Friday, May 10, 2013

Wednesday, May 8, 2013

Dear Sacramento Road Rager

Dear Sir,

I was on my way to chemo today, enjoying the warm weather.  I was behind your red SUV-type car.  I couldn't see the name of it, but it was awfully cute.  I mused on my own car - 13 years old and falling apart but who would buy a new car now in my condition?  I would love a new car like you had but wasn't sure what brand it was. A ranger or something maybe?  I wasn't close enough to see, I guess.

Equally cute was your bulldog, whose head was out the fully open back window, sniffing the air.  When a bulldog sniffs, it looks charming, by the way.  The black and white dog was clearly smelling things way beyond my capability, and I was enjoying imagining the scent molecules wafting in the breeze, catching his squished nostrils, and seeing his whole face scrunching as he found his delicacies.

I was not able to see you, the driver.  However, when we went past a high school and you slammed on your brakes, I looked over and saw a teenage girl walking and your hand waving.  I assumed you either knew her or wanted to, and perhaps were either a young male or somebody's mother.  So I decided it was in my best interests to go around you.  Lots of young girls were walking as school had just gotten out, and you may come upon more friends.  Besides, the way you slammed on your brakes so suddenly, I feared that your little dog would tumble out the window and end up under my wheels.

I won't be responsible for bulldog deaths.

I passed you to the right and then moved over again as I would be making a left turn soon.  I made sure I didn't cut you off, and in fact, there were few on the road so I gave you a lot of room.  I had at least a mile until my left turn, so no rush.

Since I could no longer focus on your animal, I started listening to the podcast that I had on.  Armstrong and Getty, who never fail to make me laugh.  I was quite enjoying my ride to chemo on this beautiful spring day, with flowers blooming and sun sparkling.

I came to a light, which was the second to the last light before I was at the hospital.  I was interested in the radio conversation about the poor abducted girls in Ohio, when suddenly, there you were, pounding on my window, screaming obscenities at me about my poor driving.

Frankly, I was terrified.  I have no idea what you were angry about, nor why you swearing so violently at me while slamming your fists on my car.  My driving, in my mind, was not poor: when you slammed on your brakes I didn't hit you, and I did avoid you after that, which I was taught was called defensive driving.

Was it the dog?  Was I not supposed to look at your dog?

Unfortunately, I was too shocked at your pounding on my windows and screaming obscenities at me to grab my phone and take pictures; although I did notice you were an attractive young man at about 26 with dark hair and and a mustache, well-groomed, who didn't look like the type who would go insane for no reason.  Guess you can't tell by appearance.   I did manage to say I was on my way to chemo and to leave me alone, fearing you were about to open my unlocked car and pull me out of it, and in my mind, perhaps your knowing I was going to chemo would help you realize there was not going to be a fight. (Although I knew it would garner no sympathy.)  Silly me, the 25 year age difference didn't register as also being a reason for no fight.

Fortunately, the light changed and being in front, I sped off, leaving you behind.  I watched as you got back in your car, switched lanes and made a right turn, and breathed a sigh of relief that I would be able to go to the hospital and find a parking space without fear of reprisal.

Reprisal?  For what though?  Looking at your dog?  Going around you when you slammed your breaks to check out a girl?   Clearly, my offense is something only you know, something you imagined in your rage-filled world.  And, your poor dog who fell back when the brakes were hit; a dog you left with a window wide open to come berate me,  a dog you probably would tell people you loved but didn't think about at that time, probably didn't understand either.

Anyway, congratulations.  You are a big, important man, threatening a 99 pound middle-aged terminally ill women on her way to chemotherapy for an imagined driving offense.  Way to go.  Way to live a life too, one that might allow you 50 more years; with hate, anger and the desire to abuse.  I venture to say that I will be happier with my one year than you are with your 50.

So, thank you.  You really taught me a lesson.   I will drive much better now.  I won't look at people's pets no matter how cute they are and how far they are sticking out the back window.  And, rather than go around a car that brakes suddenly, I'll just hit them.  After all, I have nothing to lose.

I imagine you are quite proud of yourself right now as you crack your first (?) beer of the day, and are justifying your actions against this old woman who shouldn't be on the street.  I would love to be in that brain and see how it happens, just like I'd love to be in a dog's brain as they sniff stuff we can't see.

