Gleanings of the Week Ending August 26, 2023

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The items below were ‘the cream’ of the articles and websites I found this past week. Click on the light green text to look at the article.

Two Baby Condors at Pinnacles National Park Are Healthy, ‘Adorable Fluffballs’ – Avian flu killed at least 20 California Condors in Arizona and Utah last spring…so the health of these birds is great news. So far, their lead levels (often a problem if their parents bring them carrion with bullet fragments) are low. They will make their first flights in October or November.

Biden Designates Baaj Nwaavjo I'tah Kukveni - Ancestral Footprints of the Grand Canyon National Monument – Protecting the land around Grand Canyon National Park.

Nearly Two-Thirds of All Species Live in the Ground, Scientists Estimate - Soils are richer in life than coral reefs or rainforest canopies, providing a home to nearly two-thirds of all species. The study is the first to tally the total number of soil dwellers, large and small, finding that more than twice as many species live in the ground as was previously thought: 59 percent of all species depend on soil for their survival, including 90 percent of fungi, 86 percent of plants, and 40 percent of bacteria.

Incredible Winners of Light Microscopy Awards Show Artistry of Scientific Imaging – The beauty of microscopic life….

Research Sheds Light on Steamboat Geyser’s Eruptions, Past and Present – They discovered that the strength of shaking decreased as snow depth increased. The ability of snow to absorb sound makes a difference!

Stunning Fields of Sunflowers Are Blanketing North Dakota – The states farmers grew 625,000 acres of sunflowers this year…and they bloom throughout August. Maybe one year we’ll make the trek to see them; I haven’t been to North Dakota before.

Exceptional Winners of the 2023 Nature inFocus Photography Awards – Beautiful…and educational. My favorite image is the ant with aphids (“A Sappy Alliance”).

What Pots Say—and Don’t Say—About People – “What can such a well-traveled artifact tell us about the people who left it in the ground? Its culture of origin may be less important than how it fit into life where it was found.”

Microplastics found in human heart tissues, both before and after surgical procedures - Everywhere scientists look for microplastics, they've found them -- food, water, air and some parts of the human body….even in the heart. But it still is not known how/if the microplastics impact the cardiovascular system.

Microalgae vs. Mercury - In the search for ways to fight methylmercury in global waterways, scientists at Oak Ridge National Laboratory discovered that some forms of phytoplankton are good at degrading the potent neurotoxin.

Gleanings of the Week Ending July 1, 2023

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The items below were ‘the cream’ of the articles and websites I found this past week. Click on the light green text to look at the article.

How technology helped archaeologists dig deeper – Tools that tell us a lot more than excavation can: chemical and genetic analysis, lidar. This article uses new archaeological data from several cities (New York, Cahokia, Rome, Pompei, Angkor Wat)…pointing out that new analyses reveal that they were often full of immigrants that built the city and there were places those people lived nearby that often were not noticed by excavators! Archaeology is now able to tell us more about how ordinary people lived – not just the elite.

The white roofs cooling women's homes in Indian slums – Maybe white roofs will become a trend in lots of places…reduce the heat island effect that cities must struggle to overcome as the planet gets warmer.

Vienna is the most livable city in the world – It has stability, robust health care and education systems and strong infrastructure, among other factors. There are no cities in the US in the top 10; Honolulu, Hawaii is 25th on the list and the top city located in the US. There are 3 in the top 10 located in Canada: Vancouver, Calgary, and Toronto. 

That's no pizza: A wall painting found in Pompeii doesn't depict Italy's iconic dish – Tomatoes and mozzarella were not available 2,000 years ago when the fresco was created! Tomatoes came from the Americas a few centuries ago and mozzarella was invented in Naples in the 1700s.

This Ancient Maya City Was Hidden in the Jungle for More Than 1,000 Years – Found during a survey with light detection and ranging (lidar) scans in the Balamku ecological reserve on the Yucatan Peninsula. The site is on high ground surrounded by extensive wetlands. The ruins have been named Ocotun (‘stone column’ in Yucatec Mayan) in honor of the many columns found at the site.

