Best Remedy From a Doctor: Joy!

YES!!  Only a doctor can remedy such joy to a patient’s chronic healthcare.

Tony_Adkins_neurosurgeon_dancingThinking back to my tours through hospitals in 2012, then again in 2014-15, and subsequent doctor/institution visits, my healthcare could have DEFINITELY used this kind of remedy.

Dancing_Neurosurgeon_Tony_Adkins

Thank goodness I am still in remission (pending some annual exams in the next few months), and during remission I have put dance back in my life, and more recently karaoke too.  In a life where I am struggling to make ends meet and work seems endless, I need to let off steam, and fortunately have a number of spirited friends who will happily support that end.

As I’ve said in past posts, upon examining my life and habits to determine where my cancer came from, I realized that a life out of balance and stress-heavy was not good for me.  Just blasting music and dancing in the kitchen can banish stress in the most amazing and unique way.  It’s a method of getting what’s inside out in a positive way.

Everyone has their own method of relaxing and expression, I just say, do it.  XOXO

Buh-Bye Chemo Port

Isn’t it time to bid that chemo port buh-bye?

It’s just over two years since ending the chemo regimen from the liver cancer metastasis. Today I am alive and thriving!

 

It wasn’t all easy, those two years. It’s amazing because one would think that finishing chemo would mean life can go back to normal, a healthy and productive life, free of disease, medications, doctor appointments, worry and fear, just like that. Well, on the surface I have those things now, more or less. I do see the doctor less, I am in better shape than I’ve been in years, there is a more predictable schedule and fewer emergencies than while treatments were ongoing.

Still, because of the “cancer club membership” I now have, I am married to the medical system. I’m dependent on doctors, on healthcare, and on insurance. Of course I am getting older… so there’s that, too, but before cancer I was an easy patient and pretty smug about it. I liked that I could see my doctor once per year or less! I liked the bod being solid and reliable. Now if I go more than two months without seeing a doctor, I feel insecure and usually have saved up a million concerns to discuss overwhelming the appointment.

That’s life in the fast lane! But I’ll take it. Gratefully.

 

As for having more time to myself:

Yeah, I have that too, but jeez, something happened since cancer: a rather extensive daily routine of taking care of myself! I credit graduation from cancer for starting some really good habits, like:

  • Spending 10 minutes on my teeth every night because my gums have receded so much, I’m just trying to keep my teeth! I have dental cleanings quarterly.
  • I exercise twice a day, and I like that, but I also feel obligated to stay strong to combat bone loss from the radiation and chemo. Incidentally, the osteoporosis diagnosis a year and a half ago (thinning bones) has been downgraded to osteopenia (less critical), I believe from a combination of supplements and exercise. Thank goodness my bones are rebuilding themselves as I was told they may not.
  • I have supplements to take at various times of the day.
  • I make a daily concoction of juices to cleanse my liver of all the supplements residues.
  • Clean my glasses, which recently became necessary.
  • I cook all meals and they are nutrition that Matt and I need specifically.
  • Then paying, scanning, and filing the medical bills for financial fitness as well.

That makes a full day just spent on myself!

 

Longer term:

There are maintenance blood tests, colonoscopies, and scans (oh my!). The results have been mostly routine, but each, more than ever, are followed by a period of nervous introspection. A nagging fear that the test will not come out normal, and I will have to start over again; breaking the news of a whole new diagnosis to my family and community, interviewing doctors, filling out health questionnaires, filling my schedule with doctors, therapies, new uncertainties, waiting for never-ending test results, and worrying about insurance eligibility! My imagination takes over and goes to the worst places. This never happened before my second occurrence of cancer, but darn it if the second occurrence has really changed my view of mortality.

