Category Archives: Health

Cancer, Friends, Health, Shadow Mountain

Push Cancer Back

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Spring and the Moon of Liberation

Thursday gratefuls: Dr. Josy. Tara and Eleanor. Marshdale Burgers. Ana. No winter winter. Shadow and the puzzle.

Rene Good. Alex Pretti. Say their names.

Sparks of Joy and Awe: Women

 

Kavannah: Areyvut. Mutual responsibility.  All humans are accountable one to another.

Tarot: #11, The Woodward. Cancer requires an unflinching acceptance of hard truths. Not easy.

 

One brief shining: Disturbing news. PSA went way up. Surprised everybody. Especially me. Bupathi says we’re so close to the trial, maybe April 8th for first treatment, that it makes sense to go forward. I hope actinium is a wonder drug.

The trial has three arms. It matters, a lot, which arm I get assigned to.

Randomization. An ugly word. Happens probably tomorrow. That’s when I’ll know. Or soon after.

A high PSA with multiple new metastases. Not a place I want to be. But. It’s where I am. I’m in need of something to slow down this latest run.

An ornery beast, this cancer of mine. Hiding, biding its time. When a treatment fails, it leaps out with a roar. As oncologist Kristie said, “This disease will run its course.”

I want my PSA lower, much lower. I want my cancer pushed back. If I can get a year, a year plus before having to change protocols, I’ll feel good. May not happen. I fear a minimal response.

My weariness peaked last week.  How do I get through this? I’m not alone.

 

Yesterday. An accidental confluence. Ana came first: dusting, vacuuming, cleaning sinks and toilets. Tara came second, bearing cheeseburgers from Marshdale Burgers. Tater tots, too. Dr. Josy came, too. She had dog poop removal equipment.

Ana has been cleaning my house since before Kate died.

Tara I’ve known for over ten years. She brings her black Doodle, Eleanor, over to the house for a Shadow play date. While the dogs play, we talk.

Yesterday, in addition to bringing lunch, Tara brought in my canned water and put it in the fridge. Then, she unloaded my dishwasher. She also brought soup.

Dr. Josy scooped up all of Shadow’s poop deposited after the dog run went into effect. She also walked the perimeter of my fence, finding two trouble spots. Which Tara volunteered Arjean to fix.

Key elements of my resilience.

Love
An empty dishwasher.
A clean dog run.

Cancer, Health

The Gate of Guarded Hope

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Imbolc and the Moon of Liberation

Wednesday gratefuls: Samantha. Salivary gland tests. CT w/ contrast. So much bloodwork. Ruth and David, taking me to Rocky Mountain Cancer Care.

Rene Good. Alex Pretti. Say their names.

Sparks of Joy and Awe: Ruth

 

Kavannah: Histapkot. Contentment.   Seek what you need, give up what you don’t need.

Tarot: #11, The Woodward. Strength found in facing inner darkness. I read the diagnostic reports, reeling, then steady.

One brief shining: I counted eight, no, nine vials when Angie, the phlebotomist, placed them on the small table. My left arm had the sleeve rolled up since the right one had had an IV inserted a half an hour before. The clinical trial demanded the nine vials including tests for Hepatitis B, C, and HIV. “I’m gonna be about a pint low.”

My final procedure for this round of treatment. After I swished 5 milliliters of lemon juice for a minute, I chewed on a patch of gauze for three minutes. It got weighed. But. Would it support my admission to the trial?

Samantha, Sam, took my medical history. “So. Polio.”  Aortic aneurysm. Arthritis. Labrum tear. Compared to most others in the trial, Sam said, my medical history was straightforward. Oddly comforting. A threshold I should pass.

I texted Done to Ruth. She and David pulled up to the entrance of the Littleton clinic. She had an iced Americano for me and a bag of free beans. As a Starbucks barista, she has perks.

Next week I find out the start date for the clinical trial. I’ve taken all the tests, filled out questionnaires, had interviews. Now it’s the trial’s turn.

Sometime soon, probably next week as well, I’ll be randomized into one of the arms of the trial: one does not hold what I believe I need. I plan to discuss with Christina, a Bupathi P.A. whom I like, what to do if I’m in the arm with no Actinium. Might be admission to a place I don’t want to be.

Gatekeepers. Check boxes. Say enter. Or not.

