Category Archives: Cancer

Cancer, Health

A Shared Glide Path

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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.

Cancer, Feelings, Fourth Phase, Health, Memories, Minnesota

The Land of Lake Woebegone

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Imbolc and the Moon of Deep Friendship

Monday gratefuls: Dr. Bupathi. Prostate cancer. New mets. Joe and his work. Shadow of cone and bandage. Dr. Josy. Her journey. Youtube. Kate, always Kate. Artemis in Winter. Her Garlic. The Dog run. Epstein files. Kennedy center closing. Minneapolis. Cool weather. Hard Rock Medical. Tu BiShvat.

Sparks of Joy and Awe: Living

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: Seven of Arrows, insecurity.

“…this card focuses on the psychological state of vulnerability…”

One brief shining: In the winter of my life I live beside a hearthfire built over the years from the warmth of deep friendship, the stable power of family, a lev calmed by meditation and acceptance, a soul anchoring me in the interconnected web of Lodgepoles and Grasses, Dogs and Elk, Mountains and Rivers, and in a loving, sacred community.

Health: Petscan results have come back. They show new metastases. Not what we’d hoped. Not what I want. But the case anyhow. Puts me over into the hormone resistant phase of stage four prostate cancer. I see my oncologist today and expect that he’ll start me on some new protocol.

Thanks to dramatic advances in dealing with just this situation there are still many effective treatments left. Not sure which direction we’ll go, but I’ll let you know when we decide.

The seven of arrows speaks to the feeling of vulnerability I experience each time new test results come in and especially when, like these results, they have unwelcome news. Yet, well into my eleventh year of prostate cancer, I have this reaction. OK. This is where I am. What do we do next? Not resignation, not OMG, but a desire to stay in it, be present.

I’m grateful for each of you who care about me, love me. This journey would be bleak without you. With you it’s just that, a journey that is part of my life, hardly all of it.

The Wild: When writing last week about my White Pine guide in Boot Lake SNA, the natural world of northern Anoka County came flooding back. The early mornings I would spend doing cardio by the Rum River, following a county park trail beside it. The bitter cold mornings on Snowshoes in the woods behind the new library.

Time spent in the Helen Allison Oak Savannah among its Bur Oaks, tall Grasses, and Wild Flowers. Hawks, Songbird, Frogs. Afternoons at the Cedar Creek Ecosystem Science Reserve.

Winter days taking Sorsha, our 150 pound Irish Wolfhound bitch, for a walk in the Ice fishing village on a frozen Lake George.

Beautiful and precious moments in the land of Lake Woebegone.

Back Pain, Cancer, Fourth Phase, Friends, Health, Hermitage, Post Polio, Shadow Mountain

A Life Transition

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Yule and the Moon of Deep Friendship

Tuesday gratefuls: Gloriana frangipana! (first line of the Indiana University school song) Jane Pauley. Dick Pauley. Uncle Riley. Diane. The farm. The Blue River. Hancock Cemetery. Morristown. Milan. Bobby Plump. The Indy 500. The Indiana Republican party. Turkey Run State Park. Spring Mill State Park. The Alexandria Times-Tribune. Muncie. Wabash. Ball State.

Sparks of Joy and Awe: I.U.

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: Daat.    The Bridge Between Mind and Heart

“If Chokhmah (Wisdom/Inspiration) is a seed and Binah (Understanding/Analysis)  is the soil that develops that seed into a plant, Da’at is the nervous system that carries the vital life force from the brain to the rest of the body. It is the point of transition from “thinking” to “being.””

art@willwordsworth

Tarot: Ten of Bows, Responsibility

  • Overextension: Pushing yourself too hard, sacrificing well-being for responsibilities.
  • Perseverance: The strength to continue despite heavy loads, finding inner resolve.
  • Completion/Release: As a “10” card, it signals the end of this phase, often with the potential for release or freedom after enduring the trial.
  • Prioritization: A call to assess what truly matters and learn to say “no” or ask for help.

