Wednesday, February 26, 2014

10 Life Lessons From a Cancer Patient


10 Lessons From a Cancer Patient

1.     If you’re not living, you’re dying
2.     Dance like nobody is watching… but only when nobody is watching
3.     Someone is always watching
4.     It’s me
5.     Check your closet
6.     It’s not the size of the dog in the fight, it’s the size of the fight in the dog.  But if two dogs have the same size fight in them, then you’re back to the size of the dog.
7.     Don’t pet the sweaty stuff
8.     If you’re going through hell, you must be north of the mason-dixon
9.     Life is not measured by the number of breaths you take, but your respiratory rate is.
10. Brevity

Monday, February 24, 2014

Diagnosis +40, Treatment Day 9

I've noticed that my blog articles are fairly plain, so in this article, I'm going to use uncalled-for  formatting.

So, there is an awful lot of talk about people "fighting" cancer.  Much more than I've heard for any other disease.  And yet, from my perspective here at the start of this thing, there's not a whole lot of fighting going on, at least for me.

Oh, my wife is fighting; everyday she has more to do with less help from me.  And my family are fighting.  They're babysitting kids all the time, not only to allow Elizabeth to go to appointments with me, but to give us some time together (and without the kids).

I would say the Doctors & nurses & therapists are fighting - they're actually running the machines, performing the tests, doing the analysis.  And putting up with me: that's a battle, and one against overwhelming odds.

And the scientists and engineers that have studied cancer and created drugs and astonishing machines - they have done a lot of fighting.

And the patients before me who have subjected themselves to clinical trials - they were fighting.

And my colleagues back in the office are fighting - other people are pulling my weight at work (as if this has not been happening for a long time - let's be realistic here).

And the people who have to park in the space next to my truck.  That's a fight.

Me?  I'm pretty much just laying there while other people zap me with radiation and take my blood and tell me what to do.  Yeah, I'm nauseated a lot, in a fair amount of discomfort and occasional pain, am fatigued and generally feel bad.  But that's not being a fighter - that's being a battleground that other people are fighting on.

Maybe the fight comes later - maybe that's when it takes will and effort just to get up in the morning, or to stay hopeful and positive.

But so far, I would say that the real fighters are people who fight addiction, or obesity, or other diseases in which every single day requires steadfast resistance and will.

 And Now, An Excursion From The Topic:


On an unrelated note, what is the deal with the NFL and breast cancer awareness?  How did that become an NFL thing?  Shouldn't the NFL be having prostate awareness, or generalized cancer awareness instead?  Shouldn't breast cancer awareness be a figure-skating thing?

I mean, I'm not like a fan of breast cancer or anything, but pretty much everybody already likes breasts.  The poor prostates and colons are generally ignored, except when they're being actively disliked.

How about for one whole month, all the NFL teams go by the name "Browns," in honor not only of legendary coach Paul Brown, but of colon cancer awareness.  The college football teams can do the same thing.  For one month, in honor of rectal cancer, all teams can go by the name "Buckeyes." 

While researching this topic, I came across this astonishing list of "awareness ribbon" colors.  Sweet Nancy!  A "Choking Game Awareness" ribbon?  What has become of us as a culture?  Wait.  Don't answer that.

Sunday, February 23, 2014

Cancer Beard

I've mentioned the cancer beard before, so perhaps a brief explanation.

Last year I decided to see if it was possible for me to grow a beard.  I'd never been able to get past the itchy phase.  With a great deal of perseverance, I was able to get the Beard of 2013 through to St. Patrick's day.  But frankly it looked terrible.  I'd had to shave it down to an Abraham Lincoln beard + lopsided mustache.  Seeing that it was going nowhere, I shaved off the mustache, died the beard red, and went full-on Leprechaun for St. Patrick's day.

2013, St. Patrick's Day
When I woke up the next morning and shaved it off, I felt terrible.  As crappy as that beard was, I missed it.

