Apparently, my cancer is travelling to the East Coast

Now that I live in Pennsylvania, I have to find new oncologists, of course.  Recently, I spent a stunning amount of time on the phone getting registered with the docs at the University of Pennsylvania.  The doctors there in the breast cancer center are named “top docs” in a number of places, and they’re known for their cutting-edge research.

I feel confident that I’ll be in good hands.

After the lengthy registration process, I was finally on the phone with one of the new patient coordinators.  I found out that I can only see the doctor once I have exactly the medical records that they want.  I am supposed to provide them with letters from the radiation oncologist and the medical oncologist and also charts from chemo.  The charts give detailed information about the chemo treatments I received.  I also have to provide imaging from 2007 (before I was diagnosed) and 2008, which is when I was diagnosed.

But then the lady told me that she also needs my original biopsy.  My stomach lurched.  My biopsy?  I flooded with panic, and then I wasn’t even sure why I was panicking.  I know I was upset that I’d have to do all the sleuthing and phone calls necessary to coordinate what I imagined was a Herculean effort to get slides of tissue samples from my original biopsy in January 2008.

I still remember the day of my biopsy quite clearly.  It is not a happy memory.

Then I found out that I had to get the slides from my surgery too.

I pictured a huge package of dry ice with slivers of cancer stuck on glass slides, making its way across the country to my home.  My new home.  My cancer free home.  My cancer free life, dammit!

I asked the new patient coordinator why the doctors wanted my slides.  Apparently the doctors like to do their own pathology on the slides, and then they send them back.

Then I really felt sick.

I imagined that they’d find something on the slides to indicate that all the original pathology was wrong and that I had the wrong chemotherapy, the wrong surgery, the wrong everything.

I felt thrown off for the rest of the day, with this vaguely ill haze hovering over me.  The thought that there are cancer cells — my cancer cells — out there, travelling back to me, was overwhelmingly sad.

I don’t want those cells anywhere near me.

Of course the doctors want to be thorough.  I get it.  And I also get how lucky I am to have access to doctors at all, especially such excellent ones.  When I am not anxious, I do remember to be grateful.

So, today I steeled myself and made the calls.  It took approximately 60 seconds to set up.  Apparently, they don’t send a huge package of dry ice.  They send dry slides with the slivers of cells in preservative.  Naturally, the woman who coordinated everything was not surprised by my request; she arranges for slides to be shipped all the time.

In a few days, I’ll have a box of cancer waiting for me on the porch when I get home from work.

And believe me, I do know how lucky I am to be griping that the cells will be on the porch.  At least they are not in my body.

Hair detergent, or What Happens When You’ve Lost Too Many Brain Cells

Today I was chattering along with my husband as we headed to Target to get a few necessities for the week.  We were trying to make a list, and I remembered a conversation we had earlier in the week, when my husband said that we were running low on our daughters’ shampoo.  So, I asked him whether we still needed “hair detergent” for the girls.

That’s right, folks, I couldn’t muster up the word for shampoo, so I called it hair detergent.  The look on my husband’s face was priceless.  He didn’t want to laugh at me, but he couldn’t help it and cracked up.

Those of us who have been through chemotherapy talk about something known as “chemo brain.”  This is, essentially, the aftermath of the poison they mainline into you, with hopes that the medicine kills all the lurking cancer cells before it kills the host, namely you.

Chemo brain is loss of brain cells, I guess.  And lately I’ve been wigged out that I got it bad!  Or is it just age?

Who out there on these internets has had any kooky moments like this lately?  Am I suffering from chemo brain, or is this just something that happens to folks in their 40s?

Let me hear about your “hair detergent” moments if you’ve got ’em.  Soothe my sorrowful brain cells with the salve of some funny stories.

Ahhh, Maine

Last year around this time, I was finishing up chemotherapy and trying to think of ways to explain to my children that soon, I’d be going to the hospital for surgery.  Practically everyone I knew was going on some sort of lovely vacation.  But we weren’t going anywhere, of course.

