“I’m happy about your results,” my oncologist says over the phone. She’s relaying the radiologist’s report from my recent PET scan. I’m surprised by the felt sense of release, even though I had convinced myself that this time I wouldn’t let it get to me. I wouldn’t let the anticipation of the result become an invisible weight I carried. But it was still there. The difference is, I’m stronger now, and I can carry it without letting it drag me down.
Still, my light-as-a-feather release moment was short-lived. My quick translation of what she said was, “I’m done, I’m cancer free! Whoopee! Finally!!” But then she proceeded with what I didn’t want to hear which meant: it ain’t over yet.
The Coles Notes version is that there are lumpy remnants of disease bound up in my scar tissue. There are still a few small nodules left over from the breakdown of the big tumour. I focused on the positive: it’s no longer in my other breast, sternum, liver, lymph nodes, or in the suspicious activity that showed up in my right lung several months ago.
“There is a new lesion in your spine at T4 that we are going to have to keep an eye on,” she continued. It’s a game of give and take, and what is left over is where I have to count my blessings. My mind quickly grasped for an explanation.
I had two terrible falls last year where my heels went over my head and I smashed hard onto my back. Both involved slipping and landing on solid slabs of wet rock. The first time, I broke my fall with my left arm, which fractured my humerus and left me with a frozen shoulder I’m still patiently thawing out.
The second time was a classic ass-over-teakettle slip down the stone steps to my garden. That time I remember lying there motionless, afraid to move, praying that I hadn’t broken my back.
“Could a fracture or major trauma in that area cause a higher glucose uptake in the scan?” I ask. I can hear the desperation in my voice and feel my heart squeezing around panic. “It could,” she replies, “but the formal report says that it is likely a metastasis.”
This is how it starts: fear finds a crack to get in. If I look away and let it in, it will take hold—and that is what metastasizes and spreads. That is what alters my experience from being free to becoming a prisoner. I know I have to nip it in the bud—not with denial, but by shifting my awareness to a greater Reality that will guarantee my safety.
This is the thing: the radiologist is commenting only on the supposition in cases like mine. The last PET scan was done over a year ago, when the orange glows of sugar uptake in my report were polka dotted in too many places. Assuming that cancer “spreads,” all the orange glows led to the presumption that it was all cancer — even though healing tissue also takes up sugar. This is my own disclaimer on these super sensitive machines that pick up everything. I was never completely sure that was the case, but I didn’t want to biopsy bones and organs, so I went along with it, hoping it wasn’t as bad as it seemed. It was most likely denial, but at the time, it was the only defense I had to keep going.
The radiologist comments on my scarring as a “surgical site,” which it is not. The scar tissue was not from a clean cut surgery. I wanted him to know what I endured—that I didn’t have the option for a quick and easy removal of my problem. It’s more like a mesh of healed tissue from a decomposition site. I find it mildly annoying that the guy writing this report has no idea what I’ve been through and writes without considering my falls as a possible explanation for the T4 light-up. I recognize my annoyance is guarding what I want to keep safe, so I let it go with my next out breath.
My oncologist is thorough and pulls up the last three PET scans, spanning two years, to compare them on her screen. “Maasa, you really should see the changes in the imaging. You can literally see those orange globes of light around your body dissipating with each scan. I think you would feel really encouraged if you could see what I see,” she says. I love this woman, especially because she wants me to just keep doing what I’m doing. And even though there is no real end to talk about in terms of treatment, I decide that this is good news—because really, it doesn’t change anything. I can keep living the way I am.
I had decided I wouldn’t live suspended on “what ifs.” There will be more tests, and the only constant is change in whatever direction life flows, so I’m training my mind to anchor to what is steady and forever. It’s ongoing daily work — practicing permanence in a world that only guarantees impermanence.
I was nervous when I signed up for a workout class that I used to do in my twenties. I’d been feeling the nudge to get strong, to push healthy oxygenated blood through my system for a house clean. To feel those endorphins combat the restrictions in my body, to be told what to do by a guy that inspires me.
Coach tells me not to ask questions and just do what he says. That is exactly what I need: just show up, do the work, and get on with it. I survived the first week of a strenuous, sweaty workout, which confirmed for me that so much of how I feel depends on the limits I place on myself. Sure, I have to modify here and there, but my body followed the state of my mind that chose not to let anything get in the way.
My monthly treatment in the chemo lounge was right after class on Friday. My veins were so pumped that, for the first time, the nurse couldn’t get an IV into me. It gave me a funny sense of satisfaction—even though it hurt to have her poke and prod until I finally relaxed and let her in.
It’s helping my mindset to know that the cocktail of two drugs for my targeted therapies does not damage my healthy cells. Instead of attacking fast-dividing cells like chemo, they target and block the receptors that fuel the cancer cells. The hope is that, without fuel to grow, those unruly cells will weaken. With me strengthening my own immune defense through everything I’m doing—mostly mindset, herbs, supplements, and exercise—they may eventually remember their true function and return to behaving like healthy cells.
My life can easily be defined by tests and the shifting statuses of this disease. What I’ve learned from the latest PET scan is that I’m still reaching for the finish line — and I don’t want to be in a race. My path is the one I’m on, and anticipating it to be any different will only cause me grief.
Tests come in three-month increments. Thankfully, the next one is an MRI, which I requested because I need a break from the radiation of these nuclear medicine machines. Rather than reaching for a different kind of life or pinning my hopes on a better scan result each time, I’m practicing being here now — finding perfection even in the nooks and crannies. To be an expression of the good stuff I want to share — and for the rest, I place the future in the hands of God.
LESSON 194 ACIM: I PLACE THE FUTURE IN THE HANDS OF GOD.
LESSONS FROM MY LUMP 