The Object Of My Desire

Another day of uselessness. Don't think that I'm unaware of what's really going on. It takes a tremendous amount of mental energy to manage that delicate balance between terror and quasi-serenity. The only defense against emotional turbulence and obsessive worry is dedication to minimal synapse firing. In short, I don't work. On the other hand, I haven't had to visit the Ggirl Crying Building in the past couple of days. If I don't accomplish anything other than that, I've already done more than the majority of my co-workers do in a week.

I spend a lot of time fantasizing about my oncology surgeon. It is so not about how he looks. The men (or boys, really) I dated before I met my husband were all good looking, as is Hubby. I was exactly that shallow. On the other hand, if they couldn't keep up intellectually, they were banished in short order. I didn't care much for emotional accessibility, either. As a matter of fact, expecting me to be loving and open counted as a serious liability. Hubby is the only man with whom I've ever been truly vulnerable.

Back to the object of my desire. He's middle-aged, a little paunchy, seriously balding and he wears very thick glasses. I look around and see men every day who are far more attractive, but arouse absolutely no libidinal interest. It's that ineffable something. It's sexual attraction that arises from a primitive part of my brain. Maybe it's those expensive, heavily starched white shirts. (Although I see a lot of those around, too.) Or maybe it's the profound intimacy that develops when someone cuts off one of your breasts and calls you sweetheart, anyway.

My need to fuel this harmless obsession has resulted in some unpleasant consequences. I googled him, of course. (Of course!) Unfortunately, it led me to an article he published a couple of years ago in a medical journal. It impressed on me the seriousness of my illness. I hate it when I come across things that clarify the dangerous extent of my breast cancer.

A couple of weeks ago, I was editing some old entries from when I was first diagnosed. I thought I'd share them with Hubby, since my online friends are the only people who've ever been privy to the daily grind of that period in my life. The unvarnished truth can be emotionally devastating for loved ones. Hubby already seemed very fragile; helping him get through it would have forced me to really confront my situation. It would also have depleted my own energy reserves critical to survival. (See synapse management above.)

Now, I'd like to offer him the best of my literary self in addition to authenticity. In editing those posts, it became clear I'd forgotten the things my surgeon told me after the sentinel lymph node biopsy. It took my breath away. I have a truly world class ability to deny reality when it's too harrowing.

I try to put those things out of my mind, though. I get right back to obsessing about my surgeon. I know what's important. It's that delicate balance that must be preserved. If he's the necessary vehicle for that, I'll step into it wholeheartedly. I just need to be careful about knowing too much about exactly what he does.

Maybe if I Yahoo him, I'll be able to entertain myself for the rest of my work day. If not, I'll have to simply imagine the beauty of what lays beneath his starched white shirt.

All Manner Of Things Shall Be Well

Today I planned to get around to checking in with all of my online blogging friends. I always miss sharing in their daily lives when I have to be gone--usually because of a trip to deal with cancer in one way or another. I may not get around to that, after all.

I'm crying now. In my office. At the mercy of anyone in Crazy Land who happens to knock on my door. I do not wish for them to see me cry. It's too personal to explain and there is no consolation to be found. Certainly not here, anyway. Actually, I'd love to explain it to myself, but crying is only crying. No explanation necessary.

It feels so silly to be afraid. Is there something wrong in the new girl? Probably not. My mom thinks everything is okay. I should just banish the fear and rest in the thought that most likely all is well. Right? I'm almost certain everything is fine. Why would I choose to believe otherwise?

On the other hand, having once been overly optimistic, it's well nigh impossible to exorcise that anxiety gnawing around the edges of my consciousness. Two summers ago, I thought we were just going to have a look around, maybe remove a benign tumor and get on with things. Then I believed Dr. Ross would perform a little lumpectomy or a big lumpectomy and I'd go on my merry way. Obviously, that didn't happen.

Money Man's daughter poked her head in my office a while ago and, though I tried to pull myself together, I'm a messy crier. My eyes get puffy immediately and my nose turns red. Very, very attractive, I assure you. That's when I decided to take a little trip next door and get over myself. At least there I could cry noisily if it came to that. It did. But I'm back now.

