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.

PTSD and Cancer?

Having recently completed a trip that I had planned for a while, one of my bosses asked me how it went.  I told her how the trip had special significance to my cancer fight and how it took on a new meaning after not being released from oncology as I hoped, and I talked to her about how the trip affected me.  I made the comment to her (also someone who fought her own cancer battle), I said "It's weird the way certain things trigger these memories and feelings, it's almost like PTSD."  She replied "It is PTSD!"
Her words struck me as odd.  I know people with PTSD, and some of them have a lot more to worry about than I do.  After all I was basically disappointed that I have to keep going back to the doctor, that I'm still a cancer patient.  That's all.  Yes, there are certain triggers, certain things that cause memories to come flooding back, but that's just life.  That happens with lots of things right?  Every time I smell cow manure, I get flash backs to the county fair and start look for deep fried anything.
Later on that day, I just Googled "PTSD" and "cancer", thinking I would find a few anecdotes here, or casual observations there.  What popped up on the page astounded me.  Studies, LOTS of studies on the subject.  And they all came to basically the same conclusion, it's not just in our heads...well it is, technically, I guess...but a lot of us are experiencing it.
There were tons of articles but the same results seemed to be popping up in every study.  One out of every three of us experience this.  It only shows up AFTER active treatment, usually when patients are in their monitoring stage.  It can start as soon as 6 months after active treatment, but many experience it at about the three year mark.  And the trigger to cause the onset of the effects doesn't necessarily have to be cancer related, but it brings back the cancer thoughts.
Before I go any further, I don't think I have "post traumatic stress disorder".  As I mentioned, I know people that have PTSD, and I wouldn't even begin to compare my problem with theirs.  However, I do have SOMETHING going on.  And the research shows that clearly a lot more of us do too.
That's when I started getting a little angry.  Further reading on the studies shows that very few oncologists even realize that this is going on.
For those that haven't been to an oncology monitoring appointment it goes like this, you sit in a sterile waiting room (literally, because chemo knocks out your immune system).  You look at the pile of old hard candy (because chemo also dries out your mouth), trying to decide if you are desperate enough to get a piece.  Then the phlebotomist calls you, puts you on the scale while you try to claim that your shoes weigh 50 pounds a piece, takes your vitals, and sucks out about 4 gallons of blood for various tests, spells, and incantations.  Then, before they shuffle you off to wait in the oncologist office, they ask where you are on the pain scale, physically and mentally (you know that little scale of various emojis before they were emojis, ranging from happy face emoji to frowny crying face emoji).  That's where it dawned on me when the breakdown was.
Going into my last oncology appointment, I was excited.  I had my monitoring extended once, but had been told by everyone...except the oncologist, that this would probably be my last appointment ever.  When asked where I was psychologically, I picked a "3" out of "10" ("10" being the most stressed).  After I was told to continue monitoring I was absolutely devastated.  Had anyone stopped me on the way out the door and asked me to give my number on that scale again, it would have been an "8" or a "9".  This was the failure.  This is where no one is paying attention.  And I don't necessarily blame the oncologists.  Like many of the studies discovered, oncologist are trained to fight cancer, not delve into one's psyche. Most doctors aren't cross trained.  You don't go to the vet, have them spay or neuter your dog, then ask them if your own tooth has a cavity...well I know one person that might, but she's the exception.
One in three is a pretty significant number.  That is what surprises me.  How can 33% of us be ignored and forgotten about?  If I handed you and ice cream cone and said it's $5 and there is a two in three chance it will taste delicious, but a one in three chance it will taste as bad as a rock concert restroom smells, you probably wouldn't do it.  There is a 67% chance you will have fun on this roller coaster, but a 33% you will get seriously hurt or killed...are you going to wait in line?
Although, there is tons of research, when I went to the major cancer resources to find out what help there was out there, the websites had surprisingly little information.  The research is out there.  It all basically says the same thing, but no one really seems to know what to do with that knowledge.  And in the mean time people are falling through the cracks.  I haven't thought about harming myself, but the studies do have morbidity rates that are higher than people not going through it.
As in many things with cancer, we need to start educating each other, and passing along what helps us, and that its a normal feeling, and how to get help.  We've always been good about warning about cancer insomnia, scanxiety, and chemo brain, but not this whether it truly is PTSD or whatever it is.  Maybe it's because it happens after most of us have left our support groups or no longer get the longer talks with the oncologist and their team.  But we have to make a change somewhere.  We have to get the word out.  We have to help each other.  We have to do something.

