Monday, September 26, 2022

Bad News Blog IX/Exhaustion II

 Hello Internet,

            I had talked before about how tired I am, but until yesterday, I’m not certain that I knew what tired really was.  With Kangaroo coming and me worrying over my health, I’ve been making sure to take time to care for myself.  As anyone who has ADHD can attest: this is difficult.  In America, we’re conditioned to work 24/7 by nature.  People with ADHD often feel a sense of guilt or have been conditioned to view themselves as lazy or inadequate because of their struggles with executive function and focus.  The result is people who refuse to rest even when they need it and people who view their own rest as a moral failing rather than a necessity.

            By prioritizing my health, I have actually done a lot to help with my health.  Even still, I am having trouble with my allergies.  My ear was aching horribly for days even as the ringing eased, and my head has been throbbing.  I have been taking steps to mitigate by getting up and stretching, but that can be hard.  Pomodoros are effective when you have time to do them and ineffective when you get interrupted every five minutes. 

            Last night, I slept on the couch.  I’ve been so restless, and I don’t want to keep Noodle awake while she is gestating.  This morning, the pain is eased but I am still feeling quite fatigued.  Yesterday, however, I had to stop writing for a bit.  Normally, I try to get four or so pages done a day, but Monkey started a new stage of treatment and it required her to be sedated.

            I was working on a blog post but did not finish it.  As Monkey drifted off, I closed my computer to watch.  Honestly, I wish I hadn’t, but I didn’t know what else to do.  Watching was hard, but leaving the room would have been harder.  Staying gave me a sense of control over the situation, even as it made me feel totally and absolutely powerless.  Being outside would have been me pacing and waiting for the procedure to end. So, I stayed and watched.

            I stayed and watched them put her under, her body so small and limp.  I stayed and watched them apply local anesthetic while she lay still and unmoving on her side.  I stayed and watched as they move her and positioned her like a doll in preparation for the procedure.  I stayed and watched as they inserted the needle, as they took their samples, as they held her in place.  She didn’t move, and I could barely see her breathing.  It reminded me of Jet when he was put down, and that was not a comforting thought.

            The procedures she had were small surgeries in a technical sense.  They were done to check how her cancer is progressing.  At this point, Monkey should be in remission.  Based upon her genetic markers and treatment plan, she is highly responsive toward the chemo treatment they are giving her, which gives her an even better chance of recovery.  Now, before I continue, allow me to clarify on remission (which I may have clarified before; bare with me). Essentially, remission is the point at which we can no longer see cancer cells in the samples taken.  In this case, the samples being taken are blood, marrow, and spinal fluids.

            Despite how advanced our medical technology has become, there is no way to get a full body image of our entire circulatory system.  Instead, we take samples and look through them on microscopes of varying sizes and power.  Remission is when cancer cells cannot be spotted within the samples taken, though it may not indicate the total eradication of cancer inside of the body (which is why treatment is continued even after going into total remission).

            Yesterday, Monkey had a lumbar puncture to draw spinal fluid for examination and also to put more chemo in to make sure to eliminate any cancer that may be hiding there (as cancer in the spine can spread very quickly to other parts of her body).  So far, she has had no cancer spotted inside of her spinal fluid.  She has had a number of LPs already, though this is the first one which I have gotten to witness.  Spoiler: I will become desensitized to them in a matter of weeks, she will get them so frequently (and I know this because I am writing this FROM THE FUTURE!)

            The did one more procedure while she was out: a bone marrow biopsy.  The lumbar puncture pierced the spine.  It used a long, thin needle to draw out the spinal fluid and then a syringe to put the chemo in.  The bone marrow biopsy was done a bit over to her right, presumably in her hip, and the needle used is much larger and, from what I understood, had to go much deeper.

            To draw the marrow, her nurse (Koala) had another nurse and the anesthesiologist hold Monkey in place for counter pressure.  She had to use what appeared to be a handle to drill the needle into her, though I may have been misunderstanding that.  Monkey was so small and the needle went so deep into her.  I watched Koala spin and crank the needle into Monkey’s tiny body as two people held her in place against it, and then I hid my eyes in my hands to keep from crying.

            They draw the marrow for two tests.  In the first, they will stain the sample with dye and look to see how many cancer cells they can find.  This test can be done in house, and so the results are quicker, but they are not as accurate.  The other will require the sample to be sent out of state to a large microscope (one of three in the U.S., I think) that can look at millions and millions of cells at a time and get a more accurate read.  This is the one they will base her remission status off of, but it will take more time to access and get results back from.

