Showing posts with label cancer. Show all posts
Showing posts with label cancer. Show all posts

Monday, November 21, 2011

Lessons from the Cancer Centre

Since mid-October, I've spent every weekday morning sitting in the regional cancer centre while my mom has radiation for squamous cell carcinoma that didn't take the hint and go away surgically. While it can be a tough place to hang out, because reality tends to stare you in the face, it's also a good place for basic reminders on the importance of little things in our lives. Here's what I learned:

  • We are stronger together. When you hang out in the cancer centre, there aren't alot of secrets. Either you are fighting cancer yourself, or you are supporting someone who is fighting cancer. You don't have to make excuses why you are there, or go into detailed explanations. Cancer is the great equalizer, and there's something strangely comforting about the solidarity that builds as you start to recognize the same faces every day. Race, creed, belief, age, gender and sex don't matter. Cancer attacks everyone equally.
  • Do unto others. The second day of mom's treatment, two of the gentlemen, and I use that in the truest sense of the word, shared information about the designated parking area and a monthly parking pass. Having this small piece of information took away two big stressors in my mom's daily journey. I have since passed the information on to others. None of us heard it from hospital administration (although hopefully that will change after my battle with the bureacracy over a parking permit)-it came from fellow patients. 
  • Small things matter.  Small things can make a big difference when you're facing a nasty adversary. Patients receive a printout of all their appointments on the first day, so you can see the journey ahead, and you know what you are doing and when. Changing an appointment is not a hassle. There are lockers with keys that patients can use if they need to change into hospital gowns. The main waiting area for radiation has coffee and tea and comfortable chairs. Volunteers restock the magazines on a regular basis. 
  • You have a name. Once you get into the treatment areas, you are not a chart. You are a person with a name, and people remember you and ask about you. They remember if you have a family, or grandchildren, they compliment you on a scarf or an outfit, and they treat you with respect. Efficiency does not have to be rude.
  • Courage wears many faces. I interviewed Dr Craig McFadyen, surgeon and Regional VP of the Grand River Regional Cancer Centre a few months ago for an article about the Cancer Centre that unfortunately died  when Waterloo Openfile.ca was tanked. He said that he was always humbled and inspired by the courage of the patients fighting cancer. “Every day you see extraordinary examples of courage in the Centre. Cancer is a tough enemy and we use things that can hurt you to cure you. The perseverance that people have to continue on and keep fighting inspires me every day.” 
God bless the patients, the caregivers and the families. Together we are stronger.

The Silo Mentality

I've just spent the last few days running through bureaucratic hurdles to get a piece of paper that is now sitting on the dashboard of my car. What should have been a simple process turned into a 3 day, blood pressure increasing, stress inducing nightmare because too many people were caught into a "not my job" mentality.

In a nutshell, here's what happened. Since the middle of October, I have spent every weekday morning at the Grand River Regional Cancer Centre with my mom as she has radiation for recurrent sqamous cell carcinoma. It's a particularly nasty and rapid growing skin cancer that has a habit of spreading elsewhere if you don't deal with it. Since it's been surgically evicted 4 times and came back, this time the surgeon suggested frying it instead.

Parking at the hospital is tricky and expensive. On the second day of treatment, two of the patients in the radiation centre told us about the designated parking area for outpatient oncology, and about a monthly parking pass which worked out much cheaper than paying by the day. My mom can't walk very far, and since the radiation has progressed, some days she's holding on to my arm for dear life. Having a designated area and the parking pass took one less stress away on what has been a tough grind. We have 6 appointments to go, and I still have to convince her 3 days out of 5 to tough it out and finish.

