Shot Through The Heart

‘You will need chemotherapy, your hair will fall out two weeks after your first treatment and you cannot go back to work for at least 6-10 months,’ Dr. L says.

One year ago today, my oncologist’s words ripped through my hospital gown, past my scarred breast and lodged directly into my heart.

Until that moment, I had convinced myself that she would give me good news. She would say that after careful deliberation, she couldn’t permit my tiny little tumour to cause any further disruption in my orderly life. She would refuse to let chemo steal my auburn locks, separate me from my livelihood, or leave me with dark under eye circles and hemorrhoids the size of golf balls (yes I said it).

But now, she has pulled the trigger and shot me with reality. I reel from the impact and plead silently with her for some good news. Thankfully, she reads my mind.

‘On the upside, we don’t need to get started until after Christmas, so you can enjoy the holidays with your family. Also, this type of chemo should not dramatically impact your fertility. Your periods should return to normal 3-6 months after chemo ends and plenty of women your age have gone on to have healthy babies,’ she continues.

Thank God! Last night, K had to come over to help me select my baby daddy finalists. (My sweaty palms and chest pain at the thought of opening the sperm donor website meant that I needed an accomplice). After running multiple contenders through her eight criteria system, she helped me settle on: 64573, a lawyer who likes to swim, read, and travel and 53296, a teacher who has a wife and two kids, but wants to provide other people the opportunity to experience the joy of children. He also enjoys photography and long walks on the beach (obviously with his wife and not me).

I had hoped that narrowing down my choices would give me the incentive to take the plunge into pseudo-motherhood. It hadn’t. (See my posts: Chemo and my Biological Clock and Finding a Baby Daddy to catch up on the fertility conversation) Now, I smile in gratitude that one day in the distant future, I will have the opportunity to create babies the old fashioned way.

My smile disappears as she outlines chemo’s side effects and hands me a stack of brochures with topics like: what to eat when everything tastes like a mouthful of dirty pennies, how to tie a scarf around your head and add one earring for an ‘interesting touch’, and how to keep your energy levels up by incorporating exercise into your chemo routine (do I look like Lance f*^@ing Armstrong to you?)

My Aunt and I inundate Dr. L with questions because we know that when she leaves, I will have to transition from the information portion to the ‘holy crap how did this become my life’ portion of the day. Dr L. humours us for a while and then gracefully makes her exit. After she leaves, I turn to face the bed, rip off my gown and pull my sweater over my shaking shoulders.

I grab the pamphlets, hide them in my purse, and turn to face my Aunt with a broad smile and a face dripping with tears. She mirrors me and we begin our manic routine of alternating between giggles and sobs for the next twenty minutes.

She suggests Starbucks and I mumble ‘yes please’ so that I can avoid my empty apartment. Besides, chemo will hopefully make me scrawny (finally, one fringe benefit), so why not take advantage by loading up on an Oat Bar and a Caramel Macchiato with extra whip cream? Let the good times roll!

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Finding a Baby Daddy?

A couple of weeks ago, I told you about my visit with Dr. H and our conversation about chemo and fertility. If you missed it, I have included the link for you below:

http://www.afreshchapter.com/chemo-and-my-biological-clock.html

When I left that day, Dr. H told me that I needed to book an appointment with a fertility counsellor before I could get approved to use a third party sperm donor. In order to explore my options fully, I took his advice and have included a snapshot from that session below.

I hesitantly push open the heavy door into a wood panelled waiting room and a sign encourages me to take a seat in one of the rickety chairs.  My nerves flutter in my throat. I pick up a dog-eared Reader’s Digest and take a deep breath as I notice the smell of old carpet and mouldy wood. I prefer Dr. H’s waiting room.

She calls my name and I look up in surprise. With bright green eyes, curly black hair, and skinny jeans tucked into her boots, she looks like she could be my age. She beckons me into her office and her positive energy bumps up against me. Still in pain from my recent surgery and overwhelmed by what lies ahead, I am not in the mood for bouncy smiles today.

As I settle myself on the couch, I pre-empt her questions. She sits back wide eyed as I regale her with antidotes about my diagnosis, my surgery, and the upcoming risk of chemo. I keep it light. I already cry on someone else’s couch, I don’t need to cry here.

Then, we move on to my single status. She wants to know how I feel about being alone at this time in my life. She suggests that I am lucky that I have the freedom to make all of the decisions myself. Apparently a lot of relationships break down under the pressure of sickness and fertility preservation. I avoid her smile by looking at my feet. I don’t feel lucky.

