Lloyd is an Oddity

My first three month MRI has produced a delightfully boring result: no change. Dr. G had a medical student handle most of my oncology appointment, with him only coming in at the end for a once-over. If that doesn’t tell me where I rank on the worry scale, I don’t know what will. “Chill out until you don’t have that option,” is how I chose to interpret these reminders. As my natural inclination is to fret, the reminders are helpful.

This student, studying Radiation Oncology, was curious about my seizures—which I don’t mind discussing at all—and asked me if anyone had ever told me how very unusual my seeing words on things is. I had NOT been told that. I can’t help but laugh as I think this is why they are in training. “Don’t tell them they’re weird.” “Oh- check.”

While I am perfectly content to lie in an MRI tube, I hate and detest my motor skills testing. It is extremely simple and annoying—and I am terrified that I will get it wrong. It involves a lot of tracking fingers with my eyes, standing on one foot, etc. Mark told Dr. G how much I hated these tests recently and he kindly explained the purpose of each one as we did them. I now hate them (somewhat) less and fear them more. Should my outstretched hands part while my eyes are closed, I now know the connection between my right and left brain is possibly weakening. Great.

On this visit I had additional testing that was more specific to memory problems caused by radiation (my student’s specialty), and anti-seizure drugs. Panic swept over me as I was asked to memorize words. She took a round object out of her pocket and asked me what it was. Perhaps a minute later, mortified, I came up with “penny.” It was crushing. *sigh* However, I “passed,” and I simply have to remind myself that it isn’t my brain malfunctioning, it is just the drugs slowing me down. Stupid quality-of-life enhancing drugs messing with my quality-of-life!

Although I’m stressing the negative, there actually was a reward waiting to come from this girl’s presence. At the end of my hated tests, prior to fetching Dr. G, she did a quick recap and said that they’d probably see me again in 3 months another time or two, then bump it out to 6 months, then maybe longer. Her assumption, in other words, is that I’m going to stay stable for long periods of time. This is a refreshing thing to hear in that office. Of course we don’t know. Ever. There is a sleeping bomb in my brain, but it is sleeping. And it was cool to hear this girl blithely discuss it like, “of course it’s going to keep sleeping”—even if she never actually said that.

So, the fall check-in is complete, and I need not go back until the winter!

My mother recently told me about an experience she had telling someone about my condition (a thing she rarely does). The person was very upset and sorry for her, and she was compelled to spend the rest of the discussion explaining that I’m really doing fine, that you would never know I’m sick, that I’m working, that I’m “just like everyone else” and going about my life. I have the opposite experience. When I tell someone, surprisingly, usually the first thing they say is, “But you’re fine now, right?,” followed by “But you’re in remission, right?” and so on. The tone of voice is generally a demand. I’m put in the position of convincing people I’m sick. My mother is convincing people I’m not. She isn’t wrong, but neither am I. Friends say to me, “now that you’re better…” or “back when you were sick…” Am I well? Do I want to claim that I’m not? What am I?

I am as sick as I’ve ever been, and I am as well as I’ve ever been, since Lloyd was diagnosed in September of 2008. I have had reactions to drugs, adjustments to a new world order, and recovery from a phenomenal surgery. But my incurable brain cancer is exactly the same now as it was then. I am no better, no worse, and no different. I hope to stay this way indefinitely. As long as I do, I plan to chill out until I don’t have that option.

I am Kristina, and I love Mark. I love my family and friends, the woods, tidepools and streams, and the helplessly inept Doves that nest on our porch. I love my life.

Love, -Kristina


Nathan came to Baltimore for a rumpus with Aunt Kristina and Uncle Mark.

Big Changes from Nothing

Two Years Ago

This post brings the biggest Lloyd news, and the first real change, in almost two years. It has been two years this month since Lloyd announced his presence in my life—July 28, 2008. Or, as Mark likes to call it, the worst night of his life that I don’t even remember.

This July, though, brings a different Lloyd: a sleepy Lloyd. We found out yesterday that my MRI shows no change, that my tumor is “stable,” and that, ultimately, I have had no change since my craniotomy in August ’08— just shy of two years ago. That is a pretty amazing run of luck!!!

Dr. G has been waiting for me to get to two years of no growth, hoping I would make it. Now I’m here. There is no magic doorway to step through with cancer (once you step through, that part is over and you don’t ever have to worry about going back there again! Ha! If only…) We all strive for red-letter goals, thinking they will protect us, but the truth is they just give us hope. Hope is the most powerful tool we have, and frequently the biggest shell we've got to load into our guns. “Five Year Remission” is a big red-letter goal, for example, but I’m not in the running for that. I’m not complaining, though. There are a lot of people who would give their right arm for my two years of no growth. This brings me back to my prize…

I have been cleared to come in for MRIs every three months instead of every two months.

