Finding Urethra

“Let’s have you pee in a bed pan today!” My nurse exclaimed with an air of excitement, like we were about to go see our favorite band.

I had been in the hospital for almost four weeks, (to treat Peritoneal Mesothelioma, a rare cancer), peeing through a catheter the entire time. I was game to try going on my own, but I was weak and wasn’t sure I would have the strength to pull myself up on the bed. My nurse took out my catheter then helped me into an awkward position, crouched above a cardboard pan.

The pan looked like a larger version of those biodegradable herb pots, with my vulva like an alien spacecraft hovering above the brown pebbled earth.

“I’ll give you some privacy,” said my nurse, leaving the room.

I looked out the window at the falling snow. No urine was exiting my body. “I command you to pee!” I said in a theatrical voice to an empty room. Nada. Not a drop. I was sweating and wanted to lie down, the position required too much strength to hold.

The succulent-crystal gurus say, “Ask The Universe – with love and gratitude – for what you need. Then visualize having what you need – and poof! – you will manifest it.” So I asked the universe to help me pee, in what I hoped was a loving and grateful manner. Then I visualized a long river-like flow of urine exiting my body – swoosh! I paused, ears tilted, in full manifestation mode. Nothing. Maybe the universe was busy helping people with more serious problems, like those living in war torn countries. I couldn’t blame the universe, I’d do the same thing if I had magical powers & everyone was hounding me for help.

I was sure I was due for another blast of Hydromorphone. After two surgeries and HIPEC, (hot chemo poured in the abdomen and swished around), I was ablaze with pain. I buzzed the nurse’s station:

“Hi. I can’t pee. Nothing is coming out. Also, I think I’m due for more painkillers.” My nurse responded, “be patient, keep trying, it’ll come. And no, you’re not due for more pain meds yet.”

I stared gloomily at my crotch. “I know you’re in there, come out come out wherever you are!” Still nothing. I tried reaching for my water cup and fell into the pan.

My nurse appeared, “don’t worry sweetie, your bladder is just waking up from a long sleep, we’ll try again tomorrow.”

She helped me lie down and inserted a new catheter and we chatted about her weekend plans. I loved my nurse, I loved all of my nurses – they were like athletic shoe-wearing angels tending to me with care and quiet confidence.

“I’ll see about your pain meds” she said, as she handed me a damp towel for my sweating brow.

After five weeks in the hospital – and no peeing on my own – I was transferred to a Rehab Hospital to work on regaining strength, gaining weight and learning to walk again. My left femoral nerve had conked out during surgery, (from being splayed out for so long on the operating table) and I had awoken to find that I couldn’t move my leg.

The nurses at the rehab hospital were hardcore, they were like the Marine Corp of Nurses. They immediately took out my catheter and started “bladder training.” They seemed confident that I would be peeing in no time.

I was instructed to try peeing on my own every two hours. I would slowly make my way over to the bathroom using my walker, trying my best to avoid looking at my emaciated body in the mirror. Sitting on the toilet with the sink water running, I would wait five minutes, then get up and do my haunted girl shuffle back to bed.

Bladder training required waiting six hours before being allowed to have a catheter inserted to void the urine. In between physiotherapy, sleeping and doing my laps around the floor, my bladder would fill up to the brim; it was horrible. At this point I was no longer on pain meds, but I would often sneak a Xanax from my private stash just so that I didn’t completely lose it.

The nurses were required to scan my bladder to see how much urine I was retaining before they were allowed to insert a catheter to drain me. A catheter, in this case a long rubbery one which looked like a hose, was lubed up then inserted into my urethra. The urine would then drain out into the brown organic pan – it was called doing an “in and out.”

Then came the day when one of my favorite nurses dropped a bomb: “you’ll be going home very soon and your bladder nerves are still not working. So today I’m going to start teaching you how to do your own in and outs.” Dear God, have mercy on me please.

Thus began a brief chapter in my life called “Finding Urethra.” Because if you want to drain your urine, you first need to find the hole that it comes out of. And by hole, I mean a really tiny, almost imperceptible slit that is kind of hidden by the rest of the female bits. Maybe I’m in the minority or I missed a crucial health class back in high school, but I honestly didn’t really understand where the urethra was. So I used a mirror to watch the nurse and at night, under my blankets, I examined myself by the light of my cellphone.