This latest gate, call it the Gate of Guarded Hope, is the most consequential I’ve had to face in a long time. When we stand, like Kafka’s K, outside, the interior is a mystery, yet a mystery in which we wish to invest. Amelioration of a dread disease.

I’m calm now, having given myself over to the protocols of a phase three drug trial. Samantha. Angie. Bupathi. Guardians. Caring for me, yes, but through the trial, for others yet to come.

Standing at the gate.

Waiting to be let in.

 

 

Feelings, Fourth Phase, Health

Not clear. Not now.

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Imbolc and the Moon of Tides

Monday gratefuls: Health. Diet. Exercise. Weariness. Ruth and David. St. Patrick. Irish Wolfhounds. Shadow of the morning.

Rene Good. Alex Pretti. Say their names.

Sparks of Joy and Awe: Taxes

 

Kavannah: Histapkot. Contentment.   Seek what you need, give up what you don’t need.

Tarot: #12, The Mirror.  My neshama lies in the boat, ready for another return (teshuvah) to the homeland of my soul

One brief shining: I missed the mark (hamartia) on Sunday’s Ancient Brothers discussion of health. I found myself confused and ashamed. What is health for me? Have I let myself down?

 

Protein targets. Eat real food.  Low sugar, low salt. Exercise: 150 minutes.

Friendships. Learn something new.

A handbook for living perfectly.

I listen. Have listened. Too many marks to hit. I accused the “culture” of blaming and shaming. Making me feel like a self-abuser unwilling to do what’s good for me.

Not true.

Look at the exercise I have done. Intense cardio. Diverse resistance. The labors of gardening. Wildfire mitigation. Caring for Kate.

Don’t I deserve a break, a time when I can focus what energy remains on what sustains me–reading, writing, time with friends and family?

So what if I’m not the poster boy for diet and exercise? So what if I lose six months, a year of life if I can increase the quality of my life now?

Yeah. OK. But.

What if I’m rationalizing?  What if the simple truth is that the alternative is hard work?

Am I blaming and shaming myself by internalizing our obsession with fitness and perfect diets?

Am I the one guy who can’t lash himself to the mast of the good ship health, wax in his ears when the sirens of red meat and downtime sing?

Over the last year and a half, I’ve found this dance between health and quality of life more and more difficult to navigate. Reminds me of our Lady of Perpetual Sorrow. I seem stuck between what I can do and what I should do.

Health matters. Ask any of us in our late seventies, early eighties.

My calendar fills with visits to specialists and imaging centers. Back pain. Head drop. A labrum tear. Managing the cancer part of me so it doesn’t destroy its host.

Perhaps that’s it.

So much of my time, energy, and money already goes into health. A lot. I work hard to maintain resilience, not let the little craft in which I live get swamped.

When I get home, I need to place cancer back in its place. Sit down to ease my back.

Exercise then? Nah.

Make something to eat? Yes, if it’s not too hard.

I’ve not yet learned how to square this circle.

I want to live. Live well.

How do I balance these competing, valid demands?

Not clear.

Not now.

 

Cancer, Health, Judaism

Content?

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Imbolc and the Moon of Tides

Shabbat gratefuls: Rabbi Jamie. Rabbi Rami. Teshuvah. Tikkun. Talmud Torah. Bagel table. The Mishkan. Shabbat. Colder.

Rene Good. Alex Pretti. Say their names.

Sparks of Joy and Awe:  Torah

 

Kavannah: Histapkot. Contentment.   Seek what you need, give up what you don’t need.

Tarot: Page of Stones, Lynx.  “Begin something new that supports your health.” Clinical trial for me.

One brief shining: Each night before I go to bed, I say three things. Hands over eyes, I first say the Shema. Then, hand on the mezuzah, “I am content with who I am. I’m content with what I have.” Last: “I love that little Shadow–all to pieces.”

 

When I say I’m content with who I am, I mean histapkot. This body, linked to all that becomes, has been, is, will be enough. The Shema says that plainly, yhvh is one.

The second part, “I’m content with all that I have.” has become a challenge. Money? Yes. Shadow Mountain Home? Yes. Shadow? Yes.

But. Am I content with cancer?

Cancer and contentment. What about those days I read unwelcome news? What about all the treatments, all the uncertainty?

I am content with having cancer. It can churn my stomach. Yes. It cannot be cured, so it’s a permanent resident. We are not two. We are one. When I eat, the cancer part of me eats. When I sleep, cancer rests with me. I am not content with cancer killing me. I do what I can to prevent that. Then again, I am not content with my heart killing me either. I do what I can to prevent that.