I’ll just give you a minute to get all excited and/or calm down. (smile) I realize this might not sound that exciting, but when you stop to consider, this is only four times a YEAR. This is only once per SEASON. I won’t go back until October! That’s Fall, Winter, Spring… you get it. And now I’ll only have to get all worked up four times a year, at the expense of possibly finding out about Lloyd’s growth only a month later than I would have otherwise. I think that is a good trade-off. And, let me remind you, it took me two years to earn this!

Duckpin Bowling—a Baltimore Tradition!

He Started Flapping

Non-Lloyd news includes a fantastic spring (I didn’t post after my last Dr. Day, so it’s been a while), with fishing, a short trip to NYC for our five year wedding anniversary, gardening, lots of reading (Catch 22, Lolita, One Flew Over the Cuckoo’s Nest, The House of Seven Gables, and, currently, Vanity Fair), and frequent visits up to the country in Pennsylvania. The NFB convention (and prep) kept me extremely busy, but was a fantastic time in Dallas. It unfortunately prevented me from joining Mark and our family in California, but he had a great time with them. We both just got back home, and last week Sansi came to town to visit and join us in the Delta Parade, representing my parent’s farm: the Dinner Bell Berry Farm.

Strawberries, Raspberries, Blueberries, and Sir Gway

It isn’t every day you get to dress up like a berry & ride through a small town on a Segway tossing candy. I have said it many times, but I have a wonderful—a joyous—life, overflowing with love, and it is because of all of you. Thank you.


Love, -Kristina

Calm

My scan showed “no remarkable growth” since February—which means Lloyd has done nothing. I am back in my cone of relative sanity for another eight weeks! Actually, to be more accurate, it is more like seven weeks of sanity. The eighth week is all character-building.

Dr. G told us today that Lloyd is still “rock solid,” that he pulled up my last three scans to compare to this scan (giving him a total of eight months to look at) and saw “no remarkable growth” in any of them, and then proceeded to tell us that Lloyd “will grow some day, as sure as the three of us are sitting here now.” Well, what can I say—I’ve gotten used to him. We actually laughed a little on the way home about it. This, in itself, is remarkable. There was a time when that statement would have sent tears streaming down my face immediately and depressed me for days. Now I can (almost always) take it for what it is—a possibility. And I have many, many possibilities!

Thank you all for you kind, kind words of love and support this week. You have all helped my heart –again! –more than I imagined. The photo below is from this afternoon at the Hopkins campus (a beautiful place to spend the day, frankly). The sun is streaming down on me and I am beaming. Interestingly, it is before I got my good news. I kind of imagine it being all of you and your good thoughts and wishes streaming down onto me, as silly as some may think that is. Either way, it is a beautiful spring day with one very happy girl—whichever way her news was going to go.

Love, -Kristina

The What Before the Storm?

I thought for an interesting change of pace, or perhaps simply as a challenge to myself, I would write this newsletter right before I go to my Dr. Day. Here is what has happened so far: I wrote the first sentence, stopped dead (if you’ll excuse the morbid play on words), and sat here feeling my stomach curling into a tight knot for approximately five minutes. Now I did it again. At this rate, I won’t have time to write it and my insides will be irretrievably damaged. What a swell idea this is!

Today is Monday, March 29, 2010. This Thursday will be my tenth official Dr. Day. I have certainly had many more days with doctors since Lloyd arrived: days spent inside large tubes, days spent with small tubes jammed inside me, days receiving information of a kind I never imagined about my own body. I’ve spent days of my life dressed in all-cotton clothing with no underwire in public without shame (I said underwire, people. Wire.) And I plan to do it again—approximately every two months.

Every two months—that is the hardest part. But then I look at people who are already stage 4, fighting for every day they get, and I realize that I am just borrowing trouble. I’m nowhere near fighting for days or months yet. No one knows what is coming in two months. I just happen to have a standing appointment.

I generally stay away from cancer sites, as I am easily upset. I’m weak, and I know it. (Mark is in charge of research because I can’t even handle reading it— I only see the bad. Also, he’s awesome at research.) I do have some cancer friends online, but I have to be in a very strong frame of mind to venture on to see them. The first couple of friends I made who had my condition are gone now. It is not easy.

At any rate, I spoke with a young girl online recently who had just been given some news about her cancer that sounded as though she might not be—to her surprise—“curable” after all. She is struggling with the concept of “living while dying,” deciding whether to pursue a degree, and simply “tolerating the mundane.” LOL! How true! I needed advice on that before I had cancer! How quickly we forget that cancer didn’t cause our problems, it only serves as a convenient whipping boy for them. She asked us for advice on how we cope, and here is what I said:

It is super hard. SUPER hard, I know. But life is not about the promise of a collection of years. It also isn't about "live each day like it is your last" (although I know some people espouse this, I find it impossible. Who would pay their bills, buy toilet paper, or clean the cat box?) There has to be a livable, happy medium in there. You will find it, and you will forget it sometimes and have bad days and moments, but you will find it again.

