Tuesday, July 24, 2018

Looking back in order to move forward. Reflections of Chemo #6.

So Sal is taking a blog off for Chemo #6 and I, Paul, am happy to fill in. Although my thoughts are hard sometimes to peg down into a coherent stream of consciousness, I will strive to do Sally proud.  So, as most of you know, it has been a life altering 117 days that she and I have been through since March 30th. The world that we had been creating for ourselves after 3,199 days together had taken us many places around the country and world and had helped to shape what we believed that we were doing was the path we were intended to take.  Day 3200 however would be a change of direction.  As Sal can probably attest to, sometimes we can be of a rigid mindset that focuses a lot of our attention on things that we feel are important and that the other superfluous things in life just fall to the wayside.  But day 3200 was different.  We were forced to examine every facet our life in an attempt to determine what is truly valuable and necessary to our existence moving forward.

After Sal’s diagnosis, I was filled with quite a bit of emotions.  My mind raced and my thoughts drifted from the worst case scenario to who do I need to call and when to what is needed for Sally in the moment to a hundred different other things. But one of the things that we agreed upon on the evening of March 30th before I left the hospital was that we were not initially going to “google” anything until after we knew the full extent of the diagnosis that Sal was set to receive.  This helped to ease my mind as best it could that night so we at least wouldn’t have the knowledge that google possesses until we knew exactly what type and severity of cancer that Sally had.  As I left her that night at the hospital on my way to our empty home, I will never forget the chill of the night air and the deafening silence that was brought by the small flakes of snow that fell in late March.  Usually I marvel at snow, but that night, I couldn’t feel anything related to those previous feelings of wonder. 

The next morning, I felt as though I had a terrible nightmare and rolled over to reach for Sally but my hands were met with empty sheets and I then realized that the nightmare was in fact actual and not imagined.  As I went down the stairs, I did not grasp the beginnings of how hard this process would be until I realized that my hands were shaking so severely while making coffee that could not even complete the act.  I instinctively recalled some of the skills that I have taught to others in my 10 years of mental health work and got through the moment.  But these instances of fear and paralysis that gripped every part of my body and mind I knew were far from over.  As the days moved forward and Sally came home from the hospital and was greeted by packages from friends abroad and guests that filled our home with love and warmth, I began to believe that things were going to get better.  And, I knew if anyone was going to fight this diagnosis and succeed, it would be Sally. 

Eventually there came a point that Sally was able to return to work as we continued to entertain guests that would come for various amounts of time ranging from hours to days to weeks.  Our home became something that it had not been for the entire time in which we owned it.  The house became alive and vibrant and full of an outpouring of love and affection.  I will be completely transparent here and note that although we did have a loving and inviting home in the time previous in which we had been together, we were facing an almost critical overload of love and support of guests and friends in the house.  It was and is nice to have others around from time to time but the house was feeling like a larger chore that was taking a bulky amount of effort, energy, and focus and was seemingly taking away from the greater task at hand which was the care and well-being of Sally. I do recognize that those that came and stayed were showing their love and care and concern for Sally and even though it was difficult for me, their pain and discomfort about the situation could not be overlooked. For me, being the primary caregiver, the added responsibilities I had taken with the immediacy of the moment and the burden and continuity of care for Sally, it was beginning to bring me down to a point where the feelings, initial trauma, and emotions I had initially experienced on March 30th were coming to the surface yet again.  But as that “season” of our life passed and the foot traffic returned to a manageable level, things became clearer and more focused.  At this point however, around the time of Chemo #3, another set of realizations hit me without any warning. These however would be some that I still struggle with even at the time of this blog entry.

So I won’t spend too much time on this as I would like to come back to this topic at a later date.  Essentially, the way that we had constructed our lives together through those first 3199 days were built upon the premise that there were no known restrictions on food, other consumables, vacation, leisure activities, everyday activities, shopping, and our work schedules just to mention a few.  Of course there were things that had occurred that would cause a delay such as Sal having to take an additional work trip or me not being able to get the time off I desired or what to have for dinner or what to do between the time we got off of work until we went to bed or projects that we wanted to achieve for the house.  But as I began to think about things deeper and gain a broader understanding, I was met with the fact that my world, as I currently knew it, would take a good long while before it would go back to a place that was familiar.

