Showing posts with label radiation. Show all posts
Showing posts with label radiation. Show all posts

Looking back on shades of gray

Three and a half years ago, I swallowed radiation on a Wednesday. It was one of the hardest days of my life, fraught with uncertainty, and the loneliness of suddenly being separated from my little family...especially my 7 month old son. I couldn't write my feelings that day, so instead, I posted a photo essay. I still think that says it best.

A morning greeting from a lonely Mama's boy.

Even through my swollen lids he looked wonderful. I don't know how I will bear this...

Apparently I still have enough tears to cry.

Does one always wear flannel to radiology in Wisconsin? I missed the memo.

Ah, the notorious blue vinyl chairs, impervious to radiation and chemo. I remember these so well. And I've never sat in them before.

Bones spinning. Almost time.

Lead glows in fluorescent light.

One little word says so much: carcinoma.

Two categories that won't define me ever again. I've stepped out of these bounds forever.
(2012 note: I did become pregnant again, the baby I lost in 2009.
And, also in 2009, I relactated for my very ill 3 year old daughter.
And nursed again for 9 months until my next radiation dose.)


Electric blue for danger. Down the hatch...


The memory of pearls: Emotions on Tuesdays

The world wears a halo of white in the snowy forests, morning mist magical as the cold earth collides with the sun-kissed spring air. Later in the day, the air is crystal clear, the mist burned away. The contrails of passing jets crisscross high in the pale blue sky, puffs of cloudy creatures floating up across the sun who wears a skirt of crystal haze she gathers from the earth's melting. Even the beetles are beautiful in the afternoon sun. The constant song of the returning robins lilts across the breeze. The children gather the loam of the field bracken into buckets, and plant a garden of dreams in their playhouse. Black earth in the furrows of the vegetable rows calls out to toes twitching with excitement in the summery warmth. We mamas hold tight to shovel handles and wait for the real spring, not this illusive week of March that has us dreaming of all kinds of summer wonder.

A burst of spring cleaning fervor threatens to shipwreck my dissertation dreams, but I am planted here behind keyboard, nailed down by a dream and a prayer for a May graduation. It is time for the last big push, a flurry of writing and editing that consumes every free minute not slotted for other chores. I delight in an editing phone call with my favorite person at the Writing Center for Excellence, and I tell her about my remission and her hearty, "Thank the good LAWD!" in the comforting Southern drawl is like honey dripping from the phone. It makes me stop, and remember. Remember all that happened, how my soul was shaped, how my heart was broken, how the scales were falling off my eyes in sheets and shattering around my stock-still shocked feet.

The way of mercy
Takes me to the least
Down the road of suffering
To the wedding feast

For I know that You are faithful
As we walk these fields of white
To the weary and the hurting
let Your Kingdom comes
~Faithful, David Ruis

Prayers are always answered. I woke to the worst day, and found it was a glorious day, a string of pearls - pearls plucked from the odiferous waves of gray of the oyster's shell - unfolding before my very eyes as I opened gift after gift streaming straight from the hands of the Father into my bruised heart. Just when I thought I was at the end of the necklace, another bead glistened in the warm, Indian summer sun. The morning began with waiting...but not for the radioactive treatment, rather the glorious arrival of my newest niece or nephew! Megan was admitted to the hospital Sunday night, and I couldn't believe God was granting my prayer that I be able to hold their little one before I was quarantined! I called early in the morning to see about delaying my treatment, and was told I could come anytime before 4:30 p.m. Another pearl: a beautiful, sunlit day to treasure my children, share life with them, breathe in their sights, and sounds, and smells. Fill my cup up to overflowing so I can spill some drops of joy into my barren lap on a darker day in the November that will surely come.

We went to music class and delighted together in the cacophony and chaos that is kids and music and dancing in a high-ceiling art gallery lit with eastern windows and glistening pine floors. We gloried in Kosher salt at a local deli and beautiful, crumbly goat cheese that a low-iodine Mama can feast upon. We napped together in the lazy, beetle-buzzing afternoon in the unexpected bliss of open windows and the sound of corn husks rustling in the warm, summer-like breeze. I packed my car slowly, savoring every quiet moment of the house God has given us, listening to the children sleep and staving off sorrows that threatened at every moment. Still waiting for the call announcing the birth of that beautiful babe...