One brief shining: Eleanor bounded down the stairs, Shadow twirled at the scent of her friend, Tara hollered we’re here, and the Shadow/Eleanor run, twist, smell, wrestle all the time day began when I opened the door, Eleanor pushed through Shadow greeting her with a jump and a play bow.

 

Sport: Pride of place belongs to I.U. football. National champions. Undefeated. Bringing gloriana frangipana to the nation’s attention. I listened to an all red chorus sing the I.U. school song and it washed over me, redolent of nineteenth century American higher education. Made me wish, again, that I’d chosen I.U. over Wabash.

Jane Pauley, married to Gary Trudeau and former host of the Morning Show, made this tribute piece: Hail to Indiana. Cousin Diane found it. Jane often came to our family reunions since her dad, Dick Pauley, and Diane’s father, my uncle, were like brothers. If you watch this piece, Uncle Riley is to the left in the old photograph shown near the beginning. Family.

 

Soul Work: This year, let’s start it on February 4th, 2025 when I adopted Shadow from the Granby Shelter, has been a humbling one, physically. Over the course of a long, loving, difficult time developing a relationship with a traumatized puppy, I’ve had multiple diagnostic procedures followed by several courses of varied treatments ranging from radiation to nerve ablations. The whole process exhausted me.

Since the last meeting of our Mussar Vaad Practice group a month ago, one I had to leave in the middle due to extreme discomfort from a hernia, I’ve grappled with a persistent issue: if I go out, even on small jaunts, I come home drained. A combination of my head drop from post-polio, right lower back and hip pain added to a general weakness due to sarcopenia and the energy my body has to expend making up for the resources cancer steals from it.

The soul work has been around accepting that I have become almost home bound. Here, in a chair that supports my neck, with my home gym, I achieve a normal day without depleting myself. When a day on my calendar is clear, my lev is happy.

I don’t like this, but I’m increasingly unable to live the life I developed after Kate’s death. Question. Can I still live a significant, loving life under these conditions? My answer is yes, of course I can. As I said a week or so ago, recounting my talk with Rachel, my social worker.

I’ve come to this conclusion. My life is now mostly here at Shadow Mountain Home. That means no traveling, fewer trips out and those more calibrated than before. Leaning on my friends for help when I need it. Beginning to think about some more paid help around the house.

A life transition, not one I sought, but one to which I have to adapt. See the ten of bows.

 

 

Cancer, Far Right, Health, Politics, White Supremacy, Writing

Reading Right

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Samain and the Shadow Moon

Tuesday gratefuls: Paul and Christopher. Findlay and Sarah. Kate and Clare. High Winds. Shadow away. Arrival Day yesterday. Joe. Working out again. Cancer. Dr. Bupathi. Kristie. Dr. Carter. Jenna and Alise. Andouille. Kielbasa. Shrimp. Pork. Sheetpan recipes. New York Times. Ground News. Washington Post. LA Times. Vox. ProPublica. Ezra Klein. No despair.

Sparks of Joy and Awe: Protein

Life Kavannah: Wu Wei    Shadow, my Wu Wei mistress

Week Kavannah:   Netzach   “Endurance and Tenacity: Netzach represents the inner strength and fortitude required to pursue a goal or a passion over a long period, especially when faced with obstacles.”

Being a metaPhysician

One brief shining: Oh, these cancer days and cancer nights, long have they stayed, often indolent no worries, ordinary sleep, ordinary waking, once in a while, at least every three months, a bit fraught, will the numbers be good or bad, sometimes, like as of late, ordinary sleep, but some edgy days with moving numbers, m.r.i.s, pet scans, radiation.

 

Health: Got my new PSA numbers over the weekend. A big jump. Uh-oh. Couldn’t ask the question until Monday a.m. Sent a note and Hannah said she’d make sure Dr. Bupathi had seen those results. Thanks, Hannah.

Not long after, again from Hannah, “The team thinks this could be the result of inflammation after radiation. Recheck in six weeks.” That’s also the time frame for my next pet scan. So, ok. Part of the process.

What matters here is whether I have transitioned from hormone treatment sensitive cancer to hormone resistant which requires the next step in protocols, new drugs, stronger ones. If my psa goes down, that is below 0.3, I continue on androgen deprivation therapy-hormone treatment-as I have since 2019.

