Thursday, May 3, 2018

Cancer and the Wonderfully Made

"We are frail, we are fearfully, and wonderfully made." -Rich Mullins



The Recent Check-Up


Want to get this out of the way first. On my most recent checkup, another tumor has reared its ugly head. My CT scan last May showed an infected lymph node, but it didn't warrant concern, it was minimal. Again in November, it was a bit bigger but nothing to be concerned with, the doctor took note, but it was possible to write it off as inflamed from being stressed or sick. This last visit it was a little bigger, thus showing a trend. It's only a few centimeters in size, but it is almost in the core center of my body. At that size, a biopsy would be dangerous possibly harming my stomach or intestine. So we are now waiting until June to try another CT and schedule the biopsy. If it is not the right size I am unsure if we start treatment anyway or wait longer. This has brought forth a whole lot of weight on my heart.


Reasons to Suffer


One of the hardest things I've had to unlearn is that suffering is a direct result of sin. The bible for one tells us that many times when Jesus healed people, he said, "Go in peace, your sins are forgiven." This idea that suffering and sin are the two sides of the same coin can be taken from those words. So why is it that so many terrible people are lucky in life? What have I done in my life so wrong that I should be so punished? Often people ask, "Why me? when they really mean, "What did I do to deserve this?" This is not fundamentally a Christian belief, Buddhism, and Hinduism both teach that if you suffer in your life, you are making up for something you have done in another life. Taoist believe that suffering is part of the balance of the universe. So why do good people suffer? I am not saying I am unflawed by a long shot. I try my damndest to live right not just as a Christian but as one human being to another.

Instead, suffering is potentially a graceful moment in our lives. It is a moment to overcome, a moment to seek joy, and a moment to lean on others.  Another life lesson cancer has taught me is to accept the support of others. Consider it an opportunity to overcome pride right? There is an excellent opportunity for those around you to fulfill their calling to be kind to another, even if that other is you. These moments of grace allow lives to be touched in profound ways that we may never know.

While suffering in pain is in no way joyful, it gives us opportunities to find joy. I've made a commitment since getting the news to do at least one profound thing each week with Tara so that we cement the memories of our relationship as more than just being in the hospital or taking time to worry. I find joy in spending time with my niece when I can. It's not always easy since I usually have to travel to her and being sick just like with work prevents me from doing as I please. I'm finding joy in sharing a life with my family, laughing in small moments, and taking the time to just be with others.

The most challenging part is the overcoming. There are days I feel like I can overcome anything because I have overcome cancer twice. However, the deep fear sets in of if I will have the fortitude to overcome this time or the next. Suffering may be grace, but that doesn't mean there is shame in fearing it. Think about suffering as a lightning storm. The storm is beautiful and awe-inspiring to behold, and at the same time, it is something to be feared and to avoid. Suffering in my experience is a lot like this.



Wonderfully Made Together


My latest news has put me back in this position to be deeply concerned. I am not afraid of cancer anymore, I am scared of what getting rid of it will further do to my body. I am not afraid of death, I am worried for those I must leave behind. I am fearful of what I will become when treatments start again, even if this time is not the time.

We believe we are made in the image of God, however that image has known suffering beyond comprehension. That image has also known mercy and love beyond any fathomable limits. We are each called through suffering to play our part. If we are the Body of Christ, some of us are called to be the hands and feet where the nails pierced, some the brow where the thorns dug in, and some the heart which poured out love.

Wednesday, April 18, 2018

Cancer and the Worthy Fox

I know a lot of what is listed below is not exclusive to being a cancer patient, but of course that is my perspective.

Enjoy a series of interesting thoughts, complaints, and hilarious remarks done in the style of Jeff Foxworthy's "You Might Be a Redneck."



If you have to explain medical jargon to a healthcare professional, you might be a cancer survivor.

If you can spell doxorubicin and ifosfamide but you've never won a spelling bee, you might be a survivor.

