Sunday, November 10, 2013

Words --- Expectations

      I was not completely surprised when my wife, Judy, died. The beginning of the end had started almost two months before, when her oncologist finally stopped the series of chemo treatments that had made her miserable for years, but no longer held her breast cancer in check. This was after her tumor marker had climbed to 480, and after a CAT scan had revealed widespread nodules throughout her body. And, yes, her breast cancer was “lazy” or very slow growing.  She had first been diagnosed with breast cancer over 20 years ago.  Her doctor was far more worried about his other patients who had tumor markers in the thousands. But it was at that point in Judy’s treatment that it seemed like the doctor had given up to the inevitable. He had tried everything and nothing was working. (Except “SpongeBob,” which had actually brought her tumor marker down two years before, but the side effects were too agonizing to live through again.) Then the doctor went away on a three-week vacation.

      Judy’s death was not unexpected.  I knew something was wrong in mid-July when Judy called me at work, at 10:00 o’clock in the morning, in tears because she could not get the sound to work on the television.  I had to come home and fiddle with the remote controls to fix it. It was something simple, maybe the mute button had been pressed on the TV remote.  So I wondered.

      That night she fell.  Twice.  The next morning I took her in to the Compass Oncology clinic and they ordered up an MRI then and there.  Judy had a two-centimeter tumor in her brain.  By that time she could barely speak;  she was unable to find the words she needed to express herself.  After that I did not return to work at the office full-time for almost two months.

      The clinic prescribed steroids to reduce the swelling and in a couple of days Judy had regained most of her ability to talk --- and laugh.  But she still could not write; the tremors in her hands were too bad.

      On July 31 she underwent an hour and a half Gamma Knife (radiation) treatment meant to zap the tumor.  It became excruciatingly painful --- a 15 on their scale of 1 to 10.  For a woman who had borne two children --- under back labor --- and who lived with recurring, sometimes daily, migraines, for her to say that it was the worst pain imaginable, is saying a lot.  She remembered screaming in agony, but I don’t know.  All I heard from the waiting area, were the Doctors and Nurses telling her, via microphone into the treatment room, that it was “almost over.”  The clock on the wall showed that she had another 25 minutes to go.  Sometimes pain is so bad that you cannot take a breath to scream;  so I don’t know whether she actually screamed or not.  But it gave her nightmares after that.

      After the treatment, we looked for Judy to improve in her ability to speak coherently.  She started out about the same, doing mostly okay.  But since, during this time, various doctors were prescribing lower and lower doses of the steroids, which had helped to reduce the swelling in her brain, until she was taking none at all, she was gradually going from better to worse.

      After our anniversary, August 9th, I posted the following on the poetry thread of Meg Cabot’s writing forum:

this is the last one
the last year
the last August
our last anniversary
I open the door and step out
into the cool morning air
to get the paper
and wipe away tears
Soon
too soon
it will mean less
without you

It's in the small things
that I feel the death-train coming
Your nouns are gone
Your verbs have left
You speak only in conjunctions
and long pauses
as if
in the silence
there must be meaning
and I should understand
but I don't

You laughed with joy
today
I pray
it won't be the last time
And you cried out in fear
terrified that I didn't hear
but you are still here
with me
It's all right

Soon
too soon
there will come a time
when you won't know me
when I'll have to give you up
to other people
to take care of what's left
of your body

Jim Morrison said it well—
at least
in the first few bars —
"This is the end
Beautiful friend
This is the end
My only friend, the end
Of our elaborate plans, the end
Of everything that stands, the end
No safety or surprise, the end
I'll never look into your eyes...again"

Happy anniversary, my love
I know you'll forgive me
for not mentioning it
Only five days ago
You knew it was coming
But today
You didn't remember
and there is no guilt in love

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