This has my attention. Not worried yet not placid. Things not definitive. Six weeks of this. I appreciated Hannah understanding my concern, following it down. There are no small roles in this personal life and death drama.

 

Just a moment: A continuing commitment. I will read and comment on the news, especially news originating from non-traditional sources like the conservative Bulwark, the liberal Vox and Propublica, Groundnews, the Atlantic, and the Guardian. For my own original reporting I will continue to take you inside texts like Yasem Hazony’s Conservativism Redefined and the Violent Take It By Force, Matthew Taylor on the New Apostolic Reformation.

This week I’ve purchased two that will occupy much of my time for a while. Abundance by Ezra Klein, a progressive political agenda for our time, and Furious Minds by Princeton scholar of the New Right, Laura K. Field, which analyzes the Making of the MAGA New Right.

This is a project I began a while ago when reading Patrick Deneen’s, Why Liberalism Failed, followed by a book on the John Birch Society, another on Christian Nationalism, and yet  another on thinkers who have impacted the New Right.  Renaud Camus, for example, the French political philosopher who developed Replacement Theory. That was 2023. Well before the return of red tie guy.

Replacement theory shows up in the recent Trumpian National Security Strategy as that document’s warning to Europe about “civilizational erasure.” It also shows up among America white nationalists associated with MAGA.

I’m beginning to trust my sense of what drives the new far right, now I want to understand how its rise will effect our future.

Cancer, Dogs, Far Right, Fourth Phase, Health, Politics, US History, White Supremacy, World History

Link Arms Against This Sea of Troubles

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Samain and the Shadow Moon

Sunday gratefuls: Rising PSA. Shadow, seen. Natalie and Dr. Josy. Winter is coming. (next week) Hanukah. Ruth and Gabe. Joe. Seoah. Murdoch. What I want. Death. Other life punctuation points. Hawai’i. Nathan and the Dog run. Venezuela. Latin America. Central America. North America. The Gulf of Mexico.

Sparks of Joy and Awe: Joe

Life Kavannah: Wu Wei    Shadow, my Wu Wei mistress

Week Kavannah:   Netzach   “Endurance and Tenacity: Netzach represents the inner strength and fortitude required to pursue a goal or a passion over a long period, especially when faced with obstacles.”

Being a metaPhysician

One brief shining: Shadow cast her presence toward me, casually, too absorbed in other nearby dogs and her trazadone pall to greet her Dad when others of her kind, so many of them, were nearby, crossing behind Natalie’s FJ Cruiser with its DOGS4LIFE license plate, in the Flying J parking lot human companions holding leashes, some pulling toward Shadow to say hi, I’m here, too.

 

Dog journal: First I’d seen Shadow since a week ago Friday. She greeted me, but with little enthusiasm. A little bit of my heart broke. My hope for an enthusiastic smile, a jump, kisses set aside. I noticed, in a bit, that she moved a little slowly, that spark in her personality tamped down.

I’d forgotten the trazadone/gabapentin she was on while the prozac reaches therapeutic levels. Didn’t like it, but I understood the rationale. Reduce her reactivity and help her learn new behaviors. Like letting a leash on. Like easily crossing thresholds. Temporary. Similar to chemical constraints for humans in an agitated state. Shadow exists in an agitated state most of the time.

Natalie said Shadow acted the same at her place as she does at mine, vis a vis thresholds. Made me feel good. Not me. Some psychic gremlin gripping Ms. Shadow when faced with crossing from the outside to the inside.

Natalie, an empathetic and kind person, said she’d come pick up Shadow if I had appointments, keep her for the day and return her. How blessed am I. So many loving folks in my orbit.

We parted after about twenty minutes, Shadow with Natalie.

Good-bye.

 

Health: Yes. My labs showed my PSA jumped, in spite of the radiation, from 0.3 to 2.7. At first I saw the 2.7 and thought, yes! Only later wondering, opening the lab report again. Oh. Not 0.27.

Probably means new drugs. New side effects. Still many options between me and ordinary chemotherapy. Erleada is technically chemotherapy, says so on the pill container, but its side effects have been slight.

