Wabbit season

Duck season! Football season! Yay!

About damn time. College kicked off last night and continues through the weekend, the NFL begins next week, and soon we will be awash in games. I watched – or, rather, listened while helping paint one of the bedrooms – to South Carolina stomp all over Southern Miss, and then USC make it past Hawaii. As for Towson and Indiana? Yeah, right.

Anyway, the painting. Someone who shall not be named decided one of the bedrooms needed to be painted a different color: radiant sun, to be exact, although to me it looks like an off-white sort of color, but who am I to say? It will take a couple of coats, since it’s lighter than the current color, but it’s good exercise for me, even though by the end of the taping around the baseboards and the subsequent painting in that area, I was getting a bit sore. Still, with that part done, the rest is fairly easy, just rolling away, and we should finish today. Just in time for some Georgia person to arrive and stay for a few days.

And it’s time to go back to cooking a bit, too: this afternoon, stir fry, with chicken and lots of veggies, and scallion noodles. Since we will have people in the house this weekend even though we are not doing a big gathering as in years past, I’ll be brining a butt today so it can go on the smoker in the wee hours and be ready for Saturday afternoon’s more traditional kickoff of a slate of college games. We also need more bbq sauce. And I think, just for fun, we’ll do a bit of chicken as well, as it’s been forever since I’ve done any smoked poultry. Chicken breasts alone are tricky, as they’ll go from tender, moist, and delicious to rubbery dried out nastiness in no time, so perhaps a whole chicken is in order (but I’ll have to rig something so the chicken doesn’t drip on the porkalicious goodness that will be in the smoker before it). Applewood smoked chicken quesadillas for leftovers, anyone?

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Bugs, redux

The problem with spending quite a bit of time in doctors’ offices and hospitals is that these places are more often than not filled with sick people. While this is not entirely surprising – after all, how often do well people go to the doctor or visit a hospital unless they’re visiting someone or working there? – it is rather annoying for those of us who are otherwise healthy but are susceptible, thanks to being blasted with radiation and chemicals, to picking up bugs from various places in their travels.

Such is the case on the ranch, where yours truly has a typical case of the flu or a cold or something, resulting in an amazing amount of snot being blown out of my head.

Speaking of amazing amounts of stuff: this week, a return visit to the pulmonologist, for a followup xray to make sure that massive amount of fluid they drained out of the left lung last week remains at bay. It does, although there is still a bit of hazy “pneumonia-like stuff” hanging out at the bottom of the left lung. Do we know what it is and why it’s there? No. Do we want to preemptively treat it with antibiotics or anything? I voted no, and the doctor concurred. In two weeks we’ll have a followup xray to see what progress the body can make on its own.

On another note, I got to see the xrays and scans from before and after he drained the fluid. I have to say, it was one of the most incredible things I’ve seen on a scan, and more than a little scary: my left lung was pushed almost to the point of collapse by the sheer amount of fluid, and the CT scan results, when rolled back and forth like a film, are rather awesome in demonstrating just what medical technology has the ability to do (of course, I am a great fan of technology in general and medical technology in particular, because hey, it has saved my life rather spectacularly, twice, in the span of five years). When viewed as a film, the CT scan results, working from the top of the lung downward, show a massive black space where the fluid has displaced the lung – a bit of 2001: A Space Odyssey, minus the stars bit, because there was absolutely nothing there but a huge amount of (thankfully benign) fluid.

Right now, although my head is stuffed to the point where I want to chop it off, breathing deeply no longer is the agony it has been, and is getting better daily. A slight twinge here and there, but overall, recovery is back on track. The other day I went out for about 20 minutes or so and actually worked in the garden by chopping off some of the giant okra fingers that were threatening to topple some of the plants. All of those went into compost, as they were inedible – some had dried on the stem, the seeds rattling around in the now zebra-striped pods as I cut and tossed them.