Late afternoon came, and no baby. Confounding! The day was a gift just for me...brought about by the "impending birth", which didn't happen. A glorious, free day that I wasn't expecting. A drive back into the reality of the city with the children bursting at the seams from our joyous, momentous, and totally ordinary afternoon. Hugs, hugs, more hugs, holding tears in with iron bands of will as I smiled and hugged some more. Swallowing the largest lump my throat has ever known...swallowing it a hundred times, tasting it's salty bitterness, and thanking God for my afternoon of pearls. One hundred times easier to swallow the large blue horse-pill of radioactive iodine. Primed with grief and disbelief, my throat found that an easy job. Sitting in a sterile little room with my husband beside me, I stared down into a little lead canister, took out the glass vial, unscrewed the cap and tipped it back to accept this cure that threatens to be worse than the disease that now invisibly ails me. The ache of forgetting a good-bye kiss before the poison passed my lips. Walking away carefully observing the "3 foot rule".

Feeling the world open up like a chasm before me. That longed-for freedom...that abyss of unlimited choice...the silence as the "fetters" of motherhood and wifery dropped from my ankles and wrists and shattered around my feet. How shall I now live? Adrift once again in a sea of strangers. Floating along in the tide and whim of self. What moors me? What steers me? Underneath, there He is. His heart beat still propels me. My joy is still in Him. What a pearl to discover, that after all this time, and all these externally imposed guides and rigorous boundaries, I have continued to internalize the lessons He is teaching, to integrate them as part of my self and what propels me and gives me meaning. I am not adrift. My ways and means have shifted, and my purpose is the same. In this, as in all else, I am here for His glory. I exist for His service. I pray for His guiding hand. I long for His touch.

Waking next morning, the world is tasteless and odorless. The world is magically sterile, and glitters with new sparkle through my eyes, swollen and skewed from the localized effects of the radiation. There is a philosophical lack of focus, an attendant lack of agenda and timeframe; and a physical reality, an inability to perceive the visual all around me. Words and worlds are as hazy as time and duty are. Pearls of sleep, and friendship, and deep, uninterrupted drinking at the Well of meaning and Truth. I curl up by the Well for a good long rest after five years of many thirsty moments. That is what it's like to leave your life, your home, your job; everything behind you, it feels. Everything in front of you different and intimidating and wonderful all at once. For me that has been 24 hours of radioactive cancer treatment. Now, only 456 hours to go...

The bulk of this post reposted from another Tuesday, one much darker than today. All week, I'm looking back at the worst of cancer. Radiation and separation from my family for 3 long weeks. I hope you'll enjoy the trip down memory lane.


This is our Emotions on Tuesdays link up. Link up to a post, old or new, about your emotions. Tuck the graphic at the bottom of your post, and come back to share your story with all of us!










Bald is beautiful

It's the coldest day of fall, the wind sweeping through our little valley and stripping maples of scarlet and cottonwoods of silver. My hair is fading fast, patchy, itchy, painful to the touch. It wakes me up at night when I turn to the other side. One doctor says it's stress, another radiation damage and burns, another says it's just "idiopathic". All agree we won't know until I shave it off so they can see my scalp.

And so, unable to face another shower through which I grit teeth and lose handfuls more of hair, I ask Aaron if it's the right time. He smiles big and says yes. Grabs the clipper set and gathers the children in the kitchen. As he starts to shave, the relief is immediate. First a mohawk (just for the heck of it), then a military buzz cut. Kids clamor to feel it each time. The patches of loss are evident in the buzz cut and I begin to believe deeper that this is the right decision.






And we can immediately see what the problems is - red burned patches all over my scalp. The entire top of my head is one big reddened sore. Through piles of hair I didn't want to move much, the betamethasone cream prescribed for the burns hasn't been working over the past 3 weeks. Now hairless, I can apply it straight to skin and as I do, the burning quells for the first time in months and my scalp actually feels weightless again.


And so I come to a new stepping stone on my cancer journey. Three years after diagnosis, I finally lose my hair to cancer. I empathize deeply with the patients in my past who've cried through chemo and radiation and finally begged to have their head shaved. The relief is unfathomable. And bald is beautiful. My husband grins even larger, and kisses the soft top of my naked head. Says it's beautifully round. That being bald brings out my eyes and my lips and makes me even more beautiful to him than before. More compliments than I've received in a single day in my entire marriage.