There again, blessed. A cancer with many treatments, slow progression. And, for me so far, no symptoms. Happy Holiseason to me!

 

Just a moment: Make Western civilization white again. A sad dream, a dream of the desperate, of the frightened and deluded.

Even the Asian civilizations with which I have some familiarity exhibit strong evidence of liberal ideals. Look at the young women of Korea on a virtual Lysistratan sex strike, wanting their autonomy. Or, young women and men in China. Many of the women rejecting traditional Chinese female roles, many men disillusioned by them and the job market, pushing back against their heritage of centralized control. Taiwan, too.

And here’s the paradox, the irony. Those of us strong with the force of liberal/enlightenment/renaissance ideas of no kings, individualism, small d democracy, individual freedoms and rights as human beings are the ones that recognize most the need to link arms against this tide of civilizational troubles and by opposing end them.

Yes, the liberal journey is not toward a fractious libertarianism, but toward a democratic socialism where the commonweal balances as best as possible with liberty and freedom for all. Not an easy project as our imperfect America has shown since its birth, but an inevitable one pushed forward by the creative tension between individuals and the collective. That’s what I see, what I have lived for.

 

Aging, Cancer, Dogs, Fourth Phase, Friends, Health, Humor, Judaism, Mussar, Politics

Humor as Moral Compass

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Samain and the Shadow Moon  (2 sessions to go)

Wednesday gratefuls: Rich. MVP. Shadow away at boarding school. Clement weather. Polska Kielbasa. Bananas. Tangerines. Celery. Baby Potatoes. Andouille sausage. Scallions. Cherry Tomatoes. Pork loin chops. Sheetpan dinners. Nathan and the Dog run. His next summer move to Kalispell, Montana.

Sparks of Joy and Awe: Rich

Life Kavannah: Wu Wei    Shadow, my Wu Wei mistress

Week Kavannah:   Malchut   Wonder.   A feeling of surprise mixed with admiration caused by something beautiful or unexpected.

Being a metaPhysician

One brief shining: Made a mistake, went to MVP, my only night out during the month; even though Marilyn drove, a combination of radiation fatigue, head drop, and this damned hernia acting up made me first lie down on a couch, then ask for a ride home. Geez.

 

I knew better. I’m exhausted from driving to radiation and getting radiated. But I love these folks: Jamie, Susan, Joanne, Ron, Marilyn, Laurie, Rich. Missed last month and missed seeing them all. When Marilyn asked to meet at the usual place, I said yes. Should have said no.

Rich drove me to my car, followed me home, shoveled my deck, and saw me into the house. What a kind and loving man.

Not the return to the group I wanted.

This just in. Marilyn texted me, offered to drive me to my radiation today. Rich must have gone back and reported to the MVP group. I feel blessed to have so many who love me, care about me.

 

Dog journal: Nathan came by from a project just up the road. We discussed the Dog run. He’s built many and has his tricks for working in the Snow on frozen ground. Relieved. Now if that doghouse I want will come back in stock…

 

Just a moment: Sleepy Donald. I can relate. I’ll be 79 in two months and I just had a night. Glad I’m not working hard to cancel the political work of the last century or so. Gotta be tiring, making up enemy lists, figuring which shithole countries to diminish and ban, which cities to occupy, deciding how you can gig the poor yet again. Not to mention acting as warmonger and peace maker in chief. The contradictions alone would level a lesser man.

Don’t know if you watch South Park. Don’t recommend it even though the real South Park lies only an hour’s drive from Shadow Mountain. A former Conifer resident is one of the pair who created it.

It’s gross. Over the top. And, yet. They’re satirizing Trump, Vance, Bondi, Stephen Miller in ways that do make me laugh. Especially Stephen Miller who is portrayed as a creepy, I may lead to your doom, sycophantic butler.

If you can stand it, the satire is spot on.

Humor has always had an uneasy, even dangerous relationship to power. I’m sure more than one court jester lost their head by taking a joke too far.

