Tag Archives: pain

Overdue update, & encountering cancer

This is largely what I saw the first time I encountered cancer:

I was wearing this absurdly cheerful polka-dot skirt the day I went for my biopsy results and was informed I had a Stage 2, Grade 2 breast cancer.  I was looking at my lap, my feet, the sterile linoleum floor, trying not to throw up–shocked and strangely interested in the intense sickness I felt, the visceral nature of my response.

Contrary to appearances–as well as what I said here–I am not, after all, planning on discontinuing the writing of this blog.

Firstly, I’ve been waylaid in my attentiveness to the project of posting the journal entries from my treatment, having reached no satisfying conclusion to this narrative.

But secondly, and more to the point, there is no satisfying conclusion to this narrative. In April I said, “I am anxiously awaiting the day when I stop writing about cancer entirely” — that “I do not want write this blog any longer. Or, not until the next time I encounter cancer, which I can only hope will be never.”

Yet I am constantly encountering cancer. It would be hopelessly naive of me to believe I could rid this from my life entirely, and move swiftly on to considering only 19th century American literature, as if returning from some awful Oz.

I’ve moved to Michigan now, and am in the dreadful process of trying to transfer my treatment to the University of Michigan Cancer Center. I say “process,” but in actuality I have reached a seeming impossible impasse with them, as I cannot get in touch with the hospital in London to locate slides and films which may longer exist in the first place. They will not admit me as a patient without them. So, right now, I am nobody’s patient. In a way I like the feeling of that–no hospitals on the horizon–except that constant patient-status for the rest of my life is absolutely essential.

Further to the persistent problem of pelvic pain, I had an ultrasound awhile ago (I didn’t realize until I got into the examining room that this was a transvaginal ultrasound, all in all a rather absurd procedure wherein they put a lubricated condom on a big fat wand and basically, well, fuck you with it). Last week I got a call from the physician’s assistant reporting no major abnormalities, but the gynecologist advised a uterine biopsy to rule out the possibility of the uterine cancer which could be a side effect of Tamoxifen.

I declined the invitation, as attractive as it sounded. I absolutely cannot deal with the thought of a biopsy right now. Moreover, the whole idea is rendered completely hypothetical, as I DON”T HAVE ANY DOCTORS HERE.

Back on the subject of the polka-dot skirt: I’ve had a kind of superstition about that skirt since; I can’t look at it without hearing “cancer,” hearing it applied to me. But I wore it today to the orientation meeting for my Ph.D. I’m terrified of this undertaking now, in the wake of the way the chemo ravaged my brain–the terrible problems with memory and concentration and articulation it’s left me with, which don’t lend at all well to a doctoral degree in literature. But this is what I mean–I encounter cancer & its consequences constantly.

We’re stuck with one another here, it seems.

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Tamoxifen & pelvic pain

I’ve been in pain for days and days. Google served up this breastcancer.org dicussion thread on Tamoxifen & Pelvic Pain & Pressure. Terrified of endometrial thickening, ovarian cysts, uterine fibroids. And cancer of course.

Won’t be scheduling any more trips to the gynecologist any time soon, however–not even Pap Redux–having been served out of the blue with an OB/GYN bill for $230. I’m on medical assistance and my co-pay at the time of appointment was $1. I don’t know where the bill came from all of a sudden; what is itemized on it is “additional diagnosis.”

And I still don’t know what it is I’ve been diagnosed with.

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9 July 2009: Why is there not a discovery in life?

Another bout of this, a day wasted, hours and hours in bed, wet pillowcase. Pain in my armpit. The inability to do anything–and those horrible lines from Love Story, a movie I haven’t even seen, but which has somehow pervaded our culture like cancer itself: “What can you say about a twenty-five year old girl who died?”

What can you say? Nothing. Nobody’s wife or mother, mother of no ill-formed offspring of feeble brain. And yet you can say a hell of a lot more about the twenty-five year old girl who died than the twenty-five year old girl who lived, surely. Because death is infinitely more interesting, published in the pack of lies that accompany it. It makes me sick.

K. is embarrassed by how I snapped at him in the meeting with the surgeon. I snap beause no one listens–talk and talk and nothing happens; no one listens.

I feel imprisoned here (West Hendred’s a prison; then is the world one). It’s of my own making. It would be a wonderful place to write, were I not losing my mind. Holing up here by myself in bed. The hours, the emptiness, the dust and clutter. Wanting to be left alone, and yet terribly afraid of that condition at the same time.

I imagined of course that coming back from France everything would be “different.” That I would feel energized and inspired and finally feel the impetus to make something of all of the time. Instead, lying across the bed watching Woody Allen films and crying.