If you find the most unbelievable part of a movie the medical scenes because you know the color of the medicine isn't right, you might be a cancer survivor.

If you've ever considered Zofran a topping for hospital ice cream, you might be a survivor.

If you've ever thrown a fit because the CT imagining center has run out of regular Sprite, you might be a survivor.

If you've ever wanted to slap a pathologist for commenting that your veins are hard to find due to dehydration knowing full well you had to fast before seeing them, you might be a survivor.

If you've ever excitedly called your wife to come see your lone chest hair in your 30s, you might be a survivor, or just a really late bloomer.

If you've ever lost your ever loving mind over a 98.9 thermometer reading that could possibly force an ER visit, well then you just might be a survivor.

If you've ever had a family member bake dozens of homemade cookies to bring to the nurses during a hospital stay trying to bribe priority treatment, you might be a cancer survivor.

If you've ever had to explain that traveling to a specialty care center is not a vacation to a co-worker, you might be a cancer survivor.

If you use the hospital's remodeling as a way to tell time over the years, you might be a cancer survivor.

If you park on the 4th floor, enter the hotel on the 2nd, and check into the hospital on the 3rd, all without any stairs, elevator, or incline, you might be an M. D. Anderson cancer survivor.

If you have favorite places to use the bathroom over a few hundred miles stretch of the great United States, you might be a cancer survivor or just avid Disney World family.

If you travel so much the locals consider you a local, see above.

Wednesday, April 11, 2018

Cancer and the Lost Voice

How to Give Up a Voice



When the internet became a growing thing in schools, often early adopters would say things like, “Students will have a voice in their schools and communities.” Everyone cheered for the idea. Fast forward to now, and it seems everyone has a voice about something or another these days. It often feels stifling to try and get your voice in at all, much less get it in and have it mean something amongst the noise. Even in areas of faith, “Type Amen,” “Share if you want God to bless you,” “Pass this image without liking, and the devil wins.”, Etc. How do you even feel like God can hear you? I am often reminded, and at times often think like Zacchaeus, needing to climb the sycamore to ensure he could see Jesus amongst the crowds.  This is not just something we do in faith, but daily and a lifetime of being under the radar. If you’ve spent a while in the hospital or face chronic illness, you understand what losing your voice is like.

Training to Be Voiceless


Many people have no problem having a booming voice in any situation. From an early age that they have been told they matter and furthermore, their opinion matters. A great example is the that instead of calling Instagram and YouTube stars what they are, pseudo-celebrities, they have been given the title of “Social Media Influencer” because their opinions matter and they get to tell others what to think as well. When the rise of the #MeToo Movement was still in the headlines, I read an article about Time Magazine’s choice to include Taylor Swift on their cover highlighting women that spoke out against sexual misconduct. The writer, also a woman, condemned Swift as not being a good enough woman for the simple fact that Swift had not openly and publicly taken a stand or commented on the current political administration with as many young people that follow her. Personally, I was appalled to think that one woman would belittle another for not doing enough in their eyes and also that Swift possibly had hoped not to alienate fans regardless of her political views. This article stuck with me because it did nothing for my opinion on Taylor Swift, to whom I have little to no opinion on, but did everything on my opinion of myself. This article told me if a personality as big as Taylor Swift can be brought down for either using or not using her voice, what possibility would little me have of having a voice that matters.

Accepting being silenced is something I experienced in all facets of my life. Growing up, I was bullied. Kids found one reason or another to give me crap, I sought help, and it didn’t change. My voice didn’t matter. Being good at something, like art, then getting passed up over and over because a talented arts program required daytime volunteer commitments from two working parents unable to miss work to serve Kool-Aid. My voice didn’t matter. A fifth-grade teacher that told my parents she would refuse to teach me if they didn’t get me on pills because I was an overactive child. My voice was too much to hear (thankfully my parents did not agree, and another teacher, capable of teaching me, took me on). Various romantic relationships where I accepted being talked down to and always giving in as acts of chivalry. My wants did not matter. Parents of women I loved actively plotting the end of our relationship, by forcing their daughter to go on dates with guys they selected, because I wasn’t the person the envisioned the daughter being with. Those same parents eavesdropping on a private conversation between two adults of the age of 21 speaking about waiting until marriage, and then perverting that conversation to mean we were plotting getting pregnant, efficiently forcing their daughter to no longer see me.  I didn’t matter.

