Spring Rushing Waters Moon
Had to go at this head on, today, while it’s fresh. When I got to my appointment with Anna Willis, Dr. Eigner’s P.A., the first person in the room was Eigner himself. Grayer and thinner, he smiled, shook my hand. When I said it was good to see him, he said, “It’s good to see you, too, but I’m not happy about the reason.” When I told him my anxiety made me move the decimal place on my PSA, his relief was obvious, “Thank god.” Anna came in about then.
They both remembered me. Anna remembered my glasses and our visits. Eigner remembered me partly because I’d sent him a couple of emails over the years thanking him, telling him about my life. It was one of the warmest visits I’ve had in a doctor’s office and that felt good.
Turns out though. “When you’ve been perfect (a .1 psa which means essentially undetectable) and that changes, it’s scary.” He went on to say that it most likely does mean a recurrence, a relatively rare thing for those who choose prostatectomy, even rarer if the pathology report read, as mine did, clear margins. Clear margins means no cancer was found on the outside of the prostate. The best news.
Dr. Eigner took out a piece of paper and drew a sort of oblong on it. “This is the prostate. They can’t take sections from every part, so they take representative slices. If the cancer is between those slices, it won’t show up on the path report.” Oh, shit.
Since it is three and a half years since my surgery, and since the number for the uptick is relatively small, it means the recurrence is probably local, that is, in the area where the prostate used to be. That’s good news, much better than metastasis.
The plan is to redo my PSA in three months, doing the super sensitive one that can take the numbers 3 or 4 places rather than just two. If it’s still rising, I’ll get a referral right away to the oncologists to discuss radiation. “We’ll just go in there and kill it,” he said. “If you were older, I’d tell you not to do anything. This will take ten years to manifest anyhow, but at 72 you’ve still got a lot of life ahead of you.” That’s my opinion, too.
Radiation has some potential downsides, so I hope we don’t have to go that route. But, as I said to Kate, I’ve always chosen treatments that offer the best chance to remain active, and alive. I chose repair for my torn Achilles even though it means two months of no walking and crutches for a good while after. I chose knee replacement over other treatment options because I wanted to continue exercising. I chose a radical prostatectomy because that gave me the best shot at a cure. Likewise here, if radiation is the option that gives me the best chance to survive and thrive, I’ll choose it. No doubt.
All that’s the rational side, and that’s pretty damned important because these are high risk, high reward decisions. But they’re not all of it.
On the way back from Eigner’s I drove through Deer Creek Canyon. When my biopsy confirmed my prostate cancer in 2015, I drove Deer Creek Canyon, too. Going through there I felt the rock, rock so old that our human scale word ancient is quaint. This rock rose millions of years ago and it will slowly soften, the rough edges frozen and thawed, rained on, plant roots will crack them, and Deer Creek will carry the pebbles and sand to the Platte River on its way to the Gulf. Not only will I be dead long, long before then, it may be that the human race will have ended itself well before then, too. This comforts me.
William Cullen Bryant’s “Thanatopsis” came to mind. See the opening stanza below.* He goes on to make the point that the earth itself is a great tomb, holding all those who once lived. Again, this comforts me. Death has not chosen me for a special fate. No, death itself is a universal for all who live. It seems harsh and cruel, yet it is, rather, the opposite. Death ends suffering. Allows the world to carry many creatures, but not all at once.
Here there were Utes and Apaches, Comanches, too. And even they were not the first. Older humans preceded even them. And before all came the Rockies, then the trees, the lodgepole pines and the ponderosa and the bristle cone, the aspen. Mountain lions, deer, elk, rabbits, raccoons, pikas, prairie dogs, bison, moose, wolves, fox, martens, fishers, beaver. All here before humans, most will be here after we are gone. I can look at the lodgepoles in my front yard and know that their direct ancestors flourished here thousands of years ago and will do so after I’m dead.
All this brackets whatever troubles I may experience, even cancer. And cancer may be that friend that carries me off to the mighty sepulchre. Or, it might be something else. Whatever is my death-friend will not be an enemy, but the specific cause of my life ending. And that is, for all of us, in spite of our fears, a good thing.
* “To him who in the love of Nature holds
My plan is to print out all of ancientrails. I started a while back, but gave up pretty far from completion. That way I can fuss with them in the physical world, compile sheets and posts. Much harder to do, ironically, on the computer. Not sure what I plan to do, but that’s the place to start.
A full recovery moon on the spring equinox. Lot of powerful juju in the air. The season that announces the return of life (except in Nebraska) begins as the moon swells into its most potent form. Of course, this is only meteorological spring, the date we agree on to name the season’s start, so you have to check local listings for time and channel. Here in the mountains spring’s another month away at least. Probably more like six weeks.
Alan Watts has a book I like a lot called The Water Course Way. It describes the tao as like water, going around obstacles, over obstacles, not stopping, going on its way regardless of what’s in its path, not troubling itself over temporary stoppages, boulders, canyons, even lakes. Soft wins over hard. The soft water slowly picks away at mountains of granite, basalt, gneiss and takes them a grain at a time, over centuries, millennia, eons back to the oceans.
