It Ain’t Over Till It’s Over

Just when you thought I was finally going to shut up about everything, here I go again.

The other night at a party I ran into a woman who within the last few months completed her treatment for breast cancer. Good Lord. I almost wrote “who went through what I went through” and then I stopped and nearly slapped myself at the ridiculousness of that thought. If I have learned anything it is that no two people go through the same thing even when they are both diagnosed with and treated for a disease bearing the same name. Anyhow, you get the gist. She had breast cancer. She endured chemotherapy, surgery and radiation. And now she is sporting a very becoming, if I may say so, and somewhat familiar cropped ‘do.

She confided in me that life after treatment has proven difficult and that it is hard to know how to deal with it and what to do with the cacophony of emotions with which one is assaulted once the new, cancer-free you is unleashed on the world. It is indeed a hard time. When the hand-holding stops and you are pushed off the boat you have to rely on yourself and those around you, and if you are religious, whatever god or entity you worship, to get through your day. And you often don’t feel quite as strong as you were for some period of time, which is frustrating, albeit for most of us, at least temporary.

I have observed that people — not all people, mind you, but most people — don’t really “get” this. When it isn’t your problem and it hasn’t happened to you, the instinct once treatment is over is to cross it off the list and move on (and hope to hell that the cancer survivor has moved or will soon move on as well so you don’t have to hear about it anymore). We cannot begrudge people for feeling this way or for wanting this. Closure. Over. Onward. I want that too. I’d love to wake up tomorrow and not think about any of it for one nanosecond. But I know that’s never going to happen because there are too many reminders, both emotional and physical. And not all of them are negative, which is something I won’t delve into now but suffice it to say that this has been a learning experience and a journey into heightened awareness of self and others. Jesus that sounds corny but sorry I couldn’t think of a decent synonym for “journey.”

In some ways this is annoying. There are things that I would rather not contemplate very much, such as the inevitable fleeting thought that at some point in the future, the little fuckers could come back. That I would have to undergo those draconian treatments all over again and maybe even undergo dying, which would really suck. I am not being flip. I have thought about these things a lot. It does NOT mean that I am negative or that I am being negative. I am being human. Recognise the difference.

Strangely, you might find, I am now able to consider my own mortality without freaking out and getting all weepy (well, the great majority of the time). I mean, something’s going to get all of us — I should really say each of us, since unless a really large meteor hits it won’t be at the same time for everyone. Allowing myself to think about this has been helpful. In the beginning, in the days leading to my diagnosis, particularly, the thought of it was terrifying and I felt completely out of control. I don’t feel that way anymore. I feel very positive about the future. But I am not delusional and I will not pretend things. My mind wouldn’t allow it, anyhow. I don’t let myself get away with anything.

Over the summer one of my close friends told me that she had stopped reading my blog. The topic came up and she looked away from me, paused and said quickly and firmly “I stopped reading it.” In saying this she was conveying her feeling that this chapter was officially over. I totally respect that decision. And I imagine many other people stopped reading at that point as well. But the thing is, for me it’s never really over. Lots of folks might be finished with it or they might find it annoying or upsetting or [insert another negative adjective] or they just might not need it or want it anymore. That is all fine and dandy. I, however, am not finished with it. I like to write. And it won’t even always be about cancer. I promise.

I imagine that what I write about will evolve. In fact, if you look at early posts versus what I write now, I think it already has evolved. The tone is not the same because I am no longer in honey badger mode. I’m chilling. I’ve entered a new phase. In a few years’ time, who knows, Killing It Blog may have morphed into an interior decorating blog about how to vamp up your kid’s bedroom. But no matter what I write about I will always be affected by what has happened and that experience may inform some of my writing even if I don’t write about it specifically or explicitly.

In other news I placed myself on the wait list for that course in interior decoration I was supposed to embark on over a year and a half ago right before my unwelcome news. Lo and behold, over the summer a spot opened up so I am going to be a student again. The really great news is that I have enough hair not to look like GI Jane on my student ID photo (the same cannot be said for my passport photo which I have to carry around for ten years — oh joy). Hot spit.

I’m going to dust off the drafting board, see if my markers have dried out and buy some new school supplies. I am excited and a little nervous about the workload (and — eek — the competition). But you know one of the most exciting things about it is that I am about to meet a whole new group of individuals who don’t know me from Adam (at least hardly any of them will, I imagine) and to them I will just be me. I will not be that lady who had breast cancer. People will not comment on my hair with a knowing look. They will not ask me “how are you?” in that way people ask. I will just be Emily, the American expat former lawyer mother of two who decided to do a career change before whatever is left of her right brain dries up forever.

Yes in that group it won’t exactly be over, but it won’t ever even have started. It’s a rather refreshing thought, really.

American Summer

It’s been a month since my last blog post. Every time I write something like that (or even think it) I feel like I’m in confession… although not being a Catholic I have never been in confession so I’m just guessing what it feels like based on TV and movies.

Here I am in the United States of America in the final week of our vacation. In three days the girls and I (Bill has already gone back) fly back to London, which seems a world away. Actually, it is a world away. I have not spent a great deal of time reflecting on our life there since we have been Stateside because that life resides in a discrete department of my brain. When I’m here I use the American part of my brain. When I’m back in London then I’ll switch back to the European side. It’s sort of like partitioning your internal hard drive. Just select restart and hold down the appropriate button… Easier to allow the two to coexist peacefully in their own compartments than to try to marry them. That might cause… complete system failure.

It had been nearly a year since the girls and I had been in our home country. And let me tell you — I needed a good dose.

Since we’ve been in America we have immersed ourselves in things American, including beginning our trip with a stint in New York City, my home on separate occasions for a number of years. We did touristy things like visit the Empire State Building. I took our nanny, Agnieszka, who is from Poland and had never been to the US (or outside of Europe for that matter) on a Circle Line Liberty cruise to see the Statue of Liberty and the developing downtown skyline featuring the Freedom Tower with its newly erected spire. Gazing at the new skyscraper as the boat circled I was transported to an alternate reality. I remember the old skyline so well both with and without the twin towers. I need time to digest this new, rather sexy, angular structure, so different from the rectilinear monoliths that preceded it. There is still much empty space to be filled downtown where other buildings will be erected. But it’s a start. It’s different but it works. I decided I like it.

Some combination of the five of us also visited FAO Schwartz (I turned and looked at the people entering the store and every one of them, without fail, cracked a big grin — how could you not?), briefly traipsed through Central Park, waded through crowds in Times Square in the sticky heat (I have to admit to missing, slightly, the sleaze of years past), waited forever on the subway platform for the N train, inhaling that distinct, gritty, stale, heavy New York Subway air (I loved every minute of it even though I was sweating like a pig), did a fly by at the MOMA where my kids and I had lunch with my cherished friend, Susan, following which my older daughter had the pleasure of viewing — in person — Starry Night, by Van Gogh. “This is my favorite painting!” She exclaimed, as we came around the corner. Jackpot, I thought, since I hadn’t known it was her favorite painting and she hadn’t known that we were about to see it.

We stayed at the Carlyle (well, they were having a stay two nights get the third night free special which made it fit neatly into the hotel budget I was given so how could we have passed that up?). I loved it. We all did, really. I almost thought I might run into Marilyn or JFK waiting for the elevator (but not together, of course). The place just reeks of old New York and is at once both intimate and grand. I knew we had arrived in New York City when we walked in the door and there was a rather quirky lady sitting in the lobby with her Maltese in a stroller. She started chatting with the girls, as New Yorkers do. And when she wasn’t talking to someone else she was talking to her dog.

