{"id":50550,"date":"2019-05-21T06:45:36","date_gmt":"2019-05-21T12:45:36","guid":{"rendered":"http:\/\/www.ancientrails.com\/?p=50550"},"modified":"2019-05-21T06:59:20","modified_gmt":"2019-05-21T12:59:20","slug":"a-cloud-of-unknowing","status":"publish","type":"post","link":"https:\/\/www.ancientrails.com\/?p=50550","title":{"rendered":"A Cloud of Unknowing"},"content":{"rendered":"\n<div class=\"wp-block-image\"><figure class=\"alignleft is-resized\"><img decoding=\"async\" src=\"http:\/\/www.ancientrails.com\/wp-content\/uploads\/2019\/05\/Dante-Luca-Signorelli-Own-work-Georges-Jansoone-JoJan-Taken-on-30-April-2008.jpg\" alt=\"\" class=\"wp-image-50551\" width=\"241\" height=\"238\" srcset=\"https:\/\/www.ancientrails.com\/wp-content\/uploads\/2019\/05\/Dante-Luca-Signorelli-Own-work-Georges-Jansoone-JoJan-Taken-on-30-April-2008.jpg 1024w, https:\/\/www.ancientrails.com\/wp-content\/uploads\/2019\/05\/Dante-Luca-Signorelli-Own-work-Georges-Jansoone-JoJan-Taken-on-30-April-2008-420x415.jpg 420w, https:\/\/www.ancientrails.com\/wp-content\/uploads\/2019\/05\/Dante-Luca-Signorelli-Own-work-Georges-Jansoone-JoJan-Taken-on-30-April-2008-744x735.jpg 744w, https:\/\/www.ancientrails.com\/wp-content\/uploads\/2019\/05\/Dante-Luca-Signorelli-Own-work-Georges-Jansoone-JoJan-Taken-on-30-April-2008-768x759.jpg 768w\" sizes=\"(max-width: 241px) 100vw, 241px\" \/><figcaption>Dante Luca Signorelli (Own-work-Georges-Jansoone-JoJan-Taken-on-30-April-2008)<\/figcaption><\/figure><\/div>\n\n\n\n<p>Another big medical week. But they all seem to be right now. Minor: had my teeth cleaned yesterday. &#8220;Your teeth are so clean.&#8221; Hygienist. So one part of my body&#8217;s in good shape.<\/p>\n\n\n\n<p>Kate and I visit Ed Smith today. He&#8217;s the surgeon who will, we&#8217;ve been hoping for several months now, implant the j-tube. The pulmonologist has cleared her, the last remaining hurdle. I&#8217;m expecting (hoping?) that we will schedule a date.<\/p>\n\n\n\n<p>On Thursday I have the standard of care imaging studies for prostate cancer reemergence, a ct and an mri. The axumin scan is a pet-scan. In a followup visit to Dr. Gilroy, the radiation oncologist, we&#8217;ll see what these tests have to say and revisit the axumin scan if it seems like it would increase the accuracy and efficacy of treatment. <\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"alignright is-resized\"><img decoding=\"async\" src=\"http:\/\/www.ancientrails.com\/wp-content\/uploads\/2019\/05\/Cancer-Dante-and-Virgil-Penetrating-Forest-Blake.jpg\" alt=\"\" class=\"wp-image-50552\" width=\"325\" height=\"182\" srcset=\"https:\/\/www.ancientrails.com\/wp-content\/uploads\/2019\/05\/Cancer-Dante-and-Virgil-Penetrating-Forest-Blake.jpg 800w, https:\/\/www.ancientrails.com\/wp-content\/uploads\/2019\/05\/Cancer-Dante-and-Virgil-Penetrating-Forest-Blake-420x236.jpg 420w, https:\/\/www.ancientrails.com\/wp-content\/uploads\/2019\/05\/Cancer-Dante-and-Virgil-Penetrating-Forest-Blake-744x419.jpg 744w, https:\/\/www.ancientrails.com\/wp-content\/uploads\/2019\/05\/Cancer-Dante-and-Virgil-Penetrating-Forest-Blake-768x432.jpg 768w\" sizes=\"(max-width: 325px) 100vw, 325px\" \/><figcaption>William Blake<br><\/figcaption><\/figure><\/div>\n\n\n\n<p>Each step on this journey makes things a bit more real. A bit more sphincter tightening. Right now, I have no idea where I am, except that I&#8217;m in a place I&#8217;d rather not be. No diagnosis except a rising PSA. No treatment plan. Just the knowledge that somewhere in my body are cells working against my survival. <\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"alignleft is-resized\"><img decoding=\"async\" src=\"http:\/\/www.ancientrails.com\/wp-content\/uploads\/2019\/05\/death-Hendrick-Andriessen-1607\u20131655.jpg\" alt=\"\" class=\"wp-image-50556\" width=\"278\" height=\"214\" srcset=\"https:\/\/www.ancientrails.com\/wp-content\/uploads\/2019\/05\/death-Hendrick-Andriessen-1607\u20131655.jpg 