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.

Cancer Flashbacks With Paul Reed Smith

I am well aware that it has been a while since I last posted on here.  I do have a reason.  Trying to type with a toddler in the house means most of your writing looks like this "aklsjoun   saiolkjdfslak  klafjl;a".  And even if he were not "helping" me on the keyboard, it is hard to concentrate on writing when you have a two foot tall individual that moves just shy of the speed of light, that you are yelling things at like "get your fingers out of the dogs' eyes", "no, the remote control doesn't belong in the toilet", "we can't blow bubbles outside right now, it's 14' outside, and dark", "get your fingers out of the dogs' eyes", "where did you find that, get it out of your mouth", "get your fingers out of the dogs' eyes", "no, the table lamp is not a toy", and "get your fingers out of the dogs' eyes".  (In case you were wondering, learning the parts of the face was a very challenging time for our dogs' vision.  Maybe we will have to find them a "seeing eye person".)

So, because of the delay, I am writing about an incident that happened in June.  I think we have all been in a situation where a sound, or picture, or smell has brought you back to something in your past.  For instance, every time I smell VapoRub, I think back to that time as a little child that my great grandmother rubbed it into an open wound.  It still brings tears to my eyes.  Well, for the most part I feel I am over this cancer stuff.  Sure, I still have a few more years of CTscans, X-rays, blood tests, and all of the other monitoring.  I am not exactly sure how many years, because asking an oncologist how much longer you need to see him, is similar to asking your parents on a road trip "are we there yet?".  I think the answer has always been "4 or 5 more years" (for the oncologist visits, not the road trip...it just seemed like it took 4 or 5 years sometimes).  Other than the endless doctors' appointments, I really don't have much to do with cancer.  Oh there is still the solemn tone from friends you don't see very often asking "How are you doing?"  But for the most part, I am living my life.

I love playing guitar.  I play like I play golf, I don't play particularly well, but I don't take it too seriously and I enjoy doing it.  When I had my surgery, I was restricted in what I could lift.  Luckily, just before I was diagnosed, I had found some cheap used Paul Reed Smith guitars.  They were the lightest guitars I owned, and were pretty much the only ones I could lift and play for a long time.  They were the one thing that was able to get my mind off how bad things were for an hour or so at a time.  When I finished my chemo, my family all pitched in and bought me a nice Paul Reed Smith for Christmas.  The guitar means a lot to me for so many reasons.  First I just like the guitar!  But it symbolized closing the door on cancer.  It meant a lot for my family to pitch in and get me something like that.  And it was something I spent a lot of time with during my "chemo brain" months.  So, a coincidental introduction to PRS guitars, ending up having a pretty significant impact on that period of my life.

Which brings me to what happened in June.  Every year, Sweetwater Music has what basically amounts to "musician porn" at their campus in Fort Wayne, Indiana.  Literally hundreds of manufacturers are there showing off all their new toys, letting you play with them, and they bring in dozens of endorsed artists (some more famous than others) to trick you into thinking that if you just had that equipment, you could make all those amazing sounds too!  Well, Paul Reed Smith was on hand.  Not just the company, Paul Reed Smith the actual person.  In my past, I worked for a record company, regularly hanging out backstage and on tour buses of multi-platinum and even diamond selling artists (diamond is ten million copies).  I was never nervous or star struck hanging out with rock stars, but being the geek I am, I was excited to see a guy that designs guitars.  

