26 September 2007

The Leaves Fall Early This Autumn



"The leaves fall early this autumn, in wind. The paired butterflies are already yellow with August Over the grass in the West garden; They hurt me. I grow older." ~ Ezra Pound

It's shaping up to be a fabulous day. I saw my new medical oncologist yesterday and I'm not sure I like him. He spent a lot of time talking about the history of breast cancer treatment, dictated notes to be sent to my g.p., and made a book recommendation to my mom. He noted that I'm hypertensive, even though the exact opposite is true. My blood pressure usually hovers somewhere around 106/70. I'm almost certain he used that word. I managed to catch little snippets of information while he was doing the dictation, but he was talking so fast I couldn't understand much.

Here's a thought: Ask me. I think virtually everyone's blood pressure gets a little elevated when they visit a doctor. Maybe the doctor doesn't have time to ask me (although he could have worked it in if he hadn't been giving that long book report to my mom), but his nurse should have. I actually did tell the nurse, but I guess she didn't feel it worthy of writing down. I was also running a temperature. If my temperature is 98.6, I'm really sick. I constantly try to point this out to my phalanx of medical professionals and, across the board, they all ignore me.

On the osteoporosis front, I'm 1/2 inch shorter than I used to be. The rapid diminishment in height is a direct result of chemotherapy. Prior to breast cancer, I already had osteopenia (the early and less serious form of osteoporesis), but I had no idea how much my bone density had fallen victim to breast cancer treatment. Great. Now I only have one real breast, tissue necrosis, scars everywhere and I'm now bitty. Things are definitely looking up.

Dr. Sandbach (new M.O.) ordered a chest x-ray, which I'll have to pay for. Hubby has sucked virtually all of the money out of the Breast Cancer Slush Fund, so that won't be as easy as it has been in the past. This puts me in a simply marvelous mood. I have to admit that it's been a bad day right from the get-go (as we like to say here in Texas) and it's only 9:25 a.m.

Autumn is here. I got a few glimpses this morning of my steadfast squirrel friend; the leaves are already thinning enough to make it easier to find him. Autumn is never good. I've just passed the 3 year anniversary of my best friend's death and, in October, the ten year anniversary of my dad's suicide is coming up. Two years ago, right around this time, I was trying to prepare myself psychologically to get through my mastectomy.

Then there are all those awful memories from childhood that carpet the season. Flashbacks happen any time of year, but fall invokes a pall that is too rich, too complex in pain to be able to tease out the specific memories. It's always been this way and maybe the lack of distinct recall is a good thing, anyway.

I'm physiologically highly attuned to changes of season. The advent of autumn is the beginning of dying for so many things. My little squirrel soon will come to be very visible; all of the leaves on his playground of trees will have died.

The skies are overcast today. I've gotten to work on my seasonal affective disorder right away. Why waste time when you can get started now?

It's all pretty amusing, if I look at it in the correct context. I'm sitting here in Crazy Land, eating dry cereal and feeling like hell, contemplating the cycle of life. I'm stressed out over the continuing medical events and still in pain (especially my colon). For a little over 3 weeks, I've worn a girdle 24 hours a day, 7 days a week (because of the liposuction in the donor site), which is extremely uncomfortable, though significantly less so than how it feels without the girdle. Of course this is how I'm spending my morning. Otherwise, it wouldn't fit into the overall paradigm of my life. My entire life would lack consistency. As it is, in all of its soul-specific absurdity, this morning is further proof that God's in His heaven and all is right with the world.

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