I was planning to do the same thing this year - basically let the beard grow from Christmas to St. Patrick's day, dye it red, shave it off.  Only the Cancer arrived.   As you know, Elizabeth's grandmother died a couple of days after I found out about the diagnosis.  It would have been disrespectful to go to her funeral with the crappy stubble that was on my face, so I shaved in mid-January.  But since then, the Cancer Beard has been growing, as has my hair.

Something about this is "life affirming."  I can't completely explain it, but it's sort of like giving the finger to the cancer & chemo.  Despite the fact that I'm looking like a shaggy idiot, I have this overwhelming urge to keep going.  The 3 week lag to restart the beard after the mid-January shaving means that the Leprechaun beard won't be ready by St. Patrick's Day.  So if there's no SPD shaving, then I wonder what the next shave occasion is.  This could get ugly.  LITERALLY.

Thursday, February 20, 2014

Diagnosis +36, Treatment Day 7

Socks & stickers are amusing the RT's.  I brought cupcakes & chocolate muffins to the staff at TCSC today, which ought to keep them in a good mood, and also make them minimize my wait since they'll be wondering what treats I have for them.

Beautiful job parking today, if I do say so myself.   Back to form!  Today's waiting room was full of loud chatters.  It's interesting - from the conversations that I can't help but overhear in the waiting room, there appears to be immense curiosity in what sort of cancer everybody else has.  One woman was downright offended that another woman left the waiting room without revealing her cancer type.

No-one has approached me for conversation - it must be my characteristic scowl, which I like to think I inherited from my grandpa Walt.  Of course, it also may be that they can't talk to me without laughing at the ridiculous "cancer beard" that adorns my face.

Side effects of the chemo pills are starting to make themselves known.  I'm sure it's going to get much worse, but tonight wasn't particularly pleasant.  No ill-effects from the radiation, that I can tell.  My appetite has suffered, however.  Missing lunch today wasn't a good idea.  I've lost a couple of pounds in the last day or two, which would normally be a good thing, but the dietician keeps warning that when you lose weight under chemo / radiation, it's difficult to put it back on.  So they're all about maintaining weight.  Also, they warned Elizabeth not to let me eat my favorite foods when the nausea kicks in, because later when all this is over, I'll hate my favorite foods.  Hoorah!  A chance to finally break my addiction to tacos!

I'm particularly short-tempered with the kids lately, and extremely whiny, particularly around dinner time.

On my oncologist's orders, I started watching Season 1 of "24."  Don't tell me how it ends.  Elizabeth is already hooked on it.  I have to say that I'm finding it alternatively annoying (people keep doing the stupidest things!) and that if I watch it too close to bed time, it makes me anxious.

On a more positive note, I'm finally making some progress reading Peter Kreeft's "Summa of the Summa." My attempts to read Aquinas' Summa Theologica have all met with failure.  Sadly, Kreeft's edits and footnotes are pulling me along nicely.  I'll feel bad reading just Kreeft's Summa instead of the five volume set of Aquinas' Summa that my in-laws bought me back in 2003, but maybe I can tackle the original Aquinas after completing a four year philosophy degree.

I've actually been able to work a little bit this week - probably up to 12 hours or so, not counting the time at home dealing with emails.  I hope to be able to get back up to 20 hours next week and back to full time after the last of the radiation.

I went to fire up the Triumph today only to find out that the brakes had completely bled out through the leak in the piston on the right rear drum.  Damn it!  If I keep the brake fluid topped off, I can drive around and still have brakes, but once it completely drains then it is a pain in the ass to get even soft braking back.  I've got to break down and either fix the damn thing myself or take it to a repair shop.  Either way, with spring coming, it would be an awful shame not to have the TR3 out & about.

Oh well - off to try to sleep again.  Not having much luck with that tonight.