The night we landed I cabbed it across the park to the West Side and had dinner at the little Italian place in the New York Historical Society with my wonderful friend Kath, who was at HLS ahead of me. Bill and I were able to sneak off for grown-ups’ dinner on not one but two nights. I had a variation on a Manhattan (with a foofy name like Mannahatta or something) at Gotham Bar & Grill, which was delicious. I have the recipe. I’ll give it to you later. If you’re nice. We hit one of our favorite little brunch spots in the West Village (“good” — and it was, still) where we were assured to see many of the old standbys on the menu (try the homemade doughnuts and pear pecan coffee cake and the breakfast burrito is tasty as well). We ended our NY trip with a visit to Serendipity on East 60th to take in some Tiffany lamps and have their famous frozen hot chocolate (it’s still yummy, overcrowded, loud, bursting with ice cream sundaes drenched in chocolate and butterscotch spilling over the sides of glass dishes, but they don’t serve those fat sesame bread sticks in a glass anymore). Good Lord. Rereading this I guess I have to face the fact that my life always seems to revolve around my next meal. I can live with that.

After three nights Bill took Amtrak to Boston for a week in the home office and we girls, laden with luggage, piled into a Suburban (muy americano, no?) and headed to Hamden, Connecticut to visit my mother in the house I grew up in. The heat wave started that day but I didn’t really mind because it was American summer heat. The girls drew on the driveway with chubby pieces of chalk they had remembered were stashed in the garage and dipped toes and fingers into the little fish pond at the edge of the patio. We had lunch outdoors with family and neighbors shaded by a now well-established Star Magnolia tree (I remember when we got that tree). We defied the blazing sun by swimming in my stepsister’s pool nearby where we met an Italian woman with her grown daughter (also Italian, as it turned out) and a man from Taiwan. Who knew Hamden was so international?

On July 17th I drove my mother to the hospital to have her second hip replacement. It was nice that the timing coincided with our visit, nice that I could be there with her as she was with me and us when I had my surgeries in London. But all of that is locked in my other partition and I’m not going to think about it right now. I remain firmly in the American side of my brain. So much so I am even ignoring — no rejecting — the UK spell check that keeps trying to change my “z’s” to “s’s” and my “ors” to “ours.”

After being assured that my mother’s surgery was successful and spending a little time with her in her room, I hijacked her station wagon and drove to Wellesley, Massachusetts, where we lived for seven years prior to our international move. We arrived at my in-laws’ house in time for a casual supper on the relative cool of the screened-in front porch with its ceiling fan, because the heat wave hadn’t yet relented. I did a drive-by of our old house, which is across the street from the public school Isabel attended from kindergarten through second grade. Felt kind of surreal. The second day I met my dad for lunch at The Cottage in Linden Square where I encouraged him to try the tortilla soup and fish tacos (he did) and brought him back to the in-laws’ so he could see the grand kids and listen to Isabel play the piano.

Friday morning I played tour guide while Agnieszka and the girls and I drove around Boston and Cambridge and walked around Harvard Yard (for about ten minutes because we were melting). After seeing the sites we headed to Legal Sea Foods near the Harbor for lunch after which I deposited the trio at the revamped New England Aquarium while I went for a doctor’s check-up.

The girls enjoyed some time with old (I use the term very loosely) playmates and we had a  poolside barbecue with friends where we drank good rosé and ate barbecue-flavored potato chips in wet bathing suits.

Saturday the 20th the five of us squeezed ourselves and our luggage into the Jetta wagon (seriously, successfully packing the back was comical and took several attempts) and drove to Bill’s folks’ Cape house in East Orleans. I had the pleasure of sitting in between the girls’ and their booster seats in the back because I have an unusually small ass. What? I do. It’s okay to be honest about these things. Anyhow, small it may be but I could still barely stand up once we got there I was so stiff. But I didn’t care. We were greeted by Bill’s parents and by some biting green head flies, whose purpose in nature is a mystery to me, unless they are tiny incarnations of the devil. “What did we ever do to them?” Isabel kept asking. I told her that’s not how things work in nature. Or at least not always. Luckily, they find Bill’s blood a great deal sweeter than mine (actually it has to do with how much CO2 you “respire” and I like to say he has a larger carbon footprint than I do) so I didn’t get many bites because they were all on him, of course.

On the way to (well and from as well to be technical) the private part of Nauset Beach where we go there is a sand road you have to cross at the end of the wooden walkway and for some reason there seems to be a rather large number of those biting flies and various other flying insects that sting or bite in this area. One day toward the beginning of our time on the Cape we were heading back from the beach with Bill leading the charge, in characteristic fashion, having been relentlessly attacked by green heads. I watched as he got to the sand road up ahead. As he crossed, his lengthy arms began to flail violently about his head and the next thing he was running back and forth up and down the road (with arms still a-flailing). I couldn’t see from where I was standing what was after him but whatever it was stung him on the index finger which he held up for my inspection after the incident was over. That’ll teach you to flail, I thought. “I’m never coming to the beach again,” he proclaimed. Of course we went back the next day and every other day except for maybe one or two cloudy days. But I admired his conviction because I am sure he meant it at the time. My only regret is that I failed for the second time in a row (this has happened before, although the first time the sting-y thing chasing him was as large as a small bird and visible from a nautical mile) to capture it on video. Alas.

You may think I am mean but really I am laughing with him, not at him.

In addition to beach-going and arm-flailing we did a good deal of cooking, including charcoal grilling, and of course, eating. We visited Yarmouth and spent a glorious lazy afternoon with our very close friends the Roosevelt-Churchill clan (no I did not make that up) and everyone picked up right where they had left off, parents and kids alike. I have long believed that this is a true test of friendship. The ability to pick right up and have it feel natural and easy after much time between visits has elapsed and much life has been lived. If you find yourself hemming and hawing you know you have grown apart or that you never really had much to begin with.

The kids stood on the dock and scooped up moon jellyfish while the grown-ups chatted and moved boats around and that night for dinner we had spaghetti squash with pesto topped with diver scallops (who knew such a combination existed or could be so tasty?). Isabel spent the night and then the next day demanded to spend the night again which she did because why not, after all? It’s summer vacay.

Agnieszka returned to London on Wednesday the 24th with one more suitcase than she came with (compliments of my mom) packed with her stateside purchases (these included American jeans, New York and Boston Starbucks mugs and a Hard Rock Cafe t-shirt from the restaurant in Times Square). Then Friday Bill’s parents, who had gone to Wellesley for the week, returned to the Cape, and Bill’s brother, Phil (yes, Bill and Phil) arrived from DC. Friday night we had a dinner party with the aforementioned persons, Bill and me and the girls, of course, and then Bill’s work colleague, Brian and his wife Alison, who drove in from Boston in traffic so bad that we plied them with drinks and demanded they spend the night, which they did. To round things out, my best childhood friend, Beth, drove up from Connecticut to spend the weekend on the Cape at a nearby resort and she made it in time for dinner too.

Following a tasty meal of chillied flank steak, sweet and regular potato “fries,” chipotle mayonnaise (all recipes stolen from the Roosevelt-Churchill annual New Year’s Eve blow-out) and salad, and a strawberry-rhubarb crisp for dessert, which I made because Carol had never liked rhubarb having been forced to eat it “plain” by her mother and I wanted to see if she would like it in a baked dessert with other ingredients, I discovered that our six-year-old daughter, Charlotte, apparently has the makings of a go-go dancer. Seriously we are going to have to keep an eye on that girl.

Char started DJ’ing and rocking out, and Isabel joined in, with a hula-hoop. I have to say that they both have some pretty fierce moves. And no one broke a lamp even though there was leaping (while hula-hooping) involved. What really would have made the night would have been an indoor slip-n-slide lubricated with mojitos but you have to draw the line somewhere.

Sunday morning Bill’s parents left for Wellesley and that evening Phil made phenomenal fish tacos (Martha Stewart) and then headed back as well because he had to return to work on Monday.

Enter cousins Abigail (five) and Lydia (two going on three) and Bill’s sister, Lib. Grammy Carol and Lib and her girls pulled in Monday afternoon after not so great traffic during which they were saved from hysteria and boredom by the serendipitous presence of the Sound of Music CD in the car, which kept the girls entertained for hours. The cousins reunited, and we quickly became aware that both Charlotte and Abigail knew most of the lyrics to the songs, so the next days were sprinkled with performances, sometimes in falsetto, of songs the words to which I confess I never fully learned (until now).