To think that God knows every one of those strands of hair now cut off, knows how it will grow back, and loves me, like my husband, however I look...I have no worries. Just relief. I am so glad it's over with and so glad it feels better. God is good to me.

Pretty, pretty please, 
don't you ever, ever feel 
Like you're less than
less than perfect 
Pretty, pretty please,
if you ever, ever feel 
Like you're nothing, 
know you're perfect to me
~Pink~

Breaking up is hard to do


In her signature changeableness, autumn granted us a day of sun and 80 degree weather yesterday and today she is watering my mums in the cold wind. Until yesterday, our firepit was just that - a firering on the hillside, with space for our six chairs. 


Next week, we will host 40 people for a bonfire and worship night in thanksgiving for the 5 years God has given us with our Amelia. Two years ago, I vividly recall the Asian doctor's frown as he told me she had, at best, a 50/50 chance of surviving the infection ravaging her brain and spinal cord. She couldn't stand, sit, or remain awake for more than a few moments. They said she was basically comatose.


But today she is alive - very much so! - and so, on that sunny yesterday, we began to dig the red clay dirt, pile rocks, expand our firepit seating area.


The children are old enough now to really help. Scoop after tiny scoop went into the wheelbarrow while I used a spade, an axe and a hoe to dig out roots and heavy dirt, digging a deep ridge into the hillside.

"For me?!!" She asks incredulous. So much work just to celebrate her. Yes, I said, breath coming heavy and hard, chest tight from the digging.


In a family where you've nearly lost two children, and have cancer yourself, birthdays are a very big deal. They are not simply a cake-and-ice-cream celebration, but truly a thanksgiving for lives spare and lives enriched by these trials we've walked through together. Even Caleb could say "brain injury" and "cancer" since about age 2. When you hover this close to the grave, you have an intense response to God's gift of every single day. Another whole year of single days He spared you.



I go the doctor and today it is my heart that is being dug up again, over the most mundane of side effects. I am, indeed, losing both my hair, eyebrows and eyelashes. It is a product of genetics, stress, radiation and cancer suppression. No one can tell me if it will come back. Should I shave my head now, or wait for it to be the wispy strands left by this ravaging inflammation? If my head were shaved, they could at least treat the pain (yes, apparently hair follicles can hurt) and the problems with my scalp.


I never pictured radiation burns on my head 2 1/2 years later, didn't know it lingered in my body so long. With every scan and treatment, more damage is done to my hair.


I return home and sit in the grayness, under my down quilt, and I can see the hair clippers from here, on my bathroom hamper. I don't know the answer. I am starting a new job in 2 weeks and I'd rather not be bald, but then I'd rather not be dandruffy and wispy either.

The firepit is finished, and we have room for 40 now. The rain today didn't wash our work away, and my chest expands as I realize it is a good job, a job well done. I never knew I had landscaping in me, as my thumb is decidedly not green.


I sit in bed and consider my options. The pros and cons of a bald head. You get more street cred for your cancer when you're bald, that's for sure. No more suffering in silence. Just like my dirty feet yesterday, a visible sign of the tons of dirt moved, a bald head would be a visible sign of the body that has betrayed me time and again. Yet what if I could have two more months of hair? Am I ready to lose it forever, if it never grows back? My grandma lost all her hair in a similar stage of life, and it didn't grow back until she was eighty. She lost it after an egg truck hit her and she was in the hospital for her injuries. My mother remembers helping her brush it just so, so the bald patches wouldn't show.

For just a moment, Janis Joplin plays through my head, my song to God today, "Take it - take another little piece of my heart now baby. Break it, break another little piece of my heart, I know you will." But I since it without vengeance, sing it without anger. More of Him, less of me. I desire it, ask for it, know it is good for me. But when the sacrifices come...oh, sometimes they are so bitter. I close my eyes and remember that the whole story of the Bible, that Word I love, is sacrifice with healing and wholeness following on it's heels. I do not need to be afraid, for I know He cares for me.

It's all so much to ponder. Life, death, thanksgiving, celebrations, side effects. I'll just keep praying and trust that I'll know the day is right when I do finally pick up the clippers.

