Life After Total Gastrectomy for Stomach Cancer (My Journey to find a New Normal)

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Archive for May, 2012

Don’t think too much…

Posted by docdude on May 30, 2012

The following was asked on a discussion board I frequent….

Is positive thinking self delusion?

Suppose you are stuck with an illness and you have to depend on medicines/drugs (not the kind that Phil grows in his backyard) for a lifetime and these cause their own side effects and you have to deal with that. Yet, you keep muttering, I will get well, I will no longer need these medicines. Is this positive thinking or just self deception or self delusion (I am using the terms self deception and self delusion interchangeably)? 

This is just one illustration. There could be others. 

How do you define positive thinking? And does it really help?

I responded:

I think that positive thinking is helpful for mental well-being. I also see a role for medication and medical intervention. I believe that they go hand in hand. 

Could I have willed my way to a cancer cure – highly doubtful. Surgery was necessary and because of surgery I now will need monthly iron infusions and b12 shots. Can I will myself not to need iron and b12 – no. It simply isn’t going to happen. Healthy eating isn’t an answer because I can’t eat/drink anything. But I am alive and so a positive outlook is critical for me. 

While I believe in healthy eating/exercise and all that good crap, reality is that some people through no fault are born with medical problems/challenges or develop them later in life. Some are complications from accidents or other issues. I was born with a ticking timebomb called sarcoidosis – absolutely nothing could have stopped it – same with narcolepsy. Cancer – who knows – I wasn’t in any of the risk categories. 

All the positive thinking won’t grow me back a stomach or stop esophageal spasms…it would be delusional to even suggest that. I am alive today because I get daily fluids via an iv and because I get liquid nutrition via a j-tube. This is my “better” – honestly there is no “getting better”. 

In not fighting to “get better” and conquer my condition, I am not giving up, I am finding peace and learning to live well with my condition not in defiance of it. I don’t believe that we have to fight everything or see illness as an adversary that must be conquered. If we can’t conquer does that mean we have failed? I will not live with failure – I would rather form an alliance with my medical conditions and live well in balance. I don’t want to use all my energy and time in a battle….I want to laugh and enjoy myself. I personally think that I am healthier now that I stop fighting and started accepting. I don’t have the stress of “getting better” to gnaw at me and I don’t feel like I can’t even survive cancer the right way. 

Does this make sense? When life gives you lemons don’t cut down the lemon tree or scream at the tree to produce apples. Make lemonade, use the lemons to season, make lemon custard pie, use lemon in cleaning to make the whole house smell fresh and clean….

 I would love to hear what others think regarding this subject…

Posted in Emotional, Humor, Random Thoughts, Surgery and Treatment, Tests and Procedures | Tagged: , , , , , , , , , | 3 Comments »

Living well on 3 hours a day…

Posted by docdude on May 29, 2012

3 hours…that is how long I am free from the tubes/pumps each morning and again in the afternoon.  3 hours…often spent at doctor appointments or running errands and shopping.

I want to make the  most of my three hours and the morning hours are most precious to me because I am somewhat energized after a full night tube feeding.  I’ve been trying to avoid dr visits in the morning and running errands.  I find that I am becoming very possessive of how those 3 hours are spent.  I certainly don’t want to spend them at a doctor’s office or grocery shopping for food I don’t eat.   I don’t always get out in afternoons – kids are coming home from school and I have to start gearing for dinner for them and what not.  The heat of the summer is often a factor.  Since I can’t drink fluids getting hot and thirsty is real issue.  There is no good way to quench my thirst.  Next time you are hot and sweaty and feeling parched, try getting satisfied by chewing on a piece of gum.  Just doesn’t cut it.  I was craving a refreshing glass of water the other day so I said “screw it, how bad will it be to chug and vomit?”  Turns out that prolonged esophageal spasms are bad, very bad.  The seconds of bliss were quickly blasted by the rapid expulsion of water out of my mouth and nose at same time and the endless dry heaves that continued long after the last drop of water was expelled.  The abdominal ache reminded me of my folly the following day.

I’ve decided to try to make the most of my 3 morning hours  and I admit that my focus is on spending this time rather selfishly by doing things that I enjoy and will ease the challenge of “pump time”.   I’ve been exploring options and here are some results….

Garage sales – great for Friday and Saturday mornings.  I like looking for bargains for just a few bucks.  I am a garage sale snob so if you don’t have curb appeal forget it.  I still wonder if anyone ever buys the mass amounts of holiday decorations that are always for sale.

Library – once in a while.  I don’t like being stationary and the library seems too much like being at home.

Volunteering – sorry but not during these 3 morning hours – at least not now.  I am not willing to give up these hours to others at this point in time.

Zoo, museum, etc.  I would love to do these but distance and costs are a factor.

