Diary of a Network Geek

I’m not going to die.

Well, at least, I’m not going to die of cancer.  Not this year, anyway.
Today, the oncologist told me my lymphoma is in full remission still.  In fact, the scar tissue has shrunk even more, from 14cm to 11cm, which I think is kind of amazing, but didn’t seem to illicit any special notice from the doctor.  Some people are just impossible to please, I guess!
He was a little worried because my blood pressure was high, but, then again, I’d just driven though rush-hour traffic to wait around for more than an hour for results on whether or not I was going to have to let them poison me for another six months.  All things considered, I think it’s pretty normal that I might have a slightly elevated BP!  But, I will keep an eye on it and make sure it normalizes again.
He did say, also, that I’ve made it to the point where less than 10% of the people have a likely recurrence of lymphoma.  And, according to his Physician’s Assistant, the five-year mark is where I can be officially considered “cured”, which is the first time anyone has actually told me that.  Everyone else keeps telling me that I’ll never really be “cured”, per se, but always in remission with a smaller, and smaller, and smaller chance of reoccurence every year.  So, today, I got a little more hope than I had before, which is actually pretty nice.

All in all, a pretty good result.  I’ll go back in another 10 months for another scan, which is not quite as long as I’d like, but, better than going again sooner because they found something to be concerned about.  At that time, they will start me on a course of annual visits for this scan, which I’m not incredibly happy about, but will do until a better option comes along.  And, based on what his PA told me, I think it will be something negotiable.  The doctor may not realize that, but, well, I suspect he’s not quite used to dealing with a patient like me.  My last doctor and I joked about the fact that I wouldn’t pay my bills until I knew she was going to do her job and save my life.  We agreed that it seemed only fair!  Of course, she did, in fact, save my life, so I did pay those bills.  That is, however, one concern I have for the long-term; paying those bills.  This gets to be a pretty expensive process and if I don’t really need to keep doing it every year, I may chose to opt for a slightly modified plan.
The doctor may not be excited by that, but I have ten months to sharpen my bargaining skills, while he’s completely in the dark about my plans.  It’ll be interesting to see how that turns out!

Until then, though, I continue to work on my general health and wellness.  I was pleasantly surprised to weigh in at a mere 216, fully clothed and laden down with my ridiculous “daily carry” of keys and flash drives and over-stuffed wallet and all the other pocket litter, as the spies call it, that I usually have on me.  As I mentioned, my blood pressure was a bit high, but I’ll work on that.  A little Zen meditation, and maybe some yoga, ought to bring that under control again.
Oh, don’t be so shocked by the yoga!  No, I haven’t started doing it yet, but several people have suggested it and I decided to start looking into it.  I’m getting older and starting to tighten up some.  My knees in particular seem to get stiffer faster than they did.  Besides, I hear yoga class is a great place to meet women who are physically fit!

I do still struggle a bit with depression.  Nothing too bad, but, well, it is something that cycles around on a semi-regular basis.  I figure the yoga and meditation would help with that, too.  Speaking about my psychological well-being…
My oncologist tells me I should get married.  I thought it might be better to start with dating, but I’m pretty sure I can work the “doctor’s orders” into a decent and semi-original opening line.  I think a bit of laughing in the face of death might help some, too.  I hear chicks dig that.  Of course, I also hear that magnets can cure joint pain and people pay huge money for the kind of rough treatment my poor colon got last week for “health reasons”.  Frankly, I find it hard to believe that a regular course of high colonics could possible be good for me, so I’ll take the things Men’s Health tells me about women with a grain of salt.  (Though, I have started to edit my Match.com profile again in preparation for stepping out in the wild world of dating again.  Seriously.  Lock up your daughters!  Seriously!)

So, yeah, after all my angst last week about the physical side-effects of chemotherapy, I’ve been spared that.  I even got better than expected news, frankly!  So, I admit, I do feel a bit foolish for getting so worked up about it.  I mean, I should have more faith than that, shouldn’t I?  Well, that’s something else I’m still working on.
Thankfully, it seems I have the time.

Advice from your Uncle Jim:
"Between saying and doing many a pair of shoes is worn out."
   --Italian Proverb

I may, or may not, have cancer.

Now, before all my regular readers and, due to my automated update configurations, my Twitter and Facebook friends who might read this, get too excited, nothing has changed in my recent medical status.  However, Wednesday, I go in for a scan.  A regular scan, nothing special, nothing new.  My scheduled, nine-month scan, per the standard protocol.  Or so I have been lead to believe.

The scan, however routine it may be, will not decide if I have cancer, however.
That, I’m afraid, already is.  Or is not.  Either my body has betrayed me again and a cancerous growth has lodged itself in my chest or it hasn’t and I’m as healthy as I feel.  Personally, I’m inclined to think that I’m cancer free, still, and this whole exercise will be a test of the quality of my health insurance.  But, also, as it turns out, it’s a test of my patience and courage.

You have to understand, I’m not afraid of cancer.  Or of death, either, really.  It’s chemotherapy that terrifies me.
Cancer, as such, is just a way of describing cells that have gotten a bit carried away with themselves and aren’t too particular about playing by the standard set of rules.  And death…  Well, death is the one thing we all have in common.  None of us make it out of this place alive.  Not a one.  Death, in its way, is the final answer.  The ultimate solution to every problem I’ve ever had or can ever conceive of having.  So, no, though I don’t know what waits on the other side of that particular experience, death doesn’t frighten me so much.
Chemotherapy, on the other hand, I do know.  It is, I think, the embodiment of suffering.  At least, for me.

