Monday, December 31, 2012

End of the Year Reflections



Dear Family and Friends,

A very Happy New Year to all of you!  How wonderful to see a new year,  to turn over a new page, and hopefully, an entirely new chapter!  2012 will always be remembered for its hard-earned lessons and surprising blessings, as well as its "task master" quality in the school of life.  Just six months ago, as my life literally hung in the balance, I wondered if I'd see 2013....  And here we sit on its threshold.  

These past six months were definitely harder, more challenging, than anything I could have imagined.   Moments lingered, days seemed to stand still, I "faced the firey dragon" as they say. As the year ends, I'm aware of how integration of it all isn't something I can rush through or stuff away somewhere.  So I hold it gently...even the fears and tears, and ways I could have risen up more valiantly to meet each challenge.  I feel my breath, feel the warm gratitude that fills my heart for all that is good and kind, and count my many blessings.

One of those blessings, as you can see from the above photo (taken this weekend) is that I have my smile back (from the facial paralysis this past fall)... despite the doom and gloom scenerios given by traditional medicine.  The picture was taken when  Peter and I visited my dear Aunt Jean in Los Angeles, with cousin Alan, his wife Rachel and  dear little daughter, Tilly. This past year gave me such a deep appreciation for love, family and the tiniest pleasures of life.

After my last chemotherapy appointment on December 13, Peter and I spent 13 hours in the Emergency room -- again!  I was diagnosed with "chemical menigitis" -- Chemical meningitis results from any of a wide variety of foreign irritants causing inflammation to the tissue covering the brain and spinal cord. In my case, it was caused by the chemotherapy I had just days before.  It came with the worst headache of my life!   After the last five lumbar punctures with chemo have resulted in incredible pain and potentially serious side effects, I made a momentous decision to stop chemo, at least for now.  My body has been clearly telling me:  ENOUGH! 

Dr. Polikoff wants me to be on it for the rest of my life.   As with many cancer patients, quality of life issues begin to become more prominent, and this is certainly the case with me.  My decision to go off of it is my version of a free fall into faith.   It was not a mental or analytical decision, necessarily, though I certainly have been weighing all my options like someone studying for the Bar! But was rather a more intuitive approach -- a listening to that voice within, beyond logic.  Sometimes there is just no way to know, objectively, what is best.  This is one of those times for me.

I eventually decided not to go ahead with the new T-Cell clinical trial in Philadelphia as it became financially prohibitive and the side effects are a bit too risky for me, in my opinion.  It's a phase I trial.  The other treatment I've been considering -- Rituxan anti-body -- is still a "Plan B" option should I ever need it in the future.

For now I'm focusing entirely on periodic cold energy treatments and am moving full force with the Mederi protocol.  Along those lines, my ceruloplasim (copper) levels from the tetrathiomolybdate (or copper chelation) have dropped to the target range, which is great!  For those of you who know people with cancer and are interested in learning more about innovative (clinically tested) treatments, I strongly recommend this article about antiangiogenesis:  http://www.cancerfoundation.com/copperprotocol.html

Long story short, cancer cells (tumors and "colonies" of cancer cells as in Leukemia) need a blood supply.  Copper helps in the creation of what is called angiogenesis. Cut the copper levels, and this blood supply is cut off, creating antiangiogenesis, without adverse effects to one's health.  My copper level went from 31 to 10 in just two months.  Scientists have seen that if they can keep the copper level around 7-10 (or 20% below normal levels) for three years, relapses of cancer do not occur.  It is most effective when there is no evidence of cancer, as when one is in remission, such as myself.

I am also taking a break from the weight of daily/weekly smaller decisions until after the New Year....decisions like changing my oncologist, telling Dr. Polikoff I want a break from chemo, and a number of other matters concerning my health.  Everything was simply becoming too much when added to dealing with health, healing and living.  I have felt immeasureably better, happier, stronger for the last week or so. 

All I have gone through these last two years has molded me as nothing else could. Perhaps I could have grown just as much without all the turmoil.  I'll never know...  I'm inspired these words of a wise Buddhist teacher:  "I think that suffering is the only path to maturation....it catalytzes our capacity to mature, to develop equanimity, to develop qualities of presence in the midst of conditions which seem untenable."

It's surely one of those paradoxes:   how do I continue to gather my inner resources of resilence, self-compassion, courage, faith and hope in the midst of seemingly "untenable" conditions?   What an amazing spiritual practice this can be -- yet nothing could be more rewarding, soulfully, humanly, than to reach that deep acceptance of all the conditions in our lives, especially those with shadows, pain or confusion.

What I love about the non-dual approach to life is that it seeks a deep acceptance of all that comes -- not only transcendence or transformation as the first inclination.  That can too easily lead to separation or spiritual bypass.  But a full bodied soak in the mud of life where we feel the full dimension of being human and we come out cleaner, more integrated, more empathic of others' plights.  I'm convinced that it's in welcoming (even if not joyously) rather than resisting, that our mud is ultimately transformed into gold.

I skipped along merrily (well, almost) once out of the hospital in 2011 and in outpatient treatment.  Then last spring, and the relapse,  "Leukemia" seemed to settle back into my life like ink infiltrates a glass of water.   Yet where I am now is the sum of all the steps I have taken thus far and in some ways I feel a new and greater strength.  For some mysterious reason, we are often not given to see all the whys and wherefores of our journey.  Thus a greater faith grows in us.

My dear ones, I love you all and wish you deep solace, love and joy in the New Year.

Heidi


Thursday, December 6, 2012

Peace in the Mystery....