Is fast fashion making us sick? – Fashion can be rife with toxic chemicals such as formaldehyde and chromium…and the US has done little to protect consumers from these toxins in clothes. Researchers are correlating declining fertility rate and the rise in autoimmune diagnoses in the US with chemicals found in our clothes.

Winners of the 2023 Audubon Photography Awards Celebrate the Beauty of Birds – Eye candy images of the natural world.

Surgeons must tackle three global health challenges to save lives – Assuming that a new device or approach is always better - not a good assumption but a common one that surgeon make!

The perilous life of the solitary pangolin – Learn about this African animal…their situation in the wild…and how things have changed over the past decade.

Winners of the 2023 BigPicture Natural World Photography Competition embrace our world’s biodiversity – Images telling stories.

Cataract Surgery

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Cataract assessment has been a part of my annual eye checkup for the past few years. I always wonder if it is a positive thing to still have eyes correctable to 20/20 since when cataracts make that correction impossible, cataract surgery will likely provide years of good vision without glasses – as boon since glasses (or contacts) have been part of my life since third grade.

This May and June my younger sister is getting cataract surgery and I am providing taxi service for her surgery and immediate follow-up during my monthly weeks in Carrollton, TX. It’s been a good learning experience. She arranged for her surgeries to be first thing in the morning. She felt well enough for breakfast after the first surgery – even though she was feeling disoriented with a big eye patch and no correction of any kind on the eye that was uncovered. During the follow up appointment, she had her glasses modified – the lens removed from the side that had the surgery – so that she could see better. On the side that had the surgery, her distance vision was 20/15 but her eye was still healing. She still has restrictions on how she slept (not on the side where the surgery was done) and lifting (nothing over 10 pounds); the instructions were clear. So many people get this surgery that the process is very well defined!

For me – there were lessons learned for when it’s time for my cataract surgery. It’s a consuming process since it is done in 2 surgeries (with some time between). It is awkward with changing sight between the first surgery until the healing of the second eye (and maybe prolonged depending on the type of intraocular lens is used…the light adjustable ones are adjusted after the second surgery).

I’m glad I volunteered to help my sister during the process…and learned from the experience!

Cancer Diary – Entry 13

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It’s been a year since my cancer surgery. All the diagnostics at the one-year mark show that I am cancer free….so the surgery was a success.

My last post was 4 weeks after the surgery but now I realize I should have done a post at 8 weeks since that is when the hematoma was finally gone. And two weeks later, in the area where the last hematoma color had been, cellulitis developed. The cellulitis might have been unrelated to the surgery, but it was a first instance of cellulitis for me…disconcerting; it was quickly resolved by antibiotics (unfortunately, I develop a reaction to the first type prescribed right after the second dose).

My fingernails became very brittle in the spring. They have returned to normal now. I suspect that the surgery and associated medication change might have been an issue but that my body had recovered/acclimated at this point.

The scar and puckering around it are not fading as quickly as I expected – perhaps because of skin sensitivity to the recommended topical vitamin E and/or cocoa butter and sunscreen, developing hives in the scar area (reaction to an antibiotic), and the silicon patches not being as effective as advertised. My current strategy is to cover the scar when I am out in the sun (rather than using sunscreen) and to use the mildest of moisturizers.

My cancer was detected early before it impacted my perception of health, and the surgery happened expeditiously. A year later, I am feeling healthy (almost like I felt before the surgery) but 2022 had the most health related ups and downs of my life!

