I’ve just arrived home for the second time today from the oncology department. Once for a clinic and once for my fifth infusion of pembrolizumab. It’s a world of which I used to know nothing, but is now such a regular part of my life that I can know and laugh with many of the staff, and many of the department patient routines feel so familiar to me. I saw Dr Ayman Nassar for the last time this morning in clinic before he moves away to take to up his new immunotherapy research post. It was good to be able to thank him for his expertise as well as his very particular care and companionship on this journey…he will be missed.
It’s been a quiet couple of months in terms of needing to post updates – something of a good sign with melanoma which, as many will know, can move with a rampancy and offer, as my oncologist said early on to me, a normal life expectancy of 8-10 months from diagnosis. To have been able to have celebrated my 50th birthday last month – something which 22 months ago was an impossible milestone to have considered – felt good.
This morning, I received the results from a PET scan I had last week. They contained both positives and some possible causes of concern. The radiologist summary report refers to “disease progression”. Some of the existing small tumours under my skin, whilst they haven’t grown, are showing some signs of fresh metabolic activity and there are also fresh small tumours – some I’ve been aware of on my torso – but all, it seems, are either just under the skin or in non-threatening places inside. There’s also a possible one in the bone of my skull for which an MRI scan has been ordered. Ayman assured me that it is a satisfactory result and one which falls within reasonable and expected parameters for response to pembrolizumab at this early stage in having it.
I think, having felt fresh lumps in the last little while, Catherine and I thought there might be some things for us to deal with. I think we realise that it’s always a possibility and it’s been freshly sobering. Then the death of Rachel Partridge, wife of my (until-recently) colleague Mike Partridge, two weeks ago had a similar effect and reminded us of what we’re facing. Both she with her leukaemia and me with my melanoma, jokingly referred to each other as “tumour buddies”…she was a special lady and one whose journey through her illness touched many people. She’ll be missed, not the least by Mike and their children – Felicity, Will, Ellie, Bethany and Hannah.
My reaction to the pembrolizumab, in terms of side effects, continues to be negligible. Apart from the now-not- so-regular bouts of extreme fatigue, a funnier one has been that it turned my hair curly with no warning and without it having to fall out. It caused no small amount of hilarity in the family, Catherine loved the new look. I’ve since had my hair cut very short, and that was only a few weeks after I lost my beard of 20 months also.
The lessening of the fatigue has allowed a month or so of fun in the family with the great summer weather. With it being my 50th, it was wonderful to have my parents and brother from NZ and Canada respectively there for it. Catherine and I were able to have a big joint 50th party at home with many old and local friends; Ma, Pa, Catherine (sometimes) and I were able to enjoy some great trips to Cornwall and London…but we also went sailing across Torbay and beyond with old friends Steve and Liz. We’ve watched Simeon ride in the off-road Enduro motocross event on his KTM motorbike, see Josh perform at a public event in Honiton as well as him and I go to the Goodwood Festival of Speed in West Sussex. I was able to accompany Tom to his placement in London at the Centre for Social Justice, as well as us spend time with old friends from the distant past either at home or away. Among some of our walks and visits, Catherine and I visited the National Trust’s Coleton Fishacre in south Devon, the old ‘Art Deco’ style home of the D’Oyly Carte family of the opera and Gilbert & Sullivan fame. We’d been there with the children twice many years ago and I had many clear memories. But it proved to be yet another unexpected ‘tripwire’ grief moment for me. It was a combination of discovering that the D’Oyly Cartes had lost their 21yr old son in 1932 in a road accident, and walking in the garden knowing it had been a place of huge grief and suddenly seeing places Ben had been and a spot where we’ve taken a family photograph in 2000 that saw me so utterly undone and tears for both of us flowing in a fresh wave. It was right…it had to happen, it was all part of the grief that’s working it’s way through, inside and out, round and about. I felt better for it. But there’s no time limit to it and to when it can strike.
In those times over the last few months when I don’t find prayer comes too easily – either through my own lack of words, I’m grateful for the daily “Bible-in-a-Year” reading app on my phone which can take me to a place where I see not only the utterly amazing characteristics of God – each day with a psalm, an Old Testament and a New Testament reading, I can see His holiness, His faithfulness, His love – that I can pause and use them in even a brief prayer back to Him in thanks, or a time of quiet worship for who He continues to be there for me, for us, no matter what I might see.
I continue to “wrap up” those things – people or situations where we long to see change – within the character and promises of God. I had a fresh reminder about it last Sunday at church when Mick Taylor from Citygate Church in Bournemouth (listen to the whole thing here) helped us consider Abraham in Genesis 18 as a pattern of how we can do that. We considered particularly when God shares with Abraham that he is planning on destroying the appalling wicked cities of Sodom and Gomorrah. God was under no obligation to tell Abraham about this, but He appears to do so to prompt Abraham to engage with Him. Abraham hesitatingly, yet boldly requests God to consider not destroying it if he finds 50 righteous people there, and Abraham concludes his request saying, “Will not the judge of all the earth do right?” In other words, Abraham was appealing to God’s own righteous and good character to do what is right. And God agrees with him to relent if he finds 50. But Abraham boldly pushes on to 45, 30, 20, 10 people in the cities. It’s about a degree of boldness and taking seriously what we come to understand of God’s character as we read of it in action in the Bible. So, for us today, an example might be for us praying for a friend, family member, or a former church member, who has walked away from God for whatever reason. We can (knowing the Lord Jesus Christ who describes himself in the New Testament as the good shepherd and who leaves the ninety-nine sheep and goes in search of the missing one) wrap up your concern for the person or situation in the character and promise of God and bring it to Him in prayer. “Lord, I can’t easily bring them back, but you, good shepherd, have promised to do just that. Please Lord, go after him/her… please do that”
“Will not the the Judge of the earth do right?”
…I have continued to use that line over the last year or two as I pray regarding this disease in my body and where it might lead, considering Catherine, my children, my parents. Trouble is, we don’t always know what ‘right’ is. Sometimes it’s “Yes”, sometimes “no’, sometimes “wait”. But whatever, I remain peaceful in my situation for whatever outcome. If Christ can have beaten our ultimate enemy – death – and can usher me into His wonderful eternity, He is more than strong enough to look after and meet with my precious ones left behind me. But I pray on, sensing to remain for the time being might be best…