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Journal of a Living Lady #78

 

Nancy White Kelly

 

 

I had begun another column that was supposed to run today, an amusing one. Yet, after a frank discussion with my oncologist this morning,  a humorous column didn’t fit my mood.  My funny bone fractured with the news that the cancer has returned with a vengeance.

 

My shoulder has been aching for several weeks, yet I couldn’t remember injuring it. I tried putting my arm in different positions in bed. No relief. I even exercised it with some tree trimming, thinking the painful kink would work out. It didn’t.

 

Last week I discovered an egg-shaped lump deeply embedded under my right arm. It seemed oddly familiar, like the one I found in 1985, just before the original diagnosis of breast cancer. There was a twelve year interval between that surgery and the recurrence in 1997 that invaded my lungs and back. Afterward a steadily downward spiral, including a stint with hospice,  I have miraculously bounced back to near normalcy for the summer.

 

I probed that lump most of the night, hoping that this greatly enlarged lymph node was my imagination. It just had to be an under-arm muscle I didn’t know existed. A searing, stinging pain followed. I extended my arm under the bright bathroom light and searched for a burn of some sort. Yet nothing could be seen. These strange feelings were foreboding.

 

Dr. Stead listened as I described the sensations. She felt the bulging spot I told her about. She felt again and again.

 

“Maybe it is a torn rotator cuff,” I offered hopefully. She said nothing.

 

My thorough doctor felt beneath the other arm. I had done the same thing myself the night before, but because of the previous mastectomy a comparison was difficult. Dr. Stead quickly detected another enlarged lymph gland. It was somewhat smaller than the one on the right.

 

Feeling my neck like a strangler looking for a good place to grasp, the usually personable doctor robotically remarked that there was a suspicious lymph gland on the left side. She scribbled some notes in the chart and  immediately started discussing treatment options, including a chemotherapy regimen known to be especially hard on the veins.

 

I stopped her monologue long enough to remind her I was more interested in quality of life than quantity. She listened and politely allowed me finish my point of view. Then she continued as if dying too soon wasn’t an option.

 

“You probably will not lose much hair,” she said. That was relief as I finally have my second set of extremely short, but  treasured curls and waves.

 

Dr. Stead continued describing the protocol.  My surgically implanted port would be used for administering the drug. She would monitor my blood counts meticulously as they could drop dangerously low. I would come each week for eight weeks and then she would access the progress.

 

I clearly had two options: continue treatment or “case closed.”  I thought about the two challenges I had yet to accomplish.  One was to publish this journey in a book and the other was to see our son Charlie graduate from college. There are no guarantees regardless of my choice, but my chances are obviously better with treatment.

 

So here I am, off again on this journey that seems to never end. My cancer may not be cured, but my funny bone will heal soon. I promise.

 

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nancyk@alltel.net   

 

September 6, 2000