Friday, September 25, 2009

going public about Lymphoma

Four weeks ago tomorrow, my left ankle swelled to the size of a softball, with no pain or other symptoms. I'd spent the day cleaning my pool, painting the front door, and other such Saturday tasks, and decided to mow the front lawn before it got dark. I noticed my ankle for the first time when I sat down to put on socks and shoes.

Two weeks ago today, I went to see my doctor for the third time. By now, the swelling was all the way up my left leg but still without any other symptoms of illness - no fever, no weight loss - only a rash on the back of the leg. She'd theorized it was an infection, or a blood clot, or shingles. She sent me back over to the imaging center to recheck for a blood clot and ordered a cat scan of my abdomen. When she saw the bigger picture, she put me in the hospital to be seen by specialists and be prepared for a biopsy.

A mass behind the kidney suggested Lymphoma or kidney cancer, the former being preferable if you have a choice. After more testing, probing and scanning, the verdict came in: Lymphoma. Large B-cell Lymphoma, to be more specific, which is treatable.

The oncologist who saw me at the hospital prescribed chemo treatment, and I've already undergone the first one. I suffered none of the dreaded side effects of chemo but they tell me I will lose my hair, or what's left of it. After watching it go slowly for about 40 years, I can deal with that!

Why am I telling you all this? Mainly, to raise your awareness of Lymphoma, a strange disease. The disease can be asymptomatic or the symptoms can be very subtle, such as a swelling of lymph nodes. Seeing your doctor is very important if you feel little lumps in your neck, under your armpit, or other places where there usually are no lumps. The symptoms are often associated with other diseases. There are no identified causes. The disease strikes people of all ages. There are many varieties of Lymphoma, and treatments vary according to type. I'm being given a treatment that has come into wide use in the past two years with very good results.

The lymph system itself is a mystery to most people. You can visualize a heart or a stomach, but the lymph system sounds like one of the "humors" that medieval physicians believed existed in the body. It runs through the body and performs a variety of necessary jobs like sending armies of white cells out to fight infection.

Because the lymph system runs throughout the body, surgery is not a treatment option. Chemo treatments are. I may go into more detail on that later, but that's all for now. I might add that my left leg is still swollen and may not get back to normal for another couple of weeks, which is painful enough without also keeping me from getting into my new Corvette without crawling across the driveway and up under the steering wheel. As kids used to say, bummer!

Friday, September 11, 2009

random thoughts on a Friday

A few random thoughts while waiting until it's time to leave for a doctor's appointment:

I've been driving my Corvette for a month, now, and it has changed my driving habits in a couple of respects.

The dashboard gives me a readout of my gas mileage, both average and "instantaneous." The instantaneous readout is very instructive. Everybody should have one. It teaches you to drive as if you have a raw egg between your foot and the accelerator pedal if you are concerned about getting good gas mileage. I've learned that fuel consumption is worst when you are starting from a dead stop, so no jack-rabbit starts for me. The rate improves, somewhat, driving on city streets. Once you are up to highway speed, it really gets much better. If I ease up on the pedal, the rate jumps to 55 mpg or greater. Because my overall average is about 20 mpg, driving a route that's part city streets and part Interstate Highway, that's impressive!

However, once I'm up to speed, I no longer appreciate being passed by fools driving clunkers or pick-up trucks with the pedal down unless I happen to be driving slow and cool on purpose. I especially do not appreciate being passed on the right by somebody "slalom-skiing" down the highway, or being boxed in by truckers and slow-pokes. If there's empty space between me and the car in front, it is there for a reason and I don't appreciate someone trying to fill it. I used to tolerate such behavior on the road, but now it is comforting to know I can leave such fools behind in a cloud of dust by goosing the gas pedal. In fact, I've done it, and it is very satisfying!

Changing subjects:

When I heard that the Congressman who called President Obama a liar was a Republican from South Carolina, I was not surprised. He's now the poster boy for the Republican Party, which seems to have nothing constructive to say on any issue but simply stands about, arms folded, hoping our President fails. The GOP has been veering to the extreme far right, headed for the cliff, ever since President "Tricky Dick" ("I am not a crook") Nixon and his band of rogues.

About that doctor's appointment: I have had a swollen ankle, going all the way up the leg, with a rash on the back of the leg, for two weeks. My doctor at first thought it might be an infection or a blood clot, but ruled them out. Now, her diagnosis is shingles, but without the typical symptoms of shingles. I am going to see her today for another look and possibly a new diagnosis. I hope she can at least get the swelling down. I'm tired of sitting about with my leg up, or feeling guilty when I'm at work and can't sit that way. I'm grateful my Corvette has automatic transmission because I no longer need to work a clutch pedal with my left foot.

Enough of this; it's time to see the doc.