Cancer Ever After

Musings on Infertility, Adoption, Parenthood and Cancer

Will They or Won’t They- Treatment #2?

It’s been a whirlwind- all those many, many bottles of pills did not turn my bowels into an obedient child as promised. This is a problem. Wednesday rolled around and my every other day calls, turned into daily updates.

Operation bowel watch- it’s real.

And somehow in the middle of this, we had a gross miscommunication.  I was told my chemo treatments would be on Thursday, but my “sheet” had my appointment for Wednesday. I missed the change.  So as Wednesday rolled around, imagine my surprise that I am calling my onc for my daily update as they are calling me to find out where I was.

Given operation bowel watch- was a watch, not a status update, the determination was made to cancel my chemo for the week. This came as a huge surprise, I didn’t imagine a treatment would be canceled this soon, and due to constipation.

I called the nurse, and clarified under what conditions they would be willing to go ahead with a treatment. It was pretty simple, my bowels had to cooperate.  They finally cooperated at the 11th hour and I called the nurse bright and early Thursday morning to beg to have chemo this week. Can you believe I was begging to have Chemo?

They couldn’t do Thursday (as we had originally discussed but they could do Friday).

Chemo #2 was a go!

 

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Nectar of the Gods

So far, the worst part of treatment has been managing the side effects from the medicines. At this point, I think you could say my side effects have side effects. One of my biggest challenges is getting enough liquid in.

I have a complicated medical history and getting enough liquid in was an issue prior to treatment for a variety of reasons. With chemo, this has gone from a small problem of “I can barely get enough liquid in,” to a crisis of epic proportions.

Two of the possible complications from the medicine are constipation and diarrhea. Maintaining a healthy amount of liquids is paramount to maintaining a balance between these.

I guess you could say my inability to drink anything has led me to the bowels of despair.

What? Not funny? Trust me, if you were my bowels over the past week you’d be howling with laughter over this. I just spent $50 on a variety of medicines my doctor thinks will turn my bowels into an obedient child, and am now on “bowel watch.” That’s right, folks, my BMs are so important that I get to check in every other day until we find the magical mixture to balance the pendulum.

Thank you, chemo, I didn’t already talk about shit enough in my life.

Oh, wait? Was it just this morning that two little girls shouted “Poopie butt–hee, hee, hee” across the table at each other? I guess I do talk about poop plenty already. Since I’m already obsessed with the daily BMs of three people, why not add a fourth to the mix? At least I’m not in diapers.

Back to liquid. Water tastes disgusting. I can’t drink anything carbonated. Flavored waters have always grossed me out. Gatorade–depends on the day. Ice-cold seems to help. Don’t ask me why, but cold seems to mask the flavor.

And now I’ve found it: the nectar of the gods. McDonald’s iced tea. Just enough flavor to mask the dead raccoons/metallic blech in my mouth, and not enough flavor to cause my nausea to turn into a full-body rejection.

If you need to find me during the next four months, I’ll be in line–at McDonald’s.

 

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Port That You Say?

In the cancer world, to port or not to port is the question. Prior to my diagnosis, I didn’t even realize this was a question. Don’t get me wrong; I knew what a port was, I just assumed it was standard. In fact, during my not-so-short hospital stay for my pregnancy, I begged for a port so that I could forgo my twice daily blood draws.

Ports aren’t universally recommended, depending on the type of cancer and your length of treatment. I’m swimming in a cancer world now. My boss and one of my coworkers at my very small company both also have cancer. For my boss, his cancer is more advanced and the treatment options are limited, so they wanted to hold off on the port as long as they could due to the possible increased risk of infection. For my coworker, it was assumed she’d get a port because the drugs are that hard on the veins and her treatment course was very long.

Me, I live in that gray window. The drugs are harsh, but my treatment is considered pretty short by chemo standards. It was up to me.

Sign me up!

My oncologist barely had the chance to utter the question before I said, “Port, please!” I’ve been there, done that when it comes to blood draws. I’ve had daily, I’ve had gallons taken at once (okay, 19 vials), I’ve had bad sticks where they blew through three veins before they found a good one. IVs are difficult on me because I have small veins. One of my juiciest veins is on a nerve, and I’ve gritted my teeth and accepted the pain every other day for five weeks as they stabbed at it to keep my babies in me longer. Having a port would make this unnecessary.

This was the extent of my conversation about getting a port.

Big Mistake

My port surgery came and went without a hitch. It wasn’t until after the procedure that a key little nugget of information came to light. I couldn’t lift any of the kids, because I wasn’t supposed to lift over ten pounds. WHAT??????? We had no help arranged. I’d considered this a minor procedure, and given the number of procedures and surgeries I’ve had over the last five years, it didn’t even register that there would be any issues other than normal recovery afterwards.

A port doesn’t exactly work like that. I don’t fully understand why, but when they put the port in your chest and then loop it into a vein, it makes your body go haywire. It was excruciating if I accidentally lifted my arms to about chest level. I couldn’t have lifted ten pounds if I wanted to. My arms ached randomly (and still do sometimes).

