Tuesday, February 28, 2012

"You are NEXT!" - Facing another Opponent

PATIENT NOTE : "When will this all be over?", "How will I know if the treatment is working?", "What do I do in the mean time?" These are but a few of the thousand questions that patients face - particularly those of us 'fortunate' enough to have dealt with a cancer battle more than once. Being a survivor is harder that it looks - especially when many of us (thanks in great part to better treatment) don't LOOK like we are SUFFERING from cancer. For me, besides weight loss in post-surgical recovery (not a recommenced weight loss plan by the way!) I don't look sick. I still have my hair, I am not running to the bathroom to barf my guts out. I don't collapse in public from exhaustion (at home is another thing though) I don't have the skeletal-pasty look that we see in so many movies. NOW however, I feel 'included' in the suffering. The current treatment I am on is called Erbitux - and it's main side affect is acne!!! Wee!! Yeah!!! Like being a teenager all over again. But, here in lies the interesting quirk of many cancer therapies, the 'expression of acne' as the doctors call it is a GOOD thing (???). Evidently this tells the doctors that the treatment is working - how the hell they determine that, I have yet to discover - it will require more internet searching on my part. The real challenge is that every so often on this treatment journey (mine is coming up on a full year, if you include my first surgery) is that we patients who are lucky enough to NOT be plagued by debilitating side effects slide back into our regular routines of family, work, friends, socializing and the like - with only minor punctuations of therapy and doctor visits. This is the danger - letting down the guard. It can be dangerous.
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Being a martial arts fan, I watch a lot of movies. True, not many are 'Oscar Worthy' but most have good messages if you watch them. One of my favorites is 'Blood Sport' - starring Jean-Claude Van Damme playing the fighter Frank Dux. Watching this movie with cancer in mind, it says a lot to me. Relax, and go with me... O.K....

Fighting cancer or fighting an opponent in a ring are very similar. I have used the Rocky metaphor before in my blog, but this 'fight-story' is a bit different, a bit more specific to what those of us who fight cancer on multiple fronts, or fight cancers that have morphed, moved, or changed just when we think we have them beat.

In the movie, my hero, Frank Dux is in a tournament - a secret tournament - much like my experience as a cancer patient. While in the movie most of Hong Kong 'knows' about the tournament, no one but the fighters, their seconds and those betting on the event actually know where it is, how it works  - or that occasionally some of the fights end up in death.

For cancer patients it is the same. Yes, sure, we all know people who have had cancer - some have lived some have died. The public sees the parades, the various colored ribbons, the fundraisers, but what they do NOT see is the 'preparation' involved in getting ready to step into the ring and swap punches, kicks and gouges with the 'enemy'. Sorry, but unless you are in the arena, smell the sweat, taste the blood, breathe hard in your corner, and keep coming back you just don't get it.

Now, for those of us who have been 'fortunate' enough to deal with cancer more than once, our lives become like that of Frank Dux in the movie. Each time he steps into the ring, he faces a different opponent - this is my favorite part of the movie - Frank is forced to adapt to each style of fighter, forced to instantaneously recognize the approach, the techniques attacks and defenses he must adapt to in order to make it out of that fight.

Dealing with multiple cancers is JUST like that. For me, the first time around (20 years ago) the battle was fairly simple - warm up, get in the ring, exchange a few punches and kicks, take a few shots to the groin, but in the end I landed a knock out blow, and in effect went into 'retirement' I felt like a champion. I had won the battle.

However, or But, or wait a minute - there always seems to be some caveat to these stories. After having forgotten about the battle - I had been busy living, working, raising kids and all the other stuff required of life that I got lazy and all of a sudden I found my self, facing a new opponent, this one - like the character of Chong Li in the movie, a mountainous, steroid hyped mountain of a fighter, glaring at me from the ring, pointing his finger at me, proudly announcing that "You....are....next!!!" after watching him kill another fighter who he had at his mercy. You could see the 'fear' in Van Damme in his role of Dux, and had you been in the room with me when the doctor brought the second diagnosis to me, you would have seen the same expression on my face, I am sure.

