What NOT To Ask The Urologist...

After my recent setback at the oncologist office, I was not looking forward to my urology visit.  OK, no one ever looks forward to their urology visit, not even the urologist (I mean, who wants to look at that all day long?).   However, I was looking forward to it even less this time.
For anyone that hasn't had a urology appointment this is how a typical urology visit goes.  No matter when you have been there last, there will always be an additional 312 pieces of paperwork to fill out, most of them involve digging through your wallet for various insurance cards, IDs, addresses of estranged relatives, etc.  Right in the middle of the paperwork, they will call you back up to the counter and give you a cup.  This is not for drinking out of, even though it is already personalized with your name on it.  So then, you have to figure out what to do with all the contents of your billfold that are spread on the seat next to you to fill out page 188, paragragh H, subsection 22.3.1 of the form verifying that you read the Paperwork Reduction Act, while you go off to fill the cup.
Once in the restroom one of two things will happen.  It doesn't matter how much you have "studied" for your urine test, there will still only be these two options.  Option one, you stand there awkwardly with the cup in one hand, and..."it" in the other, like two gunslingers at high noon staring down each other, neither one willing to draw first.  You will stay like this for 30-45 minutes waiting for the flow to begin, which will happen precisely when you hear the nurse out in the waiting room calling your name.  Or the only other possibility is you start going immediately and your volume of output is approximately the  same gallons per minute rate of Lake Erie flowing into Niagara, which is all well and good, until you realize you are holding a cup with the capacity to hold the juice from a single grape.  At this point you have to decide, are you going to overflow on your hand or spray all over the room trying to set the cup down midstream.  These are the only two outcomes to the second situation.  Don't try to be a hero and think that you can pull off some great acrobatic move to save the sample and also keep the floor dry.  That kind of cavalier attitude will only result in wet clothes and/or soggy paperwork.
Once you have been called back to the doctor's office, you will remain sequestered there for roughly two and a half hours.  Around you will be pictures of kidney stones resembling medieval weapons...except with more spikes, disgusting diagrams of every genital malady known to man (and some animals), and cutaway anatomical models of sex organs that will make you never want to have sex again.  You will sit here alone in the Office of Horrors until you finally get the urge to pee because you drank too much water for the "cup" and as soon as you pull out your phone to try to get your mind off of your situation, the doctor will walk in and assume you are taking pictures of the plastic cutaway penis.
It is at this time, the doctor will ask you questions having nothing to do with why you are there. "Do you have to urinate more frequently at night if there is a full moon?  Have you ever tried to scratch the back of your knee with your elbow?  Do penguins sweat?  Do you like gladiator movies?" And if you are lucky, you drop your pants, get a quick slap and tickle, pull up your pants, and get charged a couple hundred dollars.  However, I am going to issue a warning!!!
If you have a serious concern, by all means, now is the time to ask the doc about it.  After all, it was my own insistence, after the nurse missed my cancer initially, that resulted in my cancer diagnosis.  Other than that I have found the best thing to do is DO NOT ASK THE UROLOGIST ANY QUESTIONS!!!  See, if it's time for a prostate exam, it's an important part of a male's health and we all need to unpucker and endure it.  However, any added information or question for some reason results in a bonus prostate exam.  I don't know if they get paid more per violation, or all the doctors have a bet, or what, but every question results in a buttsploration.  "Doc, is it normal for your urine to be a little darker if you have been sweating a lot on a hot day?" DROP YOUR PANTS AND BEND YOUR KNEES!  "Doctor, is just waking up once a week in the middle of the night to pee excessive?"  HERE COMES THE BIRDIE!!  "How's your golf swing coming, doc?"  KEEP AN EYE ON YOUR BALL AND GET READY FOR THE FOLLOW THROUGH!!!!
It was for this reason that I decided NOT to ask when I would be done visiting him.  After all, every other time I had been asked, I was always told that I would have to see him for the rest of my life, and the next thing I would hear is the snap of a rubber glove behind me.  So as I my freshly lubricated buttocks swished their way to the front desk to make my next appointment, I was pleasantly surprised to be told that I wouldn't need to come back unless there was a problem!  After all, I had already been devastated by the news a couple months earlier that I was not being released by the oncologist when originally planned.  It seemed that following months of bad news from doctors, I finally heard something I wanted to hear...even if I was walking funny.
Now I just want to clarify one thing here, testicular exams and prostate exams are very important, and there is a peace of mind that one has after clear test (well, that comes after the initial shock).  And even though I was released from my urologist I will continue to do self exams (testicular self exam, I am not flexible enough for the other) and will still be getting the scheduled exams from my family doctor, oncologist, dentist, butcher, and anyone else with a white coat on (at least it seems that way sometimes).  But for now I can relax...without being told to relax and bend over...and celebrate graduating from one doctor and hopefully being that much closer to being a considered a cancer survivor and not a cancer patient.

Another Lump? I'm Running Out Of Balls... Or The Nutless Wonder?

For better or worse, going through testicular cancer once makes you a little gun shy.  Losing one testicle isn't too bad, but you quickly run out of testicles to lose after that.  I have sometimes wondered if having to carry a personal cell phone AND a work cell phone may have put out too much radiation and caused my cancer.  So to be safe, I wear cargo pants all the time and carry the phones lower.  My friends make fun of me, because I am still being exposed to twice the radiation of one phone it's just on my leg now, but I remind them that I still have TWO legs.
Anyway, at my last urology appointment, I mentioned I found a lump.  Having the health issues I have, I regularly see five different doctors, four of whom have a great sense of humor and I can joke around with.  However, my urologist, who is a great doctor and ultimately responsible for saving my life since he caught the cancer when a nurse practitioner dismissed it as nothing, he is all business all the time.  No joking, nothing but the facts.  I mentioned the lump to him, and kneeling down for my yearly check he was able to locate it as well.  He stated he was fairly certain that it was nothing, but if I wanted to get an ultrasound done to rest easier, I could.  I stated, I was probably just scared from finding the lump the first time (that ended up being cancer) and was paranoid about finding lumps now.  Still kneeling down and checking out the lump, he looks at me with a serious look on his face and says "When you feel something, I want to feel something."  Now, I know what he meant by that.  He meant, no one knows your body better than yourself, so if you notice a change you need to report that to your doctor.  It just seemed a little funny to me hearing that with someone kneeling down and holding my testicle in his hand.  And knowing that this very good doctor would not see the humor in what he just said, made the whole moment funnier.  I felt like a kid sitting in class in grade school trying not to giggle at "Guess what?  Chicken butt!"  I came pretty close to biting a hole in my tongue to suppress the laughter.
Fast forward six months later, and I kept feeling that lump with my regular checks, and it kept making me more and more nervous that it was "something".  I finally called the office when I could take no more to schedule an ultrasound.  The day they found my first lump, my ultrasound was scheduled for as soon as I could drive to the other office.  Last week's scheduling took days.  When the scheduler finally did return my call, she said, "When did you want to come in?"  I just told her, "Tomorrow!"
I went to the office and was relieved to see the same old lady that had performed my ultrasound last time.  Now there is probably more than a few males that would read this that are thinking to themselves, "Old lady?  No!  I was some hot young thing fresh out of college!"  And those males haven't thought this through all the way.  While the testicle may feel like this finely crafted orb, it is kept in the most hideous, unattractive container.  I am not much on trying to figure out what the fairer sex finds attractive, but I would imagine that is pretty low on the list of alluring male body parts.  And you are going to force someone to be up close and personal with it for some period of time since, to do it right, they have to scan the area from two different angles.  You want someone that you aren't trying to impress, that knows what they are doing.  You want to walk out of that office with some peace of mind.
And speaking of peace of mind, I explained to the lady where I felt the lump and she felt the area too.  This is where years of experience come in, because not only did she find the lump, but she described the area better than I could, which made me comfortable that we were both focused on the same spot and that she would get good images of the area I was concerned about.
First, she went ahead and checked "lefty" and put me at ease by saying, no matter what they found, he was going to stick around because the lump was not affecting him at all.  That was my main concern, I admire the "flatbaggers" because their journey is much more difficult with testosterone replacement therapy and other issues.  I didn't want to go down that road.  I did mention to her that last time, I could tell it was cancer, even though we had to wait for someone else to read the images, just by the look on her face.  That was a mistake.  She put on her best poker face this time, making sure I had no clue as to what she saw on that screen.  Do NOT play cards with that woman!
Feeling confident that at least I would get to the bottom of things so to speak, I went home to wait for the news.  Unfortunately that was Friday, so I had to wait through the weekend.  Each night, scanxiety was a little worse, and I slept a little less.  Finally, last night (night four), I think I slept for all of about an hour.  My wife had enough.  She told me to call the doctor.  I told her I was going to wait, because they were supposed to call me.  In my mind, if you call too much and irritate the doctor, they make the incisions twice as long, make you wait longer in the waiting room, or leave the blinds open during your screening.  She said "OK", then went to work and called the doctor anyway!  The good news is, apparently it's no big deal.  She didn't find out what it was, because she just wanted to hear it wasn't cancer so that I would quit tossing and turning all night long.
So, what is the moral of the story?  I don't freaking know anymore.  How about, when in doubt check it out!  Yeah, that works.  But seriously, there are two reasons for checking out anything you find suspicious.  First it could save your life (like it did the first time I noticed an odd lump) and second, you will be able to relax because you aren't worrying about it anymore.  And remember the words my doctor said to me, that if you feel something, he wants to feel something.

Testicular Cancer Top 10....or I Am Not A Doctor, But You Are Still Going To Tell Me About Your Nuts...

