Day 2

Beltane and the Recovery Moon

Left early for Lone Tree, around 8 am. Had to find my Lupron. Met Shelley, the four-month transplant from Georgia. She’s a nurse practitioner who came here from a 45-doctor group. I’ll be your prostate cancer guru.

We talked. Nobody likes these side effects, Shelley said. She especially underlined hot flashes. Black Cohosh was her top recommendation. A plant based product you pick up in the herbal supplement segment of a drugstore or grocery store. Some have mild hot flashes, some not so mild, some extreme. We have a medicine we can give you if they get really bad. Didn’t find that reassuring.

She also told me to get a calcium-vitamin d3 combo. Lupron makes your bones soft, Shelley said in her distinct Southern drawl. If you fall, it’s easier to cause a break. She also gave me a copy of the Man Plan. Geez. It’s an exercise program for those getting dosed by Lupron.

I have to go back to see Shelley in September. Apparently Lupron alone can suppress the PSA all the way down to zero. That’s why you put up with the side effects. It doesn’t cure cancer, but it can slow it down. I don’t understand why blocking the cancer’s main energy source doesn’t cure it. A question I’ll have to ask.

So. Put a negative sign in front of each of these.

She gave me two pamphlets, a folder with helpful hints, and, a shot of Lupron in the left hip. Didn’t hurt much though it can. They asked me about it later at Anova. Had a couple of hours until my radiation, so I hit breakfast spots near me on my phone. Found the Three Griddles a couple of miles away.

It was, synchronistically, a Southern breakfast joint. Shelley would like it. I had corned pork on cheese grits with two eggs over easy. No coffee though. Two glasses of water. While enjoying this taste of Savannah, I read about Lupron.

Later at Anova my second session got delayed by an emergency for some guy who looked gray, sick, unhappy. Then it got further delayed by gas. I’ve been following the recommendations. I want to be a good patient, help them align the Cancer Predator, so I felt a little ashamed.

Baroque music this time. A poor choice, it turned out. The piece that played longest was downright funereal. Not the mood I was looking for while a red laser beam bisected my torso and the Cyber Knife did its robot dance around me.

Not this

Afterward I got a note from Dr. Gilroy to get Beano and Miralax. I drove through Deer Creek Canyon. Stopped at King Sooper. Bought the Black Cohosh, the calcium plus vitamin d3, Beano, and a big bottle of Miralax. Fun times.

Here’s the takeaway on this, the third day of treatment. The Lupron is racing around right now suppressing the manly hormone. The radiation has begun its job of killing cancer cells. I don’t know what the side effects of either of these are going to be.

Is the loggy feeling I have this morning normal or the Lupron? Will the hot flashes start? What about that achy knee? A strange sensation, waiting, not for Godot, but for the first sign of a foreign agent’s impact on my body.

Told Kate last night that I’m used to taking pyschoactive drugs. There’s a period between when you take them and when they begin to alter your mind. But, I said, in that instance I’m expecting something pleasurable, significant, interesting. In this one the primary purpose, killing cancer cells and suppressing testosterone, is silent, while the knock on effects of the treatment is neither pleasant or significant or interesting.

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