Previous cancer diary posts:

Kittens! – Month 3

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Month 3 included a big milestone for our 3 kittens: they handled minor surgery well; Sooty (the male) was neutered and Puma and Pooky (the females) were spayed. They were a little less active for a few days after the surgery but resumed their more boisterous activities within a few days. We had our big cat tree turned on its side and put away the wand toys that encourage jumping until the females got their stitches out a week after the surgery. All three had their claws trimmed before their surgery; that might have discombobulated them more than then surgery…they couldn’t grab onto carpet as they raced around the house or their scratching posts (or things they are not supposed to grab onto!).

My husband is still enticing them into their suite for the night with a late evening snack. Restricting their access to 2 rooms has helped keep the odd thumps in the night to a minimum. They adjusted to the time change without incident although my husband updated a lamp in their suite that was on a timer to not change to new time which might have helped.

Sooty (the male) is still the largest of the three. He is the only one that likes the cat bed that my daughter gave us since her cat didn’t use it.

They all like to sit (sometimes nap) in upholstered chairs – usually one at a time rather than sleeping in a cuddled group as they did when they were younger. Pooky is shown in an old rocker recliner. She is the only one with different colored digital pads.

Pooky and Puma weigh the same…but Puma looks bigger because her fur stands out more.

Puma might have the loudest purr; I hear her more often than I do the others.

I am trying to train all three kittens to not jump onto the kitchen counters. I have a magazine that I used a few times to gently nudge them off….and usually now I simply pick up the magazine and they exit the counter. They still seem to enjoy watching the action in the kitchen from the back of the couch!

Cancer Diary – Entry 12

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4 weeks after surgery:

  • The surgical glue has flaked off the incision. I collected the bigger pieces and did a round of macro photography – commemorating the milestone – before throwing them away. The texture of the glue varied…crinkled, fibrous, crystalline. Blood that became embedded in it provided some color.

  • I’ve started putting Vitamin E and cocoa butter on the scar to help it fade over time (and am keeping it protected from exposure to sunlight).

  • The hematoma is mostly gone. The speed of the ‘clean up’ increased over the last week.  

  • On a not-so-positive note – I’ve been celebrating too much with food and my weight has started to creep upward…starting work to reverse that and continue on my plan to reduce 5+ pounds from my weight at the beginning of the year.

This with be the last Cancer Diary post unless something else happens. Right now -  the prognosis is good with continued monitoring tests to confirm. All the baseline tests indicate that the cancer was caught early and that my ongoing risk is low.

My experience has prompted me to think about what ‘good medical care’ means….what led to the early diagnosis and treatment. Looking back…it was a 12-year progression from a blood test revealing a risk factor prompting annual monitoring blood tests and ultrasounds. There was a biopsy with a benign result 6 years ago….and lastly a biopsy that revealed the cancer last fall. My primary care doctor coordinated all the monitoring until 2 years ago; I opted to go to a specialist thereafter. The specialist recommended the surgeon. Of the three, the specialist is the best at sharing his rationale of monitoring and treatment….and that is something I have come to appreciate more over the past few months.

Previous cancer diary posts:

Ten Little Celebrations – January 2022

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As I look at my list of little celebrations in January 2022, I am realizing that my surgery stands out so significantly that getting through the surgery itself (the 1st surgery, the reopening of the incision to release blood, the 2nd surgery) is the major celebration of the month! There are little celebrations around that big one: a sunrise and good grocery shopping experience before the surgery, an excellent chicken soup I made a few days after coming home, the hematoma beginning to fade (although it is still not completely gone 2+ weeks afterward…I am checking/celebrating progress every morning), and my first grocery shopping after the surgery (with the assistance of my husband).

The other celebration that stands out this month….more than a little one…is the death of our cat, Boromir. I was glad I held him close for over an hour on his last day….that he seemed at peace. We are still missing him but also celebrating that Boromir was with us for so many years and particularly through the pandemic when we were at home most of the time; he contributed to the positive vibe that seemed so natural…so easily sustained.

And then there were some ‘usual’ little celebrations:

A great meatloaf. I discovered that adding a little olive oil if the ground beef is very lean and using spaghetti sauce instead of salsa improves the texture and flavor!