I had an irrational fear of doing the procedure on my own. It’s like all my anxiety about having cancer was projected onto this one procedure and I couldn’t imagine that I would ever master the skill. I envisioned myself at home, swollen like a balloon with unreleased urine, until one day I just exploded, spraying pee everywhere.

But like anything in life, when your back is against the wall and you have no other options, you figure things out. One day, having finally located my elusive urethra, I successfully performed my own in and out! I basked in the glory of the moment, telling everyone on my floor my good news. I celebrated by eating an extra cup of ice cream (side note: the little hospital ice cream cups are, unlike all other hospital food, strangely delicious).

A few days later I was discharged from the hospital with a supply of tiny, clear catheters, lube, a giant splint on my leg, a walker, crutches and a cane. It would be six more months until my bladder woke up. Then, one day, while sitting on the toilet, I suddenly heard a beautiful noise – the swoosh of urine! The universe had finally granted me my wish.

Author’s Note:
My bladder nerves only partially woke up; I still have to self-catheterize twice a day. This is what the little catheters, aka, pee sticks, look like:

Rituals

With the Covid nightmare, trick-or-treating is not really happening – at least it’s not supposed to be here in Toronto. Yet this year I found the rituals of Halloween soothing, but in an odd way. Soothing in the way that putting calamine lotion on a mosquito bite calms the itch for 2 min but then you need to put more lotion on. Like a slightly obsessive compulsive soothing.

I probably went to the Dollar Store 15 times, each time buying a couple of skulls, or ghosts made out of hideous flammable materials. I would stare at the walls of merchandise, (while wearing my mask of course) and think, “I just need to find the perfect witch…” Insert “and everything will be alright.” A vaccine will be found for Covid. Biden/Harris will win the election. I will get to visit my brother in NYC and my Oncologist will find solutions to treat the weird symptoms I’ve been experiencing lately.

I would return home and add the decorations to our postage-sized front lawn. Then I would stare at it, as if I were a fancy landscape artist trying to decide where to plant an expensive shrub. And each time I would think “it just needs one more hanging ghoul, or sparkly pumpkin and everything will be perfect.” Of course perfection never came and finally I had to cut myself off from what was becoming an unhealthy compulsion.

It’s now Halloween evening. I have two giant bowls of chocolate bars and chips and I’m wearing a sparkly unicorn headband. So far we’ve had one early trick-or-treater whom we had planned on seeing: our neighbour’s one and a half year old child, dressed like a terrified fox. He picked a matching fox-orange bag of cheetos from the bowl, a socially-distanced bowl. And for a minute everything felt normal. Our face masks not withstanding, it felt like just another Halloween. A joyful night filled with candy and costumes and faux scariness. The real scariness temporarily swept away by the Dollar Store witch’s broomstick. It was a lovely moment.

Continue reading “Rituals”

Teatime

Today I’m trying CBD tea for the first time. I’m hoping it will help my anxiety, which recently has taken possession of my stomach, making it difficult to eat (though I wouldn’t say “no” to a cookie right now). Now that I think of it, I think this little packet of CBD tea, (which I ordered from the Ontario Government), should come packaged with two shortbread cookies. Perhaps the cookies could be in the shape of pills – how fun would that be?!

Like most, (or perhaps all), CBD products, this tea has a tiny amount of THC, 1%. Now to most people I know, 1% of THC would be laughable, it wouldn’t even count. But I’m one of the those THC-sensitive types, it tends to make me paranoid instead of mellow. So let’s see how this experiment goes…I don’t want to end up in the ER again like the time I took too many bites of a pot cookie. 😬

photo from the website envisioningtheamericandream.com

#cbd #edibles #anxiety

Skinny Jeans

It was my first time trying on skinny jeans and I was excited. My legs are stocky, inherited from my mom’s side of the family who were all strong Irish farmers. As a teenager I had yearned for my dad’s long, pole-style legs and had even asked my parents if I could get my legs stretched (I had read somewhere that a lengthening machine existed).

