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Becoming More Brettish

I want to share a recent email exchange with a friend.

This is his note to me after receiving the news that ICE chemotherapy did not work, but that I was approved for Adcetris (the brand name for SGN-35). It is followed by my response.

Bret,

This is good news. I’ll take it. The more I hear you talk and the more I read about what it means to fight cancer, the more I realize how true it must be that it is a life-changing experience…one in which you don’t go back, you only go forward. It is interesting that mixed in with the fear and distress I feel on hearing of your physical pain and struggle, I also see and hear about the transformative experience that this is. While in a sense it separates you from us (those who love and care about you but who cannot empathize with your journey), it also draws us in - to a limited extent - to a greater understanding of those who do battle. I guess what I’m saying is that I know what you are going through is making you into a better person…or a better way to say it might be that it is making you more fully you…more Brettish. And I am privileged to be your friend as you go through this process, and I hope I can rise to the occasion and learn something about life and struggle and journey from you. So as you become a fuller version of yourself through this process, I will promise to move forward with you and to do my best to learn to appreciate what you will bring to the table in our friendship in years to come…to embrace the new and refined you rather than hoping for a carefree and idealized past where we can pretend struggles are something the folks across town have to deal with.   

To mix CB radio lingo with 90s rap lingo…peace out good buddy,

-Frank

Frank,

I’ve received a lot of emails, notes, cards, and well wishes over the past year, and for that I am thankful. But I’ve been particularly anxious to say thank you for this note. Empathetic. Friendly. Thoughtful. Insightful. Just as I’ve always known you to be. It’s a top-fiver for sure. People ask what they can do to help when they live out of town, and this is a pretty tasty example. Thank you.

Interestingly, I recently spoke on the phone to our friend Paul for the first time in a hot minute. We were discussing life with Hodgkin’s and recent goings on in his life. The questions were/are…When life takes a big shit on you, is it a learning experience? Does it change you? Or do you fight the change because it is seemingly being forced on you— butt up against it with all you’ve got? You might guess what he chooses. Or at least says he chooses. That’s Paul on the surface—in the phone call performance we love. I respond by admitting that I want to be changed by this. I want to listen and learn. To be measured, not spilling. I say I am somewhat predisposed away from conflict—at least of this nature. On my surface, I want this to make me a different person. It feels necessary.

Beneath my surface, away from emails and blogs and my preternatural need to say and feel the right thing, at home, in my head, in my guts, I recognize so much stubbornness, so much dogged determination not to change, that it makes me sick. Fills me with dread for my future.

On the surface, I say to Paul, “well…Paul, that’s so nice of you to make vivid for me how lovely it is that I know how to change and roll with the punches, but if you were backed in a corner you would do the same. By force, you change.” A statement designed to deflect praise and simultaneously bask in it. But after we hung up, the conversation made vivid for me something else. Even when I have a very clear picture of something bad in my not to distant future, change can feel damned near impossible.

Sick, right? We know change is necessary, but we don’t know what change is necessary. Or if we do, we refuse to change it anyway. When we were college-enrolled, intellectual hacks (besides you), we distrusted adults for exactly what we are starting to admit we are capable of as well. And it’s actually not, I’m realizing, not changing. Change is easy. People we look down on change jobs, towns, spouses and so forth all the time. Rather, it’s not growing. Not…evolving. We were growing then. We were evolving faster than we could grow beards (again, besides you). We believed when we were adults we would live better than our parents. We would look in our backyards, and find the fruits of a life well invested—if we even wanted backyards—not a giant, growing pile of regret, self-doubt and ghosts.

I don’t want to butt up against this disease, but I can’t seem to help it. I want, as you say, to move forward. Become fuller. More refined.

Man, do I want to be more Brettish.

Isn’t it interesting that even though they don’t know why people get Hodgkin’s Lymphoma, I still manage to feel guilty for having it?

Truth is, I can go backwards.

But it’s springtime. And I read your words. I feel your promise. I share food and stories with family and friends. Hold hands with my wife. Feel the cool, refreshing breeze of the night. Take a deep and less painful breath. And I believe that I am changing. Um…growing. Guilt-lifting. Ghost-busting. Hodgkin’s-defying. This is life-changing after all, and it is possible for me to know what change is necessary. I am more Brettish.

Thanks for thinking of me.

Sincerely,

Bret

“Remission (Remix)”

–This will mean a lot more to those familiar with the intrepid R. Kelly…apologies to everyone else

“Remission (Remix)”

Now, um, usually I don’t do this but uh….
Go head’ on break’em off wit a lil’ preview of the remix….

No I’m not tryin to be rude

But ABVD I’m feelin’ you

The way you cure the things you do

Remind me of my precious youth

That’s why I’m all up in yo’ bag

Tryin-a get you to my vein

You must be an inpatient nurse

The way you got me doin’ rounds


So baby gimme that drip drip

Lemme give you that puke puke

Takin’ the roots from my ‘fro

Poopin e’ry 2 to 4

While I say on the call button…


It’s the remix to remission

Hot and fresh out the kitsch’n

Chemo destroyin’ my body

There’s one man here who’s wishin’

Sippin’ on a fun straw

I’m like so what I’m drugged

When’s the freakin PET scan baby?