In the breast cancer community, there are a lot of sources for finding information on how to do self exams, what treatment options are, and how to cope afterwards.  And while there are certainly many sources of information and non profits for so called "men's cancers", we aren't as open about discussing them.  It is ironic that the same ones that like to boast about being so well endowed that they make donkeys jealous are the same ones afraid to ask anyone how to do an exam.  I am not real sure what the reason for the disparity between the sexes is.  Maybe it's because breasts are right up front where you can see them and testicles are hidden, except in European bathing suits.  Or maybe how the great masters would always view breasts as these perfectly formed pieces of art that they would spend days sculpting into marble, while at the same time, the artists would make a guys junk look like a wadded up piece of paper with some concrete slapped on it.  At any rate, the public perception about the two are not the same.
After I went through my fight, and if you have read any of my posts you know that I have no shame in discussing what one experiences with testicular cancer, I cannot tell you how many times friends, colleagues, and random strangers have pulled me aside and asked, "How did you  know?"  I certainly don't mind answering that question.  I can explain how I found mine and then I usually refer to a website like http://www.testicularcancersociety.org/testicular-self-exam.html to get a more clinical and better explained way to do exams.  Then the feeling of dread comes over me, because I have been through this enough to know what is coming next.  The person will then describe, in great wrinkly and hairy detail, why they are asking me that question.  So far, they have always stopped short of actually showing me, and I would like to keep it that way.  Let's face it, they are not a very attractive piece of anatomy.  One of the few good things about having a nutectomy (orchiectomy, if you want to get technical), is there is one less of those ugly things that you have to look at in the shower, and bump into random stuff with...oh, and you can do your self exams in half the time.
So in the spirit of changing the stigma of testicular cancer and breaking the silence, I will post before and after pictures of my...OK, not really, but I will answer some of the questions here, that I normally get asked in a hushed voice in the corner of a crowded room, or outside around the corner out of ear shot of the smokers, or in late night phone calls with heavy breathing...OK, that person never actually says what they want, but always hangs up after I tell them to do a self exam.

1. How to do a self exam?  There are several sources for how to do a self exam including the one from the Testicular Cancer Society I mentioned above.  Some places even offer shower cards just like some breast cancer foundations do. There are two things to remember.  First do exams consistently.  You will notice something changing down there long before anyone else will.  I don't care how often you go to the doctor or what odd pastimes you may have, you will still notice first if you do regular exams.  And the earlier you catch it, the less it spreads to other parts of your body.  Second, we all know about shrinkage, so the boys have to be warm to get a good exam.  That is why it is generally suggested during a bath or shower, rather than right after taking the Polar Bear Plunge.  After all, you want things loose to feel details, cancer starts small and grows, you don't want things cold and shriveled like trying to feel two acorns stuffed in a leather wallet.

2. What if I find something?  It's probably nothing, but do you want to take that chance with your life?  Go to a doctor to be sure.  You would be amazed of the things that hang out with two nuts such as hydroceles, spermatoceles, cysts, drummers (sorry, musician joke), most of which don't hurt anything.  In my case, harmless hydroceles were found, but the issue is they can mask cancer, so I was taught to do an illumination test, where basically shining a flashlight behind the boys GENERALLY causes the harmless stuff to glow and the bad things to be dark.  However, let your doctor determine that for you.  That is not always the case and if done wrong, you can have cancer growing for months without realizing it.

3. If it is cancer, will they take my ball(s)?  Most likely yes.  That is why you want to catch it early so you only lose one.  But ultimately, what is the big deal?  I assure you that in the almost four years since "rightie" was removed, no one has noticed.  I get just as many compliments down there as I always have.

4. Will my testosterone levels drop with only one nut?  Maybe, but probably only slightly.  My doctor put it to me this way, if you lose one lung or donate a kidney it doesn't mean you are running on half power.  Usually both don't work at full power anyway, so the remaining one just works a little harder than before.  My testosterone numbers are well into the normal range.

5. Will my sperm count drop?  See above.  The fun part is with testosterone testing you give a blood sample,  but with sperm count testing there is no needle but there are dirty magazines.  Even if you drop in half, you will still more than likely have enough to get the job done or get you in trouble, however you view that situation.  Just a word of caution, I don't think the girl downtown offering to check your sperm levels for $5 dollars has had any medical training whatsoever.

6. Will I be able to have kids?  God I hope so, because I had one, so if you can't then someone has some explaining to do!  Yes, either the natural way or with frozen guys.

7. What is the first thing I should do after being diagnosed?  Ask all of your hot female friends if they want to say "goodbye".  OK, obviously that is a joke and probably wouldn't even work.  But I would call an organization like livestrong.org especially if you are interested in having kids.  They can tell you about certain grants that will pay for collection and storage of frozen guys, but the catch on some of them is you have to apply BEFORE you go to get the collection done.

8. Can the cancer come back?  Yes it could, but that is why you talk to an oncologist to see what your options are.  I opted for chemo for the peace of mind of not having to worry as much about it returning.  A few weeks of feeling sick was more attractive to me than a lifetime of worry.

9. Do they just slice open the bag and take out the groceries?  No!  They go in from around your waist so they can take all of the plumbing too, just in case it has started spreading.  So you can show people your scar without being obscene...unless you want to.

10.  Do you miss it or have any phantom pain like an amputee would?  No, and the good thing is, say hypothetically, you have a two and a half year old that runs at you full speed with a plastic Mike the Knight sword, the chances that he will hit your tender spot have now been cut in half (although he still manages to get me on the tender side EVERY SINGLE TIME!  I am throwing that damn sword in the trash!).

So there you have it.  The top ten (legitimate) questions I get asked in whispers and darkened corners.  If you have anymore (legitimate) questions I will answer them like I did here, based on my own experiences or direct you to a trusted source.  I am in no way a doctor, and I in no way want to see pictures, diagrams, or even very accurate descriptions.

Old Feelings Die Hard

Four years ago this week, I first noticed my lump.  My wife had went on vacation with her mother and I stayed home alone to take care of work projects and watch the dogs.  The past three years, I never really paid any attention to this date.  After all, it's the date I just noticed something.  It wasn't the date I was diagnosed.  It wasn't the date I had my surgery or went through chemo or anything.  But that is the weird thing about cancer, it seems you are never really completely free.
This year we had planned to take my two year old to my parents to watch fireworks for the 4th of July.  From their house, they can see most of the fireworks.  And we thought if we take him there, and he doesn't like the loud noises, or the bright lights, or he just starts being...well, a two year old, we could just take him in the house and not have to deal with traffic or crowds or that one guy that has to describe every firework loudly.  After we had made these plans, my job made other plans, and my wife offered to take my son without me.  It was a plan that was seemingly perfect, my son could experience the fireworks for the first time and I could keep skittish dogs company in the country.
That is when it hit me last night.  I have been passing my scans without any problem, and my scanxiety has dropped to almost nothing.  I only have to go to the oncologist twice a year now  Even my dermatologist told me that she could tell I was really making a good effort to avoid skin cancer.  So I haven't been thinking about cancer much at all.  But last night was different.  I was back to that place four years ago, just me and the dogs.  The weird thing is, I didn't feel a lump, but I did have that feeling, a feeling I can't explain.
Most of us when we are diagnosed, aside from the shock of the "C" word, you get this "icky" feeling that something is growing inside of you that wants to kill you.  The surgery can't come quick enough, you just want that stuff out today.  That is the feeling I had last night.  The feeling that I was all alone again.  The feeling that something icky was going on.  What made last night even freakier, was without thinking, I picked up that PRS guitar I bought four years ago today to play with while they were gone.  It's not one I normally play, but it's what I grabbed last night.  The only one that was light enough for me to play after my surgery.  The one that got me through cancer.  Just as my mind flashbacked to the bad time four years ago, I also subconsciously reached for the one thing that helped me get through it too.
As I approach what I consider my fourth cancerversary, I have been thinking about when I am done.  Is it five years?  Is it ten?  Is it when you quit going to the oncologist...I hope it's not that one, because I think he has been saying "just a few more years" since my second visit.  As far as my health is concerned, I think I am done.  I have been getting clean scans.  I have finally been dropping the weight I gained while I was sick.   And for the most part, I feel better than before any of this happened.  But I guess it's harder to gauge the feeling that we are done mentally being affected by cancer.  Because last night, I sat alone and scared and realized I wasn't as done as I thought I was.  Or maybe I am, because I grabbed that PRS, just like I did after my surgery, and played until I didn't have cancer anymore.

Back To Normal Levels After Testicular Cancer

One of the things many people worry about as they undergo treatment for testicular cancer is how will this affect them afterwards?  Well, I finally received my answer.

One thing I was worried about was testosterone levels.  One of my nurse friends said it would be good to have lower testosterone levels because it would decrease my future cancer risks.  However, commercials are constantly pointing out how my becoming a fat, lazy slob as I get older has nothing to do with me being a fat lazy slob, but low testosterone (that they would be able to fix).  Feeling like I was in a "damned if I do..." position I asked my urologist about it.  I was told that high testosterone doesn't increase the chance of prostate cancer, but it makes it grow faster if you do get it.  And low testosterone may make you more inclined to be a fat, lazy slob, but it doesn't really cause any health problems on its own (being a fat, lazy slob does though).  Worried that my levels would be half, he told me how most duplicated organs aren't working 100%  all the time anyway.  That is why people with one lung or kidney can still function, because the remaining one turns it up a little.  After going through a bunch more explanation in doctor talk which I kinda blanked out on, we decided to test my testosterone and the results came back that I was at normal levels.  So, I have to blame being a fat, lazy slob on something else...like the lack of global warming in my area making it too cold to go outside.

