Commentary: You Never Leave the Room

 
“Those of us who come to give our support, we do our best not to look around the [chemo] room. At the same time, it's hard to look at the person we've come with, because it's hard to imagine that this is really happening to us. ”
 
 
Laurie Singer and Leroy Sievers.

Laurie Singer and Leroy Sievers. Courtesy of Leroy Sievers

The following essay is from the NPR My Cancer weekly podcast:

We all like to joke that it's "all about me." And to a great degree, the My Cancer project is mostly about me. I'm the one with cancer, after all. But that doesn't even come close to the reality of all this. I'm not the only victim.

For twenty years, Laurie Singer, also a journalist, and I have lived together. And all those years, she has waited and worried while I went off to cover some war somewhere. These days, she waits and worries while I fight another war, not in some far-off desert or jungle, but in a hospital. In the chemo room.

The room is crowded, hardly a space for family members or friends to hang out. When you go there, you want to be supportive. Your life has changed too. In Leroy's case, life was chugging along at warp speed. He was in his dream job at Nightline.

Then a routine colonoscopy almost five years ago sucked the air right out of our world.

Maybe you've seen "the look." I don't think the doctors and nurses mean to have it. They certainly don't practice it in the mirror in the morning. But it seeps through the layers of their eyes. A mixture of dread, sadness and distress — and it happens in a flash. I saw it on the nurse who summoned me to the room where Leroy was resting, post-colonoscopy.

A few minutes later, the doctor carried in vivid images of the cancerous tumor that will haunt Leroy for the rest of his life. It would have to come out — a major resectioning of his colon. And along with it, lots of lymph nodes to biopsy. This is the way they think they can tell if the cancer has spread. The nodes were clean. No chemo ordered. Go home and heal. Have a good life.

Until you're sitting in a restaurant one night, as we were a few years later, when I noticed Leroy's face was drooping. The face of cancer was staring back at me. Leroy had MRIs in the ER and we saw "the look" again. This time, it came from the doctor who read the tests.

Then it was brain surgery — one tumor gone, but CT scans revealed more tumors. There were new doctors. A cancer center and a road map to the chemo room.

This is a place that sets medicine back to the Dark Ages. The medicine they pump into the patients is better than ever, but it's the way they present it that boggles the mind. A big room filled with old recliners, t-stands with IV bags hanging, pumps ticking away as the drops of poison pass through the yards of clear plastic tubing. The conversations among the folks forced to come here vary from "What do you have?" to "How far have you come to get it?" The skin tones of the patients speak louder than any of their answers. And those of us who come to give our support, we do our best not to look around the room. At the same time, it's hard to look at the person we've come with, because it's hard to imagine that this is really happening to us.

In Leroy's case, he looks like he should be anywhere but in a room full of cancer patients. He sticks out, and it's not because he's 6 feet 5. His skin is pink and healthy, the chemo hasn't taken away his hair, he hasn't lost weight. He's the anti-chemo poster boy. But there he is, with that damn needle in his arm, sitting there for hours waiting for that last drop of poison to drip into his blood stream.

We've made many trips to the chemo room now. Sometimes I leave and walk the brick-lined streets of Baltimore, Stop at a bakery where they make some great cookies that have a huge chocolate drop on top — a Leroy favorite. The only good thing about being on chemo? Cookies with big chocolate drops on top move to the top of the food pyramid!

But the room and the image of him sitting there never leaves my mind. I can walk those streets, people-watch and see the world moving on. But my world is back in that room where Leroy is fighting with every healthy cell in his body to live.

There's not a song on the iPod that can drown out that image, not a chapter in the best book that can create an escape route. Even on the other side of chemo, you never leave that room.

-- Laurie Singer

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God be with you as you go through the chemo. Thankfully, my daughter who had breast cancer, was able to use the services of Cancer Centers of America and received such good care. They had a nice place for her chemo, and we did things together while she was receiving it. At this time she is cancer free, but only God knows what is in store for her. Bless you for being with your partner through the treatments. I think having loved ones near is so important.

Sent by Mary Lou W | 11:57 AM ET | 07-16-2006

Reading the cancer commentary reminds me of my beloved Aunt Patty who I lost to breast cancer almost one year ago. I also supported my aunt through six months of weekly chemo sessions and your comments reminded me of the look and the morbid atmosphere. Good luck and may hope and peace be with you both.

