Archive for May, 2010

Wandering

05.18.2010

Someone asked me recently how I reconcile my professional life as a social scientist with my blogging persona, ChemoBabe, cancer warrior and superhero. It’s funny because they are, in fact, intimately connected. Part of my way of coping with everything in my life has been to apply my deep curiosity about the world in any new situation I find myself in. In my professional research, I use methodologies that ensure some level of rigor and objectivity. On my blog, I find myself exploring the world in a different mode. I have some conceptual tools in my backpocket that come out of my social science background that I can then apply to my new and strange lived experience. What I write on my blog is not a replicable experiment nor my usual project of a fully developed comparative case study. But I am learning as I am living. And I am having to make extremely consequential choices based on what I know and understand, despite the limitations and subjective quality of that knowledge.

In writing about what I learn, I am allowing myself to report the strangeness and particularity of my subjective experience. I don’t know if my questioner wondered about the seeming contradiction between Social Scientist and Blogger because I publicly take a subjective stance. I know, even as a researcher, that objectivity is not whole.  Objectivity leaves out a lot of our lived experiences and is limited to what we can report rigorously through the limits of our perceptions and the tools we have to document them. Subjectivity has something to offer. I have found that human understanding can be a relief to others. People have told me that they recognize themselves in what I write, or they see how they are different, and they arrive at a different, deeper understanding of their experience.

I think the knowledge I help cultivate through my blog is a more philosophical. I try to provide the perspectives and meanings through reflective engagement. The struggle to confront pain and mortality is fundamentally a spiritual struggle, so those frameworks also come out as I try to make sense of what is happening to me.

This seems to be a way to deal with how much is uncomfortably unknown and unknowable during cancer treatment and beyond. Last night in our family support group, a woman reported how she found significance and hope in the date of her stem cell transplant. It had been on 10/10, which reminded her of the 10-point scale they use to evaluate donor matches. So far, she has had no graft-versus-host issues. She acknowledged the superstition of ascribing meaning to her transplant date, yet it still clearly brought her comfort. We look for meaning where we can find it.

Despite all my rational, empirical inclinations, I share this need to find greater meaning in my experience. So here’s my latest.

When I originally scheduled my mastectomies, the nice lady on the phone gave me a few dates that fell within my oncologist’s timeframe and my surgeon’s schedule. I picked April 1. I told my friends that I would be an April Fool losing my breasts. Then, the plans got upset. The surgeon turned out to be a jerk, more so than I could tolerate. I found an equally skilled and more compassionate surgeon, but he needed to move my surgery date because he was going out of town. There was only one available date, March 29, the first night of Passover. So instead of joking about being an April Fool, I kidded that I went into the hospital like challah and came out like matzah. (In addition to curiosity, humor is a major coping strategy for me.)

The Plan was for me to heal from surgery and start my 6 ½ week course of radiation four to six weeks afterward. While my strength and mobility were excellent after surgery, my pain and healing were not. I had a couple of seromas that needed additional draining, so I did not even have my drains out until a month after surgery. When I met with the radiation oncologist, she wanted me to wait an additional week to make sure that my incisions had fully healed. I would come back the following week to get set up and we would start the treatment.

That weekend, the flood came. The radiation oncology clinic was housed in the basement of the hospital and, by the time the rain stopped, it was under three feet of water.  Patients had to be diverted to satellite clinics in the suburbs. Technicians started working extra shifts, seeing people from 6 AM to midnight. By the time they scheduled me, my treatment was delayed by over a week. Now, seven weeks after my surgery, I begin radiation tonight.

The weird thing is that tonight is another Big Jewish Holiday. There are only a handful of them that are considered holy (and, no, even though I used to explain being Jewish as being “Hanukkah,” that is not one of them). What is weirder still, Passover and Shavuot are connected through a practice of counting of the 49 days in between. Narratively, Passover and Shavuot correspond to the Jews’ liberation from Egyptian slavery and the handing down of the Commandments and the Torah at Sinai, with the days in between corresponding to the difficult time wandering in the desert. Passover gave freedom, but the Torah gave an identity and purpose to the Jewish people.

Jews are supposed to “count the omer” each day between the first seder and Shavuot, a practice that has been interpreted in different ways. I learned the mystical Kabbalistic interpretation, where, each day, you are supposed to meditate on 49 different characteristics that you want to cultivate to become a better person. The Jewish calendar has agrarian roots, so there was a way that ancient Jews held their breath during this period hoping for a bountiful harvest. (“Omer” is actually a unit of measure for grain.) Metaphorically, the counting and enumerating on the qualities one wants to develop should  provide for a personal harvest of a strengthened character. There are other traditions that have equally eerie resonances for my circumstances. For example, these days are supposed to be a period of semi-mourning where no weddings are celebrated, no live music enjoyed.

I have definitely been thrown into a period of semi-mourning. I celebrate my improved prognosis but mourn my forever-changed body. Although I did not count the omer this year, I have been digging deep as I try to retain and cultivate my best self despite the challenges and pain that I face.

My treatment is at 9:30 PM tonight, when many of my Jewish friends will be at the synagogue trying to reap the spiritual harvest of the work of the past 7 weeks through all-night study sessions. What meaning do I find in all of this? My surgery freed me from the last detectable remnants of cancer. I have been wandering in the emotional desert of my survivorship the past 49 days, not sure of who I am in the face of a completely novel circumstance. Maybe, tonight,  I can begin to learn what this means for my identity and purpose in this world.