Recently, my wife went to her "female doctor" and somehow came home with an appointment for me!  I get enough doctors' appointments scheduled on my own without having to do someone else's homework too.  Anyway, I was told to go back to the Jerkatorium (official doctor lingo for a sperm bank) and see what my levels were, just in case we ever want to have another kid, which I am told we aren't having, but do this just in case we change our minds one day, which isn't up to me anyway, and it is always a woman's prerogative to change her mind so I should just keep my mouth shut...or something like that.  I will spare you the details of the inner workings of the Jerkatorium, because I have previously written about that.  But what I did find disturbing this time was the addition to the "library" of DVD "aids".  While carefully pushing them around trying my best not to actually touch anything in there, (because after all I know what people do in that room because I was about to do it) I noticed most of the DVD cases were empty.  I wish I could immediately decontaminate everything I am wearing as soon as I leave that room, so it certainly would never cross my mind that I should grab a integral part of the functioning of this room and bring it home with me.  Ewww!  Anyway, we will just fast forward to the results.  That came back saying I was normal too!  Not normal for a testicular cancer survivor, but normal for a normal person...assuming normal people go into a room, look at dirty magazines, leave their business on the counter, and occasionally steal DVDs.

So the moral of the story is, don't steal from the Jerkatorium because you DO know where that stuff has been....NOOO, that's not the moral of the story!  The moral is, not only is testicular cancer a very survivable cancer, but you can regain your normal life back.  You won't be half a man.  You can still have normal levels of testosterone and swimmers, and even if your tests results don't come back normal, you can easily fix the testosterone levels, and if you froze your swimmers like I did before surgery, you can still have children or use it for disgusting pranks to put on YouTube and none of your friends will ever eat or drink anything at your house again.

And there are even some positives of being part of the One Nut Club!  I will close with this Top 10 List:

Top 10 Benefits of Only Having One Testicle

10  You only have to manscape half as much (if you are a manscaper).
9  When you test your levels, you health insurance company is actually paying for you to look at porn!
8  You have more room in your underwear.
7  Not as much to get sweaty down there.
6  People are afraid to use the phrase "Don't go off half cocked" around you.
5  When it is really cold out you can say "I am freezing my ball off!"
4  When your toddler is flailing around like a twerking jellyfish, your chances of getting hit in the nuts just dropped by 50% (anecdotal evidence).
3  Your self exams are done in half the time.  Don't forget to do them!
2  You can make the comment "I would give my right (or left) nut for ______"  then you could offer to go get it from the surgeon.
1  When you wear Speedos you only have to worry about stuff slipping out on one side. 

When Are You Done With Cancer?

As I write this I am about two and a half years out of my cancer diagnosis and treatment.  Aside from a little skin cancer scare (which turned out was nothing) one could say I have been done with cancer.  However, that is not exactly how it works in the cancer game.

There are so many questions as to when you are officially no longer a cancer patient.  Was it the surgery?  The chemo?  When you quit going to an oncologist?  Or when you finally pay off all your medical bills? (In which case I will never be done.)  In many ways I no longer feel like a cancer patient, but at the same time, at the beginning of every month I look at my calendar and see what doctors appointments I have this round.  It is hard to feel "well" or "cured" when you are sitting in a waiting room all of the time.  I mean who needs a People magazine subscription when you can read it for free every month while you wait for the nurse to call your name?  The good news is the frequency of the appointments slowly grows further and further apart.  I think I am down to CT scans once a year now (so I only have to drink a half gallon of nasty tasting water a year).

The funny thing is, because of the doctors' good reports you feel like your not well.  Because of the type of work I do, I tend to run into people that I haven't seen for months or even a year and they always ask how I am doing  With the frequency of doctors appointments my answer is usually,"Well, I was just at the doctor and they said I was fine."  That is the Catch 22 of being in monitoring, you have to see an "ist" each month (oncologist, urologist, gastroenterologist, etc.) but at least they say you are doing good each time.  You don't feel like you can say "Oh, the cancer thing is over." because you are still seeing an oncologist, but at the same time you don't feel like a real cancer patient because you are not having to go through any treatment.

On one hand, it is nice to have the peace of mind every month that you are safe for four more weeks.  On the other hand things get so routine, you wonder why you are paying more and more for something you could probably do yourself at this point.  Heck, I am in and out of my urologist's office so fast, I could probably just drive by his office slowly with my scrotum hanging out the car window and toss out my co-pay.  

I think the biggest part of not feeling "over" cancer is the mental aspect of it.  Every bump, twitch, even feeling tired when you don't think you should makes you wonder if just maybe it's something bigger.  And not even your thoughts are safe.  My one-year-old had been going through a phase where he wants me to hug me, or have me hold him, or just lean against me.  Most people would just understand it is the clingy phase that all toddlers go through, but my mind wondered if he wasn't sensing something, that maybe I wouldn't be around much longer and he needed to get his quality time in while I was still alive.

Even happy dreams aren't safe.  I know two people that have flatlined on operating tables and come back to life.  They both tell of people that have died greeting them at the end of the tunnel and telling them that it's not their time yet to go back to earth.  I have had some friends die and some family members die, but only one person in my life has died that I saw everyday, and would spend an hour just talking to everyday about whatever.  Well, that person was in my dream the other night.  He welcomed me into Heaven, showed me around, and we picked up on conversations we started before he died.  I woke up feeling so good knowing that if I died, this person would be the one that brought me through the tunnel and took me to see my other friends and family that have already passed.  But that good feeling quickly turned to dread, as I wondered why I was dreaming about dying and does my body know something that it hasn't shared with my brain yet.  Maybe part of my brain does know and it is just not sharing the information with the rest of my brain the same way it does when I ask it where I put the car keys.

The biggest joy I have in life is watching my son play, which we weren't even sure we were going to be able to have when all this started.  Even while sitting there just watching him run around like a drunk kamikaze gymnast, I worry about recurrence and not being around to watch him grow up.  Or not being around and maybe his only memory of me will be me yelling at him to quit splashing in the dogs' water dish (which to be fair is something I do approximately 1500 times everyday).

So am I done with cancer?  The doctors say "yes" but then tell me to schedule an appointment to come back and make sure it's still "yes".  Physically, outside of underwear not fitting quite the way it used to, I feel like I am done with cancer.  Mentally, the chemo fog has cleared up, but there is always that cancer cloud hanging over me, just like a summertime meteorologist's permanent "30% chance of storms".  The ironic thing is the more my son shines the more I worried I get about that cancer cloud.  But until then I will enjoy every second I get to spend with my son, even the hours on end I spend pulling him out of the dog dish, and hopefully live long enough to teach him how to check for testicular cancer on himself one day.

What's So Super About The Superbowl Or Ultimate About The UFC?

As the Superbowl draws near, I started to think more about sports.  I have never really been that into sports.  The only sports I would watch were sumo wrestling (which is very rarely on television here in the the U.S.) and I have switched from watching boxing to Ultimate Fighting Championship/Mixed Martial Arts fighting.  Recently I have found myself not even being that interested in watching UFC.  What does this have to do with cancer?  I will explain.
When I worked in the music business, it was not enough to just be able to write good songs and play an instrument well.  Whenever we submitted an artist to our superiors, the first question we were asked was "What's their story?".  That is why you may know that Jewel was homeless and lived out of her car while she was a struggling musician, or that Robert Johnson sold his soul to the devil at the Crossroads, or that Justin Bieber was found on YouTube, or that every boy band ever created is a complete fabrication and they all suck.  The point is, there has been a long history in the entertainment business of selling story along with the product.  If someone overcomes something, or has an interesting back story, for some reason we are more likely to buy their products.
Unfortunately, in the entertainment business today someone can NOT be famous unless they have tragic beginnings, no matter how non-tragic those beginnings actually are.  In the past, when I wanted to watch two consenting men or women beat on each other for large amounts of money, I could watch the fights on Strikeforce MMA and they would show the fighters walk out, beat on each other, talk to a commentator about beating on each other, thank God for allowing them to beat on one another, and then the next fighters would come out.  Now the UFC is pretty much the only one left in the fight game, and their style is much different.  You can't just watch a fight, you have to learn about the struggles in their life before you can watch them beat someone.  Because everyone has to have a story, whether one actually exists or not, some stories are as tragic as "Although the Damien 'the Orphan Slayer' Diablo has been on a roll lately, in the beginning life was not so easy.  While all of his friends were riding around on Razor Scooters, all he had were his older brother's hand-me-down Rollerblades.  At night while other kids were on their Playstations, he was stuck playing those games you buy at Dollar General, that run on a 9-volt battery and plug into the back of the television, and only play nine games, most of them just color versions of Pong..."  In other words, many times the "tragic stories" are still better than the life you lived growing up.  So now, a fight that may last all of 45 seconds, has a 20 minute featurette preceding it.  The result of hearing the "tragic stories" on how the fighter wanted a new Camaro for their sixteenth birthday, but only got a used Trans Am,  just make me resent both fighters and I root for them both to lose.
The stories make me think about what really matters.  I have said on here before that my cancer fight was easy compared to what many have to go through.  The fact of the matter is, if you are the one going through the cancer battle, then the fight is huge to you.  I had some rough patches in my chemo, but if needed, I would not hesitate to go through it again.  When I see the "Titantic Struggle" referring to a fight that at most last fifteen minutes, I think how I would have preferred to have gone through a fifteen minute pommelling than weeks of chemo side effects.
As fighters and football players are praised as great warriors or heroes on the field, I ask myself what they have accomplished.  My fight was easy.  Although I was very worried about the cancer spreading and I still worry about the cancer recurring, I was never that worried about my cancer killing me (since we caught it soon enough).  But some others in my support group were in much worse shape.  One has had stage 3 prostate cancer longer than most NFL players' careers.  There was a guy who had to have a hole cut in his skull so they could install a bag that would deliver his chemo directly to the tumor in his brain, all while trying to reassure his two young sons that everything would be fine.  I saw the fear in one breast cancer survivor's eyes as her two biggest supporters in the group succumbed to the very same disease.  There was the guy who's rare skin cancer camped out in his lungs and at best the doctors could only slow down the growth of the tumors.  Those people are fighters.  Those people have "stories".
All sports, even the ones in which the object is to completely obliterate the person standing in front of you, have someone standing next to the competitors to make sure no one gets hurt too badly.  Cancer patients don't have that.  They don't have someone with a rule book to make sure no long term injury occurs.  Unlike televised sports, in the cancer game, there is a real possibility that the player may die.
I am not saying that sports are stupid or don't need to exist, just that they need to be put into perspective.  Tell me the guy had to eat generic Ramen noodles in college.  Tell me that the guy had a deadbeat dad.  Praise the guy for being able to catch a ball well, or being able to take a kick to the face and still be able to punch the other guy.  But don't talk about a "fight to the death" and "struggling to stay alive", in fact us testicular cancer survivors don't even like the phrase "dead ball".  I wish the sportscasters would realize that it is just a game which outcome really doesn't mean a damn thing in the big scheme of things.  We have many people in this world that really are in the "fight of their lives" and that is who I am rooting for.

