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Monday, June 10, 2013

Cockamamy Chemo (and meet Geriatric Amy)

Things are getting a little funky around here, so please allow me to get you up to speed.
Self-Portrait After 4 Chemo Treatments


A little more than two weeks ago, I went for my fourth (out of six) chemotherapy treatments. A few days after, my voice started getting a little hoarse. Occasionally, when I had to cough, my cough would get trapped in my throat and I’d become Maggie the sea lion (below), a sound alarming not only to me, but to the person with whom I might be talking at the time. I’d put my hand up in the universal sign of no problem and then in a hoarse voice confirm, “I’m Ok.”

This continued for a week, and then another week…the hoarseness in particular. When I learned that eight kids in Jonas’s kindergarten class had strep throat, I finally called the oncology nurse.
“I’m not really all that worried about it,” I said to her, “but when I learned that (garbled something) kids in my son’s kindergarten class have strep, and I’m having problems with my voice, I thought I should call.”

“What did you say?” she asked. “Something about strep?”

“(Garbled something) in my son’s class have strep,” I tried to say again.

“I’m still not getting it,” she said.

I opened my mouth to attempt to say the word “eight” once more and still, nothing doing. I simply could not say that number between 7 and 9.

“Ok, I can definitely hear you are having voice problems,” she said. After asking me about fevers and other symptoms I did not have, she added, “I don’t really think you have strep. This doesn’t seem like strep.”

When I asked ‘what do you think this is’ and ‘have you seen this before with chemo?’ she replied, perplexed, “Well, No. Not exactly”

So she called my oncologist and called me back. Guess what? The doctor was perplexed too (never a good sign). Together they decided I should go see an ear, nose and throat specialist, which I did two days later.

And here’s where it gets more interesting. The doctor, who was very nice, asked if she could stick a weird looking device with a little camera on the end up my nose to look at my vocal chords. The old Amy would have freaked. You want to stick that up my nose? Are you you f’ing shitting me? But seriously, folks, what’s a device stuck up your nose compared with several breast biopsies, having your whole boob removed and replaced with a bionic implant, and having chemotherapy pumped into your body through a port inserted into an artery in your chest? No biggie in my estimates.

“Sure, go for it,” I said.

And, in the end, it really was no biggie. A little uncomfortable, but quick. She made me say a few things, like “Eeee”…and then she was done.

“Well,” she said. “I have good news and bad news. The good news is, you don’t have the things we typically look for first when someone is having this problem. Cancer or polyps." She paused. "What is happening, however is that your vocal chords are responding like that of an 80-year-old.”

Excuse me? WTF did you say?

She went on to explain something called vocal chord bowing, and she mimicked it using her hands to show me what was going on. “It’s likely caused by the chemo,” she said, “But I’ve never seen it happen in someone your age.”

Excellent.


She suggested speech therapy, and I suggested not right now, with everything else going on.

“Do you think it will go away after chemo?” I asked.

“It probably will,” she said (OK, let’s recall that she had never even seen this before in someone my age, so I wasn’t feeling all that reassured).  “But if not you can do speech therapy then.”

I went home and immediately googled “vocal cord bowing from chemotherapy.” I found almost nothing. So I googled “vocal cord bowing treatment,” and I got this (scroll down to the last entry on the page. Sorry for the graphic photo).

In a nutshell, I now have what is referred to here as “Geriatric Voice.”

Hence: cockamamy chemo.

In addition, my eyes have been tearing like crazy for about a week, so I look like I’m crying all the time (despite using the antihistamine eye drops that my primary care physician recommended – although she seemed somewhat perplexed as well, as was indicated by the statement “Chemo does weird things.”)

And Saturday night I noticed my right ankle was swollen. This immediately made me think of my grandmother Yedda (may she rest in peace) whose most distinctive feature, at least that I can remember, were her very swollen ankles. This, combined with my geriatric voice problem, did not put me at ease.
When I phoned the oncologist on call, he said, “Is it just around the ankle?”

I stretched my legs out in front of me for another look. “Yes, I said. Just the ankle. The calves look the same.”

“Ok,” he said. “If that changes, and if anything else beyond the ankle looks swollen, you should go to the emergency room. Then it could be a blood clot. Good night.”