Photography – this activity is good for one day a week.  Time and availability of subject matter can be problematic.  I would love to head to the Chicago harbors to take pics (for some reason I love boats, harbors, wharf fronts….would love to spend time with light houses).  Traveling would eat up about 2 hours leaving not much time to actually take pics.  The cost of gas is also factor to be considered.  Call me overly cautious or just very careful, but I don’t want to go wandering around some forest preserve trails by myself.  I am not sure why but I feel more vulnerable than I did a few years back.  I think a lot of little factors are at play…last years allergic reaction to bee stings, age, overall health, recent infection scare….blah blah blah

Fly fishing – this is my current favorite activity.  I grew up fly fishing in Idaho.  Good memories associated with fishing.  I learned to fly fish in rivers and streams and never really considered lake/pond fly fishing.  At a recent garage sale a man was selling some fly poles.  A couple mock casts and I was hooked.  He told me about their neighborhood association’s well stocked fishing pond.  We discussed different flies and techniques for pond fly fishing.  I bought the reel and pole, he gave me some line and flies – and permission to fish in his pond.  Two days later….sheer bliss.  The rhythm of fly casting is similar to riding a bike…you never forget.  Unlike bobber and bait fishing where you sit and wait; fly fishing is active.  You have to stay in the “here and now” and keep your mind focused on casting, the fly, the wind, and the fish.  You can’t worry about anything thing else – your mind clears and there are no tornado of thoughts.   It is not strenous so I don’t wear out.   Heat and thirst are only downsides – that and I want to fish longer than my 3 hour limit.  The ponds are fascinating as well with the huge snapping turtles, cranes, herons, and assorted other birds that definitely find my presence upsetting.  Finding the egg remanents of a turtle nest was a bonus.   The turtles seem curious about me and will often stalk me from the pond (reminds me of a nile crocodile waiting and watching).  I carry an epi pen but the bees are not a factor right now – in Aug/Sept they become too aggressive for comfort.  I introduced my two sons to fly fishing and they enjoy it immensely.  The youngest son and I went Sat/Sun morning and my oldest son went this morning.  Feeling the itch to tie my own flies as a former stepfather once taught (gonna hold off as this would be a good winter activity when I am on pump).

I went 3 times alone last week and can definitely see fishing in my future mornings at least 2-3 times a week.

(if you have any ideas – please share!!!!)

Medically – things are different as much as they are the same.  I had a klutz moment when hooked up to feeding tube.  Somehow tube got caught on kitchen cabinet knob and while pivoting to release, I lost balance and fell pulling tube out. Due to recent silver nitrate treatment and granulated tissue there was a lot of blood so I didn’t even attempt to reinsert. Off to spend some quality time in ER (thankfully it was around midnight so it wasn’t busy and I was back home in 3 1/2 hours).

Treatment for stoma site has continued without much success.  Next step is surgery and I am waiting for surgeon’s office to call and schedule.   Dreading the actual surgery and the recovery period but ever so hopeful that it will help.

Seeing a physical therapist once a week to help learn how to strengthen core muscles in spite of  pain.  This will be important following surgery.  It has helped some and I am grateful.

Speaking of grateful, I am eternally grateful to my homecare nurse Mary.  She suggested a drain bag for j-tube when not hooked up.  Awesome – it allows the bile to drain and I have practically eliminated daytime bile vomiting.  Still have issue with nausea but even that has been reduced significantly.  Because bile doesn’t drain at night, I still have issues every night but I am thrilled with daytime improvements.  Woohoo to Mary!!!!

Due to infection had to have PICC (iv) line removed from left arm and a new one inserted into right arm (love my infusion nurses Joy and Pat).  Two weeks of very intense discomfort but much better now.  Some irritation/discomfort after any significant lifting or use of right arm (yeah, that includes fly fishing) but at a very manageable level.  It will take time to build up strength in left arm and to retrain myself to limit right arm use for lifting.

By the way, does anyone know a good sugarfree fruit gum that holds flavor?  I am not sure if it is taste bud damage or what but most seem to lose flavor within a minute or two.

———–

Oh, and for those of you wondering……YES, I have been catching fish!  Caught enough a couple of times to feed the boys lunch once and dinner once.  Many are too small so they are catch-and-release.   Bass, blue gill, panfish…are the ones I recognize (sorta).  No trout (damn).  May have to find some type of stream to really satisfy my fly fish itch…nothing better than fishing for trout.

And wait until I tell you about the patio squirrels!  That is a blog all by itself – complete with pictures.  Watch for it soon.

Posted in Diagnosis, Emotional, Humor, Random Thoughts, Surgery and Treatment, Tests and Procedures | Tagged: , , , , , , , , , , | 2 Comments »