Tag: Dermatologists

Just One More Measly Treatment

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Arizona’s Crosscut Canal connects Scottsdale, Tempe and Phoenix. Depending on the day and the immediate weather, it can carry a trickle of water or channel a deluge of monsoon storm drainage into a network of other canals that irrigate surrounding communities in the Valley of the Sun.

One stretch of the canal winds between Camelback Mountain on the north and the east-west artery of Indian School Road on the south. It’s just steps from the office of Omni Dermatology where, since December 9, I’ve been meeting Amanda (and Claudia, her holiday replacement) three times a week for superficial radiotherapy treatments to bombard the invasive squamous cancer cells on my left hand.

Today was treatment nineteen. I’ll be happy to see it end Thursday morning with session twenty. Certainly, I was ecstatic to hear Dr. R tell me yesterday that my hand has healed beautifully. Still, I’ll admit a strange sense of sadness is creeping into my soul. That’s because I will no longer share stories and perspectives with Amanda.

During each session, we’ve chatted as she applied gel to the back of my hand, rolled a detection device across my skin to monitor the regeneration of healthy cells, taped a square of metal with a hole in the middle over the suspicious spot, placed the blue flak jacket, matching collar and protective goggles on me, and lowered the radiotherapy “gun” until it was secured against my skin.

In the grand scheme of things, perhaps Amanda’s stories were designed initially to distract me from the real reason I was there, the real anxieties I felt at the end of last year. But, over time, we’ve gotten to know each other intimately.

For instance, we’ve engaged in conversations about her son’s ski team excursions to northern Arizona, the identifying southern lilt in her voice that came from her Georgia roots, her part-time job as a real estate agent, my passion for writing and staying relevant in my sixties, and her hope to celebrate her approaching fortieth birthday in Hawaii with her husband. Just today, she told me she purchased my first book From Fertile Ground and was excited to read it.

Shortly after her book-buying revelation, Amanda excused herself for a minute. She left the room. Left me to my devices. Hit the radiotherapy switch. Then, forty-five seconds later–after the quiet hum of the machinery had ended–she reentered the room.

“Just one more measly treatment,” I muttered as she gathered my protective gear.

“It’s so funny you would say that,” Amanda laughed. “Measley, with an additional “e”, was my maiden name.”

At this juncture, I realized the connections before me. The mystical and idiosyncratic language of our lives. The canals in the desert. The tributaries that run through our human interactions without us really ever understanding how and why.

I felt the same synchronicity in St. Louis on July 6, 2017. That’s when Jacob, an EKG technician at Barnes-Jewish Hospital, ran a device and cool gel across my chest. As he performed his duties to determine the magnitude of the obstruction on the left side of my heart, I felt safe in Jacob’s hands. Evidently, he felt secure too, because in the following thirty minutes that day he shared his life story with me … that of a new father protecting his infant son and trying to adjust to a sleep-deprived schedule.

Perhaps because I’m more aware of my mortality in my sixties, I’m predisposed to pondering these present moments … what it felt like to connect with Jacob with my life hanging in the balance … what it will feel like to meet Amanda for just one more “measly” or “Measley” superficial radiotherapy session.

No matter the reason for my acute awareness, I’m ready to put this cancer scare behind me. I’m grateful for what lies ahead along the canal that trails through my desert life.

 

 

Saguaro Scars

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I don’t expect to live 150 or 200 years, the span of a saguaro cactus. Yet it inspires me to follow its lead. To reach for the Sonoran sky. To transcend the inevitable scars of life that appear on exposed appendages. Perhaps perpetuated by a thirsty woodpecker. In my case, it’s a spot of invasive squamous cancer cells on my left hand. A patch that’s beginning to heal.

***

The temperature gauge in my Sonata read forty-one degrees as I pulled into the Omni Dermatology parking lot at eight this morning. Chilly for us desert rats. Though my Midwestern sensibility reminded me of January mornings in arctic Illinois when the cilia in my nostrils froze as I shoveled snow and inhaled subzero oxygen.  A badge of honor for what I endured to earn a living.

Kind Claudia greeted me. Amanda’s replacement for the holidays. First treatment of 2020. Number eleven of twenty overall. More than halfway home. I handed her my blended bifocals in exchange for a less stylish pair of protective goggles, blue flak jacket and matching collar. Ready for another round in the radiotherapy barcalounger.

Claudia applied cool gel for the ultrasound. More flecks of green gremlins on the screen than before. Healthy cells populating where the darkness had been. Cheering from the sidelines. Newfangled therapy bowl game. All that matters is the final score.

Next stop. Secured square metal plate with a hole in the middle. Taped and surrounding the culprit. Quiet conversation with Claudia to hold us in place. No pain. Just procedure. Left hand gripped the padded recliner. Magical mechanical machine lowered tight on my hand like an intimate crane from construction crew captain Claudia. Excused for forty-five seconds. Out of the room.

