Tag Archives: Tamoxifen

Welcome to my morning

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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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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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don’t like mondays

today-

  • take Tamoxifen
  • vomit Tamoxifen
  • go to work

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another reason why i love you

Alice, my best friend of yore, sent me this.

“I thought you’d either find it hilarious…or be really offended.”

Hilarious.

“The lady at the post office asked if I was sending it to my mom. She thought she was in on the joke.”

Not many people are in on the joke.

Thanks, Alice.

[This is the girl who, when I told her they were gonna cut my tit off, suggested she could make one for me out of a chicken cutlet.]

I’m going to take it to work…and confuse people. The mug, of course, not the cutlet-tit.

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still looks like cancer: or, reality bites

A confession:

I really love this movie.

I used to so adore and identify with Lelaina (Winona Ryder) and her angsty smart girl Big Gulp post-college existence. But now it’s Vickie (Janeane Garofolo) with whom I identify, or this part of her character anyway:

“It’s like I’m on Melrose Place and I’m the AIDS character and I teach everyone it’s all right to talk to me or touch me and then I die and everyone goes to my funeral wearing halter-tops and chokers.”

Substitute something vaguely 21st century for the mid-90s cultural references and cancer for AIDS and this is so apt. It’s what I feel I’ve become to most everyone I know: the “cancer character.” People who had no interest or investment in me suddenly came out of the woodwork when they heard I had cancer–even my “best” friends, whom I’d emailed a week previously with good news about my Ph.D; I heard nothing from them until the C-word. Part of it is genuine concern, but, however cynical it seems, I believe there is the thrill of the exotic in it: being able to say ‘My Friend Who Has Cancer.’

Kind of like My Gay Friend, but harder to come by.

And I’m tired of playing the cancer character, even though the whole project of this blog is doing precisely that it’s ok to talk to me, it’s ok to touch me kind of thing. Trying to de-mystify and synthesize the experience of having this disease.

But it’s all a sham, or most of it is anyway. Because what I feel a lot of the time is sheer panic and terror and a loss of the will to live, and you can’t de-mystify or synthesize any of it in handy blog posts for people you don’t even know to peep in on.

So,  

A confession, pt. 2:

No matter how much I tell anyone I’m okay, I am not okay.

None of this is okay.

And I know I’ve been in denial about my level of okay because of the way things have been breaking to the psychological surface.  

Like the other day, after coming across this–Kylie Minogue: Still Looks Like Cancer–I just lost it, and hacked off all the hair I’d regrown in the past several months with a pair of blunt scissors, leaving a sinkful of coarse curls and the remainder a shorn, uneven crop peppered with bald patches.

And it wasn’t that some jackass who writes a stupid celebrity hairstyle blog had really gotten to me, but that I needed a catalyst to act out something irreparably psychologically fucked-up in myself (like cutting your wrists, but with ugliness instead of endorphins), something I have to spend every day repressing and ignoring and pushing away so that I can get out of bed, go to my stupid hateful mindless job, and exist.

Merely exist.

And then the other night I dreamt of the surgery–of the whole thing repeated, for the left side, with a smattering of cruel and unhelpful hospital staff, and awoke so traumatized–not from the dream, but from the reminder that these things had actually happened to me, and I haven’t processed or made peace with them.

I’m getting to feel like Elwood P. Dowd, and my health is like Harvey. I’ve wrestled with reality for twenty-five years, and I’m happy to say I’ve finally won out over it.

I haven’t won yet, but when I sense reality getting ready to rear its ugly head I have to slam it in some drawer or another. Sometimes literally; I found I can’t wear the pajamas I wore when I was in the hospital. Even seeing them, I start to panic. So they’re stuffed to the back of a bottom drawer. I can’t toss them out any more than I can toss out the cancer.

After all, I “still look like cancer.”

But I can’t deal with it.

Because doing so would probably involve turning my life, for whoknowshowlong, into a vortex wherein I would not be able to function–to get up, get dressed, take my Tamoxifen, spend all day moving Microsoft’s data from one place to another, and come home to no one.

So maybe–what’s the point of functioning at all, if that’s what you do?

I think: what would happen if I died now? And the answer is: some of Microsoft’s files would be delayed getting down to archives, and the temp agency would send someone else immediately.


This summer, someone asked me, How are you coping? How are you getting up, walking around?

I admitted it was with a generous dose of denial–but then I had England; then I had K.

Now the only answer I can supply besides denial is

I don’t know what else to do

or–I know what else I can do, and am scared to.

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