I remember high school so well. All the choices I had to make were so dire. The question of what classes to enroll in was less about preparing for a prosperous career and far more about ensuring I could sit next to the pretty girl. The question of what to wear was less about practicality and more about grabbing the attention of anyone who would feign an interest. The question of what to eat was less about what my body needed to sustain itself and more about what would help me look a certain way. The questions of high school were so exhausting because they were never as small in my mind as they were in reality. In my mind all of these things had to be just right; when to wake up, what to eat, what to wear, what colour my hair should be this week, how to style it, what time to show up, where to go, who to sit with, what to do… It was all so important. I agonized over every decision and invariably still managed to get the majority of the answers wrong. What I, and most high school students today, failed to realize is that life is merely preparation for more living. High school is a time that prepares us for what’s ahead. Unfortunately, all of the decision making that I was so constantly aware of as a student still didn’t prepare me for the choices that laid before me.
I remember thinking as I awoke the day after my surgery, ‘waking up in a room full of people staring at you is one thing, but feeling like you got hit by a truck and having to be personable at the same time is just unreasonable…’ It must have been mid-day because in the room, on the foot of my bed sat the surgeon. Standing beside the bed was the team of interns that worked directly beneath him. Karen and Niko were there with me, they had arrived earlier in the day and had been sitting playing a fun game of ‘poke the baby: watch him giggle’ while I had been taking yet another narcotic fueled nap. It strikes me that this time in my life was much like an episode of House only instead of draining an hour of your time, its your entire life, and no one laughs because there is nothing funny… At this point, my life is an unfunny episode of House with no commercial breaks, and no end in sight… As I drifted back to the waking world I became a spectator watching my wife have to deal and cope with her absolute worse case scenario. I wanted to be involved in what was happening around me but between the pain of the surgery and the high doses of narcotic flowing through my veins it was like I was in a front row premier of the tragedy that was my life. As I came around and the doctors began to notice me, the conversation shifted. My surgeon was an amazing guy and I hope that these remembrances of my time in the hospital do not paint a darker image of who he was or what he did for me. This is a man who saved my life and afforded me the opportunity to write these things to you.
As my surgeon began to address me he told me of the surgery’s success. That despite the fears and struggles of the surgery, I had pulled through and made it safely (relatively) to the other side. He asked me how I felt and I remember describing the pain as similar to waking up in the middle of a traffic accident and he noted that I would need more pain killers. At this point the doctor had finished his gamut of testing and sat with a file several inches thick and began to explain to me exactly what was happening in my body. The news was expectedly bleak, like the blast of the cold winter wind that bounced off the hospital window it was sharp, piercing. The cancer was in the final stage of progression. Stage 4, colorectal cancer. The cancer had spread throughout my body, into all adjacent organs and worse yet, it had journeyed to the one place that the doctors feared the most: my liver. As I vainly attempted to keep my composure, the doctor continued by saying that the biggest issue I was facing was the seriousness of the tumor attacking my liver, and that there were a few important things to keep in mind. First was the immensity of the tumor itself. At the point of diagnosis, my liver tumor measured approximately 11 centimeters in diameter which meant that the majority of my liver was cancerous. The second thing to consider was that, as advanced as we are, and as far as we have come with research and medical breakthroughs, metastatic liver cancer is still a cancer that is incredibly difficult to treat. The third thing to consider was the surgery that I was just freshly recovering from, the intense nature of that surgery had left me with a colostomy and an open wound in my abdomen that was more than two centimeters wide (the incision was left open to ensure I wouldn’t get sepsis) and almost 15 centimeters from top to bottom and my body would need some time to recover from this surgery before we could consider any further or aggressive treatments.
The sum of all of these considerations was that the cancer was too far spread, the organs that it had spread to were far too damaged, the surgery had left me far too weak and the treatment was far too dangerous to be an option. The prognosis was given; I would have approximately 60 days left to live. I took a moment to let that sink in. What would you do if you had 60 days left on this earth? What is it that is most important to you? Some well-intentioned people have told me I should check out this movie called The Bucket List, that I would really enjoy it and perhaps it would inspire me to create a ‘bucket list’ of my own. Well, the reality is, I have a bucket list. My list of things that I want to do before my time is up contains a mere 2 items: First, I want to be a father to my son, to watch him grow and teach him everything he needs to know, to support him and care for him no matter what happens in his world and to be here for him so that he will always know that I love him. Secondly, I want to be a husband to my wife, to help her raise our little boy together, to help her realize her dreams and make them a reality, to watch her grow old and be here beside her so that she will always know that I love her. So there, I have written out my ‘bucket list,’ unfortunately my items aren’t quite as superficial as climb a mountain and try skee ball, my dreams, my list, my ‘musts’ before I leave this world involve me being around. Being present. Trying my best to be adequate. And most importantly being here. So how do I cope with a proclamation of a 60 day expiration date hanging over my head, wherein I will spend the majority of that time recovering from a surgery that just saved my life and simultaneously is standing in the way of pursuing further treatment? What do I do now?