Red velvet cake/carrot cake for our 49th wedding anniversary. We both savored our slice of celebratory cake…not having any leftovers!

Peppermint snow ice cream. Celebrating a seasonal favorite and plenty of snow to make it!

A new garage door. It was awful to have a damaged door….I celebrated that we could get it replaced quickly.

Snow on the ground. Celebrating the beautiful scene from the windows of our house….and the different perspective as I walked through the neighborhood.

Cancer Diary – Entry 10

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A week and half after my surgery, I made a quick trip to the grocery store…at my usual early morning time. I covered my healing scar with a scarf and my usual KF94 face mask which was comfortable because it was so cold! The big difference from my norm was my husband went with me to put the items that weighed more than 10 pounds on my cart. He did that at the beginning and then I continued the rest of my shopping as usual – scanning the items I was buying with my phone using the store’s app, loading up my bags as I shopped, and then checking out at the self-checkout. My husband was waiting in the car to load all the bags when I was done….and then he unloaded them into the house when we got home.  It was my first venture away from the house since the surgery….and helped me feel like I was truly getting back to normal (or ‘normal’ in raging Omicron surge time).

I had a telemedicine session with my surgeon a few days shy of 2 weeks after my surgery. Because of the ‘bleed’ and reopening of the incision on the same day as the surgery, I still had the residual purple, red, yellow colors visible on my skin. That will take time to clear. The incision itself was healing well…past the point of concern about infection… and the 10-pound weight limit was lifted. The analysis of the tissue removed had been done and it appears that the cancer was in an early stage…no further treatment should be required. The session marked the end of the interaction with the surgeon and the transition to the specialist that will monitor me going forward; the appointment with that doctor is in a few days which will define the monitoring plan going forward (the levels of the one medication required and the schedule for any subsequent testing).

The incision is healed enough that I can wear clothing that might rub it a little now and it has made it easier to dress…helped to gently cause the surgical glue to flake away. It’s also a boost to my mood to look more my normal self although some of the hematoma is still visible.

I made a foray out into the yard a few days after the telemedicine session to take the accumulated kitchen/spend cut flowers back to the compost pile and to collect branches that fell during the snow and wind of the past few weeks. Another activity that I handled with ease…. confirming to myself that I was making a good recovery.

I have been making my 12,000 steps per day goal since the week after surgery but there are still instances where I feel unexpectedly tired, and I am glad my situation is flexible enough to allow me to rest when that happens. I’ve taken a few unplanned naps! It doesn’t happen every day but when it does,  I heed the message my body is sending!

So – two weeks after surgery – I am feeling more and more like I did before the surgery…and very pleased that I will not need follow up radiation/chemo!

Previous cancer diary posts:

Cancer Diary – Entry 9

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The next milestone after cancer surgery is the appointment with the surgeon 2 weeks after. I’m writing this post a week after the surgery…so halfway to that milestone.

I spent the night after the surgery in the hospital. It was a miserable night with the head of the bed at a 30 degree angle….pressure cuffs on legs…throat sore after two rounds of anesthesia…IVs. Sleep was not possible although I felt deeply exhausted. I ordered breakfast as early as I could…the first food since the day before surgery: scrambled eggs and fresh fruit. Eating was slower going than I anticipated because my throat was sore, and swallowing was not quite back to normal; on the plus side – I really savored that meal! There was the taking of meds (more challenging because of swallowing issue), waiting around for release orders, and finally it was time to go. The coordination of me being wheeled down to the pickup point just as my husband pulled up was successful...and I was on my way home on a sunny cold day.

My priority after getting home was to have some lunch (a smoothie) and then organize myself to follow the discharge instructions. There were not a lot of meds…but enough that were new-to-me that I made a little chart to make sure I took them at the right times for the upcoming week. The situation was more challenging because we decided that in all the flurry with my evening in the hospital, the risk of being exposed to COVID was enough that I needed to be sequestered in the house. I had two rooms upstairs to myself and would wear a mask elsewhere in the house; the sequestering continued through a negative rapid test on day 5 and then day 7. Getting my meals and carrying them back upstairs to eat…juggling to open and close doors…almost required more coordination that I could muster!