Tuesday, February 18, 2014

Diagnosis +34, Treatment Day 5

Today's observation comes from Elizabeth, who was the first to identify the fact that cancer patients are bad parkers.  Now, you can immediately assume that it's because cancer patients just don't give a damn.  But whatever the cause, the parking garage at the Thompson Cancer Survival Center is awash with cars parked right on the yellow line, or at bizarrely cockeyed angles relative to the yellow lines, or not pulled all the way in to the spot.

And the worst part, is that it has affected me.  Three times today, I've gotten out of my truck only to realize that I've been a bad parker.  This is not normal for me.   Usually I align the long axis of my truck directly superimposed on a line equidistant and parallel to the yellow lines on the side of the space.  But not today.  Today my parking looked like a metaphor for everything that is wrong with this country. This will not stand!  I will park right!

Other events today:  I saw the oncologist's nurse and we had a cuttin' up good time.   I thanked her for not wanting to stick anything up my butt and she pledged to me that she would never stick anything up my butt.  You have no idea how reassuring this is.  I suspect everyone in the TCSC of harboring designs on my rear end, and I live in perpetual fear of the dreaded words.  I have taken to wearing sports jerseys, un-tucked, in an effort to camouflage my posterior  from the greedy eyes of would-be probers.

The good news from the oncologists' bloodwork - white blood cell (WBC) looks good, and hemoglobin (or Homo-Goblins, as I insist on pronouncing it) is looking good as well.  No swelling and cracking of my hands or feet yet, no mouth sores from the chemo.  All is well.

Nothing says fun like a spaceman!

Later on I was in a rush to make it to radiation therapy, so I didn't get the chance to wear crazy socks.  I did, however, stick a spaceman sticker very close to my nether-regions that are getting irradiated.  When the radiation therapist saw the sticker, she just about fell out.  Huzzah!  Victory for me!  Only now I have to one-up my stickers every day.  That's a lot of pressure.  Next up: My Little Pony stickers (easily obtainable at my house).

Saturday, February 15, 2014

Diagnosis +31

So I get a break from Radiation Therapy today, but not from the chemo pills.  However, I have found that the combination of RC Cola, Vegemite On Toast, and Chemo Pills is a delicious way to start the day!

Breakfast of Champions!

Yesterday's treatment was unremarkable, with the exception that there was a new Radiation Therapist there who not only noticed my socks (a gift from Elizabeth for Valentine's Day - they had tacos on them), but who joked around with me.  She was amused that I was ticklish while they were drawing the alignment marks on me.  Guess what additional mark I found when I got home and looked in the mirror:


Wednesday, February 12, 2014

Treatment: Day 2

Once again, winter weather was unable to stop me from getting to the hospital.  It helps that we live very close to a UPS distribution center, and that the hospital is in downtown Knoxville.  It means they work very hard to keep the interstate clear for UPS, and of course they heavily salt the road to the hospital - so we only have to navigate the roads in our subdivision.  Anyway, the snow wasn't sticking at all while we drove to or from the hospital.

Nothing funny or new to say today.  For some reason I didn't have the spirit to joke around with the RT's, although I did of course wear funny socks (they have yet to comment on my sock selection).  Therapy was much faster than yesterday - probably only about 15 minutes from "undressing" to re-dressing.

So how am I feeling?  Well, not too good, although I wonder how much is psychosomatic.   My feet are killing me, as are my calves.  The ache has spread into my forearms now.  It's weird.  This pre-dates the therapy & chemo - Elizabeth thinks it's the tumor pressing on a nerve.  I'm slightly queasy, but not nauseated.  I'm fatigued but not sleepy.  Overall, I just feel sort of bad.
The Socks of Today

As I said, my spirits were down today, but listening to side one of "Paradise Theater" was a good pick me up.  Poor Elizabeth had to suffer through some 80's memories as I listened to "Back on the Chain Gang," and "Catch," and "Black Coffee In Bed."  Then I listened to Rush's "Available Light," which I used to love & listen to alot back in '89.  For some reason it made me tremendously sad - perhaps because it took me back to a time when I thought I had the whole world in my hand.  Anyway, it wasn't until I crooned along with Roger Waters to "Amused to Death" that I recovered my natural bubbly personality.