Everything went along smoothly until last Thursday. We were running a bit late and arrived in the designated parking area, only to encounter a security guard who was issuing tickets right, left and centre. I pulled out mom's schedule to show that she had daily radiation, only to be informed that I needed a permit to park in the area, and if I remained, he would ticket me $25. It was the first I'd heard of a permit. All of the spots in the area were designated for outpatient renal and oncology patients. Most of the spots required permits, but not all of them did, and I was always careful to park in ones that were not permit designated. When I told him if I moved my car, my mother would be late, he pointed out that it wasn't his problem we were running late, but I couldn't stay there. I asked him where to get one of these permits, because it was the first I'd heard of it, and he told me to go wherever she was having treatment, but "he didn't work in that area and it wasn't his problem." I sent mom ahead, praying she got there without tripping (she almost did.) and moved my car.

I asked at one desk and was told I needed to go to a different desk. I asked at THAT desk and was told to go back to the first desk. I asked about the parking permit and was told that the permits were only for patients who drove themselves, so my mother wouldn't qualify. I could either "drop her at the door" or she would have to walk from wherever in the parking lot. When I questioned the policy, and I'll state for the record that I was a tad irate and angry at this point, the person I was talking to refused to talk to me any further, and another person helpfully waved a piece of paper with the policy on it under my nose. I was so angry I was incoherent and shaking, my mom was stressed, and so we left.

I then fired off a complaint letter. When it wasn't answered, I contacted someone that I had dealt with when I wrote a story about the centre for the now dead OpenFile Waterloo Region. Five minutes after I contacted THAT person,I got a phone call, followed by another phone call. After I outlined what had happened, including the lack of communication and the disconnects, I received the permit, which is all I was trying to get in the first place. Turns out, the policy had been misinterpreted somewhere down the line.

Policies and rules are in place for a reason. However, there are larger rules that trump any piece of paper, and those are "do unto others..." and "use common sense."  Common sense seems to be sorely lacking these days. I remember having conversations with a lifelong friend of mine when she was going through the Customs College at Rigaud, QC, on her way to be a border guard. I told her that there was no substitute for common sense on the line. For example, back when I worked at Passenger Ops at Toronto's Pearson Airport, we would often have a flight from Florida arrive around the same time as a flight from a drug-source country. According to the letter of the law, anyone who had bought more than they were supposed to were legally required to pay duties and taxes. So you could tie up the customs hall charging people $20-$30 extra dollars because they bought the bag of oranges and the mouse ears, or you could concentrate your efforts on the high risk flight.It's all about choices, and sometimes common sense trumps legislation.

"Not my job" and "not my department" seems to be common responses these days, and nothing can escalate a situation faster than being shuffled around from place to place. While it may be true that the situation is not in the job description, taking a couple of minutes to help out another human being is in our life job description. How different would life be if we didn't need a "random act of kindness" day because we were all just looking out for each other. 

Hopefully, my battle with bureacracy will help some other cancer patient or family member down the line. We're all in this life together.

Tuesday, October 25, 2011

Tipping the Balance

I am a coper. I am the person you want in a crisis, because I can calmly deal with things. I go into efficiency mode, and deal with what needs to be dealt with. Now granted, I usually fall apart about 2 weeks later, but in the moment, I'm the person you want by your side. I have sung at the funerals of 2 of my aunts, some of my friends' parents and managed to get through things professionally. I am a coper.

Sometimes, though, it's the little things that can throw you. Mornings in my house can be a challenge. ADHD/OCD and Anxiety in a 6 year old fashionista do not make for calm and easy mornings. If I had a dollar for every "just a second" in my day, I could pay off our mortgage. Getting her up, dressed, fed and out the door to school on time takes more military precision than D-Day, plus alot of cajoling, reminding and the occasional threat. I have walked out of the room, gone upstairs, closed the bathroom door and let loose a primal scream on more than one occasion. It's better to scream at the shower curtain than my daughter, especially about something she can't help, but I am a trained soprano, so the scream is kinda loud, ya know?

My mom has had several recurrences of squamous cell carcinoma-aka skin cancer. It's ugly, it's invasive and it's fast growing. And if nothing else convinces you of the need for sun block, watching one of these things get cut out of your mom's head will do it. Watching 4 of them being cut out, and telling her to catch the blood drip after will do it for sure. After the last stint of surgery, the surgeon recommended radiation to fry the remaining cancer cells and convince them to go away. Since last week, every weekday mom and I trek to the cancer centre near our home so she can get zapped. It takes us longer to walk from the parking lot than it takes for her to have the actual treatment, but for 6 weeks, we'll make the daily round trip.

