 
  Medically, there’s not much new to
report.  I spend a lot of time sitting in
chairs, to be honest, which is about what my current level of stamina
allows.  If I’m on my feet for more than
5 minutes I start to get get winded, and pain starts to set up in the area where my
cancerous left kidney used to be.  The
only cure is to sit down, so I do a lot of that.  This leaves time for writing but as I’ve
mentioned in previous posts I’m finding it difficult to muster the energy
necessary for the next novel.  I’ve begun
work on it but am undecided as to whether I’ll finish it; I may decide to let The
Dark stand as my personal best in that regard.   In any
case the novel-writing bucket list item does remain checked off at this point
even if I don’t write a fourth.  Plus, that book I’ve been promising about a lifelong string of coincidences that may or may not have been paranormal in nature which
have informed, inspired and perhaps even enabled my current life is on its way
within a few weeks or short months.
Medically, there’s not much new to
report.  I spend a lot of time sitting in
chairs, to be honest, which is about what my current level of stamina
allows.  If I’m on my feet for more than
5 minutes I start to get get winded, and pain starts to set up in the area where my
cancerous left kidney used to be.  The
only cure is to sit down, so I do a lot of that.  This leaves time for writing but as I’ve
mentioned in previous posts I’m finding it difficult to muster the energy
necessary for the next novel.  I’ve begun
work on it but am undecided as to whether I’ll finish it; I may decide to let The
Dark stand as my personal best in that regard.   In any
case the novel-writing bucket list item does remain checked off at this point
even if I don’t write a fourth.  Plus, that book I’ve been promising about a lifelong string of coincidences that may or may not have been paranormal in nature which
have informed, inspired and perhaps even enabled my current life is on its way
within a few weeks or short months. To bring you up to date medically, there are three different cancer
sites competing to kill me—my abdominal cavity where the left kidney used to
be, my sigmoid colon, and my bladder. 
Having said "no" to additional chemotherapy (an experience that damned
near killed me and from which I am still recovering) there is not much that I’ll
be doing now about the first two cancers; those masses will continue to grow, and I’ll
continue to suffer losses in my stamina, for the foreseeable future until the
inevitable happens.  There is no need to
let bladder cancer win this competition, though, because it can be controlled so easily with an outpatient procedure.  So, toward that end I have a doctor’s
appointment today (Monday, 8/31)  to see if the cancer 
has returned to the bladder, which seems likely since that’s exactly
what  happened at the six month mark last
time.  If it has, it’s an easy operation
(in theory) to remove it, assuming my insurance company will go for that.  Being in hospice care complicates things
because it creates the expectation that there will be no further treatment
other than palliative.
To bring you up to date medically, there are three different cancer
sites competing to kill me—my abdominal cavity where the left kidney used to
be, my sigmoid colon, and my bladder. 
Having said "no" to additional chemotherapy (an experience that damned
near killed me and from which I am still recovering) there is not much that I’ll
be doing now about the first two cancers; those masses will continue to grow, and I’ll
continue to suffer losses in my stamina, for the foreseeable future until the
inevitable happens.  There is no need to
let bladder cancer win this competition, though, because it can be controlled so easily with an outpatient procedure.  So, toward that end I have a doctor’s
appointment today (Monday, 8/31)  to see if the cancer 
has returned to the bladder, which seems likely since that’s exactly
what  happened at the six month mark last
time.  If it has, it’s an easy operation
(in theory) to remove it, assuming my insurance company will go for that.  Being in hospice care complicates things
because it creates the expectation that there will be no further treatment
other than palliative. And I will say that I’m determined that
nothing—not no way not no how—is going to come between me and my Casa de la Luz
Hospice care.  These folks have been
wonderful.  I’m sleeping through the
night now only because they are appropriately managing my pain levels, which
the oncologists on whom I was relying prior to hospice were not doing.  As I previously posted, I didn’t even realize
my pain management was inadequate until suddenly I was getting appropriately
managed.  It is great to be able to sleep.  Worrying about sleep also creates its own
problems, and that is behind me, too, at least for now.  The hospice folks assure me that no matter
what happens going forward, pain is not going to be an issue.  That is good to know.  I don’t totally believe it, but I do believe
they will do the absolute best they can.
And I will say that I’m determined that
nothing—not no way not no how—is going to come between me and my Casa de la Luz
Hospice care.  These folks have been
wonderful.  I’m sleeping through the
night now only because they are appropriately managing my pain levels, which
the oncologists on whom I was relying prior to hospice were not doing.  As I previously posted, I didn’t even realize
my pain management was inadequate until suddenly I was getting appropriately
managed.  It is great to be able to sleep.  Worrying about sleep also creates its own
problems, and that is behind me, too, at least for now.  The hospice folks assure me that no matter
what happens going forward, pain is not going to be an issue.  That is good to know.  I don’t totally believe it, but I do believe
they will do the absolute best they can.So, the way I’m spending my time is that I read, I write, and on a good day I receive little delights via Facebook or snail mail. Thank you, Lindsay, Dan, and everyone else who participated, for this one.
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