A few seconds ago, Crazy Employee, who engaged in some egregious back-stabbing behavior last week, knocked on my door and made some ridiculous excuse for entering my office. If I wanted chocolate donuts, bitch, I would go to the receptionist's desk to get them. I do not wish to share anything with her. I'm insulted that she would think otherwise.

In what's come to be the Official GGirl Crying Building, there is an abandoned plant. I've been trying to get someone to take care of it for a long time and now it's dying. That touched off another round of crying and, as I sit here, tears are welling up again. Goddamn it. I'm going to try to find a way to get some water to the poor thing and, in the meantime, I slanted the blinds so it could get more light. I just need to find a big enough container to take some water to it; it's a very large plant and needs more than a cupful or so.

Back to the matter at hand, be afraid or not? Maybe I don't have any choice and I should just go with whatever the moment brings. Oh yeah. That was supposed to be one of those lessons I learned from having breast cancer. Being in the moment is being completely alive.

I tell everyone that I wish to live until I die. When I'm sitting on the floor next door, crying about a dying plant, that is exactly living until I die. Yesterday I was reminded of a quote from a Medieval mystic named Julian of Norwich. "All things shall be well. And all manner of things shall be well." They shall.

In the meantime, I may be vying for the office nickname, "Crazy Employee." I'll have to think of a new name for her, though. The possibilities are endless. I'm officially taking suggestions, but I have dibs on "Back-stabbing Bitch." I'll get back to debating fear later. I've got my priorities straight, you know, because all things most certainly shall be well.

Same Song, Different Verse

I got back from M.D. Anderson several hours ago. The good news: hotel was fine, water was hot, no one suggested that I might be feeble minded. The other up side: I saw my beloved Dr. Ross. One of my online friends asks what's special about my surgeon. Excellent question, which I'll answer later.

The mammogram process was terrifying. We did the usual four x-rays, they sent me to wait in a little room to make sure they hadn't missed an area. I was the only person there. After a period of time, they came to get me again. No big deal, I thought. We just missed something; that's not unusual at all.

Oh no. We had to do a different kind of mammogram because they needed to take a closer look (they being the radiologist and person who did the mammogram) at something. Hand crank makes a comeback. I was sent to sit in the little room again. Alone. Time passed and passed and passed.

Finally, after about 15-20 minutes of waiting, the mammogram person came to get me to take even more x-rays. Now I'm really afraid. That's how it started the last time. Picture, pictures, wait, wait, then bad, bad news. "This must be making you really afraid," the mammogram person said. "Yes," I answered. No response. She put the x-rays on a light board, told me to come over and pointed out several areas they were concerned about. Great. That also happened the last time.

More hand crank action and some highly unusual poses that I had to hold, without breathing of course. Back to the tiny room. As I waited, I became more and more afraid. I was almost ready to cry when she came back and said they looked okay. Too late. That's what the radiologist told me two years ago. Then I showed up at my local surgeon's office where I found out that things weren't fine, after all.

I was still terrified while I waited for Dr. Ross. He came in and asked about any problems, then reassured me about the right breast. I could relax enough to tell him they took my oncologist away from me. I asked him if he was going away, too. "I'll do anything you want me to do." Okay. I was feeling better enough to think, "Oh, really? How about I move in with you and we spend the rest of our lives together?" Instead, I said, "Please don't go away. You're my guy. I trust you. I know you're going to take care of me."

Dr. Ross then started examining the new girl and found a hard place where I had a lot of radiation last summer. He was concerned about it and wants to have a better look. A mammogram? Ultra sound? I don't know. "See?" I said, "You're my guy. I know you'll take care of me."

We scheduled another visit in a month, I think. Or in August. When your oncology surgeon registers concern, there's a part of your brain that shuts down. Or at least that's my experience. Off he went to fetch his appointment schedule. He wrote me down for whatever date it is and gave me a hug He's a very, very compassionate man.

Now, on to why he's so special. He saved my life. I had an unusual form of breast cancer that manifested itself in unusual ways. He found it. He told me. Then Dr. Ross took care of me. He's the best surgeon in one of the best cancer hospitals in the world. He's very gentle and cares about all of his patients as individual human beings who deserve kindness and support. He gave me hugs. Dr. Ross knows how terrifying any kind of cancer diagnosis is (he also specializes in skin cancer surgery).

