Friday, November 15, 2013

My two cents after two years: part two

Cancerness.

This word doesn’t really exist or have a true definition, but it seems to encompass all qualities that are related to cancer. 

The inherent cancer parts of cancer.

There are so many facets to cancer in general.  Each kind of cancer has its own persnickety descriptions and terminologies.

For example, I can tell someone I had cancer.

If that person asks what kind, sometimes I will respond: blood cancer.

If that someone wants to know the specific blood cancer, I respond: Non-Hodgkins Lymphoma.

If someone wants to know the staging, I can add that it was Stage 1/e Non-Hodgkins Lymphoma.

If I really want to get detailed, I’ll throw in extra descriptors: Stage 1/e Mediastinal (Diffuse) Large B-Cell Non-Hodgkins Lymphoma

See?  So many fancy names and descriptions.

My oncologist did not specifically tell me the fancy terminology outside of Stage 1/e Non-Hodgkins Lymphoma.  It’s possible that he didn’t feel the need to be that specific.  I found out the information in pieces by gazing at my medical records, conversations with doctors at my oncology office and those at MD Anderson, and of course research.

As a future librarian, I’m part of a group of people that will venture forth with the following philosophy: knowledge is power.  It’s pretty much ingrained in the ideology of librarianship, but even outside of librarianship, it’s a giant dose of truth.

However, I have one piece of advice about personal research regarding medicine: take it with a grain of salt.

It’s incredibly easy to be caught up with WebMD, anything produced by the National Institutes of Health (NIH), and the millions of forums and blogs out in cyberspace.

All of it will scare the crap out of you.

I mean this with no sense of irony as I write a cancer-related blog.  I mean this in complete sincerity.

When I was first diagnosed, I gleaned as many information sources I could find concerning cancer statistics, especially ones concerning survival rates.

What a mind fuck.

The precious lucid moments I had between treatments shouldn’t have been concentrating on using my graduate student access to research academic versions of Medline databases at my university’s library in order to find prognosis statistics.

I do believe it is empowering to use information sources to understand cancer causes, symptoms, and treatments.

This might be a philosophy encouraged for doctors as well since my doctor even gave me a printout from PubMed Health about Non-Hodgkins Lymphoma during my diagnosis*.

However, to understand medical research is like opening the server room at any IT department: a lot of friggin’ wires. 

I understand this even more since I have been undertaking an Evaluating Information Services course this past semester.

For example, I found out there is a whole code of ethics for research.  I think on some shallow level, I understood this, but one look at this report will tell you that there is no fooling around:


Aside from approaching a project ethically, one has to take into consideration the following: previous research (i.e. undertaking enough reading to make your eyeballs bleed), various research models (i.e. make it so complicated that no one understands what the hell you are studying), and statistical analysis.

Statistical analysis. 

It sounds like a root canal would be more fun, right?

The permutations that can result from various data collected seem innumerable.  If you truly look at data and apply statistical methods to analyze it, there is the possibility that there are no correlations or too many correlations between data sets. 

Considering these concepts in retrospect is illuminating when it comes to understanding cancer research and statistics.  Discovering correlations takes time and skill.  Then to disseminate all the information to a hungry public eager to learn about their potential longevity in the face of treatment is an equally difficult task.

It is humbling how carefully these types of research take place.  It is overwhelming to think that there are so many pieces to take into consideration.

Enough to make me want to shut the hell up about the negative issues with cancer research.

So, one big thought that I’ve been working through these past few years post-treatment:

Take it one day at a time, or better yet, one minute at a time. 

Suffering over what could be or what will come next is not a good solution.  I have experience with this.  Before going through biopsy surgery in August 2011, I tired out my chemo-ridden self with worry:

What if it is still malignant?  I will have to go UT Southwestern and do a stem cell transplant.  What the hell is a stem cell anyways?  I will live in a bubble and no one will be allowed to visit me.  My cats will steer clear of me because I will have done the human equivalent of “control-alt-delete” and smell weird.

And so forth.

Death was also a consideration.  Death tends to swagger around everything we do as people.  The finality of it is heartbreaking (which is an understatement in itself). 

In reviewing survival rates for Non-Hodgkins Lymphoma, the statistics were, I’ll be honest, a bit grim in some areas, but most positive in others. 

I recently completed a Light the Night walk for the Leukemia & Lymphoma Society (LLS) in October.  There were different balloons that the walkers could carry depending on their level of support.  Red balloons went to people who were just plain supporting.  White balloons went to current patients and survivors.  Gold balloons went to people who were walking in memory of someone. 

There were a lot of gold balloons during that walk.

The image began to alter as the walk ran out of red balloons and began handing out white and gold balloons instead, but the initial image of arriving to the walk comprehending this meaning was tear inducing.

It made me more appreciative of how well I was doing, despite the annoying little post-treatment symptoms.

Coming back to the biopsy surgery, I recall having to start the process of training myself not to get too far ahead mentally.

My mind would wander: tomorrow is my surgerywait, what am I doing now?  I am cooking.  I will concentrate on the boiling water and pull out the necessary utensils to finish cooking.  Hmm, those knives sure are sharp.  I wonder if there will be sharp knives used for tomorrow’s…ok, shut up.  You are boiling water.

I’m learning that this takes practice and cancerness is a lesson in patience.

Moments are singular pieces of time and moments stacked up are life. 

I urge you to look at the moments.


*Note: I just noticed recently from the URL at the bottom of the printout that was given to me that the page was last updated in February 2013.  It’s interesting to see the evolution**.

**Additional note: from a research perspective, it’s beneficial to refer to sources that update regularly.  Otherwise, you might not be getting factual or up-to-date information.  Just some friendly librarian advice.

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