Monday, April 30, 2018

Schnauzer Hair, Sweat, and Singing for Joy

Well, in my last post I wrote that my hair wasn't really long enough for me to go without hats, but within about 36 hours of posting that I decided, "Oh, the hell with it!" I was so tired of wearing hats all the time! So I just stopped.  My hair is still very short, but I have been surprised at how many compliments I have gotten on it as if it were a style I chose, and not one the chemo chose for me.  I'm still going to let it grow at least a bit longer, though.

The color is more salt-and-pepper than it was, because the darker hairs that used to be brown are growing back in a kind of charcoal black.  And the texture is a bit weird, kind of frizzly and fluffy.  A friend offered the perfect image: I'm growing Schnauzer hair.  See for yourself:





I have an appointment next week for my second haircut (the first was really just cleaning up the edges some). So even though it's growing very very slowly, it is growing.

On the lighter side of cancer treatment (Gallows Humor Dept.): I received a survey form from the good folks at Medicare seeking my feedback re my experience of cancer care.  I was particularly struck by the passage that said it was very important for them to get responses from all kinds of patients, so if I'm dead, would I please ask a friend or family member to fill the survey out for me. Well, I paraphrase slightly.



A bit of good news: I went back to the lymphedema specialist, after a long hiatus caused by first the taxol rash on my arms and then radiation, and the word is that as of now I do not have lymphedema in my arm--yay! Though I do still have to take certain precautions against developing it, which I will.  There was some swelling in the breast itself, and I learned that I am at risk for fibrosis developing from the radiation, especially in the next two years.  Fibrosis can be a contributing factor to the development of lymphedema. So they taught me a special massage routine to use to drain the swelling, plus prescribed the wearing of a special compression bra with a weird compression pad in it.  Quite effective, and not uncomfortable, but just strange-feeling to wear.  The garment is very, very, shall we say, comprehensive, as lymphedema can affect the back as well.  I refer to it as my Iron Maiden bra. 

Another bit of good news: I have completed the special oncology exercise program and am now fully  back at Personally Fit, where I had been working out for three years before my diagnosis.  And as of last week, I am fully up to speed, doing 35 minutes of vigorous aerobic exercise 5 days a week plus a half an hour with my personal trainer Janet on 2 of those days, focusing on strength, balance, and flexibility.  The folks at the oncology exercise program were perfectly nice, but Janet knows the quirks of my particular (decaying) body.  It's so good to be working with her again!  And the exercise feels terrific. 

It occurred to me, the first time I worked out with Janet and she gave me balance exercises to do, that some of the increased unsteadiness I have been experiencing may be due to simple muscle atrophy from not doing this kind of training for 7 months while I was in intensive treatment.  So maybe as I strengthen those muscles again I will regain some of the balance I seem to have lost--i.e., maybe it's not all due to increased neuropathy after all.  Fingers crossed.

I celebrated the much-delayed arrival of spring and my own returning energy by planting three little parsley plants in my back garden when I got home from PFit this morning.  So good to dig in the dirt. 
My energy level is so much better than it was at the low point that I tend to forget that I am still very much in the convalescent stage, and I get caught by surprise when I suddenly run out of steam from time to time.  So I am still very conscious of making energy-budget decisions about what I do and don't do. One new thing, though, I am considering doing: singing lessons.

At church yesterday singing Easter hymns, I noticed myself consciously employing skills I learned years ago when I took singing lessons for a couple of years when our sons were still kids.  And I reflected that singing is, among other things, a physical skill.  Just as I am enjoying the feel of the exercise again, I would also enjoy building the physical skill of singing.  And while the exercise is partly for pleasure, partly by prescription to reduce the odds of recurrence, the singing lessons would be purely for my own delight.

I don't have a great voice, and I have a rather poor ear for music, but I derive great pleasure from working to improve what capacity I have.  I have spent so much time since my diagnosis doing physically demanding things out of grim necessity; it feels really really appealing to invest in physical effort for sheer joy.

I've made an initial contact to see about setting up some lessons.  I await a callback.

Tuesday, April 10, 2018

Back in Ithaca, Re-making My Mosaic

You may remember that I reflected on the Odyssey a few posts back in this blog, seeing resonances between Odysseus's journey and my experience of cancer treatment. Well, I am continuing with my re-read of the Odyssey sparked by writing that post.  I'm up to Book 18 out of 24 (the epic is divided into Books, equivalent to chapters).

I tend to think of the Odyssey in terms of Odysseus's hair-raising adventures on his journey home from Troy.  But it is instructive to notice that 12 of the 24 books of the poem take place after he gets back home to Ithaca.  In other words, even when the traveling is over, he can't just resume the life he left.  He has work to do to construct a new life in a profoundly changed reality.

