.015

Yule                                                                        Stock Show Moon

Tomorrow I have my third post-op appointment with my urologist. My new super sensitive PSA, done early this week, was .015. As I learned three months ago, when my PSA was the same, this is the equivalent of no prostate specific antigens, indicating that so far no stray prostate cells have found a home in my body far from their old place near my bladder. In essence this is a test for metastases and having it come back negative is a primary goal of any cancer treatment.

As I get further away from the surgery, the dramatic peak of cancer season, ordinary time makes a bid to return. In this case ordinary time is not the cessation of holiseason stimulated spirituality, but the relaxation of uncertainty and return to a less urgent awareness of mortality. There is though a deep impression left by the pressure of cancer season.

20150708_070336Cancer season began for me on April 14th, 2015 when Dr. Gidday noticed a suspicious hardness in my prostate, sufficient to make her refer me to Ted Eigner, the urologist. From April 14th until my surgery on July 8th and first super sensitive PSA the week of September 25th, cancer season pulsed with energy. It crackled with biopsy results, recommendations for treatment, visits to the this medical facility and that. The decisions made during cancer season were life-altering, even life determining.

There was anxiety and fear, of course, the presence of a fatal actor in my body was an unfamiliar and unpleasant experience. For the first time a part of my body was no longer onside with the goal of continuing the body’s existence. Betrayal. At its most intimate. But. There was also excitement. New information, new things to learn, to know. Things that had immediate relevance. Kate and I moved closer as we sorted through the maze of medicine, bureaucracy, treatment statistics and understanding my situation as well as we could.

Saigon Landing, EvergreenThen, with one three hour surgical procedure, it was over. Sort of. Cancer season trailed on to the first super sensitive PSA because until then even the clear, negative margins of the removed prostate and the positive eyeball analysis of Eigner during the procedure were not definitive. Some cancerous cells could have escaped. Though there is still some chance of metastases, nothing is 100% certain in these matters, with each clear PSA it becomes less likely.

Now I have to decide whether to emphasize cancer season, become a cancer survivor, or whether to let it bleed into the background, a highly charged moment with a successful outcome but with little relevance for daily life. So far I seem to be choosing the let it bleed into the background option, though this post is, I suppose, contra that.

That is, I want to live my life forward, not returning to and chewing over the undigested lumps of the past. Not yet background, no longer foreground, cancer season has a fading, but nonetheless potent presence still. It will be interesting to see where I am on July 8th of this year.