i-have-this-nagging-feeling_LRG

Fighting cancer ages people. Not only the bone deterioration, receding gums, spiraling hormones, it also makes you look older. I think I’ve aged visibly and maybe look 14 years older than I did 3-4 years ago, which puts me in the same era as my husband! While I generally applaud age and the success of achieving a “ripe old age”, I’m mixed about it happening rapidly and unnaturally from medical treatments. Ok, so the new lines in my face are battle scars. They are for the naturally aging people, too, but I’m not used to seeing them on my face when 3-4 years ago I looked much younger. Also, age is a state of mind. True, and I feel older in the sense that I am wiser, I have more boundaries than I used to, and maybe a little more cynical. But the things that I love, I love so much more, have so much more sincere gratitude for kind acts, friendships, noticing the colors and relationships in the world around me.

Although emergencies haven’t entirely stopped, they are fewer and less consequential. I had a surprise root canal a few days ago. That was a first, and there will be more firsts, but at least I know that whatever it is, it will be an easy fix! I believe that given time my anxiety will decrease, I won’t even remember this worrisome era.

 

Finally, yesterday I had my chemo port removed!

It was a rather short, uneventful procedure in-office, rather than in the hospital. I could have chosen the hospital where they would put me under, but it really is a simple procedure in the clinic, cheaper, takes a fraction of the time, and I didn’t have to trouble anyone to drive me.

Power.Port.patient.shoulderPower.Port.diagram

Some people keep their port in long after the disease is gone. I guess ports can stay in indefinitely, and people may go four years, five years, nine years before taking them out. I never intended to keep it in for two years, but I just never had time to get it removed, and one more surgical procedure was just unappealing. My blood cancer level did jump a bit, and for a month I played it really conservative with diet, supplements and rest. That did the trick, because the levels fell again on their own.

I’ve got this. It’s time. I am ready to be free of the port. I no longer need to harbor the symbol that connects me to the disease I beat twice. Onward!

 

Buh-buy chemo port!

COLONOSCOPY – POLYP GARDEN

Fresh from the colonoscopy 2 weeks ago, I received results: two polyps… 

Benign adenomas, precancerous, come back in a year… *Sigh*…

It was disappointing learning of the polyps since it has been only one year since the last colonoscopy and my results were clean then, so I was hoping for a repeat of that. But instead two tiny polyps still sounded alright, I could live with that. They would be biopsied and results would arrive in a few days. So my results today showed the polyps were “benign adenomas”, or precancerous polyps. That is not good, and what the heck does “precancerous polyp” mean anyway?

Polyp Phases

Phases of a polyp

polyp-phases-2

I’m guessing mine was at “severe dysplasia” stage, as it was benign, yet still precancerous.

 

 

 

 

 

 

Everything I’ve read about adenomas is that it will take between 2-10 years for one to develop into cancer. For a polyp to form and become precancerous within one year tells me that my polyps were under unusual conditions to become precancerous so early. This year has been unusually stressful, and unfortunately I have an unusually poor way of handling stress, ie. I hold it in. I convince myself it could be worse, I can handle it. This explains my “polyp garden” colon and why my resistance to growing these little guys is so low. This also explains why for survivors of colon cancer we have to stay on top of our maintenance exams (scans, colonoscopies, blood tests). I need to stay on top of my tests, I need to manage stress better. I’ve been doing the former exceedingly well, yet there’s more progress to be done on the latter.

In May 2016 my oncologist noted on my CT scan results a spot in my liver that he wanted to watch, and told me to have another scan done in three months. No worries, I thought, it’s too soon after chemo treatments, it must be something else. I did not worry. During the summer we started a new business, had Matt’s daughter and her fiancé move in with us, we had a series of financial difficulties and some personal issues come up all at once. I began losing sleep and obsessing over order in my house, an effort to keep some sort of control over a huge period of change. I (all of us) began feeling overwhelmed and out of control. We all worked from the moment we woke to bedtime every day for months straight with no breaks just to keep ahead of bills. I was on top of everything, I felt I was handling it, but was exhausted all the time. It was a miserable, stressful time for me and my family, and I began to worry about my health. I’d had a tickle in my chest for months. Thinking back about what my oncologist said about the spot in my liver, I could not let go of the fear that cancer had come back and settled in my lungs and my liver. I had no money to get the follow-up scan, and decided it would not hurt to put it off for a month or two until we could figure out our finances.