The point is, this is the kind of conditioning people continuously undergo such treatment, which leads us to believe things about ourselves for the rest of our lives. Before the communication age, when people dealt with these types of problems, they were told to suck it up and get over it. Sadly enough, there are still a lot of people out there that still want everyone to “Man Up!” Let me tell you about a cross-section of Americans that have problems and were just told to “Man Up!”, Combat Veterans. An astonishing 45%-50% of Americas homeless are made up of combat veterans that faced trouble coping with what they have seen and were either driven out of their homes for mental health reasons or turned to drugs as a coping mechanism. We as a society need to reconsider the “Man Up” mentality.




Speaking for Your Health – In the Hospital


Two instances in my life recently where my feelings of being voiceless. Both of these times have culminated in hardship and breaking on my part. I looked upon the precipice of my pain tolerance and mental limit and pushed beyond it. I didn’t go kicking and screaming; I went reluctant and silent. These occurrences brought on life alterations that may have been avoided, if only I had my voice to speak.
In the hospital, with my cancer recurrence, so much trauma happened to my body as well as my psyche that I walked away being classified as having PTSD. The first significant event was placing my Central Venous Catheter. I know I have mentioned this. Nurses spent a good hour and a half to two hours, digging a needle in my chest looking for an artery they could not get to because I was asked to fast and was severely dehydrated.  Because the process requires my chest to be as flat as possible my face was turned as far away from the nurses as possible. I hurt, more than I can even recall. So much so that I broke my top left wisdom tooth from clenching my jaw. Every time they would start a nurse again, up to four, would say “Mr. Hernandez, I am (name) I am going to give it a try ok?” All I could ever muster was a nod, and they went to work. You see, I felt that if I had spoken up, the nurse would have been agitated and hurt me more being careless. I also kept hoping it would just end. It wasn’t until the head nurse of the department came to give it a try asked if I was ok with her trying she heard me whimper as I nodded. She asked me to look at her, and I can only imagine what she saw. My face was wet with tears, my mouth had a little blood, and my jaws were beginning to get puffy from clenching. She immediately called for a full stop and ordered everyone out. She returned me to Tara to continue waiting why she set up another appointment with a doctor, placing the CVC with a live X-Ray. That wasn’t much better, I was still not allowed to eat, I waited and finally had the procedure under the machine what would burn my flesh permanently in three spots on my chest. Still there and still itches daily. I got to eat a peanut butter cracker a nurse gave me from her own lunch around 6:30 p.m. waiting to find my infusion room. Arriving at the infusion Tara and I become informed that we would be checking in the hospital for the week, something no one had ever discussed with us. Neither of us could fight it because treatment wouldn’t have started until the doctor was back in the morning. Tara was also trying to speed up my check in so I might get food and drink as well as real rest.
My treatments didn’t go as well as I had hoped either. Hospital policy changes left me retching a good deal of food waiting on medicine or dealing with a migraine waiting on simple Tylenol. The floor LPN deemed my bloodwork not good enough most weeks when the attending physicians I had were satisfied with the same reading. Instead, she was always trying to keep me another day pumping me with gaseous fluids attempting to alkalize my kidneys. This inflation would later lead me to gain an extra 20 pounds, which thankfully I have now lost. Tara would fight with nurses over my need to get out of the room as much as possible; if it weren’t for her voice, I would have just laid there, lifeless and miserable.
My biggest problem with M.D. Anderson now is that I am just a number there. While I receive excellent healthcare medically, there is no personalization in it whatsoever. I have even seen this in my oncologist whom I have once cherished. Therefore, Tara and I scoured the area begging a local oncologist to take my case. Unfortunately, they all gave the same answer. No one in our area is trained to provide the regiment needed to fight my particular cancer, and M.D. Anderson is my only option. Again, what little voice I tried to use, was snuffed out.