Alright, no, it didn’t happen exactly like that. But that’s what it felt like, as I was about to go to sleep and how on earth was I supposed to relax if I had to watch my leg for further swelling or else die in my sleep from a blood clot?

Cockamamy doctor.

Eventually I did fall asleep, with my right foot raised on a pillow. (I’m happy to report that the swelling did go down and I'm still alive).

And this Thursday, I have my next round of cockamamy chemo. What awaits me after #5, I wonder? Cockamamy hair growing out my ears? Or something worse? Right now I still feel pretty lucky. While annoying, the problems I’m having right now are manageable. Losing voice? Talk less. So don’t take it personally if you call and I don’t call you back. Try text or e-mail.

As you can tell, I’m enjoying using using this cockamamy word. As a kid, I used to hear the term thrown around by my Jewish relatives a lot (including my parents), but somehow I’d made it to 44-going-on-80 without ever using it in a sentence before—written or spoken. I actually had no idea how to spell it when it first returned to my consciousness, and my initial attempts at searching brought me to this:



Which has virtually nothing to do with the word that I can tell, but I do like the song.

And no, it has not escaped me that the word breaks downs into: “cock-am-amy.” Although I have nothing to really add to that.

It’s actually a fun word to say. Experiment with it tonight. Throw it into your conversation with your kids, like this:

“Enough of that cockamamy poop talk!”  or “Enough smelling your brother’s cockamamy butt!”

Or with your spouse:

“Will you please put the cockamamy toilet seat down?” (unless of course you are a man in which case you want to demand that the cockamamy toilet seat be up)

Or with your pet:

“Did you poop on the cockamamy floor again?!”

I guarantee you’ll enjoy using it and those around you will look at you like, “WTF are you talking about?”

Let me know how it goes (via text or e-mail, please).

4 comments:

  1. I hate chemo. I love chemo. Thanks for sharing this well written terrible story.

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  2. You do have the most cockamamy problems! At least you haven't lost your sense of humor. Hang in there!

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  3. Vocal chord bowing? Ankle swelling? Non-emotional tearing? And all of this on top of cancer? Good Lord, woman, that's a bit more burden than one person should have to bear. God may be known for not giving people more than they can handle, but, at least in this case, I think it might be a wise move to ask Him if he could possibly tone down his seemingly unfettered enthusiasm for your abilities.

    I apologize for the delay in responding to this post. I read it over a week ago, but the significance of it didn't really sink in at the time. Which is actually kind of scary.

    If anyone else I knew had rattled off such a long list of ailments, I'd be checking in on the phone with them immediately while, simultaneously, making them a delicious casserole (the fact that my casserole making skills are limited to filling a dish with pudding and sprinkling bread crumbs on top should in no way take away from the thought behind the gesture). But that didn't occur to me when I read your post.

    A complacency to the very real horrors that you are enduring had slowly settled in. Your chemo count had become my central focus. Two out of five. Three out of five. Four is done. Two more and then it will all be all over. Amy will be better and things will go back to the way they were before.

    I had become the distracted guy on the sidelines of the marathon cheering on his friend.

    Amy:
    I think I tore something in my leg.

    Me (checking my phone while I hold out a small plastic glass of water):
    You can do it. We're all behind you.

    Amy:
    No seriously, I think I may have torn a tendon or something . . . It hurts to run.

    Me (still focused on my phone):
    Aaah, f*ck, Lester just gave up a home run . . . (looking up) You want some water?

    Amy:
    It really hurts.

    Me:
    Yeah. Marathons, amirite? . . . Say, you guys want to grab some dinner when you're done?

    It's the same thing that happens when one of my kids is sick. After running through whatever small bag of medical tricks I have as a parent, I have to sit there powerless while they suffer through whatever germ or virus is presently working its way through their systems.

    Get better, I think. Feel better. Because there's nothing I can do for you right now.

    And that is a terrible, terrible feeling.

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  4. This is a very exciting moments as I just, after writing this blog for what...4 months?...figured out how to change my setting so I can reply to comments!
    So just wanted to say what you do is an enormous help..by making me laugh.

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