I’ve decided to try another round of tomatoes, as a last hurrah to the season. I’ve also decided that instead of starting other things in flats, they’re just going to head straight for sowing in the frames. Since Earl is not going to pass closely enough to our coast to bring us any weather, and the daily rains appear to have moved along, there is no real danger at this point of the seeds being washed out or the soil staying wet so long so as to cause the seeds to rot in place. That means the broccoli, cauliflower, and other assorted goodies will be directly sowed at some hopefully short time in the future – but after we go through another week of 95-degree weather here, according to our forecast. Summer does not want to let go its grip, and who can blame it, really? Summer, to me, is the very best of seasons.

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Bugs, bugs, bugs. And I’m not talking coding here.

After awhile, bugs landing on you while you’re in the garden are as ho-hum as finding pocket lint: you’re so used to it by long exposure that it is a mere annoyance to flick one off your arm (or face) and stomp it dead.

This is what happened to me this evening as I wandered out into the back garden for the first time in quite some time after taking out a couple of very light garbage bags. Despite serious neglect, blight, and a complete invasion of leaffooted bugs, stinkbugs, and who knows what else, partying along like it’s their personal buffet, there are some things that are still growing – some completely out of control. The okra, for instance, is actually starting to lean from the weight of the uncut fruit on the stems, the largest of which are starting to curl into themselves much like those crazy fingernails people grow in a strange attempt to get into Guinness.The eggplant continues to thrive even though it was transplanted hastily before my surgery and virtually ignored since that time. The new round of peanuts, planted post-surgery, is coming up well, although we won’t be able to pluck those out until around December, assuming the weather holds. The cukes are spent, and need to be pulled, but all three varieties were excellent producers while they were producing, but next year I think we will stick with two varieties that everyone judged tastier than the third.

There are also small watermelons scattered here and there, ready to be picked, as they are hybrids specifically bred to be what amounts to a single-serving melon. I pulled one while out looking around, since the bottom was starting to yellow and get soft. After breaking it open, it showed itself to be slightly mealy from having been out too long, but otherwise a perfect specimen of a tiny version of the behemoth watermelons that are so often seen: deep, ruby red flesh studded with black seeds, the clear, strong scent of fresh fruit wafting up from the split pieces.

Other things have not fared as well, and it is a significant disappointment that another season has been lost without what should have been a bounty of zucchini, tomatoes, and peppers, both sweet and hot. Late transplants, poor weather, and medical issues both in the family and for me personally have led to pitiful looking plants, both earlier in the season and since I went in for surgery. But, like a good Cubs fan would, all I can say is: wait until next season. The good part for me is that my next season is right around the corner, even if the continued 100-degree weather makes it seem as if summer will last quite a way into the fall.

Next up: I should be receiving the shipment of garlic for fall planting. That will go into the cold room until the weather moderates a little, since these particular garlics do not like overly hot weather (not to mention that the frames where these will be planted are not ready to receive them yet). In the flats, I plan to start brussels, broccoli, cauliflower and in the frames directly, carrots and onions. If the weather cools off into the low 80s consistently, we’ll also put in a late round of snow peas.

Overall, today, looking at the state of affairs, considering all the work that has been plowed (so to speak) into the effort: disappointing and depressing.

Posted in Gardening, Homestead | Tagged , | 5 Comments

Draining. Literally.

Since before the actual discovery of the big C in my right lung, I’d been having some coughing, pain, and shortness of breath here and there. This is why we thought maybe I’d been walking around with a touch of pneumonia rather than with a dome sized lesion on the upper lobe of my right lung. The pain itself was bilateral for the most part, which lent itself even more to that theory.

After the surgery, I’d still been having those same symptoms. The PET scan showed fluid in the left lung (but all clear of any cancerous bits on the right, including a questionable lymph node near the trachea that the thoracic surgeon removed while removing the wedge fro the right lung). OK, we thought, a little fluid. That would jibe with what we figured, and would explain a lot. Another visit with the pulmonologist, amazingly set up very quickly for yesterday.

Now, I’m thinking, a touch of pneumonia. That means drugs, come back in 10 days after the cycle is complete. But as usual, it turned out to be far more complicated, given that I’m trying to squeeze more medical-related visits and procedures into these past five years than I’d ever had in all the previous years of my life combined. And I must say, that’s working out pretty well, so I have that going for me.

