Friday, July 13, 2012

So much for sea squirts


Mr. T and I have been waiting since early May to see how the cancer would react to the new molecule
All along I’ve been expecting the worst since I can feel that something is not right in my body.  I have pain -- should I use the word discomfort? -- in various places where the tumors, or in some cases, enlarged lymph nodes, are located.  At least two of them (~ 4 cm. x 3 cm.) are attached to the muscle wall of my abdomen and I can feel it when I walk or reach or bend over.  So when these anomalies “talk” to me, they are constantly whispering that something is not right.  There is not a waking moment when I’m not aware that I have cancer.  I try to rationalize based on the experience of the first chemo when I felt some pain as the tumors were melting.  But this is different, it’s just a constant nagging reminder that the cancer is still there, digging in, taking root, getting comfortable.
The anxiety of suspecting what’s going on, but not KNOWING, is unbearable.  It literally drives me crazy.  I become obsessed with my body and am constantly palpating my “lumps”.  Bigger? Smaller? Stable?  Dr. D. advises me to not let the pain get established since it’s harder to control so I take paracetamol & codeine throughout the day and before going to bed.  Mr. T observes all of this from the corner of his eye and doesn’t say much, but he doesn’t miss a trick and tries to keep me on an even keel.
Having Élodie here with us provides an excellent diversion.  I try and spend as much time with her as possible.  She is just learning to walk and is learning baby sign language and it is just fascinating watching her discovery the world around her.  She obviously loves her “Mamie Lee” and that provides me with immense joy.  I feel a huge sense of urgency being with her since I don’t know when I’ll see her again or for how long.  However, even that which provides comfort can also cause tension, and I realize that I am so bent on being with her as much as possible that I’m exhausted at the end of the day.
I’ve had three treatments with the new molecule, the last one on June 19th, followed by a PET scan on the 20th and an MRI on the 21st.  We have to wait two weeks, 16 days to be exact, to get the results of the exams. 
Dr. D. tells us “I’m not going to beat around the bush – the cancer is not responding to the treatment”.  I’m actually relieved to hear what’s going on, rather than remaining in the dark another instant. She then explains the next tactical move:  I’m to be enrolled in an ongoing study of the effects of the “Folfox” cocktail on recurrent ovarian cancer.   One of the molecules in this combination is oxaliplatin, a variant to the carboplatin used in my first treatment.  One again I allow my hopes to rise.
There is a difference in the treatment regime:  it occurs every two weeks, instead of three, and I spend one day in the day hospital receiving one of the molecules by drip and then I go home with a pump attached to my port-a-cath which dispenses the other molecules over a 48-hour period.  I must return to the hospital to have the pump removed.  We have to completely rework the dates in the agenda to accommodate this new rhythm, reminding me that my life really revolves around the disease.  The first treatment is to start the following Tuesday (July 10th).
In the meantime, I take my test results to my general practitioner who carefully reviews the reports.  I explain to him that what I’m missing is the “big picture”.  If I talk to the oncologist, she can tell me about chemotherapy; the surgeon can talk about surgery; the immunologist about the immune system, etc.  But no one can give me a synthesis about how all of these parts could or should fit together.  I feel like I’m in a quest for THE best solution and I don’t have the knowledge, with only a bachelor’s in biology, to figure out how all of the puzzle pieces fit together.  Furthermore, I feel like my life depends on finding and doing the right thing.  He looked at me and said “Personne au monde can tell you what is really happening or what is the best thing to do.”  In some way, I’m relieved to be told that there is no ONE solution. 
On Tuesday, I show up at the hospital for my blood work and to have the port-a-cath “opened” in preparation for the treatment.  When I get to the day hospital, they inform me that I can’t have the treatment since my white blood cell count is too low.  I feel so angry and frustrated.  I’m almost home when the hospital calls and tells me to come back since I left before they closed the port-a-cath. Mr. T realizes that I’m coming home and I’m furious.  He is incredible.  He greets me at the door, hugs me, comforts me, puts on a DVD of a Norah Jones concert until I calm down a bit and then we go out to lunch together.  He then drives me to the hospital and waits while they close the port-a-cath.This never would have happened a year ago and I am so grateful for his patience, his presence, and his cool-headedness in the face of adversity.
I love you, Mr. T.