— 

Why is there not a discovery in life? Something one can lay hands on and say ‘This is it’? My depression is a harassed feeling. I’m looking: but that’s not it—that’s not it. What is it? And shall I die before I find it?

-Virginia Woolf, Diary, Saturday 27 February 1926 

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abnormalities

I thought I was in the all-clear for the moment as far as tests go, but April 30th’s pap smear–I’d assumed hearing nothing for so long was a good thing–apparently turned up abnormalities. This is not the first time this has happened, but it is the first time I have reason to be worried. They ask for a retest in six months. The waiting will never be over, or the worry.

Pelvic pains too, and waiting for my period, perhaps? Having had more or less regular periods since their return six months ago, last month was marked by a light period as predicted, then a hard sudden hemmorhage two weeks later. I don’t know what to expect now. Handy that the possible side effects of Tamoxifen include both irregular periods and uterine cancer, the hallmarks of both being vaginal bleeding.

Holding the gynecologist’s letter in my hand–Your pap results showed signs of cellular abnormalities–I could not escape the sickness and anger and the why me, why now. “I hate my life right now,” I texted–though predictive text first suggested the phrase, “I have my life right now,” which seemed somehow significant. 

I have my life right now.  

I’d like to ride that out awhile.

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7 July 2009: an ache

These dreams wherin everything is out of joint. Trying to take the Tube to impossible destinations, unfamiliar geographies. And a slapdash wedding, bald and ugly, the wrong flowers, no guests. Everything is wrong; I can feel it. Pain in my arm and my armpit, an ache. Meeting with the surgeon this afternoon to say nothing. Right now it’s raining, a comfort.

Four years ago now that I was in New York and people died on the London Underground. If there was a point to their deaths it is lost on me; most everything is.

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23 June 2009: a cry for connection

Awash again with chemo after Dr. S’s U-turn in treatment (a standoff in his office yesterday, his defensiveness and awkwardness and my ever-present frustration and anger)–decision to go ahead with the final two chemo treatments with a view to mastectomy in early August. An awful six days that led up to this: quarrelling with K., bad sex, wanting to distract myself, desperate for intimacy and left ultimately with more and more evenings crying into pillows pathetically. Frustrated that all of this heartache and uncertainty could have been avoided with a little clarity and concern from the hospital. A biopsy date’s still undecided; more and more of this last-minute news. Like the biopsy’s done under general anesthetic and requires an overnight hospital stay. By the way. But what else to do but plug on with the meantime?

I’ve just read Sontag’s early journals–her intensity, beauty, brilliance–at that age, having so surpassed me intellectually/professionally/in experience, in range and depth and meaning of experience. I do wish I were allowed more access to her mind in them–that the journalling were not so fragmentary.

She says:
“In the journal I do not express myself more openly than I could to any person; I create myself…it does not simply record my actual, daily life but rather–in many cases–offers an alternative to it.”
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“The writer is in love with himself…and makes his books out of that meeting and that violence.”
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“To write you have to allow yourself to be the person that you don’t want to be (of all the people that you are).”

I’ve ordered Illness as Metaphor — an egotistical interest, I guess, in the meanings of my own illness (or lack of menaing). Like the search for & disappointment with Sedgwick’s book–a cry for connection.

In the waiting room yesterday, reread Virginia Woolf’s On Being Ill:

“All day, all night the body intervenes; blunts or sharpens, colours or discolours, turns to wax in the warmth of June, hardens to tallow in the murk of February. The creature within can only gaze through the pane–smudged or rosy; it cannot separate off from the body like the sheath of a knife or the pod of a pea for a single instant; it must go through the whole unending procession of changes, heat and cold, comforting and discomfort, hunger and satisfaction, health and illness, until there comes the inevitable catastrophe; the body smashes itself to smithereens, and the soul (it is said) escapes. But of all this daily drama of the body there is no record.”

–pre-empting, perhaps, all the piss and shit in modernism.

I see myself this way: as gazing through the pane/pain of the body. Even as my hand cramps here. It’s something I have always found difficult to imagine about writers, prose writers particularly–how they manage to sit there, inside themselves, and produce–how many times distracted by this restlessness I always seem to have? By hunger and malaise and lethargy and the body’s desire to move, pace, ignore the dreadful submission to the immobile mind…

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standing on my heart

Why why why why why these awful chest pains/breast pains perpetually? I feel like somebody’s always standing on my heart. Could be an emo lyric did I not mean it quite literally.

I could subject myself to doctors, tests. Or I could continue to ignore it, because concerning that why: I don’t really want to know. I want to continue the status quo, and to have hair, and to be here.

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