Cancer Scare Number 2

When I was a teenager, we lived six houses down from the community pool.  Every summer day was either spent poolside, or windowside waiting to see if the storm would dissipate so we could go to the pool.  A little bit later, I became a lifeguard at that same pool.  After doing that for a few years, I spent a summer working outside at a State Park.  And while all this was going on, I would take the occasional day job at a local farmer, or my friend's farm helping to bale hay.  What does any of this have to do with anything?  Well, I don't remember using sunscreen at all.  I am sure I did at least a few times, but I certainly don't remember it. At least I wasn't as bad as some of the girls I lifeguarded with, that used Crisco for a week.  Now you might think I am saying that just to be funny, but I am dead serious, they broke out the Crisco shortening and slathered it on, and I am sure you will be surprised by this, the next week they had sun poisoning and had to stay indoors for several days (meaning those of us who did NOT use Crisco had to pull double duty on the lifeguard chairs/sun).  As I grew older, bad habits with sunscreen certainly didn't improve.

That leads to today's topic.  It takes me about four hours to mow our lawn.  The first mow of the season, the sun didn't seem too bright or hot so I didn't think much about sunscreen...until I started burning, but by then I only had an hour of mowing left and it seemed silly to stop in the middle just to put some on, after all the damage was already done, right?  Well, over the next few days of painful and cold showers, I notice a raised  bump on my arm that didn't go away.  After having my experience with testicular cancer I determined the best course of action would be to ignore it and see if it went away.  After a month I started getting worried.  I looked up information on some medical websites that told me I had approximately 17 minutes to live before that bump completely took over my body.  Don't get me wrong there is some good health information on the internet, but a lot more horrible health information.  A search of any malady will lead you to results from  certain and impending death, to "just ignore it and lay your lifecrystal upon whatever hurts".  Somewhere in the middle lies the actual good information, and you have to figure out what that is, and if you knew what it was you wouldn't be doing a blind internet search for it to begin with.  I won't say where my advice falls on this spectrum, but it is probably near the ends.

After consistent (but correct) nagging from my wife, I decided to call my oncologist to see what dermatologist he recommended.  Have you ever heard of those restaurants that you have to wait three or four years to get a table?  Dermatologists' waiting lists are slightly longer.  Luckily, because of a cancellation (or death, I didn't want to ask) I was able to get an appointment just one more month away.  The whole time I am waiting, I am torn because although I want the bump to go away, I don't want to go to the doctor after the month wait and say, "Well, it was here and it looked really ugly, but then it got small and disappeared yesterday."  But I didn't have to worry, the bump stuck around.

Finally, the day arrived for the dermatologist visit...literally one day after we got back from a Florida beach vacation.  Walking into a dermatologist's office really tan feels much like walking into an Alcoholics Anonymous meeting with a quarter of a bottle of Rum Jumbie (I imagine...).  When I finally get taken back to the doctor, they give you a paper blanket (which is slightly smaller than a Kleenex) and tell you to disrobe.  See, just because a patch of skin hasn't been exposed to the sun, that doesn't mean you won't still get skin cancer there.  So the doctor checks everywhere...everywhere!  In the movies, when you see the doctor walk in the room and the patient is naked, there is usually some boom chicka wow wow music playing.  The real situation has no music, and is a whole different experience (which is good because I didn't want a pizza boy walking in the scene too).  Basically, you stand there while the doctor looks over every millimeter of your body occasionally poking or tugging at things while wrinkling her nose.  The whole time you have to fight the urge to make excuses on why you have abused your skin and been too tan in some areas, or too pasty in others, or too flabby in others, and remark on how cold it is in the room.  After feeling like you are a rental car being inspected to be turned back in, the doctor starts talking again and gets out a marker.  She points out various anomalies and explains what they are, what causes them, whether you need to keep an eye one them.  It was very informative.  For instance, now I know that there are such things as "penis freckles" that guys can get as they get older...I have probably said too much.  Moving on!  The next step is the marker.  Feeling much like the guy who passed out way too early at the party, the doctor starts drawing circles and "x"s and who know what else.  After getting dressed, she said, "This one I am going to freeze off and these two I am going to take."  Happy to have my clothes back on (and not to have any penis freckles marked), I didn't really stop to think what "going to take" meant.

The freezing was nothing.  A bit of itchy, burning type feeling, but no biggie.  Then, I found out what "going to take" meant for the other two.   First, they stick a needle next to the thing they are taking to numb it up.  Then they start shaving that thing down until it is either gone, or they have a big enough sample to test (which as near as I can tell requires you to shave down to the bone).  For the one on my arm, it was a breeze.  Slight stick, a little pressure, and a band-aid.  The other was right next to my eye.  Now the local anesthesia they gave me, not only made things go numb, but it caused my eye to blink uncontrollably.  We are talking like the little light that lets you know your hard drive is running type of uncontrollably.  Then they take the razor thing  NEXT TO YOUR EYE, and after giving the medication to cause spastic twitching they say, "Now hold still..."  I have had much more painful procedures, and much longer procedures, but this was definitely the most annoying in my life.  I am told I am free to go, with one eye open and the other neither remaining open or closed, giving me all the depth perception of walking with a strobe light.  Thinking "Safety First" I thought I should probably wait it out in the lobby before I try driving with "strobe eye".  "How long does this last?", I ask.  "It will wear off in about two or three hours.", was the reply, like it was no big deal to wink at everyone within a five mile radius for the next 180 minutes.  I decided to just drive carefully home, and whatever I do, don't get out of the car.  Hungry, I just pulled into a White Castle drive-thru, because I figured at White Castle a guy winking furiously would still not be the most memorable character they will see that day.

Luckily, I had an oncologist appointment the next day.  I say "luckily" because two weeks earlier I had a CAT scan, so when I received a clean bill of health from the oncologist I knew regardless of my skin results, it hadn't reached my lymph nodes and my blood tests were fine.  At first, the skin samples didn't bother me.  But the longer it took for the results to come back, the more scanxiety set in.  In the two weeks of waiting, I used sunscreen religiously.  I used it almost as much as I checked the mailbox, email, and phone messages waiting for the results to come back.  Finally, the letter came in the mail that said "benign (non-malignant)", which made me laugh because if you don't know what the word "benign" means, will you know what "non-malignant" means?  Maybe they should say "benign (you don't have cancer)" because that is all people want to understand about that.  

So, a good scare to wake me up.  But since part of what I do for a living requires me to know about "rems" and "rads" and all that good stuff, I know that radiation (yes the sun is emitting radiation) builds up over a lifetime, I know that my careless youth means I need to be even more careful now.  If there is something good that came of out this scare, it's that I am taking my lessons learned and applying them to my six month old before the damage starts.  So what if his skin is so pale it's almost clear, one day he will thank me for it.  

My First Father's Day

Well if you weren't able to guess already, we were able to get pregnant.  The swimmers we had frozen before I had chemo apparently thawed out just fine.  However, my "friends" (and I use that term rather loosely) were quick to point out that they could have given me any sample and I wouldn't know the difference until the baby comes out.  After all, you go the the "bank" they give you just a regular insulated coffee mug with a little test tube inside with your name on it.  It seems like for as much as we paid for me to look at their dirty magazines and practice a little self abuse, they would come up with something a little nicer than some cheap looking insulated coffee mug like you get at trade shows for free from vendors you never heard of.

We were actually visiting at my parents' house when we found out the swimmers reached their target.  My parents were overjoyed, which is surprising because people normally have totally different reactions if somebody shoves a urine soaked stick in their face.  It was at this point that it dawned on me that I don't know nothing about birthing no babies.  The coming months were filled with me cramming my head with everything from how to change diapers to how every single thing your child touches, eats, sees, smells, and hears will do irreparable damage to it and make you a bad parent.  So, I will admit, I am one of those parents who is double checking every little thing that comes near my child to make sure it has passed a thirty-four step inspection.