The fear overwhelmed me and I believed I was sick again. I worried for Matt, my parents, my friends, I dreaded telling them I was going to die. I worried about going through all of the diagnosis, treatments, months of uncertainty and sickness again. If this disease could come back so quickly twice, it must want me; I must be doomed. Things got extremely desperate and I could not shake the fear of not knowing. So I scheduled the scan and results came back clear.

I celebrated the good news, as did everyone around me. I had not made my concerns public, but my family knew. And yet the fear came back. The tickle in my lungs was still there, and I began to wonder how much of my chest the CT scan covered? I had not had a blood test in a while, and realized it was time. I was only a week or so off my schedule, so I scheduled the blood test and met with my oncologist. The blood test came back clear, the oncologist hypothesized that the tickle was coming from a new allergy. Again I felt better, but there was still an insecurity in my mind. No spots in my liver, no sign of disease in my blood,… the colonoscopy should turn out healthy too, right? With all the stress over the summer, what would it take for the cancer to come back? Where would it? After the first occurrence of cancer in 2012, it was only 2 1/2 years until the second occurrence in 2014. It has been about that long again, and I was inconsolably worried.

The colon prep this time around was miserable because I had a cold, too. Ugh… no fun. Coming off of the anesthetic the first thing the GI said to me was he found two small polyps. He did not think they would be problematic, but they would be biopsied all the same. The fact that the results came back precancerous is a red flag that I am not doing enough to manage stress.

The moral of the story is, I’m glad that I am being so closely monitored, that I have great health insurance (thank you Obamacare), I’m glad that at this stage the polyps could be removed with no incident. I am safe again, for now, thank goodness. I will continue practicing stress management, continue getting enough rest, exercise, good nutrition, laughter, and

I will continue with my maintenance exams.

polyp_colonoscopy

How polyps are removed, a retractable wire loop severs the neck of the polyp.

polyp_colonoscopy

Little bastard

COLONOSCOPY IV

Colonoscopy IV is finished!

For a 2-day prep/recovery, the procedure goes rather quickly. I was in at 8:30am and out by 9:10am.

champagne_toastThe doctor had pleasing news when I woke from twilight: clean as a whistle. No polyps, nothing unusual. Hallelujah! Ever since colon cancer in 2012, part of my maintenance plan is annual colonoscopies and scans. I’m on 4 of 5, so after next year’s exam, I can move out to 1 every 3 years, yet will probably continue the annual scans and quarterly blood tests (also normal maintenance protocol) for five more years.

For a polyp garden (my colon), the crop was bad this year. Nevermind the chemo cleanse I got for 8+ months. So, anyway, I have no worries there.

I feel like an easy patient again!

BUILDING UP RESERVES

My current job is building up reserves…

yoga_with_adriene

“Yoga with Adriene”, I call my “YouTube Yoga” routine.

Some snapshots of cancer recovery:

May

…was great! Chemo finished exactly three months ago from today on April 29. I spent May feeling just exactly as I’d hoped: grateful, rejuvenated, optimistic, gaining energy and ready for summer activities to begin! Of course it did not last beyond that, but I still felt thankful to be done with the bi-weekly routine of going in to the clinic for chemo treatments, the bedraggled energy and sickness and restarting my fitness routine over and over again. Whew! My oncologist was pleased to release me from “maintenance” chemo obligations because of how well the cancer had responded to the treatments.