Here's the final and saddest reason why I have such a huge crush. He's the first man I've ever known who's taken care of me. I can count on him. That's remarkably special.

Thanks for all of the prayers and good wishes. They help, you know, both emotionally and physically. That helps to take care of me, too. I have to rest now. See you on Monday.

The Hand Crank vs. Crazy Land

Okay, here's the deal. Tomorrow morning, I will take my little Andy to be boarded, then I'm going to drive four hours to get to Houston. Thursday, I have a bone scan and a mammogram. The bone scan is no big deal. There's no pain involved in that.

As for the mammogram, my insurance company should be pleased that I am receiving the best screening possible. They manage to scrunch all of the skin and muscle from my neck to my bellybutton in between what I think of as the jaws of death. We spend a good twenty or thirty minutes getting me all lined up and making the plates capture the skin and muscle. Then, my friends, the hand crank comes into play. All of that bodily mass will eventually be compressed into a quarter of an inch. I swear.

After all of that, I'll be sitting around waiting for my beloved oncology surgeon. At least 45 minutes at best will be spent sitting in a hospital gown three times my size in a tiny, freezing little room. Given the size issue, I don't even know why they give me the gown thing. It's fastened in front and, having only two ties, I'm virtually naked from the waist up. I used to expend a considerable amount of energy trying to keep myself covered up in case one of the many nurses or Fellows or assistants show up. Going down the hall to the bathroom was always interesting. I'm shameless at this point. So many absolute strangers have not only looked, but touched extremely private parts of my body that I don't bother with modesty.

On mammogram days, I usually get back to my hotel room around 9:00 p.m., exhausted and starving. They make it impossible to actually eat anything substantial in a day always positively action-packed with waiting. In spite of all of this, it seems infinitely preferable to another day in Crazy Land. I know it will still be there waiting for me on Monday. But for the following three days, I can occupy my thoughts with more important things than back-stabbing attempts by co-workers, random rage attacks by others and my own weariness with it all. Bring on the hand crank. What a relief it will be. See you on Monday.

On The Other Hand....

Okay, well maybe not an up side. More like random thoughts that aren't quite so glum.

I'm back to some semblance of my old workout schedule. The good news: there really is muscle memory! The butt is making a comeback. The triceps--not so much. They need lots and lots of work. The rest of me is getting more muscular and my stamina improves every day. It was vitally important to get the muscle tone back to some extent so I can resume flirting with my oncology surgeon. That's such an odd concept--trying to flirt with a guy who regularly makes me lie down and then touches my breast (and now the new girl, I suppose). I have hair now, though. That's got to be an advantage. Yes, I will leave my husband. In a heart beat. Or a breast check, whichever.

I had a compliment from one of our contract employees last week. I always call him "The Ladies Man," although he's known by his peers as Killer, a tribute to his lady killer days. I've known him for years now, but he's still a looker. Killer told the Superhighway that I'm looking very sexy. I naturally thought she was making this up as a tonic to my poor physical self-esteem. Now I'm not sure. She looked pretty sincere. That used to be a thing that irritated the hell out of me--I always wished men would pay less attention to how I looked than how the brain worked. Now? It made my week.

I passed the compliment on to Hubby. Interesting how that made him actually see me again. After 30 years, in at least a couple of which I looked like absolute hell, we tend to take each other's positive attributes for granted. I don't care. I'd still leave him for surgeon noted above.

Should there be another post? Yes, I think there should. I write these long, verbose posts and I'm always afraid they're too long. They may become tedious. So next topic. I'm making up for my absence later this week. I can always tell myself that, anyway.

Another Month, Another Trip

I've got a trip to M.D. Anderson this week...it's never-ending. Bone scan and a visit with the ever lovely Dr. Ross. Even my great affection for him isn't quite a panacea for the stress extravaganza. I woke up four times last night. It never fails. Even when I'm not thinking about, my brain is working overtime with anxiety.

I think I get the month of July off, except for a visit to check on the progress of my macular degeneration. I fear the news will not be good because the eyesight in my left eye (the one most affected by the disease) has deteriorated. I can still see the grid I use to check md's progress, so that's good news. I'm tired of doctors and I'm tired of bad news.