Railing against the cancer. Fighting it. Struggling with it. All those war-like metaphors. No. Why? Because they bind me to self-hatred, stir the anxiety pot until it overflows.

I refuse to live a life where cancer consumes not only my body, but my mind, my spirit as well. Like Medworld from yesterday, I will not allow cancer any more room in my mind and heart than it already has. I do not forget about it. Neither do I focus on it.

I turn to the lodgepole and the aspen. To life with Shadow. To improving my writing. Life is for living, not for waiting to die.

An enduring lesson of the Shema. The oneness of all becoming.  All is part of the one. Nothing lies outside it. Not cancer. Not war. Not crime.

Oneness challenges me to calm myself. To not let life be colonized by fear or self-pity. That’s why saying the Shema can act as a shield against anxiety and discontent. Stay here. Stay now.

Seek what you need.

Give up what you don’t need.

 

Fourth Phase, Health, Shadow Mountain

Medworld

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Imbolc and the Moon of Tides

Friday gratefuls: Scans. Their news. Wind, speaking. Tara. Jordan. Aorta. Prostate cancer. Trump. Iran. Mark. Mary.

Rene Good. Alex Pretti. Say their names.

Sparks of Joy and Awe:  Writing

 

Kavannah: Groundedness. Yesod.    Yesod is about establishing oneself in reality, refusing to rely on comfortable illusions.

Tarot: Four of Vessels, Boredom.  A current difficulty. Cancer thoughts+Fatigue+Back pain=low mental energy. Not boredom, but lassitude, a close relative.

One brief shining: Another whap across the forehead. Increased metastatic disease. Latest PET scan. So many tests. Medworld can consume life, spreading beyond its confines and colonizing the day-to-day. I don’t want that.

 

The steady, slow beat. Since last May.

With five diagnostic procedures in less than two weeks, their reports, it is as if I live in Medworld.

Medworld is not the day-to-day world. It’s a world of white coats, big parking lots, expensive machines. A world dominated by regimented time: show up a half-an-hour early.

Hallmarks of big science. Sophisticated, intricate machines.  Acolytes of the white coats to run them. Take off your shirt. Any metal in your pockets? Lift your legs.

Followed by the abstruse report: Widespread osseous metastatic disease is substantially worsened from 1/28/2026, with numerous new lesions identified. Means, uh-oh.

Turning, turning this new information. Wondering, again, about dying. About new treatments. How will I respond to them?  The critical factor at this point. Moments. Projections. Moving away from today toward a bed-ridden, supportive-oxygen dependent patient. Loss of agency. Who will be by my side?

Winching myself, one ratchet at a time, back. To the present. Where I have no bone pain. Where I am weak, yet mobile. Where I can still write. Where I live my non-Medworld life.

Stuck. Sometimes. Forgetting that Medworld supports, is only adjacent to: walks in my backyard. Making supper. Laughing with the Ancient Brothers.

I push it back. Not repressing. Rather. Putting those thoughts in Medworld where they belong. Why? Medworld can only slow the coming of the scythe, not prevent it. As a doctor on NPR said, “The death rate for each generation is still 100%.”

Writing. Friends and family. Marriage. Death. Episodes of a life. The final days for me are not yet.

Only one episode.

 

 

Cancer, Fourth Phase, Health

Machine Medicine

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Imbolc and the Moon of Tides

Thursday gratefuls: Mariposa. Andres. Alan. Bubble study. A long walk. Morning darkness. Ruby. Gas prices. Iran.

Rene Good. Alex Pretti. Say their names.

Sparks of Joy and Awe: Resilience

 

Kavannah: Groundedness. Yesod.    Yesod is about establishing oneself in reality, refusing to rely on comfortable illusions.

Tarot: Knight of Arrows, Hawk. I need to look at the big picture, see cancer as only a part of a long journey.

 

One brief shining: A cold gel. A sonar wand. Andres took the measure of my heart. Possible shunt. A walk, long, to the Evergreen Building for my PET scan. Pleased with how I held up. Once again radioactive tracers. Lounged in the recliner for an hour, reading a Joe Pickett novel. Kindle app on my phone. Lie down.

 

My body, investigated. Bone scan. Echo. PET scan. Baselines for the clinical trial. No more even mild claustrophobia. Too familiar.

