Paul's Heart

Life As A Dad, And A Survivor

Archive for the category “Cancer”

My Dad – The School Bus Driver


last photo of my dad and I before his cancer

There are moments in life, that just trigger memories.  Yesterday, I had one of those.  I grew up estranged from my father most of my life, so for me to have any kind of concept of my dad to be a “coochie coo” kind of parent, was really hard to imagine.  And in times when I did see him, I definitely would not have described him that way.

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Which is why, when we adopted our daughters, one of the first things I told my father, who constantly felt guilt for the lack of being involved in my life, “we can’t change what happened, but you have two beautiful granddaughters and they love you.  If you feel you have something to make up, here is your chance.”  And my dad adored his granddaughters.  They especially knew that going to “pappy’s” house, meant raiding the huge Oreo Cookie cookie jar.

But from what I knew of my father, he was fairly gruff.  Driving truck most of his life, he was a “motor head” and quite talented with handy repairs.  Definitely not “coochie coo.”

But then a few years ago, he dropped a bomb on me.  Having recently retired due to both age and health issues, he decided that he needed something to fill his time in.  He told me, “I am going to drive school buses.”

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I was like, “you know dad, they have kids on them?”  He laughed.  I began to warn him of how rough teenagers could be when he cut me off that he would be driving elementary school kids.  And again, I was like, “really?” as if I was concerned how the kids would react to someone the way I used to think about my dad, and  stress the way I “used” to think of my dad.  The fact is, my daughters did change the way he was around children.

My father told me lots of stories of children he had seen somewhere, telling me of behaviors both good and bad, and then turning the conversations to how I was raising our daughters, complimentary.  But one of the most touching stories was that of Chinese twins on his bus, that he said reminded him so much of his granddaughters, not just in a physical resemblance but also in manners.

When my father was diagnosed with lung cancer, eventually he had to retire for good.  And he was so touched by all of the families on his route who gave all kinds of tokens of support.  But is was the hugs from all the children as they said goodbye to their favorite bus driver, that meant the most to him.

It is often said, that depending on the situation of someone’s passing, it is better to remember them a certain way.  And this is definitely one of those memories  I will always cherish of my father.

Yesterday, I saw a school bus with a driver that resembled my father.  Being behind the bus, I saw the red flashing lights as the students poured off the bus, turning to wave goodbye to their driver.

I miss you dad.

Bedside Manners More Bedpan?


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It really should not be all that much to ask, right?  You are dealing with a serious illness or injury.  All you want and expect is some empathy, some understanding, some patience for the patient.  But instead, you get snarkiness, robotic intonations of phrases, clockwatching, and no Q&A.  And if you are lucky, you might even catch the doctor give you a glance just to see if you are still paying attention to what you are being told.

Being a patient and caregiver, I have been on both sides of this issue.  So I feel that I can be fairly objective about this.  But please do not confuse my objectivity with acceptance or letting anyone off the hook.  As a patient, we have our own responsibility to ourselves also, to make sure that our needs are being met.  And when we are facing a difficult medical crisis, those needs also include emotional.  Without our emotional needs being met, we lose trust in the one person who is responsible for possibly saving our life.  And this attitude can have a definite impact on our survival.

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When faced with my own cancer, Hodgkin’s Lymphoma, I turned to the very first person that I ever knew to survive cancer, my grandmother.  She had been diagnosed with breast cancer in her early 70’s.  She had a mastectomy, and took some preventative chemo, and survived more than a decade.  She had been treated at a small-town hospital.  But she had survived.  It was a no-brainer, that I would choose her oncologist to treat me.  Dr. M had saved my grandmother.  I felt my chances would be great in my favor.

Dr. M was an older doctor, probably very close to retirement.  From what I figured, he was very set in his ways.  And it was his way, and only his way.  We clashed several times, but Dr. M soon learned that I was in charge of my care, and decisions were going to be made by me.  I still had trust and faith in how I was going to get through this, but it was going to be on my terms.

Well, I guessed wrong.  As soon as my lymphoma was gone (a result of my decisions), new disease was discovered.  This time Dr. M was not going to mess around.  I could no longer avoid chemo, a stereotypical terror I feared, and with good reason.  But it was his lack of bedside manner, while I was facing my biggest fears, and his reluctance to answer  two full pages of questions that I had in regards to chemotherapy treatment.  He took one look at my hands, saw the lists of questions and then said, “I don’t have time to answer that.”  And he walked away from me.

I was firm.  I had questions that needed to be answered before the first drip of poison was going into my veins.  And so I fired my oncologist, the same doctor that cured my grandmother.

I went next to my therapist and told them what I had done.  I was kind of surprised at his reaction in that I received part empathy, and part lecture.  It was the lecture that I got first.  I was made to understand, that oncologists deal with death.  Many of their patients do not survive.  Oncologists know this possibility exists with each patient that they take on, and for my requirement of an emotional attachment from my doctors, I was told, it probably was not going to happen.

However, then, I was told by my therapist that he would help me find another oncologist.  Surprisingly, it came from the same oncology group.  Dr. V was a younger man, an Army vet, but had a bit more of a personality, which I felt was important.  At least if my questions did not get answered, at least I might feel that he cared about whether I made it or not.  But who can argue with my decision?  I am here 25 years later because Dr. V earned my trust, which resulted in me fighting with a more positive and certain attitude.