That's me right now.  I am gratefully shedding more and more aspects of "being in cancer treatment" and happily moving on to "just living." But it's not a simple matter of "getting back to normal." To shift metaphors, it's as if pre-diagnosis life were a mosaic.  Cancer diagnosis and intensive treatment ripped up all the tesserae (the little square tiles a mosaic is made of) and shuffled them around.  Now I am engaged in gathering and sorting the tiles, and using them to make a new picture.  It has most of the same colors and proportions of colors, but some tiles got lost, and some new tiles have been added, so the picture won't be identical to the old one.

So, for example, a number of people have said to me, in tones of congratulation, "So, you're all done now!"  No, I'm not all done.  I still have a port implanted in my chest, and I'm still getting an infusion of herceptin through that port every three weeks, and dealing with the side effects of the herceptin.  Yes, they're relatively trivial compared to the side effects of the chemo and the radiation (watery eyes, drippy nose, fluid retention and puffiness).  But they're there, they're with me every day, and they didn't happen before this adventure began. They give a different texture to my life, and they won't go away until I finish with the herceptin at the end of September.  (The good news is, as of yesterday I have passed the halfway point with the herceptin--yay!)

I also began anastrozole, the hormone blocking pill I will have to take for 5 years, and am now a little over 5 weeks into that experience. I have not really noticed any side effects from it so far, but I also note that online patient forums suggest some side effects may not show up for several months.  So I live with the possibility that I may have to deal with some down the road, and for a long time.

New tiles in the mosaic. 

More new tiles: While the neuropathy I experienced in my fingertips towards the end of chemo seems to have gone away completely (yay!), the neuropathy I have had in my lower legs and feet for many years seems to be permanently just a little bit worse thanks to the chemo, and my reflexes (to recover when I start to lose my balance) just a bit more diminished.  I have experienced a little more unsteadiness on my feet, and I had two falls in quick succession, one bad enough to lead to x-rays of my right foot and right ring finger.  No fractures, and both have healed up almost entirely, I'm happy to say.  But I have had to become more diligent about using my trekking poles and more vigilant about developing the habit of visually observing where my feet are (since I don't get nerve feedback from them). New tiles, new colors.

But to balance all that, I do have a lot of good news to report! 

Number 1:  I have hair!  Not a whole lot, true, but when I look in the mirror, I see a head with hair, not a skull with sprouts.  It's a start.  I'd say right now I have more hair than Jeff Bezos, but less than Mark Zuckerberg.
Jeff Bezos, founder and CEO of Amazon
and owner of The Washington Post.
A major bogeyman in Donald Trump's eyes.

Mark Zuckerberg, founder and CEO of Facebook.
A major bogeyman in lots of people's eyes,
thanks to the Cambridge Analytica mess.

I'm getting really tired of wearing hats all the time, but I'm still not quite ready to go out in public without one.  Especially since apparently we're never going to have a real spring this year. My head gets cold! I don't understand how bald guys do it.

"Spring," allegedly.
Taken yesterday morning.

Number 2 good news: My energy level is way way better than it was, and so is my stamina, especially since I've started exercising again.  I've been doing a special oncology exercise program run by folks trained in how to deal with things like lymphedema risk.  It's twice a week, and next week will be my last week of it.  Since my oncologist's guideline for exercise, to minimize side effects and lower the risk of recurrence, was 30-40 minutes of vigorous exercise 4-6 days a week, I have been working toward that by adding cardio days at Personally Fit, where I had been working out regularly before the diagnosis.  I find myself increasingly antsy to be done with the oncology exercise program and get back to working with my trainer at PFit.  So I went ahead and contacted her and set up a series of appointments for as soon as I finish the oncology exercise program.  And meanwhile, when I go there to do my cardio days, I am so warmly greeted, both by staff members and "regulars" I have come to know by sight over the years, that it is very gratifying and motivating.

Number 3 good news: A lovely weekend visit over Palm Sunday weekend by my sister Anne from New Orleans and my niece Joan with her 14-month-old daughter Hazel from Houston.  I really don't quite feel ready for air travel yet, so it is just such a treat that my sweeties are willing to come to me--Peter and Henry back in December, Anne and Joan and Hazel just now, and looking forward to Nick and Katey and their two little girls next month. 

I'll close with some pix from Palm Sunday visit (they were all in shock at the weather!).

Hazel with her momma Joan at the airport
on their way to Dayton.

Anne and me riding the Mikesell's Potato Chips 
delivery wagon on the Carillon carousel.

Hazel and Anne at Carillon.

A cherished family tradition is passed on:
Anne helping Hazel explore the antique toy stove
that belonged to Michael's grandfather,
that every baby thereafter has played with.