Wearing the soft brace around my neck while out and about. My head drops. Not as far. Doesn’t strain my back. I don’t get as worn out. Though. Feels clunky. Odd.

Second Uber back from Sky Ridge. Mariposa, a squat Latina with six-inch all black nail extensions. Drove eighty m.p.h. Quiet. As I prefer due to my poor hearing.

Shadow greeted me with wiggles and kisses. I remind myself, don’t take this for granted. Remember how long it took. How much heartache.

Getting ready for this clinical trial is a trial of its own. Organize rides. Co-pay. Not cheap. A volunteer guided me each time, the hospital a maze. Sit. Again. Wait.

Charles? I’m Andres. Charles? I’m Andrew. Out of the waiting room. Lie on your side. Lie on your back. Do you want a warm blanket?

No results yet. The doctors sit in their offices far away. Reading scans. Looking at results. I sit at home, tired and lacking information.

The life. Chronic disease. Periods of being home, petting Shadow, reading. Periods of whirs, hums, the stick of a needle. Data. Learning what happens next.

Like that frog. Warming water. I grow accustomed to each test.  One of these tests. One of these days. There’s nothing more we can do. The cancer has gone too far. Earlier, that would have been unwelcome news. Now? One point on this path. I’ve had a long life, one not marred by disease or disability. Enriched.

Punctuation marks. My cancer diagnosis pushed me over the line into life’s last phase, the fourth phase. In the fourth phase I acknowledge my mortality. Not as distant. No longer with that slight hesitation. Maybe not me?

I lean on friends and family. Feel my body gradually giving way.  Everything is harder. Yet. I would not change this time. I’m writing my way into it.

I sit in my chair. Calm.

Fourth Phase, Health, Mountains, Shadow Mountain, Travel, Weather +Climate

My travel snowpack sits way below normal.

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Imbolc and the Moon of Tides

Shabbat gratefuls: Snow! Vince. Shadow, dancer in the snow. Ruth. French toast and bacon. Lab results unread.

Rene Good. Alex Pretti. Say their names.

Sparks of Joy and Awe: Snow

 

art@willworthington

Kavannah: Groundedness. Yesod.    Yesod is about establishing oneself in reality, refusing to rely on comfortable illusions

 

Tarot: Page of Vessels, Otter     I need more play, more  lightheartedness.

 

One brief shining: Snow fell. Mountain joy. Our drought parched Arapaho National Forest. The lodgepoles and aspen at Shadow Mountain home. Need moisture. Even more, a lot more. I hunkered down, besotted by the falling, falling snow.

 

Snow brings water to thirsty grasses, trees. Skiers to A-Basin, Vail, Steamboat. Silence. Muffles sound. Alters the landscape, smoothing out rock outcroppings, covering vegetation.

Snow matters.

This winter, until yesterday: forty-nine inches. 2016: two-hundred and twenty inches. Snowpack way below normal. Never thought about snowpack in Minnesota. Here it’s vital. Not only for Colorado, but for the Colorado River basin. Las Vegas. Phoenix. LA. All depend on Colorado’s snowpack. Releasing water over time. Snow melt.

Surrounded by a National Forest filled with second stand, close together lodgepoles and aspen. Drought=high fire risk. Lodgepoles close together burn by crown fire. Fire jumps from the top of one tree to the next. Hot and fast. One reason we all pay ridiculous premiums for home insurance.

As the drought here deepens, I’ve been thinking about other droughts in my life. I’m in an exercise desert. My travel snowpack sits way below normal. Otter reminded me. I’m in a play and lightheartedness drought.

Exercise. Since I turned forty, I exercised. Daily often. No less than 5 days in a week. Resistance and cardio. Worked with my hands and legs in the garden. I was in good, no, excellent shape.

Of late. Not so much. I find excuses not to exercise. A tough day yesterday. Workout room too cold. Like today.

Mood regulation. Guard against heart attacks. Retain muscle mass. Balance work. Fall prevention. All benefits of regular exercise. Fights cancer, too.

But. Finish Ancientrails. I’m comfortable sitting down. I’m going to die of something anyhow. Why make the effort.

I hate this. Not exercising harms me physically. Perhaps even more mentally. Why am I not taking care of myself? A dissonance between how I perceive myself and how I act. How to bridge the gap.

Travel, like exercise, fills the heart. Shifts in perspective. Lightheartedness. So many good memories. Singapore. Angkor Wat. Joseon dynasty palace. Okgwa, Seoah’s home village. Street food in Bangkok. Blood pudding in Inverness. Italian coffee. Chilean fjords.

