Star Wars introduced me to blue milk. My mom introduced me to blue steak.
When my mom got her kitchen remodeled in the 1980’s she was adamant about placing the microwave as close to the refrigerator as possible for convenience. Most of our food was prepared in an assembly line; from freezer, to microwave, to plate, to table. It wasn’t until I was older I figured out what all the other boxy objects ( the “stove”, for example ) in the kitchen were actually for. My mom sure could rock the ‘wave though. It was the Instant Pot of the day, capable of doing almost everything …
Now that we are all entering the holiday season under COVID restrictions I’ve realized that there is one thing that I miss more than anything, having good friends over to eat.
I’ve had surgery to remove my prostate, adjuvant radiation to kill of any remaining cancer cells, and will be on hormone therapy through the end of next year. I couldn’t have done it without my family. For more on what’s to come go here.
It has been a little over a month since I finished 45 sessions of radiation therapy for prostate cancer at UCSD. The radiation therapy itself was a follow up to a surgery that I had in March to remove my prostate. The good news is that I’m doing great! I’m about where I was prior to radiation therapy, which, although is nowhere near where I was before prostate cancer, makes me incredibly happy nonetheless. To put it another way, I can live like this. This week I had a follow-up appointment with Dr. Rose, my radiation oncologist to discuss my recovery and the road ahead.
For the foreseeable future my cancer ( or ideally, lack thereof ) will be monitored by PSA tests. If you’ve been following my posts you’ll remember that the PSA blood test measures prostate inflammation. A normal PSA score is below 3 ng/mL for men my age. However, since my prostate was surgically removed my score should be undetectable, or less than 0.01 ng/mL. If my score rises above that threshold it means that the cancer wasn’t eradicated and managed to survive.
“If I have a recurrence will it be in the same area in which I received radiation?”, I asked.
“No, usually the cancer will metastasize somewhere else.”, Dr. Rose replied.
“And if it does, can I receive additional radiation therapy?”, I asked.
“Yes.”, he replied. He then continued to list a variety of scenarios. Bone metastasis. Lymph node metastasis. Each scenario could potentially be treated with radiation, albeit with much shorter spans.
“So, no more 45-day benders?”, I reiterated.
“No.”, he shook his head.
“Good. I mean, you’re a great doctor … person … and all, but I hope I never have to see you again.”, I joked.
The big test will be after I complete my two-year course of hormone therapynext November. The therapy, also known as Androgen Deprivation Therapy, or ADT, has been starving my cancer of testosterone, which it requires to grow. Once I’m off ADT my body will start producing testosterone again which will provide fuel to any remaining cancer. The big milestones for long term remission are at the 5-year and 10-year marks. However, I’ll always be at risk of a recurrence.
“I, like most doctors, really don’t like using the word ‘cure’….”, Dr. Rose started.
For a doctor it’s got to be rough not being able to confirm the one thing that every single cancer patient wants to know.
“….yeah, I get it. You really just don’t ever know. It’s too bad, but I get it.”, I interrupted.
“So, is there anything I should be doing”, I asked.
“Twice a day for the rest of my life.”, I replied. “It sure beats diapers!”
My prostatectomy had eliminated a valve in my urinary tract. Radiation had weakened it even further. Strengthening the muscles in my pelvic floor have been essential in keeping me dry.
“Anything else?”, I asked.
“Well, at this point we’d kind of like for you to get your life back to normal.”, he smiled.
Proof that it’s impossible to “go see” a puppy without bringing it home. For more go here.
Is your household a little too calm and relaxing? Do you have lots of nice things that you need destroyed in short order? Is your carpet looking a little too clean? Is walking through your backyard without stepping in something too easy and you need more of a challenge? Well, if that’s the case I have a solution to your problem – adopt a puppy! A puppy will resolve all of these problems within days of bringing one home.
In practice, there’s really no such thing as “visiting” a puppy that is up for adoption. That was Jodie and my first mistake. The second was bringing our daughters, Ashley and Kaylee, with us. There was no way “Mattie” ( now “Maddie” ) wasn’t coming home with us.
Take care. Stay healthy. Live life. Adopt a puppy ( you won’t regret it ).
Who likes the color purple and hippos? My friend, Kaliope, does. Due to Coronavirus restrictions, instead of a 9th birthday party Kaliope’s mom elicited all of her friends to draw her pictures and mail them to her. Happy Birthday, Kaliope …
I wanted to send thank you cards to some good-hearted friends, but none of the off-the-shell cards I found “felt” right, so I ended up making my own. In retrospect I’m not really sure what I was going for here, but I guess that’s how creativity works sometimes. Unlike developing software, where everything I do is meticulously planned out, with art I’ve realized that I’m not always sure what I am doing until I am done.
Any road trip with my dad was the best road trip ever. For more go here.
In the late 1980’s my dad took my brother and I on an unforgettable road trip to Yellowstone. We spent the majority of the trip lying down in the cramped shell of his compact red pickup surrounded by camping gear, coolers, and a questionably watertight portable toilet. The cool thing about growing up in the 80’s is that you could do this, the bad thing about growing up in the 80’s is that you could do this. Today, if you were to ask me the most memorable thing about the trip, it wouldn’t be the geysers, or moose, or the camping – it would be the hours upon hours of conversation with my dad through the narrow sliding window joining the cab where my dad drove, and the bed, where my brother and I laid down.
Take care. Stay healthy. Live life. Enjoy the journey.
This. This is what radiation to the prostate is like. Every day is an adventure in digestive issues, bowel function, and yes, pain. Fortunately, I’m almost done. For more go here.
“You might experience some digestive issues”, has been the understatement of the month. While I’ve ( so far ) managed to avoid urinary burning and incontinence during my radiation therapy, my rear end has unfortunately taken the brunt of the side effects. How to persevere? Well, poking some fun by drawing comics helps a little. Diet, too, but it’s been a precarious balance between “binding” foods and foods with high fiber. And then there’s the ointments, Sitz Baths, and the timely purchase of an “electronic” toilet seat from Costco. In conclusion? Number two is number one in my mind and I’ll never take it for grated again.
My family and I were invited to join our good friends for a beach party on Coronado for an end-of-summer marshmallow roast before all of our kids went back to school. The waves were just big enough, the weather was just perfect enough, and the Del provided an endless supply of s’mores. As I watched my oldest get churned up in the waves I kept expecting her to stomp out of the water, throw down her board, and give up. She never did and her reaction after we finally had to fish her out of the water for s’mores was priceless.