Here is my advice, which you can take or discard as you like--that is the beauty of advice! Take baby steps out onto this new cancer life thing. You seem pretty new to it (I am only a year and a half in myself), so you're learning that it is, in fact, still just life. Make some plans. Maybe some shorter term ones if you are more comfortable with that, or just go for the longer term ones. Why not? What the heck else are you going to do, just sit around and wait to die? That isn't living. As long as you ARE living, you might as well do it. Do what you were going to do anyway, pre-cancer showing up, for as long as you possibly can. Who knows, you might get to do it indefinitely. That is my outlook: wouldn't it totally blow if I stopped doing everything I was going to do (pre-Lloyd the brain tumor) and then I ended up living to 90? What a GD waste! I won't do that. I at least am in charge of that much.

Don't get me wrong--I am a total feel sorry for myself, lay on the floor crying girl once or twice a month, minimum, but it usually passes quickly. It happened a LOT more in the beginning. My uncertainty level is through the roof, and will likely never change. It blows.

Also: tolerating the mundane is hard. But I don't think escaping to an exotic locale would actually help any, really. I've thought about quitting my job and just hanging out, but what would I do? What meaning would I have? Sometimes there are threads about that..."if you had a million dollars, what would you do?" To me, the answers seem pretty trite. Sure, the beach is nice. But all day, every day? What would you DO? You have to have a life. You can't just sit around waiting to die, because your doctors sure as heck aren't giving you "dying" treatments--they are giving you "saving your life" treatments.

I truly wish you the best, and I hope I haven't talked your ear off. I do, honestly, know that this sucks. SU-uuuuucks. And I am really, really sorry. But you are going to be okay.

That is what I told this young girl, who may or may not be dying. Just as I may or may not be dying—as may anyone. And why am I putting it here now? Because that day, that moment that I took to write her, when I had the strength and clearness of thought to tell her exactly what I believed—what I do believe—now still exists for me to cling to.

Because right now, this week, I need it.

Love, -Kristina

*Update: Please visit the main Lloyd Newsletter page for my post-Dr. Day message, "Calm." (http://thelloydnewsletter.blogspot.com/)

Lloyd is Attention Starved

Apparently, much like the faces you see staring at you from racks of magazines surrounding the checkout line at the grocery store, Lloyd demands attention. He doesn’t necessarily have anything new to contribute: he hasn’t broadened his horizons, explored new territories, or learned any new languages. He hasn’t met anyone new. He hasn’t even gained or lost weight. He is, in the words of Dr. G at today’s Dr. Day, “stable, stable, stable, stable, stable.” He does continue to show the same fluid flair which has caused so much concern for the past four months—but even that hasn’t changed. What a drama queen! He is too lazy to grow (not that I am complaining), so he throws up a fluid flare which sends my entire tumor board into meetings about me. My worry level went up.

Now, upon this third Dr. Day since the fluid flare arrived, it seems that it may turn out to be a big nothing. I am incredibly grateful that my doctors take everything so seriously. I am delighted that this flare might mean nothing after all. I am learning—slowly, with the application of beatings about the head—to not get so worked up over everything. It really is my doctors’ job to do that. It is hard, though, to stay calm when your entire board is clearly worried. I get better and better at this, Lloyd, and I’m sticking with my trusty t-shirt from now on. *For those who haven't read my December 26th post, that t-shirt reads, "Screw Lloyd")

I have other terrific news to report: Five hundred and thirty four. That is the number of days I went without driving, which came to an end on January seventh. I was shocked when I saw the total number of non-driving days. Considering I only had the one loss-of-consciousness seizure (July 2008), it seemed very surreal. However, even the “word seizures” count, so I was extremely careful to follow the law exactly. The law, naturally, couldn’t care less about when they got around to me, but that is all behind us now, and I didn’t even have to take any tests! It seems that the reviewing doctors get to choose what to require from us, and mine decided I was competent without any driving examination at all. I do have to submit medical reports every three months, but I’m a driver again! I’m taking it very slowly, only driving on surface streets while alone, and doing some practice larger road driving with Mark along. I have to learn to trust myself again.

Tomorrow we are expecting 2 feet of snow, and we are happily prepared to enjoy it. I finished War and Peace last week and just finished Youth in Revolt yesterday. I suppose that is the greatest example I could ever give of eccentricity in taste, and it wasn’t even intentional-LOL. I hope everyone has a terrific time enjoying whatever weather is falling from the sky onto them. Let’s all let our worry levels go down.

Love,
Kristina (& Mark)