I’ve started going to therapy again. I’m not ashamed to admit that. Last year was kind of big, in the way that really hard things have a tendency to cut into all the available head and heart and life space, invading into all the good, regular, relaxing, happy stuff. Remember: Miscarriage, Parents’ Divorce, Cancer. My personal trifecta of Top Three Things That Make a Year Shitty.
The awesome thing about my therapist is that she’s known me a long, long time. I started seeing her when I was in college. Our relationship hasn’t been a continuous one, just worked through some stuff in my early adulthood, then a big gap, then a bit post-Anna (having a baby shakes things up, you know?), and now again, just this last month. It helps to not have to explain the backstory. We can tie things in to, say, stuff from childhood or whatever. Awesome.
Anyway, point being, today I realized that I’ve been *so* hello classic avoidance re: my pancreatic surgery. I don’t think I’ve even blogged much about it because, classic avoidance style, not thinking or talking about something = it doesn’t happen….right? Right? Oh…..wait.
So I have this whole emotional block over the fact that DUM DUM DUM (threatening music) Here We Go Again. With the health stuff. With hospitals and forced separations from my child. With physical pain and discomfort and asking people for help. With routines thrown to the wind. With fear for the what ifs.
Me no like.
And every time I think about it I get a little twitch under my eye and I can’t think straight and I have to do some deep breathing to get myself under control. I have to have Adam talk me down, remind me of all the reasons why, yes, of course, I really do have to do this. It’s not really an option to not do it. It’s not really an option to wait. The recommendation is to do it within the year. There never really is a good time for major surgery, is there?
We did the whole wait and watch thing over the past year and the cyst has gotten bigger. It’s beyond the point at which they can just—blip!–take the little sucker off the surface of the pancreas. It’s too big for that, it’s integral to the middle of the organ (organ, right? Is that the right term, medical people?). The surgeons told me that the longer we wait, the more difficult the surgery will be, and the more chance of it being more invasive. The sooner we do it, the better chance I have of preserving some portion of the pancreas. I’m told I’m about a 60/40 for having a central pancreatectomy, where a portion of the pancreas is removed, preserving the duodenum and pancreatic functioning–though some replumbing will have to happen with this as well, they can’t just cut out a central chunk and presto changeo no problemo–,as opposed to a Whipple procedure, where…..well, you know what? Just google it. Basically, a whole bunch of stuff is taken out, including a portion of the stomach, some of the duodenum, much of the pancreas, the bile duct, and the gallbladder. The longer I wait to have the surgery, the more those odds start to change, as this growth inside of me gets bigger and invades more stuff. The longer I wait, the greater the potential for pain and effects of the tumor itself, impeding normal digestive functioning. So far, I don’t think I’ve had much.
And OH GOD, besides all the worries over the surgery itself and the recovery and all of that, wouldn’t you know that I’m still worried about the possibility of malignancy? I just can’t let that one go. According to reports, my cyst is classic serous cystadenoma, with Swiss cheese appearance, multi-lobular. So, hopefully it’s that. There’s always the chance it isn’t. There’s always the chance (tiny though it is) that this tumor, the type which is almost always benign, isn’t benign in my case (I’ve read something like less than 2% of the time it is malignant, but I understand statistics well enough to realize that someone makes up that 2% and I’m not special enough to assume that I’m not that 2%). I’ve realized that my time with cancer has made me trust a little less in having statistics on my side. I’m not exactly the classic NHL patient, nor am I the classic patient with a serous cystadenoma–both of which are much more typical in a person in their 60’s. Ha! Me and my old person’s diseases. I’m like 33 going on 63. Good times. Yes. So I’m worried that this is a malignancy of the pancreas in which case, I’m screwed. I’m as good as dead. Really, those are the odds, and we all know it.
I know, I know, look on the bright side, don’t assume the worst, and all that. I’ve been doing that and it’s not helping. I have this need to do that and to also confront all of these fears up front, lay them out, take a good look at them. Look them in the eye. Size them up. I have to know what things I’m up against. That’s just me, that’s my personality. I like to know.
I also realized today that as crazy and sudden and disastrous as my cancer diagnosis a year ago was (it was something like 10 days from initial suspicion to hospitalization and first round of chemo), I also didn’t have to sit around and wonder “what if” because I didn’t have the luxury of time. Oh, sure, I did the middle of the night googling and crying and freaking out thing when that lump showed up on my neck. I sure as hell did it after I saw the ENT who said, “Oh, Hmm, that doesn’t look good to me,” but that phase was over soon and then we were on to treatment and we were rushing on and doing things and knowing things and moving forward. And here…well, I’ve known about this lump on my pancreas for a year now. A year! And it’s still this niggling little worry, like a stone in my shoe, except it’s been so long now and I’m tired of carrying the worry around. It’s making me exhausted.
And now I guess I’m hoping that by throwing this out there into the world I will not just elicit your pity (please, really, not the thing I’m going for). I’m hoping that putting it out there will take some of it off of me, in the way that it helps to have others to help carry the load. I’ll let some of you hold that one for me, just a little bit. Won’t you? I’d like to have a chance to walk, unburdened, light on my feet (that wonderful feeling after removing a heavy load from one’s back, of weightlessness, of flying). Because I feel like I need to strengthen up a bit for what’s to come. Even if it is just a benign tumor, a stupid growth, it’s still coming out and it’s still going to be major upheaval in our lives. It’s still going to be this little blip. It’s still going to be hard for us, for Anna (Oh, I could write pages and pages of my worries for how this will affect Anna, but I’ll spare you for now). I still want, more than anything, to get this over with. To be done with it. To move on, forward, healthy, free.
November 6: we drive to Stanford for Pre-Op appointments
November 7 & 8: lovely weekend in the Bay Area, hopefully eat lots of delicious, delicious food to prepare for my time with TPN and post-surgical digestive difficulties
November 9: Surgery, followed by approx. one week hospital stay
6 week recovery with no heavy lifting and dietary restraints
3-4 months (approx) until resumption of normal life functioning