Zoomed yesterday with old friends Paul, Tom, Bill, Mark. Paul’s in Maine, the other three are still in the homeland, getting blasted by an old-fashioned grit your teeth, squeeze the steering wheel, freeze up the nasal passages Minnesota winter. Nostalgic, eh? Given my 40 year residence there I’m ashamed to say that I’m not sorry to have missed it. Minnesota macho no longer.
Not my goal. I thought about it. I see the allure. In some ways I wish I could want that, too, bow out of the ongoing stream of pressures, both domestic and personal. But I don’t want it. To be clear I’m not a stress junkie, nor an adrenaline junkie. I manage my anxiety much, much better than I ever have, not letting the day’s troubles spill over into what might happen next. I’ve tried and often succeed at acting without care for results. But stress per se still keeps me engaged.
It’s no wonder medical costs are high. All of these things are one use only: syringes, nutrients, saline flushes and heparin flushes (each in their own individual packing), batteries, tubing, alcohol wipes, even the packaging for the deliveries. The need for sterility drives most of this. Kate’s picc line ends near her heart in the superior venous cava, which means there is a direct link between the outside, non-sterile world and that vip organ. Even the tiniest mistake in sterile procedure could have disastrous, catastrophic results. No pressure, eh?
Grieving now. Looking at things around the house with that critical, ok what do we need to do with this in order to sell the house eye. Driving up the mountain considering how many more times I’ll be able to see Black Mountain on my left as I climb Shadow Mountain to our home near its peak. Not anxious about it, just sad.
Gonna look at material for the religious school class on the 16th. Alan will be back from Argentina. Our lesson theme is yirah, awe. Getting fifteen inches of snow over 36 hours creates yirah. We do not impact the weather, at least not directly. Yes, climate change is effecting the sorts of weather we get, but we don’t get to choose the diverse effects of our self-genocide. Fifteen inches of snow is like a volcanic eruption or a tsunami or a tornado, sudden, unpredictable except just before the fact, a natural act that changes the immediate environment dramatically. Though not as devastating as those violent manifestations, a great snow storm does show the power of the natural world, something to which we have to adapt rather than something we can manage.
Yirah and kadosh, holy or sacred, go together. Rudolf Otto defines sacred as an experience of awe, yirah, and the mysterium tremendum et fascinans: 
Something experienced in ordinary life but also wholly other. I’ve been following a sailing race, the Golden Globe, in which several skippers competed against each other in solo jaunts around the world. Ask any sailor, solo or not, who’s navigated the roaring forties about yirah and mysterium. They’re manifesting every day, every hour in places most of us will never go; but, a few do. Wholly other, but also part of the same puzzling universe which coughed us up into life.
Our first major snowstorm of the season is upon us. We’ve gotten 4 or 5 inches already and it’s only been snowing since midnight. May get 8-10 inches. Black Mountain has disappeared behind a gray-blue curtain, the lodgepoles look like flocked Christmas trees, and our solar panels have a 4 inch white blanket between themselves and the sun. No appointments today, no meetings. We can take this storm in as it comes, not see it as a barrier. We’ll get plowed today, I’m sure, so no worries there either. Let it snow.
There are two other effects that are critical to life both here in the Colorado Rockies and in the southwestern U.S. A good snow season reduces the threat of wildfire in the spring and summer until the monsoons come. That effects Kate and me and our neighbors directly. It feels much better going into summer having had plenty of moisture for the trees and the soil. A good snow season also recharges our aquifers, makes sure we’ll have water throughout the next year. This is an immediate, right here result of good snow.
“Total population in the Colorado River Basin (CRB) increased from 4.56 to 9.44 million people from 1985 to 2010. Most of those people were in the lower CRB, with 86 percent of the total in 1985, and 90 percent of the total in 2010.”** The snowpack numbers, created by our annual snowfall, are critical not only here, because the Front Range and the Denver Metro rely on the Colorado River, but throughout the seven state CRB. These figures, almost invisible to the population of the humid east, are never far from the minds of government officials at the state, county, and municipal level here in the arid west, or the population as a whole.
Finally, here is the problem that bedevils all those effected by The Law of the River, a web of compacts, federal laws, court decisions and decrees, contracts, and regulatory guidelines.* As this graph clearly shows irrigation is the largest claim on the CRB’s water by an order of magnitude. Add to that the allocation for livestock and aquaculture and 82% of the allocation goes to agriculture of one kind or another. We need food, those who grow our food need water. With public uses only 17% of the pie even the most draconian water policies in cities and areas like the Front Range will not move the needle much in total water use. Add to this the problem of the gap, droughts, and rapidly increasing populations, five of the fastest growing states in the nation are part of the CRB, then you can begin to imagine the tense negotiations required to maintain the status quo, let alone plan sensibly for the future.