I admire the South Parks, the Colberts, the Jon Stewarts of our time. Laughing at tyrants exposes them for what they are: weak, petty, cruel leaders who seek power for power’s sake with no moral compass. Humor, oddly enough, is exactly that: a moral compass.

 

 

 

Art and Culture, Cancer, Dogs, Health

Boarding School and Radiation Vacation

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Samain and the Shadow Moon

Shabbat gratefuls: Shadow. Natalie. Dr. Josy. Concerned friends and family. Boarding school. Shadowless. Grief. Darkness, my old friend. Respite care. Joe. Seoah. Murdoch. Vince. Nathan. Dogloo. Preparing an outside space for Shadow. Men’s group. Straw. Hard insulation. Heating pads. Heater for Water bowl.

Sparks of Joy and Awe: Resilence

Life Kavannah: Wu Wei    Shadow, my Wu Wei mistress

Week Kavannah: Malchut     Wonder.   A feeling of surprise mixed with admiration caused by something beautiful or unexpected.

Being a metaPhysician

One brief shining: Natalie easily clipped on the yellow leash, Shadow calmed after an excited greeting of her old friend and followed her up the stairs and into Natalie’s truck where she waited while Natalie came back down to grab the food, carried it upstairs and I was Shadowless for the first time in ten months, no curled up doggie beside my pillow last night.

 

Dog journal: And so. Shadow is gone. Off to boarding school for a month. Natalie says she is: “A little overwhelmed, but handling it well. All the dogs here accepted her immediately.” She’ll send pictures today.

Dr. Josy examined her and drew blood in preparation for prescribing doggie fluoxetine for her PTSD. Which we all agree she must have since she has stayed outside in bitter cold (for Colorado) in spite of being offered food, warmth, and love. Animals act in their self interest unless something intervenes. Bizarre behavior.

Natalie has found a fifteen pound dog, Alfie, who needs a new home. She will introduce him to Shadow, then to me. Might be of the yappy sort, but if he can help Shadow learn normal doggie behavior, I’ll adapt.

I’ve most often cared for multiple dogs so that will not be a challenge. Question of fit with Shadow and me is the primary issue.

Have to find someone to build the outside dog run. Vince. Nathan, or Joe. One month. I’ve figured out the heated shelter for her and the fencing, the design. Have to settle on a gate. Of course, it is winter but I doubt the ground’s frozen yet. It’s not been cold enough for long enough.

 

Clinac iX. My photo

Health: Got a call from Alise yesterday morning. The Clinac had issues and I couldn’t get my radiation. Not surprised after learning annual maintenance costs on these hyper sophisticated machines runs between three and five hundred thousand dollars.

That would be a high paying blue collar job, technician for radiation machines. Requires a minimum AA degree in biomedical engineering with more complex responsibilities requiring a BS in biomedical engineering. Experienced techs can make a hundred thousand a year or more with additional money coming from overtime pay. I would imagine overtime is plentiful. When these machines are down, patients aren’t getting treatments and hospital/clinics are losing revenue.

Which all means my treatments now extend through Thursday.

BTW: Not sure about home plate in the mid left of this picture.

 

Just a moment: You make think Ukraine, Gaza, whack a drug boat, gerrymandering, or the Supreme’s on tariffs are big news. Well sure they are. But one story rules them all: Netflix buys Warner Brothers, HBO, and HBO MAX. Come on folks, priorities.

 

 

Cancer, Dogs, Health, Politics

Boarding School for Shadow

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Samain and the Shadow Moon

Friday gratefuls: Dr. Josy. Natalie. Boarding school for Shadow. Mountain folk. Tara. Snow. Radiation. T4. Nuclear fission for good. Small nuclear reactors. Good one’s built by a guy I know, a big one in Japan. Garbage people. All one. Garbage president. Cedar-Riverside. A welcoming neighborhood. Affordable housing. Built there. Cedar Riverside PAC. Economic development now at the service of Somali’s.

Sparks of Joy and Awe: Dr. Josy and Natalie

Life Kavannah: Wu Wei    Shadow, my Wu Wei mistress

Week Kavannah: Malchut     Wonder.   A feeling of surprise mixed with admiration caused by something beautiful or unexpected.

