"The Crickets Have Arthritis"
Shane Koyczan
It doesn't matter why I was there, where the air is sterile and the sheets sting. It doesn't matter that I was hooked up to this thing that buzzed and beeped every time my heart leaped like a man who's faith tells him God's hands are big enough to catch an airplane, or a world. It doesn't matter that I was curled up like a fist protesting death, or that every breath was either hard labour or hard time, or that I'm either always too hot or too cold. Doesn't matter because my hospital roommate wears star wars pajamas, and he's 9 years old. His name is Louis, and I don't have to ask what he's got. The bald head with the skin and bones frame speaks volumes. The gameboy and the feather pillow booms like they're trying to make him feel at home because he's going to be here awhile.
I manage a smile the first time I see him and it feels like the biggest lie I have ever told, so I hold my breath cos I'm thinking any minute now he's going to call me on it. I hold my breath because I'm scared of a 57 pound boy hooked up to a machine because he's been watching me and maybe I've got him pegged all wrong, like maybe he's bionic or some shit. So I look away like just I made eye contact with a gang member who's got a rap sheet the length of a lecture on dumb mistakes politicians have made. I look away like he's going to give me my life back the moment I've got something to trade. I damn near pull out my pack and say, "Cigarette?"
But my fear subsides in the moment I realize Louis is all show and tell. He's got everything from a shotgun shell to a crow's foot and he can put them all in context. Like, "See, this is from a shooting range", and "See, this is from a weird girl". I watch his hands curl around a cuff-link and a tie-tack and realize that every nick-nack is a treasure and every treasure has a story, and every time I think I can't handle more he hits me with another story. He says, "See, this is from my father" "See, this is from my brother" "See, this is from that weird girl" "See, this is from my mother". Took me about two days to figure out that weird girl is his sister, it took him about two hours today after she left for him to figure out he missed her. And they visit every day, and stay well past visiting hours because for them that term doesn't apply. But when they do leave, Louis and I are left alone. And he says, "The worst part about being sick is that you get all the free ice cream you ask for." And he says, "The worst part about that is realizing there is nothing more they can do for you." He says, "Ice cream can't make everything okay."
And there is no easy way of asking, and I know what he's going to say but maybe he just needs to say it, so I ask him anyway. "Are you scared?" Louis doesn't even lower his voice when he says, "Fuck yeah." I listen to a 9 year old boy say the word fuck like he was a 30 year old man with a nose-bleed being lowered into a shark tank, he's got a right to it. And if it takes this kid a curse word to help him get through it, then I want to teach him to swear like the devil's sitting there taking notes with a pen and a pad. But before I can forget that Louis is 9 years old he says, "Please don't tell my dad."
He asks me if I believe in angels. And before I realize I don't have the heart to tell him, I tell him, "Not lately." and I just lay there waiting for him to hate me. But he doesn't know how to, so he never does. Louis loves like a man who lived in a time before God gave religion to men and left it to them to figure out what hate was. He never greets me with silence, only smiles and a patience I've never seen in someone who knows they're dying. And I'm trying so hard not to remind him I'll be out of here in a couple days, smoking cigarettes and taking my life for granted. And he'll still be planted in this bed like a flower that refuses to grow. I've been with him for 5 days and all I really know is that Louis loves to pull feathers out of his pillow, and watch them float to the ground. Almost as if he's the philosopher inside of the scientist ready to say, "It's gravity that's been getting us down."
The truth is: there's not enough miracles to go around, kid. And there's too many people petitioning God for the winning lotto ticket. And for every answered prayer, there's a cricket with arthritis. And the only reason we can't find answers is because the search party didn't invite us, and Louis, right now the crickets have arthritis. So there is no music, no symphony of nature swelling to crescendos, as if ripping halos into melodies that can keep a rhythm with the way our hearts beat. So we must meet silence with the same level of noise that the parents of dying 9 year old boys make when they take liberties in talking with heaven. We must shout until we shatter in our own vibrations, then let our lives echo and grow, echo and grow, grow distant. Grow distant enough to know that as far as our efforts go, we don't always get a reply.
