Thursday, June 30, 2011

Tomorrow will be a Better Day


My wife of 25 years, Scherer died on July 29th, 1995, slightly less than 16 years ago.  Our children are now 36 and 38 and she has missed so many of the moments she yearned to witness and share.  She was an incredible woman who loved her family and was an unusually loving and naturally devoted mother.  I am an OK father, but I have struggled with every step of the way not knowing what to expect, not knowing what to say.  Scherer was a natural; she was the hearth of our family and the cement that bound us together.

I never expected that I would outlive Scherer.  I was shocked when she discovered the lump in her breast; somehow I knew this was not something that would go away.  The next four years were not all hell; she had a second year remission that lasted about a year. I was with her from the beginning to the end during which time the cancer transformed her from a vibrant woman, wife and mother to the inevitable visual stereotype of what you would expect to see after cancer and chemotherapy have eaten away at you, robbing you of your life. 

The effect of Scherer’s illness and death has never left me.  I am still too disturbed to look at some old photo albums and her possessions that remain in my house.   Passing time has benefited my composure and the desire to live my life as she would want me to do, but I still struggle to see the glass as half full.  In these times of global news casting, I wonder how other families cope with the misery in the world, their loved ones being killed in war, ravished by disease, and displaced by natural disaster.  On any given day, so many tragic things happen and so many lives are lost before their time that I feel a common bond with those suffering and mourning their losses. Indeed, I pathologically gravitate to embrace those who have suffered or are still suffering some personal or family tragedy.  This may also reflect in part my career of 30+ years as an intensive care doctor dealing with death and disease. 

Which brings me to the present…..I have had several personal scares in my life, the most recent one occurring, eerily, this last week.  My PSA had been increasing over the last year but the level surged even higher in the last two months.  It was time for a prostate biopsy; all of my medical friends and urologist agreed with the decision.  I had to prepare with clear liquids on Thursday, I sat at home alone feeling sorry for  myself, drinking lemonade and fumbling unsuccessfully trying to make jello (OK, I realize this is pathetically funny) in between a succession of Netflix movies – desperately attempting to ignore the reality of what was to happen at 8:30AM on the next day.  Thursday took forever but Friday finally came.  The procedure itself was neither eventful nor painful.  I was robbed of the misery I was prepared to endure but embarrassed by how much time I had spent anticipating the worst.   There was a temporary elation that lasted some of Friday realizing that the procedure had gone without incident and I was on the path to mending…….. the effects of my prostate gland being jabbed by 9 needles sucking tissue for microscopic examination…….. looking for those dreaded cells with a mind all their own that would, if allowed to, divide aggressively and brazenly spread out of control while clearing a path, invading normal tissue and destroying everything in their way. 

My parting words with my urologist were that he would call me Monday after the results came back. At first he said Tuesday but his nurse corrected him and told him the biopsy results would come back sometime on Monday.  I assumed by his lack of awareness that this was not his common routine and that others not so fortunate would have to wait until the next office visit to get the news of their results.  I was forever grateful to be treated like a colleague and I felt my doctor’s sympathy in understanding what I must be going through and the realization that he could some day be sitting in my place and want to be treated the same.  

The weekend did not pass quickly.  I was in pain from sitting too long in one place and having my neck and back muscles progressively tense with fear and anxiety.  These could not even be relieved by two messages, Jacuzzi heat, or Tylenol.  The weekend was pretty miserable as I tried my best to think positive thoughts about the biopsy results.  In fact, I was exhausting myself in the process.

Monday came and so did the inevitable call from my urologist.  I feared his first few words looking for the tone of his voice as a clue to what he was about to tell me.  His voice was somber and did not give away the positive message that the biopsy was normal.  I don’t remember anything else from those words as I was focused for at least this moment in time with the realization that I would not have to face any further worries about cancer, how bad it is, the treatment options and how it would affect my short and long term lifestyle and life expectancy.   However, I am no fool and know that the story of my prostate does not end with a negative first biopsy.  I hope to live to longer than my father who died at near 102 so I will expect more trials and tribulations from this gland as well as other parts of my aging body.

I was expecting to rejoice and celebrate the good news.  My friends wished me well and were relieved with my good fortune.  Thank God for all of my friends and family who kept me sane during this latest of challenge in my life. 

But, somehow, I have not yet found myself spirited or revitalized.  Rather I am deflated and exhausted.  Sleeping more and weak, my neck and back still tense from overwork, and now with some upper respiratory congestion and infection due to the inevitable let-down which commonly follows overcoming some major life challenge.  I suppose I have underestimated how much life was drained from me during the days preceding the biopsy and after - waiting for the results.    Perhaps I could control my conscious life, but it was clear that my subconscious was on overdrive, intruding on my sleep cycle, awakening the fears and feelings of the past, all perhaps guided by some genetic predisposition to worry and fret like my mother did all of her life without cause or reason.

Well, nearly a week has passed and its time to reconsider this melancholy.  I am almost 65 years old, but I am healthy, in good shape and not overweight,  I take only one oral medication…Vitamin L (Lipitor), I have wonderful children, three supportive sisters, accepting friends and even one who loves me.   I have a beautiful and caring dance partner and other friends to dance and practice with.  I have no financial worries and I am free to do what I want whenever I want with whoever will tolerate me at the time.  I do not have cancer of the prostate.   I am a lucky man and I should revel in the reality of my good health and good fortune. 

Still life feels incomplete and uncertain; its forward or backward momentum hanging by a thread - ready to reverse in direction with little if any notice….one phone call, one abnormal mass felt, one fall on the pavement, one wrong turn on the highway.   I have been given a free pass, now several times in my life, and have emerged adversity unscathed.   I am a decent person, but my wife was a much better person.  And she believed in me and her children and lived and died with a certainty about life that was grounded in her belief in God - which gave her boundless courage and comforted her during her life, particularly the last years.  I believe for some reason, my good fortune is not fortuitous.  I believe Scherer’s spirit is still somewhere in the heavens looking down at me and our children, caring for us, and keeping us safe and healthy…….. something that she unfortunately could not do for herself.  There is no other raison d'être for my good fortune, and I have to admit that this explanation comforts me in a way I cannot describe or even want to share.


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