My mom is 85, and I know my time with her is finite. I've known it since we buried my dad 22 years ago. There's something about seeing the name of the other parent on the tombstone, with a blank space for the date that makes that clear. She's had a rough few months with health. While we've talked about her funeral and her wishes, I try not to think about that eventuality. Sometimes, though, I hit a tipping point.

Last week was school picture day. My kid is a blue eyed brunette who looks fabulous against a blue background, so I chose the blue background for her picture. The problem is, my child is currently fixated on all things black. She only wants to wear black clothing, she wants to paint her room black, I made her a winter hat that was black with sequins because the likelihood is much better that she will actually wear the thing. The flip side to this current favorite colour, of course, is that the previous favorite colour is so last season...and that happened to be blue. When she found out that I had chosen blue, she pitched a fit that may have triggered the earthquake in Turkey (no disrespect or mockery intended, may God protect them). According to her, "none of her clothes will look good against blue" (although she was planning on wearing a red and black top) and she didn't like blue and she wasn't going to smile and that was it, and then I couldn't understand what she said because she was caterwauling and screaming at the top of her lungs.

And I burst into tears. It suddenly occurred to me that this might be the last school picture my mom gets to see, and I wanted it to look nice. I don't know that my mom won't be here next year. But when you hang out in the cancer centre daily, reality stares you in the face. Some of these people won't make it through. My mother in law didn't. My friend Andrea didn't. My cousin-by-marriage Joe didn't. My aunt Betty didn't. My friend Ellen didn't. My friend's mom Edelgarde didn't. Cancer sucks.

And so, while I've been coping and managing, a meltdown over a blue background sent me over the edge. Because sometimes, it's the little things that tip the balance. I cried the tears I had been pretending didn't need to be cried and I let the scared kid come out for a minute before the competent adult took over again. And it was okay.

Monday, August 22, 2011

RIP Jack Layton, and this business of grief

Jack Layton, NDP leader and leader of the official opposition in Canada died of cancer this morning. He stepped down as leader a month ago to focus on his cancer battle, but anyone who has watched someone fight cancer were shocked and scared for him. Cancer sucks. I know as  writer that's not particularly eloquent or profound, but it sums it up. Cancer sucks.

I never met the man. I wish I had. He always struck me as a man of integrity, honesty and moral righteousness, but in a good way. Friends of mine who did know him attest to those qualities. He cared passionately for people who did not have a voice. He cared passionately for the homeless, the poverty stricken and people other people forgot about or didn't care about. I was comforted by the fact that ordinary Canadians would have a fierce fighter in the House of Commons to represent our interests. The mere fact that Mr. Layton chose to write a letter to Canadians, in effect to say goodbye, shows me the measure of the man. I also think he would have been a grand person to have a conversation with.

 I think this is hitting me particularly hard today because I'm already very emotional. One year ago today, I was sitting waiting for the news that my brother of my heart, Murray, had lost his battle with Hep C. Like Mr. Layton, Murray chose to put others ahead of his health, in his case, taking care of his darling boy Allie. By the time Murray sought medical attention, it was too late.

Grieving has no time frame.  Just when you think you've bested it, something will happen-you find a picture, or hear a song or return to a special place, and grief rushes in full force and overwhelms. There is no right or wrong. There is only grief, and how ever long it takes. Today is a day I feel sad and fragile. It's okay. It shows I care, I loved and was loved.

RIP Mr. Layton. Thank you for your service, your dedication and your example. Murray, I miss you. I keep expecting to hear your gravelly voice on the phone and I still can't believe that won't happen again even though it's been a year. Be at peace.


Sunday, November 28, 2010

Time

Time has taken on new significance to me the last couple of weeks. My mother-in-law died of cancer on November 16. It had been a sad and speedy journey from diagnosis at the beginning of May. It's given me a new appreciation for time.

