Writing from my treatment chair in oncology two days ago…
There’s a strange feeling of déjà vu and a bittersweet familiarity with what is happening today. Sixteen months on from when I was last here, once again I’m connected to a drip receiving a fresh round of immunotherapy, this time the very new pembrolizumab which last December was made famous for its remarkable effect on former US President Jimmy Carter, also diagnosed with advanced melanoma (click here to read a brief article about his situation).
Once again, I’m plugged into this surreal world of the oncology treatment ward where seeming normality coalesces with the utter foreign-ness of it, where calm is sometimes a thin veneer for an anxiety that’s gripped an individual and then swept through family and friends collectively and where cheerfulness rubs alongside all the ‘ifs’ and ‘buts’ that the mind trips around in an attempt to cope with ‘today’.
This armchair I’m sitting in, the chairs we all sit in around the amazing Cherrybrook ward, contain unique people each with a story of life interrupted, overtaken by a diagnosis they perhaps always thought was going to be someone else’s news, not theirs. I walk through the ward and its various bays to my own bay and chair, past some who’re plainly unwell, and still others who look as any other person you might see in the street. But here we all are. All on the level. All touched by cancer. It’s wonderful having a great team of nurses who laugh, joke and talk as if we’re all sitting on a bus going on holiday together. It’s also been good today to share the journey with a younger woman sitting near me who has a similar story to mine, also living with melanoma, and like me, had her first brush with it twelve years before (I’m told this is a very common period – 12 years on, and then melanoma comes out of hiding) and now on the same drug therapy as me. Having had four doses already, she’s a real encouragement saying how easy the pembrolizumab treatment has been both in terms of side effects and the flexibility of time between doses. But unlike last year’s four 2hr sessions for ipilumumab, this drug only needs a short 30-45 minute infusion each session. It’s hardly time to put my feet up and relax.
Ricocheting around my mind though is the news Ayman gave me on Thursday that he’s leaving the hospital to take up another appointment in immunotherapy research. In so many ways, it’s not a surprise as his interest in it and the science behind it is clear. He’s plainly got a lot to offer in the ongoing development of this breakthrough therapy for the various types of cancer which, until recently, had no significant treatment. But I’ll miss him because as my regular doctor in the Exeter Oncology Department, he’s been a real rock, seemingly always nearby or on the end of the phone to answer questions, to clarify things, to reassure…and to make it all feel quite everyday. My visits to both the clinic and ward won’t now be the same without him in the times to come.
48hrs on….Sunday afternoon
Yesterday, Catherine and I meandered down to Devon’s south coast, to beautiful Salcombe and the gardens of the National Trust’s Overbeck’s. Apart from feeling pretty unwell while there and wondering if this was the result of either dabrafenib’s withdrawal or pembrolizumab’s entry, we had a good time out enjoying rural Devon, always incomparable on a good spring day.
But our reactions to my seedy state both in Salcombe and during the night, combined with periods of fatigue, indicate that our internal radars are on heightened alert as the new drug settles in and either helps produce an effect or has none. This state of alert can in itself be tiring. But it’s complicated by some tough things we’re facing with our young ones and decisions they face. The ongoing effects of grief for them and the anticipation of either what is or isn’t round the corner, is hard.
At the same time, I found particular fresh encouragement in words of Jesus in the Bible that stirred me the other day…
“On the last and greatest day of the festival, Jesus stood and said in a loud voice, ‘Let anyone who is thirsty come to me and drink. Whoever believes in me, as Scripture has said, rivers of living water will flow from within them’. By this he meant the Spirit, whom those who believed in him were later to receive” (John 7)
It’s an invitation to come and know the unparalleled, the matchless presence, strength and comfort of God found uniquely in Christ Jesus. If He’s saying nothing else here, He’s saying that He alone is the source and author of life, the one who, when I come to Him, stick close with Him, gives true satisfaction and meaning to life. Drinking from anywhere else won’t satisfy or save. This One is the incomparable best and we can walk in His wake, safe and secure. I found myself doing just that as I lay awake in the night, unable to sleep for some discomfort, tuning in with Him again.
As I sat outside on Saturday in the early morning sun, coffee in hand, the invitation I’d read from John’s gospel a few days earlier was quietly reiterated in a different way as I read from the Psalms words of King David, written 3000 years ago…
Hear my cry, O God;
listen to my prayer.
From the ends of the earth I call to you,
I call as my heart grows faint;
lead me to the rock that is higher than I.
For you have been my refuge,
a strong tower against the foe.
I long to dwell in your tent for ever
and take refuge in the shelter of your wings. (Psalm 61)
They’re words I remember impacting me as a 20 year old. They impacted me afresh this weekend and I made them my own. They’re words we can all use.