I'm fatigued. My monthly blood results came back showing an only marginal increase in my Hb. Still, better than a drop. It had been plummeting the previous two months, and now showed a slight increase, despite taking rather hefty doses of iron. Plummeting is probably a slight over exaggeration, however; it only seems that way when it's your blood values that are falling. Some liver blood tests showed a mild increase over the previous month, where they had risen sharply, and while still rising, the rise had been less dramatic this month than the previous two. One tends to find positives where one can.
The resulting fatigue left me dramatically tired. It didn't help that it was the hottest day of the year, with temperatures in the low thirties. I stood in front of the bedroom mirror, wearing only short trousers, an emaciated or so it seemed reflection looking dejectedly back at me, the total image highlighting a rather alarming weight loss and so compounding my feeling of fatigue. I could feel it, a tiredness coursing through me that had seemed to replace my previously vibrant red blood with something akin to stone that had liquified, leaving me feeling that the resulting heaviness would sag me to the floor in a puddle, unable to move even a finger.
If the disease is interfering with red cell production, then any amount of iron supplementation would ultimately be pointless. I would continue on this downward spiral until my tired body could no longer support life. And I felt this time was close, given how I was feeling at the moment. How could this possibly continue? Very soon due to my weakness, my family would be feeding me blender-whizzed foods, I could look forward to puréed fish and chips and the like.
I felt flat and bereft of life. Maybe I should start planning my funeral? The Churchdown Male Voice Choir would be invited to sing a few of my favourite songs from our repertoire. Cremation? Sara and I had discussed this briefly in the recent past. It seemed the cheaper, and perhaps the most environmentally friendly option. Neighbours to attend, as well as friends and coworkers from Recovery and hopefully family, both from here and back in Canada.
It may be denial, however, but it didn't seem the time was quite yet. It did however drain the following day of uplifting conversation, (Sara's midweek day off, and a hallowed, precious day) the morning's chat punctuated by tears and a very real sense of impending death.
In this entire Cancer Journey, I have never felt so close to death as over these few days. I thought my time must be close. I cried. The thought of leaving Sara behind, of leaving James and Matthew to carry on, looking after the house, looking after each other, visiting my gravesite on anniversaries, and birthdays, was almost too much to bear. And where would the money for the funeral come from? Dying isn't cheap. They would be starting new chapters in their lives, chapters that they would not want to read, much less write.
I had never felt so powerless. Until then, I felt I had a sense of control over treatment, but who has control over death? It compounded my feeling of fatigue. I didn't have the energy to manipulate circumstance, far easier to look death full on, despite the attendant fears.
So, why not expand my dietary horizons? Would it make much difference in the short time I felt I had left? I still couldn't bring myself to knock off a box of chocolate eclairs, but I have been craving...cheese.
We had some for lunch, not much, just a few pieces. I hadn't eaten cheese since last October, so easy does it, don't want to overwhelm my seemingly fragile ecosystem.
It was truly delicious, like nectar. I could have eaten a block of it. It was the second time in recent weeks that I had added to my diet, feeling I was lacking something vital and was suffering for the loss. The first was chicken and the second live cows milk yoghurt. The first for extra protein and the second primarily for the increase in digestive enzymes. Both were, again, delicious and nectar-like.
As the week wore on I gradually felt better. I still wasn't sure I could make my appointment with my musical therapist at Maggie's on Friday, but Sara knew how important and productive these sessions were. She took the afternoon off as Carers Leave (pretty spot on) and drove me.
Bob and I chatted, firstly about how I was physically, then how I felt that I was closer to death than I really wanted to be, about how frightened that made me feel. He suggested that apart from any disease process, fear and anxiety would increase my tiredness, creating a cycle which would be very debilitating.
By the time Sara had driven us back home, I was feeling refreshed, renewed and revitalised. What had happened? To go from such a sure sense of terminal hopelessness, feeling so near to death, to such a rapid reconnection with life? I felt reborn. My chat with Bob was obviously a key factor, but also, perhaps, the dietary changes. I had been taking iron supplementation for approximately 5 weeks, it had to start working sometime. Why not now? And the extra food has to be helping.
All in all, I felt I had turned a corner, imminent death has receded somewhat into the distance.
There's hope yet.