At forty-six years old I had long ago accepted by body, but when I slipped into a pair of size 24 skinny jeans and saw my legs looking strangely slim, suddenly my insecure teenage self reappeared and she was ecstatic. Yet the reason they looked slender was because I had lost weight due to cancer. I was newly diagnosed with Peritoneal Mesothelioma, a rare, incurable form of abdominal cancer and I was in denial. “I’ll take them,” I told the shopgirl. And though I’m ashamed to admit it, for the next few weeks I actually liked how I looked. How sick is that? Speaking of sick, during this same period I did not feel well: I had difficulty eating, major nausea and twice daily panic attacks where I felt like my throat was closing.

My cancer “de-bulking” surgery was eight hours long and included the removal of my reproductive organs, a section of my small intestine and my primary tumour which I had named Maude. It also included a treatment called HIPEC, which is essentially hot chemotherapy poured directly into the abdomen while the patient is still on the operating table, aka a chemo bath.

After several days in the ICU, I was moved to the step-down unit. It was there, ablaze with pain and high on narcotics, that I made a decision: I had suffered enough. I would run away from the hospital and fly to Oregon where I had read they had passed legislation that allowed patients to “die with dignity.” But such an escape would be impossible without my skinny jeans.

“I need my clothes,” I whispered in a raspy voice to my partner. Not wanting to upset me, but suspicious of my intentions, he retrieved my hospital bag and put it next to me on the bed. I pawed at it in a drugged-out frenzy, then passed out.

I awoke to a large tiger staring at me from across the room. And someone had brought their dog to work: “I can’t believe they let animals in the hospital!” I said to myself, horrified. My great escape would have to wait, the hospital needed me; I had to keep watch over the creatures infiltrating the building.

Also, I had a new friend whom I had become very attached to and I didn’t want to leave her. A nurse’s assistant had been placed in my room to guard me, since in my delusional state I had made several attempts to get out of bed (while attached to multiple tubes and monitors). Not understanding that she was there to keep an eye on my crazy self, I thought I had my own private nurse-friend and I adored her.

Due to a myriad of complications, I spent two months in two different hospitals. At the second one, a rehab hospital, the nurse weighed me: the scale read 94 pounds, I usually weigh 120. I had lost a great deal of muscle mass; my legs were emaciated, atrophied sticks and my bum was pancake-flat. I avoided looking at myself in the mirror, it was too upsetting. I begged God to help me gain back the weight, promising never to complain about my thick legs again.

In retrospect I think my early fixation on my legs was simply my way of avoiding the intense emotions that were surfacing. I was scared of dying, who wouldn’t be? But what really troubled me was the idea of hurting those I loved. I was blessed with a partner, family, friends and a one-eyed elderly street dog who all loved me. I didn’t want to cause them pain.

Now, two and a half years later, I am back up to 120 pounds and I’m as stocky as ever. I am extremely lucky to be alive, many people with Mesothelioma don’t live more than a year after diagnosis. And though I’m grateful, I’m also aware that I’m living on borrowed time. So now I wear skinny jeans as often as possible. It’s my way of giving cancer the middle finger.

 

 

 

 

 

 

 

Intimacy After Cancer Treatment

I wrote an essay about navigating romantic love after cancer treatment and it was published in The Globe & Mail Newspaper (Canadian Newspaper).  Here is the link:

https://beta.theglobeandmail.com/life/facts-and-arguments/navigating-intimacy-after-trauma-is-something-no-one-can-prepare-youfor/article36237918/?ref=https://www.theglobeandmail.com&

The Crazy Room

This morning as I was tidying up, I briefly entered our laundry room/office which is our “crazy room.” I think most of us have one of these, or the equivalent – a crazy closet, drawer or cupboard. It’s the place where everything you don’t want to deal with goes to die. And I found myself thinking that the crazy room is very similar to that space in our psyche where we dump all of our emotional crap that we can’t deal with at the moment.

I keep telling my partner, “we need to deal with that room, it’s out of control.” And it’s true, it is out of control. For someone like me, who likes keeping the house clean and organized, the room makes me anxious. But the crazy room is actually more representative of my true emotional state than the rest of the tidy house. The crazy room has unopened boxes, piles of cords and computer stuff, unfolded clean sheets, my partner’s plaid shirts hanging from an IKEA shelf like little headless Grunge creatures, a dead plant, my ileostomy supplies (thank you cancer), a giant box of small catheter tubes (again, thank you cancer) and various other randomness.

