It happened again.
A very close friend asked, “How are you?”
“I’m fine.”
“No,” he said. “How are you.” Oh, my cancer.
And a cousin wrote, “I signed up for your blog, and it’s very informative, but sometimes I can’t get a real sense of how you are doing.” They’re certainly not the first to ask, and I doubt they’ll be the last. So here goes.
I’ve been open (blatantly so) that I’m Stage 4, and that there is no Stage 5. But within my staging, there’s a cancer continuum that arcs from where I am all the way out and beyond the horizon to hospice. I’m classified Stage 4 because of lymph node involvement, a tiny tumor in each of two lymph nodes (out of 13) sampled at surgery. Regional metastasis, I believe it’s called. It’s that serious, and it’s that simple.
Physically, I’m fine. I’m active, and I feel great — no aches, no pains, no masses burgeoning within me to make life uncomfortable. When my calendar’s not full, it’s busy. On any given day, I feel like a healthy 67-year-old who goes to the gym for a vigorous workout. I take no meds related to cancer, and I live a ‘normal’ life, traveling hither and yon, unimpeded by my cancer. I’m soon off to Peru and then Sri Lanka.
Life goes on even as more hormone therapy and radiation await. They’re in queue not because I’m in dire straits but because I’m being aggressive — early and often — in kicking cancer’s ass. Prostate cancer has an affinity for bone when it metastasizes, and my April 27 bone scan came back clean. But, like about 99.9 per cent of cancer fighters, I get fatigued — not so bad now as when I was on hormone therapy. Back then, somewhere around 4 each afternoon, I’d fall off a cliff. Fatigue just comes with the territory, whether the territory is cancer or cancer treatment.
Bottom line: To be with me day in, day out, you’d never react, OMG, Bill’s ill! I make plans, sometimes quite far out, and I buy green bananas, sometimes quite green.
Mentally, I think my head’s screwed on straight. I accept the fact I have cancer — I’d rather not have it, but I accept that it’s my new normal, and I don’t waste time/energy/life being angry about it or wishing it weren’t so. It is so. I had two best buddies, Al and Bill, both killed in their 20s, and I’ve often thought they’d love to be my age and have a good case of prostate cancer. That gives me perspective on life and puts my cancer in its place.
I try to focus on enjoying life, enjoying my family and friends and doing all I can to counter the cancer within me. Oh, and getting as much good out of my cancer experience as I can (and there is good to be had, make no mistake).
I confess to three really bad head days — all of which occurred while I was on hormone therapy: From out of the blue came black. I just fell into a black hole, and that’s the only way I can describe it. A black hole. How, why — who knows? Each time, I spent about a day in the black hole. Twice I climbed out by watching the movie “Rocky” (see the Yo, Adrian post below), and once, I just had to have a little talk with Bill.
Bottom line: It is what it is, and I’m dealing with it as best I can, given who I am. There’s no training or preparation for cancer. One day, someone just hands it to you, and you begin the process of figuring out how you’re going to handle it — the where and how it fits into your life and into your mind. Stoically, I’ve never even been tempted to ask, Why me?
Although I have mused, Why not me?
Eighth Day of the Week
Scan my bones, Jones! (Official T-shirt of the Prostate Cancer Foundation)
Today was Scanday, the day between Wednesday and Thursday, of two CT scans and one bone scan at Seattle Cancer Care Alliance. The scans are in preparation for my almost-certain radiation treatment…depending still on a third medical opinion a week off. An uneventful, information-free Scanday.
Except for the young man, the very young man, sitting opposite me in the waiting room. In his 20s, there with his mom, drinking the same contrast solution I was, and wearing a patient i.d. wristlet like mine. One of the mind games I play in the waiting room of the cancer ward is to try to guess what kind of cancer someone has — an impossible game of no consequence whatsoever, but one that does put my senses on alert for clues and ambient conversations.
Across the aisle, May 5, 2008: Man #1: “Are you a bone-marrow transplant, too?”
Man #2, tapping his right abdomen: “Pancreatic.”
Fast forward to the young man today. I couldn’t glean enough to learn what his cancer is or what stage it’s in. I merely drank in his wristband, his mom, his presence in the cancer ward — and his raw youth: so much life ahead. Maybe. And I recalled what my dad would say when he’d hear of someone else’s straits:
“I got no problems today.”