Monday, October 24, 2011

Continuous Deluge of Disaster

First and foremost, thank you Allie for the diaper coupons.  I’ve been holding on to them, waiting for us to hit bottom to use them.  And this week, bottom hit us hard.  The diaper coupons really, really helped.  The baby is so prone to rashes.  We have to change him religiously or he gets nasty rashes that are so hard to clear up.  He has a small rash right now.  We’ve been staying on top of it.  But we go through diapers like crazy until it heals up.  We even try using homemade diaper inserts to conserve.  Thank you so, so much.

I wrote earlier about HOPE.  HOPE is the worst thing a terminal cancer patient can experience.  HOPE is thrown at you from all directions by doctors, health care workers, everyone to prevent one thing – suicide.  I don’t understand it.  The health care workers are so adamant that cancer victims fight for that last breath, that last minute with family – to what end?  The cancer victim spends their last days puking and shitting themselves to death.  They are so sick that they want absolutely no company.  Conversations and socializing are just a painful task that reminds them they are dying.  What’s the point?

Against my best decision – to die with dignity and plan my last moments while I am still alert and able – I let my family talk me into staying long enough to try the surgery.  Keep in mind, the surgery is not a cure.  I am terminal. Surgery – if it is successful – only extends my life a few years.  And during that extension, I must deal with the aftermath of the surgery.  I will have no esophagus.  Nutrition will occur through a plug in my stomach wall with a nightly drip.  All food by mouth will be soft – baby food, pudding, jello, etc.  Many surgeries will follow the first, in order to widen the scar tissue in the throat for breathing, to plug leakage, to clear paths for swallowing, etc.  And I agreed to all this simply to make my family happier with the upcoming finality of my life.   

The past two months have become sort of a lull while waiting for the actual commitment to the surgery by the surgeon.  I sit here waiting for the continuing deluge of disaster.  And sure enough, it hits … our furnace and hot water heater went out all at the same time.  The furnace is 50 years old.  We did an $800 repair on it December 2009.  But now it’s lost its last leg and is leaking carbon monoxide.  It cannot be repaired and must be replaced.  At the same time, the water heater has also ended and must be replaced.  Estimates for the furnace have run $3800 to $7000.  The water heater will be about $400 installed.  On top of all that, the 50-year breaker box on the house also has to be replaced to handle the new furnace and other electrical items.  The breaker box has been flipping out every time we start the dryer or washer, or try to run a microwave or other type of appliance.  The box is so old; they no longer sell the breakers for it anymore.  Cost estimates on that have been offered at $700 to $1800.  That’s almost $10,000 in repairs due all in one month.

At this point in my life, it just doesn’t matter.  It’s like putting a bandaid on a gaping wound.  If something costs $100, we couldn’t afford it.  So $10,000 might as well be a million.  The only way we can handle this will be to scam it.  See if we can get financing for it and then hope we can make the $100 payment for a couple months that is also totally out of our reach.  I will have to sell our food and some of our bare furnishings just to make a couple months of payments.  We’re thinking about selling our queen bed and using some old twin beds for ourselves that we were unable to sell before.  And I have one ring left, I’ve been unable to sell.  I’ll try to sell that again.  I hate having this to worry about when I’m going to be having surgery.  The doctor says I need to be stress free prior to the surgery to help it be a success.  Well, that’s easy for him to say when he drives to work in his BMW after stopping at the Wynn for lunch and giving his landscapers instructions for his new yard.  He has no concept of being poor and dying poor.

My father always told me, “If it weren’t for bad luck, we’d have no luck at all.”  And it’s been true all my life.  Bad first marriage choice.  Thirty years of crap with him.  Years of fighting with an ex spouse over custody and child support.  Years of staying with him – for the children’s sake.  Elderly parents who are dying slowly and who need my care.  A child with a drug problem.  A grandchild with learning disabilities and seizures.  But I dealt with these problems – all this bad luck, and I think I dealt with them well.  I loved being a super mom.  I involved my babies in sports, soccer, cheerleading, drama, dancing, and just anything that added to their lives.  I drove a van, picked up their friends, planned great parties for them, camped with them – and enjoyed every minute with my children.  My children and grandchildren have been the one bright light in my life.  I loved rocking and smooching my babies and grandbabies through their sickness and happiness.  As my parents weakened, I responsibly stepped forward to provide their care without regret. 

Other than my children and grandchildren, I had little to no happiness in my life, and no good things to enjoy or celebrate.  Then my second husband came along, and I thought my “luck” had changed.  He was the dearest, sweetest, most loving man – and still is.  I would think, “If I can grow old with him then I cannot want for anything else.”  I didn’t care about losing everything and becoming dirt poor.  I didn’t care about leaving my beautiful home and moving in with my parents to take care of them.  I didn’t care about things like nice cars, fancy clothes, elegant dinners, or expensive vacations.  My children and he were enough!

But bad luck is part of my make up.  It follows me and pounds me into the ground.  Not long after moving in my parents, I was diagnosed with several debilitating diseases all at once.  So much for growing old with the new love of my life.  Within the timing of one year, I was diagnosed with rheumatoid arthritis, severe degenerative disc disease, fibromyalgia and multiple sclerosis.  Of course, multiple sclerosis was the worst diagnosis among the bunch.  It meant that would die much sooner than the ordinary length of life, plus I could end up in a wheelchair for the last few years.  The MS was very active when diagnosed and at the time I was experiencing weakened limbs, my legs collapsing under me, and vision problems.  All this was going on while I was providing end-of-life hospice in-home caretaking for my mother.

