Wednesday, November 4, 2009

Tuesday, November 3rd: Goodbye, third nipple, goodbye!

It's been a few weeks since I posted for all of you, and a lot has been going on as I've entered my new "thermonuclear phase" of treatments for my Lymphoma - daily treatments at the Radiation Oncology department.

The week after my last post was a monumental phase in my treatment - the removal of my "power port" injection apparatus/site - a.k.a. 'THE THIRD NIPPLE". Nothing like a little outpatient surgical action courtesy of your friends at Presbyterian/St Luke's Medical Center in sunny Denver, Colorado. I'll take the name of this hospital as a good omen, since I married a Presbyterian and am the son of a Catholic - even though I'm now on Team Methodist, the folks at P/SL are 'my peeps'.

It was a great step of progress - the removal of the port from my right chest. No longer will a third nipple be portruding from my right chest - the little three tipped (yes three) bump in my skin is now replaced with a Vietnamesque incision scar where they removed it. In the future, when the incision site heals, I've worked off my "chemo fat", am at the pool -I can tell people I got this 1" long scar "looking for Osama". After all, isn't the terrain of Afghanistan & Pakistan a lot like Colorado?

Back on subject - the port removal went well - I had forgotten how cool the nursing staff was in this area of the hospital. It was nothing but jokes all around. When I had the port put in, I was under some serious painkillers and minor anesthesia drugs, so the most I can remember from last time is laughing like crazy while they strapped me down and put it in there ( the port installation - get your minds out of the gutter!). Since I was only under a local this time, I could truly appreciate the humor of the nursing team. I wish I remembered their names - they all get a big 'thanks' for making another medical procedure in this journey reasonably pleasant. The worst part of the whole thing was when I heard a crunching sound - the doctor explained that my body had formed scar tissue around the port, and he was cutting through this 'shield' to be able to remove the device.

Lovely.

In other news, I've made it through 13 radiation treatments at the Cancer Center - so far no adverse visible effects - that is, if you don't count the daily blast of radioactivity 1000 times more powerful than a common X-ray. No sunburn, no chafing, and my 'boys' haven't fallen off due to their proximity to the beam. It's actually been pretty pleasant - the two techs who run the machine (Kierstan and Vivian) are pretty cool. It's pretty much a laugh fest in there all the time - we've been discussing the benefits of the show "Family Guy" and got a good chuckle out of my recently mailed gift from our good friend Craig in Columbus - the full banana body suit. Yes, folks - when you're beating cancer it's ALWAYS "Peanut Butter Jelly Time."







I am now the proud owner of a full-body banana costume. I'll wait to post pics until I can get the Slanket AND rasta hat on at the same time.

So what's the moral of this post? There is none. Do me a favor, savor every day - you never know when the doctor is going to look at you with sad eyes and serve you up one of life's big sh*t sandwiches.
Carpe diem.
-Bill

P.S. Who dey! Who dey! Who dey say gonna beat dem Bengals? NOOOOOO-BODY! Let's go boys- beat Baltimore.

Saturday, October 17, 2009

Friday, October 16th: Mr Clean Hath Arrived

I am a cancer survivor.

I got the results of my post-chemo PetScan, and it was all smiles from my oncologist, Dr. Ioana Hinshaw. Based on the report, all evidence of increased metabolic activity and malignancy is gone from my body. In a nutshell, I'm as clean as the Bald guy peddling household products from P&G, and with much less muscle tone, actually resemble him. I've earned the right to wear the yellow wrist band, but probably won't (too cliche, although Lance Armstrong's organization rocks).

I start my 3-month checkup cycle with Dr. H and go back to see her in mid-January. Thankfully, the little metal port under my chest gets removed next week - so no more wierd itchy third nipple that shows through my shirts. Don't get me wrong, having an artificial third nipple isn't all that bad, but the removal of this device is another signal to cancer that I kicked its' ass. If only it was a status symbol - then I'd keep it.