But I swear to whatever God I can find in the time I have left, I'm going to remember you kid. I'm going to tell your story as often as every story you told me. And every time I tell it I'll say, "See, there's bravery in this world. There's 6.5 billion people curled up like fists protesting death, but every breath we breathe has to be given back. A 9 year old boy taught me that." So hold your breath, the same way you'd hold a pen when writing Thank You letters on your skin to every tree that gave you that breath to hold. And then let it go, as if you understand something about getting old and having to give back. Let it go like a laugh attack in the middle of really good sex, the black eye will be worth it. Because what is your night worth without a story to tell? And why wield a word like worth if you've got nothing to sell?
People drop pennies down a wishing well, so the cost of a desire is equal to that of a thought. But if you've got expectations, expect others have bought your exact same dream for the price of a 'hard work, hang in, hold on' mentality. Like, I accept any challenge so challenge me. Like, I brought a knife to this gun fight, but the other night I mugged a mountain so bring that shit, I've had practise. Louis and I cracked this world wide open and found that the prize inside is we never lied to ourselves. Never told ourselves that we'd be easy or undemanding. So we sing in our own vibration, and dare angels to eavesdrop and stop midflight to pluck feathers from their wings and write demands that God's hands take the time to catch you. So, even if God doesn't, it wasn't because we didn't try.
I don't often believe in angels, but on the day I left Louis pulled a feather from his pillow and said, "This is for you." I half expected him to say, "See, this is the first one I grew."
Monday, November 25, 2013
Thursday, October 31, 2013
For Lisa
Tuesday evening, I found out a friend of mine died. It was rather unexpected. It was very upsetting.
It’s not like we were very close. I had really only known her for a short while. Lisa is a part of my Team In Training (TNT) friends and teammates. She died Tuesday morning, October 29, 2013, and it is assumed it was her cancer that killed her. We all knew she had cancer. That was how she and I became friends. We emailed support, motivation, and questions about running while going through chemo. I promise you, it is one of the most physically difficult things I have ever done. The fatigue is too often literally overwhelming, making you trail off the instant you sit down.
Some days, standing in the living room and feeling the weight of fatigue coming on, knowing there is nothing I can do to fight it, I just gave in. I would lie down right there on the floor and be out for an hour before I could pull myself back to reality. I could have walked upstairs to my bed. I could have walked over to the couch. I didn't care. That kind of exhaustion makes it really difficult to go run. Difficult to feel like you are alive instead of in a half reality, stuck between worlds. Between the living and the dead. Neither completely taking you, neither giving in to the other. Maybe the exhaustion is what finally got Lisa. I don’t know or need to know the actual cause of death. I don’t care. It was cancer.
In the last two weeks of her life, amidst her normal motherly obligations and life, Lisa continued to fight cancer. In her own battle she had visits to the doctor or hospital. In a more public facing effort, she continued with Team In Training. She had been raising money for the Leukemia and Lymphoma Society by preparing to run the San Francisco Nike Women [Half] Marathon with at least one of her daughters.
As she flew to California for the race weekend fun, she doubted herself. Not sure if she could perform well. I reminded her that a finish time was not important. The amount of time she spent in training, the efforts she made to raise money to fight cancer, that she can cross the finish line, these were the victories. She only had 13.1 miles to run or walk until someone gave her a medal to celebrate her accomplishments over such insurmountable obstacles. I told her of all the many people I knew there, some have become my favorite people, I was cheering her on more than any of them. I told her I was thinking about her. I cheered her on because I know what it is like to finish a race while going through chemo. And she did it. She is a hero. That is not diminished by her passing.
How many people can say with their last two weeks of mortality, emotionally wiped and struggling through incredulous physical pain, they ran a half marathon and raised money to fight cancer? To fight the very thing killing her? When I ran the Vancouver BC BMO Marathon earlier this year, in a room or 300+ people, there were four of us that stood when they asked for those currently fighting cancer to stand. Four that were enduring chemo and still going to run the next day. Lisa was that kind of person.
