28 June 2019
I have 3 announcements.
1) Tonight is the first night in nearly 7 weeks I’ve had a significant bellybutton.
2) I have a third nipple.
3) The last part of this blog digresses into Fecal Matters, because for better or worse, these Matters provide insight into my illness, my treatment, and my recovery.
1) Let me explain the first phenomenon. Since early May, the fluid collection (ascites) was so bad in my lower abdomen that it made my skin tight and unnaturally stretched. One of my few early topics I could joke about was my bellybutton had almost become unnoticeable. On May 9th, when I went to my nurse, I laid down on the table without my shirt and that’s one of the first things she said was “you have no bellybutton!” to which in exasperation I replied, “I know!” She asked if it’s always been like that and I continued, “No, I’ve always been an ‘innie’. This is why I know somethings wrong.”
This visitation from my old traveling partner is significant for several reasons. There’s an Isaac Asimov science fiction story about a time when people live on many planets across the galaxy. Naturally one wants to visit these far-flung places either because relatives or for vacation. Space travel is expensive, so one way to save money is to have a clone of yourself made there and your consciousness is projected into it. The only memorable detail about the story to me now (25 years since reading it), is that the clones are missing what? Can you guess? A bellybutton! I don’t remember the plot or the intrigue. I haven’t even remembered the story for almost as long until tonight, but I remember that fact.
Two more examples on the what a healthy belly button means. I cut the umbilical cords of both my daughters. Actually, the nursing staff disconnect the cord from the placenta, but they leave about a foot of cord available so the partners can do the symbolic honor while the mother recovers. Then there’s about an inch of cord left which slowly dries up and falls off in about a week. Some forward thinking people collect this scar tissue when it falls off and perhaps put it in a keepsake Christmas ornament or vial. I don’t remember what happened to ours.
2) Now about the second phenomenon. The third nipple. According to my trusty kindle edition of “Malleus Maleficarum”, the prime textbook for witch hunting since 1485, when a man or woman has a third nipple, it’s so the devils can latch onto him or her and infect them. Much has been said in disproving this theory in recent centuries, namely the unhappy coincidence that a small percentage of people are born with them naturally. For these men and women born in the wrong centuries, good luck.
My third nipple is not natural. It’s a “Bard Power Port” according to the medical wrist bracelet they gave me. Tonight is the first night the incision point wasn’t too sore or I wasn’t so unsettled by the very fact of the Power Port’s existence in me, that I was able to gently prod it under my skin with curiosity. Before, just talking about the port made me feel uneasy because the mere idea of the port installed so close to my vital organs was unsettling. It was installed last Tuesday so that my chemotherapy IV can go straight into my primary veins in my chest. This is important because the chemo drugs are so toxic they often just burn the tiny veins in the arm. And for those whose veins aren’t burned, it takes longer to take effect. They installed it and the following day I got my first dose of chemo blasted into my chest. After the mostly uneventful experience of the chemo treatment itself (I felt almost nothing except a slight nausea that ripened over the next day and half), they gave me a door prize of a pump to wear around my shoulder. The pump is plugged into the port and over the next 2-3 days I wear it while another dose of 117. Mg of something (don’t remember drug) is slowly fed into my body. Please notice I said “2-3 days”. I had chemo on Wednesday and went back on Friday to remove the pump, per their instructions. When I got there they said a clamp hadn’t been removed from the hose, and the pump’s pressure warning malfunctioned. The LCD display not only didn’t say there was a blockage, but kept counting down the dose and making pumping noises AS IF everything was fine. They apologized by insisting “that never happens”. Except to me. What’s the name of a dimly remembered James Bond movie? “Never Say Never.” (I know nothing of the film except the title because it’s so true to life.) So, they gave me a new pump, insisted it would work right, and told me to come back the following Monday.
Let me tell you the best part about the port. They say that once it’s installed, it can stay there indefinitely even though unsurprisingly people generally opt to remove it once they don’t need it. So after all this is said and done, I could opt to just leave the port in my chest so when I need a rare IV or blood draw in the future, I can offer the medic some encouragement, “Don’t worry about the veins, I have a port here for your convenience!”
3) Third announcement, Fecal Matters, begins here. Read if you want, or skip it.
Friday I was slightly less queasy (I drove myself), Saturday I was almost feeling okay but very weak, and Saturday night I began the painful experience of burning chemical farts with little to no poop. Sunday morning they evened up to ordinary diarrhea that thank God didn’t burn or cause any of the other familiar strain (if its ever ordinary to have diarrhea that lasts 36 hours at a rate of every 15 to 30 minutes without anti-diarrheal meds, and every hour when taking strong prescription meds.). They didn’t burn, but they possessed a chemical smell and acridity that is a special category of vile. Monday morning I ask the nurses if my body experience would have been more intense if the pump was actually administering the meds when it was supposed to. They said no, it still would have been gradual. Today is Friday and when I have a stool it’s just as fluid as 5 days ago, but now it’s only every 3-4 hours. From that first Wednesday with Chemo to the following Tuesday, I went from 152 lbs to 146 lbs. (bear in mind my healthy weight for nearly 17 years has been 165-170 lbs, and when I started this ride in late April I was 168 lbs. The effect of this weight loss on my psyche is almost as dismal as the physical discomforts I went through.
The other night I went to sleep at 9:30pm and woke up at 4am. 6 ½ hours of sleep that was continual and not interrupted by back pain, stomach pain, or bladder issues. When I went back to sleep I dreamt I was sharing this factoid with various people, so impressed and elated was I.