I tried not to feel sorry for myself.  I am well aware that there are many, many people everywhere who cannot afford food or housing, let alone a vacation.

Last year, though, struggling through cancer made me feel so far away from my family and old friends.  I adore my California friends, and ironically, their unyielding support and love made me realize just *how* far away I was from my East Coast folks, many of whom I have barely interacted with for 12 years.  

There was a specific moment one day last spring, when I was in the midst of chemo treatments — I looked out of the window of my apartment, and I saw the fire raging in the San Gabriel mountains above our town, not so close that I feared that we’d have to run for our lives, but certainly close enough where I feared for my asthmatic daughter.  

Watching those giant flames lick up over the ridge that separated the wilderness from civilization, I thought to my bald self: “I’m from Philadelphia.  I’m done with this.”  Luckily enough, it timed out so more info

that my husband was also ready to return to our roots, and here we are today — living on the East Coast.

One of the benefits of living on the East Coast is that we are closer to Maine, where my grandfather owns a cottage about halfway between Ellsworth and Bar Harbor.  I have been going there for nearly 40 years, since I was a very little girl.  My heart and soul grew up there, I’m quite sure, on the rocky beach below my grandparents’ house, where I was allowed to play for hours and hours, collecting rocks and sea glass.

At night, my sister and our summer friends would play poker for toothpicks, and we’d do a bunch of nothing, just as children should do in the summer.

I yearned desperately for Maine when I was undergoing chemo.  

After two weeks of crazed unpacking at our new home in Pennsylvania, we left to come up here to Maine for a dear friend’s wedding, and I have gotten to see my daughters romp on the beach as they collect treasures.  They met a couple of friends this morning and did a bunch of nothing with them, just as children should do in the summer.

It’s so good to be here, hanging out with old friends and watching my girls send out flexible tentacles to the beach, the wildflowers, the lobster buoys, the old farmhouses, the glorious sunset.

Barrettes for a previously bald chick

I got some barrettes!

This is a very big deal for me because at this time last year, I was bald.

I remember the first time after cancer treatment that I felt the wind in my (very) short hair.  What luxury!  It was a luscious feeling after months of being bald.

Soon after that, I needed to actually run my fingers through my hair in order to tame it.  And more recently, I’ve needed to use a comb or brush.  All of these are incredible sensory experiences that I’m sure I took for granted before my cancer treatment took all my hair away.

All my life, my hair has been a statement because of sheer volume and lots of curls.  Now that it’s growing back from chemo, it’s even curlier than it used to be; I hear that this is not uncommon for post-chemo hair.

Since it’s so curly, it’s starting to look a little goofy, but I’m not ready to have it cut or shaped.  After we’re on the East Coast, I figure it will have enough length to be worth shaping.  So for now, I figured that barrettes might tame some of the goofier curls, and I swiped a couple of my daughters’ clips to test them out.

Today, I needed a little retail therapy because the goodbyes to my friends and workmates (our move is only about two weeks away) are getting more and more overwhelming.  A Target stop was in order, and I got a few new barrettes!  I stood there in the hair accessories aisle at Target and got all choked up to be lucky enough to be there with all the other ladies with hair, doing something so mundane as selecting and buying barrettes.

The thought of having hair long enough to use barrettes is really something.  Really really something.

For six days, we eat chicken; on the seventh, we rest

Last time this year, I was undergoing chemotherapy, so I’ve been doing a lot of reminiscing lately now that my hair is growing back, all fluffy.

I’ve also been reminiscing about my breast cancer surgery last August.

My mother came to town for the surgery and was an incredible help and support. She took care of two pretty frustrated twins, took them to swim lessons, tried to play with them, and endured some nasty behavior and nasty comments from them. [Note to self: two pre-schoolers whose mommy is in the hospital undergoing a radical surgery for cancer can have some POWerful emotions. And they will act accordingly.]