Time can fly or stand still. Time can be a gift or a burden. Time can give or take. Time can speed or creep.

Every parent on the first day of school, while wiping a tear wonders how the blanket clad bundle of baby became the backpack toting child heading off to the world of education. It happens in the blink of an eye.

Anyone waiting for a bus or a train knows the value of a minute, especially when you are standing on the platform watching the back of the vehicle pull away.

My father died in his sleep. I talked to him the night before he died. Thankfully, the last words I said to him were "I love you daddy, I'll talk to you later." Time ran out before I could talk to him about the contents of his red box of pictures, or his war memories, or his childhood. When my mother-in-law was diagnosed with metastatic cancer at the beginning of May, I told my husband that time was gift. He had a finite amount of it, so be where he needed to be, say what he needed to say.

At first, he continued as normal. It's easy to pretend normal when you avoid. His mother's health deteriorated alarmingly the last couple of months, and he started spending a great deal of time with her. He took advantage of the gift of time.

Our phone rang at 3:30am on November 16. A phone call in the middle of the night is never a good news call. My father-in-law was on the phone advising my husband to come to the hospice. My husband was on his way by 4am. I was cleaning the living room at 4:15am because sleep was no longer a possibility. We had decided beforehand that while our 5 year old daughter could visit grandma as much as she wanted to, that we would spare her witnessing the actual transition from living to death. That was a bit more reality than a 5 year old needed to deal with, and I wanted her to remember her grandma as the tea party in the special room grandma.

My mother in law passed away at 3pm on November 16.  This date had special significance for our family because of the date it wasn't. You see, dates and events were very important to my mother-in-law. She sent cards for birthdays, anniversaries, Easter, St Patrick's Day, Halloween, Mothers' Day, Fathers' Day and she kept a master list on the closet door in her room. My father in law's birthday was November 15, and we think that she waited until after his birthday to cross over. She had the force of will to do it and it would have mattered to her that his birthday remained only his birthday.

When my husband called to tell me the news of her passing, my daughter and I headed out to the hospice to participate in the candle procession. The hospice believed in sending people away the same way they arrived, via the front door. The hospice staff treated death with the same love and dignity that they treated life. A person who was in the final stages of living had a heart placed on their door, which was replaced with a butterfly when they passed away. The family was allowed the privacy and comfort of a solarium which was off the main area of the building, filled with comfortable chairs and surrounded by windows that looked out on woods and bird feeders, and a pet turkey that roamed around the grounds. The body was draped in a handmade quilt, and the family escorted the person to the hearse with a candle that was then placed in the lobby for 24 hours to honour the person's memory.  My daughter had a chance to say goodbye to grandma, and her only questions were how grandma would know how to put her angel wings on, and how she would get to heaven if she didn't have her wings. I told her God carried her to heaven, and another angel helped her with her wings. It may not be theologically correct, but it worked to comfort a 5 year old.

Cancer has robbed me of 2 acquaintances and my mother-in-law this year. Hepatitis C has robbed me of my brother of my heart. All this loss has taught me that time is a gift with an expiry date. Sometimes, you don't get another chance to tell someone you love them. Sometimes you don't get another chance to say I'm sorry, or I love you. My house may look like a bomb went off in it but helping my daughter with homework, or watching a movie with her (which has led to interesting discussions about heaven, hell, angels, Santa and teaching a cat a trick) is more important to me than the dust bunnies currently mounting an offensive in the bedroom. My mother and daughter have a finite amount of time together, and although I cringe sometimes, and grandma's house is a "no-free" zone, the time they spend together is more important than ice cream and cookies before bed.

Time can fly. Time can stop. Time can give a gift or take it away. Sometimes now is all there is.

Rest in peace, Mary. I promise I'll take care of your boys. I love you.

Tuesday, November 2, 2010

Should, Must and Losing Yourself

I was a little shocked to find out that my last post was the end of August. I'd like to say that it was due to having lots of work, but really, I lost my Muse. I've been buried in the "shoulds" "musts" and "need to" and I've lost myself in the process.