            They took two samples of marrow from her and then bandaged her up.  Our nurse practitioner Koala is amazing, by the way, but also practical.  That part of her personality really works for our family, but I also think it sometimes makes it difficult for her to understand.  She works with this all day, which is a challenge in itself.  We don’t.  Watching my daughter be put to sleep, watching her be needled and moved was hard.  Not watching would have been even worse.

            Monkey bled through her bandage afterward.  It soaked into her clothes and looks almost like she had survived and attempted murder.  She woke up afterward and laid for forty minutes so that the chemo could move more easily through her spine.  We came home six hours after we arrived, and I was fried to a crisp.  Next week, we begin our next month-long round of chemo, which will be even more intensive.  Two months after that will be the third, which will require week-long hospital stays.  For now, it’s four days a week in the hospital with Kangaroo on the way.

            I am exhausted, and the horizon looks stormy, but there is a rainbow there even if there is no pot of gold to find at the end of it.  I have a good family, a healthy marriage, and a year off of work to figure it out.  This will not last forever, and while I hate the waiting, I can honestly say that I am glad for the time.

           Thanks for reading.

 

Sincerely,

RWS

P.S.

-Short Rest-


Books

Tower: Final Fantasy: Fated by tinygaia

0. One Piece 100% New Chapters Every…

1. Sun: Fullmetal Alchemist Vol. 1, Ch. 1: “”—?? 0% (?—?)

2. Mon: One-Punch Man Vol. 11, Punch 55: “Interruption”-59 0% (1—10)

3. Tue: Kingdom Hearts Vol. 1, Ch. 3: “The Light Within the Hand”

4. Wed: My Hero Academia Vol. 10, No. 88: “All For One”—89 78% (8—9)

My Hero Academia: Vigilantes Vol. 4, Ep. 32: “The Job”—35 56% (6—9)

5. Thu: Soul Eater Vol. 1, Ch. 1: “”

6. Fri: Samurai 8: The Tale of Hachimaru Vol. 1, Ch. 4: “Family Argument”—6 50% (4—6)

Boruto: The Next Generation Vol.??

7. Sat: Books

-Fiction: Pyramids by Terry Pratchett

-Library: Trans Medicine: The Emergence and Practice of Treating Gender by Stef M. Shuster

-YA: The Giver by Lois Lowry

-Fan Fiction: Final Fantasy: Fated to Ch. 50 by tinygaia Ch. 49—50, 96% 

-Nonfiction: Salt, Fat, Acid, Heat by Samin Nosrat 0% (?—??)

View from the Cheap Seats by Neil Gaiman 26% (130—502)

-DnD5e: Player’s Hand Book by Wizards of the Coast 0% (?—??)

-Reread


Games

Tower: .hack//MUTATION

1. JRPG: Final Fantasy X-2 52% (27/52hrs)

2. Backlog: God of War ??% (??/33hrs)

3. Completion: Final Fantasy XV: Royal Edition ??% (??/125hrs)

4. Multiples: Fable: Anniversary Good 0% (0/21hrs)

5. Bioware: Dragon Age: Origins Kallian Tabris 14% (10/74hrs)

6. Series: .hack//MUTATION 74% (44/50hrs(17/23hrs))

7. Free: Persona 5: Royal

8. Handheld: Persona Q: Shadow of the Labyrinth P3 ??% (??/80hrs)

Stardew Valley 


Shows

Tower: Exandria: Unlimited

1. Critical Role Exandria Unlimited Ep 3: “A Glorious Return”—8 15%

Dimension 20 Unsleeping City Ep. 3: “Pigeon Plus Ones”—17 13%

2. Anime: Digimon: Adventure Myotismon Arc 25% (23—28(3—8))

3. Online/Owned: Archer Season 2 46% (7—13)

4. Netflix: Seven Deadly Sins Season 1 29% (8—24)

5. Disney+: X-Men Season 1 39% (6—13)

6. HBO: Teen Titans Season 1 54% (8—13)

7. Movies: Firefly 21% (4—14)

Moon Knight 50% (4—6) 

X-Men

Promare

Castle in the Sky

Solo: A Star Wars Story

Dumbo


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