The other thing I didn't know about babies, was apparently you need approximately 43,560 square feet to hold all the items that your new baby will absolutely not be able to live without, use once, then outgrow, and need to be stored for any future babies.  And while we are discussing things I didn't know, when you are buying stuff for a new baby, everything made previous to the point that you arrived at the cash register at the baby store, is very dangerous and should be burned and the ashes locked in a safe and the safe thrown in the ocean (safes are located in Aisle 4 and you don't want to get a used safe).  Personally, I think the baby industry (and there is definitely a baby industry) and the Consumer Product Safety Commission get together twice a week to declare everything that babies had before now, is harmful and must not be used under any conditions.  Which makes perfect sense, otherwise all those cribs, highchairs, and bottles we all grew up on, and apparently survived, would still be in use today, meaning we would not need to buy new ones.  When you tell people you are going out to purchase said new products many older people (i.e. people that bought baby products last year) will say "you can just borrow mine" and you respond "they (whoever that is made up of) say that is unsafe now" and the response is "well it never hurt (insert name here)".

We went through all of the doctors' appointments where you listen to sounds that mimic a cow trotting through mud and pictures that look more like a black and white radar scan of an approaching cold front than any sort of mammal, but yet you still get choked up and excited.  And then there is the time that you stare at the screen, trying to see if the jet stream is going to cause a Nor'Easter when the nurse looks at you and smiles and says that "jet stream" is actually a penis.  Oh the feeling that goes through a future dad when he first sees his son's jet stream.  Already I was thinking of all of the tools I would be buying him and all of the time we would spend working on cars together (although, that probably would have been the case if we were having a girl too).

I will admit, as the big day approached I got more scanxiety even if a scan wasn't imminent.  I had waited so long for a child that I was so paranoid something bad would happen before I would be able to meet him.  And let's face it, less than a year before, I had lost my job, got cancer, and we had a miscarriage in a matter of a couple of months, so I am not unfamiliar with bad luck.  But after a lot of anxiousness and praying we finally were told to check into the hospital.

For anyone unfamiliar with labor, I will try to explain what happens.  You rush to the hospital where your wife seems to be in a lot of pain and there is a lot going on, but on the outside nothing really seems to be happening.  While all this is going on, every single person that is on your hospital floor will walk into your room, shove his or her hand underneath your wife's gown and loudly shout out a random measurement ("6 cm!", "80%!!", "10/6!", "less than 12 parsecs!!").  I think even the kid that delivered our food shouted out "THX1138!" before she left.  All I know about these random numbers and measurements was the baby was still bigger than that.  So, after close to a day of "labor" that only seemed to produce an exhausted wife and goop that I wasn't sure was pre-baby goop or left over lube from the constant measuring, the doctor gets down and looks like she is trying loosen an oil filter on a Honda and says,"Well, he's not going to fit, but you can still push for another hour if you want."  Although I liked our doctors there, that has to be one of the dumbest statements I have ever heard in my life!  As you can imagine, my wife was over the whole push-measure-push-lube-push-measure-measure-measure-push routine.  So it was off to surgery.

I walk into the operating room after they had prepped my wife and I see her laid out on a table, tubes here and there, a curtain, and a line drawn across her stomach.  The doctor said, "You can stand here on this side of the curtain as we cut or..."  I don't remember anything after the "or" because I really didn't care what was on the other side of the curtain as long as I was on that side of it.  I was even more glad I had chose that side after the procedure started.  I don't know what they were doing on their side of the curtain, but on my side of the curtain my wife was being pushed and shoved around on the table like she was the little girl from the Exorcist (minus the head spinning around).  Finally the shaking stopped and they walked around the side of the curtain with...a purple baby.  The comments my "friends" made about switched samples are running through my head and I search my memory for any purple family members (although there was that one distant aunt...), but after a quick wipe down he became the most beautiful, non-purple baby I have ever seen.  Any doubts of grabbing the wrong coffee mug at the sperm bank, were gone for good when one pediatrician at the hospital told us that our new baby was tongue-tied and this would lead to a lifetime of speech impediments, difficulty eating, crossed eyes, sloppy trumpet playing, inability to make friends, receding hairline...basically he was going to turn out like Quasimodo without the musical ability.  This caused a huge smile on my wife's face and mine.  Not because we wanted my son subjected to a lifetime of being a social pariah, but because I am tongue-tied and although sometimes I may have the problems the doctor foretold, it is not from being tongue-tied.  It was like a little sign from God saying "See, now you know for sure he is your son."

In fact, I think every single part of that experience was a blessing.  I used to think Father's Day was just another holiday where you give people stuff (or realize you forgot to buy stuff to give to people until the last minute).  But today I have had to hide my emotions as I played with my son, thinking about how much happened to get him here and how hard I am going to fight to be around as he grows up.  And one last thing on being a father after having testicular cancer/chemo, the procedures and processes involved in making this happen are very expensive.  I had contacted Livestrong during our efforts and received a long list of organizations willing to help make our miracle happen, many of them offering their services for free.  The earlier you contact these organizations the better, as many want to help from the very start.  Luckily for us, we were able to have our miracle without needing to use these organizations.  But, we are keeping all of the doctors' bills to show him anytime he asks for anything expensive.

(Creating) Life after Testicular Cancer.

I know I was supposed to write this last week, but by then end of today's post you will understand why I am not always able to post when I want.  As I have mentioned in the past, I was laid off from work exactly two weeks when I was diagnosed with testicular cancer.  Two life changing events that came back to back. What only my very closest friends know what there was actually a third event that happened right after that.

We had been wanting to start a family for a while, and were actively trying for around a year.  A few days before I started chemo we found out that we were pregnant.  It seemed like the typical feel good story, boy loses job, boy loses ball, but before he lost that nut boy and girl get pregnant.  There was a whirlwind of emotions, it was something we desperately wanted, but the timing couldn't be worse.  Chemo works by being a very nasty drug that is easily absorbed by anything that grows quickly in the human body, like cancer cells, hair, taste buds, and unfortunately babies.  Because of this the first week I had to take tons of precautions around my wife making sure that she did not come into any contact with anything that may have the chemo in it.  Even using the bathroom involved closing the lid, covering the lid with a heavy towel, and flushing the toilet twice.  I never realized how long it takes a toilet to flush until I had to stand, weakened from chemo, waiting for it to finish flushing twice so I could remove the towel and go back to my normal routine.

After we went through all of this trouble, we lost the baby.  It was very early in the pregnancy, and to say we were stressed during this time would be an understatement.  What we found out after this was the staggering percentage of first time pregnancies that end in miscarriage, however that didn't make us feel any better.  It was a third blow to us in less than two months.  It was the ray of hope we had been focused on through chemo.  Of course many things ran through my mind, like was it my fault for missing a chemo precaution and maybe I should have postponed my treatment.

The next few weeks were a mass of confusing information.  Some people say to try again right away, others say wait.  Some doctors say don't try so soon after chemo, others say it is fine the swimmers either die from the chemo or are not affected.  My urologist said to just give up for at least six months, but my oncologist urged us to see a fertility specialist because we "needed something good in our lives".  And he was right.

The first thing a fertility specialist tries to determine is which partner is causing the trouble.  This makes tons of sense, I mean treat the person with the problem(s), right?  So, my poor wife goes through a series of tests that look like the set of a alien abduction movie.  I still have nightmares about some other the stainless steel contraptions I saw.  I also had to go through a series of grueling tests that involved me going into a room, and being provided with dirty magazines, dirty movies, and a cup.  It was horrible for me, mainly because I had already read all of the magazines when we "banked" some samples before my surgery.

So after my wife goes through her series of probings and shots, and I watch a few movies, we find out that...surprise surprise the problem looks like it is with the guy with the testicular cancer and chemo.  Who would've guessed?  The doc was very supportive and said with very little intervention, we could use my frozen stuff and probably be successful.  No nasty chemicals, no danger of having "Plus 8" after our names or being chased by reality TV producers, for the most part things are pretty normal...except one.

This technique required me to give my wife a shot in her gluteus maximus the night before the procedure. Our doctor was very supportive and involved so they even drew and "X" on the targeted butt cheek to show the exact spot that the injection needs to be placed.  Well, the first round didn't work, so when went for the second try the next month, I asked the nurse if instead of an "X" if she could draw a happy face so I could "jab it between the eyes with the needle".  See, these are the kinds of suggestions that would normally get you thrown out of your wife's doctor's appointments, but in our case the nurse drew the happy face.  This seems all very funny at the doctor's office, but it results in uncontrolled giggling when you are sitting there with a giant needle getting reading to lance a happy face on your wife's posterior.  For some reason, my bent over wife did not see the humor in the situation which only resulted in even more uncontrolled giggling from me.  Luckily, we did not have to try it a third time because my wife said she was working on a few ideas of what she was going to have the nurse write on her butt to greet me the next round.

So, I will leave on this cliffhanger, did we get pregnant, did we have a baby, is the baby keeping me from blogging as regularly as I would like?  I think you know the answer, but I will talk about it more tomorrow.

Cancer Made Me Fat And Apparently Fat People Sweat A Lot

OK, so I guess cancer didn't directly make me fat, but it certainly helped me pack on some pounds.  Between the inactivity following my surgery, the inactivity following chemotherapy, and the fact that my chemo taste change didn't effect my love for all stuff fattening, I have gained weight.

I realized this has become a problem when my wife punched me in the middle of the night, ripped the blankets off my previously slumbering body and said, "You're sweating on the clean sheets."  We do have other sheets, and I could even wash them every single day, but she thought all of these things through and decided assaulting a sleeping cancer patient was the best course of action.

