Wednesday, January 28, 2015

A Language Unto Itself

Four and a half years ago, mom, siblings, niece and nephews, cousins and an aunt and uncle accompanied my dad to the hospital to have his cancerous bladder removed. The doctor never got the chance. The cancer had grown so fast that it had breeched the bladder wall and invaded his abdomen.

He was opened and closed.

When the doctor arrived in the waiting area 45 minutes into what was supposed to be a 4-6 hour surgery I look at him and said, "Oh shit! This can't be good."

After my dad regained consciousness in the recovery room my mom and siblings stood at his side as the surgeon delivered the death sentence.

It was one of the worst moments of my life.

Prior to that surgery date, my mom and I has taken dad to meet with an Oncologist in Baltimore and I remember sitting in that little exam room listening to the doctor tell my dad what types of chemicals they were going to pump into him.

I took copious notes and studied up on all of the lingo associated with chemo.

We could never get him strong enough to endure the chemo. He opted to just have the surgery but even that was not an option.

He died less than two months after that Oncology appointment.

Cancer: 1 My family: 0

Two weeks ago, my siblings and I accompanied my mother to the hospital outpatient wing to have a lumpectomy that would remove the breast cancer that had invaded her body.

After my mom was taken into the prep area and well, prepped, my siblings and I were escorted back to stay with her until the took her into surgery.

As I entered the pre-op area I had a flashback of the recovery area we walked into four years ago. I just kept putting one foot in front of the other and telling myself, "Not the same, not the same."

She came through surgery with flying colors and, despite arguing with me about almost everything, had recuperated very well.

Tie score!

Today we sat in an exam room in the same complex where we had taken my dad in Baltimore and listened to another doctor describe the toxins they were going to pump into my mother.

Oncology is a language unto itself.

One I had hoped to never have to learn...again!

There are two standard types of chemo that would work for my mom based on her hormone receptors and her HER2...still not entirely clear on that but it has something to do with proteins...and how they attack the ducts and breast tissue.

There is no such thing as good chemo but one protocol is a little tougher to tolerate than the other. We were referring to the second as chemo "light." Not that it's really any 'lighter' but it's four treatments over 12 weeks as opposed to eight treatments over 16 weeks.

There are other things that we've learned, one of which is that nearly 80% of all cancer patients are cured by surgery but there is no way to determine the difference between the 80 and the 20 and chemo is recommended to keep any rogue cancer cells from migrating and taking root in another part of the body. In other words, clear margins don't necessarily mean that there is no more cancer.

Another is that there are no two cancer patients that are the same. Cancer is a mutation and those mutations differ from one patient to another.

Chemo is really an insurance policy against one of those mutations implanting itself into another of my mom's organs. But...there are no guarantees.

The difference between my mom's cancer and the cancer that took my dad couldn't be greater but I constantly have to check myself to keep from going to the "worst case scenario" and "what if" crap that my brain likes to toy with.

Staying positive can be extremely difficult but I have to repeat the, "Not the same, not the same" mantra that I said over and over again in the hospital two weeks ago.

I have never been a terribly religious person. I consider myself to be a Christian as I believe in Jesus but I tend to venture more toward the spiritual side of worship and prayer. I talk to God every day and also find that prayer has a way of calming me down and focusing on the things that are important.

What is important is to concentrate on the here and now and give thanks for what we have.

We are blessed that she caught this so early that it's curable.

This too shall pass and before we know it we'll be sitting poolside soaking up the Vitamin D.

In the meantime, we'll take our supplements and pray for the chemo to be as gentle as possible on her system with the exception of making her cigarettes taste so gross that she comes out of this a non-smoker.

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