Wonder if remission will come…


Drip Drip Drip Drip Drip Drip Drip

Drip Drip Drip


Now ICE’s like Murder She Wrote

Once you get me in that gown

Privacy is on the door

Still they can hear me screamin more

Nurse I’m feelin what you infusin

No more hopin and wishin

You about to take my pee

And go test its condition.


So baby gimme that drip drip

Lemme give you that puke puke

Takin’ the roots from my ‘fro

Poopin e’ry 2 to 4

While I say on the call button…


This is the remix to remission

Hot and locked in Fowler’s position

Chemo destroyin my body

There’s one man here who’s wishin’

Sippin on a fun straw

I’m like so what I’m drugged

Turns out I’m freakin’ neutropenic

Lord knows if I’ll ever see sun


Just pill poppin with my Nurse Navigator

We got food everywhere

To make the nausea fade later

We got Senna to my left

And Gas-X to my right

We bring em both together we got poopin all night

Then into my body is the antibody

And I’ve got antibody b/c da pharma’ lobby

It’s chemo round 3; still got to pay somebody

Hopin’ their not tryin to just _____ somebody


Can I get a drip drip

Can I get a puke puke

Takin’ the roots from my ‘fro

Poopin e’ry 2 to 4

While I say on the call button…


This is the remix to remission

Hot and almost through dishin’

Chemo destroyin’ my body

Got one man in here wishin’

Sippin’ on a fun straw

I’m like so what I’m drugged

It’s the freakin deep end baby

And I feel like I’m done…


It’s the remix to remission

Hot and still in here bitchin’

Chemo destroyin my body

There’s one man here who’s wishin

Sippin on a fun straw

I’m like so what I’m drugged

When’s the freakin PET Scan baby

Wonder if remission will come…

Man, I’m off in the deep

I’ve gotta cowboy up

VinBlastine the radio

Through the port in my neck

Life’s ups and downs

Is R. Kelly for real???

To the remix

We just druggin it out…

SGN-35, Round Two

I promised myself when I started this blog that I would never apologize for not writing on it. That to apologize would be antithetical to what I am trying to do therapeutically by writing it in the first place.

Guilt comes anyway.

Instead of apologizing, I would like to thank you all for following my progress so diligently. For caring. For walking with me. For continuing to send letters, calls, gifts and texts even though I can only sometimes find the time to return the favor or even offer my thanks. I want to thank you for sharing stories of how this blog has found you. For encouraging me to keep writing. To keep writing already. To get better already. For continuing to help in whatever way you know to fill me with the belief that I’m bigger than this disease. More stubborn. More resilient.

For now, know that I am physically doing as well as I have in many months. SGN-35 is a chemo dream-o. But staying mentally up for this—as my treatment calendar gets longer and longer, and life plans get altered and re-altered—well, let’s just say I wax and wane with my enthusiasm for the long and winding road.

My oncologist has pushed back my next PET Scan until after my third treatment of SGN-35. My brentuxi(map) keeps getting redrawn. And while intellectually I know that doesn’t necessarily mean a longer path to wellness, I couldn’t help but feel a little beaten when I left the hospital. Maybe it caught me off guard.

And then time alone and time with Aura help me to refocus.

Now, it’s the weekend, and I’m going to go enjoy it. No apologies…

Waiting for Answers

Is the worst. That was yesterday. I called Northwestern six times. And I waited. I fiddled. Fussed. Then I gave up. Aura and I left the house for a walk. We talked of patience. Then, in the middle of a crowd, the call came in. Amused, I awkwardly ran/walked to an alley. I put my dangerous hoodie up to shield the wind, and answered the call. Surrounded by dumpsters, and followed closely by Aura, I received the news. SGN-35 has been approved. Fresh, like an experimint, SGN-35 is LIVE.

As I write this, I’m torn by the cutting edge. It wasn’t excitement I felt when she finally called. Maybe, relief. I have gotten good feedback on the drug. All but one of the top Hodgkin’s doctors she polled, said, “Do it. Drug’m.” Almost a consensus. So yes, I am relieved. But like a kid stuck in the back seat on vacation, the destination seems a long way off, and I’m pretty powerless to do anything about it. And so I respond “Ok.” rather than “Let’s Roll!”

I can feel the difference in the positivity that surrounds me. Friends and family are more apt to say, “I’m at a loss for words.” than “Dude, you’re gonna kick cancer’s ass!” Bible verses and offers to walk by my side are increasing in regularity. And so it goes. For a senseless situation, it all makes sense.