Like any woman who has both young children and elderly parents, I've been doing a lot of juggling. My mother, who just turned 84, is healthy and lives on her own. She doesn't drive anymore so trips to the library, the bank, for haircuts and other errands get coordinated into my day. My daughter is only in school two days one week and three days the next, so I try to get my errands done on the school days. Days spent on errands are days not spent on job writing.

My mother in law is fighting an inevitable battle with metastatic cancer. It's robbed her of mobility, appetite, breath and dignity. For a woman as private as my mother in law, having a stranger help to bathe her has been very difficult for her. I'm trying to support my husband, my brother in law and my father in law, while gently preparing my daughter about the reality that sometimes sick people don't get better. I put my own sadness on the backburner, because I need to be strong for my family. I cry in private, or in a safe place like church, where it somehow seems okay to cry. It's a good thing I'm a funeral cantor: nobody thinks it odd to see someone crying at a funeral, and I cry when I see other people crying.

And then there was my cousin Murray. We found out in June that he was in total liver failure. He died August 23. Although I e-mailed him, I chickened out and couldn't pick up the phone to call him after I found out about his health situation. Murray was a kind, gentle soul and I'd made him cry before when we talked about his son, Allie. I knew I couldn't be strong talking to Murray when I was so devastated about the news, so I took the coward's way out and e-mailed him instead. Now I'll never hear his gravelly voice saying "I love you" again. He's left a pretty big hole in our lives. We didn't see each other very often because of life circumstance, but I knew that if I ever really needed him, he'd be on the next plane. He was a brother of my heart and I miss him, even though we didn't talk often, I knew I could. I miss that.

And although it was for the best, I miss my little black cat, Max. He was my constant companion during the day, always needing to be where I was. To this day, when I pull out a kitchen chair, I have expect to find a little black face popping out from under the tablecloth to inquire why I'm moving his bed. He was only a cat, but he was a good, loving cat and a good companion.

I'm mired in "musts" today. I must follow up on delinquent payments. I must come up with some story ideas so that I can earn money. I must revamp my website, I must find my brave and get better at self marketing so that I can build my business. I must read last week's submission for the critique group, even though it's ridiculously long. I must find the perfect cake to bake for what will probably be my mother in law's last birthday on Sunday and I must bake it on Friday because I'm away all day Saturday at a conference. I must book haircuts for my mom and daughter. I must figure out dinner. I must go to the memorial mass at church tonight for all the people whose funerals I sang at this year. I must wash the dishes, help my daughter with homework, figure out an approach that works in dealing with a teacher that we're having concerns with (and kindergarten is too young for this crap) and I must feed the 19 year old tabby who is yowling in the kitchen.

And then there are the "shoulds": I should revise my YA novel, taking into account feedback I've received. I should figure out an outline for the non-fiction book, and see where the gaps are. I should do NaNoWriMo because that seems to be the only way I get fiction writing done. I should work on a picture book text for the critique group.  I should finish flipping my winter and summer clothes. I should lie down and get some rest so that I can shake this infection that is lingering on and on. I should do some knitting and finish the horse sweater while it still fits my daughter. I should put on a load of laundry, clean a floor of the house, work in the garden, go for a walk with my daughter on a cold but clear fall day even though my hip has been locking badly and it will hurt.

And I can't seem to do any of these. My emotional well is empty and I'm wondering why I ever thought I could successfully work from home. All the old doubt demons are muttering around me, making me question my abilities and my professional self worth. I'm juggling like crazy, but still dropping balls.

Somehow, I need to find my Muse again. I need to do something that is only for me, that will nourish and sustain my being in the hard days ahead. I need to be a little selfish and steal some me time. I've forgotten to take care of me in the midst of all the musts and shoulds. But first, I need to make a pot of tea and do some homework with my little girl.

Friday, May 28, 2010

Bees

We were coping until the bees. I started to say that we were doing okay, but we weren’t. We weren’t okay. When cancer invades your family, there is no okay. When cancer invades your mom/mother-in-law, there is definitely no okay. There is only coping. So we were coping.