My mom cooked for us, cleaned up, took care of me, gave pep talks, whatever was required. She got us through the worst two weeks of my recovery. I’m not sure what we would have done without her.

After my mom left, my wonderful friend Lisa stepped in and coordinated a week of dinners for us because even though I was up and around, I was still pretty much useless as far as cooking or housework. Six people from my work (including Lisa) volunteered to bring dinner that third week post-surgery.

Each day, these generous and lovely women came to our home and delivered incredible, thoughtful, delicious dinners. And each dinner revolved around some form of chicken.

Every day, around the time that our friends were due to arrive, my husband and I wondered whether we’d be having chicken for dinner. Sure enough, the chicken would arrive.

In addition to receiving delicious chicken, each person would stay and visit for awhile. This was my favorite part of the whole week. One of the days, my friend Danäe brought Thai food, and we ate all together in front of the television watching something historic: Barack Obama received and accepted the nomination of his party to run for the presidency.

I have come to call this special week the “for six days, we eat chicken; on the seventh, we rest” week. I am overwhelmed with warm feelings and gratitude every time I think of that week and of the two weeks that preceded it, when my mom was here.

Show and tell

So, this is kinda Relay for Life, part 2. If you’re done reading about my cancer or about the Relay for Life walk-a-thon, it’s OK with me if you stop here. But the Relay for Life was one of those experiences that keeps on giving, so there’s a little more to share.

Monday is the day that my daughters get to show-and-tell in the Kindergarten class. The Monday after Relay for Life, they took in the medals they got at the Relay. They’re big, chunky things emblazoned with big letters that spell out SURVIVOR.

(After the “Survivor’s Lap” around the track, the Relay organizers are there, putting medals on all the survivors, giving them care baskets and flowers. It’s overwhelming, weird and sweet. When I put my medal on Dinah and gave my flower to Djuna, Djuna instantly asked where her medal was. Just as instantly, a breast cancer survivor standing nearby whisked her medal off and swooped it onto Djuna, saying that she had two daughters too.)

When the girls wanted to take their medals in for show-and-tell, I decided to stay and watch.

When they had their turns, they both said that they received medals because they helped their mommy get better from cancer. When they said this, both of them stood up at the end and raised their arms in the air, triumphant.

You *so* know that I got all choked up. Who wouldn’t? And I couldn’t help thinking how crazy it was that most of the Kindergarten kids bring in toys, stuffed animals, little treasures like shells and starfish (and that’s what my kids bring in on most Mondays), but that my kids have to bring in big medals that say “survivor.”

I wasn’t sure what to think about that.  I felt bad about it, that my girls should have had to endure something so hard at such a young age.  But I also felt fiercely proud of them.

I wanted to clap for them, but that’s just not what everyone does after the kids show and tell. The other kids asked them questions, like, “What do you do with your medal when you’re not using it?” and so forth. Dinah and Djuna politely answered their classmates’ questions and then took their spots on the carpet.

I was humbled by the normalcy of the whole thing, the easy sharing, the easy flow of the normal spate of questions from 5 and 6 year olds. But I was also struck by the fact that my girls don’t really understand cancer or what it means. They know that I was sick, they know that I took strong medicine that made me tired and bald. They know I had an operation, that I was gone from the house for three days for the operation, that I have scars.

They don’t really know that cancer causes death, though. I dread the day that they realize that.  I am afraid for them to make the connection that I had a deadly disease, that anyone’s cancer can return, that sometimes people have to fight it again, that sometimes they cannot survive the disease.  I want to protect them from having to know this as long as I can, but I know I can’t do it forever, of course.

I know how true it is that they deserve medals for helping me get better. I hope I can help them understand that, too.

Relaying for life

Yesterday, I went to the Relay for Life at UCLA. Typically, I donate money directly to the causes I especially care about, rather than participate in events.