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There is no doubt the impact of bedside manners of a doctor, can have on a patient.  That is not to say that a doctor does not have a right to be a jerk, or scold, or lecture.  Every doctor I have ever had since Dr. M, has scolded me, lectured me, one even yelled at me.  But I also know, they cared for me.  If I did something foolish, like eat a particular food, or as many Hodgkin’s patients know, drink any alcohol, as a patient, we paid the price.  And an oncologist would have every reason to want to lecture us.  They are trying to save us, and we give off the appearance that we do not have the respect for what they are trying to do for us, save our lives.  I once told one of my doctors that I “deserved” the amount of daily pain I deal with as my price for surviving cancer.  And when I say I got yelled at, even at my then age of 45, I GOT YELLED AT!  But I knew where he was coming from.  And I also made sure I never gave him a reason to do that again.

Does that mean that we should stop living?  Having fun?  Doing dangerous things?  Absolutely not.  But we need to keep things in perspective with our doctors.  Yes, they are busy.  They may have a lot on their minds, perhaps a patient who did not survive, maybe even something personal.

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But if you have a doctor that you feel really has no bedside manner, or at not enough to meet your needs, you have a responsibility to yourself, to not accept that.  There are options available to you to deal with this from nurses, to therapists who will intercede on your behalf, or even your case worker.  But remember, if the “manner” is being brought on by your own behavior, then the responses are to be expected.

Celebrating Josh


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I am sad right now.  My sorrow deepened by yet another long term survivor, recently passing away from a return of the same cancer that led Josh into my life, and other health complications.  But it is because of how he lived his life as a survivor, my sadness is oddly not as intense as is normally the case.

The story goes back just before the turn of the millennium, around late 1997 I think.  I was trying to extend my outreach of cancer support to patients beyond my local efforts.  Long before Facebook, there was a “listserve” for those who had battled Hodgkin’s Disease (us long-termers still refer to the politically incorrect terminology).   A mother on this listserve, was looking for support.  Her son, in his mid-20’s was battling Hodgkin’s.  She signed her posts, “Lynn, mom to Josh”.

The impression that I got from Lynn, that Josh could be very stubborn.  He also gave me the impression that he was very private, so I rarely heard many details from Lynn.  Conversations via email typically  revolved around pending testing, and of course, anniversaries of remission, and spontaneous symptoms.  But I only heard from his mother.

That changed in 2000.  With only one question from Lynn, “why on Earth would you want to visit Bakersfield, California?”, I made plans to do just that.  I was planning a weekend trip to the west coast to see a professional football game and thought I would just drop south into Bakersfield and meet my very first long-distance, long term cancer survivor.

Josh

There was no doubt what Josh meant to his mother.  Lynn and I spent countless hours exchanging emails about Josh’s conditions and concerns.  And when I finally arrived in Bakersfield, clearly we knew that we only had a limited amount of time during my visit, and Lynn was going to make it count.

But the visit was not going to be all about cancer.  Not if Josh had any say in it.  Besides the rock band Korn originating from Bakersfield, another popular tourist stop, was Buck Owens Crystal Palace.  Yes, for those of us old enough, the same Buck Owens of the “Hee Haw” country variety television show.

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The museum/restaurant was filled with all kinds of merchandise that belonged to Buck Owens.  And for a music history nut like me, I was in a place that ranked among Graceland, the Music Experience, or even the Rock N Roll Hall Of Fame.  We all dined at the palace.  There was not talk about cancer.  We enjoyed a great meal, had a few beers.  And Josh showed me, what I have never been able to do in my life, he lived his life the way that he wanted to do it, following his battle with Hodgkin’s.

When we got back to his house, we had some other minor chit chat, about some of his collections that he kept.  But there was never any discussion about cancer.  This is the way that I knew of, that he wanted it to be.  I would hear about his brothers, but no cancer.  That was how I knew Josh, and from the one and only time that I got to meet and spend time with him.  And yes, Lynn, as hard as it was to believe, I enjoyed my visit to Bakersfield.

His mother Lynn, or as I nicknamed her a long time ago, “mother Lynn”, as I often found myself relying on her as a voice of reason for any number of issues that I may have been dealing with, remain good friends.  Lynn is not the first parent I know, that has faced losing a child.  There is an expression that goes something like “no parent should ever have to bury a child.”

Lynn, my friend, I have no concept of the loss you feel right now.  I can only imagine and try to understand.  But if there is one thing I do know, that you never once, stopped fighting for Josh, even when Josh did not want to fight.  I knew from every conversation that we had, how much you loved not just Josh, but all of your children (and grandchildren).

And following that visit, our circle of survivors would extend even further, all across the country, and the Earth, and perhaps, our meeting may have been the beginning of “Paul’s Heart”.  Our connection showed how important, and needed, contact with other survivors, family, and caregivers was to get through each and every day.

Josh, you are missed my friend.  I am thankful that I got to meet you.  And I am thankful for the friend in your mom, that I got to know because of you.

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