I imagine the intelligence level is about the same.

~~~

Medically I was unable to get chemo, as my white count was only .7.   Not unsurprising.  Tomorrow, I have an appointment with an internvential radiologist to see if there is something we can do about this stubborn tumor locally.  SBRT may be what they are looking at.   I also have another MUGA and a Chest X-Ray.  So,  I will be driving out there again tomorrow and several times next week.  I will definitely watch for bulldogs, this time camera at the ready.  I know you'd have loved to have seen this nutcase.



Sunday, May 5, 2013

A Million Thanks

I just noticed that I have just hit a little over a million page views.

While I realize in Internet World a million views is not that much, certainly not considered viral, it's a bit different when it's a blog as opposed to a video.  When it is a blog, especially one about an unpleasant subject such as cancer; when it is nearly all writing instead of dancing Korean men or women in bikinis, you realize a million page views is an accomplishment.

I have to stay away from viruses anyway.

Incredibly, many of the people who find me weren't searching for "breasts, boobs, big ones," (although there are a few of those).  Most of them were looking for true stories of living with breast cancer and I have found that many find me and start from the beginning, like a book.  So in the pie chart of page views, my repeat readers are a big slice.

I feel like I should be giving an academy award speech or something.   "I'd like to thank my computer for never crapping out on me while I'm in the middle of a thought, I'd like to thank my desk with the view of the yard that gives me something to look at while thinking...."

But the real thanks should go to my readers.  All of you:  the ones who sit with a cup of coffee and read every new post quietly but with dedication, as well as those of you who comment on the things I say; both types of readers are valuable to me and have made me what I am now: an unemployed blogger with terminal cancer.  So thank you.

Truly, so many of you provide support and encouragement that I honestly don't know how I would have managed this disease the way I have without you.  I'm very grateful.

I didn't want to let this number pass by without an acknowledgment.  Let's hope I make it to  2 million  yeah?




Saturday, April 27, 2013

SugarWish


Sugarwish
When I was a kid, my life revolved around candy.  I bet yours did too.  Remember when you were a child and you thought the only purpose to being a grown-up was to be able to eat as much candy as you wanted, any time you wanted it?   I do.  Those were simpler times, weren't they? Your days were about candy: how much you could get, how much you could eat, where you could hide it so your little brother wouldn't steal it, and when you could get more.  Candy, to a kid, is as precious and valued as a diamond is to a 1950s unmarried woman.   You just knew that when you were under nobody's control anymore, when you were a "grown up,"  you would eat as much as you wanted, anytime you wanted, any kind you wanted, and nobody could stop you. Your house would be decorated with candy, every drawer full of it.   Life would be perfect.

Then you grew up.  You realized teeth don't last forever, waistlines grow, and unless they have a fetish, men don't kiss women with blue tongues.  So you stop the candy eating.  You never really lose your taste for it;  you sneak your favorites out of your kid's Halloween bag and sometimes buy some, but mostly you stick to chocolate because it's for adults, and hey, it may have some health properties.  But all those things you used to love: Sprees and Swedish Fish and Sour Patch Kids and Jawbreakers?  They are a distant memory.

And then, you get cancer.

One thing about cancer is that people are very kind to you.  I had absolutely no idea how very gracious human beings could be until I was struck by this disease.  It seems that nearly weekly, somebody drops me a pot of food, or brings me a little treat, or sends me a card or does something to otherwise surprise and please me, for no reason at all except they want to help me through this.  The mail will arrive and in it will be a rub-on tattoo of a kind I'd wished for, or a bag of mints that helped somebody else with nausea or, like recently - flowers.

It's just astonishing.  I really didn't know that people were this kind and caring until I got this horrible disease.   Despite daily media portrayals depicting the worst of humanity, the vast majority of people are loving beings who care about others and want to help.

This outpouring of kindness I've experienced can create a small problem however - thanking them.  I'm sure for normal people this is a simple task: you just whip out thank you cards and your pen that you keep in a specific place, write a thank you note, find a stamp that is also kept in its place, and slip it into your mailbox.

For me, with my ADD tendencies this desire to thank somebody can take on  Keystone Cop-like confusion.  Worse, because I'm a scrapbooker, I also have started to become a card-maker.  Now when somebody does something nice for me,  I want to make a unique thank you card from the heart rather than use something store-bought.  It seems the least I can do, to give thanks with something made by me.