Just the two of us: me and the humming machine. Less-sinister HAL from 2001: A Space Odyssey. Cold comfort. Scanning the wall through blurred vision. Amanda’s family photos. Notes and files on her desk. Radiation warning sign. Authorized personnel only.

Away-less-than-a-minute Claudia. Three sessions in our week-long radiotherapy affair over. Goggles and gear gone. Blue windbreaker and bifocals with me where they belong.

Back in my Sonata. Two degrees warmer than twenty minutes before. Ten new minutes in the car. East on Indian School Road. South on North 68th Street. Home in time to help Tom fold the laundry on January’s first Thursday.

I’ll do it all over again Monday. Next time, Amanda will greet me. Saguaro scars and all.

 

Standing in the Light

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On this marvelous Monday in the Valley of the Sun–basking in the afterglow of a weekend of holiday performances with my gay friends here in Phoenix–I’m struck with this truth-seeking irony. After stepping out of the shadows in my thirties and forties and standing in the light in my fifties and sixties, I’m finally comfortable in my skin. Yet, I find myself being treated for a spot of invasive cancer on my left hand.

Tom escorted me to treatment #4 this morning. Like the first three, it was pain-free. Just the rigmarole of driving back and forth, wearing a protective flak jacket and goggles, and applying Aquaphor ointment and sunscreen religiously. I can handle that.

Escaping the darkness of an inauthentic life was much more complicated. At fifty-one, I remember the fright of auditioning with Windy City Gay Chorus (WCGC) in Chicago. Even back then, Tom encouraged me to sing again, though it had been decades since I’d performed on stage. I needed a fun, affirming and creative outlet away from work and parenting responsibilities.

In March 2010, a giant door swung open before me. I mysteriously and joyfully found myself singing with WCGC. Later that year I went on to perform in my first holiday concert with the renowned gay chorus … one of the founding gay choruses in the United States. At that point, I couldn’t have imagined I would develop lifelong friends there. Men and women I would share the stage with for seven years. Friendships Tom and I have carried with us across the miles to Arizona.

Now a new chapter standing in the light of the western sun. After yesterday, I’ve completed ten consecutive years of holiday performances. Seven as a tenor two in Chicago with Windy City followed by three more with the Phoenix Metropolitan Men’s Chorus (not withstanding a brief blip as a baritone).

Here in Arizona in a new choral community, I’ve befriended another sixty or so men of all ages and backgrounds. Some of them have stood by me (literally) while I recovered from a mild heart attack. For others, I have willingly given hugs and a listening ear as they fight to create whole and meaningful lives no matter whether their families of origin love and accept them or not.

On stage yesterday in my black tuxedo and red bow tie, grateful for the friends and family members who came to see us perform, I gazed out from the top riser into an enthusiastic audience of four hundred or so. Like a Rubik’s cube with all the right answers aligned, the clarity of the last ten years clicked into place.

The Phoenix Women’s Chorus, a talented group we perform with from time to time in Arizona, was singing on the apron of the stage. They repeated this lyrical refrain from “Stand in the Light”, a song written by Stephan Moccio and Lauren Christy (arrangement by Roger Emerson).

To stand in the light and be seen as you are.

This phrase captures the essence of why I sing with a chorus of gay men. Why I need to be a part of this community in an uncertain world sometimes fraught with surprising discrimination. More broadly, why the LGBTQ choral movement continues to matter for those of us who lived in the shadows for too long.

We must continue to step out of the darkness and sing for those less fortunate. With proper protection and plenty of sunscreen, we must all stand in the light and be seen as we are.

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December, Dermo and Dormancy

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You might think that excellent reports on a Monday from my cardiologist (“your blood pressure is good; your heart is strong; come back to see me in eight or nine months”) and gastroenterologist (“the polyps we removed during your colonoscopy were benign”) would be cause for celebration. You would be wrong.

At the end of the first Monday in December, I didn’t feel happy or relieved. I found myself in a funk. That’s because my dermatologist called on the same 3D-December Monday (cardio, gastro and dermo, oh my!) to confirm “the biopsy showed that you have  a patch of invasive squamous cell carcinoma on your left hand.”

Oh well, two out of three ain’t bad.

After I got off the phone with a skin cancer specialist, who explained the treatment options and assured me that my condition isn’t life threatening, Tom held my hand. He told me more of what I needed to hear. That everything will be okay. That we will get through this latest blip together. That it’s nothing compared with what happened in St. Louis on July 6, 2017. All for the chance to start a new life in a warmer home. To explore our sixties in the wide-open west of possibilities.

