Testicular Cancer
In 2008, five
years ago to this month I had surgery to remove a tumor from my body. The
eventual analysis of the tumor's cells showed that it was cancerous, and the
doctors said I needed chemotherapy.
At this point I considered getting treated back home. That route,
however, was an impossibility due to my lack of insurance in America. So I
remained in Japan and underwent three rounds of chemo. I could not work during
that time. Nor did I have an apartment because my company had forced me out of
my former place once I stopped teaching. To get by while I was in and out of
the hospital I relied on the kindness of friends. From one day to the next I
slept on a floor. But that didn't bother me. I was happy just to have
somewhere--anywhere to spend the night.
Post surgery |
This
period of treatment was a major downer. I had so many dreams and hopes
shattered by the onset of my illness. For one, I had planned to soon start a Master's course, but that would not happen for several more years because of
the financial setback the cancer situation created. At the time it
seemed like it might never come to pass. The future had shifted from a firm and
tangible horizon to a dark, cruel shroud of uncertainty. That was for me the
most difficult thing to handle. I had lost control over my life and the
direction in which it was headed. Slighted by my own health, I did not know
when I could work again, or even where for that matter. But I was certain I would become
better. I told myself from the beginning no matter how dire my circumstances
became I would fight and pull through. A person with operable cancer has little
other choice than to think that. Listen to the doctors, get the treatment, and hope for the best.
After
four months my chemo ended. I had follow up tests and they showed that I was in
the clear. I could now return to work, but another three months passed until a
position opened up in Gifu. It was there that I rebuilt my life. I threw myself
into my teaching and saved up money to travel and do the other things I enjoy.
However, the threat of recurrence still loomed heavily on my thoughts. To be
sure I was free of the illness I went to the hospital every few months. A blood
test checked for tumor markers and a CT scan showed if any irregular growths
had developed in my abdominal lymph nodes. Prior to my original treatment it was there that the doctors
had told me the cancer metastasized.
These
trips to the hospital have continued for years. In fact, this very morning I
went in for the results of some tests I had undergone two weeks ago. At this point the possibility of recurrence is very low, yet recent
stomach pains had me worried. The cause could be any number of things but in
the back of my mind I had feared it was from the swelling of my lymph nodes. So
I was quite nervous while I waited to be called into the doctor's office. Once
inside, he asked me to take a seat and brought the results of my tests onto his
computer screen. Doctors in these situations never get to the heart of the matter right away.
They show you numbers and images that are indecipherable to the common man, and
say something along the line of "this *data* here, and this *image*, and oh yeah, this *information* too, well, it all
indicates....." and that's
when they finally share the verdict. As I leaned forward on the edge of my
seat, the doctor told me I was still cancer free.
What he
couldn't tell me was why I had stomach pains. I didn't care. I breathed a sigh
of relief and left the office feeling like I was emerging from a large, seemingly
endless cave in which I had lost my way.
Outside the sun greeted me with a kiss of warmth. The sky was blue, the
trees shone green and all was right in the world. I hopped in my car and drove
straight to work, arriving in time for second period. The class began with
greetings. "Good morning," I said to the thirty something teenagers
seated before me. "How are you?"
"I'm
fine, thank you" said a boy.
"I'm
hungry," said another. "And you?"
"I'm
great." For once I really meant it. "Five years! Five years! Five
years!" echoed the words inside. Never had they sounded so sweet.
Making Sense of It
As I type
this I still have so many thoughts running rampant through my head. The past,
the present, and the future, in my mind they've always been anchored against
the tide of cancer. I catch my reflection on this computer monitor before me. In it I see
the man I am, one shaped by an experience I hope none of my friends will have
to suffer through.
Life is
not so kind though. A few months ago Vicky, a British girl I had befriended in
Gifu, was stricken with breast cancer. When I found out my heart went out to
her. We met the night before she left for London and it was so difficult to say
goodbye. I knew very well what awaited her, and I wished at that moment I could
have frozen time to spare her from the pain and anguish. But I am no such
magician, and I could do no more than to hope that the forces at play grant her
a quick recovery. She continues with her treatment to this day. From what I
understand it is going well. In time she will be better, and then it will be a
long walk forward until she too steps outside the shadow that the threat
of recurrence casts.
