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For my beloved dreamteam

 

 

20-01-2011
Last year it was quiet, too quiet, on dolceVitas. For years I found inspiration in creating beautiful colors and shapes. Until suddenly everything changed! All gloss and color disappeared in that awful black hole in which panic and fear coagulate into solitary agony.
My only child had cancer.
If someone so unexpectedly is swapped away out of his comfort zone, to land on that frightening planet Cancer, for a while he doesn't know anything anymore. Till you realize the residents over there have the same hopes and fears and are sharing as much knowledge as possible. At least that creates a bond. In addition, in recent years, on medicine an enormous progress is made and this shows a lot of hope and possibilities. 
But still!

 

The images are my attempt to discover beauty and harmony in aggressive body tissue and foreign cells
.

 

It was such a wonderful spring morning. I was supposed to babysit my granddaughter: super fun! Usually when I arrive my daughter  already has gone to her work. Not so this morning. She sat quietly behind her PC. Everything seemed normal. Until we were sitting outside in the sunshine, drinking coffee. Then I heard the most shocking news! My daughter told me not worry, because the worst was already behind her. But there was a strange lump in her breast. In the hospital they said it was a cyst and cysts are harmless. Yes, yes!
That was the beginning.

Of course there was a puncture done to be sure. Only, on the day my daughter and her partner came for the results it appeared the report was missing.
 Mistakes are only human. Though it is difficult, on such important moments, to put that in the right  perspective. Certainly when valuable time gets lost and more faults happen. Only a few weeks later, it came clear something was seriously wrong.  It was agreed a breast-conserving surgery would be the best solution. That sounded reassuring.  How little did we know!
Fortunately, my daughter and her partner both have a background in journalism and many questions, and Googling later, the confidence in the local hospital quite wilted. 
Time for a second opinion.


After examination, and having heard her story, my daughter was welcome at the best Dutch Cancer center: the Anthony v Leeuwenhoek hospital. That felt good straight away. The whole approach is so different there. The atmosphere is not something like you are lucky to be alive anyway. Besides the medical knowledge they take importance in helping the patients find new confidence. Which is, in addition to the strictly medical treatment, super important for a young woman who is about to lose her breast.
The AVL also needed time to reach the right decision. Until it became clear  the tumor was huge and on such a nasty place  - right in her cleavage - that saving of the breast would mean a mutilation for life. In the local hospital they had'nt said anything about this!
So it became an amputation. Fortunately it was possible to place an immediate denture. A world of difference! Not only saving extra surgery. It also looked much better right away. Of course we had seen the big breasts bible with pictures of previously treated women. No scar was the same. Sometimes it looked sad, but mostly they had done wonders with the cosmetic restoration work.
Yet we were aware that it would never be the same anymore. But let's be honest, the only thing what mattered was the complete removal of the tumor and the message that no metastases were found. Which fortunately happend to be the case.  
Which didn't mean that, especially in the beginning, everything remained tenced. Like would no infections occur and would the body accept the prosthesis?
And then, what was about to come next? Chemo's, getting sick, and bald?  And how sick was sick anyway?  In short, what could we expect?

The AVL has the protocol it's better not to introduce someone with too much information at once. Because of this, after the operation there was a short breather. That was a good thing, because the operation went well, but not without complications.  Then began the preventive chemotherapy. And yes, that meant a bare head. So we had to get a wig. We agreed to shop for it together and try to make something 'pleasant' of the event.
However that morning the fun was hard to find. It was the only time I found my daughter angry and rebellious. The new chest she bravely accepted as a new part of herself, but she feared what was about to happen now. Everyone has their own breaking point and in her case it all came out that moment.


Until then the three of them had managed wonderfully well. My sweet dream team is a close and brave little family. Even the eight years old daughter gave her utmost. Of course, her parents had protected her as much as possible from any bad news. But basically, she knew exactly what was going on and  about to happen. The parents had warned that children might tell her Mommy was going to die now and other of these ugly messages. Indeed this happened. Not out of childish cruelty. Their fear needed to come out as well. It was a side effect of the openness my daughter and her partner had chosen for. When their kid would have been much younger, it would have been different, but eight years is an age when, so to speak, jars already have very large ears. It turned out to be good to relieve all sorrow and grief at school and share it in group discussions, or during intimate moments with the teacher. A lot better than the shameful silence of death before. In that sense there really is gained a lot. Because when mom some time later for the first time - with wig and all - appeared on the playground the children had called admiringly, she looked great with the hip wig. This was a very welcome boost! It's quite a leap in the dark to go for the first time - with a thick layer of make-up and cool styled eyes - to face ther outside world again.