We have known since the beginning of May about the cancer in my husband’s mother. Three days before what should have been her 5 year all clear from uterine cancer, this new cancer was located in her lungs. Sometimes the universe has a nasty sense of timing.

We had been waiting since then for the appointment that was going to tell us what kind, how bad, how long, what to do, how to treat it. That appointment was on Tuesday.

On Sunday night, we noticed the yellow jackets. My husband had been working like a fiend in the garden, his inherited-from-his-father way of coping. Work until you fall over, so that you’re too tired to think about “things.” Attacking weeds is therapeutic, cathartic and symbolic. He unfurled the patio umbrella to rest in the shade. A few minutes later, we noticed a few yellow jackets buzzing around. We thought that they had been building a hive inside the umbrella and didn’t take kindly to being evicted. We noticed a couple of them exploring a location on our deck where the wall of our house meets the exterior wall of the semi-detached house we’re attached to. It’s a lovely protected spot and the gap in the siding is big enough for bees. We had wasps make a similar foray under the siding a couple of years ago and they had to be professionally removed. My husband grabbed the can of Raid, but it was empty.

The next morning, we had a couple of dozen flying menaces buzzing around our deck. We tried calling some pest control people, but with the long weekend, no one called us back.

Tuesday morning, as my husband was on the phone receiving the news about his mother’s cancer, I heard a buzzing, and looked up to see a swarm of bees flying straight for the patio door. I yelled to look out the window, and ran to close the patio door. The swarm buzzed around the deck and then started to crawl under the siding in waves. A closer look revealed that our first identification had been incorrect. These weren’t yellow jackets: they were honey bees, and they were moving in.

Honey bees in Ontario are protected. Once we knew we were dealing with honey bees, I started phoning beekeepers. We didn’t want to kill them, but having a hive of bees on our deck was not a viable option. I like my honey in the jar, thank you. One beekeeper told us that we might be able to lure them out with a pan of sugar water and an upturned box. Another beekeeper told us that if we’d “only called before the swarm arrived with the queen in it” that we would have been able to send the bees on their way. The swarm arrived once the scout bees had found a new location. What we had mistaken for yellow jackets the previous day were actually the scout bees. He continued by informing us that once the queen was up inside the new quarters, there wasn’t much we could do. We could live with bees in our siding, or we could eradicate the bees.

We don’t kill living creatures lightly in this house. An animal behaviourist told me that our house has a “safe animal aura” and animals know that our backyard is a safe haven. We spent an entire summer with a groundhog living under our garden shed. We named him Chuck and resided quite peacefully with him. We’ve had a possum that we named Simon who visited from time to time, and any number of birds, butterflies, squirrels and other critters. But bees, even honey bees, are different. Leaving the hive intact would mean the end to sitting on our deck, or for that matter, going out in the backyard at all. It would mean taking the long way to walk to the park and to school. It would put an end to line drying my clothes. It would put my daughter in danger from bee stings, and send me over the edge from terror. I was stung by wasps badly when I was a child, and I am pathologically terrified of anything with a stinger that flies. I have sat in the kitchen while the rest of the family enjoyed a lovely evening on the deck. My mental state would not accommodate sharing the deck with a swarm of hundreds of bees. As much as we hated it, the bees had to go.

The bees quickly became a metaphor for what else was going on in our lives. Maybe we could have avoided killing the bees if we’d been able to react faster. Maybe the cancer in my mother in law wouldn’t be so advanced if we’d noticed little signs or if she’d sought medical attention earlier. Just as we are powerless to stop the cancer, we were equally powerless to stop the bees. My husband kept saying “but I tried to call, but I tried to call.” All I could do was reassure him that he had, indeed, tried to call and done everything he could do.

Our deck is littered with bee corpses, and our lives are littered with uncertainty about my mother in law. We play the hand we are dealt in life, and sometimes we need to bluff, sometimes we need to fold. And sometimes, despite our best efforts, life sucks.