One good thing is, I was right at home with my fellow geeks, because there was a full auditorium of us waiting to see him (although, I was one of the few that showed up an hour early to stand in line, and made it to the front row).  I watched his presentation in awe when he talked about all the technical things that make his company's guitars sound so good.  I had heard he was good about doing "meet and greets" with his fans, and throughout waiting in line, and his presentation, and...waiting in line again to meet him, I ran through my head exactly what I was going to say.  I was going to tell him, how his products got me through some dark times.  Thank him profusely.  And maybe talk to him about the technical nuances of a quality guitar (not that I know what I am talking about, but I can fake it).  

The problem with be one of the first ones in the auditorium for the presentation, is that means you are going to be one of the last ones out to stand in line for the meet and greet.  The whole time in line, I ran over my little monologue in my head.  Over and over again, as the line grew smaller and I moved closer and closer to this guy who really has no idea that his guitar helped me with my cancer fight (although his company does regular donate to cancer charities).  Then the big moment, I am standing before THE Paul Reed Smith...and I feel like I am at the oncologist's office for the first time, all the emotion came flooding back from that day.  I felt the fear, felt overwhelmed, I felt like I was going to burst into tears...but I WAS NOT going to do that...no matter what!

So, I stood before Paul Reed Smith, handed him part of my guitar to sign.  And was afraid if I said anything I would have an emotional outburst.  So, in an effort to hold back this flood of emotions, I stood there looking like I was probably about to punch him.  He asked me if I would like the autograph personalized and my big speech that I had practiced over and over again, was now reduced to one word, "Tom".  Yes, all that I had planned on saying, all that I wanted to thank him for was boiled down to me barely uttering my own name through clenched teeth.  He politely signed my piece for me and I briskly walked out of there, trying not to break into an all out sprint as I headed to my car, hoping if I went fast enough I could outrun this emotional avalanche.  But I was also hoping if I couldn't keep it together, I would be far enough away that no one would see me.

Now, let me just say one thing in my defense.  The surgery I had to help prevent a different kind of cancer, has caused me to be a hypoglycemic.  And sometimes when people have low blood sugar, they tend to get more intense emotions.  And, because I am a big geek, I got so busy looking at musician porn, and standing in line an hour early, and sitting through a presentation, and standing in line again, that I went about 14 hours without eating (not a smart thing for a hypoglycemic to do).  So I will blame part of this incident on that, so as not to appear to be such a wuss.

So, I didn't get to thank Paul Reed Smith.  And to be honest, I don't know what he would have thought about it if I did.  It's not like he found the lump, or performed the surgery, or administered the chemo, but he was still important to my recovery, even if that isn't why he got in the guitar business.  But this incident says a lot about us cancer survivors.  You never know what is going to help us get through a hard time.  It could be a book, a phone call, visits from a friend, or a cheap used guitar.  And it is hard to feel "done" with cancer when you are still going to doctors' appointments every few months.  They tell you it's over with, but in the very next breath, tell you to come back in November.  And just like any other major event in your life, you never know what trigger will bring you back a memory or a feeling, that you may or may not want to experience again.  At least, I got to meet him.  I got something signed to me personally.  And I got something to eat so something like that didn't happen again.

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.

Constant Coughing or First Word?

Let me start this off by saying, I am not trying to be one of those people that has a health complaint every time you are around them.  No, I just have a health complaint that I would like to keep to myself, but unfortunately affects everyone around me.

