Wednesday, October 21, 2015

Venlafaxine. 25mg.

Happiness is such a funny thing, isn’t it?  First of all, the word itself should be reserved for children and the elderly.  And “content” is there for the rest of us.  I tend to think that people between the ages of 12 and 75 who claim to be happy are destined to be hit by a bus.  Because one day they will be so distracted by how “HAPPY” they are that they are going to step off the curb at the wrong time.  I also tend to think that their happiness is actually willful ignorance because you can’t truly be happy when 8 year-olds kill each other with 12 gauge shot-guns and there is a growing list of similar atrocities that pop up every second on the damn internet.  (Can we all please just go back to morning and evening news and call it a day?)  And by the way, why do good people die from cancer while shitty people get to run for President?  Come on, this Happiness thing is just a ploy, right?  It’s a full-on dream we’re chasing because we felt it once when we were seven making mud pies in the backyard.  

Unless you are a Gardener, who I understand are the “happiest” people in the world, as you should be and good for you.

To those of you paying extra special attention, you won’t be at all surprised to hear that I am currently taking 25 mg of Venlafaxine every morning - an anti-depressant with an anti-anxiety component (or is the other way around?).  Either way, bonus points for me.  And I will just come right out and say this, they really should put this shit in the water.

Is this too personal?  Am I verging on an over-share?  Maybe I should keep this dark little secret hush hush.  Everyone else does.  I had no idea, until recently, that the moms with their enviable easy-going nature, their ability to brush off the cries and nags of their screaming children, their desire to hang out with other moms and other people in general, those with the wherewithal to take it all in stride when nothing goes as planned, were also taking a mild dose of something every morning.
 
And I didn’t come by this little drug easily.  I have been working on my shit in therapy for years.  8 of them, give or take.  Obviously I don’t mind talking, sharing, hashing, and re-hashing (to a point) so I found an amazing woman who listens to me and we revisit my childhood and I have difficult heart-to-hearts with both mom and dad, accept where I go wrong, and then I work on it.  Scary and uncomfortable at first but I’m happy to have done it.  And I recommend it to all my friends as the healthiest thing you can do for yourself.  (Only the really smart people take my advice!)

One of the things that comes up all the time is anxiety.  I live in New York City, which has got to be the Anxiety Capital of the World.  My therapist has asked me a handful of times over the years whether or not I’d like to go on something.  I’ve always balked, saying I’d rather work on my shit and work through my shit than cover it up, mask it, or drug it.  She understood.  But she would go on to say that these drugs do not change who you are, they can just help alleviate the anxiety, giving you a chance to know what life feels like without it.  She phrased it as improving my quality of life and I swear I heard a little “ding!” inside my brain.

A few things came together at once.  I learned that depression may run in the family, so I’m essentially wired to be a sour puss.  And then I was at lunch one day with a friend, a mother of two young kids, one of the kindest and most even-tempered people I know.  I’ve never seen her get rattled.  I’ve seen her get pissed off, but even when she’s pissed off she’s calm.  I mention to her that I’m thinking of taking something and she tells me she’s been on something for years to which I said, "But why would you take anything, you’re so….”  Ah…  Oh…. Got it.

Then there was one last hurdle to cross – the anxiety over unnecessary chemicals in my body because chemicals cause cancer.  Oh wait.  

Fuck it.  Sign me up.

(And by the way, I am fully aware, and have made peace with the fact that everything, anything on this planet could kill me at anytime.  That bus.  Your car.  A biker in Central Park.  The air, water, sun, non-organic fruit, milk with hormones, dairy, meat, fish with mercury, gluten, sugar, Twizzlers, Fig Newtons, and that 8 year old in Texas with his father’s loaded revolver.  See how many goddamn things could kill me?  Death by anti-depressant might not be such a bad way to go.)


You would never know it by the snarky tone of this entry (sorry!), but these days I am content, calm, and present.  This is a brand new feeling for me and I don’t know how long it will last, but I wanted to let you know that I am enjoying it.  

And, I have a little help. :)

Thursday, March 5, 2015

Done with Lupron

It's probably not "best practice" to type out a blog post on your iphone. You never know what auto-correct is thinking. However, it probably IS "best-practice" to write on monumental days of this never-ending story:

I AM DONE WITH LUPRON!!!

(Does anyone know where caps lock is on the iPhone?  That took me half an hour to type). 

It's snowing here today, and not in a nice way. It's slushy and rainy and a painting the ass (I am not going to fix that auto-correct because I love how it makes me sound Portuguese) but most people are being a little extra patient, which is nice.  I am in the midst of co-chairing the PS3 Auction again this year which is to say that I am up to my eyeballs in to-do lists and reply-alls. I'm just setting the scene for you here: Auction Madness plus Snow plus Cancer Center. Last night, that equation equalled 3 hits from my pipe plus tincture.  (More on the topic of stress in my next post).

Anyway, for my appointment today I knew I was in for a Lupron shot in my ass and a sit-down with my oncologist, Dr. Ruth. But they sent me to Ruth first:

Draw blood, weigh-in, undress from the waist up, vitals, and then Ruth checks out my boobs.  All good.  "Put your clothes on and meet me around the corner.  Let's talk,"

On my list of things to discuss were:

How much longer do I have to get Lupron shots?
How bad is Lupron going to be for my bones?
Here is my bone density work - what do you think?

Out of the gate, Ruth wants to tell me that the study results are in and there is no significant gain to staying on Lupron for longer than one year.  Particularly for my type of cancer.  She asks if I want to go ahead and finish out the year with Lupron and I ask her if she is smoking crack.  Then I ask her if she thinks it's ok for me to stop now and she says: "I think you can stop."  And I have not known such joy in an awfully long time but this time I do not cry.  I simply rejoice.  And hug Ruth.

Going off of Lupron but staying on Tamoxifen.  I will start to ovulate again, but in all likelihood I will continue to experience hot flashes.  Oh, and one more thing: I absolutely cannot, under any circumstances, allow myself to become pregnant.  Tamoxifen is detrimental to a fetus and I would have no choice but to terminate.  So what are my plans for contraception?  Figure it out soon.  Tamoxifen makes it easier to get pregnant. 

Add it to the growing list of ironies.