Pain was not a problem but the visual of the red and purple color that had moved from the hematoma location down across the front of my chest was disturbing. It was a shock to my sense of self that I had not anticipated…my body looked so different than before…a stranger to myself. I wanted it to improve rapidly; instead - the purple and red color reached its worst the day after I came home from hospital and then seemed to just stay the same for several days; some areas are still purple a week after; I’m hearted that some areas have faded to yellow; the body is cleaning up what happened.

My sleep improved at home but did not return to pre-surgery ‘normal’ until close to the end of the week. Every little odd twinge or tightness was something I monitored….constantly feeling the need to reassure myself that everything was OK. I noticed feeling ‘different’ as I was drifting in and out of sleep – my mind working on whether it was the surgery, the mediations, or just sleep changes…the net was little deep sleep the first few nights.  I napped several times during the first half of the week to make up for the poor sleep during the night. By the end of the first week, sleep and energy level during the day were returning to normal.

My meals had been mostly things like smoothies and soup – easy to swallow – but I graduated to more normal fare by about the 5th day when my husband got us take out from Chipotle (no chips for me, though). The next day I made corn bread muffins with added cranberry/orange relish – somehow I had gotten very hungry for them! I had prepped a meatloaf before my surgery…stored it in the freezer. I moved it from the freezer to refrigerator to thaw the day before and my husband put it in the oven with some baked potatoes.

Bottom line – there are still a few residuals of the surgery that I am noticing 1 week afterward (swallowing not back to normal, color from hematoma event not totally faded) but overall, I am feeling good. Next week, I’ll have to experiment with how to cover up my scar when I am out and about; it helps that it is cold this time of year and bundling up is the norm!

Cancer Diary – Entry 8

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The surgery day finally came. I showered with antibacterial soap as instructed and minimized what I was taking to the hospital in the pockets of a freshly laundered fleece jacket: new mask, eye glasses case, ID and insurance cards and phone. My clothes were comfortable pull-on pants and a button front top…wool socks with clog shoes. We left early enough that the sun came up while we were enroute into the city. The temperature was in the 20s but the place where my husband dropped me off was only a few steps to the door of the building. With the Omicron surge in our area, he was instructed to go home and come back later to get me.

Everything went as expected at first – easy check in because the pre-registration had been complete…the nurse came out to get me and got me into hospital gowns…IV ports were put in….the anesthesiologist came…the surgeon was about 20 minutes late. And then there was a time I don’t remember at all…and I’m in a recovery room…woozy at first and with a headache…drinking a Sprite and realizing that the dehydration headache from the early morning is gone.

Toward the end of the time in the recovery room, things were not as expected. There was more swelling than there should have been. Rather than going home, I would be admitted for overnight. I began to realize I should have paid more attention to the non-optimal outcomes to the surgery and that my phone was running out of power. I was taken in a wheelchair from the outpatient recovery room, through a labyrinth of corridors to a hospital room; on the way there, I noticed every bump in the route and that the swelling seemed to be increasing. The nurse immediately checked the swelling when I arrived ….and realized a hematoma had formed. There was a flurry of activity in the room where the hematoma was drained; they were able to slow the bleeding but not stop it….so back to an operating room where there was another time that I don’t remember at all.

Afterward I learned that while it is not common – it happens occasionally because so many blood vessels into a cancer have to be stopped…one of mine was not seen bleeding during the 1st surgery so the incision was reopened and it was stopped. Then the area was searched further to make sure there was no other bleeding.

Another time in recovery and then back to the hospital room. A nurse had found a charging cable for my phone while I was in the second surgery, but I was too exhausted to turn on the phone until the next morning.

