Monday, January 9, 2017

There are worse things


Summer was a whirlwind of activities with the house full of visitors as is usually the case here in the country house.  It was a relief to be alone once everyone left.  The constant entertaining is a great distraction but being distracted only delays the inevitable confrontation with my feelings of impatience, anxiety, mixed in with a dash of anger.  I took to my bed and allowed the waves of depression to wash over me, sleeping for long stretches.

The radiotherapy was no picnic but I managed to deal with the side effects relatively well.  I couldn’t swallow for about a week, I lost my voice for almost two weeks and my neck had an impressive ‘sunburn’.  The good news is that it worked.  The lymph node in my neck has significantly reduced in size.

I started my new treatment in the clinical trial at the end of September.  My tumor cells had been tested in the screening process for a certain receptor, anti-Mullerian hormone receptor type 2 (AMHD2), and my tests were positive.  These receptors are present in normal ovarian cells, but are supernumerary in cancerous ovarian cells. The treatment consists of administering a certain protein (via the usual drip technique used for chemo).  This protein attaches itself to the receptor much as a key fits into a slot.  The presence of this protein “tag” hanging off the cell alerts the immune system indicating that this cell is not normal and needs to be eradicated. 

The first two months were very time constraining since I had to undergo various tests before during and after the treatment to insure that there would be no adverse reaction.  Although this sort of treatment is what I have been waiting for for years since much of the cancer research points to immunotherapy as the way of the future, I still caught myself feeling resentful that I had to go to the hospital so many times per week.  Once again I found myself struggling between the rational (‘this treatment may save my life and aren’t I lucky to be in this trial’) with the irrational (‘but I’m going to miss my watercolor class’).  I really began to feel like an impetuous child who only wants her way.  I refused to start any new projects (sewing, knitting or otherwise), refused to take on any other engagements, and tried to make myself continue with those activities that I do for me:  daily yoga, weekly watercolor and aquagym.

Mr. T and I started ballroom dancing and that was a welcome commitment.  It’s the best couple’s therapy we have ever done.  All about communication, coordination, giving in and letting go, and trust. I discovered that I had a lot of room for improvement in all of these areas.

After eight sessions of treatment I had a CT scan, which showed that the tumors were stabilized:  no significant change in size.  I was a bit disappointed but Dr. DeV explained that this was excellent news.  I have a treatment with absolutely no side effects that keeps the disease in check.  Now I only go in every two weeks for my treatment and am less hassled by additional tests.

So all in all, I’m in really good shape.  I’ve been peeking out of my self-contained shell enough to make a dress for Jasmine’s birthday (even if it was too big for her this year) and a pair of socks for Virginie for Christmas. 

After having suffered through the US presidential elections this year, I realized that there are worse things than having cancer, such as having your country spin out of control and leave the realms of reason, goodwill and truthfulness.  How many people will suffer under this reign of terror?  The only way to remain sane amid the insanity is to reach out to others and remember that if you can’t be anything else you can be kind.