With her sudden passing, many of us were and are grief struck. She seemed to be doing well. She smiled her fantastic, enveloping smile and those around could not help but do the same. As TNT folks, the thing we know best in dealing with frustration and confusion towards cancer is running together. It is, after all, how we all came together to begin with. We gather unshowered in the early morning, share an emotional message, I try to make people laugh because I think that's the best way, we get in real close to each other, put one hand in for a team cheer of "goooOOO TEAM!!" and we run.
Tuesday night, after the kids were down and I was lost in emotion, I put on my purple TEAM shirts. I kept choking back tears as I put on my shoes. I kissed my wife. And I ran. It's the only thing I think we know to do. It's the only tribute that means anything to us.
The purple shirts are our race shirts. On which we write or screen or pin the names of those for whom we run. Some in honor of, some in memory of. They are the uniform of our efforts, motivation, drive, and loved ones.
Lisa, before you ran the Nike Women's, I shared with you a most appropriate quote. “A hero is an ordinary individual who finds the strength to persevere and endure in spite of overwhelming obstacles.” (Christopher Reeves). I echo that again with the sorrow of your passing. Maybe unintentionally, you have held your light high for all to see and follow. You have endured so much, with pain, with agony, and to those of us that knew your struggles, you did so with such admirable strength. You are and always will be a hero.
Tuesday night, I put on my purple shirt. I cried while running. I ran for Lisa.
It’s not like we were very close. I had really only known her for a short while. Lisa is a part of my Team In Training (TNT) friends and teammates. She died Tuesday morning, October 29, 2013, and it is assumed it was her cancer that killed her. We all knew she had cancer. That was how she and I became friends. We emailed support, motivation, and questions about running while going through chemo. I promise you, it is one of the most physically difficult things I have ever done. The fatigue is too often literally overwhelming, making you trail off the instant you sit down.
Some days, standing in the living room and feeling the weight of fatigue coming on, knowing there is nothing I can do to fight it, I just gave in. I would lie down right there on the floor and be out for an hour before I could pull myself back to reality. I could have walked upstairs to my bed. I could have walked over to the couch. I didn't care. That kind of exhaustion makes it really difficult to go run. Difficult to feel like you are alive instead of in a half reality, stuck between worlds. Between the living and the dead. Neither completely taking you, neither giving in to the other. Maybe the exhaustion is what finally got Lisa. I don’t know or need to know the actual cause of death. I don’t care. It was cancer.
In the last two weeks of her life, amidst her normal motherly obligations and life, Lisa continued to fight cancer. In her own battle she had visits to the doctor or hospital. In a more public facing effort, she continued with Team In Training. She had been raising money for the Leukemia and Lymphoma Society by preparing to run the San Francisco Nike Women [Half] Marathon with at least one of her daughters.
As she flew to California for the race weekend fun, she doubted herself. Not sure if she could perform well. I reminded her that a finish time was not important. The amount of time she spent in training, the efforts she made to raise money to fight cancer, that she can cross the finish line, these were the victories. She only had 13.1 miles to run or walk until someone gave her a medal to celebrate her accomplishments over such insurmountable obstacles. I told her of all the many people I knew there, some have become my favorite people, I was cheering her on more than any of them. I told her I was thinking about her. I cheered her on because I know what it is like to finish a race while going through chemo. And she did it. She is a hero. That is not diminished by her passing.
How many people can say with their last two weeks of mortality, emotionally wiped and struggling through incredulous physical pain, they ran a half marathon and raised money to fight cancer? To fight the very thing killing her? When I ran the Vancouver BC BMO Marathon earlier this year, in a room or 300+ people, there were four of us that stood when they asked for those currently fighting cancer to stand. Four that were enduring chemo and still going to run the next day. Lisa was that kind of person.
With her sudden passing, many of us were and are grief struck. She seemed to be doing well. She smiled her fantastic, enveloping smile and those around could not help but do the same. As TNT folks, the thing we know best in dealing with frustration and confusion towards cancer is running together. It is, after all, how we all came together to begin with. We gather unshowered in the early morning, share an emotional message, I try to make people laugh because I think that's the best way, we get in real close to each other, put one hand in for a team cheer of "goooOOO TEAM!!" and we run.