So – not a ‘smooth sailing’ experience. I found myself being very thankful for the doctor recognizing that something might not be quite right…the nurse realizing that the problem had become critical… the professional team that slowed the bleeding and got me back into an operating room to fix the problem.

Cancer is scary and having a ‘bleed’ right after surgery could have been a ramp up of anxiety…but my emotions were almost on pause…in a surreal experience of passively observing highly trained people focused on me…doing what needed to be done. I’ll always remember someone reassuring me, as pressure was applied to slow the bleeding as they moved me from the hospital room to the operating room, that they would get me a clean gown.

Cancer Diary – Entry 7

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A flurry of pre-op activity….the discipline of getting to appointments on time and filling the waiting time between.

The uptick in activity pre-surgery increased two weeks before the surgery date with an appointment with my primary care physician for bloodwork, EKG, and chest x-ray. Everything came back good for the surgery; however, there was a ‘nodule’ that showed up on the chest x-ray. There was a follow-up CT Chest that indicated that the issue seen in the x-ray was not there (i.e. the ‘nodule’ seen in the x-ray was a shadow or other artifact rather than something real). I was very discombobulated by the x-ray and was glad I could get an appointment for the follow-up the next day. The data from the tests done by my primary care physician were posted on the surgeon’s portal 9 days afterward….I was glad to know they had gotten to their destination.

Three days before surgery, I had a PCR test for COVID-19 at a drive through testing site for surgery patients (i.e. not a site for the general public/symptomatic people). It was my first experience with a PCR test and was easier than I expected:

  • We had gotten 3 inches of snow overnight and my appointment was at 9 AM, but the streets were relatively clear, and I drove up to the parking lot testing location a few minutes early; there was no line; the guard checked me in, and I drove into the tent where a nurse with full head gear respirator checked my ID and did the test.

  • The nurse did not need to swab deep in my nose!

  • Supposedly the results will be available and posted to the portal within 48 hours…the day before the surgery.

A person from the outpatient surgery center called with some final instructions:

  • No food after midnight, no liquid after 6:30 AM….and stopping certain supplements. I already knew those things from previous instructions, but it was good to be reminded.

  • I need to shower with antibacterial soap (like Dial) and not apply anything post shower; I made a special early morning trip to the grocery store to get the appropriate soap.

  • They are on heightened COVID protocols now and have closed waiting rooms - recommended that my husband drop me off and return at the time the nurse specifies during a call to him when my surgery is complete; he will never go into the building. I will be at the surgery center for at least 5 hours.

  • When the nurse calls my husband after my surgery concludes, she will also provide details for at-home/follow-up care and then I will get the same thing in writing before I leave the facility. One question we’ll ask is whether we should proactively assume I might have been exposed to COVID and should implement our strategy of masking/separation-when-unmasked at home.

  • The time I need to arrive for surgery was 15 minutes earlier than I was told previously.

  • I needed to provide insurance and billing information to the pharmacy at the facility so the nurse could pick up any prescription I needed to send home with me.  

  • The exact location in the building where I need to go when I arrive was also indicated; all I had before was the address of the building.

  • The list of things I should bring with me is short enough to fit in my coat pocket: insurance card, glasses case, phone, photo id. They already have my medication list in their files.

I am set to stay near the bedroom on the second floor of our house for at least the 1st 24 hours after surgery. Snacks and flowers and supplements are on top of my dresser. There is a small folding table and chair set up in case I want to eat a meal or two up there.

I am relieved that the surgery is going to happen as scheduled (not cancelled or delayed because of increased hospitalization due to COVID-19) and reassured after the conversation with the person from the surgery center; it was good to talk to a real person!