June

… I’d disappointingly began experiencing some miserable myalgia, a persistent muscle soreness from head to toe, concentrating in my shoulder/neck area, and resulting in numb hands, hot, shooting pains in my wrists, palms and fingers. The only time I could escape it was lying still in bed. It would let up for a while after exercising, especially post-yoga, but would come back in a short time.

cupping-chinese-medicine

“Cupping” – Chinese Medicine

Initially, I thought the pain was lactic acid build-up due to serious dedication to my fitness routine (walking, light biking or yoga). I’d drink more water, and stretch to alleviate the tension. I began taking a day off in between workouts; I restarted acupuncture; I asked my various doctors about it. One told me to drink more electrolytes, one recommended acupuncture, massage, “cupping” (a Chinese medicine treatment of introducing hickeys to the painful spots, which I did try), hot wet towels, supplements… Another suggested a physical therapist, a chiropractor, massage and acupuncture. And still another recommended supplements and gave me additional appropriate minerals in my nutritional IV’s. So I tried (and am still trying) all of these.

Do I get an “A” for effort?

July

I have been letting off of some physical activity, upping supplements and seeing an orthopedic doctor. Gawl! What ever is going to get this pain under control? I can say that I “get” chronic pain now! I was feeling really impatient and fatigued from the pain and stiffness, and frankly discouraged and depressed.

Finally, a recommendation from my naturopathic physician, Dr. Dickinson. She deals with adrenal, neurotransmitter, cancer rehab and PT. I should increase the amino acid supplements (and quite probably what my complimentary oncologist put in my IV as well), the pain is 85% gone! Much MUCH better now at the end of July. My muscles still require extra time to recover from kneeling, getting out of bed, looking over my shoulders, etc, but my days are now tolerable. Apparently, with the fitness, I was “using up all my reserves”. My body, still dealing with a heavy, toxic chemo load in the deep muscle tissues, was having trouble keeping up with supply and demand of aminos and minerals! Dr. Dickinson urged that just because I will start experiencing more energy, not to use it. The idea is to build up the reserves. (Never mind the 20-mile bike ride at the coast last weekend with m’dad… But still I’m feeling ok!)

I also saw a physical therapist, which pointed out a misalignment of ribs near my right shoulder. This could explain why the pain was concentrating there. Muscle myalgia would pull on the ribs and neck and with them out of alignment, would just cause misery. Thinking back, there was a bike accident where I cracked a clavicle. That was 5 years ago. That would do it, I suppose. Now we’ll see what the orthopedist says next week.

The other bit o’ good news I’ll share today:

Cancer tumor markers in my blood (CEA, which show the body’s response to fighting cancer) have been in normal range for months (0-2.5). The better news is that over the months, they continue to drop lower within the normal range (1.7 to 1.3 to 1.1)!

In late August I will meet with Dr. Look, my oncologist, and maybe spread out the tests to every three months; I also get my annual colonoscopy. Although I’ve been healthy and continually improving, each test is a stress to me and my loved ones. But, I’m on the right track.

WOW oh WOW! I feel so amazingly grateful for the gracious attentiveness shown to me by friends and family out in the world and through Facebook during this time. The love is being swallowed up by my gut and heart each day, and is building up my reserves!

CHEMO – FINAL ROUND 12 OF 12

Monday began the final round of chemo. That makes 12 in all! Whew! Remarkable!

champagne_toast

Monday morning I went in to meet with my oncologist, Dr. Look, get bloodwork, take vitals, chemo infusion and IV fluids, like usual. The primary thing I wanted to know, a conundrum we had discussed last meeting, was what the partners said about my case. Dr. Look was confident that my case was unique because of how well the cancer responded to the treatments and surgery. He felt I may not need to go through a maintenance chemo regimen, which would have gone on indefinitely, same routine with fewer chemical ingredients.

