The story of the three M's



It’s currently 11pm and I am sitting at my parent’s house in Mebane, NC typing this post.  14 hours ago my family was told that my mother has cancer.  

If this is the first you are hearing this devastating news, you now know about as much as we do at this point.  Please do not feel left out or unloved, it has been a very trying week with information and processing for my immediate family...

If this were the whole story, it would be heart breaking enough, but if you know me or my family, you are aware that this is not the whole story.  As I sit here trying to process this information, I can’t help but reflect on the story of me, my mother and malignancy.  I can’t help but think about the past, in some way to try and find direction and this is why I am writing this post- to try and find clarity for myself.  If you would just like to know the current situation, please scroll to the end of this post.

September 2001

I am 16.  I am a sophomore in high school.  I am fully engrossed with classes, marching band, football games, basketball practice and the daily ins and outs of high school drama.  My mother was also apparently diagnosed with colon cancer.  She had surgery and subsequently 11 months of chemotherapy.  I was not helpful.  I was not supportive.  I demanded things of her, things she had always done as my mother and would get angry when she could not do them.  I was in denial that my mother had anything other than strength and normalcy.  My mother did not have cancer.  My mother was not sick.  I don’t remember sharing this news with many people.  I do remember I started dating someone and after a month I mentioned something about chemotherapy and he was shocked that I never said anything before about my mom having this illness, this battle that could have killed her.   I don’t think I ever coped with her having cancer.  I got into the only fist fight I have been in that year though, during a basketball game.  Subsequent counseling visits diagnosed me with ‘clinical depression’ and I started one of the run of the mill SSRI therapies until I graduated.  

December 2005

                I am 20.  I just completed my first semester of sophomore year at UNC-Charlotte.  A school I never felt I fit in with and was planning on transferring to Durham Tech for the spring semester, mostly to be with my newly acquired boyfriend who lived in Durham as well as my parents.  I always knew I wanted to be in the nursing field so I was eagerly learning about anatomy and microbiology.  My mom and dad tell me in a car ride that her last colonoscopy showed some lesions of suspicion and they were awaiting cytology reports.  One week later they told me she had colorectal cancer.  No, her previous cancer did not return because the cells are different.  She has a new primary cancer, completely independent of the first.  She has major surgery in January to remove the tumor and subsequently completed 6-8 months of even more intense chemotherapy with the addition of radiation. 
                Now you would think, being 4 years older and wiser, I would have developed a sort of compassion and care to help.  I had not.  I was equally as apathetic as before.  My mom did not have cancer.  When my mom’s hands were so sensitive to cold due the drugs running thru her veins that she couldn’t get a simple glass of ice water, I became enraged with her.  Why couldn’t she just get me some cold water?  Why couldn’t she touch anything from the refrigerator?  Why was she in bed for 4 days every two weeks following treatment?  I do remember attending more radiation sessions and visiting her at her chemo appointments more than I do when I was younger, but by in large I was mostly absent.  

February 2009

                I am 23.  I start working as an RN at Duke University Hospital on the Hematology-Oncology floor.  I begin treating patients mostly with leukemia and lymphoma.  I took many ‘core classes’ on cancer, what it is, what it does, what treatment is, and what treatment does to the human body.  This is the first time I began to understand what my mother had been enduring for those many months.  I became overcome with regret, guilt and sadness for my behavior during those times.  I tried to make amends with these feelings by providing the best care I knew how to of my patients and their families.

December 2010

                My mom takes me to the airport so I can fly to Alaska to meet a man I had never met before.  I man I might by accident on facebook who had become a dear friend to me over the last year.  Many people thought I was crazy.  If the show Catfish had been around back then, I may not have ever gone. Many people told me not to go, that it was dangerous and foolish.  But my mom knew I needed to take risks and chances in life.  Risks she felt she didn’t have the chance to take.  So she drove me to the airport and wished me well.  I had an amazing 5 day trip to a new place with new people.  

February 2011

                I decided to take another chance and made the decision to try and move to Alaska.  To work, to explore, to find new people to take more chances with.  I began the process of looking into grad schools in Alaska and getting my AK RN license.  

March 2011

                I am 24.  I am still working at Duke.  My mom has an abnormal PAP smear.  She is diagnosed with uterine cancer.  A third primary, a third new cancer that has invaded her precious body.  She has a total hysterectomy, one that was very complex due to her previous surgeries for cancer and a third one to remove adhesions in her bowel caused by the other surgeries.  She endures another five months of chemotherapy.  This was the first time she lost her hair.  This was the first time I was painfully aware of what her body was going through.  I tried my best to rectify my previous reactions and support to her previous adventures with cancer.  All in all, I feel I did a fair enough job.  I went to treatment with her.  I helped my dad manage her medications to control her nausea, vomiting and pain.  I was present for the first time.  