Next Cancer Diary post will be about my perception of the surgery day…

Previous cancer diary posts:

Cancer Diary – Entry 6

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A month of waiting for surgery and almost another month to go….assuming that the hospital does not become overwhelmed with treatment of COVID-19 patients and the surgery is cancelled/postponed. I am not anxious about the possibility….yet; my concern has been ramping up over the past few days with the hospitalizations in Maryland increasing and the indicators that the Omicron variant’s being more contagious than the Delta variant….and knowing that a lot of people are gathering for the holidays (more than last year….with vaccinations available, a lot of people made big plans for this year prior to Omicron emergence). By early January – the medical system could be very stressed. There is little I can do to improve the situation aside from staying healthy myself; I am trying to keep myself busy and focused on other things.

There was little in my activities this month on the critical path toward my surgery other than continuing to take the medication. The surgery date was moved forward by a couple of days and an appointment made for a pre-surgery COVID-19 test. I was glad there was a lull; I thoroughly enjoyed my daughter’s whirlwind visit (road trip for her) for Thanksgiving and then had time to focus on supporting my sisters’ from afar as my mother was hospitalized. Fortunately, the hospitalization was short, and the follow-up seems to be improving her condition rapidly; her quality of life is improving beyond what it was a month ago! And I am relieved that I didn’t need to make an unplanned road trip to Texas.

We ventured out for a walk around Druid Hill Park and through the Christmas lights at Brookside Gardens. Both were enjoyable outdoor experiences…good for our mental health. There are other outdoor activities we’ve planned…but on our own in uncrowded settings rather than organized events. The more we learn about Omicron, the more cautious we are becoming.

It’s cold enough that I have ramped up indoor activities… another effort to avoid thinking too much about my cancer. I am spending considerable time on a Coursera course: Anatomy of the Upper and Lower Extremities (from Yale University). During the holidays, I spend more time cooking…making more complicated recipes and trying new things. And there are the regular things like Zentangle tiles and book browsing that I can ‘do more’ too. I’ve started buying flowers every time I got to the grocery store since the view from my window now is bare trees; on the plus side, the birds are easier to see.

Overall – this month of waiting has not been hard at all. At this point, my mental perspective is about the same as it was a month ago although I find myself bracing for the possibility of the increases in hospitalizations from the pandemic causing a postponement of my surgery…an event that would be a major setback from my perspective.

Cancer Diary – Entry 5

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My surgery is still more than a month away. The surgeon’s schedule is the ‘long pole’ at this point. There have been a few appointments relative to the upcoming surgery – some additional imaging and adjustments to medication. I noticed some late blooming flowers when I went for some recent bloodwork to check the impact of the medication; it was a cheerful interlude in a cold and cloudy day…with a needle stick coming.

The surgery could have been done in a very short window if the surgeon had been available. Are all surgeon’s experiencing the pent-up demand from delayed checkups/surgeries during the height of the pandemic?

My strategy of keeping myself busy has helped me during the past month. I was away from home for over 2 weeks on a road trip to Texas and Missouri. Being outdoors in the fall foliage – hiking or mowing leaves – continued the annual rhythm of activities that I enjoy. My husband found out about the 3 days of Crane Fiesta webinars from Bosque del Apache only a week before they occurred; it was a treat to hear and see the sandhill cranes again even if it was on a screen rather than being at Bosque ourselves (see the November 20th postings on the Bosque del Apache website for a video fly out (in the AM) and a fly in (in the PM)) ; maybe we’ll be there in person next year.

And now I am anticipating my daughter making a whirlwind visit to Maryland for Thanksgiving! My husband and I are negotiating the decorating we are going to do for December. We’ll see some Christmas lights and make some day trips. My big challenge is to continue my careful weight reduction; I am hovering at the high end of ‘normal’ weight for my height…want to get to the mid-range but it is hard work! I am also on track to browse more books this year than ever before.

Emotionally – I have settled into the waiting time…more accepting of my situation….not becoming more anxious. I am consciously keeping my routine of daily activities that keep me feeling well physically and mentally (i.e. exercise, eating well, making Zentangle tiles, writing things down…and letting them go).