Last time I left home for more than a day: September, 2023. Back went bad. Sent me into chronic pain world. Better now. Stamina sucks. See exercise. Standing for any length of time. Nope. Makes travel feel onerous. Beyond me.

Drought takes. Water from the bunch grass and lodgepoles. Traveling to see Joe and Seoah. To see the National Museum in Taipei. Damages roots.

Like our snow drought I have no surefire way to fix my travel drought, my play and lightheartedness drought.

Drought dehydrates. Devastates. Stunts growth.

And yet. Snow slides off lodgepole branches. Shadow dances, her blackness covered in white.

 

Back Pain, Cancer, GeekWorld, Health, Post Polio

Abraxas

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Imbolc and the Moon of Tides

Friday gratefuls: Andrew. Nessa. Bone Scan. Radioactive tracers. Abraxas. Tesla. Uber. Tough day. Noem. Gone. Morning darkness.

Rene Good. Alex Pretti. Say their names.

Sparks of Joy and Awe: Technology

 

Kavannah: Shleimut.   Being present to myself.

Tarot: Six of Vessels, Reunion     Shadow reminds me. My little boy plays with her. Feeds her.

 

One brief shining: Encountering high technology: Radioactive tracers. The bone scan machine. Uber. A self-driving Tesla.  An organic among computer chips and software and radiation sensing crystals.

 

 

Retired Army Sergeant Andrew inserted an IV into my arm at 11:35. Flushed it with saline. Left the room to retrieve a lead box about 10 inches long and five wide. Removed the syringe with radioactive tracers that light up on bone. With a single push he sent it into my blood stream.

He took out the IV. “Come back at 2:30.” Three hours in a place where I could not rest my head. That soft brace? No match for hours in cafeteria and lobby chairs with no head rest.

By 2:30 I was so grateful to lie down. The too familiar curved table. Accepted me and supported my neck. The forty-minutes sandwiched between two cameras sensitive to the gamma rays coming from my bones? The most comfortable I’d been since I got to the hospital.

One of four imaging tests.  Baselines for the clinical trial.

After my much needed rest: time to enter another technology tunnel. Called up the Uber app on my cell phone. Of course. Credit card expired. The ritual:  Card number. Security code. Expiration date. Ah.

I entered the network of self-employed drivers near to me. Who would drive me home? Abraxas took my request.

Abraxas, a man in his early sixties drove a black 2025 Tesla. “Abraxas?” He nodded. “Charlie?” I nodded back while closing the heavy door and looking up through the transparent roof.

“Abraxas?”

A five-thousand year old Egyptian god. Rooster head and snakes for arms. Represents that God is one with everything.

Hmm. OK. Not sure about snakes for arms. Can roll with all is one.

A mind-stretching combination of magical thinking and a self-driving car.

When Abraxas bought his Tesla, he opted for a full self driving kit. Used it all the way from Skyridge Hospital to 9358 Black Mountain Drive. His hands fluttered, on occasion, below the steering wheel.

He even took the Deer Creek Valley road. A road through the mountains. I use it when I’m tired of the freeways. Very curvy. With bicyclists. All on self-drive.

When we got to my house, the Tesla dutifully parked itself.

Bones scanned by machine. Curves navigated by software. Me in my body.

Home again, home again.

Shadow wiggling. Smiling.

Fourth Phase, Health, Judaism, Politics, Shadow Mountain

Peace?

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Imbolc and the Moon of Tides

Thursday gratefuls: Tara. Fantastic Four. Shadow, the early riser. The U.S. military. The Middle East. War. Peace. Negotiations.

Rene Good. Alex Pretti. Say their names.

Sparks of Joy and Awe: Snow

 

Kavannah: Shleimut.   Being present to myself.

Tarot: Ace of Vessels     My emotions need recharging from the deep waters of my soul. I am the stag.

 

One brief shining: Today they begin, the bone scan, the echo, the pet scan. Two cts. Is my body strong enough to withstand the trial? How we will know if the treatment I’m getting works. This bone scan against that one.

 

Not looking forward to the next week and a half. My life has pauses, then bang, bang, bang. More blood tests. More diagnostics. Since last May, the pace of surveillance has ramped up. A lot.

More scheduling. More rides needed. More information over my transom than I can keep up with. A lot.

