Sorrow - Worries - Fears - and Gratitude

I've been seeing a counselor / therapist for about 3 years, discussing various aspects of my life and how I could make changes etc. Sometimes I felt as if I were just complaining and not getting much accomplished between each session. Since last year's cancer diagnosis, our conversations have changed to how I'm feeling, how I'm coping with stress, how my illness is affecting others, and what I want to do with the remaining time I have.

Yesterday I mentioned to her that some people have said minimizing my troubles isn't good, that I should feel free to wallow in my sorrow and worries. I said I don't feel that I'm minimizing, I just recognize how fortunate I am - in the midst of the unluckiness of being that woman who has this rare cancer. 

Preparing For My Death

Today I had my second trabectedin infusion. It's in the tote bag that I'll carry everywhere until tomorrow afternoon, when the chemo clinic RN will unhook it from my port. I'm not sure what to expect these next few days - the first infusion caused me a lot of weakness and lethargy on Saturday and Sunday. By Monday I felt better, good enough to go to work, but side effects continued for over a week.

I've been working on getting a few things wrapped up, such as writing my will, closing out old accounts that aren't used anymore, and sorting through paperwork. So much paperwork! And more arrives everyday.

Yesterday I had an office visit with my oncologist Dr T. He took notes on what my side effects had been. CT scans will be after the third treatment to see any progress. We discussed what would happen if the trabectedin didn't work - "Would we try the other regimen, the doxorubicin and ifosfamide?" I asked.

He paused, and said, "Maybe. But those drugs have even worse side effects." He wants me to think about how I want to live my last year. Trying to fight this? Or just accepting it and going for palliative treatment only, which would make me feel better but not do anything to slow the cancer progression.

If I'm Dying, Why Don't I Feel Like it?

If the new chemo treatments don't work, Dr T said I probably have less than a year to live. Maybe just 6 months.

That seems unbelievable to me, because most of the time I feel healthy. A few aches and pains, this week I have a dry cough and throat, but I don't feel as if I'm dying. I'm working full time, getting things done around the house, running errands, and just living my life as usual.

"Dying in 6 months" sounds as if I should be limited in my activities, having multiple days where I don't feel well, lethargic, disinterested in life. And that's just not what's happening.

The Uncertainty of Cancer

Everyone knows she will die.  I don't know at what age we realize that. What mental capacity is needed to grasp the concept? Most of us, all of us probably, have trouble actually believing there will be a time when we no longer exist in our current state.

We know this intellectually, though. Just as we know the earth is constantly spinning at about 1000 miles per hour, that the sun will always rise in the east, that the Oxford comma is absolutely needed in some sentences - but for the average person, the knowledge of our mortality is safely tucked away in the back of our brains, only pulled out at the death notice of a close friend or family member, or more viciously hauled into the front of our consciousness at a funeral. Visiting a graveyard later reminds us that our bodies will at some point fail us.

For a person with a severe health diagnosis, whether it be a recurring type of  cancer or something else insidious, the specter of death is ever present, perched on a shoulder and pressing down, talons digging in sometimes to keep her aware that time is limited, lifespan is short, there may not be many tomorrows.

And yet - there might be. That's the quandary. Live as if death is sooner rather than later, or keep on the regular timetable and continue with everyday things?