The Blob

I had the first chemo session of my new course of treatment yesterday. I’ll get chemo once a week for three weeks, then take a one-week break, then repeat the cycle, probably for about six months.

It had been several months since my last session. I’d forgotten what it was like to sit in the oncology waiting room early in the morning, one of a dozen or so patients, all of us trying to make believe our lives are somehow normal.

I’ve been on what’s known as a "drug holiday." That sounds like it’s the kind of vacation I might take to buy marijuana, but it’s nowhere near that much fun. It’s a break I was given so my body could recover a bit from the side effects that go along with injecting toxic stuff into my bloodstream.

So there I was, waiting to start my treatment and nodding hello to the other men and women in the room. It’s pretty easy to figure out pretty much where any patient stands in terms of treatment.

The first-timers, especially, are obvious. They’re usually not alone. Most times some family member or loved one sits alongside, not quite managing to look brave. The new patient usually looks stunned, as if he’d opened a newspaper to find his own obituary. There’s a lot of eye movement, looking for an exit, a place to run and not finding a way out.

Most of the patients, by the way, are men. Not many women show up for cancer treatments. I think that’s because until very recently women were not as prevalent in the service so most of the women veterans just aren’t old enough, yet, to have come down with cancer. There are plenty of young women in the hospital. I see them being wheeled down the halls or limping along on crutches or in the mental health clinic looking as if they’re trying to get free of some fear or demon that chased them home from the desert.

It’s also easy to identify the patients who, like me, are in the middle of treatment. Most of us look resigned. We know what’s going on and don’t like it a whole lot but, what the hell, there’s no choice. We know there's not really any hope but we can still fake it. Like me, the others try to present a cheery face. We know enough to bring something to read or a crossword puzzle and maybe a cup of coffee to make the wait more bearable.

There’s a lot of waiting. Blood has to be drawn and taken down to the lab. Tests have to be run. The doctor has to give the okay for the actual chemotherapy and then the pharmacy has to see to it that the chemicals are mixed properly. I guess they can’t pre-mix this stuff. Given enough time it would probably eat its way out of the plastic IV bags it’s kept in. Like the Blob in the horror movie.

Then there are the patients who are near the end of their treatment. Not because they’re getting better but because the road they’re on is coming to a halt. Sure, there may be something waiting on the other side, but this side is about all played out. No matter what your faith or belief the knowledge that you’re near the end can weigh you down.

I didn’t enjoy my time in the clinic yesterday. It was brief. I’m getting what’s known as a "push" – a relatively quick dose of what looks like about six ounces of some clear liquid. As always, the nurses and the volunteers who work in the clinic were wonderful. They know every patient by name and they smile and deliver a steady dose of kindness and real love even as they have to be careful not to care too much.

So, I got my infusion. I left. When I left, I made sure I didn’t look in the waiting room again. It felt good to leave the hurt an the anxiety and the feigned cheerfulness behind.

Now, I’m nauseous. I had the hiccups for about an hour earlier. I've puked a couple of times. But overall I feel pretty good.