Bad News and Difficult Decisions
“The tumors in my lungs have grown. All that happened in the eight weeks since I stopped the major chemotherapy. My cancer just turns out to be pretty aggressive. ”
I had my scans today. They were training a new nurse who couldn't find the vein in my hand for the IV. These days, that passes as a minor annoyance. We were going to meet my oncologist in the corridor to just go over some logistics about future appointments.
When he showed up, he said, "Let's find someplace to talk." I'm sure you all know what that meant. Sure enough, the news was bad. I had been on just one chemo drug for the last couple of weeks, in the hopes that it would hold the tumors in place. Well, it didn't. The tumors in my lungs have grown. All that happened in the eight weeks since I stopped the major chemotherapy. My cancer just turns out to be pretty aggressive.
That had always been my worry about taking a break. Would taking a break or taking just the one drug allow the cancer to spread, undoing whatever good the chemo had done? Well, unfortunately, I was right to worry. One step forward, three steps back. The tumors are now bigger than they were when I first started chemo back in January. How could everything I went through — the nausea, all the side effects — be for nothing? I guess there's no good answer to that.
And then it got worse. In those same eight weeks or so, it appears that the cancer has spread to my spine. I have to admit I am shocked. That one never occurred to me. The strange thing is that I still have no symptoms.
I'm sure most of you know where I am now. Your ears are sort of buzzing; you don't know what to do. There's really very little you can do, except maybe shake your head at the way things turn out. I had tried to steel myself for bad news, but that never really works. It certainly didn't today.
And so I face some difficult decisions that have to be made pretty quickly. Do I try a new combination of chemo drugs? That may be more effective, but then it might not. And if it's not, as fast-moving as my cancer appears to be, that time lost could be catastrophic. Do I go back on the old chemo drugs, which we know held the tumors in check? That may be safe, but then I'd still have that nagging thought in the back of my mind: Would the other drugs have been more effective? Would they have shrunk the tumors? There's no way to know. This is crapshoot medicine. You pick one course and take your chances. Turns out that the timeline for either choice is about the same, in terms of survival.
Or I could do nothing, opt for a better quality of life in the short-term, but know that, unchecked, the cancer will be merciless. So what to do? I'm looking at a lot more tests this week — bone scans, brain scans and so on. But in the end, I'm simply going to have to make a choice. And for the life of me, no pun intended, I just don't know what to do.
6:26 AM ET | 08- 1-2006 | permalink


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