I have heard lots about the Relay from family and a good family friend who have done the Relay for years, and I donated money when I could and looked forward to seeing the pictures from the event each year – the tents, the t-shirts, the team, the triumph, the luminarias.

But then I got cancer. My mom did a walk-a-thon last year, and my sister was considering one too. I wasn’t planning on doing the Relay until my step-brother, who goes to UCLA, told me that was going to be captain of a team, and he asked me to come participate.

I thought about it for awhile because I wasn’t sure how it would all feel; I finally decided that yes, it would be good to go, for about a million reasons.

The whole thing came so fast that I barely had time to get nervous or to think about how it would feel to take the “survivor’s lap” or to stand out as a cancer survivor in a big crowd of people. I thought about it a little, and I just didn’t know what to think, but then suddenly time was a-wasting, and I had to put a badge on my Facebook page to start fundraising!

I didn’t put out too many calls/e-mails for fundraising because so many people have already done so much to help me and my family through my year of treatment. On top of that, I wasn’t completely comfortable asking for money in these difficult economic times.

Putting a badge on my FB page helped me feel like I wasn’t targeting anybody specifically. I just used the status update a couple of times to let folks know that I was fundraising, and it brought in an amazing amount of money, fast. That, and some generous contributions from family when my sister (also a generous contributor) sent around the link to my Relay for Life page helped put me over $500 in just a week.

For anyone who has never been to a Relay before, the UCLA one took place in a large stadium on campus. The different teams had tents set up just inside the stadium’s track, right on the outer edges of the lawn. The middle of the lawn was open, and folks played croquet, frisbee, catch, etc.

Once the Relay started, there were always folks walking, trotting or running around the track. I left in the late afternoon, but there were plenty of folks there who were planning to stay the night, alternating between walking the track and sleeping.

My step-brother was captain of his team, and he brought a tent, sleeping bags, board games and more to keep the 24 hours comfortable and fun for all. He was a great host, and along with his girlfriend and my other step-brother, they all did their best to make me and my husband and our daughters feel welcomed and supported.

I received a purple t-shirt that said “SURVIVOR” on the back, so it was easy for event coordinators to spot me and call me over when there were events in the survivor’s section. They had food there, crafts, gifts and photo ops.

Sometimes I can’t even believe that I had cancer, so it’s very difficult to explain how it felt to be a part of the survivor’s group at the Relay. First of all, I can say that the volunteers who ran the event were incredibly kind and genuine. In fact, one of the volunteers was a former student who lost her father to cancer years ago.

Seeing her there, and also some of the other young people who lost parents to cancer, was powerful. My former student is a bright, capable, mature, sweet individual. To think that she came into her own while growing up without her father helps me come to terms with my fears.

None of my doctors (and I have several) has ever indicated to me that I have a negative prognosis. But there are no guarantees for those who have finished treatment for cancer, and I am well aware of this. So, it is very difficult for me to shake off the fear that I am just about to die from breast cancer. Of course, the worst part is fearing that I might not be there to raise my amazing, beloved daughters.

But seeing the folks there, all with their different cancer stories, made me face the fear and put a face on it. And the face wasn’t terrible; instead, it was the face of a former student, of one of the event speakers who lost her mother, of other young people at the event who have clearly been touched by cancer … children who lose a parent can grow up to be whole people, nice kids who go to college, have friends, passions, a good life.

While I don’t want to think of these things, I do. I have to face the fear in order to be present in the present moment. I have to come to terms with scary thoughts in order to be able to stare down the cold fear, everyday.

At the Relay, it was good to have a lot of warm hands reaching out, coaxing me to the other side of the chilliness.

New normal, new body

A difficult part of life after cancer treatment has been getting used to my new body. The truth is that I’m not completely comfortable writing about this subject right now, so I am only going to outline the basics here.

I do feel comfortable saying that it’s weird and complicated and that my body is just, well, different. I have weird aches and pains that I don’t like to talk about much. What makes them weird is simply that they’re different from my pre-cancer body, which was also just a younger body.