To review:

  • My cancer tumor markers (aka Carcinoembryonoic Antogen or CEA for short) came down to normal range before my surgery in early January (hallelujah!)
  • The surgery was a neat success with clear margins (no cancer cells found in the margin of tissue removed along with the tumors)
  • I went through 6 more rounds of chemo post-surgery after I was declared NED (no evidence of disease)

I should be pretty squeaky clean. Therefore there is no baseline disease to monitor new cancer activity, and Dr. Look felt it would be of no benefit and possibly cause more discomfort and harm than good. The partners at Compass Oncology agreed. THAT, dear readers, is the best news all year.

Coming up, I will have a baseline CT scan in three weeks to compare with subsequent scans in the coming years. I will have bloodwork done quarterly, colonoscopies done annually and scans probably annually or maybe 6 months.

So with caution, I will be celebrating in the coming weeks as this final round wears off. I’m not much on celebrating my own achievements. Although I like the idea, I always feel that things could change at any time, so I feel better mushing my celebrations in with other celebrations happening around the same time, ie. holidays, birthdays, housewarming parties… just not my own celebration – I prefer just hitting the hiking trails, the kayaking, making art, just playing for a while. What to do without all those pesky doctor appointments all the time!

Although I was already drinking tiny amounts of wine between treatments (hey, when in Rome, right? And I’m always in proverbial Rome with my family), I felt that a glass would be helpful mentally and do little harm in my already struggling liver. After about a week of no alcohol, I do moderately miss it. But I have to say, I have some simple virgin drinks which I drink at night that I do love. Recipes may be shared! And from my lovely friend Bettina, now in Dusseldorf Germany, mailed some lovely, refreshing tea mixes that I binge on daily. Don’t ask what’s in them unless you want a photograph of the label, because it’s all in German.

The Tempest is over, the laundry list of complaints left over are all annoying ones. Drippy nose; bloody mucous; mild sinus congestion; unpredictable, urgent, frequent bowel movements; constipation (all chemo-driven); shingles are still numb, but only scars now; neuropathy in the souls of my feet; dry skin. What else? It all blends together, but I’m still functional!

I feel I’ve been pretty blessed in spite of this cancer event. I keep telling people that I aught to be sicker than I am, but I’ve had such good complementary care from my naturopathic doctor team, my medical doctors have been so on the ball in my case, I’ve been able to do most anything that I want, with exception of some side effect discomfort, fatigue and so on, I feel pretty energetic most of the time. Life for Matt and I has been on a good track, and we are very happy with what we have and who we hang out with! Can you believe all this can happen in the face of a devastating disease? I absolutely cannot, yet here we are. We are very grateful for the benefits life has for us right now. And I am so truly thankful for my family and friendships and all the love I feel from around the world! Even making new friends and reacquainting with old friends who are going through similar trials as me has given me new resolve to get through my own.

I cannot ask for more after this final round 12, except for a permanent state of NED!

THE TEMPEST

We all experienced a mix of rain and sun here in Portland, Oregon, but my rain was a tempest of illnesses that hit all at once.

Well, I guess I get my comeuppance for having so many “good days” during this cancer process. Why? Because of the phenomenal weather this year and last, and the “feel good” days, as though I’m a thief making off with gold since the diagnosis of metastatic liver cancer last August.

Because I am immunodeficient following three very successful chemo treatments and resulting low red and white blood counts, it should not be surprising, yet is very discouraging, to have contracted three new illnesses at the same time. Each comes with its own misery, and altogether it overwhelms my usual optimism. I’ve earned pouting rights. So, let’s get to it!

Which came first? The sinus infection or shingles?

They both began around the same time two weeks ago. The sinus infection is very painful in the part right behind my forehead. Because, Dear Reader, you and I know each other pretty well, I will tell you this: The shingles is ghastly. I look like my butt is molding.

Peripheral Neuropathy

Velcro-lined slippers

Velcro-lined slippers

I’ve had neuropathy for a long time now, and is positively making my feet puffy, numb and hypersensitive. It’s like wearing nice, cushy slippers lined with Velcro.

Did you get your flu shot?