And just like I side-step and avoid the issues that I don’t want to deal with, I also breeze right past the dead plant – sitting on the floor – to put in a load of laundry. Why not just pick up the plant and put it out in the green bin? That is what an emotionally healthy person would do, I think to myself as I breeze out of the room again. But somehow that damn dead plant and the rest of the crazy room has come to symbolize all the ways in which I am emotionally stuck, frozen, paralyzed.

I am extremely lucky in that I can afford to see a therapist, it’s a luxury many needy people don’t have. So in a sense I have an ’emotional cleaning lady’ who helps me clean up my personal crazy room twice a month. And yet, somehow, it seems no matter how hard I try, my crazy room never gets completely cleaned. Just as my cleaning lady and I finish cleaning one area of the room, another area beckons for attention. Its boxes need unpacking, its cords need untangling and its damn plant needs to be thrown out!

 

Low-Rider Love

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Growing up, I was always the girl who dreamt of getting a dog, not of getting married. In the end I did get married and it didn’t work out.  The highlight of my marriage was meeting my first real love – a low-rider Corgi with a spirit like no other – I named her Quinny.

Everyone who met Quinny loved her.  It was impossible for anyone – even the grumpiest, most miserable souls – not to smile when she strutted by on her two inch stubby legs with her sassy wiggle bum.  She was pure Joy!  I remember gangbangers driving by in their vintage car and calling out “Hey Low-Rider!”  The same thing happened with tough mortorcyle riding men – they got such a kick out of her!  And the hipsters at Figaro Bistrot loved her too.  The one time she ran away – escaped from the backyard – she went around the corner to Figaro for croissant and Cafe au Lait!

I think of her often and I’m so grateful to her for sharing her spunky spirit with me.

Stanley

Stanley awoke from a long luxurious sleep, stretched and then set out walking.  He turned down the alleyway behind Greenwood Avenue and headed to the grey duplex with the blue trim, number 105.  The back gate was open, so he strolled in.  He was hungry and was looking forward to having lunch with Mrs. Blackwell.  He sat on her deck for about five minutes, enjoying the mid-day sun while waiting for her to appear.  Then he decided to take a stroll through her backyard since she was obviously running late.

Mrs. Blackwell had recently added new planters which were filled with pink flowers that smelled like delicious candies.  He also noticed a new herb garden, each herb had its own little sign: “basil,” “oregano,” “mint.”  He took a little taste of the mint, it was lovely and made his mouth tingle.  In the back corner of the yard Mrs. Blackwell had moved her porch swing, which had received an update with bright new yellow cushions.  Stanley decided to wait there since it was out of the sun and under the shade of a big leafy tree.  He settled in for a mini-nap while Mrs. Blackwell finished up with whatever was making her late for their lunch date.  He dozed happily, enjoying the swaying of the tree’s leaves above him – it was as if he had his own “garçon” fanning him. The sweet garden smells made his stomach gurgle, he could hardly wait to eat.

“Stanley!” called out Mrs. Blackwell.  Her voice was soft, with a hint of a Southern twang.  Mrs Blackwell had grown up in Texas and though she had lived in Toronto for twenty-five years she still considered herself a die-hard Texan, she even had a “Don’t Mess with Texas” plaque on her front porch.  Stanley headed over to the deck and joined Mrs. Blackwell at the patio table under a huge umbrella which she had opened to shield them from the sun.  She had set out two plates of food, iced tea (she was Texan after all) and water.  She smiled at Stanley, thankful for his company.  Ever since her husband Earl had passed away last year she had been terribly lonely.  Having a daily lunch companion who lived right in her neighborhood had lifted her spirits and put a little spark back in her step.

She sprinkled salt on her fresh avocado and tomato sandwich and took a small dainty bite.  “A little slice of heaven!” she said.  Stanley was focused on opening the shell of his giant peanut and extricating the nut.  He tried his best to eat as little of the shell as possible.  He chirped away happily as he finished his peanut and moved on to his walnut.  Mrs. Blackwell loved to watch Stanley eat.  It was like watching an artist at work, he ate so speedily, yet with such grace.  She told Stanley about her busy morning.  She had baked a cake for a friend’s birthday, cleared out her husband’s bedroom closet – which she had been procrastinating about – and called her doctor about the arthritis in her left knee which seemed to be getting worse.  Stanley chirped and swung his tail around in sympathy.