September 2011

                I move to Alaska.  My mom was one month out from completing her chemotherapy with a clean bill of health and no traces of cancer remaining.  Many people felt and advised me that I should not go.  I am sure many other felt I was being selfish for leaving so soon after treatment and for leaving at all after my mom could have potentially died three times in the last ten years.  But not my mother.  Not only did she drive me to the airport, she insisted that she come with me and my dad to help me move.  Her blood counts barely recovered, she made the 12 hour journey to Alaska and spent a week helping me get situated in this foreign place.  We enjoyed seeing Alaska together.  They even came three months later to spend Christmas with me there.  She spent the next year or so recovering her body from the trauma of chemotherapy and the trauma of her youngest child moving 4,000 miles away, but never wavering her support in my decisions.

July 2013

                I am 27.  I am working in Alaska at an outpatient chemotherapy infusion center.  I had been accepted in the Family Nurse Practitioner program at the University of Alaska Anchorage and was slated to start in August.  My mom had been having debilitating back pain and leg pain for several months which led to her having a laminectomy of her L1-L4 vertebrae.  I returned to North Carolina the day after surgery to spend 10 days helping her recover from surgery and the assumed road to recovery.  She was in pain and very weak.  I made a medication record spreadsheet for my dad to help organize the ever evolving need for pain medications.  I was her nurse and tried to be a mentor to my father who would be in charge of her care.  I returned home, hopeful for a speedy recovery.    

December 2013

                I am recently 28.  My mother has lost 45 pounds.  My mother now uses a walker to move around the home and a wheelchair outside of home.  Her pain is still unbearable.  Her anxiety and depression, equally as debilitating.  I return home for three weeks to, again, try and expedite her recovery with my constant care.  I help her buy Christmas presents on Amazon because she was unable to go shopping.  I help decorate the home with Santas and Christmas décor.   I help my dad cook meals with my mom’s guidance as chef.  We enjoy the holidays in a new way that was at times insufferable.  I take my mother to physical therapy where the therapist reassures us that things like this just take time.  A few people said what I am sure many others felt, that I should not be in Alaska at a time like this.  That I was unequivocally needed to help.  I struggled with this for many months prior.  The remarks cut my soul.  But again, my mother said I needed to be in Alaska.  She said if she felt she needed me and that she was dying, she would want me there.  She said “and I don’t think I’m dying”.  She said I needed to go to school.  I needed to continue to live these risks and adventures that she felt she never got to take.  So I return home, again, still unsure if what I am doing is the right thing.

January 7, 2014

                My father texts me at work and says they’ve taken mom to the emergency room, that her weakness and pain have escalated since my leaving and she needed to have further work ups.  An MRI of her back shows areas of inflammation.  We wait another day and have an abdominal CT performed.  I am driving to my first day of school when I call my father to hear any updates.  He tells me it’s not good news.  He tells me as I drive through the ice and falling snow that there are suspicious areas on her scan that they are worried about.  I don’t remember much from that first class.  That night I purchase a one way plane ticket home to be there when more worrisome results come.  Luckily my job and school are very supportive and sympathetic to my sudden departure and become one less thing I need to worry about at the present time. 
                This morning we find out that there is cancer in my mother’s body again.  We do not know what kind, but most likely a form a lymphoma.  Another primary.  A fourth new cancer that has found its way into the woman I most cherish.  I immediately feel the familiar tones of apathy.  I immediately feel fear because the phrase ‘ignorance is bliss’ does not apply to me this time.  My mom doesn’t have cancer.  Her back is hurt.  That is why we are here.  She can’t have cancer, because that doesn’t make any sense.  I look around the room at people who love me and whom I love.  At times I can’t understand why they are crying.  Other times I can’t understand why everyone isn’t crying. 
I am in a building where I was always the caregiver, comforting others with bad news, providing a tissue and steady shoulder.  I know the tests, I know the results, I know the way of hospital life. I get frustrated when doctors speak to me as a lay person all the while not wanting them to know my profession, my craft, my too deep depth of understanding of what they are saying to me.  I don’t know what to be now.  I don’t know if I need to be the removed caregiver, always pushing forward with the next plan, the next goal, and the next step.  I don’t know if I need to be the weeping daughter making everyone feel uncomfortable because they don’t know what to say to me.  I don’t know if need to be strong for my dad or show him it is ok to cry and hold each other up in the process. 
I do know I am better than I was 13 years ago.  I know I can provide more to my family than I have ever been able to.  I know I will do my best to help guide them through this process I know very well.  Too well.  Too well to differentiate between being the consoler and being consoled.  I know this journey of me, my mom and malignancy too fucking well. 

To those of you who would like to be on the daily update list, please send your email address to - smg1125@gmail.com.  So many people love my mom and want to be informed and I know that being informed is the best way to be, but rather than email/text/call myself, mom or dad for updates, please just wait for the email at the end of the day and if you have further, more specific concerns or thoughts, please feel free to reply them.


Thank you for reading this, for helping me work through my own troubles as I begin to try and work through an entirely new set. 

-Steph
 


Night we shaved her head 2010
Facial Fun


Lake Fun


Christmas in Alaska with mom's mohawk


Hokies game Fall 2012
Christmas 2013