Finally, a pretty violent flu took over all else with all classic flu symptoms, but intensified by the other ailments. I don’t get flu shots unless I need ’em. ‘Cause if I don’t my immunodeficient butt get spanked with the flu. There were lots of muscle spasms and pain, twitches, tremors, chills, dizziness, projectile vomiting and foggy brain.

I want to complain so badly (and I have), but really, what can you do?

medication-supplements

Taking the nighttime regimen.
Photograph courtesy Matt

Whine and moan! As soon as you realize you are getting sick, you can’t just halt life and choose a different direction to avoid the illness, you can only sit and wait for the sick train to move in and then submit to it. Medicate? Well, yes, there are remedies, or at least relief meds that will take the misery down a notch or two, such as a flu shot, oh, wait, that didn’t really work for ANYBODY this year. In normal health, I refuse medications and supplements. Boy have I succumbed to that rap! Everyone who gets sick has to go through it, fully.

I am pretty good at taking care of my sick body, even before cancer. I have a knack for it. Because I believe the body’s immunity is really pretty amazing, I believe in supporting it every day. Thus, I’ve studied nutrition and fitness for years out of interest. Not that it gives me any real advantages because even if I follow a pretty strict health protocol, I still have to go through any illness I do get, fully.

The good news: I’m no longer at death’s door. Friday I was more vertical. Today, Saturday, I feel in good humor and know the worst is behind me. The neuropathy is getting better. When I couldn’t keep anything down for three days, I had to stop all meds, including anti-neuropathy supplements for a while. Even ginger beer, a known nausea remedy, failed me. I was malnourished and dehydrated – perfect conditions for an illness to go from zero to sixty in no time flat. I got up to over 103 degree temp, now down to… what? 93 degrees F? Ugh, really? Am I dead? I’m the last to know, always!! HA! Let’s try that again… That’s better. 98.2, more normal.

The sinus infection was really silent, but at its worst I had a headache of shooting pains which refused to submit to all pain relievers I could tolerate taking, for 3 days. I don’t know what migraines are like, I’ve never had one. That’s how I imagine them to feel, but do not want to offend any chronic migraine sufferers. No sleep and debilitating pain with no control. Kind of like that? I don’t know. Can I amputate my head? Please?

Shingles, I’m getting test results back early next week, but treating them now, started as a sore, painful spot on my nether regions, then spread up to my gluteus maximus, now is making it’s way toward my brain!! Not really, but spots are appearing on my back, neck and arm, all on the left side. And the welts are swollen and massively sore because I sit on them!! Can I get a butt transplant?!

boneless_chicken_ranch

I was NOT IN A GOOD MOOD, as my husband will attest! I laid in bed like a boneless chicken. Matt felt so helpless, as did I, but I was just too miserable to care about anything!

I know this is a very self-indulgent post, and I’m sorry for that. I don’t ever complain, so I am taking the stage. I guess I had to celebrate this occasion with a long rant. Since yesterday I am feeling so much better. I’m quite fatigued, and possibly contagious, so I’m going back to my nest for a few more days.

So I will close with a little entertainment: The Eurythmics’ “Here Comes The Rain Again”. It’s such a timeless song, and Annie Lennox is my muse.

Banishing the Tempest! Yay for recuperation!!

ROUND 9 OF 12

Finishing up chemo round 9 of 12.

nutritional_iv_therapy

Nutritional IV Therapy

The chemo pump came off yesterday. Round 9 of 12 means that I am half way through the post-op “just-in-case” chemo.

Today I feel slowed down a bit, and a few other discomforts like neuropathy in my feet and hands, and a new rash, but nowhere you can see! I will be low energy for a few days as the medicine works its way through the system, then expect to feel pretty good after that. I’ve been able to cook, clean, help Matt with the taxes, plant some seeds for the greenhouse, and repot a few new plants from the nursery in celebration of spring! Always mood brightening activities for a sunny day!

One week off!