Speaking for Your Health – In the Workplace


I realize now I set myself up for failure and abuse when I returned to work after the tumor and lymph node resection. My six weeks of bedrest and recovery was boiled down to two. In the attempt to get back to my students, I began going back daily because my effort to work from home always ended with someone asking if I could come by in person and instead of saying no, I went. So I tried to appear strong and went back to work, getting up at regular intervals to empty my Jackson-Pratt drain of blood from the empty lymphatic area. Why did I do such a thing? Because in my mind, saying, “No I need not work,” was an admittance of being weak and I didn’t want to disappoint anyone. Little did I know that I was setting myself up for a breaking point.
When I returned, I asked the head boss for help because I did not have the energy to continue to teach as well as take on all of my other responsibilities. I had already been unable to visit both campuses on a regular basis and had someone take over part of my job there. The solution, however, was to see if someone else could take on my class, however that is the part I didn’t want to lose, so my ask had been put off.
As my body became more and more tired, and the lymphedema took firm hold, I began missing work and being late from being unable to use my leg immediately every morning. On top of that, I started having more appointments for physical therapy as well as mental health which was required by my oncologist after my recurrence treatments. Even though I voiced my concerns more, additional task became my responsibility in an effort to alleviate stress from others deemed more necessary to the day today. My performance had dropped, I knew it, and I know it was apparent to some. In my performance review, I relayed to the head boss that my department needed another person to keep going. I admitted to him that I could no longer work as I had before even if I tried. With all I was responsible for, my typical day went something like this. Get up and go to work until 4 pm, go home make dinner and spend time with Tara; once Tara was in bed around 9 pm I would start my computer up and work on various things for work sometimes until 3 am. We agreed that I should not work late from home and do what I can to utilize my time in the office. A promised solution never came.
This year before my departure, still without extra help, more tasks were being asked of me. One department complained because I didn’t make an effort to stay at evening events sometimes until 9:30 pm. I did a few times in hopes of appeasing. Board members saw it fit to add work to my already full load, even going as far as to call me while I was at home, on weekends, and showing up unscheduled in my office. I was expected to drop everything for them. Projects I had done in the past that I enjoyed were either needing outsourcing or put on the back burner.
Eventually, I could no longer keep up. My inability to focus all my energy on other departments’ projects was not met with understanding. Instead, it was met with bullying from adults, claiming to be professionals. Whining to clients, other bosses and messaging whole groups via text on weekends to complain about what they perceived as my “unwillingness to help.” Board members approached me when out with Tara asking for this and that, and I sat there and took it all. My only ally was my immediate supervisor who had also asked for another department member, attempted to quell the others, and stood up for me when I was attacked. Everyone who could have helped alleviate any of the wrongs was silent.
With the stressors reaching a new ceiling, I broke just before Thanksgiving while at M.D. Anderson being physically hurt which resulted in a full-blown and very public panic attack. After pleading to go home, they agreed on the condition I do not return to work until after the Thanksgiving holiday, basically a week and a half. My grandfather passed away that Thanksgiving Day. At his funeral, I prayed for his council, and I felt, spoken in my heart, that I needed to take full disability. My only act of using my voice was to say goodbye to those I loved dearly I worked with, to tell students I had mentored that all would be well.


My Voice Now


So where does this leave me? The ability to use my voice in profound ways. I want to develop a website where I can be a voice for good; I, however, have not done this because it will cost some funds and as usual I doubt anyone cares about my voice.