Tuesday night, after the kids were down and I was lost in emotion, I put on my purple TEAM shirts. I kept choking back tears as I put on my shoes. I kissed my wife. And I ran. It's the only thing I think we know to do. It's the only tribute that means anything to us.
The purple shirts are our race shirts. On which we write or screen or pin the names of those for whom we run. Some in honor of, some in memory of. They are the uniform of our efforts, motivation, drive, and loved ones.
Lisa, before you ran the Nike Women's, I shared with you a most appropriate quote. “A hero is an ordinary individual who finds the strength to persevere and endure in spite of overwhelming obstacles.” (Christopher Reeves). I echo that again with the sorrow of your passing. Maybe unintentionally, you have held your light high for all to see and follow. You have endured so much, with pain, with agony, and to those of us that knew your struggles, you did so with such admirable strength. You are and always will be a hero.
Tuesday night, I put on my purple shirt. I cried while running. I ran for Lisa.
Wednesday, October 2, 2013
Brooks and Team In Training?
Well I certainly HOPE so. Brooks has a number of charity organizations with who they have worked in the past, donating either a percentage of sales or products and things. I have reached out to them in an effort to strike up a similar partnership for the Leukemia and Lymphoma Society.
The real nitty gritty of the proposal is that they make a limited edition purple shoe of one of their lines of shoes, and donate a portion of the sales to Team In Training. What would be the coolest ever is if they did one whole month of purple products, shoes, shirts, hats and jacket, and donate from that month's sales. That way customers could buy whatever model shoe they run in (the Ghost for me), or a jacket or something if they prefer a different shoe for running. Everyone can show their TEAM spirit that way.
Well the idea has been officially proposed and I should hear back by mid January. I will post an update about it then.
...Fingers crossed!
The real nitty gritty of the proposal is that they make a limited edition purple shoe of one of their lines of shoes, and donate a portion of the sales to Team In Training. What would be the coolest ever is if they did one whole month of purple products, shoes, shirts, hats and jacket, and donate from that month's sales. That way customers could buy whatever model shoe they run in (the Ghost for me), or a jacket or something if they prefer a different shoe for running. Everyone can show their TEAM spirit that way.
Well the idea has been officially proposed and I should hear back by mid January. I will post an update about it then.
...Fingers crossed!
Thursday, September 26, 2013
Am I Done???
I didn't say anything about this after my last dose of chemo. I didn't say anything because I didn't want to get my hopes up by saying it out loud, or even typing it. Where I thought I had one more dose of chemo before I could hope to be done, I was informed that this last one was in fact, my LAST one. ...no way.
Pending test results of the CT which I had this morning, and the result came back the same as the last one, "Shows no signs of lymphoma," I am done. I am done.
I can't say it enough for it to sink in. I am done.
It's been three and a half years of chemo. It has become the way life is. I have no choice but to take another hit and let the fog roll in. Am I really done? In six months are they going to say they made a mistake? Am I going to get my port taken out of my chest only to need it put back in?
AM I REALLY DONE???
...oh please let it be so. Please just let me be done.
The doctor said I am done. We can take the port out.
I am done.
If you know this picture, you know exactly how I feel. I make no apologies for the language. I feel like I "crawled through a river of shit and came out clean on the other side."
Pending test results of the CT which I had this morning, and the result came back the same as the last one, "Shows no signs of lymphoma," I am done. I am done.
I can't say it enough for it to sink in. I am done.
It's been three and a half years of chemo. It has become the way life is. I have no choice but to take another hit and let the fog roll in. Am I really done? In six months are they going to say they made a mistake? Am I going to get my port taken out of my chest only to need it put back in?
AM I REALLY DONE???
...oh please let it be so. Please just let me be done.
The doctor said I am done. We can take the port out.
I am done.
If you know this picture, you know exactly how I feel. I make no apologies for the language. I feel like I "crawled through a river of shit and came out clean on the other side."