1024w, https:\/\/www.ancientrails.com\/wp-content\/uploads\/2019\/05\/death-Hendrick-Andriessen-1607\u20131655-420x323.jpg 420w, https:\/\/www.ancientrails.com\/wp-content\/uploads\/2019\/05\/death-Hendrick-Andriessen-1607\u20131655-744x573.jpg 744w, https:\/\/www.ancientrails.com\/wp-content\/uploads\/2019\/05\/death-Hendrick-Andriessen-1607\u20131655-768x591.jpg 768w\" sizes=\"(max-width: 278px) 100vw, 278px\" \/><figcaption>Death Hendrick Andriessen 1607\u20131655<\/figcaption><\/figure><\/div>\n\n\n\n<p> It&#8217;s a strange place to be, ethereal, filled with fantasy. They&#8217;ll find distant metastases and I&#8217;m doomed. They&#8217;ll find a small, localized tumor, zap it with a Buck Roger&#8217;s ray gun. I return to a new life free of cancer. The disease is slow, but not fully treatable. I&#8217;ll have to live for years with an invader slowly gaining more and more territory. A losing game of go.<\/p>\n\n\n\n<p>I&#8217;m sleeping well, not overly distracted or anxious. Yet this is a moment of existential angst, the sort of moment that defines existential angst. Dante helps me see it more clearly. Here are the famous first lines from Canto One, modified just a bit.<a class=\"\" href=\"https:\/\/poets.org\/poem\/inferno-canto-i#\"><\/a><a class=\"\" href=\"https:\/\/poets.org\/poem\/inferno-canto-i#\"><\/a><\/p>\n\n\n\n<pre class=\"wp-block-preformatted\">Two thirds through the journey of my life\n  I find myself within a forest dark,\n  For the straightforward pathway has been lost.\n\nAh me! how hard a thing it is to say\n  What is this forest savage, rough, and stern,\n  Which in the very thought renews the fear.\n\nSo bitter is it, death is little more...<\/pre>\n\n\n\n<p>&#8220;<em>But, since it came to good, I will recount all that happened there<\/em>.&#8221; This is v. 4 of the Canto and my hope. We&#8217;ll see.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Another big medical week. But they all seem to be right now. Minor: had my teeth cleaned yesterday. &#8220;Your teeth are so clean.&#8221; Hygienist. So one part of my body&#8217;s in good shape. Kate and I visit Ed Smith today. He&#8217;s the surgeon who will, we&#8217;ve been hoping for several months now, implant the j-tube. &hellip; <a href=\"https:\/\/www.ancientrails.com\/?p=50550\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">A Cloud of Unknowing<\/span> <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[14,65,127,4314,3907,4317,3996],"tags":[],"class_list":["post-50550","post","type-post","status-publish","format-standard","hentry","category-faith-and-spirituality","category-family","category-health","category-jefferson-county","category-reimagining-faith","category-shadow-mountain","category-third-phase-2"],"_links":{"self":[{"href":"https:\/\/www.ancientrails.com\/index.php?rest_route=\/wp\/v2\/posts\/50550","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ancientrails.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.ancientrails.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.ancientrails.com\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ancientrails.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=50550"}],"version-history":[{"count":5,"href":"https:\/\/www.ancientrails.com\/index.php?rest_route=\/wp\/v2\/posts\/50550\/revisions"}],"predecessor-version":[{"id":50559,"href":"https:\/\/www.ancientrails.com\/index.php?rest_route=\/wp\/v2\/posts\/50550\/revisions\/50559"}],"wp:attachment":[{"href":"https:\/\/www.ancientrails.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=50550"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.ancientrails.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=50550"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.ancientrails.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=50550"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}