As with any cancer patient, I am frequently asked how I am doing. And as with any cancer patient, the answer is, well, complicated. So I thought I would elaborate not for the sake of sympathy, but to create a window for others to peer into the daily life of a cancer patient. In so doing I hope to raise some awareness of the plight of not just cancer patients, but also other terminally or chronically ill people.
Cancer patients and other ill and disabled people are usually regular people like you and formerly me. One day we felt something and went to the Dr. hoping it was no big deal. With most of us, that one Dr. Appointment changed our lives, often the rest of our lives. We measure our lives as before and after that Dr. Appointment. Things are not the same as they were before, mostly worse. We are all one Dr. Appointment away from such a life change.
I can never predict what any 24 hour period will be like for me. I seldom get excited about anything and dread the slightest challenge. I can schedule this or that and can usually follow through with what I have scheduled, but sometimes have to drag my way through it. Keep in mind my schedule is nothing like it used to be. I work about 10 hours a week. I sleep more and take naps. I try to not schedule more than one event per day like a Real Estate appointment or coffee with a friend or an hour or two project at home. Only one. A couple of hours is usually the limit. Energy for a given day is like sand in an hourglass. When it’s gone, it’s gone. The rest of the day is rest or I will pay dearly the next day or up to several days. Life is like climbing a hill every day and never reaching the top. All this to say that fatigue is a huge part of the new life of most cancer patients.
Side effects from treatments are a significant part of the cancer patient’s new life. Like the fatigue mentioned above, they affect every day and night. For instance, I have infected fingernails and toenails. This is something that one wouldn’t even think of as a side effect. It is amazing how painful they can be. And it is amazing how often you use every finger! Typing is painful. Putting socks or other clothes on is painful. And I seem to be forever bumping my fingers into something! So I treat them daily in hopes of some relief.
I have had up to 30 mouth sores at a time. We all know how painful and irritating one mouth sore can be. Multiply that times 30. I am seldom without some mouth sores and treat them throughout the day and night. Eating and keeping on the weight is a constant challenge. Often one’s appetite suffers. Many cancer patients die from malnutrition. Sleeping is not easy. So I take pills to do that too. “Chemo brain” is what we call that inability to remember things or think straight. I often have no idea what the name of the person I am talking to is.
I hesitate to bring this up but most cancer patient’s bathroom visits change drastically with chemo. And not for the better! Sometimes it is often and usually it’s intense! Sores develop, blood from areas that aren’t supposed to bleed, and cramps. Life can be going as expected and then the unexpected calls! So I take medication throughout the day and night to try to beat the bowels into submission.
Often cancer patients experience frequent nausea. Sometimes we spend days in bed. Talking is exhausting. Phone calls often have to wait. Going to church requires lots of rest before and after. Life is just plain challenging every day. And this doesn’t include when surgery is necessary, financial hardships, insurance battles, clueless well-meaning friends declaring the next great cure for cancer and questions like “Where is your faith?”
Close family and caregivers suffer considerably too. They try to help all they can but still have to watch someone they love suffer every day and night. They are with them through the victories and defeats. They love the patient when the patient is irritable or slowly becomes someone who looks nothing like the loved one they once knew.
Add to this the terminal prognosis. For years I have looked death in the eyes every day. And they still tell me it’s coming. It’s hard to explain the effect this has on the everyday life of both the patient and loved ones. Every scan brings what we call in the cancer world, “scanxiety”. What will the next scan reveal? Will things be better or worse? Will it announce the need for yet another drug and subsequent new side effects, or will it announce the beginning of the end?
Well, again, I am not looking for anyone’s sympathy. The grace of our great, compassionate God is sufficient for the day. I just want to communicate what most of us don’t’ think of when we are healthy. I know I didn’t. Life for the ill has completely changed. It is a challenge every day and night. I add night because night is a very big part of the struggle for the ill. I think of those chronically but not terminally ill I have known for years. I never really considered what they go through every day. I certainly never did much to help them. I prayed for them occasionally but casually. Not anymore. I feel their pain and pray like I get it. Maybe a brief window into the life of the ill or disabled will help you consider how you can help make their lives and world a little bit more tolerable. Help them with a project at home. Bring them a meal. Go with them to an appointment if they have no one to go with them (and you don’t know that unless you ask!) Send them a card or message that you are thinking of them. And most of all, pray like it is you suffering. You are just one Dr. Appointment away from being them.