But first, I need to gather my supplies:  my scissors, which are in some drawer somewhere, my crystals, which might be in that blue box in the computer room, my punch which I think I last saw on the shelf near the scrapbook magazines, my paper which actually is kind of organized by color on a paper holder but which has a six foot container of shoes and two shelves in front of it.  Then I must grab my cards, of course, my embossing machine, my sandpaper, my embossing powder and my glue, which I know I put in a jar......somewhere.  I lent my papercutter to my son for a science project a few weeks ago so he must know where it is.  Then, because I don't want to send somebody something old-fashioned, I need to flip through the latest magazines and Pinterest to see the newest card techniques. Being a newbie, designs have to be simple, so I find easy-to-make cards but realize I'm out of blue Washi tape so it's off to Michael's I go, but first, I have to take a pain pill and a hot bath to loosen my muscles for walking.

Hours later, supplies gathered,  I'm set up, which means my stuff is spread all over the dining room table and I have to finish quick before dinner.  Finally, first card finished, glue dried,  it's time to write a note and mail one.  And, I hesitate.  This is where  my perfectionist tendencies kick in, and I realize none of the cards I made are good enough to send to people who have been that nice to me.  They all look like novice crap, how can I send that??

This is an old psychological problem from back in the day when I, as a little girl, made my mother what I thought was a beautiful and useful box for these tiny sugar pills she carried around for coffee.  I used an aspirin tin, tissue paper and Modge Podge and proudly handed it to her, imaging her thinking of me as she dropped sweetener into her coffee at work or school. Instead, she threw back it at me saying it was the ugliest thing she'd ever seen - a lasting memory, and one that affects me each time I make something.   So, aside from all my ADD organizational problems, I also must overcome this psychological one and spend time reminding myself that incident was 50 years ago, my mother wasn't sober, people do like homemade things even if they aren't perfect, and they will know it was made with love.  Dammit, I AM good enough.

Then, convinced,  note written, bad handwriting and all,  I try to find the envelopes that match the cards.

Sigh.  Where the f*ck are they???

I can't find them.  They are probably with the stamps.  Where are the stamps?  Now what am I supposed to do?

Well, it's dinner time, and I'm not exactly sure where I left the recipient's address anyway.  So I'll clean up and try again another day.

So, if I owe you thanks, you can see why I'm behind.   I'm sorry.

Stick with me because this story is related:  Remember a couple weeks back I'd been really sick and unable to get out of bed?  It happens off and on, and I now call them my "downer days" after that picture of that poor cow we've all seen being "encouraged" to stand up with a forklift.    Anyway, I was recovering but sick and feeling ooky and still too weak to stand, and I decided to check my email because I can do that in bed.  I got an e-card saying I'd received a SugarWish.  I paid little attention to it because I didn't know what it was.

Then, a day or two later I was finally up and about and feeling better but still depressed, knowing more of these days were in my future, when I got an emailed reminder about my SugarWish.  This time, I followed the link, and saw it was an e-card from a friend, inviting me to pick out candy.

Pick out candy?

Suddenly intrigued, I clicked the link, and I felt that old childhood candy excitement mixed with greed.  My spirits surged immediately.  Here's what is is:  SugarWish is is a company that a buyer uses to send an e-card message to their giftee along with a specific number of candy bags.  The buyer pays in advance, shipping is included, they write the message, and all they have to know is the person's email address.  The recipient gets the e-card with their friend's sentiment and telling them that they can choose candy.  They select their allowed number, put in their address, and that's it!  A couple of days later, their choices arrive, well-packed and fresh.

And, SugarWish has about 50 different kinds of candy to choose from, so there is sure to be something for everybody.  I went through all of my choices, feeling like a kid again, just simple and joyous.  I could have any of this?   I could have FOUR?  And I don't have to pay?    I called my 16 year old son over and he sat next to me and told me what his selections would be and we had a good conversation about candies and what I'd liked as a child and how I used to eat jawbreakers until my tongue bled, and the rule was to check all the colors as you licked through it. We reminisced how I'd eat all the yellow runts when he got them in machines as he didn't care for banana, so he shared his candy memories too.  I had a serious blast choosing; it took at least an hour to go through the candy choices and reminisce about the last time I'd had that kind, and did I want it again,   and the whole experience brought me right out of the funk I'd been in.   (I picked Sour Patch Kids, Spree, Mike & Ike's and Gummy Grapefruit slices, if you must know).  I hit send and three days later, a package showed up on my doorstep, beautifully wrapped,  with the individual bags of candy in it.  And, there was plenty too, it wasn't skimpy.  And, I had as much fun eating it as I did picking it out.  Most of them I had not tasted in 30 years.