This second time around, was much worse than the first. It required major surgery, long and painful. Recovery at home, long and painful, fraught with challenges - physical, mental, psychological. It was months before I was healed up and ready to face the new challenger in the ring.

If my live were the movie, this is where the 'montage' would be - in case you didn't realize there MUST be a montage of 'training-footage', accompanied by a kitchy-song which illustrates how the fighter gets prepared for his upcoming battle, and 'Blood Sport' is no different. The Dux montage follows him from childhood through adult-hood mastering all the teachings along the way, gaining the skills he will have to draw upon to do-battle with his opponents.

For me, the training montage would not be near as dramatic. Instead of pumping weights, sparring, catching fish with my bare hands and otherwise turning my body into a perfect physical specimen for fighting, I spent my time drinking protein shakes, eating healthy, sleeping alot, wandering around my house looking for things to do... watching television, reading about my condition on the internet... Not exactly movie-material, but it was how I got ready.

Like the character of Dux, I took on my new opponent with the help of Oxaliplatin, Xeloda and Radiation Therapy. The real challenge in 'filming' this battle is that were it a real movie, the screen would be blank...because the battle goes on internally, microscopically where no one can see the actual fight... and THAT is the challenge.

This part of the battle is much like the scenes where Dux is blindfolded by his master and forced to fight without the advantage of seeing where or how the next attack will come from - the same goes for the cancer patient. All I can do is sit in my treatment chair and take my next dose 'blind-folded' hoping that it works. The big difference for me is that so much of this most recent battle HAS been conducted behind the blindfold - I cannot SEE what works and what doesn't. All I can do is keep swinging and kicking, hoping to hit the target.

Back to the movie, the tension builds as one by one Dux defeats his opponent, leading (of course) to the big show down between he and Chong Li, and that is where I am now. Preparing for the next battle. Along the way, Dux watches his friend Jackson take on Chong Li. During Jackson's fight he thinks he has K.O'd the bigger, favored champion and runs around the ring celebrating, unbeknownst to him Chong Li (like cancer) gets back up and attacks Jackson again from behind, nearly killing him.

Dux watches his friend nearly die, and like all good friends, vows revenge. In my case, I have had to watch several family memberes be defeated by cancer, and understand the pain of Dux and the desire to win the battle for myself.

So, here I am again, thinking I am done fighting, the score card is snapped into place like in the movie: "Scott Lightfoot" vs. "Metastatic Colon Cancer". I step into the ring face off my against my own Chong Li and start trading punches.

Unlike the movie, where you can predict the obvious end, mine is not so certain. I am only a couple rounds into the fight. I FEEL like I am winning, but as before the interanl blind-folds are in full effect. I take my treatments, continue to do my 'montage-training-regimine' and we will see what we see.

The thing that really gives me hope is that in my 'treatment-corner' I not only have modern medicine, great doctors, a good team of treatment staff and the like. I am blessed with a wonderful wife - always there encouraging me to fight to not give up, to take care of my self. I also have my boys in my corner who want to see me win, and my cadre of friends and other relatives watching from their own 'support-television' sets as I continue to lay punches and kicks on my opponent....

Monday, February 13, 2012

Walls, Doors & The Journey Forward

PATIENT NOTE : Over the past year, I have spent an inordinate amount of time, as a patient, as one whose world has been turned upside down by this cancer experience - multiple experiences - reflecting most often on the negative aspects of this process. Yes, it is awful. Yes, it is painful. Yes, it is paralyzing. However, I have discovered that dealing with nothing but the negative - without including those closest to me is often even more damaging. It is SO vital that patients know just how important TALKING is. I am not referring to the medical chit-chat between patient and doctor, or patient and treatment nurse, etc. but rather to open hearted conversations with those who STILL love us - despite what we as patients think. Living in 'our' bubble, trying to reduce the pain and suffering of our 'people' just doesn't work. THEY need us to know that our struggle is also theirs, and that they can only help if we ASK, and TELL them our fears and HOPE. This post will focus on looking forward. While scary, yes, and uncertain, there is still much I hope to do, live and experience along the way.

