Saturday, May 10, 2008

The New Normal

Over the past few weeks, I’ve reflected on how my daily routine and tasks have changed. I’m adapting to my “new normal.” On one hand, I’ve returned to many of the activities that filled my life before cancer – church, work, music and most importantly I’m able to provide my family emotional support and guidance again. On the other hand, there are many physical and emotional changes. Some of which may never be the same, but it doesn’t seem matter. The important parts of life are in place. Before I fall asleep each night, I thank God for one more day of life on this earth.

The physical changes range from the humorous to frustrating. My feeding tube has created a few laughs for me recently. While “eating” lunch in my office at work, the tube slipped out of my hand as I attempted to close it. After a few seconds of liquid spewing from the wiggling tube, I was able to get control and stop it. I just sat there and laughed at the thought of what just happened. This is one part of the “new normal” that shouldn’t last too much longer. On the frustrating side is my speech. While its getting better, I find my tongue gets tired when I engage in a conversation with someone at work. My mind is zipping along, while my tuckered out tongue is begging me to stop talking. Maybe forcing myself to be more concise in my communication will not be a bad thing. ;-)

There are many more examples of how my daily routines have changed, but I won’t detail them all here. The bottom line is my shift in mental attitude. I’ve moved from “I can’t wait to return to normal” to “accepting that normal will be different going forward.” I will continue to strive for improvement, but I realize that one can get along pretty well in life without all of the body functions most of us think of as normal.

On May 2nd, I had my third EDG procedure. It went better than expected. My esophagus did not narrow as it did after the first procedure. The doctor was able to open my throat to 14mm. The goal is 18-20mm. After my fourth procedure, which is scheduled for May 16th, the GI doctor told me it will be up to me to let him know if or when another procedure is required.

While my esophagus is now wide enough for me to eat soft foods, I’ve found my swallowing muscles are not efficient at moving the food between the base of my tongue to the esophagus. The one meal I eat each day by mouth has become an exercise to strengthen my swallowing muscles. Since my salivary glands are still not up to par, I also use water to help wash down the soft food. I view this as another positive step towards the “new normal.”

On May 8th, I had a PET scan, which is a reliable test to spot cancer in the body. I expect to learn the results when I meet with my oncologist May 15th. The first step in this test is to have glucose injected into your veins. Then after a 30 minute wait to allow circulation of glucose throughout the body, you lie down on a narrow table. This table moves you through a large cylinder that scans the body and provides an x-ray like picture of the body. Because cancer cells are metabolically very active, they consume the glucose and show up as hot spots on the PET scan. Here’s to a hot spot free PET scan result next week!

My apologies for the long delay between blog posts. I’ve heard from several of you wondering if everything is okay. To be honest, my work schedule has resulted in me being fatigued in the evenings and I’ve gotten lazy with my updates. I intend to provide another update next weekend after I learn the results of my PET scan. Until then, take care.

2 comments:

Diane said...

Dave, you are an inspiration and we're praying for you. Thank you for your example to all of us. We can learn from you.

Diane

Julie said...

Unbelievable, I just went back to your first blog and it's been exactly six months. I'm sure you've felt every day of it! What a journey you have been through and to be on the other side of the hill must feel tremendous! I wish I had a tenth of the discipline you have, it just shows that you know how to win at any challenge you're facing. This situation and your recovery has been unbelievable, but I shouldn't have expected anything less than unbelievable from you. So glad to have you back, love you! Your sis-in-law, Julie