There was more cooking and eating and beach going and then a week ago today, I left the gang at the Cape and headed back across the Sagamore Bridge to take my father out to dinner. Caffè Bella is a great little Italian restaurant in Randolph that’s been there for many years and to which we’ve been meaning to go for a few years ever since my dad moved to Massachusetts but we never managed to get there. He had fresh figs stuffed with blue cheese on prosciutto and capellini with fresh lobster meat. I had sautéed soft shell crab and a delicious capellini with capers and fresh vegetables. And we shared a chocolate cake and a piece of blueberry cheesecake for dessert. There was so much food I sent my dad home with my leftovers and he was able to have “a whole ‘nother” meal out of it. I also made him try my soft shell crab thinking that being a Southern boy he might never have tried such. When I explained why the shell was soft he said he wasn’t sure he had wanted to know that, but at least he had already swallowed the bite.

After dinner I drove to Wellesley to spend one night and then headed to Sudbury for the memorial service of Kate’s father, Jonathan Roosevelt. Again, I felt lucky to be present in person on this occasion so that I could support my generous and treasured friend. I drove back to the Cape the next day and we spent another lovely few days at the beach. Did I mention that the heat wave did finally break? It was so lovely. Isabel taught herself to boogie board (I’m a loser and don’t know how so she had no choice but to teach herself) and enjoyed body surfing with her cousin, Abigail. Charlotte and Lydia played in the water some and dug in the sand building sand castles or mounds of sand that were supposed to be sand castles and burying body parts (still attached) and random objects.

I stood on the beach, feeling small but not necessarily insignificant, taking in the beauty of this favorite place. This stretch of sand and open ocean, this feeling of being one with the earth. I embraced my ability, here, to let all things momentarily fall away, to relax and simply be in the moment. I inhaled it, tasted it. It’s where I will go in my mind when I feel the stresses of life pushing in on me, or whenever I get that feeling that I should be stressing about something because I’m done stressing about whatever I was stressing about. I’ll use it to clear the mechanism. In fact I think I’ll give it its own partition. So that I can reboot and be there if I want to.

Monday I drove the wagon back to Hamden and visited my mother, who is recovering well from her hip replacement and walking better than before the surgery. The weather was gorgeous, perfect, bottle it and keep it kind of weather. Dry and not too hot. The summer insects intermittently humming, the birds chirping and there were other familiar sounds… Someone mowing the lawn. The tic-toc of the grandfather clock in the living room. The soft whoosh of cars driving by on the street where I grew up. The deck was peppered with tiny acorns that have already begun to fall from the big old oak. And the temperature dipped pleasantly in the evening making it excellent sleeping weather. I like to turn on the window fan and pull up the quilt. Each morning when I opened my door I was greeted by a friendly meow from one of my mother’s two cats who jumped up on the bed, rolled over and displayed his soft tummy. And the other one sat and watched me do yoga for forty minutes.

Last night we went to L’Orcio in New Haven and ate on the patio. We had burrata with roasted tomatoes and arugula and then my mom had filet mignon with gorgonzola sauce and I, linguine alle vongole and a side of spinach. No room for dessert. It was the best steak I have tasted in years. And my clams were divine.

This morning I took a cab to the train station and was standing on the platform waiting for the Acela which was ten minutes late. I looked around and noticed signs and vending machines. Trash and recycling containers. Things I never paid much attention to. Vending machines stocked with every imaginable American treat. Pop Tarts and Doritos, Smartfood and Reese’s. Snickers and Utz. And I found this, this glass and metal box full of junk food, somehow beautiful and comforting. I felt the same way staring at the pristine white rows of Pepperidge Farm cookies at the grocery store. It’s just so… American. Familiar.

Now I am on the Acela, speeding from New Haven to Boston on another glorious day. The ocean is glittering and the grass and plants are bright and lush. People on the beach wave as the train hurdles past. I am passing Noank, where I spent time as a child because my grandfather lived there, right on the water. It makes me think of docks and lobster rolls and Boston Whalers. Slippery rocks and barnacles. The slightly mildewed, musty yet not entirely unpleasant smell of old life vests. Playing in the crab water. Watching Isabel take her first steps in his house after she played in that same crab water eight years ago.

And my summer vacation is drawing to a close but not yet over. I have a little more to do, a bit more traveling. Time to be alone with my thoughts on the train and in the car. More time with family and friends. A few more precious moments to enjoy this partition. To really remember that this is who I am. I am an American. This is my country.

Oh how I love it so.

It Does Matter

It’s so easy to hear about someone else’s problem and to make an immediate pronouncement about it. How they should feel, what will happen, what matters and what doesn’t (or at least what should matter and what shouldn’t) in the grand scheme of life. The thing is, sometimes you have to bite your tongue.

Let’s face reality. People do not generally like to hear about other people’s problems because most of the time they don’t really give a shit and other people’s problems are boring, annoying, uncomfortable or some combination thereof. I think that we often lob back a not-so-well-thought-out response because we feel that we have to respond to achieve some sort of closure or resolution. Or just to fill the awkward space after someone pulls back the curtain.

But there is something to be said for the American Indian approach to conversation. A long reflective pause can come in handy. It allows one to collect one’s thoughts and assess the new information. Listening is almost always a good thing. Responding without thinking is often not.

What exactly, you might ask, am I getting at? Well, I’ve been noodling about conversations I’ve had and people’s reactions to things I have shared with them. Most of the time I am blissfully upbeat and am able to cope cheerfully and with a good deal of humour. But I, like everyone else on the planet, have my moments of negativity and frustration. And I often feel that whenever I gripe about something I get that rapid-fire response. Shut-down before the conversation really even starts. Sort of like “well you’ve had your cancer and beaten it so really you should not complain about something as trivial as the way you look.”

No one likes a complainer. But people do need to be allowed to express negative feelings sometimes and just because you are on the receiving end of such does not mean you are responsible for “fixing it.” Nor is it your job to dismiss a person’s complaint with a one-liner, although I am 100% certain that I have been guilty of both trying to fix things and dismissing negative observations with an immediate response on numerous occasions. So this is directed at me just as much as anyone else. I should practice what I preach, after all.

I’m looking back, trying to reconstruct (no pun intended) the past eighteen months of my life. How I was then, how I am now. And how my thoughts and feelings have evolved with the passage of time.

I’ve boiled the whole breast cancer ordeal down to two phases. Phase One: kill the enemy. Take no prisoners. This was the honey badger phase. If you don’t know what I am talking about read some of my early blog entries and you will find that the honey badger became my mascot early on in the process, primarily because it’s one naaaaaasty lean, mean killing machine (and secondarily because Randall’s ridiculously effeminate narration on YouTube makes me giggle my ass off).

The goal of Phase One was to eradicate the disease. It felt urgent and critical and it was not difficult for me to be single-minded about the process. The mission was to do whatever necessary to maximise my chances of beating this fucker. So basically I got down to bidness PDQ and that was that.

Throughout treatment I remained hyper-focused on my mission and had only one speed: full steam ahead. I did what I did because I had to do it so I didn’t waste a lot of time being sad about the process. I just pushed through it and tried to amuse myself and others by, among other things, wearing absurd outfits to chemo and walking around London in a pink wig, because I had no choice and I knew it would be over eventually.

At the same time, however, I did spend time considering Phase Two. Phase Two would involve my eventual cosmetic appearance. As my plastic surgeon friend pointed out, once the cancer is a distant memory what you are left with is your reconstruction. It might not seem that important in Phase One but it could later so it needs to be considered carefully from the beginning.

As one relative aptly put it while we were awaiting a diagnosis, “well it’s really going to suck if you have to cut off your boobs, because you have nice boobs.” Yes, I thought. It will suck. And in fact it did and does suck.