The doctor and his team give us some options. The first that they suggest is the one that comes with the stamp of approval as the most recommended course of action. They will set me up, either in hospital or at home, with all the medication and care I need to be comfortable, they will give me the space and treatment and time I need to say my good-byes to this world and all who are in it, to everyone who means something to me, they will make me comfortable and I can take my final months to focus on mending relationships and saying goodbye. Or, the other option is to wait for my body to recover from this surgery, which will take weeks, then immediately jump into an aggressive chemotherapy and radiation therapy and try to eradicate some of the cancer in my body, while keeping in mind that this option still comes with the same prognosis because of the liver tumor. The difference between the two options according to the medical experts is quite simple. One option allows me to spend my last two months with friends and family in a comfortable setting, in a comfortable state, and the other option forces me to spend my last two months in agony dealing with the side effects from aggressive chemo and radiation. He reminded me that the option to treat would essentially rob me of the time that I had left and that at this point my focus should not be on quantity of life, but rather quality. He said he understood that some people have a need to try to fight the disease and that the option was up to me. He also understood that this was something that I could not simply decide on the spot. Do I roll over and die comfortably or do I fight in vain? Is this a matter of will? Determination? Pride? What is best for me? More importantly, what is best for my family?
As the team of doctors left Karen and I to think about our course of action (and I say ‘our’ purposely because we are now and have been in this war together, side by side, dealing with this thing as one, so her thoughts and needs and decisions are my compass in figuring out what I want to do and what we will do together) our eyes meet. I can see her looking at me wanting to have the serious discussion while needing to run away from it. Her mind is visibly racing and her emotions are thick on her sleeve. What do I want to do? Those are six words that are currently absent from her vocabulary, and I couldn’t be more in agreement. What do we do right now? We do what’s most important. We focus on each other and our family, we spend time together and we worry about the big decisions later. The most important thing in the world for me is just talking and we spend the rest of the afternoon until the evening avoiding the mammoth (yes, it’s much bigger than your average elephant!) in the room that is my prognosis and the need for an eventual discussion surrounding our intentions, desires, and difficult decisions. We speak of memories, of moments, of all the time her and I have spent together in the mere 16 months since our first meeting. We laugh until we cry about all of the ridiculous things that we encountered in our time on the road and as the day turned to night and visiting hours were up, we had managed to avoid the destructive conversation completely, and just spend a day together as we had so many days previous, before doctors, and drugs, and diagnoses, before hospitals and the fresh hell of our current situation. We spent the day just being who we are, who God created us to be; the other half of each other. We were complete because we completed each other, and that was never more evident than in the bassinet that held our son. As Karen and Niko left for the day we smiled, the expressions on our face masked the reality of a heavy day of discussion ahead tomorrow, in that moment we were just like any other happy family.
When left on my own my mind was a flood of disastrous thought. I fell asleep that night thinking about my options and really pondered hard about whether my strong urge to fight was a matter of pride or a matter of determination. I cried out to God that night, praying about this pivotal choice and confessed my true and strongest emotion to God. I was confused. I needed guidance. I needed to know what I was supposed to be doing. How can this reality be part of the bigger plan, the mystery unbeknownst to the rest of us and something that God preordained and destined me to from the time I was in the womb? Did God decide that cancer was going to be my fate? That I would yearn my entire life to become a musician, and the second that I attain some measure of satisfaction with where I am at musically have that ripped from me, only to throw me into a hospital bed and let me die of one of histories most heinous plagues? Is my story the story of a boy who spends his entire life searching for a girl who accepts him only to finally find her hiding away in a country halfway around the world to meet her, fall in love, get married, have a child and die all in under a year and a half? Is that my lot?? How can God give me the world and then tear it from my hands like a child’s favourite toy? Why must I endure year after year of emotional punishment just to sort my life out and ultimately end up dying of something that wasn’t preventable in the first place. I suppose all of these questions, statements, prayers, amount to the same question: Why me? I fell asleep at some point still wallowing in this state and the dream I had would change the course my family was on forever.
As I drifted back into a much needed and well deserved sleep I was able to dream and for the first time in a long time I woke up and remembered everything. It was as clear as a movie and more real than any dream I’d ever had. The scene was set with Niko as a teenager, probably fifteen or sixteen years old. He had on a pair of old jeans and a white and blue tee shirt. He had grown up to be such a great looking young man and as I watched him walk through the hallway of a home, he sat down at a table with my wife. Karen was breathtaking, she looked as she did the first day I met her and as the two sat together I became aware of the heaviness that was the tone of the room. Both figures were incredibly sad and looked to each other for comfort and strength. Finally, after some time had passed, it was Niko who spoke up. ”Mom,” he asked “why didn’t dad try?” As the words formed off of Niko’s lips Karen’s heart was shattered and she looked up from the table where her gaze had been resting to Niko and then to me. As she stared through me, my own heart sank and I began to weep. I cried so hard that it woke me and I was still crying. The image of my own teenaged son questioning why I didn’t fight was more than enough motivation. If it was the last thing that I was ever going to do, if I was destined from birth to succumb to this disease then I would set a positive example for my son and I would go down swinging. I called Karen, still in tears we talked for a moment as I described what had just happened to me. As I described the dream in detail to her she was silently crying on the other end of the line and as I finished retelling the story she was quiet. The moment of silence faded into an eternity, and at once our question of what to do seemed so insane. What other option was there? What else could we do?
We fight.