'Blundering Through This Together...'
“The problem is, no one knows what's going to happen when you take a break. Will the cancer grow? Will it stay the same? No one has those answers. So how do you make an informed decision? The answer is: you don't. ”
The party's over. I'm back on chemo, after about a three-week break. Before, I was taking two drugs: one that I got from about a three-hour injection and then pills twice a day for two weeks. That first drug was the worst, so hopefully just taking the one drug will be easier, although I'm already feeling the side effects — fatigue and nausea that never really go away.
Before, I had been resistant to the idea of taking a break, even though my doctors were advising me to. I was worried that even taking a couple of weeks off might allow the cancer to start growing again. Then I would have gone through five months of chemo — and the side effects — for nothing. It struck me a little bit like the little Dutch boy taking his finger out of the dike and saying, "It's just for a little while. I'll see what happens."
The problem is, no one knows what's going to happen when you take a break. Will the cancer grow? Will it stay the same? No one has those answers. So how do you make an informed decision? The answer is: you don't. Even the doctors can't tell you what will happen. It really comes down to the question of how you feel.
And being off the chemo, even for a short time, felt great. For the first time in almost six months, I felt like myself. Taking chemo is like having the flu, except it never goes away. It's not much fun.
But there is a larger issue here. How the heck do you make these decisions? I'm a big fan of Grey's Anatomy on TV. When they're not trying to decide who to sleep with, the doctors on that show always seem to know what to do, at least medically. Well that's not the way it works in reality. Cancer, and the fight against it, is full of unknowns. Will this chemo work? Should I try a different set of drugs? Surgery? Radiation? Nothing?
I have said before that I have some of the best doctors in the world on my team. I have absolute faith in them. But they don't have the answers. They can't tell me what will happen. I was shocked the first time they told me I had to make a decision about what course of treatment to follow. I was expecting them to tell me. I guess we're all sort of blundering through this together.
The bottom line is it really comes down to how much you can take. The current plan is for me to take this drug as long as I can stand it. When the side effects just become too much to take any longer, I'll stop. And then we wait and watch. When — not if — the cancer begins to spread, then we will try a different set of drugs, and see if they're more effective. If they don't work, there are other drugs to try, and finally, out of desperation, I could try to get into a clinical trial of an unproven drug.
I have always been used to being the master of my own destiny. I like to know what's going on, and I like to be able to control what's happening to me. Well, that was my old life. These days, I look down at my chest, and just wonder what the heck is going on inside there. It's not a comfortable feeling.
7:10 AM ET | 06-28-2006 | permalink


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