Meanwhile, the world.  Crazy. Real estate developers as diplomats? A President against foreign intervention starts his second war this year. Israel a hegemon.

A headline says Ford, General Motors, and Chrysler may devolve into niche makers of the last gas fueled cars as China rises in building ones fueled by electricity. Many self-driven.

Climate change supercharges hurricanes. Ate our mountain winter. Sea levels go further into Miami. New York City. Thwaites Glacier rests precariously on warming Antarctic waters.

What about measles? Polio. Even covid and the flu. A polio survivor. I remember the line at age 8. Thurston Elementary. About to get a shot. The vaccine. How indignant it made me. Not fair.

Vaccines don’t work? Says the cabinet secretary, Robert Kennedy. Thanks to the polio vaccine, twenty four years later. 1979. Polio eradicated in the U.S. Measles outbreaks increasing.

The context of my old age.

Where can we find peace? Not in the clanging of the MRI or the cool gel of an Echocardiogram. Nor in bloodwork or office visits. Certainly not in the newspapers I read every morning.

A touch on the arm. Shadow’s tongue licking my hand. Tara sitting with her legs draped over the chair arm. Shadow and Eleanor playing, bumping, running.

The Mule Deer does that visit my front yard often. Dining on grass. Delicate. Graceful as they move across my field of view.

Ruth offers to drive up. Make me French toast. Even bacon. Gabe asks me to offer him fun facts about himself. He can’t think of any.

No matter. The craziness. The tests. No matter.

Even in the midst of external chaos. Teshuvah. Return to the homeland of your soul. I am a writer, a lover of nature, human partner to Shadow, curious, resilient. A friend and a brother and a cousin. A Jew named Israel.

I also love. My Ancient Brothers. My synagogue friends. Mozart. Shadow Mountain home. My life.

Peace lies not on the newspaper pages. Not in lab results or treatment protocols.

Peace lies in being who you are.

No matter what.

Cancer, Fourth Phase, Health, Science

In time, leaves brown

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Imbolc and the Moon of Tides

Thursday gratefuls: Alan and his new knee. The Hummingbird. Diane. Alfred North Whitehead. Process metaphysics. Shadow the Coneless.

Rene Good. Alex Pretti. Say their names.

Sparks of Joy and Awe:  Kristine

Week Kavannah:   Yetziratiut. Creativity.   Learning novel revision as part of the craft

 

Tarot: Ten of Vessels, Happiness

In the midst of medical turmoil: friends and family, reengaged creative work, Shadow bring fulfillment home.

One brief shining: Radiation ended December 11th, a PET scan on January 28th showed failure of androgen deprivation therapy. No wonder I slipped into I’m not gonna make it mode. Uncertainty. The bane of those of us with chronic, progressive illnesses.

 

Cancer, as my journey typifies, never gives up. Removed my prostate. Came back. Radiation. Recurred. Since then, 2019, it’s here to stay, a hostile partner I must feed.

Within that overall arc there are periods of relative calm. I had six years with androgen deprivation therapy, six years of stable PSAs. Glad I did. Within those years Kate’s illnesses took hold, changing our lives and ending in her death. Jon’s divorce rattled the whole family again and again. His death shattered Ruth and Gabe.

How could I have been present and effective for my loved ones without six years of a cancer detente? Here’s a generous offering of gratitude to the scientists who discovered and perfected androgen deprivation.

If I’m to live fully into the happiness I feel, I’ll need another tranche of medical discoveries. Especially therapies like Pluvicto and Actinium which deliver toxic radioactive energy preferentially to cancer cells. Not the systemic poison of chemotherapy.

How else can I continue ancientrails into its third decade. Revise and market Superior Wolf. See Ruth graduate from college, maybe even medical school.

Folks with manageable terminal illnesses now encounter shuttered laboratories. A defunded NIH.

The practices of physicians like Dr. Bupathi and Dr. Carter deliver to me the fruit of decades of basic science, clinical trials, pharmaceutical advances.

Like turning off irrigation to a field of vegetables, the results will not be immediate. In time, leaves brown, Tomatoes and Beets rot. I’ll probably live long enough to enjoy treatments created in the recent past. Like Actinium.

The next generation of prostate cancer patients may not. Joseph? Mark?

I’m a lucky guy. Options, sound options, exist even as I enter my 5th year of stage 4 cancer. A gift to me. Letting me fill my days  with happiness.