While hurting myself mowing the lawn the other day, I noticed I seemed to be sweating more than I had in the past.  I first attributed that to my high metabolism and my well toned body, then I realized I didn't have either one.  And it seems just about anything can cause me to break a sweat anymore, cleaning around the house, working around outside, walking the dogs on a hot sunny day, walking the dogs on a cold rainy day, walking up the stairs to get a Little Debbie, eating a Little Debbie, thinking about eating Little Debbies, typing "Little Debbie", and apparently sleeping.

There seem to be another side effect to my recent weight gain as well, my hypoglycemia seems to be getting worse.  This is a condition where my sugar will drop and I have to...well find something with sugar.  They make glucose tablets designed to get the sugar back into your system quickly, and you would think something made to shoot up your sugar would be made at least remotely sweet tasting, but it really taste like compressed baby powder, except drier.  This hasn't been a problem until I started getting more and more active lately.  Apparently your sugar doesn't drop when you sit around all day ingesting sugar.  Seeing some of the weird things people get disability payments for these days, I wonder if I can get the government to pay me to sit around all day ingesting sugary goodness...and maybe even pay for my sugary goodness as well.

But therein lies the irony in my whole situation.  I want to get more fit and be more active, which causes me to hurt myself, which causes me to be less active.  So, to make up for that, I try to eat healthier and avoid sugary stuff, which causes my sugar to nosedive, which forces me to eat more sugary stuff.  You see my dilemma.  I can't complain too much though, if the worst lingering effect of beating cancer is having to sit around on my rump eating Little Debbies and sweating.  But if I didn't complain about something, I wouldn't have anything to write about today.  So, here I am feeling a little better, but recovering a little slower.  Luckily I don't have any pressing projects anytime soon that will require me to exert myself too much and we have a large stash of crappy food to keep my sugar levels up.  I guess life ain't too bad after all.

I Did, I Did, I Did Hurt Myself...

I sat around yesterday, glad that the rain that threatened off and on was around, it gave me a great excuse to avoid re-ripping my incision/mowing the ditch.  Everything was going well until late afternoon, when I saw the sun poke out and illuminate the ditch in all its glorious overgrownedness.  In a moment of extreme enthusiasm and lack of clarity, I decide to rush out, grab the push mower, and hurt myself.

The push mower has not been started since before my surgery, sometime in August.  Of all the possible scenarios I ran in my mind on how to hurt myself, the one I forgot about was trying to start a push mower.  I pulled the cord...and pulled the cord...and pulled the cord...pulled the cord...pulled the cord...pulled my incision...pulled the cord, with each pull I came a little closer to ripping my incision and the mower got no closer to starting.  Even though I only have one testicle, I have enough testosterone to realize, if something doesn't work, you can always pour gas in it.  Which is exactly what I did, and the mower started right up...in my workshop.  But at least I knew that the mower starts.  I loaded it up with the lawn tractor, and headed down to the ditch.  I brought along my "whacking stick" which I use for chopping limbs (of trees...so far), hacking up rogue snakes (FYI, all snakes are rogue), and using for leverage/stability as I drop the mower off the side of the cliff we call a ditch.  I don't know how to describe exactly what this tool is.  It's about five feet long, and has a sharp hooked blade, which may have been an old way to harvest corn, or chase teenagers through fields while wearing a white William Shatner mask, or to run after Dr. Frankenstein's monster.  Today it was also used as a cane.

I went to the top of the hill over looked the ditch and pulled the cord...pulled the cord...pulled the cord...pulled a muscle...pulled the cord.  Luckily, I brought down a gas can with me so I used the whacking stick as a screwdriver to take off the breather and poured some more gas into the beast.  The next pull, she roared to life.  I was dreading pushing the mower over the edge, because that meant I had to pull it back up again.  I slowly lowered it down, leaning heavily on the whacking stick, the mower started sputtering due to the extreme angle, and I started sputtering due to being fat and lazy for several months.  Each pass, I struggled with lowering it down and pulling it up, while jamming the whacking stick in to the ground and using it to help pull the mower back up again.  This was working fine, but I forgot one thing about living in the country, people (as in everyone that drives by) wave at you, and it's just not neighborly to not wave back.  So in the midst of this delicate balancing act of using one hand to lower the mower down and the other hand death gripping the whacking stick, I have to pause to wave at every car that came by (because they waved at me) and apparently I-70 was shut down and rerouted on our road.

Eventually, I finished the hardest physical part, next I had to mow near the road.  When mowing near the road, you not only have to look down for snakes to whack, but you have to be aware of traffic coming from the left and the right, and since we live at a "T" in the road, you also have to look out for traffic coming directly at your back.  I know what you are thing, if I am mowing the ditch, why am I worried about traffic on the road?  Well, several reasons, farm machinery is wider that your average car, so you have to be wary of it hanging over the side of the road, or cars avoiding oversized farm machinery and hanging over the side of the road, plus I frequently have to back into the road to mow this part, and I also have to mow around all the tire tracks IN OUR DITCH so obviously someone has managed to drive exactly where I am mowing before!

I have several theories as to why people drive in our ditch.  Some just misjudge the curve and come around there way too fast.  And this particular intersection is a one and a half way stop.  There is one regular stop sign, and one "Stop Except When Turning Right" sign (which in every other state is just a "Yield") and the third way you don't have to stop no matter which way you're turning.  This leads to confusion and thereby most people treat is as a What-Stop-Sign? intersection, leading to a lot of squealing and swerving around oncoming traffic.  There also tend to be a lot of drunks that like to run into the ditch and sometimes for fun, ram the electricity pole.  And finally I think a lot of people are just so busy looking for people to wave to that they don't pay attention to where they are going and run off the road.

So here I am, looking down for snakes to whack, looking left, looking right, looking behind me, looking up (because I don't want to be surprised by SEAL Team VI), pushing the mower with one arm, pulling on my whacking stick with the other arm, and waving at anything that moves.  I was about three quarters done when I started to feel that familiar "tug" down below.  No not my bowels, that was earlier, I am talking about my incision tugging to warn me that it doesn't like what I am doing and it threating to let loose.  So, after getting this obvious warning sign, I did what all men would do and decided the best thing to do would be to stop, leave the rest and go in and take it easy.  I did, I really did decide that would be the best thing, but I still kept mowing until I finished.  It was about this time that my wife and mother-in-law came back from the cemetery, or store, or family Catholic event, or where ever they were and I saw them stop in the driveway way away from where I was mowing and wait to talk to me.  Now it was pretty obvious that I was doing something, and it was also pretty obvious that whatever they had been doing previously, they were now sitting in an air conditioned car.  Since they were waiting for me to stop what I was doing, walk from the edge of the yard to the driveway (which I estimate is a walk of approximately ten miles, or at least that's what it feels like when you have been mowing, waving, and keeping your insides from spilling out), I once again used my superior Man Reasoning Abilities and decide to ignore them and keep mowing.  I finally finished the mowing and much like how a marathon winner will collapse as he/she crosses the finish line with tears of joy running down their face, I fell back on to the lawn tractor and let out a very manly man-whimper.

As soon as I stopped, I could tell that my incision wasn't doing well, and I had planned to just sit on the couch the rest of the night and hold my crotch, something that seemed to make even more sense now that I pulled my incision.  Then my wife came down and asked if I would go with her to Wal-mart.  For some reason I said "yes".  I think I said "yes" because she said we were only going for two things, and I forgot in Wal-mart Speak, two things is actually forty-seven things that we will grab them by alternately criss-crossing the full length of the store approximately eighty-three times.  I don't know how the math works out on that, I just know that's what happens.

So, for the rest of last night and all of today, I have been limping around holding my side, like that is actually helping at all, but since that is the only thing I can think to do, I keep doing it.  The good news is that I didn't push myself to the "pop" just the tug.  So I hope this will all be better soon.  And if nothing else, I can use this for leverage next time someone wants me to mow the lawn.

Summer's Here, Time To Hurt Yourself!

The past couple of days, I have had every intention of hurting myself.  No not in one of those cries for help sort of ways, but just in pushing my self more and more to get back to normal.  I still haven't tackled the dangling a push mower down the ditch yet.  I am really afraid that may undo all the healing I have been doing, so when I do finally get around to attempting it, I will do it as gingerly as one can dangle a push mower down a ditch without simultaneously chopping off body parts.  Just the fact that the engine starts to cut out because the mower is at such an extreme angle that it can't get gas, shows that maybe this isn't a recommended use of this particular mower.

However, that wasn't a problem yesterday.  I had intended to do it, but secretly hoped something would come up to keep me from having to do it, and luckily plenty of things did.  I spent some of the early part of the day helping my good friend with the project we are tackling.  After that I waited for a HVAC company that claims "1 hour service" to call me back....that's been about 36 hours ago, and I am still waiting for a call back on the message I left.  The reason, our thermostat decided that when the air conditioner kicks on, the house will cool down like it is supposed to, but the temperature reading will go UP!  And that keeps the air conditioner on.  You notice this when you look at the thermostat and it reads 87, while the other thermometer in the house reads 72 (and that is the real disparity in numbers we had when we first noticed the problem).  A little research on the company turned up information that all electronic thermostats from this particular company do this.  I won't mention their name because I don't want to embarrass Honeywell.  I finally called in to our HVAC company through a different line (not a repair line) and asked them if they could fix this.  They said yes they would replace it...in five days.  I asked if they carried any other brands than the one they installed and they didn't.  Frustrated I decided to runaway from the problem and went out to mow some of the muddy areas of the yard with the riding mower.