She continues her questions. Have I looked through the sperm donor websites yet? Have I come up with my criteria for selecting a donor? I continue to avoid eye contact. I don’t want her to know that I have a paper bag in my closest full of syringes, hormone prescriptions, blood test requisitions, and donor profiles. I keep it in there so that I don’t have to look at it.

I distract her by cracking jokes about dating with cancer. Her peppy smile returns as she tells me that I will meet the right man when I least expect it. I glance at the wedding ring on her left hand and want to reach over and scrub the smile from her face. Does she know a contingent of single 30-year-olds that walk through life not expecting to meet someone? I am pretty sure that any woman over the age of 29, who wants to have a family, has her baby Daddy honing device charged up at all times.

I hide my irritation as she moves our conversation along by sharing tips on how to select the perfect donor, tell my future child about where he or she came from, and explain to a potential boyfriend how I already have babies in the freezer. She suggests that we role play some of these conversations. I smile and tell her that as tempting as that sounds, I would rather wait until I have made some decisions. I am still just reviewing my options. Maybe I won’t need chemo or maybe it won’t affect my fertility.

I stand up to leave and she encourages me to take my time with the donor websites and come back if I want to talk further. I nod, tune her out, and wonder how I got here. Six weeks ago, my biggest concern was choosing a Halloween costume and today I am supposed to decide whether to inject my egg with a random guy’s sperm and then store my future babies on ice?

I walk out the door and leave the conversation in her office. I am still not ready to make any decisions.

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Chemo and my Biological Clock

November 23, 2009 – Exactly one year ago today…

As I shuffle out to the waiting cab, my gelatinous legs and weak lungs do their best to propel me forward. The November air slices through my raincoat and I try to keep my left side still as a shiver runs up my spine. I give the cabbie the address and focus on inhaling the pine freshened air and ignoring the teeth of anxiety that gnaw at my stomach.

When I pull up, C is waiting for me in the lobby of a non-descript office building. I gingerly give her a one armed hug and let the cold elevator railing support my weight as we ride up to the eighth floor.

The doors open and we step into a living room like office with a panoramic view of the city. I check in with reception and try not to notice the expectant mothers who rub their bellies and look up at me serenely. I don’t belong here. The skin on my back prickles and I restlessly tap my foot. Finally, I force myself to sink into a plush chair and idly flip through one of the glossy magazines.

Instead of reading, my mind drifts back to a conversation where I told a former candidate that I might need chemotherapy. He instantly asked me if I had consulted a fertility specialist yet. I stared back blankly. What did he mean? When we parted, I called my genetics oncologist and she told me that she would expedite a referral to a leading fertility clinic. I had hoped she would downplay my concern, but instead she escalated it.

I had always pictured myself with a big, loud, messy family. As a kid, I thought I had won the Game of Life board game when I needed two cars to hold the 8 children in my blue and pink stick figured posse. I thought that as soon as I found Mr. Perfect, we could get started. To find out that cancer had the potential to take this away from me really pissed me off.

Thinking about that conversation still makes my hands shake, so I take a deep breath and focus on my magazine. A moment later, I hear my name and Dr. H welcomes C and I into his office. With a gentle tone, he outlines my options. He can’t give me exact statistics about the damage chemo might do to my body. He does tell me that the drugs will rev up my biological clock. At only 30, I might end up with the reproductive health of a 35 or 40 year old. He then mentions his limited success with freezing and thawing eggs. He tells me that he has a much higher success rate with freezing embryos; he has helped women in my exact situation go on to have healthy babies that way. We talk in surreal, hypothetical terms about injecting myself with hormones, selecting a third party sperm donor, and creating and freezing embryos.

Even though I sit in the room, my mind floats forward. I picture an intimate conversation, over a nice dinner, where I tell my future boyfriend that I already have kids. He looks up at me in shock, but I follow up and tell him that he won’t have to babysit next weekend because Johnny and Suzy are lounging on ice for now. How soon into the relationship would I broach this subject? How would he handle it, if ‘our’ kids looked nothing like him? These questions ping incessantly into my daydream.

When I come back to the present, Dr. H looks at me expectantly. What do I want to do? I have no answers for him. He notices the post surgical glaze in my eyes and suggests that we re-visit this conversation after I have had time to recover properly from my lumpectomy. Who knows, maybe I will get lucky and not need chemo.

I grasp the side of the chair with my right arm and push myself up to standing. I thank him for his time and leave the heavy decisions locked snugly in his office. I can’t face them yet.

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