Tuesday, February 11, 2014

Poetry: There's a Mass Up My Ass, Part IV

Too tired to describe the first day of treatment, so here's Part IV of "There's a Mass Up My Ass":


Part Four: The PET Scan

We’re here to check in
With this PET scan aborning
What’s that you say
No coffee this morning?

So now I must wait
Another hour I must stay
While my wife’s in the lobby
With 50 Shades of Gray

Now sit in this room
Your scan is up next
And try not to move
You can read but don’t text!

We’ll inject you with this
And to be proactive
Don’t hug your kids
You’re radioactive!

Then on into the tube!
With Versed – not a drop!
For this one-time PET Scan
At 4000 a pop

One more thing, Doc
One question please
Why did you scan
From my head to my knees?

Cancerous cells
Like to have friends
For all that we know
It could be in both ends

This scan will show
Once the data is read
Where the cancer has gone
And how much it has spread

A mass in my ass!
A tumorous humerus?
A lump in my pump?
Locations numerous!

All of the places
That cancer could go
And some of them worse
Than the one that we know!

Now don’t be concerned
No need yet for sorrow
You’ll get the results
At the surgeon’s tomorrow

Monday, February 10, 2014

Diagnosis +26

The big news today:  NOBODY STUCK ANYTHING UP MY REAR-END!!!!  WOOHOOO!!

Today was the "sim" or simulation of the radiation therapy.  Basically that meant that I had to go lie on the machine, in the custom mold that they made to keep me contorted, while they zapped me with X-rays and then drew on me with a sharpie.

I discovered early on that the radiation therapists were not easily amused.  I started off light, asking them what the nickname was for the machine I was lying on (Bernard was the answer), then I tried a whole thing about how they draw the marks on patients with full body tattoos (they've never had that problem).  They made no comment at all about the Santa-skull socks that I wore specifically for their amusement.  But then they told me that they were leaving the room, but that they would still be able to hear and see me.  I said "so, basically you're saying that I shouldn't try to steal anything."  That got 'em.  Victory!

Now that I've softened 'em up, I can re-use some of my earlier material.  Of course, I might have a different crew depending on the day.

Even worse!!!!
So I've just gotten home and taken a look in the mirror at the marks they drew on me.  Now, instead of three crosses, I've got a complicated pattern that kind of looks like a transformer head in profile.  Or something.  It's messed up.  And there are dotted lines all over the place.  It's almost like Isabelle found me passed out and decided to decorate my belly.  Only it's way too symmetric for Isabelle's work.  Here and there they've taped down the key nodes (so that the sharpie won't wash off, I guess).  They had to remove one of the pieces of tape today from an area that (ahem) had hair.  Ouch.

The other big news today is that we got the final co-pay amount for the chemo drug.  Just $100.  But that's after some special program from the pharma company paid the rest of the copay - which was over $1400.  Which means that the full price of the drug was over $7000.  For a one month supply.  Ouch.  I can see that renewing our company's insurance policy next year is going to be an expensive proposition.  The pills should arrive tomorrow morning, so tomorrow marks the first day of both radiation therapy and chemo therapy.
Cancer Beard.  And checkout that hippie hair.

Finally, the "Cancer Beard" has begun to garner its first negative reviews.  One gentlemen told me today that it was growing in "an interesting pattern."  I told Elizabeth that I was going to let my hair and beard grow until I was done with treatment.  Her response: "I don't think that's a good idea, but do what you want."  Hmm...

Saturday, February 8, 2014

Interlude: Official John vs. Cancer Theme Song

Here it is.  The official John vs. Cancer theme song....