Sprees are delicious, my friends.   Delicious.

My doctor had given me orders to gain weight and I went from the 90s to 101 in the week I got the candy.  I'm not saying that the candy did it, but I think just feeling so excited about something, feeling silly and child-like just stimulated my appetite.  And, if I felt like a little snack I could grab a piece (like a kid) and not have to do anything or ask anyone.  And, I ate it like a kid too, which means you pick one of each color and eat them in order of worst to best.  (Worst: Green.  Best: Red)  As for my health?   My doctor told me "calories are calories" and is fine with my eating this stuff.

(It's sad I have to say this, but it's a cancer blog:  according to the Mayo Clnic and every single legitimate medical site, that old "sugar feeds cancer" myth is just that - a myth.  So, don't put that in the comments as I don't want misinformation spread and will delete them.)  Obviously, nobody is talking about it being a main part of anybody's diet, just a treat here and there.

I realized that this not only was a fantastic gift for me, or any ill patient to get, but it could be an enjoyable gift to give for birthdays or special days.  It's easy to use, I don't need to gather supplies, go shopping, find stamps, go to a post-office, or do any of the things I now find quite difficult.  And, everybody likes candy.

I immediately sent one to a friend of mine whose cancer is growing like mine and who is struggling, as am I.  She had not been able to eat for a while as she is having upper digestive problems, but told me that suddenly, food was going down and she can eat, so I immediately sent her one in congratulations, and she also loved it.  And, my sister has a new grandchild, so I sent her one to remind her that just because she's a Grandma, that doesn't mean she can't be kid-like too.  And, both of these ladies were as excited as I was to select their candies.

There is just something amazingly fun about this SugarWish idea.

I don't often discuss products here on this blog, despite hundreds of requests -  but this one upped my happiness factor tremendously, and not only that,solves a big problem of mine:  It's a simple way for me to send gifts and anything simple is important to me right now.  Also, I want people to know this is a fun gift for anybody with a catastrophic illness who can still eat, as it takes you right back to childhood.  Anything that makes me feel like a  kid again; that makes me forget cancer (or whatever illness we have) for a few minutes, well, it's a good thing.  Anything that gets me eating is a good thing, and anything that puts calories in me is good.

SugarWish is all of these things and more.  Good for the sick to get, good for the sick to send.  Win/win.

I love them.

So I did something out of character for me.  I contacted the company and asked if they wanted to hold a contest on my blog.  They had never heard of me, but decided to do it.     Now I have to tell you that I get 20 or 30 requests from PR people wanting me to post about something every single day and I mostly ignore them.  But I loved this company so much I wanted you to know about it.

So, try them yourself.  Enter the contest and win a Petite Sugarwish.  How?    First, like them on facebook here:

 https://www.facebook.com/sendasugarwish

Then come back and post a comment on my blog saying you've liked them, and tell me a candy memory, or your favorite candy or something fun about candy.   I will pick a name randomly, perhaps by video, and you will win a Petite Sugarwish, which you can send to yourself or somebody else.  It's up to you and nobody will ever know what you choose.

Also, if you choose to buy any, please put my name in the check-out box after payment, just to see if I've done any good for them.  :)  I am not on commission or anything like that; I won't get something from sales - I truly want to help a sweet start-up company get started.  But it would be nice to know if I helped them.

The contest will end on May 10th at 12 noon CA time, which is still time for mom to get the e-card by Mother's Day.  So you have lots of time to win.

Good luck.

Now, I still have a card to mail and where are those damn stamps?









Friday, April 26, 2013

The Intolerable Gemzar

Boys and Girls, in the last episode of Breast Cancer?  But Doctor, I Hate Pink, I told you good news and bad news.

