I try to combat the natural…well, I suppose it’s natural… tendency to allow my cancer diagnosis to wreck my emotional state. When I was first diagnosed with lung cancer in late 2018, I entered the fray with the assumption I would win the battle. From the start, I fully expected to conquer the disease; almost to the point that I viewed the diagnosis as little more than an annoyance that would deliver some irritating experiences. I considered the idea that it would kill me as only remotely possible—and overly dramatic. I assumed I would join the legions of people who have overcome the diagnosis to live many years of happy and fulfilling lives. After a year of treatments, my assumption were proven correct. The disease went into remission, as far as anyone could tell, and stayed there for five years after the original diagnosis. But after its recurrence was discovered in late 2023, my confidence that I would “win” began to evaporate. With its return, I learned the disease was no longer curable. It ultimately would kill me, but treatments could prolong my life—perhaps by a lot. The treatment plan was based on the expectation that a limited number of chemotherapy treatments, followed by two years of weekly infusions of Keytruda immunotherapy. After almost two years of treatment following its recurrence, the initial treatment plan has long since been replaced. None of this is new information in this blog. I’ve repeated it so many times…maybe in an attempt to make my brain accept reality. Maybe, though, it is because I have not been as successful as I had hoped in preventing the disease from overwhelming my emotions. I’ve considered that possibility before. An online article I read this morning on the NPR website might reinforce that idea.
Coping with cancer is rarely easy for anyone, but men tend to fare worse — emotionally and physically — than women. Evidence shows male survivors isolate more, seek less peer and other support and, alarmingly, die earlier.
Yuki Noguchi, NPR
The NPR article addressed the emotional toll cancer takes on young men. While my youth is far behind me, I share some of the emotions described in the article: “You feel so beat up and powerless;” “So much of cancer is the loss of the self and loss of control…that’s probably the hardest thing.” The article focuses on age and sex, but I suspect sex is the attribute contributing most to the emotional toll of a cancer diagnosis. The article notes that women tend to go to treatments in the company of friends and family, while men tend to go alone (not in my case, though, at mi novia’s insistence). Our culture, which expects men to conform to strong, silent type images, discourages men from seeking help in confronting their fears. In my case, it’s not fear of death that is debilitating, but I am not sure exactly what it is that has led me to isolate myself from an already limited network of friends. That having been said, it may be fear of another kind; fear of being unable to control my emotions if I allow them to crack the veneer of practical realism. But that’s just a guess. The idea of participating in a “support group,” in which I can remain anonymous may have some merit.
I pride myself on refusing to be taken in by the nonsensical mythology of masculinity, yet that very independence may be just for show. An aspiration, not really an attribute.
My attitude about my diagnosis and about my emotional state of mind may go through a dozen changes before noon today. That possibility bothers me. It provides evidence that my “take what comes” approach to this challenge in my life may be a counterfeit $223 bill featuring a portrait of Clarence Thomas. Oh well, maybe laughter is not the best medicine, after all. Maybe cyanide, instead, can claim its rightful place in that metaphor.
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Today’s visit with the oncologist probably will be a brief one: a blood draw for labs, a short conversation with my oncologist, and (depending on the results of the labs) an injection to address either anemia or bone-related issues.
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The time is closing in on 7:00 a.m. Before the morning is out, I’ll make myself clean and presentable so I can sit in the oncology treatment room, where I will attempt to be invisible.