In August, I have a follow-up with my radiation oncologist. He's here in town, so that's something, I suppose. August 29 is my next (and, I hope final) surgery.

In September, it starts all over again. I'll have to schedule a visit with my medical oncologist. I'll never forget the last visit after chemo ended. I told my doctor that I really like him, but I'd be thrilled to not see him again. Oh no, he told me, you'll be seeing me for the next five years, at least. Four times a year. My heart sank.

There will never be an end to this, unless they find a cure. I have my very own M.D. Anderson page on the web. A dubious distinction. It could be worse, though. As far as we know, there's no cause for concern. The Watcher notes the one-cell rule.

Just Another Bad Day

I'm having a bad day today, sitting in my office crying. Why? Well who the hell knows. I actually had to leave a minute ago and spend some time in the other building, sobbing. Then I walked around the block to make sure I wasn't carrying the Dreaded Fleas into the main building.

Today I guess I'm thinking of everything I've lost. It wasn't just a breast, it wasn't just a childhood, it wasn't even innocence. It wasn't any of those individual things. I'm not sure I can even enumerate them. And, after all, what would be the point of that? Sometimes hope seems so far away I have no idea of how I'll reach it, or if I ever will. Hope for what? If I knew, I'd be working hard to get it.

It's a bad day. That's all. One of the great things that breast cancer taught me is that it's just fine to cry. Furthermore, I couldn't stop it even if I wanted to. And I really, really want to. I'm a person who just gets up every day, hoping to learn whatever lessons the universe has to teach me, and I get on with things. Buck up. Get a grip. Move on.

I'm more composed now. Thanks for listening. I am now officially bucking up. I could do that a lot faster if I had chocolate, though.

Visit With Oncology Surgeon Slated

My next visit to M.D. Anderson is slated for June 21. It's a full day, though, so I'll be gone from June 20 through June 22. I'm going to have a bone density test, a mammogram and (I hope) see my oncology surgeon. Given my recent experience with my oncologist visit, I can't be sure about actually seeing my surgeon.

I love Dr. Ross. I'd leave my husband in a minute for him. He takes excellent care of me and he's one of the best in the world in his field. If I'm shifted off to a Nurse Practitioner, even if she's advanced, I'm going to be very, very unhappy.

If my insurance company and I are paying big bucks for the top of the line cancer treatment, why would I choose to not get it? Why wouldn't I see an actual oncology surgeon here? The answer is, I wouldn't.

So far, they haven't altered my schedule to reflect such a change, but I'm clearly going to have to monitor the situation. That's why I went there in the first place. Trust. I'd like to see my real surgeon, please.

Oncologist Appointment

I made a trip to Houston to visit my oncologist last week; it was just a standard "waiting and watching" kind of appointment. The blood tests were good–nothing to be concerned about. My platelets are a little low, some other cryptic stuff is high and I probably need to address some bone density issues. I had the beginnings of osteoporosis before I began chemotherapy and the treatments sped up that process. We’re not medicating now because I take a lot of medication already. I already take calcium with vitamin d, so I need to concentrate on getting more natural sources of calcium, in addition to addressing my anemia. These are small problems in the grand scheme of things. Thank you, kind friends, who were sending positive thoughts and prayers.

The seriously bad thing is that I won't be seeing my oncologist anymore. Ever. Unless I have some recurrence of the breast cancer. I get to see an "Advanced Nurse Practitioner." She seems like a very nice person and probably knows her business. My other meetings with nurse practitioners is that they don't necessarily have the level of information that doctors have. I have had wrong information imparted from my plastic surgeon's nurse practitioner, among others. Furthermore, I do not go to M.D. Anderson to see a nurse practitioner. It's expensive, it's grueling and I could see a real oncologist here.

The Department of Oncology needed to cut the budget and it was either we all see nurse practitioners or people were going to be laid off. The standard procedure was that patients saw the nurse, then the oncologist. All of that is gone now. The woman I saw said the oncologists were taking credit for their work. Hmm...maybe the oncologists were merely taking credit for their own work.

Obviously, I'm extremely unhappy with this turn of events. I'll have to make a decision about what to do now. Damn it.