One brief shining: Crying washes the soul, purifies it with the holy salt Water of love, of caring, of devotion, and my soul went through its holy car wash more than once yesterday as I decided with a terrible and miserable reluctance to try giving Shadow to Dr. Josy, who asked me to call her and explain, and when I did, offered to call Natalie, Shadow’s most recent trainer, see what might come next. I called her.

 

Dog journal: Yesterday Shadow had been with me to the day, ten months. And I tried to give her to Dr. Josy. Overwhelmed, sad, frustrated, confounded I couldn’t see how I could keep Shadow safe from the cold if she wouldn’t come in. She wouldn’t. My love for her meant she had to go somewhere else.

She will. Dr. Josy called Natalie, who used to be her vet tech, and they talked, cooked up a plan. Instead of going to Dr. Josy Natalie will take her for a month’s boarding. Train her with her Dogs on coming in and out, going on a leash while Dr. Josy will do a blood test, then put Shadow on doggy Prozac.

During that time I will have built an enclosure a bit larger than the foot print of my upstairs deck with a heated shelter. Then, when Shadow comes home, she’ll have a much smaller part of the whole back until she has coming in and staying in down at home, too.

Both Natalie and Dr. Josy want to make it possible for me to keep her. Both were concerned about my health and my mental health, too. I am so touched by their caring, both for me and for Shadow. Malchut.

 

The other side: On Tuesday at Rocky Mountain Cancer Care Pat came out from the radiation suite, his long mustache curled up in a smile.

“You next?”

“Yep. Did you leave any radiation for me?”

“Sure did. Asked’em to turn up for you, too.”

“Well. Thanks, dude.”

Later when I had finished he had just seen the doc, I smiled at him and his wife, Sandy. “I felt that, dude.” He laughed. “See you next time,” he said. “Yeah, for the same thing.” He laughed again.

A genuine connection at the heart level. Pat’s a short guy, wore a Western vest under a barn coat, jeans. And that hat. A baseball hat made of American flag cloth with an Eagle on the bill.

Not so different after all, left and right.

 

 

 

 

Cancer, Health, Politics, US History

Riders in the Storm

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Samain and the Radiation Moon

Wednesday gratefuls: Ruth. Sugar cream pie. Driving me to radiation today. Luke and Leo. Anne. Waxing crescent Moon. Christmas lights. Jackie and Rhonda. Shadow the mystery. Dog Poems. Billy Collins. Cold night. Darkness growing. Alise and Jenna. Skiing at A-Basin. Jon and my son. Brothers. Gabe, accepted to Montana. Black Bears. Mountain Lions. Wolves. Canada Lynx. Bobcats. Fox.

Sparks of Joy and Awe: Linear accelerators

Life Kavannah: Wu Wei    Shadow, my Wu Wei mistress

Week Kavannah:  Gevurah      “While Chesed is associated with flow, Gevurah provides the structure that allows this flow, acting like river banks to channel energy. It is seen as essential for establishing healthy boundaries, creating space for important work, and preserving what is most valuable.”

Tarot: Being a metaPhysician

One brief shining: With Hannukah presents, Christmas presents, a kitchen stool, a ceiling fan, sheets for my bed all delivered, most still in their boxes, my living room looks like a receiving dock, a few opened, those Silence Please mugs for Gabe and Ruth, the Tuskegee Airmen hoodie and baseball cap plus the crystal ball with the planets suspended in it for my son, jigsaw puzzles, a color chart for the wall for Ruth, the kitchen stool, the ceiling fan, the sheets, mechanical puzzles of the most difficult category still taped and sealed shut. Holiseason

 

Alise and Jenna pull me a bit this way and that, put the plastic mesh on, and get me a warm blanket to cover my bare chest. Then they leave the room, closing the foot and a half thick lead and concrete door, and I am alone, offering my cancer as a sacrifice to the gods of radiation with my hands gripping metal rods behind me, keeping my arms out of the way.

A flashing red light signals danger, stay out, yet I remain. The Clinac iX whirs and buzzes, its looming bulkiness hidden from me, rotating, bringing the beam to bear on just. the. right. spot.