All isn't done with my treatments, as I started radiation on Thursday. Why do this, you ask? It's a precautionary measure to eliminate any microscopic cell clusters in my pelvic bones that may still be active. In a nutshell, they're nuking the sh*t out of the area to get the little purple invader out of there.

The way it works is that every day during the work week (3:15 pm ) I get to go to the cancer center at Pres/St Lukes and sit under a large star trek looking machine with my pants off (sorry about the imagery), my package pulled aside(via towel) by the friendly (and funny) technicians, and get a dose of radiation for 5-6 seconds 1000 times more powerful than an X-ray on the tumor site in my hip. The area of the 'beam' is about as big as your hand - they are bathing the acetabulum (hip joint) and part of the pubic bone (don't laugh) where the tumor used to be with 'golden rays of sunshine' (a.k.a. radiation). I'll have a total of 25 treatments. It's amazing how precise and accurate they are -there are some cool Star Trek lasers off the wall that line up with the tattoos on my hips, and then they 'click click click' for about 5 seconds and- voila! - back to the office!

I'm being told that at treatment 15 or so I'll get to have a little sunburn on the site. That's OK, as long as the little sumbitches are nuked right out of there. Nothing that a little aloe and talcum powder can't cure. My Radiation Oncologist, Dr. Daniel Chin, tells me that I've got a 10% chance that I might get another tumor in 15-20 years at the treatment site - I'll take that risk. After all, I only had a bit over 50% chance I was going to beat this, so 10% is nothing. The hope is that as I get re-activated with my cycling I'll be able to sense if something goes wrong early enough in the future to catch it.


The machine they put me under looks like this picture above - but the room isn't all tricked out this way with the man-cave wood paneling and beautiful sky ceiling. They did take out a couple of the 2x4 ceiling panels at the Cancer Center, and replaced them with some sky pics with fighter jets flying by. I'm not sure about the military theme - maybe its a subliminal way to tell your body thay they are nuking the sh*t out of you, just like these jets could launch a small radioactive device and wipe out some middle eastern village.

But I really have no control, so I'll just take every extra day I can take and live it to the max - risk of cancer recurrence be damned. I've got too much life to live to worry about this.


Carpe diem.
-Bill

p.s. Happy Birthday Mom!

Monday, October 12, 2009

Monday, October 12th: Should you really give a rat's ass about 2012?

You've seen it in the movie theater previews, and you've read about it through the freakazoid paranoid psychotics on the internet - December of 2012 is when the Mayans say the world is going to end - Doomsday, Baby

REALLY?

This has a strange similarity to Hale-Bopp(remember the Nike shoes?), Y2K, Obama's election, Dubya's election, Oral Roberts' "Jesus will take me home" fundraising campaign....- you get the drift. It seems that the Human species is always figuring out ways to freak itself out over the 'imminent end' of the planet, despite the fact that we've either been here for
1) a couple million years+/- (evolutionist camp)
2) 7,000 years+/- (creationist camp)


Either way, it seems a bit silly that we're freaking out about something that's a couple of years away, when we could be living our lives to the fullest, now - doesn't it? Don't get me wrong, I know it's important to get all lathered up over the future, our country, world, etc - but people, let me tell you something important - now, listen....ready?

It doesn't matter.

I had a great conversation the other night with my good friend Eric who just successfully kicked cancer's ass - for the second time. We were talking about this subject, and how everyone gets wrapped up in the minutia of life & politics. He summed it up in one sentence "Bill, none of this shit really matters." I've thought about what he said - and he's right.

The beautiful thing about having a life-threatening illness is the perspective that it brings. As I've sat in countless bland doctor's offices, been laying half-naked in a hospital gowns inside large machines making strange noises I've been able to mull over the details of life, the people and relationships in my life, and for the first time really 'observe' what is going on around my world - both in the present and recollections of the past.