The pulmonologist thumped around on my back on both sides, and said you definitely have some fluid in there. I’d like to go ahead and drain it right now. This is not something I’ve ever had done before, so yet another brand new experience in dealing with cancer and all the assorted bullshit that goes with it. Fine, I say, we might as well get it over with. I figure it will be fairly quick.

To his credit, the doctor did warn me it might be painful as the fluid drained and the lung reexpanded. In addition, there was likely some inflammation in the lining, so as the fluid drained out, the inflamed tissue rubbing together would probably be very painful, at least for awhile.

The nurse brought in the tools – new word learned: thoracentesis! – along with a liter bottle and several test tubes. Keep in mind that a liter is just over a quart. This will be important later. They numbed up an area slightly below my left shoulder blade and a bit toward the spine, set a drape over me, and then….punched a hole in my back between a couple of ribs. Once into the fluid-filled area, they inserted a catheter, attached a tube, and started draining. I myself was sitting, leaning on a pillow over a table next to the exam table. Obviously I couldn’t see any of this going on. But boy, I felt it.

It’s a strange feeling to have liquid quite literally being pulled out of the body. From time to time I could feel bubbling as the fluid was outbound. It kept going on and on, and I really started to wonder: just how much fluid was he pulling out, anyway? To make things worse, the longer it went on, the more painful, internally, it became, and eventually, I was panting like a dog, and sweating profusely. The nurse brought in some cold towels, put one on my neck and started wiping my face down with another. At the point where I gasped, “I think I’m going to pass out.”, we went on for another minute or so, and then stopped. They pulled the catheter, slapped a bandage on, and when I sat up, the resulting pain was about as intense a pain I’ve ever felt. Combine that with an inability to breathe normally, and you have the makings of a panic attack, really.

Luckily, I told myself I wasn’t dying, and we managed to get me into a semi-reclined position to relax for a few minutes. It was then that I saw how much fluid they’d pulled out. The three test tubes were full, which I expected. What I did not expect was to see the entire liter bottle was also full, to the very top. Even if we hadn’t had to stop because of the pain, we’d had to have stopped because there was nothing else to hold more fluid.

The fluid was sent off to the lab, and I was sent off for a chest xray (which looked good – he said that was about 98% of the fluid, gone) and then a CT scan with contrast (for those of you who have been through this, you know that delightful feeling that you’re about to piss yourself that comes when they release the contrast into your system). The CT scan results we don’t have, but I have a followup appointment next week, at which point we’ll do another xray before talking to the doctor, to see where we stand.

The pain is still with me, although subsiding, slowly. The area where they punched a hole in my back is quite painful, but what can you expect after having a puncture wound deliberately introduced?

Today, a visit with the oncologist to go over the PET scan results with him, and to plot our course from here. That will likely just be a return to quarterly scans to make sure we’re still all clear.

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How to piss off tech support, part infinity

When you are contacting us for support, because you’re working on a site for one of our clients, here are some tips on how to piss off the very people you’re asking for help.

Open a ticket saying you can’t upload to an application you’ve installed. Don’t include any other information. We love trying to figure out what the hell you’ve done to break something that’s been working just fine, and love even more rechecking ownership of and permissions on files, and tracking back through the logs.

While we’re working on that, open yet another ticket saying the site is entirely down. When we look at it, the site is in fact down, because it can’t establish a database connection. That seems odd, since the site has been working just fine. Until…

After we tell you the problem is the configuration file and the credentials the file is trying to use to connect are incorrect, tell us you haven’t changed anything. Except, oh, you changed the password for the main account user.

When we repair the configuration file to use valid and proper credentials, and then tell you that if you change little, minor things like, oh, PASSWORDS, you need to update configuration files that use those passwords, ask us how you’re supposed to change the file without FTP or control panel access. This will surely make us ask you what the hell you’re talking about because you just told us you were in the control panel and changed the password, and this has nothing to do with us correcting a database configuration file. Ergo, you should be able to do whatever it is you need to do, since presumably you were just in the control panel doing whatever it is you were doing.