Wednesday, September 18, 2013
Last Chemo Round???
A week ago tomorrow, I sat down for what I thought would be the second to last dose of chemo ...ever! Well, not forever. I know that there is no complete cure for Lymphoma yet so at best I could hope for a maintenance drug like Gleevec to come out before the eventual return of my cancer. But Dr. Oncologist told me this was my last dose!! HOW COOL IS THAT?!?! I thought I had one more dose coming in November. The blood work showed all signs were "normal," which is as normal as my blood gets for now. I am still a bit anemic and have low white blood counts though not low enough to worry about neutropenia or anything. Instead of coming back in for another dose of poison in two months, I will go in for a blood test is all. Yes, there will be a complete CT scan between now and then to measure and analyze everything. Pending those results and if everything is still good, I am done!
To be brutally honest, that scares the bejeebers out of me. It means another wait-and-see period. This one is supposed to be final and last for at least a few years. But so far, all wait-and-see periods have ended with going into heavier rounds of chemo, more nausea, hair loss, unbelievable fatigue, and all the emotional distress. While I have been on this maintenance dose of chemo for the last who knows how many months (10? 11?), I was not quite as worried because I knew I was at least getting something to keep cancer at bay. Now...? I am left to the strengths of my own immune system to fight it's epic saga.
I don't know. Which is to say, I do not know what to do, say or think, so I shrug my shoulders and sluff off the burden of unquieted anxieties. ...I don't know.
I ran last night. It was the first time since that dose a week ago. It usually takes a week to a week and a half to start feeling the fatigue subside. I wanted to start the week off strong. Running or doing Insanity on Monday but knew I was not yet up to it. If I held still, I felt well enough. If I moved around, like walking to the bathroom at work, I felt all sorts of weird. My head was dizzy, my legs unsure. Walking home from the train after work I did not trust my legs for a run unless it was at home on the treadmill because if needed, I could stop and just walk inside. If I were out running, I would have had to cover the distance to get back home. I have done that once before and do not want to repeat it. I decided to wait at least another day. Yesterday, the mental anguish was too much. I needed to run to clear my head more than anything but knew my legs would benefit as well. I ran six miles and felt really good. My head was not too dizzy. My legs kept me going. My lungs burned enough but not too much. I was not trying for any speed records, just go.
That is the beauty of running for me. I can do hard workouts, speed workouts like Yazzos or Fartleks, hills, whatever, pushing myself to make me stronger and faster. But I find the best workouts are when I let go of time and pace as much as I can and just go run. I think of the mileage I want to hit and a route that roughly gets the distance. Then I go. By the time I am back, all the intellectual backwash is cleared. Concerns are lessened, patience restored and I feel better. That is what I needed last night. I intended to run five miles last night to be a little easier on my body for the first post chemo run. I usually try to take it a little easier after a dose. I didn't realize I turned for the extra mile until I was halfway through that extra loop. Too late to turn back and have it make any difference, my legs held up and my mind was grateful for the extra mile.
Now we wait. We wait for the scheduling at Imaging to call and set up the CT. Maybe next week I will get results. Maybe another week. It depends on when I can get in for the scan. ...Wait and see. My least favorite time.
That sucks.
I don't know. I'll go run again tomorrow, building up more miles again.
To be brutally honest, that scares the bejeebers out of me. It means another wait-and-see period. This one is supposed to be final and last for at least a few years. But so far, all wait-and-see periods have ended with going into heavier rounds of chemo, more nausea, hair loss, unbelievable fatigue, and all the emotional distress. While I have been on this maintenance dose of chemo for the last who knows how many months (10? 11?), I was not quite as worried because I knew I was at least getting something to keep cancer at bay. Now...? I am left to the strengths of my own immune system to fight it's epic saga.
I don't know. Which is to say, I do not know what to do, say or think, so I shrug my shoulders and sluff off the burden of unquieted anxieties. ...I don't know.