Knowing that I had to do it didn’t make it suck less; it merely made wallowing over the suckiness somewhat futile. But still, sometimes I allow myself to wallow just a little bit. Mostly by myself in the privacy of my own home, like while I am curled up on the couch at 11:00pm having just finished another episode of Mad Men courtesy of Apple TV. What? Oh I am only on Season 2 and yes I know I am about the only American left who hasn’t watched every season. Sue me.

Sometimes I do feel that it would be awfully nice to have real breasts again. Something soft that bounces when I run and something with nerves that might notice if I inadvertently walked into a wall. Sometimes I do feel that I am missing something. Something feminine. Something womanly.

In her Op-Ed in the New York Times, Angelina Jolie wrote about her decision to have a prophylactic double mastectomy to reduce her risk of developing breast cancer for which she is a BRCA gene carrier. Ms. Jolie lost her mother to ovarian cancer and very recently, her aunt to  breast cancer.

Ms. Jolie’s doctors estimated that she had an 87% chance of developing breast cancer and a 50% chance of getting ovarian cancer. So she decided to be proactive. She underwent radical surgery so that she would significantly reduce her risk of enduring a Phase One. She went right to Phase Two. It was her choice and in my opinion it was a good choice, a choice I would have made under similar circumstances.

As it turns out, I did not have the “luxury” of foresight with my disease (btw I am not a BRCA gene carrier). So for me Phase Two was not something that I chose but rather something that I had to do. It had no choice but to remove my right breast, although I could have kept the left breast. My thinking was logical. I sort of felt like I might as well just be rid of both if I had to lose the one. That way at least I would be symmetrical, make the plastic surgeon’s job easier and not have to get screening on the left side all the time wondering if disease would develop in that breast.

The decision to remove one or both breasts preventively is controversial. Some believe that doing so is a “psychological” choice rather than a medical one. Meaning that what could arguably be adequately monitored with screening tests and physical exams needn’t be surgically removed simply out of “fear.” That sounds pretty judgmental, don’t you think? Reading such things caused me to revisit my decision. And I can safely say that if faced with the dilemma today I would do the exact same thing I decided to do eighteen months ago.

For me, the decision to remove both breasts was practical. It turns out that my breast surgeon agreed. After telling him that my inclination was to do a “double” I asked him what he would advise his sister to do under the circumstances and he didn’t even hesitate. After all, I was relatively young, at 39. I have a lot of life to live yet. I, like Ms. Jolie, have small children.

Unfortunately for me, unlike Ms. Jolie, I lacked information that would have enabled me to take action before Phase One became necessary. Therefore, Phase One interfered somewhat with Phase Two because I had to (rather unexpectedly) undergo radiation which can cause a host of problems, including affecting the blood supply to the treated area, increasing the risk of infection and of developing a hard scar capsule around the implant. Furthermore, I was not able to keep my right nipple because one of the tumours was too close to the nipple. Again I decided to just take them both off, because they can do pretty groovy nipple reconstructions by cutting a bit of skin from the top of the breast, shaping and suturing it and then eventually adding a tattoo.

Nipple-sparing mastectomies are possible but the nipples do not behave the same way as before and they may lack sensation. And of course there is always that small risk that cancer will develop in the nipple.

So, here we are five months following my implant exchange surgery. My new boobs have softened and settled. But there are a few issues. The incision on the right side (the side that was radiated) is a bit hard and therefore slightly distorts the shape of the implant from a certain angle. Also, the skin over parts of the implant is so thin that I can sometimes feel rippling (sort of like wrinkles) of the implant beneath the surface.

Despite these issues, the overall result is good. Especially considering that I had radiation. Both implants remain soft and in a bra or bathing suit things generally look pretty okay.

But still, sometimes I do feel odd. I look at my reflection and I am confused by the change. The girl with long hair and big boobs has been replaced by a slimmer, smaller- and higher(!)-chested version with short curly hair.

Thanks to an infection in March, which gave me and my plastic surgeon a scare, I have not had my nipple reconstruction yet, so I sort of feel like Barbie (well, maybe a brunette Skipper Barbie because I am nowhere near voluptuous enough to be real Barbie). And I am bothered by the “seam” that the scar on the right has created. We might be able to improve the distortion with some fat grafting (during which some fat would be sucked out of my stomach — bonus — and injected in the small space between skin and silicone implant).

I know that I cannot expect perfection and I do not, particularly with an implant-based reconstruction following radiation, which is known to be problematic. I know that beating the cancer was more important than my cosmetic appearance and I accept that.

Overall I feel pretty good, but I do believe I will feel better once I have my little tweaks. The scars will continue to fade and once I have nipples, provided that goes well, my new twins will more closely approximate the real thing.

But, on occasion I do get pissed off. So let me be pissed off. You do not have to remind me that what’s important is that I don’t have cancer anymore. I know that. And please do not tell me that my cosmetic appearance doesn’t matter. In a world obsessed, and I mean obsessed with breasts and the female form? Please.

It does matter. It matters to me.

The New Normal

Last Friday marked the one-year anniversary of my eighth and final chemotherapy treatment for breast cancer. Following that I did have five weeks of radiation, five days a week, so my end of treatment was technically July 27 (not including another surgery later on). Radiation, however, was a cake walk compared to everything else up to that point so June 7 just carries more significance for me.

When you embark on chemotherapy they warn you that the medicine — in addition to killing cancer cells, which is sort of the point, duh — will affect you, not only immediately, but also for some time in the future. No one can say exactly how and how long you will enjoy the effects of this venomous intravenous cocktail, because how you react and for how long, like so many things medical, are highly individual.

Of course, a number of “individuals” told me what I was in for, either from personal experience or from what they had heard or observed in others undergoing treatment. Solicited, this is helpful advice, provided you don’t take it as scripture since you don’t really know what you, yourself will experience. Unsolicited, it is, well, not. There are things that you know you will probably have to deal with, such as fatigue, loss of muscle, appetite issues, lowered immunity, hair loss, et cetera. And then there are other things that may or may not strike you, such as oral thrush, loss of finger nails or having a constantly runny nose or watery eyes… I could go on but how long have you got?

The thing is, you just don’t know. What you do know is that you will not feel “normal” for some significant period of time. I was prepared for that, as much as one can be. If I’m honest about it I have not really felt like a normal person ever since I suspected that I might have cancer at age 39, because that in and of itself is not normal and made me feel physically weird.

But what is normal? That’s the question I have been asking myself a great deal lately. Normal is somewhat tricky. It’s a little bit shifty. Elusive.

I am sitting here digesting the last year and a half and thinking about how I felt before, during and after treatment. And how I feel right now. At this very moment.

And I have to admit that I do not know if I feel completely normal, one year out from that final chemo. I am not trying to be cute or philosophical here, people. I don’t mean that mentally I will never be the same because I am “forever changed” by this experience. I am talking physically. I’m talking about how my body feels.

See, about two weeks ago I thought that I felt normal. And then something happened and suddenly I noticed that when I woke up in the morning I had so much more energy. And at the gym I had so much more strength and stamina. And I thought, “gee, I guess my body is still ‘recovering’. I guess the way I felt three weeks ago, although I thought it was pretty good, wasn’t as good as it’s going to get.”

And you know what? A few weeks before that (aside from an unfortunate stint with some unexplained infection which dragged on for weeks and seems to have started with a stomach virus) I thought I felt normal, too. But clearly, if I feel the way I do now, then by comparison, the way I felt then was, if I may borrow a line from Ving Rhames in Pulp Fiction, “pretty fucking far from okay.”