An HOUR later, complain that you still can’t access FTP or the control panel. Since both are working fine, and the site is working just fine because we repaired things, this will make us even happier as we go hunting through the logs only to find you locked yourself out – and locked out the actual client as well, since you’re at their location – by continually attempting to log in with an incorrect password. A password that you changed from the control panel. A password that you should know. You kept trying to log in with an obviously incorrect password instead of stopping and just contacting us, which triggered the firewall.

When we tell you what you’ve done – without pointing out the definition of futility, I might add – and then tell you we unblocked your IP and reset the password, respond with a request to rest the password to “changeme”. Nothing delights us like easily guessed, massively insecure passwords.

And finally, when we tell you that we’re not resetting the password to that, give us a snotty “Fine.” followed by a haughty “I want it on the record” that you find our response insufficient and too slow. This despite the fact that the entirety of the issue, start to finish, was created by you, and it took you an HOUR to respond to something we managed to reply to in exactly seven minutes.

All of this will certainly ensure that we put you at the top of the douchebag list, and further will ensure that we let the client know – because they also contacted us about the site being down – exactly why everything was a mess. There was insufficiency going on here, that is certain. It is equally certain that it had nothing whatsoever to do with us.

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I see trees of green…red roses too

The former more than the latter, to be completely honest, as it was a long drive to the dentist this morning via my usual path that takes me past vast swaths of land that is protected or that is part of the lands to parks program. I am also not partial to growing roses, or flowers of any sort, really, other than sunflowers and zinnias (and marigolds to try to keep the bugs at bay). This to see if a tooth – or, should I say, yet another tooth – which had started to fall apart, shearing off in pieces at the gumline, should be rebuilt or should just be pulled. This is a tooth I’d previously had a root canal on, something I realized when looking at it in the mirror and seeing the vertical trench that was left in the remaining portion of the tooth, and the posts used to fill the canal that were coming out from that procedure.

And this is one of the ironies of my life, really. I have a device to help passively stretch my jaws. Using it involves placing it between the frontmost upper and lower teeth. In the past three months, I’ve been through scans, biopsies, surgeries, a week in the hospital, recovery time at home in pain, then getting a bit better, then taking a downturn with massive pain on the left side (not the side on which the surgery was done), then managing to use the device for a couple of days, then having the tooth start to fall apart, which led to so much pain that once again, the device was put aside. So, I need to be able to use the device before the eventuality that all my teeth are pulled so I’ll be able to get fitted for fake teeth. Yet, I cannot use it because my teeth insist on falling apart at a rate that grows faster and faster as time passes. One would think they’d have a way to treat this in a better manner, given everything that is known about trismus and what happens when it isn’t stressed enough to a head and neck cancer patient that keeping the jaw muscles active (even though typically, you’re eating through a tube for a great while) is vital.

In other news, I had a PET scan on Tuesday. I was expecting results by the end of the week, but remarkably enough, the radiation oncologist called the very next day with results: the stuff that needed to come out on the right side was all collected, and it looks clear. What does not look clear is the left lung, which shows fluid. Being the nice guy he is, he called the radiologist to have them pull the previous scans and xray from before surgery, and wouldn’t you know it: fluid in the left lung. It appears that walking pneumonia may very well be a valid side diagnosis to all this cancer business after all.

And that brings me to my personal hell week. Next week, an appointment with the oncologist, to go over the PET scan and to plot a course of action (likely: quarterly scans to keep an eye on me, since they don’t know what else to do with me since I insist on being different). An appointment with the pulmonologist, to talk about this fluid on the left side, and figure out a course of action for that (likely: a base, post-surgery xray, with a followup in a couple of weeks, which leaves me with more time to cough and get short of breath from time to time). A visit with my accountant, to tell me that I need to write a check. And also a possibility, an appointment with a nutrionist, given my weight loss in the hospital that took me down to about 100 pounds, and my inability to get more weight on even though it seems like I am constantly shoving food down my piehole – and, to add to the fun, I seem to be bouncing between 98 and 100. If I lose any more weight, the chances of having to have a feeding tube put back in increases, and quite frankly, remembering that particular experience from last time, this is not something I want to do again.

