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Month: June 2017

Flashback

This is not an update. I was thinking of something that happened weeks ago, and thought it deserved documentation.

It was shortly after the reconstruction. The endoprosthesis was installed in the shoulder, but the only thing holding it to my body was a bunch of very freshly stitched raw meat. The healed tissue and scars that were going to do the job later didn’t exist. The arrangement was very fragile.

The sling had to come off, temporarily – to adjust it, to clean off, to replace the soft fabrics around the arm that were keeping it from wearing holes in my elbow. Drains twisted over and under everything. I couldn’t let my arm be unsupported for even a moment. To complicate matters, the sling itself needed to be reshaped. The under-arm pillow was attached to the underside of the sling via a long piece of velcro. Unfortunately the fabric of the sling wasn’t attached straight, and the velcro was holding the wrinkles in place. The resulting ridges had begun to wear holes in my forearm.
So, lots of things needed to be done, and it was more than a mere three hands could accomplish, between Mark and myself. I decided it finally had to be dealt with when our friend Paige was over for dinner.

(In fairness, I waited until after dinner.)

But Paige was up for it. The more I think about it, the more I appreciate that she jumped right in. I was thinking about it from the point of view of the person who just had to get it done. There are moments in your life when you are beyond caring about what state you’re in, like when you’re giving birth. The last thing you’re worried about in the room full of strangers is that you have no clothes on.

So I was busy directing traffic. (Hold this here and don’t let it move. Hand me that washcloth.) I wasn’t remotely self-conscious about being shirtless and oozing bodily fluids (although see above for what a great sport Paige is).

And then Paige said to me, “You have such nice skin.”


When I was in graduate school with Mark in Buffalo, his mom got a rare liver cancer. They told us that only oriental men get this cancer, so they didn’t know what a white lady in Michigan City, IN was doing with it, but she only had a few months to live.

She lived three years. (So there.) They were a good three years for the most part. The last few months were hard. Mark and I put our studies on hold for a little bit and came out to be with her and Mark’s sister Jennifer, who was her full-time caretaker in the little ranch house they had both grown up in.

Toward the end, Ann stopped being able to speak. We knew she was still in there. There were small looks and gestures. She would tell us things and ask us things with her expression and we would answer her back and get what she needed. We weren’t sure how much clarity she had, but she knew she was surrounded by family and that we were doing everything we could to make her comfortable. For the most part she was very calm.

Until the one day we had a hospice worker there to check on her meds, undress her, and give her a sponge bath. This girl was young, less experienced than other people who had been there before.

I don’t know who started it, but they began fighting. Since Ann couldn’t speak, it took the form of a stubborn resistance when the girl tried to move her limbs to perform the bath. Maybe all she knew was that she was naked and some stranger was putting hands on her. The girl in turn would push harder, and eventually became rough, exasperated. Ann became more stubborn, brows furrowed with irritation, and, increasingly, fear.

I was watching this from the end of the bed. We didn’t want to leave Ann alone with strangers. So there I was. Guarding.

But how to stop this bizarre, nonverbal altercation? Do I yell at the hospice worker? It didn’t seem like a way to get her to perform her task with a little more empathy. Would I have to send her away? Do I tell the nonverbal cancer patient to relax and stop being so troublesome? As calm and proper a person as Ann was in life, she would still have figured out how to sign ‘Screw you’ with her eyebrows, I’m sure.

What I did, was stretch out my hand to Ann’s leg and stroke her ankle, gently. “Ann. You have such beautiful skin,” I said, appreciatively, breaking the tense silence.

Patient and caregiver froze, hostility suspended.

Then Ann relaxed into her bed and let the girl have her arm. The girl, for her part, resumed her ministrations, but this time her movements were more respectful and sympathetic.

I’m not sure why I did that, specifically. But it worked so much better than any lecture on ‘Hey now, we’re all just humans trying to get through this’ would have.

You have such nice skin.

A split second and twenty years later, I replied to Paige, “Thanks.”

Napkin napkin nappy oh.

I can hear Sarah singing to the laundry as she folds it. I think the words go, “Napkin napkin nappy nay. Napkin napkin nappy nooo. Napkin napkin nappy woooooooah.”

Obviously it’s just the chorus, but it’s got a nice hook.

Feel the Burn

This is not a scary or painful thing, more of a medical curiosity.

Along with the nasty chemical burns under my arms, the backs of my shoulders burst out in spots. Not so much red ones, like you would expect from a rash. These were pigmented, freckly. They started on my right shoulder, and over the course of a week, advanced all the way across to my left.