Sent by Amanda Murphy | 11:59 AM ET | 07-16-2006

While reading the article, I was in complete apreciation of what she describes as "the look". When I had my own dealings with cancer, I knew immediately that something was indeed wrong when my doctor gave me that look. I'll never forget it and I'll always recognize it whenever I should encounter it again. She is not alone.

Sent by Sara | 11:27 AM ET | 07-17-2006

Laurie, I identify with you so much. My husband had gall bladder cancer, metastasized to the liver, that we had no idea existed until a sudden ER visit. I know that look that you refer to. I remember being astounded that words could just slip sorrowfully, but calmly out of doctors' mouths that essentially mean life, as you know it, is over. No warning. It's a normal night on the job for them. For you, life's over. Our seven-month battle was so far removed from our wonderful normal past, that we hardly seemed to be on the same planet. You know that classic question that people talk about when they have no idea what it means, "what would you do if you found out you had six months to live?" Well, Johnny knew what he wanted with his small remaining portion. He wanted home, normal, his life as he had been living it. No trips to exotic places or parasailing - just normal days of work and home.

For Johnny, the physical struggle was small stuff compared to the emotional challenges. The hardest thing of all for him was knowing my pain. I soon came to realize was that I shouldn't cry around him. He said, "that's the one thing that I just can't do. I can't bear it." It was very, very hard.

Our close relationship grew closer. It began to feel like a rare privilege to have someone that I loved let me so completely in. As the illness progressed, we almost seemed to breathe together. Our new life was both horrible and so intensely precious.

I'm sure you've seen how much friends and family want to find ways to help. They are suffering too and long to somehow make it better for you. Let them if you can. Ask for something specific. It helps them deal with the helplessness that they feel. A positive thing for me was that I did have ways to help. Johnny's spirits, comfort, dignity, and health; it became my obsession. I made smoothies, gave massages, kept detailed medical records and pretended that I knew what I was doing to help him feel safe. It helped my pain tremendously to have small ways to make a difference.

When things were especially hard, sometimes I thought it must be easier for people who just get a phone call. The person you love is gone - a car crash that killed them with no more than a few minutes of pain. I almost envied them that. But even at those times, I really knew how lucky we were to have our painful, but precious, long goodbye.

I lost my father to lung cancer, lost Johnny to gall bladder cancer and take my mother to treatments for breast cancer. I certainly know the ropes. It is a great shock to realize that your medical decisions are in your own hands. No one will piece it all together for you. In later months, our greatest help was from the wonderful hospice nurses who came to our home. Finally no more hospitals, waiting rooms or painful procedures. They were completely tuned in to our needs. They supported me, taught me and helped me know what to expect. They listened to Johnny when he had questions and fears he didn't want me to hear. Our favorite nurse told me to call her, whether she was on duty or not, if I needed her in the middle of the night. I did.

People who have cancer remain as individual as anyone else, but share a bond that no one else could imagine. My husband did many wonderful things in his life. But none of them made me as proud as seeing the strength that he found to meet the challenge of cancer. As his body failed, his spirit got stronger. I watched his sweet leaving and no longer fear dying myself. It's very freeing.

I hope so much that you have many years of health together. Your blog is a great way for those of us in this battle to share. Thank you and good luck.

Sent by Laura | 12:00 PM ET | 07-17-2006

I appreciate the friend who told me yesterday about this site. You describe better than I can precisely how cancer affects me. I'm also a journalist (not in your class!) and I publish a daily blog to keep my friends updated. I've known about my 4th stage ovarian cancer since December 7. What a journey it's been! The latest numbers aren't so good, but I feel quite well the weeks I'm not on chemo- - half the time, that is. Thanks for telling the story for all of us.

Carol

Sent by Carol Wilson | 5:03 PM ET | 07-17-2006

I'm very touched by all of your blogs. I have never had cancer but my grandfather died of it. Don't think of yourselves as so distinctly different from those who do not have the disease. We're all humans and we travel this short journey through life together. We live and all of us will die someday no matter what we die of. My goal in life is to live the way Jesus lived, full of goodness, compassion, long suffering and mercy towards everyone. If I do this I know that no matter when I die or what I die of, I'm going home to be with my father for all eternity where there is no pain, no suffering, no chemo rooms and no death. God bless you!

Sent by Leah Chacko | 5:05 PM ET | 07-17-2006

Thank you so much for your podcast/blog. I am a medical librarian in Omaha, NE. I was just diagnosed with cancer on June 30th (I think that is only the second time I have written it out loud since diagnosis), and am just beginning my travels on this new road. Your column on how we want to be remembered really hit home with me, and I have shared your site with all of my medical librarian friends. Take care, and thank you for sharing your thoughts - you have said so many of my own in much better ways!