If I am capable, I want to voice to the hospital that I am as much in need of empathetic care as I am medical. I am allowing you to do things to my body, at least listen to my concerns and what I know about my own body before we go forward. Doctors wanting their patients to keep fighting should make them feel like their fight matters to you and your staff.

To the school, I want to say to those who hurt me and pushed me out; I forgive you even though I am still angry. Try to do better, try to be better examples of what the students hope adult life can be. Too often I have heard, “I thought it got better once you were older? What’s the point then?” Regardless of how you try to hide it, they all see it. Don’t perpetuate the cycle of hurt, creating more adult bullies and thus creating more hate and pain. I felt voiceless because I was not treated as an equal. Especially to the older crowd, I was never given your respect because you only saw me as some kid. You asked why some of the students didn’t respect me? Well, the answer is you never showed them that they should. It was not because I tried to show kindness to them, to relate to them and make them comfortable coming to those they should when things were dire.

To those I care for and left behind, I am sorry I left you. Know that you have been part of my survival and I can not thank you enough for that. I want to visit you, but there is some difficulty disassociating and facing those who hurt me with calm. To the students still there, as well as those from the previous year. I am sorry I had to let you down. I am sorry that I was unable to finish the projects important to you because I was not able to make them a priority. They were important to me because every one of you has been important to me.


Before anyone responds, especially if this finds its way to those that hurt me, do not attempt to rationalize or explain your actions. You do not get to decide how someone feels about your efforts. Make it a priority to take what I have said here and use your voice. Use it for yourself. Many of us, myself included have no problem standing up for others, but when it comes to ourselves, we fail, expecting someone like us to come to our rescue. Don’t lose your voice in anything you do.


Wednesday, March 7, 2018

Cancer and the D-Word

The "D" Word

A well respected and wise educator once said to me, “Sometimes there is the need to put words to paper. It makes them more real even if you do nothing with them.” A little while later, in a workshop, the same person leads a group of educators to the conclusion of what should happen to those real words after being put to paper. The finding, as I can best summarize, that as writers we tend to want to keep our words on the paper to ourselves, however, it brings more significant value to our understanding of those words to let them go out into the universe.  Furthermore, in doing so, we have the unique ability to unknowingly touch the lives of others we didn’t know may have needed them.  So here I am, putting my words to a medium and then letting them go out into the universe.



I am disabled. Admitting disability has been difficult to say aloud or write out because I have refused to believe it. I have been of the mindset that I can overcome any obstacle with sheer willpower. From a young age it was ingrained in me that anything I get, I earn through hard work. So to give in to my weak flesh is something I feel shame about doing. Even the insurance companies and such have me feel ashamed of it as if I am making it all up.



My most significant hurdle it turns out is the negative beliefs I have about being called disabled over the proof and science behind it. Much like a flat-earther, science has no place in a mind made up. The part of the brain where belief resides doesn’t care if the same brain is signaling pain regularly to a missing extremity. It doesn’t bother that the same brain is sending distress triggers from a collection of random sounds, it doesn’t bother that the nerves surrounding a place where lymph nodes once resided flare up with tension. Why should I be allowed not to work and make things difficult financially? Why should I concentrate on my health when so many others are unable to? Why should I receive assistance when there are others who take advantage of the system?

So This is Me


The answer to all those questions? I am disabled. I am slowly coming to terms with it. It helped after being haggled by insurance companies that according to the government standards for disability I meet over seven of their requirements. It helps to come to terms with is talking to those around me. I have been shutting myself in at home of my own accord because I have it in my head that if I am well enough to go to the store or the lakefront I should be well enough to work. However, it is not the same. I can stop those kinds of things whenever I please. A job would be long hours of standing, sitting, walking, concentrating, etc. that I am no longer able to do.

So this is me, not asking for sympathy, not looking for justification. This is me admitting on paper, and out into the universe...

I am disabled