I ran last night. It was the first time since that dose a week ago. It usually takes a week to a week and a half to start feeling the fatigue subside. I wanted to start the week off strong. Running or doing Insanity on Monday but knew I was not yet up to it. If I held still, I felt well enough. If I moved around, like walking to the bathroom at work, I felt all sorts of weird. My head was dizzy, my legs unsure. Walking home from the train after work I did not trust my legs for a run unless it was at home on the treadmill because if needed, I could stop and just walk inside. If I were out running, I would have had to cover the distance to get back home. I have done that once before and do not want to repeat it. I decided to wait at least another day. Yesterday, the mental anguish was too much. I needed to run to clear my head more than anything but knew my legs would benefit as well. I ran six miles and felt really good. My head was not too dizzy. My legs kept me going. My lungs burned enough but not too much. I was not trying for any speed records, just go.
That is the beauty of running for me. I can do hard workouts, speed workouts like Yazzos or Fartleks, hills, whatever, pushing myself to make me stronger and faster. But I find the best workouts are when I let go of time and pace as much as I can and just go run. I think of the mileage I want to hit and a route that roughly gets the distance. Then I go. By the time I am back, all the intellectual backwash is cleared. Concerns are lessened, patience restored and I feel better. That is what I needed last night. I intended to run five miles last night to be a little easier on my body for the first post chemo run. I usually try to take it a little easier after a dose. I didn't realize I turned for the extra mile until I was halfway through that extra loop. Too late to turn back and have it make any difference, my legs held up and my mind was grateful for the extra mile.
Now we wait. We wait for the scheduling at Imaging to call and set up the CT. Maybe next week I will get results. Maybe another week. It depends on when I can get in for the scan. ...Wait and see. My least favorite time.
That sucks.
I don't know. I'll go run again tomorrow, building up more miles again.
Monday, August 26, 2013
The Hurt and Worries
Today is one of those days that hurts to get out of bed in the morning. I set my alarm for early enough to go run before work. That did not happen. I almost cried getting out of bed in time to make it to work.
Truth be told, I have been so tired for a while now. It is not just tired like I need a nap during the day, but it is the kind of tired that comes with chemo and fatigue. Chemo tired is not pacified by taking a nap. You wake just as tired as before. It is heavy. My arms feel like they are pulling me down.
Yesterday after making dinner for my family, a cheese and chicken ravioli (store bought) in a pesto olive oil sauce I made with garlic bread and sweet potatoes with caramelized onion and crumbled bacon, I just had to sit down. I did not know I was asleep until all of a sudden I realized my wife was finishing up reading to our children and I had no idea how long they had read. Sure, I mention the food because I think the meal itself had a little to do with it as a card/starch filled meal could have had a little help towards a food coma, but the heavy tired has been going on for a while. ...And because I wanted to brag a little about how the food was good. That is was fatigue does. It makes staying awake, especially if you sit down, a near impossibility.
In addition to the heavy tired that has plagued me for too long, I ache. Both in the bones and joints, as well as in the muscles. The aches and pains that commonly come with running and keeping up with replacing your shoes when mileage dictates the need, those aches I accept. Those aches I earn. Ankles and shins and hips, they voice their dislike for my pushing myself. Aside from those which are the acceptable payment for the emotional sanctity of physical exertion, when your bones hurt, when your muscles feel bruised, the hypochondriac in me raises his ugly mottled head.
Am I relapsing? Is it spreading? Is it mutating? Why does my bicep hurt like I curled too much weight? Why do my radius and ulna ache?
...Grumble, grumble. My next appointment is in a couple weeks. I don't know if I am just being paranoid or if these are legitimate issues.
I have been thinking about that appointment for a few days. The nurses always ask if I am in any pain. Usually I have earned any pain by running or something. But not this time. I do not understand it. I do not know how to answer their next question, either. "On a scale of 1-10, how bad is it?" Well that's just stupid. Pain is relative. Is this pain more painful than... a root canal with not enough novocain? No. Is this pain more painful than stubbing your toe? Yes. Is this pain painful enough to take pain blockers? Everyday, and it still hurts. Then I ask myself if this pain is worse for me than the cause of the anguished look on the old lady's face in the chair next to me in the infusion room. With a sigh comes my answer, I would be the biggest sissy if that were the case. I ache. I am very tired of the ache. But I should be able to endure this pain far more than those around me. So what do I tell the nurses? I would really like the pain to go away, but if there is not much more advice than can be given than take some Tylenol, then "Thank you, Sir. May I have another?" And I will be on my way.