I know that I've occasionally taken the sarcastic approach in this blog and called people 'douchebags' and ranted a bit, but you know what I've discovered through all of this? I've discovered that many people are focused too much on power, position, money, and being 'important'. I think about folks I encounter in my life now and in the past and it's like the fog has been lifted to where I can truly see their priorities. I am saddened by how many folks seem to be aimlessly trekking through life, wasting away their time in the pursuit of stuff - and not in the pursue of integrity & soul. Whether that 'stuff' is a fancy car, lots of money, the right house, the right 'school', or the right 'look' - it's all immaterial when a doctor looks at you and says "I'm sorry, but you have cancer."

I'm not going to hint remotely at anyone in particular - that isn't fair, and I have no right to judge. But let me tell you, when you have to think about the possibility of a premature death due to illness it really "clears your mental sinuses" and lets you know what's important. This illness has been a beautiful thing - I know, you're saying "Bill, you're beating it, and that's why you can take this positive approach.". You may be right, and I might not be saying these kind of things if I was dying. But it's not my time to go yet, so I have to assume that the pain, suffering, confusion, anguish, and hardships of the past 5 months are intended to push me down a particular path in the 'second half' of my life (see my Hoosiers entry in the blog.)

So, I've established that too many people are pursuing stuff rather than integrity & soul. So what does this have to do with the end of the world according to the Mayan Calendar? First of all, have we really established December 2012 as the end of the world, just because an extinct Central American culture, as my friend Craig puts it, "ran out of paper for their calendar?" For all we know, carving all those pictures in stone gave all the calendar writers carpal tunnel and they finally said 'screw it - that's far enough ahead." Or who knows, maybe the head calendar writing guy got sacrified because he lost one of those wierd life-or-death Mayan ball court games they talk about on the Discovery Channel:




While it looks like this doomsday scenario is going to make a mean movie, I really think everyone should just calm down and smell the roses. Do you know the best thing you can do to alleviate your fear of the future? Life your damn life, and make a difference in the lives of others. Making a difference doesn't mean running around telling everyone through your facebook or linkedin account that you worked for charity, or raised money, or went to a 'charity benefit' with your picture on the social pages - don't get me wrong, these aren't bad, but go and do something that isn't public. Volunteer at a Rescue Mission, use your professional 'capital' to help a friend find a new job 'behind the scenes', spend some in-depth time with someone who isn't going to give you a big fat contract or advance you in business - just enjoy their humanity and learn from their life experience.

Enjoy your time, and don't worry about the future or if you're gonna die in a big-assed comet explosion in 2012. For the few months before my diagnosis and chemo, I experienced the pain of a cancerous tumor eating away at my pelvis - I'd much rather die in an instantaneous explosion than have to die a slow painful death from this disease. Those of you who've seen someone die of cancer or suffer through this disease understand what I'm talking about.

I'll take the Mayan solution in a heartbeat, if it means I have a couple of more awesome years enjoying life, drinking some wine, climbing a mountain or two, and enjoying the company of family & friends. There is a saying attributed to John Wesley, an 18th century priest in the Church of England who founded the Methodist Church, which I think summarizes what constitutes a good use of our time on earth:

"Do all the good you can,

By all the means you can,

In all the ways you can,

In all the places you can,

At all the times you can,

To all the people you can,

As long as ever you can.”

So get off your ass, and go make a difference. And please, make sure you're not being a douchebag while you're at it.

Carpe diem.
-Bill

p.s. My cancer diagnosis and treatment cost has now exceeded $188,000. Booyah!

Monday, September 28, 2009

Sunday, September 27th: My own version of the 'Milan Miracle'

Remember this classic story of a man who gets a second chance in his life, and the resulting 'second half' of his life story is possibly one of the greatest tales in all of modern sport?