They sent me home with orders to take Tylenol if I felt bad. I went home and ran for my stash of pain pills from my last surgery. They became my lifeline for the next few days. Luckily, my in-laws rallied and helped with the kids.

Later, I learned that my experience was one of the BEST for port placement. My coworker said hers was more painful than a mastectomy and ached for weeks. Most said the excruciating pain lasted a week or two. Why did none of the doctors mention this? Once again, I realized it’s up to me to ask the questions.

Technically, I wasn’t supposed to lift the kids for ten days. Big surprise–I lasted three. Who are they kidding? I actually think this helped me. The movement made my aches go away. I also slept in a bra because I found this helped to minimize the pain at night.

I need to remember what helped the most during infertility: it’s up to me to ask the questions and up to me to advocate for myself and my family.

 

 

 

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The Fight of My Life

The battle lay before me, and I tried to steel myself.  Tim and I looked at each other and reached out to hold hands.  You could visibility see ourselves gird our loins.  It’s a battle we fight nightly these days.

It didn’t use to be this way.  Before.

Bedtime.

Before the twins turned two, bedtime was a bit of peace after a hard day at work.  It was something we looked forward to.  Bedtime meant singing and cuddles and then my girls crawling obediently into bed, while I went and rocked the baby to sleep.

These days, bedtime has turned into a war of wills. If we don’t time it perfectly, there is a battle over getting dressed, getting hair brushed, brushing teeth, taking a bath, not taking a bath, reading another story, rocking, not rocking, mommy singing, mommy not singing.  Anything is game depending on the moods of my little dainty dictators.

Last night was a doozy.  I misjudged the level of exhaustion in my children (Baby H was simply not tired, H and P1 were ridiculously overtired.) This simple misjudgment turned the three minutes of getting jammies on into a 30 minute battle of wills with tears, hairpulling and over-the-top wails.

For ease, one of us usually takes Baby H while the other does bedtime with the twins. Normally this isn’t an issue.  However, our twins have taken it into their heads to pick which parent is theirs.  I’m P1’s, Daddy is H’s.  On a rough night like last night, there are meltdowns if each kid doesn’t have “their” parent rocking them for bedtime.  Queue meltdown.

Bedtime was 60 excruciating minutes of tough love, comforting, rocking and trying to get a very untired baby to sleep.  We both were completely wiped by 9:00 p.m.  How that hell are we going to manage this if I’m sick?

These days happen.Bbedtime is sometimes a breeze, and some days it’s the seventh level of hell.  That’s life with a toddler. Their moods change faster than the wind.  This is my worry and my fear.  Normally, I reach deep and try to maintain calm in the midst of all of this chaos.  I’m not sure I can do this if I’m nauseous, exhausted (more so than the norm), or in pain.

Time will tell.

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“Mommy are you tired?”

My heart broke the first time I heard these words from one of my children. Even though the surgeries have been small, they’ve taken their toll. I’ve been tired, been under lift restrictions (no more than 10 pounds), and on some days, been simply wiped in the evening when I normally play with the kids.

This won’t be the last time I hear this, but hearing it for the first made me want to cry. We were simply sitting at breakfast, doing our normal morning routine of laughter and chaos. I wasn’t doing anything out of the ordinary. I think H was asking to gauge my mood for the day. When I said, “No, Mommy isn’t tired,” she gave me the biggest smile.

I know that I’ve been more short-tempered in the evening. Two-year-olds can be trying on a good day. Potty-training twin two-year-olds while going through a cancer diagnosis has proven to be trying on both my husband and me. Would we have been this irritable and lose our cool this often without all of the medical mumbo-jumbo going on? I’d like to think no, but it’s hard to say how much cancer is changing our parenting and personalities.

H has noticed the most. She’s my watcher and observes everything. She asks questions obsessively to see if there is going to be a change in our routine. “Mommy go doctor again?”, “Mommy still have owie?”, “Mommy hurt?”, “Mommy not happy?”

We’ve already began to notice some behavioral changes over the past week. H has been solid on the potty-training for a while and though that still seems to be going well, she’s just more clingy. She keeps asking to be rocked and held. She now holds back and stays next to me when I do drop-off at daycare instead of running to her friends. Normally, I would assume she was sick, but we aren’t seeing any signs of that. We think she just senses a change is in the air and needs reassurance.

Baby H struggles with Mommy not always being able to hold him. And hitting my port constantly. He’s learning to walk and if I’m not ever-vigilant, he will, without fail, hurl himself hands-first on my port and I can’t help but yelp in pain (which confuses him and often makes him cry). Luckily, the scar is healing and this is no longer excruciating.

Outside of dying, these changes are my biggest fear. I fear not being the parent I want to be because I’m simply out of reserves. I can’t wait to get my first chemo session under my belt so that I can figure out how we make my treatment seem seamless to the kids while using friends and families to distract them from the normal things Mommy isn’t doing that day.

I know they are resilient and I take comfort in the fact that they are too young to remember me going through this, but I’m their mom. I worry.

 

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