Biopsy results in

On yet another warm autumn day in Buenos Aires, I went to Hospital Penna to get my stitches removed. Being a veteran at this stuff, I showed up 2 hours after the 8 AM callback, ’cause they never see me before 10. What can I say? I’m sick of waiting around.

That all went fine, although it’s a strange feeling, thread pulling through underneath my skin. It vibrates as it’s tugged through; it almost makes a sound. Then I asked about the biopsy on the piece of my colon they removed. This young doctor — cute, short, brown — had forgotten about it. Not that it’s important or anything. When he got back he just looked at it, half-smiled and nodded his head.

Well, WELL? I was thinking.

He said a paragraph or two in Spanish that I couldn’t understand other than to tell me that I needed to get a couple copies made and bring one back to him.

I did, just around the corner on the hospital’s campus, and on the way back thankfully ran into one of my main doctors, Cinthia. She told me, in Spanglish, to make sure that my oncologists at Marie Curie got a copy and to come back the following Friday to Penna, for what she didn’t say. I’m assuming it’s for a pre-surgery consult. Yes, I still have another surgery pending — to remove the colostomy.

I told her, wait, I don’t understand this piece of paper.

She looked at it, mumbled some stuff in Spanish and said, “No hay tumor.” I knew what that meant but just to make sure I understood that, she said, “Muy bueno. Excelente. MUY bueno.”

There was no cancer detected.

I’ll let my oncologists have the last word on this one, sometime next week if I can manage to get an appointment; but, for the moment at least, I appear to be cancer-free.

Do you have 10 bucks worth of support in your pocket?

Update: So far, 4 people still care.

Hola desde Buenos Aires!

This is Rick, someone you donated to help keep alive at some point. Well, I’m happy to say, it worked.

I just came out of surgery on the 15th of April and it went better than expected. If you remember, my most recent scans had indicated that the tumors were so small that they could no longer be detected on my liver or peritoneum.

The surgery was intended to find whatever cancer remained and remove it.

You can imagine my shock, after lots of bad news, and after waiting for over a year, when they told me they didn’t find any cancer.

Let me repeat: No. Visible. Cancer.

That doesn’t mean it’s not there, just that they can’t see it. But, wow! Right?

My next surgery in about 6 weeks will be to remove the colostomy. After recovery I can hopefully begin living a normal life again.

Although I’ve started writing for the UK version of ehow, they haven’t published any of my articles yet and I’m scrambling to find the skills to right like that.  I’m finally able to do art walks again, I think, but it’s turning cold here and tourism is down. I’m down to my last 6 pesos, and still need to eat, still need to buy medical supplies, will need to pay rent again in 2 weeks.

So I’m returning to the well of generosity once again in hopes that there’s still water there to draw from.

But, I’d like to do it somewhat differently. Please donate USD $10 if you can and then ask and encourage a friend or colleague to do the same via social media, or better yet, email.

Share my blog. If you found this on Twitter, retweet it. Share with your friends on Facebook.

If 100 people donate $10 I can breathe easy for a month or so, and the impact on any one individual’s wallet would be negligible. My total follower/friend count online is 50 times that. Yours probably is, too.

You’ve already helped get me this far. Please help me cross the finish line — it’s so close! — and thanks so much for your support.

My PayPal address is mettray at gmail dot com.

Do you have 10 bucks worth of support in your pocket?

Senses of self

There were no mirrors in my private hospital room’s toilet so I hadn’t seen myself for almost a week. It should come as no surprise to anyone who’s met me in person that I don’t pay that much attention to my face anyway. What’s there to see? Crooked glasses; an unwillingness to shave the salt ‘n’ pepper; a chin with a tendency to droop when I drink too much; wide, angry eyes.

When I have to look at my body, my torso — when changing my colostomy bag, for example — I tend to just look down. It’s somehow less disturbing that way to see the changes my body’s undergone after peritonitis, two emergency surgeries, a radiation cycle, and several cycles of chemotherapy: A buried navel once wrenched to the right but now nearly covered, a suspected incisional hernia which I’ve never had the patience or will to have diagnosed, undulating folds of bulging belly-flesh that make me wonder what’s under there, a chronic blister filled with black blood, a souvenir from Hospital Rivadavia.