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WALLS : I want to start by first apologizing to MY people for building walls from inside my self and shutting them out on so many levels. Despite what I have written in the past, I have NOT always dealt with this process in the most healthy of ways. Fear, depression, unhappiness and selfishness can lead to so many stupid decisions that a wall gets built that has no doors... none to let me 'out', or to let others 'in'. My wall has often be 'decorated' with things that make it seem like I am doing fine, handling things well on my own, being strong and not needing help along the way -- nothing could be further from the truth. I NEED MY PEOPLE!! Starting at home, with my wife - who I have not given enough credit to along the way - for ALWAYS being there for me. Holding my hand, sharing tears of fear, sitting for hours at my hospital bedside. Always there. Then there is our oldest son. A wonderful, mature young man who, is an amazing listener and makes me proud every day. And, our youngest son, who despite all the faults I see in myself, he sees nothing but 'the best Dad in the world' - a title I don't often feel deserving of, but that is how he sees me, and I love him for it. Lastly, in our home are the 'non-human' family. The dogs and cats. Creatures that have nothing but love for their 'people' despite all the turmoil going on around them. Outside of my home, I am so fortunate to have a network of family and friends that are, again, in my opinion - way more supportive and caring than I fell deserving of. I cannot count the times when a kind word, text, Facebook post, gift in the mail or chat has kept me from giving up. Thank you everyone.

DOORS:  Recently, I have been reminded that walls are o.k. on some levels... There are things I don't HAVE to share with everyone, but without doors, I cannot LIVE. I can exist, but that is not the same thing. Without doors to let me 'out' of myself and let others 'in' I am doomed to simply wait for the end. I am convinced more than ever, that I want that end to be a long, long time from now, and in order to do that, I need to get healthy - medically as well as emotionally, and I can do NEITHER without those who I love and care for and those that love and care for me. I simply have to say "Here I am. I need you."

So, what things, given all else, do I look forward to as I keep on living. Amazingly, most of them are simple, common everyday things that we so often overlook. The list cold be impossibly long, so I will try to keep them to a 'Top 10' -- keeping in mind no particular order, and that there are many others. Here we go.

Scott's Top Ten List:
1) Snuggling with my wife.
2) A fresh blanket of snow and a sunny morning.
3) The sound and smell of a fresh pot of coffee brewing.
4) Conversations with Cameron about his career.
5) Watching and laughing at really bad sci-fi movies with Malcolm.
6) Georgia stealing pencils from my art box, and chasing peanuts around my studio.
7) Cooking amazing yummy things for my family and friends.
8) Working on my house and growing things in my yard.
9) Creating art to really loud music in my studio.
10) Being able to be a good listener and a good friend to my best buds.

THE JOURNEY FORWARD : I also look forward to many more years of putting together art shows with Everett, sharing our local artists work with the world. I really look forward to seeing my own work get better and get to the point where I can make a living creating things that make people smile.

I can't wait to see what my kids, my nieces and nephews and all my 'adopted-artistic-kids' do. I look forward to gallery openings, concerts, stage shows and being the proud parent in the audience, proud of all they do.

I look forward to graduations, college visits, apartment moves (as kids grow and move on). I look forward to weddings, and yes, even to adding the title of 'Grand' in front of 'Father' at some point. I look forward to introducing grandkids to art, music, cooking and being happy.

I look forward to sharing my experience with new artists,  young and old, when ever I get the chance.

I look forward to discovering new art, new music, new friends.

I look forward to the journey - the ups and the downs - knowing that I will have my people with me.

FINAL THOUGHT FOR THE MORNING: Walls protect us from the storms of life. Doors that open both ways let in friends and let us out to live in the world. But living only begins when you take someone's hand and walk down the path - together.