Foreigner: I'm Gonna Win

Poetry: There's a Mass Up My Ass, Parts I, II, and III


There’s a Mass Up My Ass

Part One: The General Practitioner

Say there young patient
What could you be needin’

To tell the truth Doc
I’ve had unusual bleedin’

To help all my patients
Is always my mission
You know what to do
Assume the position…

Well my young patient
I don’t meet to be crass
In technical terms
You’ve a mass up your ass

A mass up my ass?
How could it be so?
For I’ve never put things
Where the sunshine don’t go.

Now don’t be concerned
And don’t get upset
For there’s lots of conditions
That I haven’t seen yet

Just make an appointment
With my specialist friend
And we’ll figure out
What’s up your rear end

Part Two: GI Specialist

My friend the GP
Has sent me your file
Now let’s have a look
Bend over and smile

Tell me something Doc
Now I might be wrong
Could it be that your finger
Is exceptionally long?

When I feel up your bottom
One thing comes to mind
That the mass up your ass
Is the cancerous kind

But let us be sure!
Let’s close this case shut!
I’d like the chance
To stick a probe up your butt

Colonoscopic biopsy?
My case I won’t plead
But when you put me to sleep
Versed’s what I need.

Part Three: The Colonoscopy

Good morning young man
We’re the endoscope crew
We’ll meet all your needs
And stick things into you

I don’t mean to complain
I don’t mean to nitpick
But if I don’t get Versed
I’ll become quite the dick

Propofol is for you
The anesthetists say
We’ll put you to sleep
The Neverland way

Now roll on your side
And let your fears melt
And awake with a feeling
Richard Gere has oft’ felt

Before I pass out
(which is clearly your aim)
I’d like to point out
That Propofol’s lame

Where am I at?
In what city, state, nation?
And why does my ass
Have this burning sensation?

We’re glad you’ve come ‘round
Let’s not be demure
The mass up your ass
Is cancer for sure

The tumorous details
We must hasten to see
So the only prescription
Is tomography

Now if I’m not wrong
A PET scan’s what you’ve said
And I’ll gladly submit
Just give me Versed!

Wednesday, February 5, 2014

Diagnosis +21

3 weeks since I was diagnosed, and in some ways today was the worst day yet.  Part of that was just being taken by surprise.  I thought I was going in for an office consultation with the radiation oncologist.  After visiting the oncologist yesterday, I was expecting a pretty straightforward visit, just setting up therapy for next week.

We sat in the waiting room for about an hour before someone came to take me back to the exam room.  Then the nurse came in and surprise!  It was a woman named Jennifer who used to be married to one of my high school buddies.  Small world.  Turns out she lives in the same neighborhood and is considering sending her kids to the same school that mine go to.

Of course, that made it all the more fun to provide detailed answers to the various medical questions she had to ask...

About 1 hour later, the doctor came in.  And while he was very pleasant, the visit took a turn for the worst when he announced that there would be another exam.  Another exam!  Why it is necessary for every doctor in Knoxville to personally inspect me?  After all, they have a folder with the colonoscopy images, PET scan, MRI, EUS (ultrasound) and the notes from the last five doctors that have stuck something up my butt.  Seriously?

Well, at least, and to my great relief, this doctor is a "smooth operator."  So far he's the Billy Dee Williams of my medical providers.

I thought the worst was over, then they started talking about giving me a CT scan so that they could place the markers for the radiation.  And make a custom mold to hold me in an awkward position.  And insert "contrast" before the CT scan.
X marks the Spot.  Well, one of three spots anyway.

One complete Dignitectomy later, I gathered together the shattered fragments of my self esteem, and cradling my mangled soul, exited the CT room for the reassuring company of my wife.

Now, fortunately, some of that is not going to happen again.  But some of it is.  Every day.  For five weeks.  The suck factor is pretty high.   Oh well - time to man up.  If this is the cross I have to carry, then so be it.  I can say that I enjoyed the puzzled look on the face of the doctor as the words of the Pater Noster echoed from inside the CT tube.