The good news was that my last scan showed a 50% reduction in tumor burden, holding off the inevitable for a time.  The bad news was it was Gemzar that did it.  While Gemzar is normally considered one of the easy chemos, I don't find it so, and it caused me some suffering.  My body rejects Gemzar, and I must say, it is  very odd for my body to reject anything with the word "gem" in it.

We were going to quit, but because of the good results, my doctor cut my dosage in half, and back on it I went.

Only, I didn't.   Because it is a myelosuppresive drug, (as are all chemos)  and my white cell count has still not recovered from the last one I had, weeks ago, I couldn't get it.  For some reason, this one does a number on my marrow and my "grans" stay steady at only 1.3.  Which makes me quite susceptible to infection (as well as understanding the decimal system.)

So my nurses have cancelled all my Gemzar appointments until I talk to the doctor.  So much for that.  I'm off chemo, however temporarily.   That, my friends, is a Bad Thing.

I worry that cancer is left to grow unfettered in my liver and once again, my dream of living for a year has become more fantasy than possibility.

So that's my health news.  I have five half written blog posts for you on various topics of cancer and candy,  and I will finish them and post them but I suddenly feel the urge to nest and have been doing many homey things, like scrapbook instead of blog.   (Not clean, God forbid.)

I wanted to tell you about an article in the New York Times that I was interviewed for:

Our Feel Good War on Breast Cancer

My part is at the end but truly, my opinion is sprinkled all throughout the piece and there is nothing I disagree with.  I spoke to Peggy for a while on the phone and while I'm sorry I brought up those old cancer fears in her, we were very sympatico when it came to this subject.  I hope you read it, learn from it and pass it along to your friends.  It's an important topic.



Sunday, April 7, 2013

Retreat

My husband said, "Did you know it's been a month since your last blog post?"  Nag nag.  But no, I hadn't realized that - time flies when you are having fun.

I also have a very sweet post started for you but until then, you'll have to take this even sweeter news:

I just had a  CT scan and it showed a 50% reduction in tumor burden.

I know, right?  We all thought I was not long for this world, and here I am, cancer retreating like the French in WWII.

The chemo I began in late January, Gemzar, was just about intolerable.  I didn't think it was working, and worse, it was hurting me with all that blood cell killing and all.  I knew I was not going to make it too long on that drug, and I didn't - after one dose reduction and a few more rounds that I was unable to finish,  we stopped it at the end of March.   My doctor said he'd put me on TDM1, but first, I needed a baseline scan.

I thought it was highly possible, based on all my symptoms, that my time was short and I wasn't going to make my goal - my son's high school graduation.

I do what all women do every morning.  You get up, you brush your teeth and hair, wash your face, you  look in the mirror and check for stray hairs, inspect your skin for new wrinkles, and of course, you check to see if your eyeballs have turned yellow from jaundice.

Surprisingly,  my eyeballs stayed white (okay, sort of white with pink lines) and so I knew I wasn't at end stages, but I was also freaking miserable as I wrote about in my last post.   I couldn't make it on that drug.  I figured that it wasn't working for me; I was declining.

I've been off the Gemzar for about 3 weeks, and I've slowly started to feel better.  So my decline was from the drug, and not the cancer.  My birthday was April 5th, and I had told people in early March not to come visit me because I'd been so sick they would have just been watching me sleep, but as it turns out, they could have come.  (Lesson:  you can't plan with cancer.)  Since I stopped the Gemzar, I have been able to cook a couple of meals, (and even eat a few bites although I'm still down 9 pounds) stand for longer periods of time, stay awake for hours at a time, and just feel more and more whole.  I even woke up at 10:00 a.m one day, without an alarm.  What a luxury!  Now, I still have a lot of pain in the liver and stomach and have a lot of gastro problems and am very tired.  If you'd dropped the Ann from 4 years ago into the body I occupy now, she'd have run screaming, just like the aforementioned French.   But, in comparison to last month -  I have improved a lot, and no longer wonder if I'll be dead within the month.

On my birthday,  I even managed to go to Michael's to get a scrapbook and Macy's to get a sweater. I rarely leave the house so that was impressive.  (And I remembered why I don't leave as it was also energy-zapping).

And, I had the energy to turn fifty-five! (An age that would have normally taken me a lot of mental energy but now I'm just thankful for).   I went out to dinner on my birthday with my family, and even ate a delicious steak and had tastes of sides.  It took two days to recover from those things and I was super nauseous the next day, probably from taking in more calories at one time than my body usually does in a month.  But,  I did it, enjoyed it and was so grateful to be able to do it.  I was very happy that day.

