Category Archives: cancer

to have and have not

09 Wednesday May 2018

Posted by in cancer, casa azahar, chemo, health & happiness, home, sevilla

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This has been a strange week for me. Exactly ten years ago I went to the Feria de Jerez and spent a fun day there with friends. And on the way back to get the train I saw this graffiti (Tengo Cancer – I Have Cancer) on the wall beside a bar next to the station, and something about it moved me to take a photo. There was something poignant yet hopeful yet… I dunno… about it. Whatever. I took the photo.

The very next day I doubled over in extreme pain and thus began two of the most profound years of my life. Not going to go over the whole ordeal again here – if you’re interested you can check out this link. Suffice it to say I somehow survived stage 4 colon cancer with metastasis to the liver and peritoneum, including 3 major abdominal surgeries and being on chemo twice (first 2 months, then 5 months). The chemo was diabolical, but apparently got rid of all the nasty cancer. At what cost to the rest of my body cells? Frankly, I don’t give a damn. I just don’t ever want to go back on chemo again. It was then that I (badly) photoshopped the graffiti photo thusly…

Fast forward to January 2018 and another routine PET scan. Except instead of being given the usual – everything looks fine, see you next year! – I was told there was concern about an area of inflammation that had grown significantly since the previous PET scan. This led to me having several tests done, including a colonoscopy, endoscopy and a CT scan. With a second CT coming up in June, so they can check the progress (or decline) of the “area of concern”. Worried? Well, hell yeah! Because that’s basically all I ever do. Not just about health issues. I worry about EVERYTHING. All. The. Time. It’s exhausting, but I can’t seem to help it.

Anyhoodle… getting back to my initial story. This week marks the 10th anniversary of the beginning of the whole cancer thing, which in my mind is always connected with the Feria de Jerez. And so today I had to go. Nothing morbid or weird, it was more like touching base. Because back then was when all that started, and ten years later I am still here and able to go back and enjoy my favourite feria in Spain. So I did. And it was lovely (nice feria pics coming soon – promise!).

Except this year I am not sure if I “have or have not”… tengo o no tengo. Still waiting to find out. And these days this is what is left of that poignant graffiti. Looks a bit ghostly. Like they tried to paint over it but couldn’t quite get rid of it. I’ve often wondered who this person was, and whether they got better. I sincerely hope so. Just like I hope I will continue to be okay too. So… bit of an emotional day.

 

empathy cards

28 Wednesday Mar 2018

Posted by in cancer, health & happiness, humour

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Thanks to Kate @sledpress for sending this my way. What an excellent idea. Empathy cards for serious illnesses – or what to say when you don’t know what to say – by Emily McDowell. Though of course I hope none of you will ever have to send me one, they are quite clever and right on the money. Reminded me of that list I posted here a few years ago… stupid things people say.

no news is… well, no news

19 Monday Mar 2018

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Back from seeing the oncologist and basically there’s no news. Things are as I suspected, with both the colonoscopy and endoscopy results clean. But there remains that pesky – and mysterious – inflammation that nobody can explain, short of opening me up, which my doctor seems to think is a bit drastic at this point. She wants to continue with clinical studies for the moment and monitor my “well being”. And so the next CT scan will be in May and I’m to check in with her again mid-April just to report on how I’m feeling.

All of this is both comforting and yet still somewhat alarming, because if they were sure I was okay then they wouldn’t be doing another CT so soon. So there must be something about the inflammation they find worrying. I forgot to ask about possible peritoneum issues, which I’d had before, and which usually don’t show up on scans. But I was there on my own today and, as usual, I got nervous and forgot what I’d wanted to say. I had also wanted to ask about the “opening me up” options, but then got  caught up in the good news side of things. Basically I should never go alone to these appointments. I’d be more worried about this now if I wasn’t seeing the oncologist again in April. Next time I’ll take notes.

Anyhow, afterwards I made my way home, stopping at Casa Morales for a quick “brunch” (tortilla and a beer), because I had been too nervous to eat breakfast before going to the hospital. And it was nice to just chat with the guys there and feel normal, even though “life in limbo” continues.

my first endoscope

01 Thursday Mar 2018

Posted by in cancer, friends, health & happiness, hospitals, sevilla

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The endoscope examination is pretty much like the one at the other end, except without the horrendous massive “clean out” prep. For this one all I had to do was not eat or drink for 8 hours before the test. I actually had my last meal more than 12 hours before, but going 8 hours without any water (!!!) was really hard. I’m a 2-litre a day water drinking fiend.

Just like with the colonoscopy I was sedated before the procedure but this time I wasn’t so lucky with my nurse, who could NOT seem to find a vein anywhere. And hand pokes are way more hurty than arm pokes, but anyhow. I was eventually chemically relaxed enough and they did their stuff. It was uncomfortable more than painful, and I got a bit gaggy towards the end, but nothing too awful. And then I was wheeled into the recovery area.

And the best thing of all was that they told me they hadn’t found anything, that I was “all clear”! I have to say that I love this about the Digestivo department, giving patients their results straight away so they don’t have to wonder and worry until they see their doctors again (my next onc appt is March 19th). Though I suspect they only hand out the good news results. But hey, I am happy.

From what I understand, this now means that they have ruled out two of the main possibilities for recurrence – for now. Next up will be another CAT scan three months from now to compare those results to the last one. The main issue being ALL THAT INFLAMMATION that nobody can explain. And so… good, right? At least until I hear otherwise. And so, back to living in denial.  😉

still in limbo…

26 Monday Feb 2018

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I’ll write something more about my fab weekend away later. As usual, it was great to come home and be welcomed by los gatos (this big lug was especially happy to have his comfy warm human lap back). Though I didn’t sleep so well because today I had my oncology appointment to get the results for the colonoscopy and CAT scan. Bottom line is that I am still in limbo for now.

The colonoscopy results were good, which I already knew because at the time I asked them if they had taken samples to be tested, and they said no because they hadn’t found anything. Phew!

But I had to wait until today for the CAT scan results. In a word, they were inconclusive. There is still that pesky area of inflammation sitting over my stomach that is obscuring any clear scan results, either the PET or CAT. The reason I am getting all these extra tests now is because the last PET scan results showed that the inflammation had grown substantially since the previous one, and I was also in a lot of pain. Though shortly after the last PET the pain suddenly disappeared.

And so, because they don’t actually know what is going on in that murky area of inflammation, I now have to have an endoscopy so they can look inside my stomach. That will happen on Thursday. AND THEN… I have to go through the hell of waiting for results until my next oncology appointment on March 19th.

I like my new oncologist. She is very clear and sympathetic, and answers all my questions. Today she said that because of this “murky area” they simply cannot say with certainty that I am in the clear. And so even if the endoscopy comes back clean, they will still want to do a follow-up CAT scan in three months. She said the only way to be 100% sure that I have no cancer is to operate, which she thinks is too aggressive an approach at this time, especially as the pain has disappeared.

After having undergone four major abdominal operations, the main suspect at the moment is post-op adhesions, when the buildup of fibrous bands of scar tissue wreaks havoc on the surrounding organs. This very same buildup often shows up as inflammation on scans, and can obscure scan results.

So here I am once again in limbo. Of course I am relieved that I wasn’t told today that they’d found cancer and then passed on a death sentence… but I am not out of the woods yet. Because although my doctor told me today it was a positive sign the pain had gone, they wouldn’t be doing these extra tests fer nuthin. So today felt like a “stay of execution”, and now I am waiting (with fingers crossed) for a full pardon. xx