Now our mower is an commercial grade mower that we had to buy because someone keeps running into stuff bending the deck on regular mowers.  I won't say who that someone is, but it's not me and it's probably my wife.  Because of this, the mower weighs 1400 lbs. (about 650Kg) and because of its massive weight it gets stuck if there is any amount of moisture on the ground.  While attempting to mow the parts of the yard that were too wet before, I hit a puddle or moss or gnat pee, whatever it was, the mower became hopelessly stuck.  Now for reasons that I won't go into right now, I am the only one currently able to run this mower, so there was no one to drive the mower while I attempted to pull it out.  So I did one any red blooded American male would do that has a Jeep and at least one ball (which I barely qualify for), I hooked up the Jeep and dropped it in four wheel drive low and jerked the crap out of it.  You may have seen in the news where the day was .25 seconds shorter yesterday, that's because the massive torque of my Jeep pulling out this mower actually stopped the Earth's rotation for a brief moment.  After these shenanigans were done, it was pretty much too late to attempt the ditch mowing/incision ripping yesterday.

So today I got up and went to a hardware store to find a thermostat that didn't have "Honeywell" stamped on it.  I found one and then had to pick up a bag of concrete for another project we are doing.  I found the correct type of concrete (for the record, there are approximately 75 different types of concrete and no matter what your project, there will be exactly 1 (one) bag that kinda fits what you are needing to do, and it will be on a very high shelf).  I look straight at the bag...literally, because someone at Home Depot decided that this particular type of concrete needed to be about five feet in the air, and it dawned on me as I read "80 lbs." on the side of the bag that:  A) I haven't lifted 80 lbs. since my surgery, I am officially supposed to be closer to 30lbs., and B) I can't bring the Jeep in to help me with this one.  I briefly thought about asking for help, but two things occurred to me:  1) Guys are not supposed to ask for any sort of help whatsoever in a hardware store unless it is a veiled attempt to prove they know more than the person they are talking to, and 2) I have about as much chance of finding and employee at Home Depot to help me as I do of finding the Loch Ness Monster, Elvis, Jimmy Hoffa, and  a regular cast member from Alf.  Now Andrea Elson did walk by while I was contemplating the next move, but without Elvis, Jimmy, and Nessie she wouldn't have been much help.  So I did what any self respecting guy would do, I picked up the bag anyway, rather than get help, and waited for the "pop" down below.  I firmly grabbed the bag and just as gracefully has a Olympic weight lifter clean and jerks 1000 lbs., I put the concrete in the cart...OK, it was less like an Olympic weight lifter and more like a out of shape fat guy struggling to lift more weight than he lifted in eight months (outside of Golden Corral) all the while trying not drag the bag (which they for some reason make out of paper just slightly thicker than tissue paper) over anything that might snag it, causing it to burst open cartoonishly burying my feet in 80 lbs. of concrete, while at the same time trying to keep me from bursting open cartoonishly burying my feet in a large pile of my intestines.  Unfortunately for the person watching me on the security camera I was able to load the concrete without any comic mishaps (yes, they actually have a sign in the concrete section pointing to the security camera, maybe that is a sign you are way understaffed if someone can grab an 80 lbs. bag of concrete and no one notices nor is able to catch someone fleeing with 80 lbs. of concrete).

Eventually, I made it home and the first thing I had to do, with the air conditioner running like an out of control Trane, was replace the thermostat.  The thermostat contains slightly more wires than the Space Shuttle, except with fewer directions.  After approximately 47 hours of cursing, reading, taking a Spanish course, reading the other manual, taking a Hindi course, calling tech support, and some Eeny Meeny Miney Mo, I was able to hook up the thermostat with a minimum amount of smoke and sparks.  As I was wrapping up, a large storm hit, effectively ending my mowing/stomach shredding/toe slicing plans for the day.

I don't know if the events keeping me from mowing the ditch are a bit of Divine Intervention or just me being lazy and slow, but I will welcome the postponements no matter what the reasons.  I just don't know what I am going to break to get out of it tomorrow...

There's More To Recovery Than Just Recovery...

Today I spent the morning with a good friend who is recovering from her own serious health condition.  We got into a conversation about how hard it is to recover from a serious illness, not necessarily physically but mentally as well.  There are so many aspects to recovery that get overlooked because caregivers are focused on, well recovery, but just physical.  The medical profession seems to think if they fixed your ailment, you're done.

One thing I noticed since my cancer diagnosis, is before I found out I had cancer, I did routine checks for testicular cancer.  I had a doctor in 1998 tell me it would be a good idea to check and I did the checks often, sometimes twice or more a day depending on how many other people were in the pool at the time, but every since I found the cancer, I hardly check.  The ironic thing is, I have about half as much to check after the cancer, so you would think it would be easier to check now.  However, I could probably count the times I have checked since then on one hand...not that hand the other one, the non-checking hand.  I don't know why, but I have developed an aversion to checking myself since I had actually found something.  Luckily, since I still manage to see one professional or another approximately every forty three minutes, I am getting checked enough right now by other people, so I don't need to worry about it, my family doctor, my urologist, my oncologist, my friend's overly curious dog, that TSA guy behind me in line at Arby's the other day, well at least I think it was a TSA uniform, or it could have been a bus driver's uniform, who ever it was he was very gentle and paid for my Arby-Q.  I brought this issue up at my cancer support group to see if any other of the self examiners had the same mental block after diagnosis, but unfortunately the breast cancer survivors weren't there that day.  There were a few prostate cancer survivors, but they didn't look flexible enough to perform self exams.

When down physically for so long, it takes a while to get back in the swing of things.  The doctors pretty much force you to be a couch potato through weight restrictions and other warnings of dyer consequences if you overexert.  After weeks, or even months, of continuously watching daytime TV, it's hard to get back into a routine of getting up, moving around, and even concentrating on anything that doesn't involve paternity testing, especially during Oprah's last season!  And even when you do start to move about and get braver and braver, there can be certain obstacles in your daily life that look insurmountable.  As part of my mowing routine, I have to dangle a push mower down a very steep embankment about five feet, pull it back up, and try to keep my toes out of the way the whole time I am struggling with it.  This is something that leaves me physically drained and crippled on a good day, I will admit, I am scared to death to do it when I still haven't been released to do that sort of thing from the doctor that performed my surgery.

Then there is just the mental recovery.  Believe it or not, you feel like your brain gets flabby from not being used while you were recovering.  I tried to keep my brain sharp by first reading Yahoo articles on-line, then working my way up to on-line versions of magazines, then newspapers, and even tried to read a few books on-line.  It was months into my recovery before I realized I had just been looking at porn the whole time, which I would stop, but I am not quite done with this article.  The point being, when you brain isn't working as hard as it had in the past, it takes a while to be able to stare at a computer screen for hours on end again (especially if there is no porn on that computer screen).

One last part of mental recovery I will mention, kinda relates to one of the first things I mentioned, and that is the fear that you are not quite well yet, or that it will come back.  There is a reason that until recently, oncologists would never use the word "cured" they would just say "remission".  I don't know that I will ever get over the fear that the cancer isn't quite gone, or that it's hiding somewhere else, or that it's just not big enough to show up on tests yet, or that it's lying dormant, or, or, or, or....with so much of cancer being an unknown, how do we as patients feel secure in our "cured" diagnoses?  And am I sure our families/caregivers/support networks have the same fears, whether they will verbalize them or not.

I guess in many ways, recovering  from a serious illness is like a "recovering alcoholic".  Sure, Bill W. never plans on having another drink, but he knows that threat is always lurking in the background.  In much the same way, I don't ever plan on having cancer again, but I know there is a possibility, however slight, that it  could be hiding somewhere.  Maybe I should do some more internet "reading" and a self-exam just to make sure there's no cancer left.

"If I Leave You It Doesn't Mean I Love You Any Less"

For the second day in a row I am starting off with a Warren Zevon quote.  While Warren was dying of mesothelioma he wrote a song to his wife with the line "if I leave you it doesn't mean I love you any less".  It was a touching line when I first heard it and a much more powerful line after my cancer diagnosis.  I think the first reaction when you are diagnosed, is to wonder if you are going to survive.  The second reaction is if you don't survive, what will that do to your family?  What a brilliantly simple way of expressing how we feel.  If cancer takes us, it doesn't mean that we want to go.

I "graduated" from the Wellness Community this week.  I won't say I am 100% over all of this stuff, heck for one thing I haven't officially been released from the urologist yet, but cancer is no longer the prevailing thought in my mind anymore.  Granted there are other things going on in my life right now that are taking my focus off that crap, which is a good thing.  I don't know if I would feel this far removed from cancer otherwise, but the point is I do and that's all that matters.  It's hard to believe my cancerversary is coming up in just a few months!

The Wellness Community and more importantly the people in my support group have been very...well supportive.  I was hoping there would be a big crowd there so I could say "bye", but there was only the facilitator and one other guy, who happened to be my favorite guy and the one that helped me the most.  This particular guy (without giving any identifying information, which is a no-no for a support group) has lived with cancer for literally decades.  Not a survivor, LIVED WITH CANCER as in still has cancer!  There is another in my group that has lived with cancer for about a decade as well.  Do you know how comforting that is to someone who just got diagnosed?   Even if you aren't cured, here is living proof that you can live with cancer and look like a normal non-cancer-having person!  And the thing I was most impressed with these two individuals was they were the most upbeat of the group.  They weren't cursing their maker or bitter at the world.  They were positive.  With just my favorite guy in my final meeting, I was able to spend a lot of time telling him just how important he has been to my emotional recovery.  I wish there were a couple of others there that I wanted to thank, but that's what e-mail is for.