At the beginning of the week in my oncology meeting, Dr. Look noted my low blood count numbers and postponed my next chemo treatment by one week. By that time, my marrow will have caught up on blood cell production, and I should make it cleanly through the subsequent treatments. Apparently, this is about the time most patients on this same regimen need a break for the same reason. While I am thankful for this move, I’m also eager to get the dang things done! But there you go, so I will enjoy the extra chemo-free week.

The gratitude!

All in all, I am very thankful for treatments to be going so smoothly, that I have rather mild side effects and a lot of energy in between treatments. I owe this mainly to two things: the wonderful support of my friends and family! Yahoo! The lovely calls and comments on social media fill my energy and healing reservoir up! Also, my nutritional IV therapy which I get from my naturopathic oncologist, Dr. Panutich, a few days prior to my chemo treatments. The link is a Dr. Oz article, it is cautionary, and rightfully so, however I feel I have a good reason to be using nutritional IVs. Without these, I doubt I would be upright, and I certainly won’t feel so energetic in between chemotherapies. This is no placebo, this therapy works reliably for my condition.

The nutrients mixed in with this IV, as it is explained to me, are minerals and amino acids which protect healthy cells in the body and agitate the cancer cells for more vulnerability to the chemo treatments. Prior to surgery, the cancer tumor markers in my blood samples responded strongly to the chemo and other therapies I am doing. The IV is formulated based on the side effects I experienced with the previous treatment, such as nausea, neuropathy, fatigue, etc.

The rest is pure mysterious magic! That’s the update, and thanks to great friends and family connections!

MY HUSBAND, MY WIFE

I awoke this afternoon to a call from Matt at the grocery store, asking what else I wanted besides the items on the grocery list he had. He went down the list and told me what they had, what they were out of, and how the quality was. What he couldn’t find he asked a nearby produce clerk while I listened. Shop completed, he thanked the clerk and told me he’d see me at home soon.

It was just so cute!! I felt so proud and happy. He’s taken my role with grace and no complaints. And it’s hard work, I know, I’ve done it for 6 years in various living arrangements.

This is the job I do for Matt regularly, but in my absence, my husband makes it happen!

obscured_sunset

DISCHARGED!

Yesterday I was discharged from the hospital around 1pm.

Finally, according to my surgeon, my health was stable, I was mobile, eating, pee-ing, and just waiting. He said (and think Barack Obama‘s voice),

“At this point, you’re gonna do better at home… You see, we’re in a hospital where there are lots of people coming in and out all day long. Each person that comes in, raises the risk of infection. At home, you will be more comfortable, you’ll get more rest. Just get on home.”

Did you hear it? Obama’s voice? I did!

Matt took a few detours for groceries and medications on the way home, then he excitedly got to work on chicken soup in the pressure cooker. Remembering a prior conversation about what I really need and want, he made this soup extra brothy for me, and chunky for him, and we could dial our own chicken soup consistency to perfection. And it was soooo gooood! We can’t find that soup anywhere but The End of the Road Café (us).

I overdid it unpacking and helping clean things, but we exhaustedly sat and watched a movie before succumbing to the night. Oh, yes, and then I had a physical, emotional breakdown. Very unpleasant. It actually started in the hospital the day before. Crying, lots of crying, frustration that things weren’t going my way, fear that I wasn’t recovering properly. At home, it just boiled over, and I was overwhelmed with tears for a few hours, for no reason. That must be the pain pills.

Over night I slept like a rock until 3am. I woke and felt like a spayed cat, unable to move but laboriously, and I felt every inch of that incision. I got up and took 3 Ibuprofen to take the edge off, and fell asleep. At 5:30am I told Matt to get me a couple of the prescription pain pills. By the pain scale, I was 8 or 9. Fortunately, that’s all it took and I was asleep again. That is pain you don’t want to meet face to face. It steals your soul.

But the darned narcotics; no sign of a bowel movement!

portland_ohsu_hospital