A Cherry On Top

Prologue:  This blog has taken on a form of therapy for me.  This post, in particular, is very therapy-y.  So, get your wool sweater on, reading glasses down to the tip of your nose, and legal pad out.  I'm laying on the couch in your office, blabbering ....

Since I was can remember, which in my brain is about the age of 20, I've suffered from depression.  Not the kind of depression where you feel sad because something sad just happened. The kind of depression where you feel forlorn/tired/overwhelmed/despondent but nothing has happened.  This is weird thing.  It's impossible for "normal" people to understand and just as impossible to avoid the stigma that goes along with it.  In today's Western age of over-diagnosed/over-prescribed anti-depressants, I suppose the stigma has lessened but when I first began my journey with this, I felt helpless and alone.  Depression isn't cancer for example.  People don't empathize with you when you're depressed.  They say things like: cheer up, it will get better, and my favorite:  hang in there.  Since you can't see depression it's easy to keep it hidden.  Which is what I did.  And if I could just pat myself on the back for moment, I believe it did pretty well.

Depression is a strange and unpredictable beast.  It sneaks up on you when you least expect it.  Around hour 14 of laying in bed (a common place for me when the big D reared it's ugly head), I would begin wondering: what about people out there who have it WAY WORSE than me?  A majority of my twenties were spent grappling with embarrassment and shame.  I was ashamed to feel sad when larger problems are actually sad.  I often found myself thinking about the world and the enormity of it.  The magnitude of human suffering is so vast and atrocious... and here I was, a girl who had everything I needed:  access to more food than I could ever eat (thank you America), shelter- which wasn't being bombed, my village wasn't overrun with disease, a plethora of family and friends who love me... why the hell am I sad?!

So, what happened to change all this:  aging.  Sound the trumpets and sing joyous tunes.  The sliver-lining to aging is knowing yourself.  As I entered my thirties just a short 24 months ago, I began to really understand and know myself.  I was no longer lost in the excitement and constant rush of my twenties.  The depression began to abate.  Life became more tangible and coherent.  The coping mechanisms I used were needed less and less.  It is in this vein, my depression and I reached an understanding.  I recognized he was going to stick around but he realized that I'm on to him.  Insert evil laugh.  I'm no longer blind-sided by bad days/weeks/months.  I'm in control.  While these days still exist, they are now comprehensible and manageable instead of agonizing.

You may be thinking, why is she taking about depression? Isn't this blog about cancer?  The answer is simple.  Since cancer has been bestowed upon me, things have changed.  Perspective is a word thrown around a lot but it actually has meaning to one such as myself.  You would think depression is the first thing that someone feels when learning they have cancer, but not in this case.

When a doctor says the word cancer after you've been though a gamut of testing, nothing is the same again.  N.O.T.H.I.N.G.  Your face is unexpectedly jerked to the right because you've been slapped with a word no one is ever ready to hear.  You're immediately reeled the opposite direction as unknowns of universal sizes spread out before you.  And simultaneously, an impenetrable wall with the word MORTALITY graffitied across it manifests a mere two centimeters from the tip of your nose.  Your mortality stares you in the face and you can't out-stare it, or run, you just have to look directly back at it.  It's about this time you start to think, how the hell am I supposed to deal with this? 

Clearly, I don't know the answer to that.  Nor would I ever claim to.  I've tried some things that work and some that don't.  For example, retail therapy.  Yes, this is a fun way pass the time and it sure takes your mind off the fact you have cancer when you have to decide between the mint green or orange tank with these skinny jeans.... but then Capital One comes a calling and you realize that hiring a human therapist would have been cheaper.  Traveling was a great time!  I know how lucky I was to have a trip already booked two weeks out from receiving word that all my pain and suffering is cancer (not just a something silly as I assumed it would be).  This was great way to escape... for a bit.  Side note:  a huge thank you to Dr. Eadens for giving me the okay to partake in my trip.  Not that I would have skipped it, but I know it made my mom feel better to have the doc's approval.  (After she was initially mad at him for saying yes-- you should have seen her face, priceless.)  

I'm taking time to realize who I am and what I want and enjoying it.  I live in a city nestled up against the mountains.  When not doing one of the million things Denver has to offer, you head up to the Rockies to for the endless activities offered up by Mother Nature.  I love hanging out with my friends in ANY capacity.  Whether its climbing mountains, sitting around a pool, drinking wine on a rooftop, or picnicking in the park.  I find this amazing clarity around my people and it's electric.  I'm no longer adrift at social events, I feel how much people love me and how much I love them!  It's beautiful.  It's powerful.  I wish for you to experience this but since I had to get cancer to obtain this perspective, I won't do so.  The school I work at, am a part of, is overflowing with incomparable, remarkable people who are beyond the words I could put here.  My landing at Brown was so crazy and random and it was absolutely meant to be.  