Anyway, now I've got these neat little target marks stuck on my body.  As if you (dear reader) have not been repulsed enough, I've included a picture.  The final insult is the sloppiness of the target marks - which are just drawn on there with a sharpy.  Anyone who knows how obsessive compulsive I am will recognize how it offends me to have asymmetric doodles stuck on my body.  I mean, if you're gonna stick a marker on me, can't you make it look something like this:


Interlude: God & I Part II

Not too long before the symptoms began (which ultimately led to the cancer diagnosis), I was longing for the spiritual maturity that I had several years ago.  My takeaway from the years of trial that culminated in my first wife's death was that "suffering is the most valuable thing that nobody wants."

Including me.  Just a few weeks ago, I remember praying "God please bring me closer to you, but not through suffering!"  The last few years for me have been very good.  Of course, not without trials, and with a level of day-to-day stress associated with my company that has often been staggering.  But overall, I have an almost-profitable business working with great people, with a reasonably good potential for future growth, a wonderful family, both close and extended.  I live in a very nice house in a good area of a nice city.  I've gotten to go snowboarding and kneeboarding and mountain biking, annual trips to the beach, occasional trips to Europe.  While I have had struggles with health in other areas, it hasn't been debilitating or particularly painful.

But over those same years, I drifted away from where I was in 2005 - a time where I could confidently say that I was ready to die.  Not that the world at that time didn't offer anything to me - but that I was certain that the next world was infinitely better.  I prayed the rosary constantly, read scripture and theology and mysticism and spirituality.  I attended mass as often as I could - sometimes several times a week.  I went to confession regularly, I studied Latin and listened to chant & Palestrina on my car stereo.

And slowly, the things of this world started to intrude.  I spent more time worrying about work, and juggling being a single parent.  I slowly stopped listening to religious music.  The Rosary became a rarer and rarer devotion.  Daily mass faded to weekly mass & holy days.  I often ate meat on Fridays without the compensating penance or act of corporal mercy.

And, of course, I met a wonderful woman, whose spirituality was as ascendant as mine was descendant.  To some extent, I let her spiritual growth compensate for my slow turn toward the world.  So while thanking God for my new wife and new family and new life, I continued to drift away.

From my current perspective, one thing seems clear - I am not mature or disciplined enough to approach God without being prompted by suffering.  Now, I'm not saying "God gave me cancer" - cancer, like all disease, is in this world because it is a fallen world.  Cancer belongs to entropy.

What I'm saying is that this is an opportunity, and I intend to seize it.  If suffering brings me closer to God, well, here's a chance to suffer.  Here is a gift; without discipline, the flesh is mortified.  Suffering can be wasted or salvific, and I don't intend that whatever suffering comes my way will be wasted.  "United to the suffering Body of Christ..."  I want to better understand what that means.  While this cancer certainly isn't voluntary, and I'm not taking the sins of others onto myself, surely there is opportunity for communion in Christ's suffering.

Of course, this is all really easy to say right now.  Other than some middling discomfort, I haven't begun to taste the cup of physical suffering that I'm assured will come.  And, frankly, I'm erring toward the sin of presumption rather than the sin of despair, so the psychological suffering is heavily mitigated by my confidence that I'll come through this OK.

I don't expect to be suddenly raised back to where I was in 2005.  I'm already struggling with devotions.  The chant and Palestrina hasn't resurfaced in my daily listening.  And I'm reading cheap science fiction instead of GK Chesterton and Cardinal Ratzinger.

And I recognize that this is all much easier to say, and to believe, while this suffering is internal and relatively mild.  So far, this hasn't hurt my family that much.  Sure my parents and siblings are shocked and scared.  My wife, as strong as she is being for me, is still facing an awful prospect that even if I make it through the next year, it's going to be a terrible year.

