Tag: Dermatologists

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.