Previous Cancer Diary entries

Cancer Diary – Entry 4

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After a two week wait, the appointment with the surgeon occurred. The office was in an area that I hadn’t been to before - part of a major academic institution with a surgeon that was a specialist in the type of surgery I needed. My husband accompanied me as a second set of ears. Neither one of us has prior experience with cancer or surgeries like I needed so we anticipated it would be a learning experience even though we had prepared ourselves by reading the information provided by my endocrinologist and following some of the references with internet searches.

The appointment lasted about 1.5 hours and most of the time was spent with the surgeon and his assistant talking. They explained the procedure…setting expectations – and answered questions. I had come with a few but there were no big surprises since we had done our ‘homework.’ The prognosis is very positive since the cancer was discovered early through the monitoring that had been part of my annual physical for the past 7-8 years. They did a couple of tests to hone the exact type of surgery needed…and then the last few minutes were with the scheduler. Their schedule is so busy that the surgery is almost 3 months out. Evidently there are a lot of these type surgeries happening right now – maybe because of a backlog that developed during the pandemic and prior to vaccine availability.

A few days before the appointment – I got family news that one of my aunts was in the hospital diagnosed with stage 4 cancer and the evening after my appointment I learned that she was in the process of being released – returning home under hospice care. She is only about 8 years older than me! I grieve that her life is ending….also grateful that my cancer is a more treatable kind with a very high survival/cure rate.

When I am thinking objectively, the reassurance from the doctors that 1) this type of cancer is one of the most treatable and 2) the delay is not problematic is believable; however, on an emotional level, I realize that I need to keep busy over the interim between now and mid-January to keep myself from becoming overly anxious. Before we got home from the appointment, I had already decided to make a 2-week road trip to Texas to see my family….and to do more decorating than I have in recent years for November and December. I was glad that my husband was with me and was supportive of what I wanted to do. I plan to visit my daughter during my road trip and there will be a public observing night at the university’s observatory on the first evening I am there…an opportunity for me to see her at work! (We did ‘take your daughter to work’ days when she was growing up….so this could be our first ‘take your mother to work’ event!)

Cancer Diary – Entry 1

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This is the first in a series of posts that I am writing as I make my way through the medical system after a cancer diagnosis….not focusing directly on the medical diagnosis or treatment…documenting the timeline, feelings and swirl of decisions that emerge over the coming weeks…and maybe months.

My doctor called in the early evening to give me the diagnosis from my biopsy. I appreciated the call and how he stayed positive re successful treatment but emphasized the next steps that needed to be taken. My first reaction was to fit in the surgery with what I already had on my calendar – which included almost a month-long road trip.  I shared the news with my husband; he was surprised since I am so rarely sick at all; I’ve only been in the hospital overnight twice in my life….and one of those was when I had my daughter!

During the hour or so between going to bed and getting to sleep, realized that my priorities needed to shift. I was too anxious about the diagnosis to not get the surgery as soon as possible. Early the next morning I sent a message via the doctor’s portal to indicate the change in my thinking. And started looking up fact sheets from the surgery center he’d recommended…and finding resources that rounded out what he had told me on the phone. I started a list of questions for the appointment with the doctor the next day….focused on the surgery and the medications required immediately and then after the surgery.

The doctor’s assistant called to confirm that she’d sent my records to the surgeon’s office and to give them a few hours before calling to get an initial appointment lined up with them.

I talked with my daughter and one of my sisters. Both were surprised and supportive of what I need to do.

I called the recommended surgeon’s office and made an appointment as a new patient. It is 2 weeks out…not too bad even though I would like to get started toward surgery faster. I now have yet another medical related portal too!

Overall – 24 hours into the experience, I’m pleased that there is forward momentum. I’m not sure how I’ll handle the 2 weeks of waiting…or the prospect of more weeks before the surgery can occur. Cancer is scary. I’m beginning to think about ways to keep myself busy enough to not be dragged unto a swirl of increasing anxiety.