I remember chemo. I remember the first time, which I did before I had a port surgically implanted into my chest for treatments two through eight. The nurse pushed the juice into a vein in my left arm. I watched the liquid flow from the huge syringe gripped by her gloved hands through the line and into my arm. I began to feel the effects immediately. My nose tingled, a metallic taste enveloped my tongue, and when I went to the bathroom my piss was pink because the doxorubicin was red in colour. Let me tell you: this was somewhat less festive than rosé champagne and eminently less drinkable. By the time I went home I was rather grey in the face and very tired. And didn’t have much of an appetite. Which for me is not at all normal. I never refuse food unless I have an acute stomach virus. And even then I try to relish the white toast, flat Coke and sliced banana. Oh wait — I lie. There was one time recently when I refused food on a Bangkok Airways flight because the mystery meat was just a little too mysterious even for me. Ew.

I had a dose every two weeks, and by the end of the second week I was always feeling better, more — yup, you got it — normal. And then they would hit me again. Halfway through I was switched to another medicine (part of the original plan) which was easier to take but had other side effects. And then suddenly there I was in my pink wig and feather skirt (see Zero) for my last treatment. And that was it. Dunzo. So when that third week rolled around and they did not hit me again it was fucking magic. I mean I could not believe how much better I started to feel. It was like someone flicked a switch. In fact, you can actually see it on a graph that reflects the data from this exercise circuit I had been doing at the gym. You see a slow decline over the course of my chemo and then the day I worked out in that third week following my final treatment the graph jerks right up into a steep climb.

I remember how I felt that day at the gym. How much easier the exercise was. How much more normal I felt. I thought, “wow, I cannot believe how good I feel.” But now, looking back, I realise how good I didn’t feel. My reconstructive surgeon alluded to something along these lines last year. He said you think you are doing pretty well and only later do you realise you actually felt absolutely crap. I get it now, dude.

And it isn’t always linear. There are ups and downs and setbacks and gains and the whole thing is linked to mood so it’s really very difficult to measure what normal is.

One morning last summer during our visit to the US I waited in a small, sandy parking lot with my husband to meet our dear friends riding the Pan Mass Challenge (a hard core two-day bicycle ride to raise a hellofalotta money for cancer — see http://www.pmc.org). They would do a quick pit stop before making a hard right and continuing on. I remember standing there, chest all beet-red, enraged from radiation, barely any hair on my head, skinny and certainly a little weak. It was so great to see them. But I did not feel normal. I felt like they were riding for me. It was moving, unnerving.

Fast-forward to two weeks ago Saturday when my older daughter (who is eight) and I did a four-mile walk through Regent’s Park to support people fighting cancer at the school by raising money for Macmillan Cancer Support. The walk was fun and easy and although our legs were mildly fatigued by the end it was great. And it hit me that throughout the walk and afterward I felt as though we were doing it to support others. Not for me. It wasn’t for me anymore. Because I am that much closer to normal. There is a whole universe between that day and the day I stood in the sun on Cape Cod waiting to spot my friends.

So what now? Well, after aspiring to normal for so long I’ve decided to scrap that, regroup and come up with a new plan. Normal, whatever that is, is no longer my end game. I want to feel amazing. I want to feel awesome. Sometimes, already, I do. But I want it consistently and I’m going to get it. By the way, I know many of my friends and family are chuckling and thinking that I have never been remotely “normal.” Very funny, people, but you know what I mean.

 

 

Back in the Saddle Again

No, like, literally. I am. Or at least I was, Sunday.

I used to ride horses when I was a little girl. I don’t remember quite how it all started but my dad reports that he took me to ride when I was a wee one (maybe three years old) which basically involved him pulling a nag around with me on it in the 100 degree soupy Houston heat through the muck for an hour. Sounds tempting, don’t it?

Apparently the horse I was on started to buck a little and he was about to grab me and pull me off when one of the stable hands said “oh no, leave her own thayuh,” so he did even though I was crying a little. And at the end he figured he would never ever have to take me to do that Godforsaken thing again. But then of course I loved it and asked when we could repeat the experience. Kids are funny that way.

Reminds me of the time when I was a teenager and I offered to take the neighbour’s boys to AstroWorld, which is an amusement park in Houston. They were pretty young, like maybe six or seven and eight or nine. And they wanted to go on the Texas Cyclone, which is a very large, very scary, very high wooden roller coaster that has a couple major drops in it. I was like “are you sure — are you 100% sure you want to do this?” They nodded, eyes wide. So we went.

Naturally we could sit only two across so the older kid had to ride next to a stranger and I climbed in next to the smaller one. I kept looking over at the little guy during the ride and he looked absolutely terrified. Like catatonic. And I remember thinking “oh, shit. My neighbour is going to kill me because I fucked up her kid for life and he will have PTSD and will become a mute and never be normal again after this death-defying experience.” I imagined being unemployable due to my utter disregard for finding age-appropriate activities for children under my care; ivy league schools would pass me up. People would walk by me on the street and whisper and point: “there’s the girl who ruined that dear little kid’s life…” you get the idea.

So when the ride finally ended and the coaster ground to a halt, we stepped off and I dropped down on one knee and looked right into this kids’ eyes and said “are you all right?” And he was totally unresponsive. Colour drained from his face, eyes bulging with terror, mouth agape. For about a tenth of a second, that is, until he piped up, having hardly shifted his expression “let’s do it again.”

Anyhow, big digression but I hadn’t thought of that in a long time and it still gives me a chuckle. So, back to horses and such.

I took lessons on and off (mostly just in the summers) for years and stopped around the time when I was in junior high. I went riding once when I was in college with some friends but that doesn’t really count.

Fast forward to the present day. It came to pass that my younger daughter, Charlotte, was invited to a pony party for a classmate’s birthday. I knew that the mom of said classmate was an avid rider and horse enthusiast so I (rather sheepishly) emailed her the morning of the party and asked if I might get on a horse during the pony party myself, seeing as I would be there for the duration, if it wasn’t too much trouble.

When we got to the stables each child was set atop a darling little pony and there in the ring waiting for me was a full-sized horse. Not huge, by any standards, but a horse, not a pony, nonetheless. Meet Choco. That’s “chalk-oh” not “chough” as in dough. Choco still had most of his winter coat because it has been so friggin’ cold here that the poor thing needed it up until now. He was about 15.2 hh (a hand is four inches if you don’t speak horse) with a long back and had a blue roan coat.

So I climbed on fuzzy Choco and was led around for a while to get my sea legs. It was both familiar and unfamiliar. I felt comfortable and perfectly balanced but I could not remember certain details such as when I should post (rise while the horse is trotting), when the horse’s inside or outside leg was leading. The nice young man leading me around refreshed my memory and when he realised I wasn’t a total loser he let go and allowed me to proceed alone. Choc’ wasn’t the most energetic fellow and every time I got him to trot he would stop around the corners. I attempted to improve my technique for about twenty-five minutes and did a lot of squeezing and kicking and then when asked if I wanted to join the kids in their pony games (these are like reindeer games but with ponies, in case you were going to ask that) I said “sure.” Such games involved relay racing (by walking) to a fence post and once there, touching one’s head, shoulders, knees (yes, you guessed it — and toes) and then the horse’s ears and tail before trotting back to the starting line. I participated in this and was completely unembarrassed as the children and other parents looked on. I mean, why not, right?

I was starting to feel pretty confident and then when it came time to dismount I sort of forgot that you have to drop both stirrups before swinging your right leg back over the horse and I almost fell off like an idiot but then mid-swing it felt wrong and I sat back down and did it the right way. Some cowgirl I am. Pathetic.

Once on solid ground again I had that bowlegged stance and could barely walk. And then when I got home I discovered some interesting chaffing in certain, ahem, areas. And some more chaffing on the insides of my calves where the seam of my jeans had rubbed against the stirrup straps.

And man oh man oh man was I (and still am) sore as the deuce. Listen, people, if you want firm thighs and buttocks, get you on a horse. It may have been only 30 minutes but squeezing with your legs for that long will do it for you. I guarantee it. That and mechanical bull riding, which I plan to delve into next week.