But I’m less pensive than I am business-like. I’m less depressed than I am determined. I’m practical. Hands on. That’s what I need right now. Physically, I feel better than I have in a long time. That helps too. I’m keeping muh-muh-muh-my poker face. I’ll celebrate when it’s gone. If even.

Thursday, at 2:45pm, I start SGN-35. Literature is coming on the side effects. I’ll receive two outpatient treatments, then PET restaging. At which point if it’s working but not finished, I’ll likely get more. If it’s working and finished, well…hell yes. If it’s not working…

New Food and Medicine Calendar

Just below the Hoechemo header there, you will find a link to a new calendar of medicine and food.

In it I do all the receiving. I get medicine, and when I get medicine I might need your food as well. Aura too. We’ve made it thus far on the generosity of random friends, but with stem cell harvest, radiation, and stem cell transplant approaching, we thought it might be helpful to scrounge for more and organize the effort. This calendar will help maximize your efforts (avoiding duplicates and waste), and give us a say in the process, as our days can be kind of random and eating in a hospital can create complications.

If you’re interested in helping a couple beggars like us, please write us with the details (bret@cultivatestudios.com or aurabrickler@gmail.com) and we’ll post it to this calendar for others to see.

We do have some super snobby dietary restrictions. I may have cancer, and I may be begging, but I’m still a spoiled yuppie. We’ve been trying to eat healthy and organic whenever possible. Contrary to the fuss I just made, I’m not anal about this, but I’ve been warned about the contaminates in conventional food—especially uncooked food—while my immune system is low.

I eat meat, but not a lot of red meat. Aura is pescetarian, which means she mainly eats vegetarian (including dairy), but enjoys seafood from time to time. I don’t mind eating pescetarian as well, in order to simplify your efforts.

And finally, thank you in advance. We couldn’t do it without you.

ICE, Round Three

After blood delays (low counts on Friday), and more Northwestern delays (no room on Monday), I’m finally in for my third and final round of ICE. And I got the baller suite. Pure swag. The past two sentences have been written in honor of my brother-in-law, Aris, the original baller.

 I feel so exposed. Anyone could see me get my chemo…

So, I’ll be cold chillin’ in Prentice til noon on Thursday. If anyone wants to drop by, just drop a line. BYOO…Bring Your Own O’Douls. And your disco ball if its handy.

Winter Delays Harvest

Turns out I’ve been pretty busy this week for a man who isn’t working. I’ve been meaning to write something thoughtful for the past four days. In lieu of thoughtfulness, I’ll at least post my upcoming medical calendar.

The good news is that I’ve been completely without nausea and feeling pretty great since last Saturday. I’ve been sleeping as much as my mind allows, eating well—at home, juicing, drinking green tea, dropping coffee and alcohol, exercising, reading, home improving, and generally becoming the sort of philosopher only one who doesn’t work can become.

I was originally supposed to get my stem cells harvested prior to my third cycle, but do to scheduling snafus and waiting on insurance, Dr. Winter decided to postpone until after this cycle, in an effort to keep things moving.

Here’s the upcoming details:

March 9 Blood Work (determines whether I can be admitted, mainly WBC and Platelets, I think)
March 11-13 ICE Cycle Three
March 24 8pm CST, self-administered shots of Neupogen for Stem Cell Harvest (This spurs stem cell growth in my bone marrow enough to spill stem cells into my circulatory system)
March 26 Stem Cell Harvest (lasts 2–3 days, looking for 10 million stems)
April 2 PET SCAN
April 2 (week of)
–Bone Marrow Biopsy
–PET Review with Dr. Winter
–Radiation planning with Dr. Bharat Mittal
April 9 (week of) Total Lymphode Irradiation (2x per day)
April 16 (week of) Total Lymphode Irradiation (2x per day)
Apr 23 follow up with Dr Winter
Apr 30-May 20 or so, Inpatient for BEAM Chemotherapy and Stem Cell Transplant.

May 29 Aura and I celebrate our engagement, which took place in Cancer Survivor’s Park. No joke. It better be true.

ICE, Round Two

After a bit of delay, waiting for my platelet count to be sufficient for clotting and for Northwestern to de-clot their booking…again, I’m back in the hospital for treatment two. Must have had some honeymooners in from Iowa. Thankfully, the delay wasn’t a problem, because I received a tip to call ahead. I’m very thankful for tip givers.

My counts bounced back well enough to get me here for round two in sixteen days. I guess the average is nineteen. I’ll take credit for that. Must have been my incredible diet. Or perhaps it was my ability to keep stress at bay—even with a visit from my parents. If anything, I received an emotional boost from the visit of my parents, to go with the physical boost I received for my WBC from a shot of Neulasta. I receive a shot of said drug in my tummy the day treatment is over. Seems like I’m here every other day for one reason or another. I know way too many names…

So that’s it. I’m here. And bracing.

Feel free to stop by tonight or tomorrow. No visiting hours on the cancer floor. Just give me or Aura a shout. I’m on the 16th floor of Northwestern’s Prentice Women’s Hospital at 250 E Superior.