That relaxation was far gone on that morning, which we would step into the wig shop. The tension was intense. Suddenly everything became eerily real.
Of course the bestseller book of Sophie van der Stap The nine wigs girl was laying on the table at home. On top of a stack of rapidly rising medical information. Which only the fact that all the books were at hand was more than adequate. So many nice gifts and provided useful information was almost too much. 
The wig shop was recommended by the AVL.  It was perhaps not the most fashionable shop, but t
here wasn't  time to start shopping around. Fortunately the expertise of the owner brought once a relaxation which at before hand we didn't dare to hope for. What a relief, after trying on only a pair of glamourous wigs, to hear my daughter say, "this is going to be OK, Mom!"
Of course it was terrible to miss the beautiful long hair. Therefore, the alternative was a wig approaching her own hair as close as possible. After the purchase it was immediately a lot easier for her to think, "and it's not forever." So ended the day started so gloomy with a singing daughter. Not only in control of the wheel of her car, but herself again.

Cherishing and cultivating the good moments always appeared to be healing. I like to think back to a delicious lunch in the woods, nearby my house, a few days after the first chemotherapy. It was an exceptionally beautiful late summer afternoon. We did not even had much to say any more. It was simply nice to sit together and watch our little treasure at the playground.  Meanwhile, looking  with suspicion if anything of the feared hair loss was seen. There was, at that time, no trace of it, but a few days later it suddenly went very fast.
That Sunday, after breakfast, was the day that the three of them bound together the pathetic tufts of hair. The eight-year-old was mom's braid trim. After which the cut hairs were carefully preserved in an antique box.
Although it was a nice ritual,of course they shared some tears. 
You can imagine the relief when an hour later a beautiful, wigged diva came down the stairs.
"Rata Tata, look at me" had sounded triumphant. Another battle won!

Only the first chemo was not that bad. 
We had agreed my daugthers partner would bring her every week to the AVL. I would pick her up and stay as long needed. That gave us all air. It was nice to get things to run smoothly and I was amazed at my energy. Often enough, I had read that people have extra emergency reserves. If someone flops down exhausted on the bench he will be instantly awake when a fire occurs. It's said power to cross. I felt something like that.
 Besides, we were all strong. At that time I devolved great admiration for the man of the house. Besides his concern for the home front, he also had to keep his newspaper running. Really not easy.
The all of us reamined positive and strong. However this didn't mean, once in a while, there occurred bad moments.
Everything was extremely sensitive.
One of the first times my daughter was taken her chemo-infusion an older couple, on the next bed, tried to cheer her up. For the woman  the chemo's only meant postponing the inevitable. The woman had previously lost her breast and experienced afterwoods six wonderful years. Those were golden years. Yet, for a young mother,  hoping one day in a far away future, to become a sweet grandmother this massage was hitting hard.
It might be going reasonably well all together. Without too many complications. At moments like this one is immediately thrown back to square one. Because you really can't guard yourself against such unexpected confrontations. They're everywhere. So every time my heart shrank together when attention was paid to the newly released bestseller film Love-Life. Made after a autobiographic book by the Dutch writer KLuun. In this book he dealed with the cancer proces of his passed away wife. That Mirror came too close.

One of the most moving memories was the moment when I entered the bathroom  to find a sick and shivering daughter sticked against the heater. The eight-year-old had installed herself with toys at moms foot. Determined not to let her mother alone now she had it so hard. So we sat together for half an hour. Then my daughter plunged in bed with her laptop. In those days I learned to value the new social media. My daughter shared all misery with fellow suffering. However luckily she slept mostly through all the misery.
We did agree that, even if she didn't really felt up to it, to come to the dinner table at night. Those were the golden moments when life seemed almost normal. Our sick chicken always sheered up from the few bites she ate, but most of all from the friendly chatter of daughter.
If after a few days the strange, red chemo-head turned back to normal also her energy came back. Although don't think too much of that. 

In the beginning, we did assume it wouldn't be possible to celebrate our annual family highlight: Christmas! Therefore, the finer came the last moment dession it still could become a Christmas-light after all. With Christmas tree and sparkling balls.
So we got through the first months. In the new year, the weekly chemotherapy followed by a lighter version every three weeks.
All in all, it was a tough year. Yet we felt afterwards that it actually went pretty fast.
In the late spring slowly the hair came back. You can imagine the triumphant moment, at the start of  the holidays, when the wig could stay home.
However, there was a scary moment for which no one had warned. The last afternoon of the vacation she had been sitting on a terrace in the sun. When unnoticed, the prosthesis started to behave like a hot water bottle. It was a feverish flight back. Would the again swollen breast reject the prosthesis? Fortunately, the AVL immediately ruled out everything seriously and exactly as the doctor said, declined the chest, after a few days, back to normal proportions.
Of course my question was if she sometimes only had sat in the shade during the holiday? That was not the case. But then there always had been plenty of cooling waters around.