Bitter draught

Driftwood
Dead fall
Fallen leaves
Frozen grass
Cancer patient

I feel the swift descent
into pain,
heavy heart
I know deeper the tears of blood
He shed in Gethsemane

Knowing
Waiting
Alone
On your knees
In the garden
Cold dew mocking

Plunged underneath
the surface of this pseudo-death
I drink your sufferings
Fill my belly
My mind

So that when you resurrect me again
to richness, beauty
Transplant me
from death to life

I remember

Loneliness
Longing
Losing
Lackluster

Love.
____________________________________________________


Scan is done. Waiting for results on Monday. Impression showed minimal residual uptake in the neck and no evidence of metastatic disease. Lots of residual uptake in my abdomen - this is normal, and just means I haven't eliminated the radiation yet. I will wait until Monday morning to return home, try to minimize holding the kids, and sleep in a separate room for another week.

Another day away

Come, let us return to the Lord;
for he has torn us, that he may heal us;
he has struck down, and he will bind us up.
After two days he will revive us;
on the third day he will raise us up,
that we may live before him.
Let us know;
Let us press on to know the Lord;
his going out is sure as the dawn;
he will come to us as the showers,
as the spring rains that water the earth.
~Hosea 6:1-3~

Tonight I am lonely and tired, and wish I were home in bed with my husband. The side effects took full effect today: sores in my mouth and throat and the rest of my digestive tract, nausea, a little vomiting, muscle soreness, extreme fatigue, and general feeling of being low. Low energy, low mood. Waiting rather anxiously for the results of my scan tomorrow (although be forewarned, I will just be guessing as I won't get the doctor's impression until Monday, December 28). Hoping there is no uptake and I can go home Monday morning!

I-131 recommendations

I have searched long and hard for information regarding safety after taking I-131 when around children. I finally looked hard enough to find some great recommendations, solidly based on science. And some mathematical formulas for calculating the dose of radiation I am emitting at any given moment after I receive my pill. I've received criticism from other cancer patients for choosing to stay away from home so long after my treatment and prior scans. That criticism makes it hard for me to stay away, because, believe me, I would prefer to be at home with my kids if I really believed it to be safe. I also think that criticism stems from the lackadaisical approach to nuclear safety our country has recently taken in order to eliminate in-patient management of patients post-radioactive iodine intake. It is important that someone on this vast Internet speak out about what is truly safe for others. Because going home and holding your children 24 hours after you receive I-131 is most certainly, scientifically, NOT safe.

For a treatment dose of 33 millicuries or greater, the recommendations are:
Try to minimize time spent with young children. Children under 12 must stay in a separate residence for the first 7 days. Maintain a 1 meter distance from children under 12 for 7 days. Eliminate holding children under 12 for 14 days. Minimize holding children under 12 for 21 days.

For scan doses 3-10 millicuries, the recommendations are:
Try to minimize time spent with young children. Children under 12 must stay in a separate residence for the first 3 days. Maintain a 1 meter distance from children under 12 for 5 days. Eliminate holding children under 12 for 5 days. Minimize holding children under 12 for 7-14 days.

These recommendation are culled from the University Health Network and the Health Physics Society. The U.S. Nuclear Regulatory Commission puts the annual dose limit for minors (under 21 years of age) at 0.5 mrems of total effective dose. Adults in the general population can receive up to 1 mrem annually. Radioisotope sodium iodide 131 emits 2.3 mrem/hr/mCi at 30 cm, meaning my 5 mCi of I-131 is emitting 11.5 mrem/hr at 30 centimeters from my thyroid. In plain English, this means that you hugging me for 1 minute means you receive 0.2 mrem of radiation. That's almost half of the ANNUAL dose limit for a child. That holds true for 2-3 days after I receive a scan dose of 5 mCi (as I did today at 12:30 p.m.). 1/1,000th of my scan dose could mean thyroid cancer for my child. That means my scan dose must be divided in half many, many times by elimination through my urine before it is safe for me to hold my child. As a co-sleeping mother, that alarms me. Enough to keep me away from my children for days. To strictly adhere to the guidelines I've been given - guidelines that are specific to my living situation, my dose, and my known elimination rate of I-131 as calculated by prior uptake scans at specific time lapses from previous doses.