So here I am, still slightly bruised, no longer bloodied, plenty chaffed and sore. And I can’t wait to do it again. Only next time I am going to wear padded underwear or Depends or something and chaps. On the upside, I don’t have to worry about a supportive bra. Because let’s face reality: Jane and Marjorie aren’t going anywhere.

After this enjoyable experience I thought about whether I might have liked it even more because of the shit year I had last year and my “new perspective” on “living life to the fullest.” Maybe. But I cannot lie and claim that the old me would have been embarrassed by playing Simon Says on horseback with a group of six-year-olds on ponies no larger than a Great Dane. One of the best parts was how delighted my daughter was that I had been riding “by myself” on a “huge horse.” It really is all about individual perspective, dontcha think?

Photo on 03-06-2013 at 22.31

The TF

For the past couple of months, our six-year-old daughter has gone through most of the day with one of her index fingers in her mouth, wiggling a tooth in the hopes that she would finally lose one. Countless admonitions (“get your dirty hand out of your mouth!”) to no avail. You see, our older daughter lost her first tooth at age five, closely followed by a second tooth at the same age. So the little ‘un feels like she has to play catch up. I suppose it was ever thus with siblings.

Lo and behold the other day I reached in and had a wiggle and one of the lower front teeth was ever so slightly loose. Progress. Then in the past week out of nowhere this big honker of an adult tooth broke through behind that little tooth and started shooting up like Jack’s bean stalk.

This led to more wiggling, which led to more looseness, until finally two nights ago I determined that the tooth was so loose it might be time to help it on its journey.

“You know,” I said, “I could get that pretty easily if you want me to.” She grinned and said “do it.” I admired her spunk and courage. So I grabbed a wash mitt, dampened it, and did the ole grasp that sucker with a damp cloth and twist routine. Quick and (relatively) painless. Though of course there was the requisite blood mixed with saliva which always gives the appearance of more blood than is actually there.

Out that little blighter popped. Naturally, now that the moment was upon us, the special tooth box was nowhere to be found. So we put the delicate thing in a cupcake-shaped box with a hinge, along with a note, drafted by the older daughter, acknowledging that the extraction was “very painfull [sic]” and “could you please give me some fairy dust.”

The cupcake box was gingerly placed under her pillow, whereupon my child rested her head on the pillow and squeezed her eyes tightly shut so that sleep would befall her as soon as practicable and the Tooth Fairy (hereinafter sometimes referred to as the “TF”) would arrive. In the night, the TF visited. She deposited into the small box one pound, a tooth-shaped note and some fairy dust. While we all slept, of course.

The next morning we were awakened by a small voice attached to a small face. I blinked and came to, waiting for my eyes to focus. The small face wasn’t smiling. In fact it looked… rather surly! A little hand slapped the pound coin down on my mattress and that’s when the scowl came into focus.

“What is it, sweetheart?” I asked the child. “The Tooth Fairy only left me a pound,” she said. “Such and such (name protected for important reasons) got twenty pounds for his first tooth. Twenty!” I was momentarily speechless. (Yes I know — a real shocker.) I mean she might have even had her hands on her hips. But I don’t remember.

Ummm, are you fucking kidding me? Twenty pounds for a tooth? It wasn’t even a molar. “Well, sweetheart,” I said, “a pound sounds pretty great to me. And oh look; you got fairy dust as well — how cool!.” She brightened a bit. I told her to put that pound right in her piggy bank and that cheered her further.

After she left the room I allowed the ridiculousness of the situation to sink in. I mean, come on, people. Twenty quid for a fucking tooth? What the hell is wrong with you? Why don’t you just buy the little smeller a Mercedes right now and be done with it. Since when was the tooth fairy really about the amount of money involved? Ridiculous. Preposterous. Disgusting.

Oh and if your TF routinely overpays for lost teeth and you are reading this right now you ought to be ashamed of yourself. You aren’t doing your kid any favours overdoing it like this. You have to give a child something to look forward to, for crying out loud. Even when my older child had her canines pulled out, which was in fact painful and unpleasant, the TF brought only five pounds per tooth. Not twenty. Geez. “Oh here, Sweetie, you lost a tooth, here’s a ski trip to Gstaad for you and five friends.” WTF.

But wait there’s more. I have a larger point to make. That being, it sure is lovely to be around to witness milestones such as my younger child’s loss of a first tooth. I am sorry if that sounds corny and cliche, but after the past year and five months, anything of this nature takes on a different level of significance for me. I cannot help it.

I bask in the glory of the moment, delight in the ordinariness of this little slice of life, this right of passage. And here my child’s initial outrage at the perceived inadequacy of her prize made me relish that moment even more. I found it absurd, somewhat troublesome, yet amusing all at the same time. And then my mind did this thing it does where time suddenly fast-forwards and I see her picking out a wedding dress, with me standing beside her. Noticeably older, perhaps thinner and a little diminished in stature, but still very much present.

And that, my friends, that… is priceless.

Evolution

I have been neglecting my blog. And by association, I guess, anyone who reads my blog. And that means you. Sorry about that. It isn’t that I don’t want to write anymore. Or that I no longer have anything relevant to say (not that everything has to be relevant).

But it is true that lately I have not felt that pressing, unignorable urge that kept me up past my bedtime so many nights. There I’d be under the covers with the lights out, face illuminated by the 11-inch screen of my Mac Air, tapping away while a seedling thought blossomed into a fragrant and at times unanticipated flower… or turd, as the case may be. I mean you can’t achieve greatness every time, people.

Yes. Lately I’ve spent a great deal of time wondering why I don’t write more often. Because in the beginning I had to write each and every day. I needed to do it; I demanded it of myself. And sitting down to do so was like breaking the dam. My thoughts burst forth and gushed out.

I guess the way I felt about my blog in the beginning is sort of analogous to the way you feel as an adolescent with your first major crush. First, you glimpse your crush (or is it crushee?) and you wonder what it would be like to talk to them, to spend time with them. You really want to approach them but for a number of reasons (you are shy, nervous, you have a big zit in the middle of your forehead, you fear rejection) you just don’t get up the nerve to do it. When you find yourself in close physical proximity to them you begin to sweat a little, to feel simultaneously exhilarated and uncomfortable, like you might burst right out of your own skin.

So then you one day get up the nerve to talk to this person and you both have so much to say and it all pours out over Orange Fantas (I suppose kids nowadays just go to Starbucks) and then you realise that not only was it love at first sight (probably more like infatuation), but also you have found your soul mate (probably not) and you begin to eat, drink and breathe one another.

That feeling lasts for a little while and you find it difficult not to be distracted by it as you go about your day. When you are with the person it is utter bliss and when you are not you are constantly seeing things you want to show them, thinking of things you want to tell them, imagining how they taste, remembering how they smell.

But then one day, you realise that the feeling isn’t quite as intense. Something’s gone off. Maybe you go to lunch and you feel suddenly outside of yourself, looking in on the pair of you. Your crush is talking. You see their mouth moving and you realise they are actually boring, or a narcissist, and that they are getting on your nerves. Or things that you once found endearing now irk the shit out of you. Like that stupid piebald jean jacket they always wear that’s actually really dorky. What was charming and quirky becomes intolerable.

This is the point of no return. You will not get past this feeling. The party’s over. You want to feel the way you did at first but you just won’t. Sure, you can fake it for a short while, but you cannot put off the inevitable for long. You need to move on.

Okay, maybe I’ve taken this analogy just a little too far. I absolutely do not feel as if I have reached a point of no return with my blog. And I do not find writing even remotely irksome or annoying. I don’t want out. But something has changed. The question is what?

You know what I think it is? My focus has shifted. I am moving on. I am moving on with my life after one hell of a year. However, I don’t need to leave my blog behind. My blog is about more than what happened to me, after all. It’s about everything and nothing. It can evolve with me. Why not? And if at this moment in time it no longer seems as urgent or as reckless, perhaps it has already evolved from a childish infatuation into a maturelong term relationship. It’s steady and trustworthy. It has roots. The novelty has worn off but the pleasure has not. And whatever I write about will be through the lens of a changed person, of a person affected by you-know-what.