And. Over. Alise of the cold hands helps me get up while Jenna strips off the sheet, wipes down the hand rests and the neck rest, readying the sliding bed for another sacrifice already in waiting.

From reading yesterday I learned that a Clinac costs $1.5 million dollars and requires between three and five hundred thousand dollars in maintenance per year. The clinic or hospital also builds a concrete room with thick walls and doors to house it.

 

Just a moment: Comey and James cases dismissed. Presidential fatigue an issue. Red tie guy wants a bigger ballroom. Nobody seems to know whose page they’re reading from in Ukraine peace negotiations. Whatever happened to Gaza?

This clown car administration honks its horns, spins in circles, confuses themselves while the rest of us gasp open mouthed at matters never associated with the Presidency. Like his press secretary assuring us that the President does NOT want to execute members of Congress. Relieved to hear it. Like wanting to build a yet bigger gilded ballroom, one out of proportion with the White House.

Riders in the storm. Into his world we’re thrown.

 

 

Art and Culture, Back Pain, Cancer, Friends, Health, Music

All Alone Behind the Lead Lined Door

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Samain and the Radiation Moon

Tuesday gratefuls: Todd. Alise. Varian. Clinac. Warm blankets. My plastic guide. Sniper rifle beams. Radiation entering my body, headed toward T4 bone marrow/lesion. Only nine sessions to go. Pain still gone. Hip, too. Wearing neck brace when I drive. My treatment November. Chart House. Luke and Leo coming today. Shadow inside. Yeah!

Sparks of Joy and Awe: Medical Engineering

Life Kavannah: Wu Wei    Shadow, my Wu Wei mistress

Week Kavannah:  Gevurah      “While Chesed is associated with flow, Gevurah provides the structure that allows this flow, acting like river banks to channel energy. It is seen as essential for establishing healthy boundaries, creating space for important work, and preserving what is most valuable.”

Tarot: Being a metaPhysician

One brief shining: No Cyberknife moving in its calculated dance around my body, this time a Varian Clinac iX, which Alise controls from a multi-screened room on the other side of the thick lead door that closes quietly, leaving me alone with a linear accelerator hulking behind me, and the precision locating beams-red and green-reading my location as the Clinac moves, buzzing and clicking.

 

Cancer: This session of radiation, my third, has a single target, the lesion in my bone marrow at T4. Instead of going all the way to Lonetree, I hop off 470 at Broadway and head up to Rocky Mountain Cancer Care (RMCC).

Most of the treatment in this case involves positioning my body accurately, using green and red lasers plus the plastic mesh that fits under my chin and over my bare upper thorax. Alise put it in place using the tattoos, small black dots inked on the sides of my chest by Todd during the CT planning procedure.

Since precision in aiming the beam of radiation is key both to killing the cancer cells and not damaging the rest of me, I get the need for multiple ways of saying go here, not there to the radiation. In and out in twenty minutes, less than five of which involved actual radiation.

 

Back and hip pain: The ablation continues to give me a pain free left lower back and upper left. The hip feels mostly good, too. Just a bit of tweak if I move in an odd angle.

Lower back right still has significant tightness, a little pain. Since the ablations only work on the arthritis, Kylie told me to expect pain from the bulging discs to continue. She was right.

Even so, a huge improvement. My driving stamina, which I will test each day going to RMCC, has improved, too, but not nearly as much as I had hoped. I was not in agony on the drive home, but I was still pretty uncomfortable. That’s with a fifty minute drive out, some sitting and then a drive back for fifty minutes.

I’m going to up my resistance work, stretching, see if I can do better with stronger core muscles.

This sort of adaptation, relief and its limitations, continue the journey of an aging body/self.

 

Opera: Not usually my thing though I love Wagner. I know, I know, an anti-semite, but what an artist! Watched an opera initiated by Yin, of Scott and Yin, with other members of the Chinese Heritage Foundation and staged by the San Francisco Opera.

An amazing, engaging, important work. The Journey of the Monkey King. If you can see it, take the chance. It will not disappoint you. Both libretto and the staging are, in my opinion, genius.