yesterday, I was saying that, if "good" was a horizon line on a 40's bathroom wall, my fingers, eyes, and nose were just peeking over it.
domo arigato. Kilroy is here. Styx would be so proud.
that day three night of chemo was the hardest. the adriamycin was a 72 hour deal...while liters of ifex and mesna flowed, the adria was a 4 inch by 4 inch packet, that I was connected to throughout, and took 72 hours...from about 3:30 Tuesday to 3:30 Friday...to distribute.
from this, we infer...this is the heavy stuff.
I got a second dose of decadron...which I keep confusing with duodecahedron, showing that there are twenty sides to every steroid...on day 4, which immediately did wonders for the nausea I had felt the night before.
Friday night, day 4, I was feeling kind of relieved, maybe a little optimistic. an easy night at home ahead, still a couple of doses to go in the handy carrying case I had been connected to since tuesday. four hours after leaving the hospital, like every night, I was to start the second pump, which would automatically give me half then and half in another four hours.
that night, when I started the pump, it beeped loud and long and said, high pressure.
I dinked with it like a computer for a bit...rebooted it a couple of ways...but something was not happening.
since there were two nurses named Brenda in the hem/onc department, we nicknamed the one who seemed to run things "fun sized Brenda" and her talented apprentice, "tall Brenda". but the former was having no fun, out of town at the end of the week to take care of her mom who had had two strokes in a day. in addition, Friday was a heavy day at the chemo ward, with a couple of patients needing hospitalization.
we had noticed that the usual mesh around the pic line, and padding, had been forgotten.
it was 6:30, and we called fun sized Brenda. every bag of drugs had her cell phone number on it. what an amazing level of commitment...greater than you get buying pot in Denver, I daresay.
Brenda J shot a call to Brenda B, who was still at work. yep, come on ahead in.
now, I have a small home recording studio, and I should have the universal engineer's grace when a client says, I feel good...should we go a few more hours?
I always say yes. but my vibe of, there is nothing I live for to any higher degree is often less than total.
not so Swedish hospital. every man-jack of them...and...woman...jill...makes you feel like an old friend come to call. oh, I have no life. I didn't want to go home today, anyway. I was here later last night. (personally, that doesn't increase my wanting to be here later tonight...)
the lines, it turned out, had not been flushed as necessary, and were "occluded". (I love words)
I was set straight quick, about an hour past schedule which was nothing, and went home to finish up.
these people are heroes.
I went in the next day to get the pic line taken out.
I was greater than just myself while I had the I/O interface and the drug pump bag hardware as part of my days. ameliorated.
it was like being an instant cripple, and beginning a bad relationship on the same day.
it was like in home ec (which I , of course, never took) where they give you an egg that you have to carry around with you all day over the weekend, to see how you would take to 18 years and nine months of child care.
it would have taken me about twenty minutes to decide that my statement would come in exactly which building to throw the egg at.
but here's me, and here's this place in my left arm that is The Matrix telephone booth, the link between in and out of my blood, and is kind enough to alarm me with small amounts of pain when I do anything that will threaten it, which means anything...then here's three feet of tube, and then a boxy bag about like a 96 CD holder with my toxic miracle inside.
twice during the four days, I moved away without it before I felt the warning tug. only twice...I was careful.
you've had relationships, haven't you, where, if you moved two feet without warning, you'd hear a little, hey, hey, hey buddy, don't forget me!
and where you basically didn't have one arm, to do your day's stuff with.
I have. and, a propos of nothing, that's a mixed bag for me.
through the years, I have come back to Santa Monica Pier in California. the end of Route 66, not ending where the land ends, but hundreds of feet over the water.
to get there, you had to start at the Tigris and Euphrates rivers, invade Europe, take a thousand years to settle in, stare at the English coast for a couple of centuries, then decide I'm sailing east, whether I make it or not, I'm going to see what is on the other side.
radical.
so you get to Plymouth Rock, or wherever the Discovery channel favors these days, and you let the old earth take a few thousand whirls, you settle the east coast pretty good.
is this enough? naaaaah
you move past 5th avenue, through a batch of scary names. Louisiana Purchase. what became Iowa, what became Texas. trailless territory, where you'd get out and push the wagons.
on what became I-70, those same clouds have been on the horizon for a few days now. you ride the plains, closer and closer, a hundred, fifty, twenty miles away.
the Great Barrier Mountains.
maybe you take one look at that and say, this is the most beautiful place I could imagine. maybe you say what I would say...one would need to be even crazier than I am to try to get a wagon through that!
and maybe after a generation or so, you set out again. mountains and mountains, and as a reward when you are finally done, desert! and desert! and desert!
it's been like a well written, somewhat sadistic, novel, maybe by Jack London, where every chapter has taken you through a riveting, engagingly different landscape.
and they saved California for the last chapter.
wagons negotiating orange groves, and orange groves, and orange groves.
and then on the last page...nicely bringing things full circle, but allowing an out for the sequel...ocean.
so I would stand even further west, after my long journey, at the end of Santa Monica Pier, and play a little game with myself that went like this:
so...now...after all that...are you here? are you done? are you happy?