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Cancer and Other Natural Disasters

05.04.2010

The people of Nashville have seen the worst flooding in recorded history. Over 13 inches of rain fell on the city in just over two days, bringing the Cumberland River to 51 feet, well above flood  level. The nearby Harpeth River also flooded, leaving entire neighborhoods underwater. Although it was on a much smaller scale, the pictures coming out of these areas were reminiscent of Hurricane 
Katrina.

On Sunday, we watched lightening flash and thunder roar, while reports of deaths rolled out on the news.  Unlike Katrina, however, my family was caught in the midst of the same storm we saw on TV, watching sheets of rain pour down over our own home, seeing the radar on the screen ominously predicting what soon came to pass. We have a creek on our property and vigilantly monitored its rise, trying to strategize at what point and how we would evacuate. We filled empty bottles with water in case the the drinking supply became contaminated. I figured out what we had in the way of packable provisions should the power go out.

In the meantime, the national news was preoccupied with the Gulf oil spill and the bomb attempt at Times Square, so our region’s devastation went ignored. I relied on dispatches from Twitter to give me a sense of what was going 
on around the city.

The rain stopped but the water kept going, filling the Cumberland until it overflowed, changing the landscape of the downtown we love to hang out in. The tall flags along the riverfront were submerged, a large sculpture cut loose by the rising tides. For our part, we got some water in the crawl space under our house. That (and a few desperate ants) was it. We believe the slope of our yard –– which I had just been griping about to a friend doing a landscape consult, along with the very creek that caused us such worry –– kept the water flowing in a steady stream away from us. You never know what is going to save you.
I checked in with some of my friends who lived in compromised areas. A lot of flooded basements, even by close neighbors. A lot of roads andsmall bridges out. Some people miraculously unscathed while their neighbors’ houses were submerged. A remarkable sense of having endured 
the same trial and, by what felt like dumb luck, coming out shaken but okay.
As I listened to my friends talk, I was struck by how much the sentiments they expressed resembled the range and intensity of emotions I have felt as I shift from cancer patient to cancer 
survivor.  I am so lucky, they said. It could have been so much worse. I can’t believe we had to bail out the basement –– what a hassle. We tried fighting it but at a certain point we knew we just had to wait it out. I know it could have been worse, but what a drag. I feel bad for whining when I know how bad it is for others. We lost some things that were dear to us, but in the end, we’ll be okay. I know people who lost everything. We are so lucky.
Yes, I keep thinking. Yes, yes, yes. I know exactly. I know all of those feelings so well.
Driving through my neighborhood, except for some extra debris, youwould almost not realize that a big storm had passed. The days have been bright and sunny. The birds’ songs fills the air, which smells so sweet and clean. You go along and everything seems normal, but then, out of nowhere, you see a sign from the storm that’s passed. A pothole. The Red Cross Shelter sign. The pond-sized puddles on the baseball field. A family’s basement possessions strewn out to dry on their lawn.
So it is with me. This week, in what is supposed to be my last week between surgery recovery and the start of radiation*, I went to the dentist. I had mouth ulcers and other problems during chemo, so I knew I wouldn’t get the usual praise for my good flossing habits and a pleasureful cleaning. (I know that must sound perverse to some, but I love that smooth feeling on my teeth.) The cleaning was painful and there were three cavities to fill. When I went in to get them filled today, the Novocain shot, which is normally a non-event, made me unbelievably nauseous. After two of them, the dentist offered not to numb me for the third. I talked it through with her and agreed to risk
a brief moment of nerve pain over more nausea. I am so full of chemo- and anesthesia crap that something as simple as Novicain made me sick.  Like those sudden potholes in the road, I didn’t see that one coming.
And so it goes. Once again, I have made it through, recognizing that I am one of the lucky ones. I wish that I could do more to help with the devastation around me. While we survived the flood without much of a hitch, my family is still weathering another storm.

* My radiation therapy, scheduled to start on Monday, might be delayed. Radiation Oncology is housed in the basement of the hospital, which got flooded. And so my two storms come together…

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The Legend of ChemoBabe, Parts 3 & 4

05.02.2010

The Serialization in Tweets Continues… And comes to an End.

Part 3

The fire blazed in front of her. It was desolate on the mountaintop and nobody could save her. Her open wound bled as the cancermonster’s venom creeped through her body.

Slowly she walked toward the fire. Her heart raced. She felt heat on her skin. The wind picked up and she heard her brother’s voice, “You can do it. Go forth. Courage.”

As she stepped in the fire, her skin singed. She smelled the putrid smell of burning flesh and hair. The pain was sharp. Then the magic of the Phoenix, coursing through her veins, shielded her.

Her body burned up until she was a smoldering pile of ashes. A wind blew around her but she could not feel it. She was nothing, banished from existence.

Once the gray ash cooled, it began to coalesce. Bit by bit, the tiny particles joined together to become flesh, bone, heart, and limb.

The blood returned to her veins, the venom of the cancermonster diminished. As she arose and looked about her, she felt confused. She saw the mountain, felt the wind, and remembered.

Part 4

ChemoBabe repeated the ritual again & again: Fetching the Phoenix feather to open her vein, into the fire, & rising from the ashes.

Each time she felt less and less like herself. But this is how the cancermonster’s venom would leave her body forever.

Eventually, something changed. The fire was a part of her. She could hold out her hands and set herself aflame.

At the same time, the phoenix’s magic was a part of her. She no longer had to climb into the bird’s nest & open her veins with its feather

She knew the venom was gone. She descended from the mountain and crossed back over the desert to rejoin her family. But she had changed.

In the bright desert sun, she saw glints of gold in her skin, just like the sparkling Phoenix.

Now wherever the cancermonster bites, ChemoBabe is ready to come and lend her fiery embrace. She will protect you and help you rise again.

You also may be left with a trace of gold.

THE END. ♥

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