I faced it all.  If this was the end of life for me, I could handle it.  I had anywhere from three to ten years before the multiple sclerosis symptoms were severe enough to take away all of life’s pleasures.  I planned to enjoy my husband as fully as possible before I became incapacitated.

Then the bad luck struck again.  Over and over through my life it strikes.  Never giving me any rest.  A big black cloud floated by me and grabbed my throat, squeezing the little life I had left out of me.  CANCER.  Not just any cancer.  Not breast cancer or some cancer that has great bounds of donations and research for cures.  No.  It had to be a rare cancer – Esophageal Cancer.  And the diagnosis had to come after it hit the non-curable point – Stage 3 to 4.

Treatments, a small lull, upcoming surgery … more bad luck.  Over $10,000 in repairs strikes all at once for a new furnace, water heater and electrical breaker box.  Things we cannot live without.  Even if we try to finance the furnace and electrical items under my father’s credit, can we even afford the payment?  Not likely.  Plus we still need to scrape up enough to replace the water heater.  Why am I depressed?  Because I never see the rainbow.  All I get is the down pour of continuous black rain and lightening.  I’m so very, very tired.  I just want to go to sleep and not wake up to another problem or more blackness.  I would love to wake up to just one morning of bright skies, shining leaves, and flowers – but that’s probably just a description of someone’s funeral.

Tuesday, October 11, 2011

Still alive, maybe not for long

So, I lie here and choose – Do I want a few more months with my family?  Or do I buy a lottery ticket that either takes those months away or makes them longer?  What would you do?  My family is pushing for the lottery.  I just dont know.

I'm still alive and mildly kicking.  Had the flu all week in our house.  First the baby for it three days, then I had it for three days, and then it spread throughout the family and home.  Then I had another PET/CAT scan on Friday, right at the end of my flu run.  I had to drink that nasty barium swallow and they gave me dye for the first time.  I didn't get dye or barium before due to my allergies.  Those items just set off the flu symptoms again.  I spent the entire night puking and with diarrhea.  The whole weekend I was so weak.  I am still suffering from stomach cramps, lack of appetite and weakness today.

I have another doctor appointment today.  I dread going.  I really don't want to know the results anymore.  It’s always bad news.  I’ve had enough of that.  The results are setting me up for surgery with a doctor who is not as experienced in this type of surgery, at a regular hospital, rather than an experienced Esophageal Care Center.  The chances of survival are much, much lower if not completed at an Esophageal Center by a doctor very experienced in the surgery.  They are scheduling me here with the much less experienced doctor.  My survival rate for surgery here in Nevada is probably 5-9%, but at an Esophageal Center, I could have as much as 25% if it’s a good center.  You usually choose the surgery to be completed at the best center.  I don’t have that opton.

So, it's a roll of the dice, almost literally.  With no further treatment, they figure I will die before January.  With just chemo, it gets real iffy because the chemo makes me so sick.  With chemo, if successful, I might have another six months or I may have a heart attack from low potassium problems.  Within the next couple weeks, months, the tumor will invade my lung wall further and make breathing difficult.  It's already difficult to lie down and sleep, because it makes me cough mildly all night and also the stomach acid rolls up in my throat and tries to drown me.  The acid also burns horribly when it gets in the throat.  I will probably survive the surgery day itself, but it’s likely the surgery aftermath of leakage and infection will kill me within two to four weeks after the surgery.  So here are my only options:  (1)  No surgery, but maybe chemo, and I get to live until Christmas or maybe a month or two more, or maybe die instantly of a heart attack from the chemo side effects.  (2)  Or, submit to the surgery and possibly die during the surgery (3) Or have them open me up and close me immediately during surgery saying the tumor is too difficult to remove and spend my last weeks recovering from my body being opened from neck to hip, (4) Or survive the surgery, but spend my last few weeks in the hospital dying from infections and/or leakage around the stitching, (5) Or, get very, very luck and survive the surgery, survive the recovery and actually hit the less than 16% who live another 2-5 years, maybe before the cancer spreads again and kills me.  So, I’m rolling the dice for 4-6 months of life, 4-6 months of life with several months of puking, instant death within a week or two, slow agonizing death within a few weeks, or hit the lottery and live a couple more years.      

The only sunshine on the horizon has been my Patient Advocate.  She has worked so hard calling my doctors and everyone, hospitals all over, every place she can think of. I assisted, sick as I am at times, and tired as I am.  I am sooooo tired.  I sent out almost one hundred letters to organizations, groups, Esophageal Hospitals, doctors, and more begging for the donation of the surgery at a real Esophageal Center.  But my Patient Advocate is also on her last options.  She is currently in contact with UCLA, a last hope, but it’s not looking good.  They have already turned me down personally, so I’m expecting that she will get the same answer.

Can you believe this?  One of the responses suggested I obtain residency in their state to qualify for the surgery.  Residency was six months.  In the meantime, I would receive absolutely no medical care.   I told them I had only a few months to live without the surgery.  They told me it was worth a try.  Numbnuts!