Monday, November 26, 2007
Last Wednesday, after I had finished last week’s treatments, I flippantly noted that this week’s therapy sessions do not count. I also hinted that they honestly had to. I went to one of those two sessions this morning, the penultimate one, and the verdict is in: they do count. When I awake in the morning, it was happening and it counted. When my wife fed me through a tube, it was happening and it counted. When we drove to the cancer treatment center, it was happening and it counted.
It was overcast, chilly, chock full o’ drizzle this AM, the first day of antlered deer (buck) season in the State of Pennsylvania, which meant that my currently outmoded chemo oncologist was probably out in the woods somewhere. And, after I’d scanned my card alerting the dispensers of nuclear doom to be presence, I took a seat next to my wife and listened to one older guy tell another that kids today are just not the same as they were in the day. In the day, he’d go hunting and put his empty cola cans in a coat pocket for to be dispensed with in the proper place later. Today’s kids, he argued, crumple their empty cans and throw them in the eyes of nature’s glory.
The plan/schedule was for me to be nuked at 8. The bald fellow came for me at 8:15p, I supposed without looking at my watch, and he asked how I was. My voice is a dysfunctional rasp, and that’s called dysphagia, but I told him that I was fine. He asked me to wait in the joining room which opens to each accelerator room and contains monitoring equipment, while he cleaned up something in Accelerator Room 1. I leaned against the edge of a wall which extended part way into the room, bent my knee, and tried to look as kewl as a cancer patient in this 8th week of treatment can manage.
The bald guy appeared in Accelerator Room 1 and nodded. I went in. An attractive nurse stood inside. I removed my shirt and put it on the table, and I laid on the table with the back of my head in the plastic holder, my knees up a little so they could fit the cushion under them.
After giving me the mouthpiece, hey latched the mask on. I had to lift my chin higher twice, turn my nose a little to the left, etc., but I was soon encased in this thing. And the treatment went very quickly, nothing holding anything at the point of dangerous delay.
The mask came off, and I smiled, what with being done for the morning. For the first time I think ever, I got up immediately off the thin table-like thing on which I’d been lying. On my feet, I took out my mouthpiece while the nurse grabbed something into which to put it. I put on my Super Bowl XL Champs, and I rejoined my wife in the waiting room. We had to wait for Dr. Shocker, and after a while, Dr. Clement’s nurse, as I’ve called her, came out and called us back. I’ve lost a pound. So. What.
Into a waiting room Diane and I sauntered, and I answered question after question about bowel movements and mouth sores. Rate the pain between one and ten, and dammit, use an integer. She told me that I might have to have another chemo treatment on Friday, and Diane informed her that I did not have to have another chemo treatment on Friday. (I’ve covered how the chemotherapy was given, in my case, only to make more effective the radiation treatments. The radiation will be finished tomorrow, so no chemo.)
At least she told me that I looked good today, though I felt as if I should be resting, maybe lying in the fetal position listening to Rossini or Kuhlau.
Shocker came in and looked at my chart. My wife did most of my talking for me, but she had more talking to do for herself than for me as it was. And as it was, there wasn’t much to say. Oh, one more treatment then goodbye. We will not see him tomorrow, but he did make an appointment to see the man on January 24 at 3:45p, which is after we’ve seen Dr. Howells. It’s also after we’ve seen Lieb, but Shocker obviously did care that much anent Lieb or chemo or that whole deal. As for this tightly knit group of physicians working together to coordinate my treatment, well, Shocker said that he’d send Howells a note. So much for that concept.
But the cancer is gone, and this is what matters. This sore throat bit is awful and constant, but it should be gone in two weeks. (Shocker prescribed a week’s Hydrocodone after this one, so he’s not overly concerned about this matter.) The trouble swallowing (dysphagia) also goes in two weeks, and no end date for that will be soon enough. I lamented in one of these missives that I could not pick up a bottle of Spring Water and drink deeply, and that ability was what I most wanted as a Christmas gift, and I shall probably be doing that in mid-December.
I don’t know about the fatigue. I had told Clement’s nurse that my fatigue was mild, but I could fall asleep at any time and anywhere: like on a dime or maybe even on the head of a pin. But tomorrow ends probably the least timely and most overwhelming adventure of my life. Given what is yet to come, it fits into a larger context and hopefully becomes more manageable, in that I’ll be prepared. And knowing that my throat will be better in a few weeks is another comfort.