagnostic follow up with specialists – the best in the country. He will have a CT guided biopsy (eerily familiar to those of us who have undergone the X ray guided biopsy – at least he will be asleep!) The earliest we could do here in Austin – surprisingly – was the 15th of January.

It has been the longest and shortest two days in the last year. Going from ebullience at puppy cuteness – she chases her tail! she walks sideways! she has a white spot on her chest! To the recognition that our other dear dog, my therapy dog, might instead be lost this week.

We told the kids, this time avoiding the term cancer bugs – Davis was concerned that it would echo too much on their minds to my battle (cancer = death??) We told them there was a mass that wasn’t supposed to be there and there might be drugs to get it better. Dad and Cameron will go to the best doctors in the country on early Monday morning for the tests that will allow the doctors to see his body better. But, there might be a chance Cameron doesn’t come back. There might be a chance that he would die.

Henry said “Well, Mom, you’ve been through lots of surgeries and have been fine – I’m sure Cameron will be fine.” I am sure of it too, because this time around, like last time, the other option is unthinkable.

You may think me sappy or sentimental for being so attached to our dog, but I point you to my last two years and the net that was my constant support – Cameron amongst. And, now I am granted the glimpse into the world of those around the cancer patient – the frustration, the grief, the overwhelming sad. I feel what so many felt for me.

I guess the good news is that Cameron doesn’t know the fight he faces. But the rest of us do, and we see the end in sight. Much closer than we expected. As is always the case.

Why NOT a puppy?

22 Dec

There are times when I find my journey has changed my outlook. Holidays are certainly one of those times. I was always a Christmas girl – my grandmother was literally Mrs. Claus on her stocking and it rubbed off. Last year, this year, more special – cramming as much fun and frolic into the season. The elf, bon bon parties, extra big live trees, etc. This year, a puppy.

Yes, a puppy.

Just about everyone thinks I’m crazy. I have been working on Davis for over three months, but I desperately want a puppy and we are getting her on December 26th.

I was thinking today about why.

Cameron is a great dog – my therapy dog and companion in all of this and in all of our last ten years. He is such a good dog with the NOTABLE exception of the counter surfing – only one place in the entire kitchen is safe – a three foot square plot of land at the back of the range. But he’s getting old. I want to spare my family the pain of losing a dog and having a void. I want our new dog to enjoy his company, to teach him, and for him to have a burst of puppy energy.

But I’m sure there’s some Freudian reason for my desire – a cathartic rebirth, seeing my mortality reflected in the eyes of my dog, an existential crisis.

For me, it’s the pursuit of happiness. What’s a few hours of sleep missing, a few chewed fingers, an extra mouth to feed, when you consider the joy and love that will come. Of course I say that now before we are inundated with housebreaking and a pouting septuagenarian.

This week, this holiday, may your gifts be merry and bright, and may you be 10% as excited as my kids are about the presents that await them. And 1% as excited as me.

 

Things You Can’t Tell by Looking At Her

18 Dec

I have title anxiety. SO I’m going to start stealing titles from other people. It has been almost two weeks since my last confessional peeps, and before we sink into the complete whirlwind that will be the NEXT two weeks, some notes.

On the surface, I appear normal. I appear to have my proverbial act together. LIES.

I forgot last week that my cousin was coming in from out of town until she called me from the airport. I forgot to tell Davis about a sitter coming over until she rang the door. I forgot about Henry’s basketball game until it was 30 minutes away. I let the kids send out the Christmas cards and promptly forgot where I put the last set of labels. Then I blamed them for the tardiness. And over and over.

Part of it I will blame on this time of year. But part of it, honestly, I believe, is that I have holes where my brain used to be. I can no longer remember the details – between chemo and pregnancy my poor little brain cells are done. maxed out, overworked and underpaid, and going on strike. So I lose some of the small stuff. But the good news is I don’t remember to sweat it either (and there’s just too much else at stake).

There is also an internal struggle when I meet new people – which by the way, I do a lot now, and it’s like, when do I tell them? Do I tell them? How do I sound nonchalant but also convey the magnitude. Usually by the time I get to the part where my doctor told me it was Stage 3 they already have their hand over their mouth. Involuntary reaction to chaos.

It’s hard without knowing my backstory to understand what a joy it is for me to put out that stupid elf every night and come up with new mischievous things for him to do like hanging underpants on the tree and roasting smores over candles.

Or why I was so completely thrilled with sleeping 12 hours a day in NYC on a trip there with my husband because I was there with my husband without kids and eating the rest of the time. That doing the touristy stuff was OK and fun and riding in a pedicab down 5th avenue in the rain to Gandham style will be one of my seminal moments not because it was so damn funny which it was, but because it happened at all.

In medical news, and in the vein of spur of consciousness recall, I am totally and completely done. Hopefully forever. Not in remission, mind you – a question I field often – breast cancer is such a terrible mistress that she taketh away whenever she pleases, but apart from the tamoxifen that will be with me daily, I am done.

In case you didn’t know, that means I now have fully and completely reconstructed ladies. Including pinkish aureoles comprised of a palette of pinks and browns – my first tattoos – and strangely, exhausting. I almost didn’t make it up this morning because the excitement of being done about wore me out.

On that end, to that end, I bid adieu. I prepare for a family Christmas, a new puppy, a new year, and we all heave a collective sign of relief mixed with joy. Go with happy.

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