But there's a lot of bad stuff that can still happen that could overflow and extend the suffering to my wife, kids, family, etc., in ways that make their suffering more personal.  Specifically, I could become debilitated to where I couldn't work - couldn't help around the house - couldn't hold my kids.  I could lose my job and with it my insurance.  I could lose my company through lack of contribution to it's survival (I think I have some value to the company, consequently, I have to believe that there is some threat to it in my absence).  And if the company goes under, well, there goes the jobs and benefits for another 15 people and their families.

So today my prayer is a little different from just a few weeks ago; "God, grant that this suffering may unite me to Christ, and let this burden fall upon me alone."

Tuesday, February 4, 2014

Diagnosis +20

Awesome!   A doctor that didn't want to stick something up my butt!  I met my new Oncologist today - an awesome guy.   We had a ton of laughs.  Of course, I couldn't help but notice that I was the youngest patient in the waiting room by at least 30 years.  This doesn't really strike me as fundamentally unfair, but I have to say that I was a little pissed off when a blue-haired old lady line-jumped in front of me to schedule her CT.  How do you respond to line-jumping old women?  My initial reaction was "Fuck you, old biddy!  I've got cancer here.  Back of the line!"  But of course I said no such thing and waited patiently while she did whatever it was she was doing.

Bitch-slappin' that mo-fo cancer...
Interesting that Elizabeth & I drew stares from the elderly patients in the waiting room.  Well, Elizabeth draws stares everywhere, but these weren't the lustful envious stares that I'm used to seeing on people when she walks in a room.  These were the "I wonder which one of those youngsters has cancer" sort of stares.

So the course is being laid out in front of us.  The good news of today is that they probably won't install a port before they do the serious surgery.  The chemo drugs are to be taken orally.  The bad news is that I'm to expect extreme discomfort & pain at the ass-end (no pun intended) of the radiation and chemo treatments.  A reference was made to "the Ring of Fire" and to sitting one-cheek-at-a-time.  Looks like sitting on my ass on a 24 hour flight to Australia is out of the question.  But the Oncologist confirms that a nice beach vacation would be just the ticket.  So all y'all relatives in the FLA, look out!  Here we come!  Maybe I can get some sailing in.  The southern circuit of ILCA has the St. Petersburg regatta in March...  Just sayin'


Anyway, the order of the day is scotch, and lots of it!  Tonight I'm cracking open a Glenlivit Nadurra 16 year that my dad got me for Christmas.  Mmmmm!

Saturday, February 1, 2014

Diagnosis +17

Well, I learned something important yesterday.  Don't follow a "cleanse" procedure with heavy drinking and Ruby Tuesday appetizers.  I have to say that I'm not feeling particularly good this morning.  However, I thoroughly enjoyed going to happy hour with Elizabeth (she had to drive, of course), and then when we got home I got to watch the Hobbit all the way through while polishing off 1 1/2 bottles of wine.  So it was an entertaining night.
Sorry Elizabeth - no Mercedes for you!

The other fun event from yesterday was the arrival of the first round of bills.  I think we've already met my deductible for the year.  I'm not going to complain too much about the cost of all this treatment - although our plan at Nano is a high deductible plan, we have an HSA account (that I've already drained).  Since most of the treatment should be done this year, I hope that the out of pocket expense won't be too crippling.  Still, looks like there won't be too many luxury purchases this year.

The beginning of "The Cancer File"
Being an inveterate organizer, I have begun the official Cancer File, which will morph into a 3-ring binder with appropriate tabs for the lab reports, EOB's, provider bills, etc.  I'm looking forward to when I can shove the binder into a banker box and stack it in the attic along side "The Collarbone File" and "The Thumb File" and "The Broken Shoulder File."  Fortunately, we got the Q Fever under control before I had to have "The Goat Placenta File" - more on that delightful story at another time.