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9:05 a.m. I sit in a large, quiet room. It is spacious, with windows on all sides looking out on the mountains in Santa Fe. It's actually a quite lovely setting. They have me sit in an "industrial strength" recliner (it serves its purpose, but you wouldn't want to have one in your house, necessarily). I am the only patient here currently, although when we came for the chemo ed class last week, there were 3-4 people here in various stages of treatment. The nurse tells me my blood flow is good, and that my port looks really good - that the incision is healing well. They begin with a flow of saline, and call to make sure the order for my chemo drugs is correct. She tells me that everything is "a custom order" - that my drugs are custom made for me. I met wth the doc before coming up, and she had said something similar - that they are beginning today with a dosage based on my height and weight, but that she and I will meet next week to see how I feel and if we need to adjust the drugs or not. The bag is placed on a rolling stand, and I a instructed to take the stand with me when I need to go to the bathroom.
In meeting with the doc, I also got the results of the PET scan - there is cancer in the lymph nodes under my arm, behind my sternum, and in my neck area above the breast with the tumor. Having the cancer in the lymph nodes bumps me up to "Stage 3" cancer. Although we weren't expecting the results in my neck, she said that having the cancer in these areas is not uncommon when you have breast cancer. And we did know that my type of cancer is aggressive. She went on to say that the cancer is not showing up anywhere else in my body, which is good news. She said that this doesn't change the procedure or the plan for how to treat the cancer - she still expects that the chemo I will be taking will take care of all the cancer that now exists. When I asked her if the cancer had spread to the lymph nodes under my arm, since these are the ones that had a biopsy and that came back benign, she said that the PET scan results put the biopsy results in question. So much for that......
I won't lie - hearing that I am now "Stage 3" was a blow. I managed not to cry (yes, Mom, I know it's okay to cry) - but just barely. Knowing that the cancer is still (more or less) "contained" to the area in and around my breast is all that is keeping me sane at this moment. My devotional this morning talked about the idea that God has known us and all our days from the time we were stitched in the womb....that nothing that happens to us in any of those days is a surprise to Him. I take comfort in that - because today's news was certainly a surprise to me. Knowing that this - ALL of this - has passed through His hands before it was ever allowed to touch me reminds me that He is still in control, no matter how out of control the situation may sound or feel to me.
10:00 a.m. - They begin the flow of the first drug (I learned last week that they give the drugs one at a time, not all mixed together). She tells me it will take an hour, then they will observe me for an hour before beginning the next drug. In the meantime, "Obie" has asked if I'd like a foot massage - I am delighted to find he is not kidding! He gently massages my feet while talking with Steve and I about cactuses - I learn that there are several different colors of flowers on cactuses - not just red or yellow - that he has one that blooms white, and one that blooms bronze. He is a cactus enthusiasist, and his interest is contagious. The foot massage goes a long way to helping lower the anxiety I felt earlier when I heard that I have cancer in my lymph nodes.
11:00 a.m. - An alarm goes off on the machine that holds my bags of drugs - the first one is done. We will wait an hour and than begin the next drug (there are four total). As I've been taking the first drug, two other people have come and gone; another has had a consult on a wig; two others have come through for chemo ed.
12:00 p.m. - They put the next bag of drugs on the stand. It's supposed to take about an hour and a half. It is the one and only drug I'll continue to get once I've completed the surgery - it is targeted directly for the specific type cancer I have. The first drug burned a little going through the port - not a lot, but enough to make its presence known. This one is completely unnoticeable. As a couple more people have come and gone, everyone comments on how quiet it is in here today. There are two volunteers who make the rounds every few minutes to check on you and see if you need anything. They have snacks and drinks available, as well as pillows and warmed blankets. They sit and chat if you give them an opening. You can tell that everyone wants to make sure you are well-cared-for and as relaxed and comfortable as possible.
1:30 p.m. - They give me the anti-nausea meds and tell me it will take about 20 min. She says it has steroids in it, and it may give me "more energy for the next couple of days" and make it harder to sleep tonight. I am guessing that is also why they say it's hard to say when the tiredness will hit....
1:50 p.m. - They begin the 3rd med. The nurse tellse me it will take an hour, and I'm "in the home stretch." It is very, very quiet - we are the only ones here (Steve and I). The nurse tells him he can use one of the recliners to lay down, so he takes a nap. I look out the window and see that the clouds are building. I wonder if we'll have another storm this afternoon. This med doesn't seem to burn going in either, which I am thankful for.
2:50 - They begin the final med. The nurse tells me this one will take 30-40 minutes. So far, I've had no difficulties with any of the meds....but I don't know that that means much right now.