And so we go, moving from one thing to another, dealing once more with the aftereffects of another cancer diagnosis that should not have happened. The garden is almost entirely a lost cause, but what did I spy the other day when taking a brief foray out? Eggplants! Black, shiny eggplants, hanging on the plants that have managed to survive brutal, incessant heat and brutal, damaging storms that roll through here and there. The okra continues to be a scary, vibrant presence that needs harvesting in the worst way. The second round of peanuts have come up, and the way the weather looks, it will be warm enough into December that they will have maximum growth. I have yet to start any flats for fall because it simply continues to be much too hot to plant those things out by the time they would be ready to graduate. Overall, the season has been lost, again. But another season does approach, albeit slowly, and I’m looking forward to it.

Posted in Cancer, Gardening, Life in general | Tagged , , | 1 Comment

Moving forward

Everyone is always after results: test results, harvest results, weather results, sports results. The results we received from the oncologist were, I must admit, those I had suspected would be the case. The sample was negative for the markers for which it was tested, as I knew it would be – after all, if the primary sample had tested positive for those same markers at the time, it would have been quite simple to point to an actual cause of the original occurrence rather than it being a grand mystery. But it didn’t, and neither did this one, which leaves us in the same position with this one as with the first. No one knows why someone with no risk factors at all amongst the various possibilities wound up with not one but two rare (for my category of risk) cancers.

Our next step, after meeting up with the radiation oncologist who developed the treatment plan for the first episode, is another PET scan. A baseline, if you will, of the state of my system,  post-surgery, to make sure that everything that needed to be cut out was cut out, and that no other hot spots appear. That will be next week, and I have to say that I’m not looking forward to it. Not because the procedure itself is scary or painful, but because you can’t eat anything for a period before the test. During my week in the hospital, I lost about eight pounds, leaving me tipping the scale dial right at about a hundred pounds. Trying to maintain that, much less put anything back on, is a daily struggle, and the way a healing body burns through calories, not eating for at least eight hours is going to be a tough road to take, and the end result will be a queasy and cranky Captain. I plan to stuff a cooler in the car with something to immediately boost my blood sugar as soon as the test is finished and they turn me loose.

The week after that, back to the oncologist, as the results of the PET will be back by then, and at least we’ll have something concrete there to look at and see where we stand.

Recovery continues, slowly. Weight maintenance/gain is the single largest issue right now, followed closely by range of motion/strength rebuilding in the affected area. I have this nasty dry cough thing going on, which aggravates every muscle they cut through during surgery, along with the ribs they spread apart to get a good view of the lung. Try coughing without involving any abdominal or back muscle. Doesn’t work very well. On the plus side, I’m not coughing up any blood, and it’s probably related to the fact that I spend the vast majority of my time inside in the air conditioning rather than splitting my time between being inside and being in the great outdoors. It’s simply too hot and humid right now to be outside doing anything much of consequence other than stepping out from time to time, as it’s difficult to breathe the heavy, humid, still air without starting to gasp like a fish unceremoniously dumped out of the bowl. Since our fall won’t arrive for a couple of months yet, the most I can hope for is periodic trips outside without doing anything strenuous (like pull weeds) and that the weather modulates just a tad to something more bearable so I can start getting back outside here and there, even for a short walk around the gardens that are going to hell.

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Going around the bend

Tomorrow, another visit with the oncologist to see what the results of the testing say – hopefully, there will be results and this won’t be another trip into town for nothing.

Today, though: planning. Planning for next season and next year. This afternoon, I managed a tour around the rear garden to see the pitiful state of affairs. Blight has taken hold of several frames of tomatoes, and the bugs are munching on the cukes and zucchini like it’s their personal buffet (although I did manage to squash a few during my brief stay outdoors). The corn is dead, for yet another season, and I’m of half a mind to just give up on that altogether. The new round of lima and green beans are not thriving, as they say, and are either dead or dying. Some of the transplants I managed to get into the frames before going into the hospital are still alive, and even thriving, including a new round of Cherokee Purple tomatoes and some bell peppers. The watermelon and butternut squash transplants don’t look horrible, but they’re skinny things and I’m hoping they make it through.