So, in case you hadn't figured it out -  this is good news.  Something is finally working to shrink my tumor.  Even cutting out half my liver didn't do it.

With the good comes the bad:  it was the intolerable Gemzar that is shrinking the tumor, so back on the intolerable Gemzar I go.  I start Wednesday with a 50% dose reduction, and I will refill all my anti-nausea pills, wash my sheets and arrange for my son to get home from school on his own by Thursday.  Despite the horrible side effects, going back on the drug was my idea.  My doctor was willing to put me on TDM1.  But, if something is actually working for me I'd be a fool not to try again.  I want that extra four months or whatever this will technically give me, and so I'll suffer for it.  I still have TDM1 to use down the road.

After seeing my path report, I hadn't realized that the cancer is abutting the portal vein, which is not a good place for a cancer to be, at least in my uneducated opinion.  Right now, the vein shows no "significant displacement."  I'm not sure what happens when there is significant displacement but I'm not sure I want to find out.  Shrinking it down off that vein sounds like a good idea, even if I have to feel bad a little while longer.  Also, apparently, the cancer was on the march and I'd had swollen lymph nodes near my liver, which have now shrunk.

Now, here I go, busting some bubbles like a kid on a summer morning, but facts must be faced:   the thing Stage IV breast cancer patients know is that when you get regression or even NED, it's temporary.  Cancer always wins.   Gemzar could continue to work and shrink the cancer down to nothing (NED) and it could stay that way for months, or a year.  Hell, a miracle could happen and it could be two years.  I could see my kid off to college and then be the woman people whisper about, "wasn't she supposed to be dead by now?"

Equally possible, the next 3 month scan could show cancer the size of France.  You just don't know in Cancer World.  I have known women who were NED who died six months later.

But, me?    I am living in today.  My cancer has shrunk - today.  Something worked - today.  Something got me closer to my goal of seeing my son off to college - today. Screw the future.  Today is good.  Today is full of hope. Today is beautiful.

I did what every girl does to celebrate  - I bought some new shoes.  I didn't get the kind I'd have bought four years ago, with sky high heels.  I bought some Bobs, the flats that are by Sketcher, but I made sure that they had glitter in them.  Some things never change.  I decided if the cancer was shrinking, if I was approaching something resembling health, I should go out in in real shoes, and not slippers.

Shoes with sparkles, to reflect my optimism.

I take a photo on my birthday every year.  I am proud that I was able to do it this year and so I share it with you.  I am 55, and damn happy to be alive.

Ann:  now with less tumor!!





Friday, March 15, 2013

Anger

Do you remember those toys you had as a kid, those Clown Blow-Up Punching Bags?  We called them "boppers" and in my circle, every kid had one.  They were as tall as your five year old self and were good for releasing aggression.   You'd fill the bottom with sand, blow it up and then punch the heck out of it.  No matter how hard you punched, the smiling clown would always pop right back up, happy to take more of your abuse.

After time and lots of punches, the doll would start to sag.  It'd take your punch and then lie on the floor for a second, gasping, before slowing rising for the next punch.  It's white plastic skin would start to get a little wrinkled, and your fist would sink deeper into his belly.  Eventually, the air would escape and the punching bag would be just a heap of useless plastic puddled on the floor, defeated forever.

I know how that clown feels.  This latest round of Gemzar left me pooled on the floor, whimpering, "I give up."

Immediately after infusion last week, I came home, went to bed and stayed in bed until Sunday.   No steroid energy. Just pain, nausea, vomiting, weakness and illness.    Chemo came at me in a fury, like a 500 pound Sumo wrestler intent on giving me the beat-down of my life, and after my most recent and past beat-downs, I just am not able to pop up the way I used to.  After seven chemos, the air is going out of me, my skin wrinkling.  My times lying on the floor, gasping, are getting longer.

Sometime last week, lying in my drug-sweat stinked sheets, teeth unbrushed with vomit crusting on them, watching my stomach and legs shrivel with weight loss, unable to eat, drink, pee, walk - hot flashes alternating between shivers, a migraine along with pain from shoulder to liver to hips and legs, too sick and weak to pick up my head to even look at a book, a TV show, too weak to even turn over, I had my first moments of fury at this disease. I could not move, how could I have energy for this ire?  Yet, internally, deeply,  I was raging was how it was to be for me, and worse, for my family.