After all of this Monday mayhem, I needed to salvage some semblance of normalcy to the day. I needed to feel the fresh, creosote-laced air racing through my lungs. So I took a long walk alone. Along the cross-cut canal. Past the Papago buttes. Five thousand steps on a sunny-but-gauzy day restored my hope. It gave me comfort to see that none of the elements (not sun, not wind or rain) had affected these giant boulders. They were here long before me. Skin cancer or not, they will stand long after I’m gone.

In a separate attempt to rescue my day, I returned home to move our desert roses (aka adeniums). It was time to bring them inside to prepare for dormancy. I do this every December. I suppose, unlike the buttes, all of us living creatures need a little protection from the elements on certain days. Time to retreat. No water. No sun. Time to rest. Time to heal and rejuvenate.

Now it’s Tuesday. December continues in the Sonoran Desert. The sun is casting long shadows at sharp December angles. The adeniums are beginning their winter slumber in our sun room. Their leaves will fall soon and their branches will be bare. But new leaves will reappear in the spring after I carry my favorite desert flowers back outside to feel the warmth of the sun. To grow and bloom again.

Next Monday I will begin my own version of winter dormancy. It will be flecked with cancer treatments and holiday gatherings. Rather than surgery, I’ve opted for twenty pain-free sessions of superficial radiotherapy over the next several weeks. The procedure has a ninety-five-plus percent cure rate.

This course of action will allow me to continue my normal day-to-day activities … writing and exercising … and sing in two holiday concerts with the Phoenix Gay Men’s Chorus on December 14 and 15. Being on stage and performing alongside my gay friends will bring me joy. Tom will be in the audience. My son Nick will be too, along with his girlfriend Aida, her two children and about a dozen other friends I didn’t know in 2017.

Late in January 2020, I expect to receive good news from my dermatologist. Something positive and life affirming. Something like what the cardio and gastro folks have already told me. Perhaps that the Superficial Radiotherapy Treatments (SRT) have fully eradicated the skin cancer cells on my left hand.

Whatever transpires, I am a fortunate guy. Tom and I will begin a new decade in our Arizona home. Faithfully smearing on sunscreen and wearing broad-brimmed hats. Continuing to follow all of our doctors’ orders. Writing, healing and growing together. Watching our desert roses bloom and fade in our less-than-certain sixties.

What more could I ask for?

Cardio and Dermo and Gastro, Oh My!

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It’s a frightful moment from the classic 1939 film, The Wizard of Oz. Dorothy and Toto are flanked by the Tin Man and the Scarecrow. The new friends are stepping ahead. Walking down the yellow brick road. Making their way toward Oz. Preparing to cross a dense forest. Suddenly aware of previously unforeseen dangers. Lions and Tigers and Bears, Oh My!

I can’t imagine a more perfect metaphor for life in your sixties. You’ve earned every bit of progress along the yellow brick road with the ones you love at your side. You can see the trees before you on the path you’ve chosen. But collectively the tall, sturdy and majestic trees form a dense forest. It’s often beautiful. Sometimes daunting. It can cloud your ability to know what’s coming next. Without notice, you find yourself fending off all sorts of maladies. Cardio and Dermo and Gastro, Oh My!

Quickly, you discover how important it is to build trusting relationships with crackerjack doctors and specialists. In my case, this happened in a new city. I still remember the first step. Tom and I had just left St. Louis in July 2017. While he drove us to our new home in Arizona, I sat on the passenger side with two fresh stents in the left side of my heart and a brand new cell phone in my right hand.  From somewhere in Oklahoma, I was calling potential cardiologists in Scottsdale, Arizona. Searching to find the right person to help me recover from a mild heart attack.

That was just the beginning. Eventually, I found the right guy. He was covered under my new insurance plan through the Affordable Care Act (thank you, Barack Obama). I see him (not Barack … my cardiologist) and my primary care doctor every six months.

But I don’t like playing favorites. Since then, I’ve also found a dentist, ophthalmologist, dermatologist and gastroenterologist to round out my preventive healthcare SWAT team, poke me in uncomfortable ways on a frequent basis, and brighten my days. I believe they are all doing their best to keep me healthy for another day. Another year. Hopefully two or three more decades of moving down the yellow brick road in Scottsdale.

You can see why I identify with Dorothy’s dilemma. Of course, I try to relax, remain optimistic and mindful in the face of a family history of heart disease and the latest colonoscopy results. That’s why, beyond the positive effects of my regular exercise routine (walking, hiking, treadmill, stationary bike, elliptical, swimming) Tom and I participate in a “gentle yoga” class every Friday morning.

This morning, when I approached the mirror on the wall in the room at the Scottsdale Senior Center where the yoga magic happens, I saw two familiar faces on either side. Nancy, one of my new Scottsdale friends, on the left. Tom, my husband, on the right.

We each stretched our muscles. We assumed our tree poses. We did our best to stand tall in the unknown forest. To find our edge against all odds. To push our limits without wavering on the yellow brick road of life.