See, about a month ago we traveled down to Florida.  It was sunny and hot everyday, most days getting into the 90's.  And as things usually go in that kind of weather, I caught a cold.  OK, I can tell that you are confused, here is what happened.  One night we went out to eat, and whatever it was did not agree with me, so I was up until the wee hours of the morning dealing with that night's dinner.  And as anyone with a baby knows, you certainly are not going to be able to catch up on your sleep in the morning, because the baby doesn't care how late you stayed up, he just knows he is hungry/wet.  The next night, I was looking forward to some restful slumber when the weather radio went off stating a tornado was in the area.  In the area of the country I spend most of my time in, I would have turned on the TV for a detailed report and if need be, pulled out the futon in the basement and dragged everyone downstairs until the danger was over.  Unfortunately, most homes on the Florida coast do not have basement and if they do they are called indoor pools.  My wife, being very supportive, decided not even waking up to the loud alarm next to her head would be the best course of action.  Not wanting to push everyone into a closet (the only interior room in the house we were staying at) I decided to check out the situation and move everyone in the safe spot only if the situation warranted. What I found out is that in Florida, where several sports teams are named after weather, they apparently don't have anyone at the TV stations that actually knows anything about weather in the middle of the night.  After only being able to find a tiny square of a weather map in the corner of the TV that amounted to about four pixels, I decided to just stay up until the Tornado Warning expired to make sure we were safe.  That left me up until the wee hours of the morning once again.  The next few days were spent preparing to come back home and driving the eighteen hours to get back home, which after it was all said and done, left me very run down, and with a strange tickle in my throat.

So, a few days after getting back from our pre-summer Florida trip I was in full nose dripping, wet coughing, hell.  I was kind enough to share this illness with my wife, who never seems to appreciate the gift of sickness.  Within a few days, my cold had disappeared except for a little headache that would not let up.  My wife wanted quicker relief and went to see our family doctor, who told her that she had developed a sinus infection.  Upon hearing this, I was a little worried that my "headache" was really a raging sinus infection like my wife's.  I called the doctor and told her I was feeling fully recovered except for the headache and she prescribed some antibiotics to clear things up.  Pretty soon the headache was gone...and an annoying, constant, irritating cough developed.  Not like the one before where random pieces of lung seem to be flying out of your trachea, this is just a cough that sounds  like the cough people do when they aren't really sick, but they are calling in sick to work, except this cough is real and relentless.

Here is where I am today, nearly a month later and feeling pretty good, just sounding like a guy faking a cough constantly.  And the best part about it, anything extra sweet, salty, or tangy, causes it to get worse!  The past two weeks, friends have asked me to come to their places of business to help them with projects, and in return they feed all the people that helped out.  The problem is, I am afraid to eat around people, because invariably the cough gets worse, and if there is anything to get you uninvited to future gatherings, it is sounding like you have the plague around people while they are eating.  So while everyone else is socializing and having a bite, I am running off to a vending machine and nibble/coughing in a hallway somewhere.

Well, today I realized how much this is really affecting my life.  My son, being six months old, is just now trying to verbalize and mimic actions and sounds that he experiences.  While sitting with him and feeding him, I had a coughing fit, and he looked me right in the eyes while I was trying to compose myself...and coughed some fake sounding coughs.  Now coughing isn't out of the ordinary for him while he is enjoying his bottle, because in his mind, he is very hungry, and trying to shotgun five ounces of milk in one second is the best way to stop his hunger pangs.  In reality, trying to suck that much milk into his stomach that quickly leads to choking, coughing, and spitting up all over me, a lesson I have had to learn the hard way.  After his cough we just stared at each other, he with his little grin on his face, while I try to figure out if he drank to fast or was he making the same sound daddy was.  The grin he gave me was very similar to the grin he gives me while we sit there and make fart noises at each other for hours on in.  You know, that cross-between-laughter-and-accomplishment type of grin.

This is why I am frustrated, not because of the constant hacking, or having to eat my meals alone in a dark closet so people won't fear infections from me, it is the effect this may be having on my impressionable young son.  No longer do I wonder if his first word will be "mommy" or "daddy".  No longer am I worried that his first words will be one of the phrases yelled frequently at the dogs ("Daisy, quit licking your butt!") or the words he hears daddy yell when there is a stupid driver in front of him.  No, I am frustrated today because I am afraid that the noise he has been hearing most the past four weeks will be the first one he verbalizes.  And in his little memory book, I just don't know how to write down the spelling of "hok-hok-hok-heh-heh-kuuuuurrrrrrkkkk-ptah".