That unexpected, rising fears that there  always something could go wrong will remain for a long time. I know that the current generation of patients can fully benefit from all progress. But that doesn't mean that fate, once more, might strike again. In this respect a visitor at the chemo-rooms in the hospital mercilessly has  to face the hard facts. Too often I saw women who had the disease, sometimes several times, returned. Women who sometimes were even younger than my daughter. Women who sometimes  had to survive in more severe conditions.
I think of the divorced women with kids who had nobody to fall back on. Or the women who were cruelly abandoned by their partners. I think that, for the really tough days, possibly chemo-buddies should come. Or something like chemotherapy-inns where, togehter with the kids, one gets lovingly cared for. This kind of intense disease processes are really too heavy to to wade through on your own.

And then I have a tip!
I was happy if my daughter knew I was already in the building when she got her infusion. Therefore I was as early as possible in the AVL. Upon arrival, I brought her a large cup of freshly squeezed juices. Liters she could drink of it. I think during the chemo period the harvest of a whole orange plantation was squeezed through. After this she fell asleep and then it was time for me to treat myself on a warm cup of consolation. They have good coffee there. Less is the reading material at the reading table. The people of the AVL have so many important things on their minds they overlook this.
At the very beginning, during the first trials, I once spent hours at the reading table. When a few months later the chemotherapy started again I had to wait many hours. I was surprised to find the same old magazines still laying at the table.
I fully understand that the reading table is a forgotten place. But at the same time I personally experienced how a little distraction is a bonus when people have to wait long. Therefore I brought nice glossies which were left behind. The reading table, at that time, suddenly looked a lot more interesting and I had a lot of chuckles when I saw how they were liked. 
I do think everyone will understand that I hope, never again, having to return to the AVL.
 But perhaps it's a good idea for other visitors to find some fun in spreading nice reading material aswell.

 

 

One of the last days of 2010 was the big moment for the last Herceptin infusion. These kind of infusions are less severe than chemotherapy. Yet it was all the time exciting, because the drug can affect the heart. In which case it should be stopped immediately. That's is not to hope for, because Herceptin is tremendously important for cancer of the type Her2neu. The drug functions as a sort of key on doors, behind which still might be left cancer cells with nastly plans. It gives a lot of extra security to know they can't escape.The same applies to the hormone cure. A daily pill to be swallowed for seven years. It's a tiny pill with major consequences.
To keep the hormones as low as possible, in an artificial way, a woman is put into the meno-pause. Yet not all women can take this. While, in this phase, a woman needs all her inner resilience required to fight for a new future, she can suddenly gain very much on weight, or gets plagued by severe depressions. Many experience these complications as a stab in the back.
Aftersince the immediate treatment stops, everyone wants life, at once, get back again as normal as possible. Too bad this isn't always the case. It has been talked about a black hole in which someone (temporary) can fall. Besides most of the time someone doesn't directly gets their old energy back. 
At the moment the cancer is diagnosed, everything is geared to get the crap out of their body as soon as possible. At that moment all energy and fighting spirit is designed to stay upright. This is a phase in which a person performs a fight from where he derives strength as well. If after a passive phase dawns - no longer resort to direct one's fighting spirit - this can be quite tough. A new balance should be found and that takes time.
Nietzsche said so beautifully "What does not kill somebody, makes him stronger."
Well yes, in the end it will!
But even though the sun always rises for free. It sometimes takes quite a while before it will shine in all it's glory again. Fortunately, there are support groups like Belle and Balance that preform lovingly work on the healing process.

In this respect I agree with the Dutch Olympic winning swimmer Maarten vd Weijden who is himself a first class Cancer fighter. He has known enough fellow fighters who, despite everything, passed away. Cancer simply isn't a contest with winners and losers. I'm sure everyone, and to equity in its own capicity, gives it's utmost.
On that alien planet Cancer everyone is working very hard to find the way back home. That's why I also agree with the statement of the Dutchman Peter Capitein. The man of "Alp du Six. Also a cancer patient. He believes in physical challenges and makes himself very strong to overcome Cancer as a deadly disease... within 10 years!
Perhaps both men might seem to have contradictory opions, but on planet Cancer it's not about either/or. Here both sides of the medall count. Although - for the time being - still the fact remains that no diplomas or guarantees are granted for life. Ultimately, fate is inscrutable.

I sometimes say some one is certainly loosing a piece of  innocence when he gets confronted with such a dramatic breach of his health. I mean, the knowless somehow something can go wrong again remains always in a croner of the head.  
On the one hand it feels like you're always have to be on alert.
At the other hand, there is sublime wisdom, and inner peace, in the awareness how precious each moment is and how big the ineffable value of love and true friendship.
I could see in my daughters eyes how happy she was with all those many attentions "Mom, it really helps!" Could she say.  Pointing at the never stopping growth in cards, flowers, gifts, phone calls and visits.
It is of the utmost importance indeed that someone doesn't feel depreciated and continues to receive support.
Remember, in tough times, every sweet gesture is sucked at a much deeper level than is the case in normal circumstances. 
Too bad, the opposite is true as well. Indifference, or inability to respond hurts more then words can express.