Drained

Dr. V has no explanation for the fluid return. He thinks it could be possible Dr. S perforated my bowel during surgery, and if that's the case I would need surgery to make repairs. Another surgery!? He orders a CT with barium to check for any "leaks" (his word). 

This is where I fall more deeply in love with Dr. H's office staff. When Dr. H orders a CT, it's scheduled at check out within minutes. When Dr. V orders a CT, I have to call and bark at his office staff to get it scheduled. After multiple calls, over several days, the CT with barium is scheduled for Friday. 

Later, as I'm drinking the blasted barium, I learned the scheduling delay was because the radiologist argued the procedure wouldn't show what Dr. V wanted so he changed it to a CT for better imagery. Yeah. You don't want to tell someone drinking barium the test may not work. Especially someone in my mental state...

Mindset:

What is a word for worse than miserable? My birthday is around the corner. I never make birthday plans, but this year I wanted to do something special. The last two months have been full of hospitals and doctors offices. I desperately needed time for myself. A moment to live. To forget C and celebrate another year lived. 

Now there is a possibility of an additional surgery, which would kill our vacation plans. A vacation that was planned a year ago, months before C re-entered our world. And who cares about me, Fred needs this vacation. He deserves a break from a being caregiver. Good grief. I know that stress. I know that heartbreak. And it kills me that I can't do anything make it better. He has given of himself so much, and I haven't been able to do anything in return. But I can make sure he has a fun & relaxing vacation. Please, sweet Jesus, let me give him this one thing!

The number of tears I have shed during this infection are innumerable. Its winning on so many levels and I hate it! I mean, loosing my hair and identity was a low point...but I still had a life. This is not a life. 

---

The Monday following the CT. We arrive at Dr. V's office for the regularly schedule supply pick. And wait...

"Oh, can you guys come back later today? Dr. V wants to meet with you and go over the CT results."

Dude. I'm pretty sure it's a miracle Fred didn't jump the woman. Sure lady. We don't have jobs like you. He explains to the woman that he has taken off work in order to be there, and now she's asking him to take more time. She looked at him as though he was speaking Mandarin. Consideration of others time, what is that?! And now I officially HATE this office.

We return. And wait all over again. Finally some good news. (Good news usually gets an exclamation point, but I'm so drained at this point my cheer is broken.) The fluid is clearing three more weeks of antibiotic, and if the drain is clear it can be pulled this week. He orders a CT for the week of Thanksgiving to check progress. And it's that fast. From scaring me with surgery to all is well. The C roller coaster is super fun guys!

Digging Deep (pun intended)

Another day. Another doctor. 

Dr. T is my GI doctor that I've never actually met. Dr. E (Surgeon #1) wanted to personally do the first colonoscopy, so Dr. T got the boot. The only difference between the two colonoscopies (besides the doctor) is drinking the fun juice. This appointment was basically to meet and prescribe the medication. 

The one thing Fred and I noticed was how uncomfortable he seemed. We've noticed this with every first meeting of each new doctor. They don't seem to know how to handle someone my age having this particular cancer. 

Dr. T must have thought I needed some hope. He kept telling us about a friend of his with the same cancer/same stage/same mets (older, of course) that is doing well over five years later with maintenance chemo. I think they expect me to be afraid, or nervous about the future. 

What they don't know is that I've had an amazing life. Every new experience has perfectly prepared me for the next. The night before my dad passed, as he made his final transition, was the hardest thing I had ever experienced. Honestly, it left me terrified. I knew it was preparation for the next hardest thing, and what could be harder than watching someone you love pass away while being responsible for their care?  

Well, here I am. Facing down the same disease. Knowing all the statistics (that I push to the back of my mind and ignore). Knowing what the end stage looks like. But also knowing wherever this experience takes me, I have the strength to push through. Physically. Mentally. Spiritually. I entered this world made to be breakable, but repairable. And after everything I've been through, I like to think of myself as bendable. 

"The robbed that smiles steals something from the thief."

-Shakespeare 

Chemo Round 6

While getting blood work Fred & Dr. H had a chat, and this is why I love my oncologist. I need for them to have a relationship. And the truth is, we both had a relationship with him through caring for my dad. So while it's been strange literally walking in my dad's footsteps, getting chemo from the same chair he once sat. It's also refreshing being truly comfortable with my oncologist from day one. 

During their conversation, Fred had apparently expressed our concern with Dr. S and the MRI debacle. And Dr. H was quick to put me at ease. "I would tell you if I didn't think he was a good fit, but he is your surgeon." The relief was immediate. 

Going forward chemo is changing. We were in fight mode, throwing everything I could physically manage to shrink the lesion, and now we are in maintenance mode. Instead of being knocked out for a week+, Dr. H wants to get it down to three days. So new treatment is FOLFOX with a biologic (and I can't remember the name)...it's the one that hinders growth of new blood vessels to feed any cancer lesions. And we will reevaluate after 12 rounds. Yes, I expected this. Many people with stage IV continue with maintenance chemo. 

With surgery around the corner, and because chemo causes blood levels to drop, Dr. H wants chemo to stop three weeks prior. Meaning #6 will be my last round, and it will pick back up four weeks after surgery. He doesn't want me drinking colonoscopy "fun juice" while on chemo, so trying to squeeze that in the week before surgery. 

My blood levels were still a little off from the intestinal virus, so Dr. H let me decide if I felt strong enough for this round. While I still felt a little weak, I was okay to push forward knowing it would be easier than previous rounds. 

I struggled through this round a little bit, but nothing like previous rounds. The infusion only took three hours. (Previous rounds took six-seven hours, depending on what side effects decided to show up.) A little nausea, a lot of fatigue, but by day five I felt well enough to get out of the house. For the first time since March, I'm able to enjoy every weekend. Holy moly I can manage this chemo! Especially knowing it will be even easier when my blood levels improve. 

By the way, I struggled with that intestinal virus for three weeks. That thing completely knocked me out! This virus is something healthy people recover from in 2-5 days. Having a weakened immune system is no joke!