That's right, Gene Hackman starring in "Hoosiers", which is considered one of the greatest sports cinema flicks of all time. And to top it all off, it's based on the true story of the "Milan Miracle" - the 1954 Indiana State High School basketball championship where tiny Milan defeated Muncie Central in one of the greatest basketball games ever played. As a small town Ohio boy who grew up in a similar community (which had a couple of runs at the Ohio Championship and finally won - Go Scots!), I could relate to the emotions and passions that this movie so eloquently portrays. Even though this movie is now 23 years old - I get goosebumps every time I watch it.




Now, granted the movie takes some liberties with the original story (the coach in real life really didn't have a questionable past like Gene Hackman's character), but still the parallels to my recent experience trend together. You see, when I returned from Boston, just a day or two after learning my cancer was not only in my hip but up in my chest and possibly in my skull, it was a pretty down time - the lowest of my life. Yes, I kept an optimistic persona about me to friends, co-workers, and family, but I knew deep inside that I was forever changed, and there was a possibility my odds weren't going to be so good. I even spent some time crying - a lot. Looking at the possibility of my end was frightening, and angering - because I love life, and for it to end before I was ready to end it on my terms gave me the feeling that I was in the midst of a true "David vs. Goliath" Story.

Most of you know I married into an Evansville, Indiana family with some history of basketball - between my Father-in-law as a former HS player and HS coach, with his brothers playing at the HS level, as well as a brother-in-law who was a heck of a 3 point shooter when in HS, coupled with their universal love of Bobby Knight and all things IU - you get the picture. On top of that, during my attendance at the "Harvard of the Midwest" a.k.a. "Testicle Tech" (that's Ball State to the rest of you) my alma mater had some good teams which whipped me into a full appreciation of Indiana basketball fever. Also, as I mentioned above, my small town in Ohio was the Buckeye version of this hysteria - so basketball references and allegories run strong in these veins. So how does this tie this back to my cancer experience (this is a cancer blog, right?) In basketball terms, when I returned from Boston with my uncertain future I got pulled into the locker room at "halftime" of my life (37 years) and got kicked in the unmentionables by cancer - hard. So hard that there was a 43% (ish) possibility that my chemotherapy wouldn't work and I'd be looking at not making the second half starting team.

So, there I am, first week in June, traveling to Lutheran Hospital in Denver to get a PetScan to see the extent of my cancer and just how bad it was. All the tests in Boston were not 100 percent confirmed, as this was the one final step in the diagnosis journey which would let my team of oncologists in Denver know what to do next, and what the options were. I knew this was the big test, and was scared beyond your wildest dreams.

I go in, and get injected with some radioactive dye which will pulse through my systems and show exactly what areas were affected and cancerous. After the injection, they have me go to a small room and wait for an hour while the dye pulses through my body. The room is dark, soundproof, has a large comfy leather recliner with a warm blanket, and a big flat screen TV with a remote. There were some movies there, and you know the first one I laid my eyes on? You guessed it - Hoosiers. There I am, in the biggest fight of my life, and the story of one of the greatest underdog stories is there to see. So I plugged it in, fast forwarded to the last hour (I've seen it at least 20 times already) and cried my eyes out at the end when they won.
Fast forward 3 1/2 months.....As I now enter a 3 week recovery from chemo, and prepare for my next PetScan on October 12th pre-radiation, I feel like it's all been a dream - an emotional, inspiring, harrowing, uplifting, and glorious dream.
So here I am, ready to go out on the floor for the second half of my treatment regimen at the hand of a little bit of radiation (daily for many weeks). I'm gonna defeat this Goliath, kick the b*tch in the nuts, and get on with the second half of life for my friends, my family, and my beloved Amanda.

Gene summed it up best at the end of this clip......




"I love you guys." Every last damn one of you.
Carpe diem.
-Bill
p.s. For those of you who want to watch the 'original' Milan Miracle, here's a link from the IHSAA's website to the last few minutes of the Milan Indians vs. the Muncie Central Bearcats in 1954: http://www.ihsaa.org/dnn/Media/Galleries/Videos/IHSAASportsVideos/TabId/61/VideoId/9/Final-Minutes-Milan-Vs-Muncie-Central-1954.aspx