As per usual, Stanley took the last few nuts and stuffed them in his mouth.  Mrs. Blackwell knew his habits well. Now he would be off to hide the nuts for later and hopefully, if his memory served him, he would remember where he had hidden them.  “Good-bye Stanley!  See you tomorrow!” called out Mrs. Blackwell.  Stanley chirped and scurried away quickly.  It was crucial that he bury his nuts before other squirrels noticed that his mouth was full.  Otherwise he ran the risk of having them secretly follow him and then steal his delicious, organic, Trader Joe’s nuts.  It was a tough world out there, but at least he had his good friend Mrs. Blackwell, she was a gem.

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Sally

Sally folded her socks into perfect little balls then lined them up in soldier straight lines. Next she tackled her underwear drawer, folding them in half and placing them in piles according to style: hipster, bikini, briefs.  She used plastic dividers that she had bought at the dollar store to separate them.  After adding lavender sachets to both drawers, she sat down on the edge of her bed and took a long sip of Chardonnay.

Sally had just finished reading “De-Clutter & Manifest your Dreams!” by Dr. Bryanne Goodwyn.  Dr. Goodwyn – a Lifestyle Psychiatrist – wrote that a disorganized home reflected a chaotic psyche, a psyche unfit to receive the universe’s abundance. Therefore, in order to manifest one’s dreams, a person had to first get their home in order.  “De-Clutter & Manifest your Dreams!” had come into Sally’s life at the perfect moment.  She had been struggling with how to talk with her boyfriend, Derek, about the fact that he had not yet asked her to marry him.  But since reading Dr. Goodwyn’s book, Sally realized that she was partly to blame for the fact that she still didn’t have an engagement ring. Sally’s closets, drawers and cupboards were completely disorganized, there wasn’t any room for Derek’s belongings.  The message that Sally was sending him was: “You’re not important enough to me for me to make space for you.”  Thank God for Dr. Goodwyn, it it were not for her book Sally would’t have realized that she could manifest her dreams, which included marrying Derek.

After organizing all nine dresser drawers and emptying out three of them for Derek, Sally decided to take a break and work on her visualization board.  Dr. Goodwyn recommended creating a visualization board for all the things that one wanted to manifest in one’s life. Every morning she advised focusing on the board while repeating these words:  “I have de-cluttered my life to make room for my dreams.  I am deserving.  Thank you universe for your eternal love & please help me on my journey of manifestation.”

Sally’s visualization board was massive, she had a long Manifestation List.  The top left corner was dedicated to her wedding, with photos torn out of bridal magazines.  It was going to be a summer wedding, the theme – Rustic-Chic, with flowers in mason jars and long, country farm tables.  Her dress, designed by Jessica McClintock, was strapless with a sweetheart neckline and was ivory – not white – lace.

The top right corner of Sally’s visualization board was dedicated to her obsession with Corgis – the breed of low-rider dogs that the of Queen of England was famous for owning.  She wanted two of them and she had already located a breeder in a nearby state.  Their names would be Petal and Charlie. Unfortunately Derek didn’t like dogs, he preferred cats.  In fact he took care of his neighborhood’s feral cats, about fifteen of them, leaving food and water out every night and building elaborate cat hang-outs on his front porch.  During the winter months he even had specially heated covered cat beds.  Sally had some serious visualization work to do on this issue – there was no way in hell that she was going to be known as The Crazy Cat Lady and she didn’t want Petal and Charlie getting fleas or worse, from the wretched creatures.  Sally drained her glass of wine and walked over to the fridge to pour herself another one.  For a brief moment she worried that perhaps Derek was mentally unstable. The feral cat caretaker thing was a bit much – I mean what kind of person does that?

