Oct 24 the vedict

The cancer has grown larger
Despite being pumped with poison for the last 3 months, the cancer kept on growing. Like it's wearing a chemo proof poncho and the poison just diverts around it. I always hated ponchos. Stupid ugly things. I hate nasty cancers even more. I guess there is a hierarchy of hate.
Actually, I think I'm going to name it Batfink - "my wings are like a shield of steel" (if you dont get the reference, feel free to look it up) The liver metastases are unchanged, I'm calling them The Twins, after that movie with Danny DeVito. So, Batfink and The Twins. Bring it on.

My cousin came with me to the oncologist. He didnt know it was just to pick up the pieces if I lost my shit completely. Luckily for all concerned I didnt. I gotta say, I really do have the best relatives. Thanks guys.

So the plan is to try shrink Batfink with a course of radiotherapy before he gets to the nerve plexus (and then I will know pain like never before) so I'm on board for that plan. Then with time, if needed, we can try biopsy again for tissue genetics. Ok, I can live with that. And, Batfink, wings of steel aren't lead...

Next week I have an appointment with the radiation oncologist. I understand radiotherapy is likely to be a daily dose commitment for 6 weeks. So it seems my journey is to experience all modalities of cancer treatment. That does appeal to the scientist in me. But oh man, staring at more insides of barrels every single day. Might be a bit much for my sanity. I wonder if I cram a little tub of paint into my jeans pocket, and do a little finger painting of the inside of the barrel, do you think they might notice?

Home. Hoping I can hang around here a bit longer.




Oct 22, what was chemo really like?

 Yesterday I spent most of the day in hospital again. Big test day. Same old deal, I walk in, get mobbed by nurses to stick a drip in my arm, then endless waiting and minutely examining the inside of the scanners. Well, after a while, the inside of one barrel starts to look like another...and who was the ass who designed their trolleys, man, so uncomfortable, I swear they're like 30 cm wide so the entire time in the machine you are trying to not fall off! At least it gives you something to do.
Anyway, the point of the scans was to see how effective the chemo was, which I find out in a few days at the oncologist. I can't bring myself to have a sneak look, I think I'd rather not know. Why spoil a perfectly good day? I'll write in a few days with "the verdict"

To pass the time, I thought I would bring you up to date on what having chemo was actually like. Let's just say, it got worse as time went on. You all know I have a master's degree in exaggeration, I'll bite my tongue and refrain from that hype, but I am going to execute my PhD in whining to the full, so be warned! And I also suggest if you are going to read on, don't be eating...

Bleeding
This was unexpected, as in I wasn't aware it would be an issue beforehand. For 3 months I blow my nose to a blast of blood. I wake from sleep not able to breathe because my nose is full of dried blood clots, sometimes I've bled on the pillow as well. So I try to gently pick the clots from my nose, so I can breathe again, which makes a mess, I have to get up and wash. This happens several times a night. With practice, I managed to get this done within a few minutes and able to get back to sleep before I miss the circadian window. I know, it sounds so ...trivial... but turns out its a major quality of life factor. So dummy, why don't you just mouth breathe? Because I cant, feels like I'm suffocating!

Fatigue
I am lucky exercise sessions were Tuesday and Thursday. Tuesday I was at my best because it was 6 days after chemo and Thursday was the day after chemo, so the side effects hadnt kicked in yet. Friday and the weekends were quite different. I could barely move. I just wanted to lie down all day. I could push myself if needed, but it took it out of me. Sometimes just walking to the toilet had me puffing for breath and my heart pounding my chest wall. It was erratic. Sometimes I get a burst of energy, sometimes I couldnt even lift my arm to grab the remote to change channels on the tv. Its hard to convey how disabling it was, just a pervasive couldn't be bothered with anything...
Fortunately by Sunday afternoons I was beginning to perk up again. The shortness of breath and palpitations freaked me out that it was my heart causing it, I tried to test if they were activity related or not, but the symptoms were too inconsistent to be sure, so I discussed it with the oncologist and we ended up doing a chest CT (which was fine of course) Nevertheless, I sleep with the keys in the front door, in case I need to call the ambulance, so they can let themselves in. Over-reacting much?

Bowels
I was warned I would get constipated, and oh boy, 3 days after chemo, when I could finally shit, and I passed a brick which ripped my ass on the way out, judging by the sudden pain and blood everywhere...then it hurt for days whenever I tried, just beginning to settle when I had my next dose and the cycle started again. So, clever me, decided to try a stool softener. Ha, still shit a shotput, then followed by days of diarrhea, occasionally unannounced (because who knows what I had done to the nerves in my ass) and yes, occasional soiling. Great. Decided the remedy was worse than the condition. Oh my poor ass. I will never snigger at old people discussing their bowels again.