"Tell me where is Fancy bred,
Or in the heart or in the head?"
The Merchant of Venice, Act III, Scene 2
I don't know.
...Who is John Gault?
Truth be told, I have been so tired for a while now. It is not just tired like I need a nap during the day, but it is the kind of tired that comes with chemo and fatigue. Chemo tired is not pacified by taking a nap. You wake just as tired as before. It is heavy. My arms feel like they are pulling me down.
Yesterday after making dinner for my family, a cheese and chicken ravioli (store bought) in a pesto olive oil sauce I made with garlic bread and sweet potatoes with caramelized onion and crumbled bacon, I just had to sit down. I did not know I was asleep until all of a sudden I realized my wife was finishing up reading to our children and I had no idea how long they had read. Sure, I mention the food because I think the meal itself had a little to do with it as a card/starch filled meal could have had a little help towards a food coma, but the heavy tired has been going on for a while. ...And because I wanted to brag a little about how the food was good. That is was fatigue does. It makes staying awake, especially if you sit down, a near impossibility.
In addition to the heavy tired that has plagued me for too long, I ache. Both in the bones and joints, as well as in the muscles. The aches and pains that commonly come with running and keeping up with replacing your shoes when mileage dictates the need, those aches I accept. Those aches I earn. Ankles and shins and hips, they voice their dislike for my pushing myself. Aside from those which are the acceptable payment for the emotional sanctity of physical exertion, when your bones hurt, when your muscles feel bruised, the hypochondriac in me raises his ugly mottled head.
Am I relapsing? Is it spreading? Is it mutating? Why does my bicep hurt like I curled too much weight? Why do my radius and ulna ache?
...Grumble, grumble. My next appointment is in a couple weeks. I don't know if I am just being paranoid or if these are legitimate issues.
I have been thinking about that appointment for a few days. The nurses always ask if I am in any pain. Usually I have earned any pain by running or something. But not this time. I do not understand it. I do not know how to answer their next question, either. "On a scale of 1-10, how bad is it?" Well that's just stupid. Pain is relative. Is this pain more painful than... a root canal with not enough novocain? No. Is this pain more painful than stubbing your toe? Yes. Is this pain painful enough to take pain blockers? Everyday, and it still hurts. Then I ask myself if this pain is worse for me than the cause of the anguished look on the old lady's face in the chair next to me in the infusion room. With a sigh comes my answer, I would be the biggest sissy if that were the case. I ache. I am very tired of the ache. But I should be able to endure this pain far more than those around me. So what do I tell the nurses? I would really like the pain to go away, but if there is not much more advice than can be given than take some Tylenol, then "Thank you, Sir. May I have another?" And I will be on my way.
"Tell me where is Fancy bred,
Or in the heart or in the head?"
The Merchant of Venice, Act III, Scene 2
I don't know.
...Who is John Gault?
Monday, July 22, 2013
Another One Gone, Another One Gone...
Maybe two weeks ago, I had another dose of chemo. This was another maintenance dose and a checked off round, edging ever closer to the end of it all. ...I hope.
In my head I keep singing Another One Bites the Dust. But I am a bit concerned. I ran a couple times this last week, not as many runs as I would have liked but all things considered, I did pretty well. One of my runs was just over six miles and I kept an average 10:23 pace per mile. Not my best but not bad for an old man. The problem is, and why I have been concerned is that I do not feel like I am recovering. Recovery has many parts to it. The first part is energy level, how quickly you regain a "normal" level of energy after your run. On longer runs, sometimes a nap after you shower and stuff is needed. After the energy level comes the muscle soreness. That's what more people think of when thinking about recovery. Are you sore the next day? Can you walk? Can you go back out and run again? I can go out and run up to ten miles without having to really even think about soreness. But this time, I cannot recover the energy level.