The Best Gift I Have Received Throws Up On Me...

When you are about to have your first child there are tons of tidbits of wisdom that people will tell you.  I gladly listened to everything people told me making mental notes along the way.  Having just made it six months with my new best friend, I feel I am becoming quite accustomed to this new life.  Some of the things people told us were about the negative aspects of having a child.  I think the big factor in this for us, is how badly we had wanted a child, how long we had been trying, and finally after the cancer/miscarriage/fertility treatments how much we went through before we were successful.

One thing we heard over and over again was how exhausted we would be.  Now, I will admit we aren't as well rested as we were six months ago.  I can't remember the last time we were able to just sleep in as long as we liked.  But I certainly wouldn't call it "exhausted".  One thing we have going for us, is our child has been an overnight sleeper since we brought him home from the hospital.  I think the shortest he ever slept overnight was maybe four hours when he was first brought home.  The other reason I don't think I am tired is I enjoy the time I get to spend with him.  Think of something you really enjoyed, like for me going to Walt Disney World, for you it might be reading my blog...if it is something you really had fun doing, you get whatever sleep you can and do it again first chance you get.

The other very cliched comment is that you will never know how much love you will have for the baby.  Waiting until forty-one to have my first child, trust me a lot of anticipation and love had built up.  I love my little guy a lot, and that love started the day my wife walked out of the bathroom with a pee-soaked stick.  What has surprised me is just how much I like being around him.  Even from the beginning when all he was doing was laying there and messing diapers, I cherished every second with him.  Now I will say this.  He seems like a very happy baby and everyone tells us he is a happy baby.  That certainly helps.  Even when changing a diaper he looks up and smiles and either grabs my arm or if I am careless enough he will grab the clean diaper and play keep away with me, which is apparently very funny when you are six months old.

But then again everything seems to be funny to our six month old.  A hand full of someone else's hair is freakin' hilarious!  Rubbing bare feet on daddy's head or whiskers is also a great source of amusement.  The phrase "peas and apples"  is the greatest joke ever told, ranking right up there with "The Aristocrats".  I have no idea why "peas and apples" induces uncontrollable laughter, but I think it's pretty obvious that he has his daddy's sophisticated sense of humor.

The other side is, I am probably one of those obsessive and over-protective parents.  When you have gone through your own health scare you realize just how precious and fragile life is.  Someone told us the other day that kids aren't that fragile at all, all three of theirs rolled off the bed at one point as babies.  That led to a conversation after we left that person about how after the first roll off (or at the very least the second roll off) wouldn't you take precautions to prevent future roll offs?  This person claimed there was no harm done...but there's one we think the jury is still out on.

I may have given my son his first real electric guitar this week as well (which means I did give him his first electric guitar).  Now I know what you are thinking, "He's six months old, he can't play an electric guitar" and you are exactly right, that is why his is half the size of a normal one.  And since it is difficult for him to strum and hold down the strings, I even brought out a thing that automatically moves the strings for him, so he can just focus on the fretboard for now.  See, doesn't sound near as crazy now, does it?

What I am getting at, is this is the greatest gift I have ever been given.  We waited a long time for him and went through a lot to get him.  Even when during a diaper change he accidentally peed in his face, which literally scared the crap out of him, all I could do was clean him up and laugh.  Being spit up on twice a day, doesn't bother me, I just add the clothes to the huge pile of other garments he finds creative ways to soil.  In other words, even the bad times are some of the best times of my life, so you can imagine how great the good times are.  And hopefully by next week we will be playing our guitars together...

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.

An Xray, 3 Blood Tests, And A CATscan Down, Now Shove A Camera Down My Throat

I am finishing up my latest round of scans.  In the past three weeks, it seems I have been tested every other day. I haven't actually been tested every other day, but medical providers have still found a way to bill me every other day.  So far I have finished a chest X-ray, a CATscan, CBC, tumor marker blood test, and in a matter of hours a upper endoscopy (with jumbo biopsies, YIPPEE!), oh yeah and peeing into the random cup every once in a while too.  I just hope I was supposed to pee in that one cup, because the nurse gave me a funny look, and I don't remember specimen cups saying "Moe's Southwest Grill" on the side...