The other part of planning involves chickens. We decided before I went in for surgery that next year we’re going to raise our own chickens for meat in addition to those we keep as layers. This is not without logistical issues, of course, and it’s likely that only my brother and myself will be able to actually butcher the birds, but that’s fine. Other family members can handle the less gruesome parts, like packaging the birds, whole or pieced out, once they’ve been dressed. That seems like a fair enough division of labor to me.

Since the birds are generally processed at about 12 weeks, and the chicks are available year round, we could do multiple groups per year if it turns out to be worthwhile. I can’t imagine it wouldn’t be, as how often do most people really get the chance to raise their food almost from start to a very definite finish? We’re not quite on the path to hatching our own chicks here, and probably never will be since that would require a rooster, and that simply isn’t happening around here. I’m content enough with ordering chicks even though it isn’t as completely self sufficient as would be the case in a utopian universe. Now, if it really comes does to the end of the world as we know it, complete with zombies, we’ll rethink that part of the equation. Until then, we plan for stocking the freezer with freshly butchered, pasture raised chicken, right off the property. There are, no doubt, worse things in life.

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De-stapling

Yesterday was the visit with the oncologist to go over the pathology report and to decide on what course we should take now that I’ve been fileted and stitched back together.

One out of two isn’t bad.

The pathology report says the margins are clear, the lymph node is unremarkable, and so forth, just as we’d heard verbally previously when the oncologist popped into the hospital room to visit for a few minutes. The question as to how to proceed from here is not quite as clear cut, and revolves mainly around whether this lesion was a (very slow) metasasis from the original cancer five years ago, or a new primary lesion – that is, if it’s a groupie or a new act entirely. His reading of things leans him in the direction of it being related to the first cancer rather than a new primary occurrence. As he pointed out, I already had one very rare thing, and to have yet another very rare thing, similar to the first but in a totally different area – well, let’s just say I should be winning the lottery with those sorts of odds working for me.

They sent my tissue out for DNA sampling to try to make the determination. If it is related to the first, then we’re done: the surgery removed it, the margins are clear, and there doesn’t seem to be any lymphatic involvement. If it’s a new primary, then we’re going to have to chart a course, whether that means going back in and removing the entire upper lobe (since wedge removals for primary lung cancers have a higher recurrence rate) and/or radiation and/or chemo. With the former, we’d go back to monitoring, with CAT scans every three months to see if anything else makes an appearance. With the latter, I’d be out of commission again, with another long recovery in front of me. So, we’re hoping for the easier route, especially since I’m healing very well and recovering quickly from the surgery.

The visiting nurse removed my staples today, and except for a couple of tiny tugs here and there toward the end of the incision, I barely felt any of the 31 staples she pulled out, because it’s healing fantastically. In addition, she indicated she heard breath sounds in the upper lobe, and my lungs overall were clear. Those are great indicators that my recovery is very strong. My mom insisted on putting honey over the incision where the little holes from the staples were, as honey is a great curative, so I have a couple of drain bandages on over the butterflies the nurse put in place. It stung a little at first, mostly near the lower end of the incision, since that is both more sensitive skin and and also a bit more ragged, skin-wise, but that has faded into a dull overall ache as the skin begins to slowly stretch from its release.

Last night I made crab stuffed mushrooms with leftover crab meat from yet another seafood night here on Saturday. Not a ton of work, and quite tasty although I had to give up on the mushrooms themselves after two and just eat the stuffing because I kept getting pieces of mushroom hung up everywhere. Tonight, continuing to use up the leftover meat, I made crab and artichoke dip (cream cheese, sour cream, parmiggiano, white cheddar, salt, pepper, garlic, diced onion, smoked paprika, a couple of shots of hot sauce, lemon juice, crab, artichoke, and a couple shots of worcestershire sauce, mixed and baked at 350 until warmed through). Quite good, and it will reheat well for midnight snacking.

Tomorrow: roasted red pepper soup. I am utterly convinced that getting back into the kitchen does wonders for recovery.