One last note: the half-life (rate at which a substance is eliminated by half by the human body) of I-131 is 8.1 days. Not until two half-lives of I-131 will I be considered "safe" to have frequent, close contact with my children (holding them or sleeping with them). This means 24.3 days. So by mid-January, I can resume normal life. Until then, I do have to worry about exposing my children - and others - to dangerous radiation. The last thing I want to do is cause one of my offspring to suffer in this same way.

Family health update

We are ecstactic to finally have good news to report on Amelia's brain! Her latest scan showed stable demyelination, meaning it hasn't gotten any worse since the last scan in mid-November, and decreased leptomeningeal enhancement, which means the inflammation from infection is receding with the steroid treatment. She will remain on steroids through December and January, which can be dangerous to other body organs, so keep her overall health in your prayers. She also has a very low lymphocyte count, which indicates an immune deficiency. She will be undergoing more testing for that on December 8, and they may start treatment while waiting until after she is off steroids to do the rest of the testing that needs to be done to determine the cause. Her lab tests for a handful of fatal diseases, like adrenoleukodystrophy, Vanishing White Matter Disease, metachromatic leukodystrophy, and ataxia telangiectasia syndrome, were all negative. This is a huge load off our minds at this point!

I myself continue to have health difficulties. My kidney infection is resolving, and I now have a hemmorhagic growth on my left ovary, near the site of the ectopic pregnancy. It is either an abcess or a cyst. If it is a cyst, it should get better in the next day. Otherwise, I will need surgery to remove it, and probably the rest of my ovary, as it dwarfs my ovary at this point. That means early onset menopause added to the craziness we're already experiencing! In addition to all of this, my next radioactive iodine scan was scheduled for the week of December 14-18. I will receive my dose on December 16 in the afternoon, and need to be away from my family until that Sunday. I am hoping all these other issues are resolved by then! There was a lump found by my doctor in my next, where my thyroid used to be. I have been feeling this lump for about 3 months now, so I am relieved he finally noticed it with his fingers. It is easier to notice changes when you so intimately know the geography of your own body with your fingers. He thinks it may be scar tissue, but it could also be the nodule in the thyroid bed that has looked suspicious since my very first ultrasound post-surgery last summer. If it is cancer, I need more radioactive iodine, but that will be postponed until after the holidays, extending the craziness into next year, but allowing me to spend Christmas with my loved ones.

So, in short:
PRAISE for
  • Amelia's stable brain MRI
  • Amelia's negative lab test results - we get to keep her for a long time!
  • Easy recovery from sedation for MRI
  • Healing of my kidneys
Keep PRAYING for
  • Ovarian mass & wisdom for both doctors & I as we move toward surgery
  • Sparing of my ovary if surgery is required
  • Relief of pain
  • No more systemic infections if this is an abcess
  • Recovery for Amelia's brain so she can quickly get off steroids
  • Stamina through this trial: more doctors appointments next week, the schedule is crazy!
  • Safety & comfort for all during my iodine scan on the 14th-19th of December
  • Quick reunion possible on December 20
  • No new cancer found on the scan!


Into November

You shall keep my Sabbaths and reverence my sanctuary: I am the LORD. "If you walk in my statutes and observe my commandments and do them, then I will give you your rains in their season, and the land shall yield its increase, and the trees of the field shall yield their fruit. Your threshing shall last to the time of the grape harvest, and the grape harvest shall last to the time for sowing. And you shall eat your bread to the full and dwell in your land securely. I will give peace in the land, and you shall lie down, and none shall make you afraid. ~ Leviticus 26:2-6 ESV

November is here in the northland. I woke up this morning feeling November deep in my body: I have been taken to the very edge of autumn. My cells are grinding to a halt. My joints are stiff and thick with fluid that refuses to soften and move. My hands are thick and heavy and my feet feel wooden. Every part of me is a little swollen, a sign of the waste products building up in each cell with no where to go. Nothing is working as it should. The side effects of the radiation linger because my body is losing it's capacity to heal in it's semi-functional state.