Coming out of the hospital and crashing for a night with friends in Congresso, I looked in their mirror and saw a man who had made a spectacle of himself in a way that most cancer patients do not. Or don’t have to. I’ve detailed the humiliating aspects of my colostomy bag, the frustrations of managing the public health care system in a foreign country, the anger of knowing that another human being wants to destroy me, the depression of poverty and isolation and living without the primary support of a partner, spouse or family, the bizarre conundrum of not really wanting to die anymore and yet not being able to see another way out, except for more pleading, more writing and more spectacle. Writing in this way means an additional level of embarrassment when going out, over and above the kind that’s there for every terminal patient still trying to have a social life — no one really knows what to say to you. Those with the weakest character usually end up saying nothing, or something stupid, which is kind of a relief, sometimes of the comic kind. (Some kind soul actually said to me, back when the watchwords were Stage IV and metastases, Get well soon!) But sometimes everybody ends up saying nothing, which is no comfort at all.

Now that I’ve finally made it past the surgery (after, what, 4 runs at it?) and having received the startling news that there is no visible cancer, I don’t know where I am or what I’m doing. I still have the colostomy, but in a little less than two months, if I make it (see: poverty), I’ll have another surgery to remove that, and then… what?

I’d like to start digging ditches, something physical, something far, far away from social media. You’d think because social media helped save me, that I’d be a booster. You’d be wrong. I’ll really become a misanthrope if I get another like on life-threatening or life-altering or life-changing bits of writing that I’ve wrenched out of myself like the catheter the nursed pulled out of me last week, taking two tries — it was a long fucking tube. I don’t want to be liked, in that way anyway, and I don’t think I’ve written in a way that makes that easy. Honest writing really isn’t all that likeable. Yet, they tell me, it goes viral.

But still, I would like to stop it, stop writing. About cancer, about anything. I want 5 years at least of cooking, eating, fucking (if I can figure out how to disrobe in front of another human being without the act itself being the point), working out, even, maybe. Anything to forget the body that I was, the mind that made it so.

I imagine myself standing alone, looking out into a dark so black and smelling an earth so rich as to make me forget the smell of my own drying blood, an iron odor that’s far too familiar. I want blurs of banal experience I would find tedious and pointless to construct paragraphs around and others would find tedious to read: Smoking silently on a new friend’s porch, drinking an unremarkable beer, conversation revolving around produce or how blue the sky, unpressured with confessions or admissions of mortality or weakness, with everyone around me forever clueless to my scars or scabs, or the memories of shivering violently, naked under a sheet, a fresh, foot-long Frankenstein-slice in my belly, on a gurney with no one who could speak with me within earshot, or even walking distance, eyes squinted closed like a newborn’s, and weeping.

Incision. Hospital Penna, Buenos Aires, 2013.

Incision. Hospital Penna, Buenos Aires, 2013. Photo by Kate Sedgwick.

What comes after

I died once. It wasn’t a big deal at the time, at least for me.

I was out cold on an operating table during a surgery to remove the remaining cancerous tissue in my colon, and also to reverse my colostomy. But in a chain of events that the doctors later had trouble explaining to an Argentine friend, I went into septic shock and stopped breathing. My heart stopped. I was resuscitated and put into intensive care where I woke up 5 days later.

I wasn’t told about the dying part, and only in bits and pieces over time, until I was out of the hospital. My friends knew but kept it from me when I was in the hospital. They didn’t want to upset me. It’s a bit sad that they didn’t know me as well as I thought they did.

I died. I was revived. Nothing happened in between. That’s exactly what I’d expected. That was exactly my belief, and now my own experience had confirmed it. That’s a comforting thought, not a troubling one.

I didn’t see a light. I didn’t see my mom or dad. I didn’t even see Johnny Cash, although under the influence of painkillers I had vivid, psychedelic dreams about limbo and the afterlife where I met Hank Williams and Jean Genet on a bridge to nowhere. And there were trolls.

In fact, the thought of a eternity of afterlife, no matter where it’s spent, sounds pretty scary. Now I know, in an immediate way more important than simple faith or studied belief, that there will be an end to things, to everything, and it’s nothing and nothing to be afraid of.

Note: I’ve been assured that surgery will proceed, finally, this coming Monday. 

This tunnel has no light

I was turned away from the surgical hospital for the third time this past Sunday. Or maybe it was the 4th. I don’t know anymore.

I wasn’t the only one turned away but I was the only one with a friend there to chew out the young chubby doctor, who was trembling by the time Kate got through with him. I didn’t feel sorry for him. He’s a doctor; he needs to experience that and worse. I’ve seen him strolling around the campus of the hospital — a bit too flip and confident for my sense of propriety, considering where he is and the responsibilities he has.  And he proved how flip he was by saying my being turned away was not his problem.

Kate took the news a lot worse than I did. i guess I’m used to it by now.