Posted in Cancer, Food | 3 Comments

The captain versus the cancer: round two

Ever have a day when things are going pretty well? You’re busy, but in a good way, you’ve got a hobby that you’re trying to turn into something more, and by golly, that’s going pretty well too, although with the requisite speed bumps, your family is healthy, you’re eating well enough given whatever particular restrictions you have, works is not completely kicking your tail, and you’ve gone out for a drive, perhaps up tp the grocery store to pick up the ingredients for your next big plan dinner, or maybe even to to the home improvement store for that next little thing for your project. The sun’s out, it’s not blazing hot just yet, you’re feeling productive and indeed you are getting things done, the music is blaring, and overall, you think – well, you’re not thinking much of anything beyond all this, really, because this is a lot to keep in your head all at once.

Then the car runs out of gas and you drift to the side of the road. The dinner guests cancel, a family member calls to tell you a sudden mass of locusts have appeared and have eaten half your plants to the stems, the sun goes behind a bank of clouds so huge it blocks out the entire rest of the sky, lightning strikes right next to the front wheel of the car, the music slides into one of those annoying car ads with the screaming announcer until they get to the fine print. And you run over an egret while getting the car safely off the road.

OK, so it wasn’t that bad. Still, five years to the month from the original cancer diagnosis, here we are again. Those of you who have read the travails of recovery here know pretty much how this came about, but here’s the shorter, mini version for those who don’t: five years again, I was diagnosed with oral cancer despite having no risk factors at all. Surgery, radiation, and chemo later, plus scans over several years, and in July 2009, the date of my last PET scan before all this, I finally got the all clear. Then I started having teeth pulled due to the damage to the jaw and teeth from the radiation, which for me involves hyperbaric dives to promote healing and help prevent necrosis of the jaw bones, to which I am now susceptible due to the aforementioned treatments. As part of those dives, back in October they took a chest xray in addition to an EKG, and saw a slight shadow on the upper right lung, but nothing defined and nothing significant (i.e., it could have just been something on the film, and given my previous scans and all clear, nothing anyone thought was anything).  In May, after another tooth extraction, it was time for another xray because it had been six months. This time, whatever unknown radiologist reviewed it noticed a difference between the old and new (a “new nodularity” as they call it) and thank you to whoever that radiologist was! From there we went to a CAT scan, a PET scan, and a biopsy, which turned out to be inconclusive, probably due to the sample size. Upshot: surgery to remove a wedge of the upper right lung, along with a lymph node against the trachea that looked suspicious.

Why, one might ask, go through the pain of lung surgery for an inconclusive biopsy? As my oncologist pointed out, the way things light up on a PET scan like this dime-sized lesion did are often not anything else. Beyond that, we have my terribly strange history as far as weirdo cancers that I should not have. So, surgery it was, on the 6th, and on Friday the pathology report came back: the lesion was cancerous after all. The lymph node, thankfully on the report, was “unremarkable”, so it appears to have been confined to just that one area. The oncologist said the report indicted the margins were clear, but small – and to my mind, that looks like another round of radiation treatment coming to follow up on the surgery, something we will discuss with him on Monday when we see him. I am guessing that for precautionary reasons, that’s what will be happening. I’m not particularly looking forward to it, because I now have such firsthand, closeup knowledge of how it goes, and because it will delay my fuller recovery process (garden!), but we will follow their recommendation, since that’s what needs to be done.

I’ve been home since Monday, and this week has seen some remarkable work outside by an all-female crew, doing the things I normally would be doing: mowing, weeding, harvesting, cleaning the chicken coop, and so forth. Thanks Gabs, Angie, and StacyP for your sweat equity around the homestead! I owe you.

And now, back to plotting for the fall season, as the universe has once again not been cooperative in giving me a full season with which to work, and the rest of the summer is now a wash. August is garlic time, although I’ll probably store it for a bit before planting as it’s simply too hot down here even in late August for fall garlic planting. Other items can be started in flats, like brussels and whatnot, so they’ll be ready to  put out into the frames in fall. By then, we’ll also be ready to put in the next round of carrots and peas, amongst other things.

Posted in Cancer, Life in general | 2 Comments