The X-rays were as expected.  I raise my hands above my head while the nurse shoves me against the wall like she's on COPS and I am an unruly suspect (one time I accidentally yelled out "Don't tase me bro" during the test).  The blood and urine tests were pretty routine as well.  I get asked for a body fluid, and I deposit it into whatever receptacle they hold in front of me.  The only problem was a slight miscalculation on driving time/fluid intake, which required me to make the receptionist wait for my insurance co-pay until after I gave them a sample.

The one thing I wasn't expecting was a CATscan.  When I decided to do chemo over testing (mainly dozens of CATscans) I knew I would still have to get the occasional CATscan, I just wasn't expecting it to be so soon after my last oncologist appointment.  As soon as he ordered it, I had flashbacks of the taste of the contrast dye and the associated CATstipation.  Not wanting to roll around on the floor in impacted and backed up pain again, I had taken two liter bottles of water with me to do some mega-hydrating on the drive back from the hospital.  Luckily, I didn't start drinking them yet, because when I arrived I was told I would not be drinking the slightly flavored chalky substance.  They had a new water based contrast, but I had to drink a liter of it in an hour.  Still skeptical, I apprehensively took a taste.  It tasted like Terre Haute water, which for those of you that haven't been to/smelled Terre Haute, IN, it kinda taste like...well...have you ever put a cooler away and forgotten to drain it?  Well, it kinda tastes like that smells.  Not good, but not bad either, and definitely better than the nasty, chalky, constipatitiony, bottomless cup of sludge that I had to drink before.

Within a few days, I got all of my results back, X-ray's and scans were clean.  Urine and blood tests were normal, and tumor marker's still dropping.  So now I am preparing for my endoscopy tomorrow.  My preparation involves mainly not eating after midnight and not sleeping.  I have literally had more scopes than I can count, all I know is that I am in double digits, and I have developed a routine.  I stay up late the night before, I go into the hospital barely awake, I get some Demerol shoved in my vein, and I wake up with my wife giving me dirty looks because I apparently won't wake up and I ask the same questions over and over again.

See, in my long history of scopes, there are two things I don't like about them.  One time I woke up when they snapped the plastic guide between my teeth, and the feeling/sound was not a pleasant experience.  Now they say you don't remember anything from the scope, but obviously if I just told you about that, I did remember it, because they don't put that thing in your mouth before you go in there and it is out before you wake up, so the only way I would know about it is to wake up during the procedure, and remember it (and I also remember hearing the doctor say, "He's waking up, give him so more.").  The other thing, is for some reason the oxygen tube that they stick in your nose, makes me feel like I am drowning.  OK, OK, I will wait for you to quit laughing at me.  Are you done?  So, I don't know why I have that feeling, but I do.  If I am totally out, it's no big deal.  If I am kinda out, I wake up, thrashing saying I can't breathe (which just by saying "I can't breathe" it proves I can breathe, but anyway), and before I know it I am sedated again and I wake up with straps on my arms.  For the comfort and safety of myself and the nurses attending to me, I have found that we are all much happier, if I am completely out of it during the scope.

As far as tests go, an endoscopy really isn't that bad.  The bad thing is, they keep you from eating for so long before, and for my condition they take out large biopsies in my throat to send to a pathologist, which leaves me waking up starving, but yet it hurts to swallow.  It's like some cruel joke the doctor's and nurses play on me, maybe in some sort of retaliation for thrashing around during the procedure acting like I'm drowning.  At any rate, I am ready to get this test over with and anxious to hear my results.  With this test behind me I am through with doctors (for me) until November.  Hopefully, the nurses will loosen my straps tomorrow and I can come home and tell you how everything went.

