I'm a little creaky at writing. I've done none for almost a week. I've forgotten so many words and punctuation marks. The muse has taken up knitting in my absence, something with which to stay busy during the writing hiatus. The good news is that, after almost a week with no literary outlet, I'm probably bursting at the seams with ideas begging to be expressed. Here goes:
...
Hmmm... nothing comes to mind. All of my thoughts are crowding back against the far wall, dodging and flinching as the grasping hand of my muse reaches in through the cave opening of my mind, trying to pluck one of them out into the written world. Perhaps I should leave them alone, the poor, frightened things. They're just small baby thoughts, after all. They need time to grow. When they're older they'll fill with boldness and burst forth uncoerced, no doubt.
Many of you follow me on the various social networking websites where I am quite popular and powerful, Facebook and Twitter and such, so you've already heard an update about my Susan and her cancer situation. For those few of you who are too socially awkward or otherwise occupied with more important matters to participate in such venues, here's an update:
After spending the past two months (four treatments) in aggressive chemotherapy, we went last week to The University of Texas M.D. Anderson Cancer Center in Houston. They did a PET scan. None of the several tumors that showed up on the scan before the chemotherapy showed up this time. This suggests a fairly complete positive reaction to the chemotherapy, which is exceedingly rare after only four treatments.
What I describe below is the road ahead, but I want to briefly underscore what I said in the previous paragraph. There is a chance, against incredible odds (97% against), that Susan has completely recovered and has no cancer in her at this time. This is such an amazingly unexpected outcome and I don't want it to get lost in the description below of the awful ordeal Susan still has ahead. It would be nice if technology were sufficient to examine her and declare her cancer-free so we could avoid the next steps, but caution in the vacuum of reliable diagnostic techniques requires that we proceed. Nevertheless, her response to this point is statistically remarkable and something to be celebrated as quite a victory in the first and most important battle of this ongoing war.
Because of this apparent progress, they have decided to allow Susan to participate in a combination of chemotherapy and radiation therapy, something they were unwilling to allow before due to the spread of the cancer outside of a single "field" of radiation. This is good, since it is a step on the road to recovery. So, Susan will begin, next week, a six-week regimen of chemotherapy combined with radiation therapy. The chemo will be smaller doses but more frequent (one infusion every Monday and three large pills every weekday). The radiation will be every weekday. We're not sure what to expect, but we suspect we'll be trading a hell of sickness every other weekend for a generally crappy exhaustion all the time. Ah, well. Susan is tough.
After the six weeks of chemoradiation, Susan will be allowed a break for about a month to recuperate and to allow the effects of the radiation dissipate, then they will reassess her condition and re-stage her cancer. If things still seem pretty clear (no tumors), we will schedule surgery at M.D. Anderson. The surgery, we've been told, is a necessary step on the road to recovery. Even if there are no signs of cancer, the very high likelihood of recurrence dictates removal of Susan's esophagus and some part of her stomach, a serious and life-changing operation, as you might imagine. How she eats food afterwards depends upon her reaction to the surgery. She might be able to regulate her own intake and still eat small amounts of food orally like the rest of us. She might need a feeding tube. We don't know.
When the surgery and recovery are done, we enter into the constant reassessment period, checking continually for recurrence. So, there's still quite an ordeal ahead of us. I say, "us." Of course, her's is the hard part.
Anyway, that's the update.
Hello, friends. How are you today?
Later. Love.
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