The dermatologist called this ‘radiation recall’. Also rare, it’s when the chemo recalls/reenacts/activates radiation damage in a location where it happened previously. The chemo was breaking out in a flaky, pigmented rash across my shoulders because that’s where I had previous UV damage.

Anybody who knows me at all knows that the sun and I have been lifelong enemies. My last sunburn was thirty years ago.

So high school friends! Remember that white water rafting we did on a Calasanctius field trip? Some of you might also remember I got the worst sunburn.

Well, it just started to peel.

No.

I was supposed to get my last chemo today, but I told them no. I had my blood drawn, like a good little cancer patient, and waited for my meeting with my oncologist, to which he didn’t show. Whatever. The conversation with his PA went like this:
Me: I’m thinking of foregoing the last round of chemo.
Kristi: Well, it looks like today would be the last of three. If the side effects are too bad right now, we can lower the next dose, or delay it a week.
Me: Hm. Let me be clearer. I have been thinking about it, and have finished thinking about it, and have DECIDED not to have any more chemo.
Kristi: …. Ok.

There is reasoning. First, I was already off-script because I was beyond the magical, mysterious 84 days from tumor removal. Second, this chondrosarcoma is so rare, there is simply no information about which chemo might have any effect whatsoever. Doxil was chosen nigh at random because it was supposedly better tolerated than the stuff they first put me on that almost killed me. Third, while the first round of Doxil had 0 side effects, I fell apart rather spectacularly in the second round.

I have a list of about 11 things that are wrong with me right now, but the most outrageous is that the skin in my underarms has started to fall off. And when I say underarm, I mean the skin from my elbow to halfway down my chest. See, they tell you to be careful with your hands and feet. No heat (I’ve had 6 weeks of tepid baths and testing temperatures with my elbows). No friction (I’ve been wearing two pairs of socks, really loose shoes, and walking really slowly). But what they don’t tell you is that you can get hand/foot syndrome that much closer to the body. Because it’s crazy rare. They didn’t even bother putting it in the pamphlet under ‘rare’ symptoms because it’s rarer than those. Because of course. I emailed a picture of what was happening to my pits to the oncologist and they threw up their hands and told me to OMG see a dermatologist right away. They didn’t even know what was going on.

The only dermatologist who could see me in less than 2-6 weeks was in Beverly Hills, so I spent 3 hours driving around so he could tell me it was toxic erythema of chemotherapy. He stuck little tags on me and took pictures it was that interesting. Then he gave me a prescription for lots and lots of steroid cream and admonished me again not to allow any friction to any part of me (no walking, no harsh soaps, no WASHCLOTHS), and no heat exposure, in fact I should exchange those tepid baths for very brief tepid showers.

Luckily we have excellent neighbors who were able to pick Sarah up for her last few days of school (thanks Scott), so I didn’t have to worry about that.

Oh right. And for my next round of chemo, I should try putting ice packs under my arms to prevent the Doxil from migrating there and making the condition worse.

You’ll just have to picture the raised eyebrow with your mind’s eye..

I won’t terrorize you with the picture I sent to my oncologist, but my underarms look and feel like someone applied a hot iron. Several hot irons. In rows.

The dermatologist thought this was probably the worst it was going to get, since the last chemo was three weeks ago, and I have my handy steroid cream now, BUT, you know, if it continues to spread, which it shouldn’t, but, in rare cases it could get really, really… Well. Just keep an eye on it and keep him updated. And that mottled red line on my left arm connecting my elbow to my wrist, that is probably nothing.

He never did spit out exactly what truly horrific thing this could turn into in the rare of already rare cases. Let’s hope it’s moot. I don’t really need to spend all my time as a case study.

Not as much of a non sequitur as it seems, we’ve been watching Neil Gaiman’s American Gods. It started out gratuitously gory, but we stuck with it through a couple of episodes and are liking it. So, spoiler alert, there’s a scene where the protagonist’s wife comes back from the dead. She injures her arm, and it falls off. She tries to sew it back on, but it’s not until some kindly undertakers fashion a metal rod to attach her humerus to the rest of her torso that it really takes. And I’m thinking, okay, what do they think that metal rod is anchoring into when they just jam it in there like that? That would never work, but look at her stitches, they’re just like mine. And there’s a scene later when she takes a hot bath so she’ll have a warm body temperature and feel alive to the touch, and some jerk reminds her that she is in fact still dead, and that hot bath will just make her rot that much faster. And then I think, I’m pretty sure this isn’t what people mean when they talk about representation in media, but I feel ya dead wife.

I feel ya.

Anyhow. I’m done with chemo. And if my last chemo was May 11, then by July 11, I will again be as normal a human as can be expected, free to take hot baths and leisurely walks any time I want. It’s a Tuesday. Look forward to it.