Dear Friends and Family,

These past two weeks have been full of lessons, stumbling, tears, laughter, confusion and insight!  Around Thanksgiving (a beautiful, beautiful day) I went into an unexpected freefall -- you know, that place we go when we've been shoved over the proverbial cliff and there are simply no grappling hooks, no limbs to break our fall, only a slippery rock face...and an uncertain outcome.  (More on this later....)

Some recent details:  My bone marrow biopsy came back "clear' of cancer.  Boy, was it a painful test but such great news!  I call myself the human pincushion...the "pokes" must  be well in the hundreds by now!  I had another chemo lumbar puncture today (with methotrexate -- again -- and an important sampling of my cerebro-spinal fluid for the presence of cancer).  The puncture again set off my nerves in the tailbone area.  I came armed with a powerful painkiller this time!  It's been a month off chemo because the last time I had spinal fluid leakage.  Have started to feel pain at the base of my skull in the last few days, which makes me wonder...  The last time I had pain there was right before the facial paralysis due to cancer cells in my brain.  So I have a few butterflies with this latest test.

The Mederi protocol is working its wonders, I'm sure, as my recent blood work is very good....not in the normal range yet, but its holding its own.    My fatigue continues to be daunting.  My activity is only a small percentage of what it was even last year. More news is that Dr. Polikoff called the expert oncologist in San Francisco about the Rituxan anti-body therapy  -- found by the clinical advocate I have worked with in November.  It has had some promise with relapsed Leukemia (ALL) in the spinal fluid. It turns out that it is only administered through an Omaya Resevoir, and we all know what happened with mine!  (now removed...)  So more choices ahead. 

For now I'm taking it a day at a time, a week at a time.   

There truly is no way of knowing outcome of any of my choices, really, since I'm in uncharted territory. How true that is for all of us, though not all situations are life or death outcomes.  Nevertheless, they are real and raw.  A dear friend of mine was just laid off work, has a number of health issues with no medical insurance. A neighbor just found out she has breast cancer.  Again, no insurance.  I've been inspired by some of my friends and family who seem to be more comfortable with the freefalls of life than I.  I am gradually finding my way to a deeper grace and peace in the unknown.  Too often I have harbored a sweet expectation that the wisdom of "masters" or healers or teachers of one kind or another would lift the curtain, shed a light on my next step or somehow wave a magic wand and take it away forever!  But I have witnessed, at least in my current situation, that no writer, speaker or wisdom teacher can do this for me. Their wise words on the pages of a book or in my heart only point the way,  I have to do the walking.  I'm the one who needs to determine when I've had enough chemo, or when I change treatments, or how I work with myself when in pain or anxiety. 

The irony is that the enlightened journey leads in, not out.... and to become "full" we must become as "empty" as we can.  After decades of reflection, I am closer to understanding the idea of how empty becomes full (and vice versa).  My path to live this understanding is another thing entirely.  Yet each backward step has propelled me forward. I "keep on truckin'" as they say.  Eventually we will all get there!

I got up early this morning, very groggy, and nestled into my meditation seat.  Looking out of the window in the early morning, all I could see was a field of grey sky.  A thick fog hung low outside as the dark limbs of trees contrasted a colorless sky.  I reflected....How bare and vulnerable, these trees, without their protective garb, their countless masks falling into this God given moment....

During these past two weeks I have witnessed my own leaves falling wistfully to the earth. I've tried to catch a few on their way down....only to have my fingers grasp thin air. A fog seemed to settle in around me recently as I felt an unsettling north wind blowing though my inner landscape, despite my best efforts.  I think I'm realizing more and more, both the obvious and subtle ways I have tried to keep every leaf of my life fresh and green, clinging to whatever might give me a semblance of "certainty".  When I touch the edges of my resistance to the falling leaves -- e.g. to the pain, the cancer,  fatigue, to not having, for now, the life I once had -- anxiety would flood my being.  Perhaps the two years I've been at this so relentlessly is shaking my tree, just a little more.  Sometimes I imagine myself bolting -- running fast and free until I finally out-run my experience with illness.  But there is nowhere to run, to hide, to isolate.  Can I turn... right here and now and breathe into loving myself and others in this moment?  Can I breathe into a larger sense of myself  that is way, way bigger than a vulnerable, trembling leaf, more deeply rooted than the tree, or that even endures impermanence itself?   

As I sat there this morning, I began to feel my energy shifting.  The grey sky which blocked out the landscape with vague ambiguity, became embracing, silent, friendly and my inner landscape became more illuminated.  Some clarity came -- not necessarily about my treatment or "next steps", but about life itself.  Perhaps I got just a little closer to the truth that "trusting" is not necessarily "knowing".  It is, at least for me right now, being able to walk into the foggy air around me with a sense of hope, and to let the leaves fall where they may. 

Well, here I am again waxing poetic. How appropriate, then, to end with one of my favorite poets:

Quiet friend who has come so far,
feel how your breathing makes more space around you.
Let this darkness be a bell tower
and you the bell.
As you ring,
what batters you becomes your strength.

Move back and forth into the change.
What is it like, such intensity of pain?
If the drink is bitter, turn yourself to wine.
In this uncontainable night,
be the mystery at the crossroads of your senses,
the meaning discovered there.
 
And if the world has ceased to hear you,
say to the silent Earth: I flow.





To the rushing water, speak: I am.


 
 -- Rilke
 
 
"In this uncontainable night, be the mystery at the crossroads...."  The night is immense, infinite.  Darkness stretches out into infinity to remind us that we cannot know the beginning or the end of things; that life itself is uncontainable, uncontrollable.  The emptier we are, the more we can hold of the Great Immensity. 
 
Heart's Love,
 
Heidi