And there is a small chance that things will never be the way they were.  And maybe that is a good thing.  The one thing however that created the some of the most conflict both internally and externally was the food that we consumed.  And to be more specific, it was the lack of white flour, white rice, and added sugar in that food.  You would think that leaving these three things behind and making adjustments for the sake of the love of your life would be easy and could be dropped like a can into a recycling bin, but this is where the dilemma thickens.  I had given little thought to the products and foods that we had consumed, no matter how nutritious they were, had at least 1 of those 3 things in them or around them.  So for a while I was able to manage without any concerns but I noticed that after a bit of time my body was not so pleased that those things were not being consumed.  It affected my mood.  It affected my affect.  It distorted my thought process.  And it wasn’t as though there were a lack of things to consider in my life at this point.  And to quote a line from a book I enjoy, “I felt as though my mask of sanity was beginning to slip”.  At that point, Sally and I talked through some of these things and we were able to have some considerations made towards that during our main meal of the day and how I would be responsible for satiating my “urges” via snacks and other food during the other times of the day.  Overall, our diet at home is and will be largely based on the essential things that Sally needs in order to be healthy and able to battle her current cancer diagnosis.  But things have gotten better, slowly but surely. This is a learning process for me as well.

So those were feelings and thoughts for now of the looking back portion of the blog.  Now is the time to look forward.  After Chemo #6, Sal continued to show signs of improvement and vitality. Her 48 initial hours after chemo, she appeared to be “good ol’ fish” again, less a little fatigue that she has been experiencing these last few weeks.  She continues to face the challenges of her previously hectic life with work commitments, house commitments, the giving of attention to our cat children that they demand and crave, being pleased with a lazy day, in addition to all the commitments that she is obligated to complete as part of her ongoing treatment.  As most of you know, when Sally gets something set in her mind that wants to achieve, there will be little if anything that gets in her ways towards success.  She is determined, focused, goal oriented, and has been the beneficiary of an immense outpouring of love, encouragement, support, gifts, prayers, well wishes, good thoughts, and positive vibes that have come her way.

But here is where I stop to say of how proud I am of Sal.  Whenever, as a caregiver, I feel week and down trodden, I merely look in the pale blue eyes of Sally and all seems well.  Sal has helped to make me a better caregiver, a better husband, a better person, a better cat father, a better man.  She has provided me the opportunity to love her more than I ever thought was possible.  She has allowed me a safe and vulnerable place to expand the depths of perception as to what our lives will be and the direction that it will move forward.  She has shown me what it is to be determined and hopeful, even in the face of daunting and arduous odds.  She has shown me how to grab fear by the throat and to subdue it to a point that it is rational and reasonable.

Moving forward, I am hopeful.  I am happy.  I look forward to the countdown of the next 6 chemo treatments.  I am excited in planning our celebration vacation after chemo #12 is done. 

Lastly, I will leave you with a series of 3 photos.  It was hard to whittle down the which photos to use to only three that have been taken in the last 117 days.  The first is a selfie taken by me as Sally was in the hospital.  A side note about this picture, Sally’s room is over my left shoulder where the building forms a corner. This picture encapsulates “the looking back” portion of this blog entry.  The second picture is one that I snapped is of us at a dinner while visiting friends in Baltimore just days after Sal’s 2nd chemo session. The third picture was taken the evening after Sal’s 6th chemo session. Her calm, composed and determined look, along with Pabst being ever present symbolizes my determination to “look forward” to all the great things that are to come.   





Tuesday, July 17, 2018

Chemo #5

Good News! Prior to my fifth chemo I had a CT scan to see what progress has been made from my four prior treatments. The results showed on average the nodules in my lungs and the lesions in my liver have decreased by 33%, and no visible signs of cancer in the colon where the tumor was removed. I was not sure what to expect at this point in the treatment cycle, but I was very pleased to have a 1/3 decrease as I’m 1/3 the way through chemo.

Chemo #5 went very smoothly. My big side effect change is that I’m more fatigued, and it lasts longer. I know I just need to listen to my body, and get rest when needed.

For this treatment, I chose my own shirt to wear. It comes from one of my favorite Avett Brothers’ song, and we used the quote on the front of our wedding bulletins. “Always remember there is nothing worth sharing, like the love that let us share our name.” It articulates the importance of family, the one you are born into, and the family you create. Throughout this whole experience, I have been fortunate to have had my family supporting me through it all. I also have had many people at my side that are part of my created family. Thank you to all of you. I love you dearly.

The week after treatment I took my first work trip since I got sick. I was wondering if I would have weird feelings going back to the warehouse, where I started to get pains and knew something was wrong. Fortunately, it went very well (minus the 98 degree heat). It was really nice to do something that was previously so routine for me. Doing things that were routine are small victories.


Sally Forth.