Incidentally, before I started my blog I faced a number of obstacles, or at least I thought I did. As it turned out, none was particularly difficult to navigate. But that didn’t stop me from hand-wringing over them and delaying the start for weeks. I had to pick a name and buy it. I had to get my own site so it wouldn’t be hosted or controlled by anyone else. I had to learn how to do the blog at all since I was totally clueless (still mostly am unfortunately but at least I can manage blog posts). Also, in the early days I had so many simultaneous ideas whizzing around inside my head like lotto balls in one of those air draw machines. You know the ones — some lady comes on after the 10 o’clock news and turns on the power and air blows those little suckers around until one of them goes up the tube and is thus selected. That’s sort of my creative process in a nutshell, really. I switch it on, them balls fly around and it’s anybody’s guess what will get sucked into that tube and emerge the winner for the day.

I tried to find a short video of such a machine for you in case you don’t know what one is — for all I know if you are not American and of a certain age you are really lost — but the one I saw is so boring that no one, I mean no one, would watch it. Seriously, the first video I came across was some deal from the 1980s from a Canadian lottery (from Ontario I think) with a lady in a silky (but probably synthetic) blouse with shoulder pads and one of those thin bows in the front like the female version of the tie and a frumpy man with unflattering glasses and I almost chewed my own arm off while watching it so… I’ll spare you. Sorry if those are somebody’s parents or you love the Ontario lottery or something. But you’ll get over it. And please don’t pretend to be offended just because you are Canadian, eh?

Evil

For some reason over the past few weeks every time I have thought to write a new blog entry I just haven’t followed through. My thoughts haven’t been very focused; no theme has emerged and I haven’t felt urgency about sharing anything in particular.

Part of the reason is that until this past weekend we were on vacation for two weeks in Asia (Hong Kong followed by Phuket, Thailand) and the days were a blur of sight-seeing, beach-going and swimming with baby elephants. You know, the usual.

Plus, I was so friggin’ happy to be cleared to go on vacation after an infection landed me in the hospital a little over a week before we were scheduled to depart that I just let everything else fall away and tried to focus on packing… and then relaxing.

Once away, when we would return to our rooms every night after dinner, the last thing I wanted to do was sit in front of a screen and type. So I didn’t. I thought about doing it — every night — but I just let that, too, fall away.

Not, however, without some twinge of regret, for I believe I sort of left you hanging regarding the outcome of Marjorie’s infection. In a nutshell: just to be safe, I spent two nights in the hospital on intravenous antibiotics and then I brought home Augmentin tablets and took enough with me on vacation to take (prophylactically) to get me through the entire trip. I’ve had enough of the stuff in me to stop an army of infections and have now been off everything for about six days.

Time will tell whether it is really gone. I think it is. Let’s hope all remains quiet on the western front.

In addition to the gobs of antibiotics I hauled to Asia with us, I brought along anti-diarrheal medication, rehydration sachets, children’s allergy medication just in case someone got a reaction to something, Tylenol (paracetamol), aspirin, sun block, industrial-strength bug spray and gel with 50% DEET (possible carcinogen/God knows what else vs. malaria/Dengue — you pick), Cipro (just in case one of the adults got a terrible stomach bug)… I could go on. And I packed all of this crap neatly in the carry-on so that we would not be without it in case any of these ills I was prepared to prevent befell us. Unlikely, I know. Overly cautious, yes.

In preparation for our travels we also got several vaccinations, some of which we probably didn’t really need but I figured better safe than sorry.

In Thailand, I instructed the children to use bottled water to brush their teeth, just in case.

I slathered them with enough sunblock to prevent a burn — so much so that we barely got a hint of color.

Of course we didn’t need any of the medication I brought with us. The worst ailment was a case of swimmer’s ear that our six-year-old picked up about a day before we returned. So we called the doctor and she too was put on antibiotics so that the infection would begin to clear before our long-haul flight.

Yes we made it all the way to Hong Kong and then to Thailand and back to London and nobody was much the worse for wear. Safe and sound and home again.

And then Monday night my father emailed me that there had been “explosions” at the finish line of the Boston marathon. The Boston marathon, an event that my family and I enjoyed watching every year when we lived in Wellesley. We would stand out in front of the library on Patriot’s Day and cheer the runners, walkers (and those whizzing by in wheelchairs) on. Because the participants came right through our quiet suburb, we did not venture into Boston to stand at the finish line. But I don’t believe I would ever have feared taking my family to such an event.

Even after living through 9/11 in New York City.

It was just such a pleasant, low-key event. A Monday off work and school. A day to indulge in an ice cream cone and be with family and friends.

Monday night I felt very far away from home. Watching the loop of footage on the Internet and on TV didn’t do much to make me feel closer. When the email reassurances from friends and family trickled in I felt relieved but still far away, sickened and bewildered.

It’s disgusting. Like the Newtown massacre, it’s unthinkable. Yet both of these things happened. Recently. How can I explain this to my children? How can I understand these things myself?

I haven’t come up with much, other than this sad truth: evil exists in our world. It seems to be having a field day right now.

When I was a little girl I was afraid of strange things, such as the Boogey Man and falling into the wall into another world (thank you fourth grade teacher obsessed with Boogey Man stories and Ray Bradbury, who terrified us every Wednesday with a new tale of horror). I really was petrified by these things. I thought the creepy stuffed clown I had might come alive and strangle me in the night. I decided to put it up in the attic so that it wouldn’t be too close to me. I got a lock put on my closet door so that nothing up in that attic (to which my closet led) could slink down and get me in the night.

That all seems so quaint and charming now. My childhood fears. I almost long for them, even though they were the cause of a lot of anxiety at that time.

But they sure beat early cancer, senseless acts of unspeakable violence and terrorism.

I never feared those things. I don’t want my children to fear them either, but I cannot imagine that they won’t.

When we told the girls I had cancer the smaller one asked if she could catch it — like a cold. I was prepared for this question and offered her reassurance that she couldn’t. But I also didn’t go a step further and promise her that she would never get cancer, because that would just be a flat-out lie.

The morning after the horrific attacks in Boston, I decided to tell the girls that something had happened because I worried that people at school would be discussing it and I wanted them to hear something from me first.

The little one didn’t really get it. The older one asked me, later, why anyone would do such a thing. That’s a good question, isn’t it? How can such things even exist in our world?

How do you explain that level of hatred to a child? You can’t.

As you may have guessed, my point is that no matter how much we try to protect our children, our families, while still leaving the house every day and taking some risks, we just can’t protect them from everything. This is not a new concept, I know. But is it just me or do things keep getting a hell of a lot worse?

Yes, I dreaded the Boogeyman and my assortment of bizarre childhood demons. But damn, the days of the Boogeyman are looking pretty good right now. I’ll take the Boogeyman any day over the shit we live in fear of today.

Luckily, my children are not afraid of the dark and as of yet, to my knowledge, they have not experienced nighttime fears the way I did when I was little. Luckily, too, they are far too young to fear the things that we as parents fear. But one day they won’t be. One day they will see what we see. They may never understand it, because I don’t really understand it myself. But they will become aware that such evil exists. They will grow up in a different world.

I sure wish it weren’t thus.

Marjorie and the Terrible, Horrible, No Good, Very Bad Day

You may recall if you read We Welcome With Joy… that I decided to call (temporarily of course) my new boobs Jane and Marjorie Doe.  It wasn’t lack of imagination on my part. Really. Maybe it was a cautious failure to commit. Or maybe it was that I hadn’t had time to think about it before I spontaneously decided to write that silly blog post in the form of a birth announcement for a pair of silicone breast implants (for crying out loud).

Anyhoo…

About two and a half weeks ago I woke up one Monday with that nasty norovirus that has been felling people like spindly trees. Or at least I had something like that. And for 24 hours I felt like absolute crap. The next morning I felt so much better I decided to go out and buy not one, not two, but four bikinis in preparation for a warm weather trip in my near future.

