Today I got the answer, which was… no answer

I have some stories from the last few months of chemotherapy. I intend to tell them here someday. Maybe even soon. That first day I learned what “Red Man Syndrome” is. It’s pretty rare, apparently. I have marks on my skin, slowly fading, that are echoes of the burns inflicted on my veins. I have thoughts, now, about hospital food.

But today was, I thought, the beginning of the next chapter. I sat down with my oncologist to discuss life after chemo. I expected he would schedule another scan to measure the success of the drugs, as well as a shift in regimen to fit my current circumstances. Instead what I got was much less… page-turny.

There is one number I live and die by, and that’s PSA. That number is very low now, and apparently as long as it stays low, I’m just coasting. I will never not have cancer. Remission is not to be hoped for. But if that one number stays low, then I may have a chance to die from something else instead, preferably a long time from now.

I was expecting today to hear “Here’s our plan of action!” and instead I heard, “there will be no action for the foreseeable future.” That’s actually a GOOD THING (I keep telling myself). Much better than “shit, I guess we better try something else.” On the other hand, the fact that there will be no full-body scan recognizes that even though we know there is cancer all over the place, exactly where doesn’t matter. That information is not actionable.

The number, PSA, will be measured every month for at least the next year, when I go in for my bone-strengthening goo (the goo slows the spread of cancer in the bones, as well as shoring up damage from the chemo). After that, the measurement might be quarterly.

It’s going to be very difficult for me to not obsess over the number (the measurement on the blood sample taken this morning STILL ISN’T IN YET), but perhaps it will be even harder for the Official Sweetie of Muddled Ramblings and Half-Baked Ideas. The number will be good until it isn’t, and we can drive ourselves crazy anticipating that ominous measurement, or we can just get used to the fact I have cancer and always will. The barbarians are in the forest, and it is only a matter of time until they rush the gate again. All we can do is watch closely and be prepared for when that happens.

The chemicals I ingest each day are getting nicknames: “Abbies” and whatnot. This is my life now, being gently awoken each morning by Official Sweetie to take my Abbies while my stomach is empty. Filling the pill planner each week (more about that later). Going to work like nothing ever happened. Maybe even writing again. Who knows?

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1 thought on “Today I got the answer, which was… no answer

  1. As I go into a potential health spiral (knee surgery put off because of heart, leading to more immobility, leading to worse heart health …), I remind myself that I’m already near the end of my actuarial table, and even if it all goes relatively quickly, it’ll still get me to most of my birth-time life expectancy. Just remember that the alternative was never immortality, just more time, some of which we all waste (and I have a few shared Fridays to prove that).

    I hope you get to choose your death, but it’ll come for all of us, more sooner than later. After the double dose of fentanyl for the heart probe, I have every intention of dying in hospice, as a junky (someday, not soon).

    And that’s as close to chipper as I get.

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