Before Vicky left |
I think
of another friend at this time as well. His name is Ryota. We met at the
hospital in the same ward undergoing the same treatment for the same type of
cancer. We were both 29 as well. What were the odds? Needless to say we became fast friends.
Because
my family was in America at the time they never visited me. Mom wanted to come
but I talked her out of it. I didn't want her flying half way around the world
only to sit by a hospital bed. "Wait till I'm better," I told her.
"Then we can do something fun." That said, I felt a certain
loneliness being separated from my family during such a trying time. But then
appeared Ryota and his family. I remember when his mother came into the ward
and saw me lying in the bed next to her son. Ryota introduced me, and she did
not hesitate--not for one moment--to take me in beneath the fold of her warmth
and affections. And like that I became an adopted son of the Yamigawa family.
With Ryota, his daughter and mom |
My
friendship with Ryota is a special one. When people ask how we met, I always
tell them, "it was through the most unusual of circumstances." I say it with a
laugh because its one of the few occasions that I can use the expression
truthfully and without hyperbole. And for five years now we've been friends.
Following our dismissal from the hospital, I've seen him when I can. The
last time was in February. I went to Ishikawa prefecture where Ryota is a train
conductor. He has a wife named Kumiko and a young daughter Minori. Had Ryota
succumbed to the illness they would have been at a great loss. Me too, for I
absolutely love the guy.
Towards
the end of my stay we visited a hot spring facility. Ryota and I sat shoulder
deep in a large pool of steaming water. Behind us a wide window faced east into
the night. Flakes of snow collided against the pane, but you'd have thought it
was raining because of how quickly they melted. In this setting we talked, and
the conversation turned decidedly profound, similar to one that takes place
around a camp fire at night, or on the clear mountaintop.
"Life
is a gift," I said to him, "But we sometimes fail to appreciate it.
You know, like so many other things given to us."
"I can't disagree with that."
"Well,
after the cancer do you think you value your life more?"
"In
some ways perhaps."
"For
example?"
"I
may have never seen my daughter grow. I may have never again pulled back on the
brake of a train and felt it yield. Those are the things I live for. I realize
that more than before."
"I
know what you mean. It could be something as simple as the sunset. When I see
one I know it will be there every evening without fail. But one day I won't be
alive to witness those colors, that brilliance of light. I understand that more
now too. And the sunset seems so much more beautiful because of it."
Ryota
leaned back deeper into the water and tilted his head upward. "It's good
to be alive," he said with a sigh.
"It
is."
Still going strong |
The Simple Truth
Life is
precious, yes. But everyone understands that. The experience with cancer taught
me another, more important lesson. That of freedom and choice. We live to do
the things we want when we want, and in that we find happiness. But when we are
no longer free to exercise that control over our lives we feel trapped and
frustrated. For me, when I had cancer I was in such a position, and it made me
miserable for eight months. So once I became better and was free to act as I
chose, I made good on the opportunity.
Even now
the drive to enjoy life burns strong in my heart. There is so much to do and
see, and if I don't act out, I feel like I am watching this existence of mine
flicker by, while piece by piece it vanishes meaninglessly into the past.
Before I did not think this way. I had become somewhat complacent. Now I am
awake. Beauty, majesty and good times can be discovered at every turn, but we
must first take the steps to get there. To an extent we are free to do so
though not all of us choose to exercise that freedom. Life becomes routine. The
years blend together. Only a few highlights stand out. Then we realize decades
have passed and with them those freedoms that only young age and good health
could afford us, at which point it is too late to do a damned thing about it.
So we try to take satisfaction in what we've gained along the way and project
our hopes onto others. That though is not the path for me.
Life is in the freedom of the moment. Cancer has shown me that. I have more focus, volition and urgency in my choices than before because of it. There are no guarantees to count on. I must make the most of what I have now...while I still can.
Life is in the freedom of the moment. Cancer has shown me that. I have more focus, volition and urgency in my choices than before because of it. There are no guarantees to count on. I must make the most of what I have now...while I still can.
So much to see and do |