Recently a friend noted how difficult it was “to know how you are doing.” It’s true, I suppose. I have used the Livingly Dying blog this summer to report on the macro challenges of trying to access the care that I think is best suited for my current situation rather than bore folks with the blow by blow of this summer’s treatment.
In the jumble of the last 4-½ years of living on treatment it is unproductive to rank the various moments. But this summer’s treatment is hard – between the frequency, toxicity, length and travel, I have been living a half life as one full week (plus) goes into treatment and recovery. My exhaustion confuses me. Am I tired, how tired or have I slipped into depression? All of the above may be most likely.
This week I have accomplished tasks as cooler temperatures invited activity. It thrilled me. By Wednesday night I was violently ill – did I do too much, random luck or am I cursed?
I just don’t know how I am.
The other week I ran into an acquaintance as I arrived at the memorial of a friend. She bellowed from across the street, warm smile on her face, “I hear you are doing great!” And I wondered in what possible context she was using such an adjective to describe my reduced life of constant nausea and limitations. Was I supposed to nod in agreement? (I am doing great compared to a chemo patient in Gaza or Syria.) Instead, I declined her bear hug, saying my blood counts required vigorous avoidance of germs that day, my nadir. She asserted that she felt great. “Yeah”, I said, “but it’s not about you.” I felt like the grumpy curmudgeon I am.
This summer I have had minimal social contact – these slight encounters leave me bruised and confused. Alone, I am content.
It has been a summer of loss. I lost the cancer vacation I’d so hoped for after completing the phase one clinical trial cross county. Instead my cancer went nuts. My June to do list, gleefully assembled in May when I was “healthy” for 45 days, was pretty damn vibrant. I was excited! This summer I have lost many trusted comrades as they close out their cancer journeys. Some have been in active choice; other’s reluctant, as they died one by one. I have done more soul searching on when and how I will cease treatment. Not yet but the time inches uncomfortably close. I no longer know my next steps. I now understand that a body can only tolerate so many years living on chemo without breaks. It’s not just about containing my cancer; it’s about keeping the rest of my body functional.
So, how am I as I close out the summer of 2014? Depleted, ever hopeful and ever realistic. Please accept that reality and don’t call me a cancer “thriver” or “survivor” or tell me I am doing “great”! This summer I identify only as a cancer veteran crawling around far too much. And yet very, very glad to be alive.