This was new.  I have never thought, "why me?"  I am a "why not me?" person.   Bad things happen to good people and there is no rhyme or reason to the chaos life brings.  So, through all of these years, I was accepting.  I got cancer, it sucks for me;  I would handle it.  My job now was to prepare my family as best I could.

But Goddammit!!  My body should be strong: I should be working, planning college visits with my son, looking forward to family events, worried about my wrinkles or widening waistline. I am too young for this, have worked my whole life, and now should be planning for vacations I dreamed of, time alone with my husband instead of planning my funeral.   Why is it that I am in a wretched body, on a good day watching TV in my iPad in bed, on a bad day writhing in agony between drug-induced sleep? This parasite is killing me off, and it has to do it in these incremental doses, making me weaker with a longer recovery time each bout of illness, my children scared at my bedside, my husband having to do everything.  It can't just take me, it has to torture me first - and my beloved family.

I was furious.

Anger, Kubler-Ross said in her book "On Death and Dying" is one of the five stages of grief, along with bargaining, denial, depression, acceptance.  That seemed too simple to me.  For my part,  I went straight to acceptance.   For me there is nobody to be angry at, or bargain with, at least as far as getting cancer is concerned.  I don't believe in a deity who hands disease out like a dealer handing out blackjack hands.  "Lucky you, you get blackjack."  "Sorry, you lose, I'm taking all your cards."  It just made no sense to me,  I can't be angry at that.  Tragedy happens daily: tsunamis, car wrecks, disease - why not to me?

That's not to say I've never been angry.  There is righteous anger I have felt at the way a few people in my life have treated me during the course of this disease; but they have a choice and control over what they do  It's not a fluke.  They deserve my disdain, their behavior is deliberate.

I also have anger that so many undeserving in this world are given what I have been denied, like those who waste their lives in addictions.  I see them, trading all of life's beauty for the next high.  I can't help but feel I deserve what they have thrown away, and I should have the right to pull the life force right out of them and put it into me.

That kind of anger feels reasonable and justifiable. It is directed at a specific target for a specific reason, and it is easy to push away.  People make their choices, both good and bad, and you can't do anything about it.  Sometimes, if you try, you can even find compassion for people who have lost their way.

This outrage I felt while so sick was different.  It was animalistic.  Undirected and wild. A coyote in a trap will bite.  It's pain and helpless frustration and fury that this was happening to me. When you are that down, when your body takes blow after blow after blow after physical blow, it seems anger - no, rage -  does come welling up without reason.   Somewhere inside your vomiting, ache-filled body and pounding head, it is there.  Pure anger, at just being sick.  Why me?  Why?

But I have choice and control too.  I have taught myself to focus on the tremendous good that has come with this disease, and be accepting over what I can't do anything about.  To steal from the 12 Steppers:  I am powerless, so all I can do is take it one day at a time.  Nobody is promised forever.  Nobody is promised not to suffer.   Acceptance is also part of the deal.

So again - for now  - I recover.  I once again, oh so slowly,  rise out of the battering.   On Saturday, my husband helped me to the bath and changed the sheets.  I brushed my teeth, put on new clothes, and came out fresh, clean and with my anger dissipated.  Back in bed, I saw a squirrel play on a tree outside my window, and smiled when my dog jumped in my bed and pawed me, twice, to try to get me out.  She had thought I'd be out for good, seeing me in the bath, and she was angry too.  Enough of me lying in bed, come play!

Gratefulness and acceptance returned.  I had a sunny day, clean sheets, no more sick layered on me.  The nausea and pain had mostly passed and while I was as weak as a human could be, taking my first shaky baby steps again,  unable to even stand and pour some coffee,  I could start to try to eat and gain strength.  I am luckier than some:  I had help,  I had people checking up on me.  I had a little cat who didn't care if I was angry or sick, who just just wanted to curl up next to my head.

I saw the doctor this week and told him how sick I'd been, and for the foreseeable future, I will be giving up on chemo.  We will try TDM1 as soon as they get it in their clinic, and in the meantime, I'll have yet another CT to see what is going on inside.   Nothing pretty, is my guess.  I think cancer may be invading vital structures, causing these illnesses.  I hope I'm wrong.

I'll try to survive for a little more, because that is what we humans do.  We get punched, we get knocked down, we get mad, and we get up again.  Over and over, until the air is gone.

Luckily, there's still some air in me.

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