Confused and then Infused
Since March 6, 2009, nearly five years now, save for nine months when I was taking an oral chemotherapy medication at home, every three weeks I have been infused with some sort of chemotherapy drug. In that time, I have certainly become familiar and fairly well-known to the various staff at The Infusion Center. What follows is the most recent exchange with the receptionist in Oncology, as best as I can recall it.
Letter to the Editor: Consider Redistricting
To the Editor: Alexandria’s School Board has spent a year dodging decisions about Jefferson-Houston School, including opportunities to pause and evaluate whether the new $44 million building was needed given documented east-side classroom overcapacity and the school’s academic slump since 2008. But this avoidance must give way in the face of an emerging crisis.
Ethics and Marriage Equality Dominate News
The major news story that broke last week was the 14-count felony indictment filed against former Governor McDonnell and his wife for ethics violations. There is no question that public confidence in government officials has diminished. The people of Virginia expect accountability from their elected officials, and my colleagues and I have invested a lot of time and effort in crafting legislation to meet that expectation. Many provisions I proposed have been endorsed by the Senate Rules Committee.
Richmond Report: State Budget Considerations Begin
Last week, U.S. Rep. Jim Moran of Virginia’s 8th District announced he would not seek re-election. For 23 years he has ably represented the progressive values of the people of Northern Virginia. He has been an advocate for our environment, a fighter for equality and a strong champion of universal health care. Northern Virginia is a better place to live and work because of his leadership. I am proud to have been represented by him in Congress, and to have represented him in Richmond. After his many decades of service to our community, I wish him a long and happy retirement.
Editorial: Extend Health Coverage in Virginia
Standing on what is essentially scorched earth, Republicans in the Virginia General Assembly have condemned hundreds of thousands of poor Virginians to living without health coverage even though it would be fully funded by Federal money for the next three years, and with Virginia paying 10 percent after five years.
Friends Forever
Since it had been more than a few months, today I summoned up the courage to Google my long-time friend and fellow stage IV lung cancer survivor, Suzanne. Suzanne and I had been years out of touch (for no real reason other than initiative and the geographic consideration that she lived in Barnstable, Ma. and I live in Burtonsville, Md.) and recently back in touch – due to our identical cancer diagnoses. I learned that she had succumbed to her disease back in October, 2013. We last had contact electronically back in the summer. She was extremely weak then, she said, too weak to talk, so e-mailing was best. In that e-mail, ultimately her last, she wrote that the most recent chemotherapy drug with which she was infused was no longer effective and that her oncologist had no other drugs left to recommend. Not that she said it in so many words, but at that point her prognosis was grim. She offered that her two boys were with her and from them she would gain great comfort. The news was very unsettling to me and I was afraid that this e-mail might be our last – and so it was.
In Case Someone Is Wondering
I don’t mind being alive, really I don’t. Occasionally though, I receive well-intended inquiries – electronic and otherwise, from people (who know my cancer story) who are sort of wondering if perhaps I’m not. When people haven’t heard from me in a while – and this is a category of people with whom I don’t have regular/recurring interactions, but rather a group of people who reach out and attempt to touch me (figuratively speaking) every three or four months or so – there is a presumption on their part that my silence (so far as they know) is not in fact golden, but rather ominous, as in the cancer might have won and yours truly didn’t. And when I respond, their pleasure/relief at my not having succumbed to the disease is quite positive, generally speaking. Their honesty and joy in learning that I’m still alive is both rewarding and gratifying. Rewarding in that they care and gratifying in that I must be doing something right which enables me to sustain myself through a very difficult set of medical circumstances: stage IV, non-small cell lung cancer, the terminal kind (is there any other kind?).
Living With My Decisions
On multiple occasions throughout my nearly five years of being treated for stage IV, non-small cell lung cancer, my oncologist has given me opportunities to stop and/or take a break from my treatment, or to consider alternatives to the normal protocols – for the expressed (literally) purpose of sustaining/enhancing the unexpected, above-average quality of life I have mostly experienced during my nearly non-stop, every three-week chemotherapy infusions which began in early March, 2009. The goal being to enable me to enjoy my life and not be subjected to/beaten down by the ravaging and debilitating effects of chemotherapy.
Commentary: Christine Candio, RN, FACHE/CEO, Inova Alexandria Hospital
2014 promises to be a year of significant change in the healthcare landscape. Most notably, the Affordable Care Act’s (ACA) “individual mandate” takes effect, requiring Americans to obtain health insurance by March 31 (or pay a penalty).
In Defense of My Own Mechanism
So much of what I feel as a cancer survivor comes from the feedback I receive from others. Positive, complimentary, flattering characterizations are crucial to my optimistic outlook. Negative descriptions, reactions, etc., are not. Not to discount honesty, but the emotional divide on which a cancer patient’s self-assessment/attitude teeters is delicate indeed and honesty is sometimes (I said "sometimes") not the best policy. If I’m in the right mood, negativity can be deflected, absorbed even; not a problem. If I’m in the wrong mood, however, the negative can push me into a black hole of emotional despair. Regardless of whether the comment/observation is well-intended, accurate or even prudent under the circumstances, its effect can be deeply felt. Getting back to normal is not impossible and mostly within my control, but if it’s all the same to you, I’d rather not have to claw my way out.
Backwards Thinking
Considering that I’ve been cancer-centric now for nearly five years, one would have thought I might have learned and totally embraced an alternative concept: forward living – and less thinking about past causes and their possible current effects. Certainly cancer causes physical manifestations and symptoms that are diagnosable and indicative of trouble. But it’s the unseen effects that in some cases cause as many difficulties. What I am referring to is the mental and emotional toll a terminal diagnosis and short term prognosis can have on the patient’s perspective on life and living, and what’s presumptively thought to be left of it.
Preserve 3-2-1 for Housing
Housing for all income levels near transit supports vibrant communities and job growth, reduces traffic.
In the latest edition of The Herrity Report, Springfield Supervisor Pat Herrity proposed "redirecting developers’ $3 per square foot contribution for buying rent-controlled housing units into a trust fund to pay for public school renovation and construction."
A "Scancer" Update
Since you asked, or rather indulged me the past few weeks by wading through my two "Scanticipation" columns anticipating a result, I am happy to finally share that result with you: "Stable and better." These are the exact words e-mailed to me by my oncologist in response to my post-Thanksgiving inquiry about my CT Scan completed on the 27th.
Editorial: Happy Holidays, Safely
SoberRide safety net, 1-800-200-TAXI.
Holiday party season is well under way, along with winter weather advisories. It’s up to individuals to make good decisions about celebrations that involve alcohol and how to handle transportation.
Tribute: In Memory of Earl E. Shaffer
Arlington attorney affected many in his decades of service.
The recent passing of Earl E. Shaffer, attorney at law, marks the end of an era. Most everyone knew Shaffer in some capacity — either as an attorney, acting Commonwealth’s Attorney or a substitute judge — because he served in all three capacities during his decades-long career. Shaffer touched many people’s lives throughout his tenure as a professional and public servant.