But then on Wednesday and Thursday and come to think of it Friday and Saturday and gee for quite some time I never really completely bounced back, despite my recent pneumatic enhancements. I had this tired feeling behind my eyes. Didn’t feel rested when I woke up in the morning. I chalked it up to a still-compromised immune system following last year’s treatments and the fact many others I knew were taking a while to recover from said virus or some illness similar thereto (sorry but I used to be a lawyer so I have to throw in some official-sounding lawyer speak from time to time just to feel important).

Finally at the end of last week I started to feel like myself again. Although I did notice that I had something brewing on top of my right eyelid which was both attractive and comfortable. Oh dear, I thought. In response, I hurled into the rubbish this wand of gunk I bought duty free last year to make my eyelashes grow faster — which probably didn’t work anyway — figuring I had kept it too long and contaminated myself. Then I proceeded to self-medicate with ophthalmic erythromycin from the medicine cabinet and to cover the bump with make-up like any self-respecting woman who has a life and things to do would do. It just so happens that I was going to the eye doctor anyhow for a retina check on Tuesday and I figured he could look at the bump and prescribe whatever was necessary at that time.

I got through the weekend fine. Went to dinner on Friday and got home at a reasonable hour. Didn’t drink much. Went out to a school function Saturday and got home later and had a little more to drink but still not that much.

Then Sunday came along. I woke up tired. Nevertheless I went to the gym and had a decent workout. Didn’t feel bad while doing it. But when I came home and the endorphins wore off I took a nosedive. Before I knew what hit me I was ordered to bed by my husband. I didn’t even eat anything after lunch and let me tell you that is unusual.

Monday I felt a little better but not great. Tuesday morning a little better but still not fabulous. I canceled my workouts for both those days.

Then I proceeded to get ready for my eye appointment. And thus began the terrible, horrible, no good, very bad day.

I started the day worried about how I was going to have to go on vacation with a nasty bump on my eye. I left the house at 9:30 am in plenty of time to get to my 10:00 am eye appointment at Moorfields Eye Hospital. All I had to do was get on the Northern Line and go a few stops to Old Street and follow the painted line on the sidewalk to the hospital.

But naturally there was a signal failure “in the Bank area” so the train took 15 minutes to even arrive. I sat down on a bench to wait. It was hot so I whipped off my favourite green cashmere hat which I had bought at the Malo outlet in Connecticut about 15 years ago. I was there waiting for so long that my husband who had left the house ten minutes after me showed up and waited with me for a while. His train came first. Then my train finally crawled into the station and once I got on it and the doors closed I realised I had lost my fucking hat. Ah well, I thought. I’ll go back and look for it later.

The train went a stop or two in about six minutes and then when we arrived at Euston it just stopped altogether. For a long time. The conductor said because of the signal failure we wouldn’t be moving “anytime soon” and people who could use an “alternate route” should do so. I disembarked and started the long vertical journey to daylight. Once out of the station it took me five minutes to hail a cab. I was half an hour late to my appointment.

Luckily the ophthalmologist thought my retinas looked fine and dandy but that bugger of a cyst was infected so he prescribed an antibiotic. “It could take a long time to settle,” he warned. He informed me sometimes even after the infection is cleared up the bump will remain for weeks or even months or like, forever at which point he could flip the eyelid over, make an incision and scrape it out. The cyst not the eye. But still. Ew.

After that I went back to the tube, hoping to avoid a similarly unsatisfying journey in the opposite direction. I was a bit grumbly at this point because I wasn’t looking forward to searching for my hat which I kind of knew wouldn’t be there. Big shocker; it wasn’t. Some asshole stole my old, used, green hat. I hope they get the shingles, which I had on my head last year. Unless of course someone who couldn’t afford a hat got it in which case I am glad they now have a warm head and hope they do not get the shingles. I’m not completely heartless, people.

So I exited the tube and walked home, still grumbly but now because I was thinking about the fact that I had to take antibiotics for a week four times a day on an empty stomach which would interfere significantly with my snacking habits. And would likely result in another oral thrush infection which seemed to accompany most courses of antibiotics I’ve been on in the past year. Fun times.

Later that evening, as I was tucking in my eight-year-old, I noticed that Marjorie (a/k/a my right breast) was sore. Come to think of it she’d been rather bitchy for a couple days… and then I noticed she was discoloured. Red, to be precise. Along the bottom and inner side. And then I touched her and she felt hot. Oh shit! I thought. Marjorie has an infection!

I examined her in the mirror for a minute and then I phoned my surgeon on his mobile. He agreed I needed to be seen the next day. Before bed I did the unthinkable. The ultimate no-no. Late-night internet research on my presumed condition. The outlook was grim. In most cases meds don’t work, I read, and they have to remove the implant.

The next day my surgeon examined me and said I needed an ultrasound and to be admitted to the hospital for IV antibiotics. The ultrasound of Marjorie was unimpressive. The doctor found less fluid around her than he expected yet he was able to extrude some and send it to the lab. They haven’t been able to grow anything yet but we’re still waiting to hear if anything pops up.

So here I am sitting in the hospital on my sixth round of IV meds. Marjorie looks better than 24 hours ago. Redness is down, soreness better and no longer hot. I’ll tell you what: she had better simmer down and behave because them four bikinis ain’t gonna look so good with only one boob.

I’m hoping they let me out of the clink tomorrow because I just about went completely mental by myself in the hospital all day. Alone with my thoughts. Alone with my obsessive tendencies. Alone with my impatience.

I did learn one thing, though. I’m committing to a name. Regardless of her fate, Marjorie it is. She has earned it after all this drama. All this classic attention seeking. She has really made a name for herself.

One of the Guys

You know how guys get a bad rap for shamelessly checking out women’s boobs (and asses) at the gym? Well it’s obvious why. I mean it’s only natural to check out the opposite sex — or the same sex for my gay readers — whatever floats your boat. Or nobody, I guess if you are asexual at which point I have really lost interest in you. Anyhow I digress…

So, we are at the gym. There is boob and ass checking out going on. I’d like to ask a guy in what order he checks a girl out. I would have to wager that face comes in at least third, after other body parts. I could be wrong but fellahs whaddya reckon? Be honest and let me know what you think.

I normally look at faces first. Then bodies. That’s me. I don’t know how it is for other chicks but I would imagine that many others have the same MO. You’ll have to let me know, ladies. Don’t be shy.

Well I am writing about all of this because I have taken to shamelessly (God I hate split infinitives but…) ogling boobs at the gym. Except that mostly they’re my own boobs. Sorry but I just can’t stop looking at them. I mean there are mirrors everywhere and they look so different from the gravity defying boulders I had in there only five weeks ago. It’s kind of hard not to stare as I go up and down during squats, stand in front of a mirror doing bicep curls, what have you. And they do provide a handy focal point when I am trying to use core strength and balance.

Once in a while I cop a feel too. Even before I check to see if someone is looking. Not a whole handful deal but sort of a side feel – so it’s kind of subtle. I just don’t give a fuck anymore what someone else thinks. And I am still getting used to these babies. They’re still settling in. I mean I have to feel them once in a while for quality control, to test out the texture and to see if they are indeed real (I use this term relatively, people, as in really part of my body now, rather than “real” breasts. Duh).

My gym is pretty relaxed so I don’t suppose anyone cares if I feel myself up in between lunges or yank the front of my cute sports top down a little to examine my new cleavage and see if the twins are napping.

And at the end of the day I really do feel sort of male about the whole thing. I do it because I can’t help myself.

I am sure the novelty will wear off after a while and I won’t do it as much. And that’s where I diverge from the male species unless someone has a good argument that men stop doing that because the novelty of boobs and other female body parts ever wears off. Please.

Oh well, we’ll see what the future brings. For now just call me one of the guys.