This is a book about cancer, released one chapter at a time, one week at a time. If this is your first ride at the pony show, click here to start from the beginning.
If not, continue scroll. Dark times lie ahead, Harry.
Cancer surgery is not like having your tonsils or your appendix or your pancreas removed. Cancer is not something you can point your finger at and say, “It is here and this is the problem and this is the solution and now you can go home.” Cancer is more like, “It’s here-ish, and if we do this it should hopefully fix most of the problem, but we really won’t know until we do it. Let’s just eat the cow one bite at a time, shall we?”
So, after my surgery wherein I was miraculously cured thanks to the advancements of modern medicine, my urologist, Dr. Honda, asked for a follow-up visit to see how I was doing and to see my scar and to do some blood work and the process goes on and on, and like a leaf in a river stream, I’m stuck in it, and I just float along, going wherever the current points, and right now the current has pointed me to a chair behind an oak desk. On the other side of the desk sits Dr. Honda, a man who I’ve come to love in a very strange way, having played such a large part in saving my life. I feel very close to him, and I find his presence comforting. It is this man who has completely eradicated the cancer from my body. It is this man who has removed the looming venomous poison from my person. And it’s this man who is now telling me that the cancer is still there. That it isn’t gone. That they didn’t get it all. That it has spread to my lymph nodes. And it’s me staring at this man and saying, “A lynf-what? And how many do I have? And what does that mean?” and I feel like it’s one of those days where everything keeps going wrong, where you can’t find your shoes and then you break your laces and then your car is out of gas and then you find out your cancer is back.
More images of sick kids with black sunken eyes pass through my mind, images of cardboard cutouts at cash registers in cheap restaurants. “Donate a quarter to Alex, and you could save him from leukemia.” Only instead of Alex, it’s me. And there are no quarters. Because some bastard probably stole them. Because that’s the kind of luck I’m having.
“How many lymph nodes? Well, the human body has about 700.” I mouth the number silently to myself and try to compare that to my one single testicle. Listen, I’m no math whiz but I know that 700 problems is worse than one.
Dr. Honda says, “The lymph nodes, they, they move things around. They connect your body. They’re—the easiest way to explain it is—they’re a transit system. Like a subway.”
And I say, “And can cancer ride on this subway?” and he adjusts his glasses but never breaks eye contact with me. He says, “Yes, it can.”
Jade squeezes my hand with the ferocity of a vice grip and my fingers are just wet noodles, both my arms dangling limply at my sides, my head cocked one way, and just who does this guy think he is, telling me I have cancer when I just had my poisonous tumor removed—removed with the cancer? I traded my nut for safety and health, and I paid the price! But, like all things with cancer, it doesn’t care about you. Because it is you. Slowly eating itself like the snake with its own ass in its mouth. Sorry, buddy. Bottoms up. The Black Tendrils stretch through my body, and I feel their presence inside me, throbbing, somewhere, everywhere, poison.
I say, “What do we do? How do we . . . stop it . . . from spreading?” and he says, “I’d like to remove them,” and I say, “Them? Them what? Them the cancers?” and he says, “No, the lymph nodes. I want to remove them. We would open you from your collar bone to your groin and pull them each out individually,” and I say, “But . . . there are 700. Don’t I . . . need them?” and he says, “You will have a weakened immune system, yes.”
“ . . . And a pretty sweet scar,” I mumble.
He tells me he’s scheduling us an appointment with an oncologist, and I say, “Is that someone who’s on call all the time?” and my wife let’s out one of those weird pig noises people make when they’re crying really, really hard but then something makes them laugh. She says, “It’s not funny,” and I say, “I know. This is serious,” and she says, “No. Your joke. It’s not funny. It’s really, really, bad.”
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That’s it for this week. Thanks again for reading. This day was a very difficult one when it happened. This was getting hit with the bus. This was the stark realization that it was out of our hands – it was all out of our hands – and we were just along for the ride.
Next week we’re talking about the time I took drugs from a stranger.
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There’s still plenty of bad news to hear.