Sent by Teresa Hartman | 5:07 PM ET | 07-17-2006

My late husband died of Stage IV colon cancer just this past December, so I understand what a monster cancer is. How it turns your life upside down. How it shreds a committed relationship. How it makes one more nurse than wife. Yet as you fight, I fought, too, wrestling life from the clutches of that beast. To fight, fiercely. To love, fiercely. To live, fiercely. I understand. You're in my prayers.

Sent by Sandra A. Eggers | 9:00 AM ET | 07-18-2006

I appreciate your blog and Laurie's post. Your comments about "the look" reminded me of the look I saw on the faces of my two young children who visited me as I was recovering from an esophagectomy. Although we kept them away for a week after surgery so they wouldn't have to see me with so many tubes coming out of my body, the looks on their sweet faces when they saw their dad in hospital attire tore my heart in half. I tried to change the mood by showing them how to "ride" the hospital bed, using the buttons to raise and lower the head and feet. We had some fun but I will never forget their look, upon seeing me. What I hate most about my cancer is the pain and suffering it causes in my loved ones. As I read your post I'm reminded of what my loved ones are going through. While our loved ones get hit with our "look," those of us with cancer see and feel the painful look of those loved ones gazing at us. I want to live mostly so that I can love and nurture those who carry their pain as they love and care for me.

Sent by Jerome Frank | 10:58 AM ET | 07-18-2006

Leroy,

It has been wonderful hearing your voice on NPR. It takes me back to those high school days. I'm sorry for the circumstances, but glad to hear from an old friend.

Bruce & I talk about you often. I agree with your politics & of course Bruce does not. We just laugh about it. Wish we could all get together, but you sound pretty busy and I'm moving to Hong Kong next month.

I'll keep checking up on you via this blog & will keep my positive thoughts going your way. Would love to hear from you if you have a chance.

Keep up the good fight.....

Sent by Becky Hubbell | 11:01 AM ET | 07-18-2006

I have had both cancer and the responsibility of caring for a relative with cancer. The former is not easy. But the latter is more difficult still.

For the caregivers out there: beware the guilt of living, the danger of endlessly reliving choices made, things said or not said and options not taken. You've done the best you could, and odds are you've done better than most.

For others out there: remember the caregivers. They too need your patience and understanding.

Sent by Lisa | 11:02 AM ET | 07-18-2006

My cookies are oatmeal with raisins. I always supply myself with some of them before I present for chemo at MD Anderson in Houston. I like the cookies, but the truth of the matter is that the chemo has affected my tastebuds to the point normal food doesn't have much taste. Also, I travel to Houston every other Friday, and the menu they offer us is always the same. My treatments include 6 Premeds to prepare my body for the 3 chemo treatments. The process takes about 54 hours from start to finish. Thank God for the cookies!

Sent by Scott McGaw | 12:18 PM ET | 07-18-2006

I believe that the loved one of the ill person is in the more difficult place to be.

Having been both a loved one of someone diagonsed with cancer and a person diagnosed with cancer, I have found that it was easier being the cancer patient than being the partner of the ill person.

The cancer patient has the cancer to deal with. That sure fills up lots of time. There is a plan and you know what you have to do. There is also a cheering section.

Yes, I was drained by the chemo experience yet I felt elated at the same time. This is "Life and Death" stuff. This is a real adventure. The stuff legends are made of.

If I die, then no more "stuff" to deal with. If I live, them I'm the hero of the story. What a great part!

When my Janet, my life partner was diagnosed with breast cancer (4 years before I was diagnosed with stage 4 lymphoma), I felt so helpless and useless. When Janet was diagnosed, there were so many feelings of helplessness and utter panic. How to live with an ill person? How to live without her? I felt that I should be able to make her better. But I couldn't.

Sure, I could make sure she got to her appointments and that she was made comfortable when at home. But there wasn't a support system for the partner of the ill person. Just more work and more stress and not anyone to talk to about how scared I was of losing her.

Leroy is surely blessed to have you, Laurie, to be there for him.

I hold you both in the Healing Light.