This goes beyond the immediate need for a nap. For me, it has been maybe four days and I am still exhausted. It goes beyond that too. I have been super tired for a few weeks now. The last time I felt like this was a year ago when I was training for Hood To Coast, a relay race running in legs from Mt Hood to Seaside in Oregon. In training for that, I had one run where I did 13.1 miles and thought I was going to die. Not as in a whiny sort of way where you are just not fit enough to complete a run without really sucking wind, but I was afraid I might not make it home. I was literally hallucinating on that run. When I could not recover, I called my oncologist who ran some blood test to find out that I was almost two liters low on red blood. Understandably, that was my worst run ever.
Feeling the same or similar now, I called oncology today. When I went in a couple weeks ago, I mentioned how tired I have been lately. The CBC (Complete Blood Count) showed everything as fairly normal for my levels, though. So I went ahead with the chemo dose as that gets me one step closer to being done with everything. Doctor Oncologist told me to keep an eye on it though and see if we need to look at something else as to the cause of the fatigue. So I called. Usually, it takes me about a week to overcome the normal fatigue from a round of treatment. The last round was unusually difficult on me, and this round is not seeming to be any easier.
I do not know what it could be, but it has me a bit worried. What if- You know?
With the call to oncology, I am waiting for the call back to see what the doctor wants to do. I want to run tests and try to rule everything out or find something so it can be addressed and fixed. Maybe that is part of the problem. Insurance got cancelled, and we cannot pay for more tests or treatment. It worries me.
I keep saying I am just old. Is that it? Is this what being old is like? Because this sucks.
In my head I keep singing Another One Bites the Dust. But I am a bit concerned. I ran a couple times this last week, not as many runs as I would have liked but all things considered, I did pretty well. One of my runs was just over six miles and I kept an average 10:23 pace per mile. Not my best but not bad for an old man. The problem is, and why I have been concerned is that I do not feel like I am recovering. Recovery has many parts to it. The first part is energy level, how quickly you regain a "normal" level of energy after your run. On longer runs, sometimes a nap after you shower and stuff is needed. After the energy level comes the muscle soreness. That's what more people think of when thinking about recovery. Are you sore the next day? Can you walk? Can you go back out and run again? I can go out and run up to ten miles without having to really even think about soreness. But this time, I cannot recover the energy level.
This goes beyond the immediate need for a nap. For me, it has been maybe four days and I am still exhausted. It goes beyond that too. I have been super tired for a few weeks now. The last time I felt like this was a year ago when I was training for Hood To Coast, a relay race running in legs from Mt Hood to Seaside in Oregon. In training for that, I had one run where I did 13.1 miles and thought I was going to die. Not as in a whiny sort of way where you are just not fit enough to complete a run without really sucking wind, but I was afraid I might not make it home. I was literally hallucinating on that run. When I could not recover, I called my oncologist who ran some blood test to find out that I was almost two liters low on red blood. Understandably, that was my worst run ever.
Feeling the same or similar now, I called oncology today. When I went in a couple weeks ago, I mentioned how tired I have been lately. The CBC (Complete Blood Count) showed everything as fairly normal for my levels, though. So I went ahead with the chemo dose as that gets me one step closer to being done with everything. Doctor Oncologist told me to keep an eye on it though and see if we need to look at something else as to the cause of the fatigue. So I called. Usually, it takes me about a week to overcome the normal fatigue from a round of treatment. The last round was unusually difficult on me, and this round is not seeming to be any easier.
I do not know what it could be, but it has me a bit worried. What if- You know?
With the call to oncology, I am waiting for the call back to see what the doctor wants to do. I want to run tests and try to rule everything out or find something so it can be addressed and fixed. Maybe that is part of the problem. Insurance got cancelled, and we cannot pay for more tests or treatment. It worries me.
I keep saying I am just old. Is that it? Is this what being old is like? Because this sucks.
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