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 Coughing Were A Sport, I Would Be An Olympian!

So a couple weeks back I wrote about having a cold.  Well, the sniffling stopped, the sneezing stopped, and the coughing...well it never went away.  In my typical, stubborn, I-don't-want-to-go-to-the-doctor sort of way, I decided the best thing to do was to ignore it and keep coughing.  That changed the night my wife asked why I was breathing so fast.  I said I wasn't breathing fast, especially since I was just sitting there, not exerting myself with heavy exercise like bending over to tie my shoes, reaching for more cookies, or grabbing the remote to change the channel.  When she pointed out that I indeed was breathing fast, I started getting worried.  One possible cause could be pneumonia or any other number of pfunny gnamed illknesses.

So, first thing the next day I called the doctor and scheduled an appointment for later that day.  The two things I can always count on with my obsessive-compulsive doctor is that no matter what I am there for I have to be humiliated with the scale, and that he will be at the very latest on time.  And that is exactly what happened, after finding out I was fat (again) I was taken back to see the doctor...early!  While the nurse was pointing out that I was fat and taking my blood pressure, she scared me by telling me how rampant pneumonia has been this year.  My doctor came in and had me take several deep breaths, much more than usual, which seemed like a pretty sadistic thing to do to someone that was having trouble breathing.  Finally, he told me to take a deep breath, and breathe it out as fast as I could, which resulted in my coughing very hard, getting light headed, and almost falling off the exam table.  That caused him to giggle a little and tell me that people usually get lightheaded if they come in in my state and do that, which made me wonder why, if most people get lightheaded and almost fall off the table, why didn't he put himself in some sort of position to catch me?  Anyway, he narrowed it down to walking pneumonia or viral bronchitis, and told me to go to the hospital right away to get an X-ray.

Because of my medical past, I have been pummeled by radiation so much to the point that my oncologist wants to limit the amount of exposure I have from now on.  For those that don't know, radiation builds in your body over time.  It starts from the day you were born and keeps adding up until the day you die.  I told my doctor that my oncologist (and his good friend) had ordered a chest X-ray as part of my six month post-chemo check-up for the next week and asked if there was anyway I could just get one set of X-rays that would take care of what both my doctor and my oncologist wanted to see (plus then I would only have to pay one co-pay).  He thought that was a great idea and wrote the prescription.  My doctor sent me on my way, but not without first giving me two free inhalers.  He is one of those doctors that feels if drug companies are constantly going to keep coming around and bugging him, he is going to take all the samples he can, and try his best to keep from actually ever writing a prescription for anything, just give away free samples.  I don't think that is what the drug reps had in mind, but I certainly appreciate it.

I rush to the hospital just in time to spend the next half an hour filling out paperwork and answering questions between coughs.  I finally got in to have my X-rays done and my doctor called the next morning to say I just had bronchitis (which isn't that much easier to spell) and that it looks like I am still cancer free.  I still have another week before I hear that officially from my oncologist, but the surprise X-ray and results have definitely cut down on my scanxiety this time around.

So, going on week four since all this started, I am still coughing and according to my doctor, can expect to still be coughing for another two weeks.  I am thrilled.  In the meantime, I will steer clear of salty foods, keep making people around me scared that I am contagious, and keep my wife and basenjis awake by hacking all through the night.  Let's just call it payback for all the kicking that they supposedly do "in their sleep".

I will close by telling the story about the Evil Casket.  The Evil Casket started chasing this poor girl one day.  No matter where she went the Evil Casket came bouncing after her.  The faster she ran, the faster the Evil Casket bounced.  She ran into her house and locked the door, the Evil Casket knocked the door down.  She ran upstairs, and the Evil Casket bounded right up the stairs behind her.  She ran into the bathroom and locked the door, and the Evil Casket broke that door down too.  Cornered and desperate, the poor girl reached for something, anything to use as a weapon against the Casket.  She opened the medicine cabinet, grabbed the Dimetapp, threw at her pursuer, and....the coffin stopped!