I went for a walk around a nearby lake to wake my deadened senses. All around me, autumn is coming to a close. What starts so flamboyantly with the scattering of seeds and conserving of sap in the core of the hardwoods, resulting in those flaming maples and umbre of the oaks, is now grinding to a mushy, windswept conclusion of barrenness. The once-golden carpet of leaves beneath my feet no longer swish pleasantly; the beauty of the leaves is turning to sludge in the cold. The wind has swept all the trees bare; the grasses have scattered the beauty of their heavy heads and rustle brusquely as dry coarse stalks before the gusts. The songbirds have long since left, and with them most of the ducks and geese; we are left with a few brave gamebirds and the crows and vultures for the winter.

Because the majority of us experience life in a very predictable progression of seasons, that is what I had come to expect. Childhood was like coming out of winter, just wakening after hibernation; my teens were the muddy wildness of early spring. My early 20's, late spring: crocuses, daffodils, planting the fields, the warmth of the soil rolling over under the cultivator for the sun. Then the warmth of early summer, as I bore my children and began harvest. There were hot, humid days when my work seemed stagnant and cumbersome and all I wanted was a long, summer nap. How surprising, to descend into November when so much summer was left! I am surprised to be here. I am praying this is a brief interruption, a little foretaste of seasons to come later in life. My intuition tells me that winter is a long way off, that summer will return, uncharacteristically bright and refreshing.

For now, here I am. In November. Taking long hikes by myself. Wondering how I will ever get warm again.

In November, the earth is growing quiet. It is making its bed, a winter bed for flowers and small creatures. The bed is white and silent, and much life can hide beneath its blankets. The bare November trees are all sticks and bones spreading their arms like dancers.
~ In November, Cynthia Rylant

Coming through the fog

I feel like I am slowly emerging from the valley of the shadow of this treatment. My throat feels better this evening, and I have stayed in an upright, non-sleeping position now for an amazing three hours! Ah, the small things in life...

I have some burns from the radiation, so that is bothering me a bit. I am hoping they resolve quickly, with lots of fluids. I have had 3 gallons of water and 1 gallon of pineapple juice to drink today, so that should help! Let's just say the bathroom is my most used room in the house right now. I have some kidney pain and I am hoping that resolves with fluids as well. I have cabin fever because I felt too ill to go out for my planned walk around the lake. Looking forward to day +2 tomorrow...a walk around the lake, maybe pick up some stamps at a grocery store. Sunday, an evening date with my aunt, uncle and parents for some iodine-containing food! I am already thinking about what I will eat. I wish I could just sit down to a bowl full of seafood, but I've read that it makes you feel sick if you eat it too soon after the I-131 dose. I'll probably stick with something more benign...hmmm. Dairy, butter, soft cheese, soy, cured meats, seafood, salt. Taste, maybe?? We'll see how my little buds are doing. I remember taking care of kids on transplant after radiation and all they wanted to eat was Doritos for about 20 days or so. I thought it was such an odd food choice at the time, but I am getting a sneak peek into the world of no taste buds! Doritos are looking pretty good right about now!

Misery

I have avoided using this word for many years after watching the movie of the same title and being more deeply disturbed by Kathy Bates' rendition of the main character than I have ever felt before. However, it captures how I feel today. I am sitting upright, forcing myself to type for a few moment before collapsing back in bed. I have a lot of throat and facial swelling from the iodine, complete lack of secretions (tears, nose and throat) despite all that I am drinking, pain when I use the bathroom, and complete and utter fatigue. All the things I was expecting, but the "lived experience" (as we nurses call it) is still a challenge. I am going back to bed now! Please continue to pray for quick healing from these side effects of the iodine. I am also begging the Lord that the iodine will do it's dastardly job and kill all the little thyroid and cancer cells in my body so I don't have to go through this all again in 3 months.

Shades of gray

A morning greeting from a lonely Mama's boy.

Even through my swollen lids he looked wonderful. I don't know how I will bear this...

Apparently I still have enough tears to cry.

Does one always wear flannel to radiology in Wisconsin? I missed the memo.

Ah, the notorious blue vinyl chairs, impervious to radiation and chemo. I remember these so well. And I've never sat in them before.

Bones spinning. Almost time.

Lead glows in fluorescent light.

One little word says so much: carcinoma.

Two categories that won't define me ever again. I've stepped out of these bounds forever.


Electric blue for danger. Down the hatch...