At eight o’clock sharp the phone rang.  It was Derek, he always called her at 8:00 PM on nights when he had to work late.  “Guess what?!” he asked happily. “What?!” cried Sally, trying to contain her excitement.  “Remember how you told me about that de-cluttering book you were reading and about how in order to manifest our dreams we had to first get our house in order?”  Sally was pleasantly surprised that Derek remembered her telling him about Dr. Goodwyn’s book.  She always figured that he kind of tuned her out when she started talking about her newest self-help book.  “Yes, it’s such a great book, really empowering,” Sally said.  “I know, it’s amazing!  I read the whole thing in one sitting. Then I took the day off work today and re-organized my entire condo.  I gave away eleven bags of stuff to The Salvation Army.”  Sally felt a little irritated at the idea that Derek had co-opted her book and one-upped her by de-cluttering his entire place, Sally had only finished her bedroom.  “Wow. Congrats to you,” she said, “How do you feel?” she asked.  “I feel SO good!  Organizing and purging was somehow like the jolt that I needed to move forward with my life.  I see things more clearly now.”  Sally held her breath, this was the moment she had been waiting for.  Although a marriage proposal over the phone was not ideal, the important things was that it was happening.  She took a sip of wine as Derek continued.  “I’ve realized that my dream is to open a cat sanctuary.  I’m taking a six week intensive training course on Animal Rescue, it starts next week in Denver.  My neighbor, Mrs. Jubas, is going to take care of my feral cats while I’m away.”  Sally exhaled.  You have got to be kidding me, she thought.  “Sally, I have you to thank for this incredible turn of events in my life.  If you hadn’t told me about Dr. Goodwyn’s book, I never would have de-cluttered and manifested my dream.  I hope that you manifest all your dreams too.  Sally, are you still there?” Not only was her Rustic-Chic wedding not happening, but Derek was a better Manifestor than her.  Sally turned off her phone and walked over to her visualization board.  She tore off all the wedding pictures, but left up the sections entitled “Dream Home,” “Health & Beauty,” and “Career.”  She also kept her Corgi pictures up.  Tomorrow she would call the Corgi Breeder.  Fuck Derek and his stupid cats anyways.

 

Cake

Friday was my birthday, but I wasn’t in the mood to celebrate.  Earlier in the week I’d had to put down my beloved dog Leroy.  I felt like my heart had been ripped out, stomped on and then thrown back in my body.

Being so emotionally exhausted, I had totally forgotten that I had a brain scan scheduled. My Neurologist, a handsome Euro-Chic man who wears the most gorgeous Italian loafers, told me six months ago that if my aneurysm grew at all he would have to perform a procedure called “coiling” to keep it from bursting.

The funny thing is that when you already have a terminal illness and you’ve endured difficult treatments, finding out that you have a brain aneurysm really isn’t so bad. LOL. As long as the Neurologist didn’t have to open up my head during the procedure – and with coiling you don’t have to – then I was fine with it all.

But by Friday afternoon it all started feeling like it was just too much. Cancer + euthanizing my dog + brain aneurysm = bullsh*t!  So to celebrate the fact that my life was completely ridiculous, I bought myself a giant chocolate cake.  My partner does not eat sweets – how is that even possible?! – which meant more cake for me, yay!  One of the wonderful things about my partner is that he allows me and encourages me to just be myself.  He understood that I had to grieve the loss of Leroy and that I was in no mood for a typical birthday celebration.  So he let me binge watch “Nurse Jackie,” while I pounded back white wine and stuffed my face, toddler-style, with cake.

Saturday morning I woke up with cake smeared on my nightgown and mascara on my face.  I took all of Leroy’s stuff and threw it in our office/laundry room – the one room in the house which always looks like it has just been bombed.  Then I started obsessively cleaning the couch, vacuuming up every last Leroy hair that I could find.  I aired out the pillows on the deck, smashing the pillows against each other to rid them of Leroy’s beautiful brindle hair.  Beating up on the pillows felt cathartic and the tears started flowing. I cried for the loss of Leroy, whom I had loved fiercely and who had been by my side every minute of my recovery.  I cried because there was a very real chance that I would die before my parents and I couldn’t handle breaking their hearts.  And I cried thinking about leaving my partner behind and how one day he would probably be with another woman.

Crying felt so damn good, why didn’t I do it more often?  Why did I always try to control my emotional reactions?  I cut myself another piece of cake and sat outside on the deck, in the cold, surrounded by couch pillows and Leroy’s remaining hairs.  Crying + cake = just the kind of birthday celebration that I needed.

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