Imbolc and the Moon of Deep Friendship
Tuesday gratefuls: Taylor. Dr. Bupathi. Maddie. Tara. Clinical trials. Prostate cancer. Its lessons. Driving down the hill. Shadow of the morning. The Predatory Hegemon. Imbolc. Sheep. Cattle. Goats. Muster Dogs. Cattle Dogs. Blue Heelers. Irish Wolfhounds. Whippets. German Wirehairs. Akitas. Dexa scan.
Sparks of Joy and Awe: Oncologists
Life Kavannah: Wu Wei Shadow, my Wu Wei mistress
Year Kavannah: Creativity. Yetziratiut. “Inspiration exists, but it has to find you working.” ― Pablo Picasso
Week Kavannah: Tikkun Olam. Repairing the world.
- Lurianic Kabbalah: A 16th-century mystical belief that the world was created by divine vessels that shattered, scattering “sparks” of divine light. Humans perform tikkun by gathering these sparks through prayer and mitzvot.
- Modern Social Justice: Since the 1950s, the term has become a shorthand for social action and progressive activism, such as environmentalism and human rights.
Tarot: Eight of Bows, Hearthfire
“A hearthfire gives warmth and light in the deep midwinter. Warmth of life, love, and friendship are shared generously. There is a sincere desire for celebration, security, and harmony shared with companions and kindred spirits. This also leads to the attainment of innermost peace and the feelings of personal well-being and achievement.” Parting the Mists
One brief shining: Drove down the hill again, as I did so often with Kate, all medical reasons for her: the emergency room, the hospital, her rheumatologist or pulmonologist, this time for me but visiting the same medical complex around Swedish hospital, seeing my oncologist’s P.A. Taylor to find out what new protocol might extend my life.
Health: Radiologist’s impression after reading my most recent Petscan: “Significantly worsened osseous metastatic disease, with increased uptake within many pre-existing lesions and multiple new radiotracer avid lesions throughout the axial and appendicular skeleton.”
There are two good notes in that dismal sentence. 1. Osseous metastases. Prostate cancer in the bone rather than organs or other soft tissue has proven more treatable. 2. Radiotracer avidity. This because it means my cancer is an excellent candidate for Pluvicto.
Pluvicto uses a radioactive tracer identical to the one used in the Petscan, but in this case to deliver a radiation dose directly to each cancer cell. It does have downsides, for example:
“To minimize radiation exposure to others following administration of PLUVICTO, limit close contact (less than 3 feet) with household contacts for 2 days and sleep in a separate bedroom from household contacts for 3 days.” I mean, geez.
A new drug with a similar mechanism of action but with less dramatic side effects is in clinical trials here in Denver. I have been admitted, tentatively, to the trial. If I randomize into the control group, I’ll get pulled out and go with Pluvicto. If I get in the trial group receiving the new medication, I’ll stay in the study.
All this because my cancer has taken an aggressive turn and we need to get out ahead of it again. Fun times.
There are other options, the primary one being chemotherapy. Which I want to avoid as long as possible.
I know all of this sounds bleak, and it is in its drama. However. We’re all on a glide path to death. My path has more obvious trailheads, perhaps, but its destination? No different from yours.