Now to complain about my group for just one second.  One thing I did get off my chest was there was an incredibly negative individual that almost caused me to quit the group.  This person was CURED but didn't want to believe it and spent the whole meeting going on about how if you had cancer once it stays in you forever and it can pop up anytime, even if the doctor says you are in remission or even cured.  That is not something I wanted to be around just out of my surgery and facing chemotherapy.  Luckily, the lady from the No Boobs About It blog warned me that there is one of those people in every group, to just try to ignore them.  I am glad she told me that.  The only other complaint I have with my group (and people in general) sometimes when life looks the darkest, people give up on you.  Most cancer patients have ups and downs in their care, and some people in the group would start referring to people in the past tense that were struggling in their fight.  The whole time Monty Python and the Holy Grail was running through my head "I'm not dead yet..."  All of the people referred to in the past tense have gotten better!  Thank God (literally) that they had better outlooks on their own lives than some of their supporters.

But all in all, I loved the Wellness Community and the support everyone gave me.  I didn't really want to leave, but I didn't feel it was right for me to be there anymore, since I feel less and less like a cancer patient and more like a cancer survivor.  I wanted to thank everyone for what they did with a gift, however I couldn't just give gifts because I am still unemployed and don't have a lot of money flowing in right now.  I would have liked to cook something and bring it in (and let's just pretend for a moment that my cooking is tolerable) but when you are on chemo, you can be super sensitive to tastes and smells (I still won't touch pasta and shun salt, two things I enjoyed before chemo) so food is not even allowed inside the room we meet in.  So that left me with my favorite thing, music.

Not only have I worked extensively in music running record stores, as a club DJ, and even with a record company being required to hang out with rock stars for three years, but I have always used music to alter my mood and relate to others.  Back in the day, years before I even met my wife (if she is reading this) I would make mix tapes and CD's to open doors to hot girls that would inevitably ask for more CDs and less of me.  More recently, I boil my music collection to moods.  I have several CDs I put together just to keep me awake on roadtrips.  I have CDs I made to listen to just when I want to sing loud in the car with no one around.  I have a CD I made to listen to when you are in a pissed off mood (which I largely gathered from my wife's music collection, I don't know what that means, I'm just saying...).  And I have made CDs just to put me in a good mood.  So that is what I did, I made CDs for my group, happy CDs.  You know, songs that are just impossible to be sad while listening to, stuff like LFO's Summer Girls, Spice Girls' Wannabe, and Hanson's MmmBop...OK, I am lying, I like most people over the age of two and with most of their faculties hate those songs.  That was just a list of my sister's CD collection.  (The funny thing here, is I have to approve all comments before they are posted, so there is no way for her to refute this on my page.  But I am sure there will be retribution on hers.)  But I did put together a list of twenty songs from 1952 to the mid 1990s that just make you feel good.  I don't know if they will appreciate them or not, but even if they don't, at least I gave them a new shiny coaster.

So Thursday, Warren's lyrics held a different meaning to me.  I didn't want to leave the friendships, but it was time for me to leave the group.  And although I can't specifically identify people or illnesses, I will vaguely take a moment to say some "thank yous".  Thank you Bill for showing me how one person can face cancer and act like...well someone that doesn't have cancer.  Thank you Susan for having that magic folder where much like a Magic 8 Ball, you ask a question, you reach your hand in, and pull out a print out with the answer.  Thank you Ann for showing just how hard one human can fight, and still retain grace and dignity the whole time.  Thank you Cary for taking a bad situation and turning it around for something good.  And most of all thank you Ned, no doubt your family sacrificed a great deal for the benefit of so many others, and I will never be able to express my gratitude sufficiently.  And there are many others at the group that helped me, and I don't mean to play favorites here...but I am (did).  And it's not like anyone actually reads these anyway, so there is not really anyone to offend with an omission.  Even though I didn't place that Warren Zevon song (Keep Me In Your Heart For A While) on the CD I made, because although very poignant and beautiful it's also incredibly depressing, I graduate from and depart the Wellness Community with those words in my heart and mind, "If I leave you it doesn't mean I love you any less".

Enjoy Every Sandwich

I haven't spent much time on the computer lately because I was spending too much time on the computer.  No, I wasn't actually doing anything on the computer, I was just watching it sit and lock up and restart.  I can't complain too much, the computer I was using was from 2003.  However, this week while helping a friend with a project, and sitting at the computer for literally an hour while it processed the request I was asking of it, I said enough was enough.  After begging and pleading with my wife, I now have a brand new computer that actually turns on when you turn it on, and does what you ask it to do.  I bought it yesterday and upon cleaning out the old computer and setting up my new one, I decided to check the speed of the thing by watching some video content that I have missed over the years.  Not porn, because I make sure not to miss that, just everything from a Simpson's episode I missed last month to Warren Zevon's last appearance on David Letterman a few years back.

At my support group meeting two weeks ago, we discussed how all of us in the group, after having the inarguably life changing cancer diagnosis, all have adopted a more living-in-the-moment attitude.  We were not talking about living your life like an anarchist, we were talking about living without regrets.  When people say they live their life without regrets, they tend to mean that they stand by the decisions they made in their life, be them good or bad, because even bad decisions can be learning experiences.  However, the living without regrets that we were referring to, is all of the times in our lives we have passed on an opportunity or not followed a dream for trivial reasons.  They can be life decisions or just fun times we passed up with friends.  Whether it be regretting not going to that concert with your buddy, or not having the opportunity to say "bye" to someone before it was too late, or not marrying Christie Turlington, there are several decisions in all of our lives we wish we could change or get that opportunity back.

Still unemployed, I have recently reevaluated my life and my career path.  My latest career path started when I was volunteering while helping out my hometown during the floods along the Mississippi River.  I loved working side by side with people to sandbag in an effort to save their house, business, church, or just the town in general.  I later managed to get into the disaster business and found that in the disaster business, you don't really get to help those individuals anymore.  I got more and more immersed in my job, working longer and weirder hours, seeing the people I wanted to help less and less.  I got to teach disaster preparedness to people, which I loved, but my job was asking me to take a more supervisory role on that as well and have volunteers do that.  When you work a job you love and you work long hours, the years go by, the job changes, and before you know it, the job you once loved, is no longer the same job, and you just love it out of habit.  It dawned on me recently, that is what happened to me.

After the things that have happened in my life lately, I have analyzed what I enjoy.  When you are faced with life altering events, you realize a job can be something you love doing and are willing to sacrifice for, something you hate doing, but it pays so much it gives you the opportunity to spend that money on your family enriching your life that way, for a lucky few like musicians and porn stars it could be a job that you both love and pays a lot, or it can be a job you hate, doesn't pay that well, and isn't rewarding.  After talking with my wife, we both agreed that in this stage of our lives, I should look for either a job I really, really enjoy, a job that I maybe don't enjoy and doesn't pay much but allows me a lot of time with my family, or a job that pays ridiculous money that when I do get sometime off I can afford to jet off to Walt Disney World or buy expensive guitars (she says spend the money on the family, but that's not how I processed it in my mind).  Just like we talked in my group, live in the moment, make sure your job is worth it to you, either monetarily or sense of accomplishment.

But we weren't just talking about jobs in my group.  We were talking about everything in life, meeting that friend for lunch, dropping an e-mail to a sick friend, taking that trip, learning that skill you have always wanted, whatever.  I wish I could live a week in Cinderella's Castle at Walt Disney World, get right out of bed walk straight to the Jungle Cruise and shoot an elephant in my PJs (how he got in my pajamas I'll never know...ya gotta love Groucho!).  That is a trip that would probably bankrupt me and put a huge financial strain on my family for many years to come.  That is not the type of thing we were talking about.  However, for years my wife and I have dreamed of taking a trip out west, just driving and seeing the sights this country has to offer.  That trip, I have no doubt we will take in the coming years when we are physically and financially able to go.  For years, I have begged my parents to come to Florida with us.  We went as a family one time and had a great experience.  That was sixteen years ago.  My wife and I are able to visit Florida frequently on a fairly cheap budget.  I have invited my parents many times and offered many ways to help facilitate their travel down there.  Time after time we are turned down and have basically heard from them that they will never travel that far again.  It is something that really saddens me, especially since my cancer diagnosis.  We don't know when God may call any of us back home.  We don't know how much time we have with each other.  Instead of just showing my parents photos and telling them what a great time we have in Florida, we would like to take them, show them, experience it with them (until they get tired and grumpy like old people tend to do, then we will lock them in a bathroom or something).  I think what saddens me is not so much the repeated declines of our previous offers, but how they say they don't ever think they will make a trip like that again.  I was taken to Disney Parks the first time by my family and I was kind of hoping that one day they would be there to experience it with their grandchild.  Who knows, maybe they will be more adventurous by the time that opportunity rolls around, or at least senile enough that we can tell them we are taking them to Big Lots or something and Big Lots has a new one thousand mile long parking lot.

When Warren Zevon made his final appearance on David Letterman, he was well aware that he was dying from Mesothelioma.  He knew it was the last time he would be on there.  He knew that the breath that he drew to sing songs many people loved was being stolen more and more by the cancer filling his lungs.  Warren had a great attitude and repeated many times through his dying days "Enjoy every sandwich."  It may sound stupid and simple, but for anyone that has looked at a doctor waiting to hear a success rate or a chance of survivability we know exactly what he means.  Do what you enjoy.  Don't waste your time on things you don't enjoy.  If you do have to do things you don't enjoy, make sure it's worth it in the end.  Learn to love the gifts you are given in your life, the big ones and the little ones.  Enjoy every sandwich.  With that said, I am sore from typing and hungry for a sandwich, so it's time to get off of here.