It makes me think of one of my favorite folk tales, an Irish tale about the selchie, the seal maiden. In the luminous musical version we listen to with my daughters, there is a part when the seal is stranded on the sand and loses her seal skin. Then she turns into a human girl. She tries to swim back out to sea to retrieve her seal skin, but she cannot because she does not know how to work her new body.

Of course, the challenge is not only because I feel as though I have a new body. The real challenge is that every one of my new aches and pains feels like it must be cancer. It’s very difficult to deal with these aches and pains without worrying.

But I do try.

I went to dance class tonight (I take modern dance classes) and was so happy to see someone who hasn’t been to classes in years. She has been facing some very complicated health issues and only now has returned to class. I could tell that she was feeling frustrated during class, but she looked as lovely as she ever did, with gorgeous dancer’s fingers and hands, very natural and graceful.

Watching my friend make her way through class inspired me. And my teacher offered me spot-on corrections to get me through.

There are moments, during dance class, when I am happily lost in the movements and the music, and for a few seconds, I never had cancer. It’s thrilling. And then I return to myself, my new body, my new normal. And that’s OK too. It really is.

Everyday I write the book

Thinking that tomorrow marks the halfway point through six weeks of daily radiation treatments, I walked into the hospital late this afternoon, looking around me like I always do, down the long hallways of the radiation wing.

Elvis Costello’s song “Everyday I Write the Book” was running through my mind, and I could actually feel the sound of the groovin’ piano accompaniment in my fingertips, some of which are still numb and tingling from surgery and months of chemotherapy.

For all the years that I have loved that song, I’ve never really known all the lyrics.  So, I thought about the title while I walked past people on rolling hospital beds, vulnerable-looking lumps with hospital socks sticking out the bottom of rumpled hospital blankets.

Everyday for the last three weeks I have come to the hospital.  Everyday I am reminded of how, only a few months ago, I was one of those lumps in pathetic nubby hospital socks.  The day of my surgery I was also in the hallway on a rolling hospital bed, waiting for a procedure in the radiation department.  I had to wear one of those sheer, poofy head coverings over my bald head.  I was so scared, but still, somehow, peaceful.

Everyday I come here and go through all those emotions again, from beginning to end, as I see all the people on beds, waiting in the hospital corridors, looking so ragged and so alone.

I went through the double doors into the radiation oncology wing, changed into a soft hospital gown and put my jewelry, blouse, watch and purse in a little locker.  Hugging the gown around my bare torso (do those strangely-placed ties ever close the gown to anyone’s satisfaction?) I headed to the treatment room where the kind nurses and technicians were waiting to radiate the site where the cancer used to be.

As I laid down on the table, watching red laser beams criss-crossing my body to help line up the beams of radiation, I thought: Everyday I write the book.

Even the guacamole is pink

It’s Breast Cancer Awareness Month, in case you hadn’t noticed.  But, of course you’ve noticed.  You can’t help but notice when it seems like every single product commercially available this month touts a pink ribbon or a redesigned package that features the color pink.

Even though every month is Breast Cancer Awareness Month for me, I really do get the purpose of the special month for breast cancer, and I am not complaining.  I really do appreciate the money going to research and the increased awareness and acceptance from the public.

I haven’t personally researched it or anything, but when something like the pink ribbon becomes so commonplace, so ubiquitous — I think it’s called pinkwashing — I can’t help but be suspicious.  How much money is really going to research?  How many of the redesigned packages are just PR?

Sorry to be negative, but I’m just supposin’ here.

And then last week I went to pick up a few things for a taco feast for debate night, and I saw that even the guacamole was in a pink box.  That, frankly, grossed me out.  Breast cancer pink and guacamole green don’t look good together at all.

I would like to find a really helpful way to contribute to the cause.  Buying guacamole in a pink box doesn’t feel like the solution, somehow.