Wednesday, February 9, 2022

(updated 25 February)

Update from Yvonne,
January – February 2022


Continuing from 2021_update:

 

My CT scan was on 27 January. This is what I wrote the next day:

 

As with so much in life, the results (as discussed with my doctor, Raoul Goldberg) are a mixed bag.

 

The good news: absolutely no trace of anything at all in any new places (organs or bones), and no mention of one of the two lumbar vertebrae where there was a shadow last time – so there's no spread into anywhere else, and I'm still not in any imminent danger.  
(A later update to this "good news": I did discover, shortly afterwards, that the picture was not quite so rosy: although I was still not in any imminent danger, there was, in fact, one new development – a new area where my thoracic rib T7 joins my spine on the left.) 

The not-so-good news: The nodules are still in my lungs, and the most pronounced one is showing a very small amount of growth (about 1 mm = 5%) over the 4 to 5 months since my previous scan.  
(And see the update in the previous paragraph, which means that my bones are actually part of the not-so-good news.)

The neutral news: No change, including no worsening, in my ribs and the other of the two vertebrae – my bones are stable, for now. 
(Update: not quite true  see above.)

 

So the SPDT and other treatments are not miracle cures in my case, but they do seem to slow everything down and keep me generally stable at present. At the same time, that won't last forever: I'm reflecting on everything and deciding what to do next – it's helpful that I don't have to rush into anything. Although I don't usually engage much with allopathic medicine, I will include a consultation with an oncologist on 14 February (I have a referral from my doctor) and will listen carefully to the options that are suggested: as Dr Ndhluni said when he phoned me to make sure I had the results, "You can go window-shopping and you don't have to pick anything" (although I know he's hoping that I will pick something!). There is also a further natural medication that I could consider taking, in parallel with my other treatments … more about that if I decide to try it. (For completeness of info: SPDT was a once-off – I'm glad about that, for various reasons!)

 

I realise that, painful as it was, I'm lucky I cracked that rib in July – there was absolutely no sign of anything until that day, and it could have continued silently until it was too late to have any options at all (of course, however, sticking one's head in the sand is also an option … there have been times in the recent past when that has looked rather attractive to me). But overall, my wish for all of us is that we continue to have options, and that we choose as wisely as possible and continue to do – and to be – the best that we can each live with.



* * * * * * *

25 February 2022

 

Having avoided oncologists all my life, I have had to revise some of my opinions after meeting Dr Garth Davids last week. He is a mensch – straightforward, helpful and kind. He spent all the time with me that I needed, in order to look at what is happening, answer my questions and discuss options.

 

He agrees that my life is in no imminent danger at all (although I'm not going to have a long, long life – reading between the lines, I estimate that I have 6 to 8 more years), but he stressed that my bones are going to give me a seriously hard and painful time – and are going to fail me long before my life is over – if I don't give them a really huge boost. He strongly recommended radiotherapy, especially for that T7 rib (I could land up severely disabled if we don’t give it some help) and I have decided to go ahead with this (ha ha – I’ve had to revise my nasty opinions about radiation, too!). It’s going to be 12 sessions over less than 3 weeks, probably starting on 3 March. A few days ago, I went to the planning session where the radiologist marks where the beams will go, and am now sporting tiny, permanent pinprick tattoos in a couple of places. Radiation usually has at least some side effects, but they generally last a maximum of about 2 weeks. People are encouraged to continue to do all their own normal activities – for me that includes circle dancing – unless they feel extra tired (but the tiredness is usually manageable).

 

Garth made a few further recommendations for after that, which I will think about.

 

He also told me that chemo is not recommended for this type of cancer. While I’m sorry for those who might want to try it, this is a weird kind of relief for me, as I don’t have to fend off anyone attempting to give me that stuff. His considered opinion is that this type of cancer can't be cured, but it is non-aggressive and slow, and can be managed. There is no one-size-fits-all pattern, but the latter is how it usually goes.

 

This is all quite strange, and my immediate response is, "Who, me??!!" And yes, this is me. Garth says I should absolutely not feel like a failure in any way. Hmmmm ... I have been feeling some of that. He feels that I've now maxed out the less invasive stuff, which was all worth a try. (At the same time, I’m not going to try the further natural medication that I had considered briefly. Right now, even I agree with the “maxed out” opinion: while I’m going to carry on with the supportive and strengthening complementary treatments – like Iscador – I’m not adding any new ones into the mix at this stage.)

 

So much to process ... at the same time, no regrets about what I've tried.

 

* * * * * * *

There are two poems that have always meant a lot to me – I think you’ll see why:

 

The Summer Day

by Mary Oliver

 

Who made the world?

Who made the swan, and the black bear?

Who made the grasshopper?

This grasshopper, I mean—

the one who has flung herself out of the grass,

the one who is eating sugar out of my hand,

who is moving her jaws back and forth instead of up and down—

who is gazing around with her enormous and complicated eyes.

Now she lifts her pale forearms and thoroughly washes her face.

Now she snaps her wings open, and floats away.

I don't know exactly what a prayer is.

I do know how to pay attention, how to fall down

into the grass, how to kneel down in the grass,

how to be idle and blessed, how to stroll through the fields,

which is what I have been doing all day.

Tell me, what else should I have done?

Doesn't everything die at last, and too soon?

Tell me, what is it you plan to do

with your one wild and precious life?

 

 

I Will Not Die an Unlived Life

by Dawna Markova

 

I will not die an unlived life.

I will not live in fear

of falling or catching fire.

I choose to inhabit my days,

to allow my living to open me,

to make me less afraid,

more accessible;

to loosen my heart

until it becomes a wing,

a torch, a promise.

I choose to risk my significance,

to live so that which came to me as seed

goes to the next as blossom,

and that which came to me as blossom,

goes on as fruit.

(I read this one out at the celebration of my fiftieth birthday)