Disneyland is known as "the happiest place on earth". Walt is a hero of mine, for his constant push to "plus" everything, to make everything better than it could have gotten away with being.
I was there on my birthday, playing my game. here you are, in the happiest place on earth, at the end of the trail. so...are you happy?
the folks who came up with that tag line for Disneyland don't want to look at the affect on the faces of the people in the park.
but...me...after the year I had, the unknown ahead...give or take going up Space Mountain and thinking, I wonder if death is really like this...yes, gentle reader, I was plenty happy.
there are pictures of me lying on the steps of the Santa Monica Pier, relaxing broadly, in and out of napping. yes, I'll let the suggestion that this is paradise, that there isn't another step to take, that for an hour I'll make camp here, flow over me.
the funky fish place with the great seafood has become a Bubba Gump's. the ferris wheel that semi-demi-famously rolled down the pier into the ocean in the movie 1941 now looks like those whirring lcd things you buy at the Ice Capades or Radio City Christmas Spectacular just to feel like you've taken some of the light home with you. one of those writ large.
and young lovers, thinking perhaps of beating the heat but really maybe looking for the place to smash the grecian urn and touch the delights of love that fill their thoughts and seem to be all around but in truth take some doing to hold in your hands, mob the place.
the asians, the chicanas, the too young too pretty California white couples, they always seemed like the People to me. being there among them was an intensified sense of being where it's at, and having less chance than ever of being where it's at.
but the LA Hispanic couples did this thing I found amazing.
other folks hold their girl's hand. put their arm around them. hug.
the chicanos and chicanas walked hugging. this strapping smart good looking dark haired guy, and his short but not diminutive girl, both of his arms fully around her shoulders, smiling broadly and lumbering down the boardwalk, as if to say, we never actually stopped having sex. as if to say, this world is a wind that strips the flesh off your back, but it won't blow her out of my arms!
as if to say, this is our first and only love. we haven't found out yet how it feels to try to do this all day every day for a week.
all I know is, I can't do it.
that's what the bag with the pumps was like. wherever you go, whatever you may want to carry, you have one hand to use and a part of your brain making sure the tether is slack.
showers, we bought a rubber arm sheath and tied it off with hair ties. hang the bag outside, move carefully. do not get the pic line wet. oh no.
the nurse saturday took all of eight seconds to take the pic line out. she was holding it up for us to look at before I knew it. "most people want to see these."
I knew I was unusual.
but what a great blessing, on the first of the three down days, to be an individual again, boundary unsullied, two hands at the ready. maybe just on the strength of the end of the relationship, I felt pretty good that first down day.
not as good the second.
so what kind of not so good is not so good? and how not so good is it?
one thing I've found about my new collection of medical procedures is that they can be counted on to make you feel not so good in ways you've never experienced before. description is a challenge...which some people use as an excuse to shut up, but which I see as absolute license to wade in. who's going to correct me?
imagine your circulatory system, and every organ in its network, were your stomach.
the med guys use the term "nausea" for what the chemo patient suffers from.
it is like a nausea of your system.
you've just come back from Taco House, having made the most of their $1.95 enchilada plate. that's "alada" food, you kept saying.
now you're home. full. and not in the mood to drop and do twenty. TV, not a bad idea. phone rings...I bet I can get back to them later. 'scuse me...urp.
it's a little like your whole sense of stability, your general physical table, is urping.
it's like an ordinary day is a cloudless night in Grand Teton Village, Wyoming, and the not so great pull of chemo is toward the Hollywood night sky. which beggars description in a similar way...I usually say, it's the color you get if you use all 8 Crayola crayons on the same space...or "off-neutral"... or the color you got when you came to the soda machine at college mess hall and mixed all of the flavors in your cup...Coke and orange and...
they manage the "nausea" awful damn well. the mezna does some, the decadron ("Godzilla versus Decadron in the battle of the century!") more, probably a couple others thrown in.
one problem I had is that I looked up the oral anti nausea drugs.
take #1, they said, at the first sign of nausea...take #2 if it's still trouble. you cannot throw up...it's not an option. if those don't work, call us, and we'll give you something else"
"like what?"
"thorazine usually works."
I'm sure they are right. thorazine probably really does the trick for patients who are reticent to have the full on lobotomy.
thorazine? I thought I was starring in Love Story, and here I am in One Flew Over the Cuckoo's Nest.
so I started googling.
#1 is compazine, the end of which is way too much like thorazine. sure enough, an antipsychotic drug, sometimes used to take the edge off the mania part of manic depression. and, yes, used in nausea suppression for chemotherapy patients.