The silver lining to cancer is falling in love with yourself.  I love me. 


Just Peachy: Part 2



Apparently a vacation four days after chemo is ill advised.  However, it is great way to spend some time at the Kaiser ER in San Diego.  If that place isn’t in the travel guides, it really should be. 

I'm awakened at 6:00 am to the harshest pain I’ve ever experienced in my life the day we’re headed to the beach and a baseball game.  Okay, worst pain ever might be a slight exaggeration but I’ve been with Tiff for the past week so all I know is embellishment – she’s rubbed off on me.  I couldn’t lie down, I couldn’t sit up, I couldn’t do anything.  I was overcome by sharp, driving pains in my abdomen.  I literally cried out every time one shot through my midsection.  It was awful. 

I called my oncologist’s office.  I explained to a nurse what is going on and after finding my oncologist she says,  “You should go to the emergency room.”  I'm astonished.  She retorts, “You sound surprised.”  Uhh, yeah I’m surprised!  I’m on vacation, I don't want to spend any of it in a hospital, and I don’t want to pay for a trip to the ER.  I decide to see if the pain worsens and if it does, go to the ER.  I also call Rene, nurse extraordinaire from my Interventional Radiologist’s office and leave a voicemail.

My pain meds have some adverse side effects so I avoid them.  In my fifth hour of "toughing it out," Tiff and I are bikini-clad and headed to the beach.  I cave and take a pain pill to make it through the rest of our fun-filled day.  We’re mere moments from the beach, sand in sight, and I feel too awful to continue.  Tiff flips a U-turn and we're headed to the ER.  

When in the ER with cancer, you get one of those blue, surgical masks to wear.  So as I sit in the ER, still wearing my swimming suit (plus cute cover-up... I wasn't 95% nude in the waiting room), looking like someone from the SARS epidemic that never happened, Rene calls back.  She informs me these pains are to be expected and I will have them for up to a year.  Ah, yes, sounds great.  So, should we leave?  No, stay and be sure everything is okay.  Alright.  

My name is finally called, I'm taken back into the abyss, blood is drawn, and I'm placed in a bed.  I'm given an IV and some more of my pain medication intravenously.  It makes me feel icky and I don't like it but the pain ebbs.  I receive my 90th CT scan of the past 4 months.  Minutes or hours pass, I'm too drugged to understand time.  Around 8pm I'm of the philosophy I'll stay in this hospital room forever, continue to receive pain meds and live a happy life in the San Diego Kaiser.  The doctor returns to report the pain I’m experiencing is from the tumors emobilizing or breaking down.  The chemo is working.  (The next person who says, "That's great!" is getting punched in the face.  Not really but you get my point.  I'll agree that it is in fact good news, but the pain these dissolving tumors are causing me is otherworldly.)   We are to pick up a prescription for Percocet at the pharmacy before we leave and I'm going to get some intravenous morphine before they discharge me.  I think these are greatest the things I've heard in my life, shake his hand, and smile as he leaves me forever.  I wonder as the nurse enters shortly there after and takes out my IV but about but I just let it happen.  He returns with some paperswork apologizes,  "The doctor ordered some morphine but I didn't see it.  Sorry, I took out your IV too soon."  No morphine for me.  Sad face.  

As Tiff wheels me down the hall towards the pharmacy, I'm feeling terribly ill.  The pain meds are making me nauseas and incredibly dizzy.   When we finally arrive at the car, it's dark outside.  I ask Tiff where the time went.  Upon arriving at the hotel, I notice the Percocet bottle reads:  contains acetaminophen.  I'm not allowed acetaminophen because it metabolizes in the liver and clearly my liver is already in distress.  My trip to the ER yielded these results:  pain meds that made me sicker.... a pain script I can't take.... another bill…. an entire day of my vacation wasted.  Double sad face.   

Lesson learned from my mistakes: don't travel immediately after chemo.  Who knew?  Guess this blonde didn't get the memo.  All was not lost in the end.  We still went to the beach and a Padres game, just 24 hours late.  Then we drove to Vegas to say with our third sister, Jenn.  Day after ER=success! 

Cancer/Chemo, you can't keep this girl down.  So stop trying.   




This post is dedicated to my sister, Tiffany.  Best Sherpa Ever.  Thank you will never be enough for hauling around my luggage, taking care of me, and generally ignoring how crazy I am.  Also, for putting up with cancer-hieghtened OCD for an AMAZING trip.  I love you more than you'll ever know.