Taste
In the interests of science, I did a study of random foods. Here are the results:
water - faint saltiness, like my gums are bleeding, except they aren't
coffee - chalky dishwater
mango - chalky, somehow with both a tinge of salt and a hint of sweet
chocolate - chalky mush, hint of salt again like my gums are bleeding
spoonful of honey - texture remains what I expect, but tastes like the mango, chalk with a hint of both salt and sweet
feta cheese with balsamic vinegar dressing - chalk with cardboard
beef and onion stew - the onion tastes like unflavored jelly, the meat like paper mâché with a slight salt aftertaste
greek salad with lettuce, tomato, cucumber, olive, feta, oregano, olive oil & vinegar - very subdued, but a hint of the base flavours. Edible! (just)
Yeah, I guess you can draw your own conclusions. Is anyone surprised I have lost a full one quarter of my body weight? Not my recommended weight loss regime

Others
I put these here because they didn't really affect my quality of life
Hair loss
Yeah, I guess the one everyone expects. I lost most of the hair on my head, chest, legs. But what freaked me the most was losing all the pubic hair. Its not my thing. Oh, and I lost my beard /stubble, I only shave once a week instead of 2nd daily. Yippee. And showers are a lot shorter! The downside is that I think due to the slow growth I am getting hairs trapped in skin, so little pimples all over my scalp. Lets see how that goes...
Nerve pain. 
Every now and again, I get a sharp stab down my arm or leg. Usually when I am sitting still. It leaves a residual ache, lasts about 5 minutes. Doesn't happen often but its quite disconcerting. 
Fluid retention & others
swollen legs, dry skin, sore nails- par for the course

OK, I wrote all this down so you can experience it vicariously. Hopefully no one reading will need chemo! 
The saddest thing is, I know this is minor shit. I am going to look back at these symptoms and consider them the "good old days" Maybe its just buttering me up for what I have to face. I imagine that sometime in the future when I am furiously pressing my morphine pump to try get just a little bit of pain relief, and after spewing for the hundredth time that day, anything tasting like chalk will seem a godsend...

Oct 09, almost done?

Today is session 8. Chilly sunny morning, hospital a buzz of people. I get a window view on the ward again. I think they know me!

My nurse today was X***, she was great. Filipino, married, 3 year old son (actually I didn't get all of that myself, I eavesdropped on the little old lady in the pod behind me interrogating her...) Anyway, no sooner had the poisoning begun, then my nose began to bleed. "oh you have blood running down your face" the nurse points out. Practical. 

So picture this - my right hand all wired up with drip and tape, my left hand squeezing tissues and my nose, all the while I am trying to read my ebook. Not very successfully I might add. Of course I couldnt stop the bleeding, anticoagulants remember? So I kept pressing for pretty well an hour. At one stage, during the second infusion, I had a hot pack added to the mix, so it became right hand, drip and hot pack (and bloody sore) and left hand squeezing my nose with an ice pack. Shame I couldn't take a selfie for you all. 
Actually, turns out there is a story behind that hot pack. Policy is they are not allowed, but the nurses had hidden a stash which they bring out surreptitiously. The nurse looks round to make sure the coast is clear before she produces the contraband item. 
Gloriously dodgy brothers. 
I have to say I never realised how ridiculously hard it is to giggle when squeezing your nose and you have blood running down your face! The poor nurse had to clean me up as I had dried blood on my chin and lips, so I wouldn't frighten the punters. Dracula...

So you gather I had fun today. Yes I eventually stopped bleeding. Not so fun was the discussion with the oncologist. I pointed out my increasing shortness of breath and maybe chest pain on exertion, and whether I should see the cardiologist. So first I am having a CT next week (more friggin' tests) to rule out pulmonary embolus or scarring of the lungs due to the chemo. Lovely. Let's see how that show plays out, and we all know the answer to that don't we? The doctor's curse....

Oh, before I go, I must thank Anne for loaning me the back massager. Poor lady came to visit me and I put her to work massaging my back with my little 3 prong contraption. (We go back 20 years almost, I thought I might get away with that request)
"I have a chair attachment that does this" she says. "Do you want to try it?" 
At this point I'm salivating. "Only if you really dont need it" 
It's a godsend. Shiatsu function. My spine thanks you. 
I thank all my friends, relatives and colleagues for their offers of help. I love you all. You know I'm shameless right?
Port Wine Magnolia, smells heavenly, shame I cant smell at the moment!