Hmmmm....Livestrong Does More Than Make Bracelets

As we wait for my "junk" to wake up after chemo (or what's left of it after surgery), our doctor has mentioned all the possibilities we have for getting pregnant.  Many of those possibilities cost a lot of money.

Before my cancer support group the other day, another woman and myself were both sporting our Livestrong bracelets, and talking about upcoming Livestrong events before the meeting started.  This lead into a conversation about Lance Armstrong and the Tour de France.   After the meeting started, when it was my turn to discuss things with the group, I asked if anyone knew of any foundations that would help pay for fertility treatments for testicular cancer patients.  Then someone asked me something so obvious, I felt absolutely stupid for not thinking of it myself.  She said, "Have you called Livestrong?"  I hadn't.  I hadn't thought to call the foundation started by a guy who had testicular cancer and had fertility problems and successfully fathered children since his treatment.  Why would I think to call that guy?!?!  Did I mention I felt stupid?

So, first thing the next day I called Livestrong and talked to a really nice young lady who sounded like she was about twelve years old.  I am hoping she was twelve years old, because she gave me names of several places that offer help for people in my situation, and all those names were wrong, and if she were twelve I could say "she got the names wrong, but she's only twelve, what do you expect?"  HOWEVER, they were just barely wrong, so I was able to type them into Livestrong's website and get the correct names for the foundations I was looking for.  Now back to the twelve year old, I am pretty sure she wasn't twelve (unless Texas doesn't have child labor laws), but nevertheless, do you realize how awkward it is talking about testicular cancer and fertility issues to someone on the phone that sounds like a twelve year old girl?  I expected Chris Hansen to get on the phone about halfway through the conversation and ask me what I was doing.

So, after figuring out the correct foundations, I started researching them.  Some of them had requirements that I qualified for and others I didn't qualify for.  One in particular I think was all talk.  They would pay for everything provided you filled out your application after getting diagnosed and prior to any treatment and you had to wait until you heard back from them before you proceeded, but then they would pay for everything!  Of course they will pay for everything, because they know there is absolutely no chance anyone will do that.  Your mind is going a million miles an hour once you have been diagnosed, the last thing you are thinking of is looking up foundations and filling out applications.  Here is a timeline, I got preliminarily diagnosed on a Tuesday, confirmed that Friday, was told to immediately go make a "deposit" at the "bank" followed by another on that Monday, and have my surgery Thursday.  That left literally a two hour window between my official diagnosis (which you need for the application) and the deposit to fill out the application, send it off, and wait for a reply.  Yeah, I am sure they give out tons of cash.  (That is sarcasm by the way.)  But I am also sure that company is telling everyone about this great program they have.

One of the more promising leads is a hospital. that I am all too familiar with, will do in vitro for free (if it comes to that) for testicular cancer patients in my situation (poor).  They have very little requirements, like you have to make less that $75,000, which I just barely squeaked under that requirement by about $70,000.  I love this hospital and would be happy to work with them, although admittedly, most of the time I am there I am on my back and unconscious.  But from what I remember about my visits there, they are good.

A question that frequently comes up when I mention in vitro is "Does that mean you guys will be like the Octomom?"  In our doctor's conversations about in vitro, not once has she mentioned the word "litter".  I don't think I need a bunch of kids at once, because not being a sports person I am not trying to make a "team".  Although being a fan of music, a power trio might be nice.  We are still hopeful though that the other tricks our doctor is having us do will work, including my junk working right again at some point.

So as we approach another set of fertility appointments, I am getting anxious to hear what the next step will be.  Do you remember the old flea circuses on cartoons and stuff?  I feel like my swimmers are having to do a sperm circus, because they are constantly washing them and counting them and freezing them and thawing them and who knows what else.  All I know, is the toughest thing I have had to do so far is look at dirty magazines.  Wait until we have a kid and I tell them all the hardships I went through to create them.  I am sure they will want to hear it.