I now have to decide whether to pursue other treatment options or live out what life I have left as comfortably as I can. My friend Gabi has composed an e-mail to the head of surgery at Penna explaining my situation, and asking for his advice. It’s something he or someone on his staff should have had the sense or the balls to do a long time ago:

We’re sorry, Rick, but no surgeries are possible here for the foreseeable future and so considering how important it is for you to get that tumor cut out in a timely manner, we suggest you try another hospital. We can help you with that.

Instead, they’ve simply strung me along, following some sort of ridiculous bureaucratic protocol that ends up inflicting more suffering on an already suffering person. False hope, really, is the worst thing you can offer someone. And they’re doing this every Sunday to every group of people that shows up to be admitted and then turned away, not just to me. As a friend suggested, that in itself is a violation of the Hippocratic oath. And there’s just no justification for it.

But anyway, I give up on Penna. It’s not going to happen and I just have to face it. I also have to face the growing discomfort emanating from my abdomen, where the latest lesions have spread. Oral chemo is little help when it’s metastasized in the peritoneum and intravenous chemo, which I refuse to accept anymore anyway, helps only a little. There are experimental procedures that I’ve read about on the Internet but my oncologists haven’t mentioned them. They’re probably too expensive for a public hospital and aren’t standard in the States, either.

So that’s it. The only encouraging note is that somehow the cancer has not mutated and continues to respond — in the colon and liver — to oral chemo. My body seems to be holding on, although I get tired a lot easier than I used to. But still, I’ve already beat the odds, not unlike my mom did when her liver started to fail.

My birthday is next month. I’ll be 51. I was diagnosed with cancer in December 2010. Many of the people I used to see at Hospital Marie Curie Hospital have died. But I’m still here.

Essentially homeless and leaking money, but still here.

If you would like to donate — money that, at this point, will be used to live life better and die a comfortable death some unknown time in the future — you can PayPal me at mettray at g mail dot com.

A fool in April

If all goes well, I’m going to miss the next Second Story Buenos Aires, and that sucks because I thought of the theme — PARANORMAL — and I believe I have a good story. It’s my one and only true UFO story. You want to believe, right?

And I want to believe that the little piece of paper with two stamps from doctors on it and a date really and truly means that I will be admitted to the hospital for surgery on April 7. (Basically, Kate pulled the suicide card to get their attention, otherwise I’d still be ignored.)

I won’t believe it, however, until I’m counting down from one-hundred under the anesthesiologist’s rubber-gloved hand.

But anyway, that is what it says will happen and for some fucked-up reason I’m holding on to hope.

If this turns out to be another fake-out like the last three, I’m done. Seriously, I’m done. No more chemo. No more doctor’s visits. No more attempts to get a surgery date. I can’t go through this anymore. I won’t go through this anymore. I’ll live out whatever time I have left as best I can in my current condition — with a tumor in a my gut, lesions on my peritoneum and a colostomy bag taped to my beer belly.

I’m not dead yet

Back when I was living in the slug-infested flophouse, waiting on an appointment to get a PET scan, I researched how to kill oneself and found Final Exit. The book details several methods, including pills, slicing one’s wrists and others. But it only recommends one — plastic bag + helium. It’s quick, painless and, if done correctly, ensures death. So the book says.

This book isn’t obscure. You can buy it on Amazon. So I wondered why I had never heard of this method before, especially if it was as effective as the books says it is. In pop culture, potential suicides either take pills, shoot themselves, hang themselves or jump off buildings. They’re all very dramatic but all of them have the potential to fail.

So what’s wrong with the bag?

it’s creepy, for one. I tried on a couple bags for size, as the book suggested to practice before going through with self-delivery — its term for suicide for terminal patients. Even without the presence of deadly gas, the experience wasn’t pleasant. I decided, then, that I couldn’t do it. It made me feel panicky  a little queasy, and for some reason my mind flashed back to one of the strongest images I remember of the time immediately following my mother’s death: Coming back to the house after her funeral, the floors were scattered with her empty shoes and slippers, tiny and old-lady feminine. They were the saddest things I’d ever seen in my life.

The bag is also a bad look. I imagined what I would look like when found — slumped down in the bed with a plastic bag that advertises Adidas — looking ridiculous, in other words. I wasn’t ready.

This past Sunday, I tested a few bags for holes and again put them over my head. I didn’t panic. I just worried that the one that was tall enough wasn’t wide enough. Other pressures had overridden my vanity and fears.

I’d gotten to the point of being mostly practical, taking a calm assessment before making a final choice, which, thanks to intervention, I didn’t have to make.