I know everyone’s experience with chemotherapy is different, so, let me take a moment and tell you why it is that I fear it.  For me, chemo was about losing all my hair, all my color, close to sixty pounds, and virtually all my energy.  And, frankly, in a very, very short amount of time.
My hair went first.  I remember it coming out in clumps in the shower.  Just like in the movies.  I started to cry when it happened.  Great racking sobs, with tears running down my face, mixing with the soapy water.  No one can see you crying in the shower.  I recommend it, if you have any crying to do in the future and you’d rather people not know.  It’s one of the many useful things I’ve learned from one of my ex’s.  I took my beard trimmer and cranked it down to the shortest setting, then sheared the rest away myself.  My own way of taking a bit of control back, I suppose.  But, I remember that day, more than four years ago, as if it were yesterday.  A few days later, I shaved for the last time in what would turn out to be more than six months.
My eyebrows and ear hair and nose hair weren’t far behind.  You have no idea how important nose hair is until you don’t have any.  Trust me.  My nose ran for weeks and weeks and weeks.  Nonstop.  All those annoying, little hairs filter the nasty gunk out of the air and grip it with that snotty mucous up in there and keep it from getting into your lungs, as it turns out.  Without it, well, your nose just runs and runs and runs like a little kid with a cold on a Winter playground.

The weight and the color took longer.  By the time I was an unhealthy, pallid gray, my goatee had become so thin that I shaved it off.  And, I was a larval, grub-like thing, pale and weak, before the weight started to melt off me.
Frankly, I wouldn’t have minded the weight loss, but it took muscle as much as it took the fat.  And, of course, it involved severe nausea and, yes, actual vomiting.  Not to mention all the other symptoms, like how everything smelled different; how all my favorite food smelled, well, wrong somehow.  And the weird bloating I would get in my hands and arms that led the doctors to proscribe diuretics and force the poor nurses to record how much I peed, by volume.  I was measured and weighed regularly.  Multiple times per day, actually.  Oh, and the drugs!  Pills by the score, a fist-full at a time.  Self-administered injections three times a day, at one point.  All while fighting nausea and trying to find a square inch of flesh that I could still pinch up enough to get a needle into without going all the way through.

Death would have been easier.

But, as a wise, Zen-Catholic almost-monk reminded me recently, without fear, there can be no bravery.
He also reminded me that the test will only show what is, or is not, already there.  It will only tell me if I have just another problem to deal with, or another opportunity to exercise my courage, or, simply, a bill to pay and just another doctor’s appointment to go to and questions to ask and answer.
And, either way, all I can do is live in the present moment.  What’s happened is done already.  What happens in the future is yet to be determined and may not have anything to do with what has come before.  And, regardless of the results of this scan on Wednesday, which I’ll get on the following Monday, I can only live as best I can, as best I know how.  There will, ultimately, be other scans, other tests, potentially one every year until the day I do, finally, make the last great leap into the dark.  In between those scans, however many there may be, I slowly, gradually, have chosen to live healthier.  The past couple years, I’ve been juicing.  Fresh, home-made, organic vegetable juice.  And, this year, fruit smoothies.  Both, or either, instead of sandwiches for lunch, along with yogurt, which has lately been organic as well, and, newest of all, Greek for the higher protein.
I exercise more regularly than ever.  I’d like to be less heavy than I am, or at least less fat.  Pound for pound, more muscular would be just fine at my weight.  Less stiff and less creaky in the joints would be okay, too.  Some mornings when I get up, I sound very much like a bowl of Rice Krispies my joints snap, crackle and pop so much.  Several people have suggested that I add yoga to my exercise regimen, that it would help with flexibility and ease my stiff joints.  And, when I hear a thing three times, from three very different people, I have to at least investigate that or risk the Universe taking offense at my willfully ignoring the suggestion.  So, this conservative, meat-and-potatoes, tough-minded, mostly pragmatic Mid-Westerner has found himself a bit adrift in Texas, more liberal and open-minded toward alternative health practices, eating mostly fruits and vegetables and “crunchy granola”, and, yes, finally, investigating yoga, of all things.  At least I hear the classes are mostly women, so, who knows, maybe I’ll meet a nice, healthy girl who won’t laugh too loudly at my foolishness.

So, regardless of how terrified I may be of having to endure chemotherapy again, or how distasteful I find the radioactive enema I will pay an enormous deductible on, I will face the day, the scan, with as much courage and dignity as I can still manage.  I will do my best to be thankful for the friends and family who support me in my weakness and discomfort, and, yes, for the medical staff who will run me through their gauntlet.  I will try to be patient while waiting for the results of what is already there, or not, like Schrödinger’s cat, who’s state cannot be known until it is observed.
And, when all is said and done, I will try not to let the fear cripple me, but, rather, I will do my best to live more fully.  Certainly, more fully than I have been, more courageously, I hope.  I will still know fear, I am sure, but, as I was reminded, there can be no courage without the fear first.

Of course, until that all happens, I will be more than happy to accept your prayers, good thoughts, and any introductions to nice, pretty, healthy ladies who aren’t more than ten years younger than I.
But, let’s start with those prayers, okay?
Thanks.

Advice from your Uncle Jim:
"Justice may be blind, but she has very sophisticated listening devices."
   --Edgar Argo

No, really, actual Zen!

According to this article on Business Week, more companies are offering free, on-site meditation and yoga classes to help their employees deal with stress. I have to admit that I’d actually get into that. I’m so pressed for time these days that I have a hard time working in any meditation time or spiritual practice, so having it at work would help a lot. Also, lessons and classes can get kind of expensive and, since the job market is still in the hamper, money is pretty tight.
Of course, I don’t have a very stressful job right now, either so I guess I don’t need it that bad. And, I have this blog to let of steam with, too! Ah, well, it would still be a great benefit to get.