I'm 59. I've worked hard on my psychoses. I resist firing some chemical bb gun at them scattershot.
#2 is ativan.
prescribed for anxiety. a muscle relaxant. slows down your brain.
dang.
all I wanted was to get away with doing something to my body that it was never made to have done with it.
I may have undermedicated. I took one #1 on two occasions. I did feel immediate relief. and the first time, during the bad day three night, I couldn't sleep and I couldn't wake up, and I didn't really like what my mind was doing...when I took the pill, I felt snapped back into my normal consciousness
that was scary.
day two of the down days, Sunday, was the worst of the three...and it was low energy, or more, this systemic unease that I have come to isolate and recognize. part of me imagined the 1812 overture being played in my lungs, as two life treasuring forces battled to see which would get the budget.
I have to say, one of the cooler psychological expressions about the self destructive forces each of us battles is when someone said to me, my voices think they can kill me and go on without me.
cancer just wants to live. it has a sense of Manifest Destiny, and believes that this playground body I've spent so much time putting together and refining would be just perfect for its needs.
it doesn't get that taking everything away from the host just doesn't work out well for the parasite.
psychologically, geopolitically, physically, so much the same bad model.
Dr. Klancar laughed about my thought that I wondered if I could feel the battle in me. but then she said, that's right, you're that creative guy. you may be more in tune to your body than most (guys) (that a girl might meet).
(in a bar).
so...how bad was it?
well, you get extra "bad" points for the whole impossibility of understanding what you are feeling, the whole alienness of it.
but I need to say...I was in California a few years ago to do a concert with an artist I produced, and just sick as a dog. sicker than America's Sickest Dog.
I'd roll all of the chemo days together before I'd do that again.
there are days after a particularly hard ReJuveniles Little Bear gig that I ached more, had less energy, had my pins knocked out from under me more than any of this stuff.
now, they say that each succeeding round of chemo is harder than the last. one of the predictions.
but just from what I have gone through so far...especially with knowing how to deal with more of the stuff now...it's doable.
what a shaking sweating relief to know that.
my doctor's appointment was Monday, the third down day.
I was feeling much much better.
in California, I had heard a phrase at the end of the Indiana Jones ride. maybe it's the comics I read, movies I've seen. what has always seemed important was not whether the hero was about to die...or had just killed...what's important was the quip.
I said to Dr. Klancar, well, now, there's no way you can tell me that that wasn't big fun.
so, great. I get to have said that.
she looked at my white blood cell count...average is 5-11, mine was 19. she said, yeah, that's what we expect from the neupogen shots.
they had started Saturday, scheduled for ten days. lisa is giving them at home, saving me trips to swedish. greater love hath no one...
btu Dr. Klancar said...five days will be enough. five this round, five next round.
so...today is the first Nancy Reagan day...read my lips...no new drugs!
she was patient (the doc, not Nancy) about what I had found on the internet about the "nausea" drugs, and reiterated that I must not be nauseous, and that while those drugs are in that antipsychotic category, that they work very well for this, and at least #1 is pretty dang mild.
I told her, so I read that neupogen is made with e coli.
she said, wow. I didn't even know that.
there's this thing I haven't looked up yet called Chemo Head. I think it has something to do with fuzzy thinking or memory due to the drugs you get.
it would be hard to quantify, though, the effect of the drugs themselves compared to the effect of hearing that you may have less than a fucking year to live and you will be running a chilling gauntlet during that time.
I don't know about you, but that has made a small dent in my concentration...
so it might not have been e coli. it may well have been Ricola. anything that keeps me from coughing is allright with me.
I had two rehearsals yesterday, the latter a full on rock deal. I spent too many coupons, and I know it.
it isn't exactly like you get a new sports car and you can't wait to try her out to see what she'll do. it's more like, ok, they changed the fluids in my 1999 Caravan...let's see if we can nurse it through the Eisenhower tunnel, or not.
today's a fun and easy day.
but today...I am not a patient.
and having gone through the "down" part of the first round, at least knowing and having tried to describe what kind of beast it is, and feeling continuance in my life for the moment, is very, very encouraging.
oh. and lisa asked Dr. Klancar when we would start to know if anything was working.
I knew that answer, and it's not overstating to say that I think Chemo Head can be contagious.
the doc said I would have a scan just before Christmas. but she seemed a little put off.
"well! I hope it's working! I expect it to do something! otherwise, why are we doing it?"
it was the first time anyone had heard that someone expects this to have some effect, rather than doing it on the miraculous chance that it surprises everyone and does.
words. and a doc who really cares, and may feel the therapeutic value of cheerleading.
just words. a prediction. like that every day for the next two weeks, I will feel better and better.
I might soften my hard line stance on all predictions for just a bit...