Sent by Free Polazzo | 4:36 PM ET | 07-18-2006

I was just given the "remission" designation two months ago from Hodgkins. I lost my son to an unrelated condition at two weeks old, then two months later I was diagnosed with Hodgkins. That was a year ago this week. I know what you mean about not being able to forget. My cancer center was clean and beautiful. But there was a smell there, a mixture of saline and rubber gloves that whenever I smell it now, I get physically sick to my stomach. It became difficult for me to go in there towards the end of my treatments without throwing up (even before the chemo was started). It's anxiety and I had to go on Ativan to help. I'm fine now and I look back and think "You know, considering what other folks have to go through, I got off pretty easy." I didn't lose my hair, I actually gained weight, and I didn't get too sick. "I did o.k.", I think. Until I smell that smell.

Sent by Jen Dennison | 9:09 AM ET | 07-19-2006

Laurie and Leroy, I was moved to tears on that one. You're both so dear... so glad you have each other. Will be in touch...

Sent by Rita Williams | 9:16 AM ET | 07-19-2006

Leroy and Laurie,

You are such an inspiration...I am so fortunate to have stumbled onto your blog. We are 6 months into my husband's journey with lymphoma, and while we are here in Ontario, Canada, we could be sitting in the chemo room you describe...we do big, gooey butter tarts!!!

Thanks and good thoughts.

Sent by Janet Reansbury | 2:22 PM ET | 07-20-2006

When my son Gil was diagnosed with terminal liver cancer six years ago, (he was in his thirties), my husband and I moved to Washington D.C. to be with him. Along with Gil's wife Lisa, and my other son and his girlfriend (whom he subsequently married), we stuck closely together to help Gil and each other get through this terrible time. Gil had an experimental chemo treatment but we all knew that the odds were not in his favor.

But what I want to comment on in particular is your mention of the Baltimore cookies: I'm sure you are talking about Berger Cookies, the same ones we indulged in. They were our comfort food, and when we ran out, someone would make the trip from DC to Baltimore to the bakery in Lexington Market to stock up on more. After my son's death, we came back to our home in Massachusetts but we still visit D.C. to see his widow and our granddaughter, who was 13 months old when her father died. If we drive down, we always make a detour in Baltimore and buy several packages of Berger cookies. They are still comforting.

Although Gil's death was devastating, we all look back on that time we had together with some amazement and awe. In spite of the stress of the chemo and the relentless progress of his disease, we managed to joke, cry, fight, make up, care for one another and stay bonded together in a profound way.

I wish both of you well in your journey. And keep eating those Berger cookies!

Sent by Stephanie Schamess | 10:51 AM ET | 07-22-2006

Leroy, you were going through colorectal cancer about the same time as I. "The look" is surely something one never forgets. I remember looking in the mirror one day and finding I could not see my face...the hair loss was about 2/3, but the loss of eyelashes and eyebrows seemed to take away me. My husband hurt so badly for me, knowing the distress on my face reflected an even deeper one in my soul. Colo rarely returns to the brain; I feel for your pain and that of Laurie. I rejoice in the way you have chosen to fight this chipping away of life. Anger channeled into mission to let others know they must be vigilant, turning into a ground swell of advocates who will tolerate it no more is a movement we dearly need today. Thank you for motivating people to think of others, not merely of self.

I was listening to my favorite WEPR and could actually hear my feelings and remembrances coming from your voice. You are appreciated for doing such a wonderful job!

Sent by Jo-Ellen De luca | 10:54 AM ET | 07-22-2006

I just heard the most [recent] Leroy commentary. I had heard him once before in the car and the cancer story "got me." When I heard his voice today, I immediately recognized it, and was glad to know he is well enough to keep telling the story. Then I found myself on this web site.

My husband is a survivor, 4 1/2 years post-treatment and doing quite well in spite of very dismal odds. He/we are blessed. I do lose sight of that in the day to day stuff. Leroy's commentary, this web site, your comments and every other [entry] I read reminded me of that.

What a strange and lovely trip this thing called "life."

Thank you,

Terry

Sent by Terry Keegan | 11:20 AM ET | 07-24-2006

I was sorry to hear about Leroy's untimely demise. Your candor about his ordeal is commendable.

Sent by John | 12:04 AM ET | 08-18-2008



   
   
   
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Leroy Sievers

Leroy Sievers

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Leroy Sievers in the Ted Koppel Documentary

A Ted Koppel documentary focuses on his friend Leroy Sievers' "My Cancer" blog and the response it evokes.

 
 
 

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A journalist for more than 25 years, Leroy Sievers worked at CBS News, the Discovery Channel, and ABC News, where he was the executive producer of Nightline. He wrote this blog daily until his death in August.

 
 

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