Baha’is believe in life after death. It comes with its own set of responsibilities. We believe that the body is a vessel for the soul. Effectively a bucket that contains your soul. Once the bucket is full, you kick the bucket, as it were. Different people, different size buckets. This is not a competition to see who can fill up their bucket first. It also helps explain the death of people at different ages.

Baha’is are not allowed to be cremated. We end life by returning to the earth, completing the circle. Our ceremonies are short, except for this one prayer for the dead. It consists of 19 verses that are recited 19 times. Though not considered a holly number, the numbers 9 and 19 appear frequently in the Baha’i faith.

We are exhorted to be detached from all material things. They have such little intrinsic value that we should put our efforts in improving our spirituality as opposed to massing huge amounts of wealths and possessions. Is that Van Gogh really worth millions?

Another virtue we are told to exercise is that of moderation. We are told to use moderation in all things. Including moderation in using moderation. There is a mind bender. There is an issue at this point. Maybe that Van Gogh is worth the millions as opposed to something else I have in my art collection. A moderate price indeed.

I was back in hospital last Wednesday evening with a temperature of 38.5. My temperature was down to normal by the time we got to the emergency room. I knew the answer to the question about whether I was there to see a doctor or not, this time around. I think I also looked a bit sicker than last time we went in. The emergency room was quite busy. I was eventually ushered in. Blood tests were done, cultures raised. I was held in the unit all night. They had to draw more blood at three in the morning for more cultures. All to prove that I was the picture of health, except for the amazing number of metastasized tumours in my lungs.

And therein lies the issue. The lungs are being infected at an alarming rate, with the tumours frolicking hither and tither having the time of their life. I was sent home from the hospital and told to control my temperature fluctuations with Tylenols. Not much the system can do for me at this point.

The trials had failed. I was referred back to Dr. Hedley who is on sick leave waiting for his knee to heal. EMails were sent and an appointment was made to see Dr Hedley on Friday afternoon. Decision time.

I was optimistic. I had assumed that the inflamed liver was due to it fighting the tumours and winning the battle. The hospital visit appeared to make a mockery of that thought, but I held on to my optimism. Dr. Hedley came in on Friday afternoon specially to see me. He gave Janet and I a gigantic hug and we went into a consulting room. Shahnaz, my wonderful nurse was there, as was a student nurse. We had a 90 minute consultation. The decision to be made was the following:

1. Do more Chemo. This is the FULLFOX treatment. Side effects include numbness of the fingers and toes, extreme sensitivity to cold, to the point where you cannot open the fridge door. Ideal for a climate such as Canada’s. There would be a 30% chance of success, which in my case would mean slowing down the growth rate. We would know within three months if it was working and would have to stop the treatments in six months. We would then be back to where we are now.

2. Do nothing and let nature take its course.

The obvious question that came up is what does the status quo mean. How much time do we have. I had to ask since that was the only way we could come to some decision. The answer was quick and shocking. I have two months.

Dr. Hedley was quicker to add that the number is not written in stone, specially given my record. Regardless of its accuracy, the amount of time left is counted in months. What were we expecting. A year, Janet and I said. He shook his head sadly.

There it stands, two to four months.

We are numb. What is there to say. My sense of humour fails me. I have nothing to say. Janet says she does not accept the verdict. She is defiant. But there is little left to say.

I have spent the last few days letting people know. Tears have flooded involuntarily. We are all sad, living in a surreal existence trying to make sense of this. Two months is such a short time. This is October, then November, then December and the end. Maybe. Still too close for any level of comfort.

We are about to start doing the practical stuff. Transfer all the accounts to Janet’s name. Complete a power of attorney.  Put together a living will? Make sure we have people to look after the house for Janet. The furnace repair man, the contractor, the computer technicians. We are making a list tomorrow. Janet is taking time off work so we can spend more time together. It is all so mundane, and yet I feel fortunate that we have the time to do these things.

I have stopped day dreaming. Seems little point to it after all. What will my kitchen look like? My garden?  The thoughts are barely in my head before the streaming stops. Almost as if my computer has frozen requiring a reboot. I have trouble sleeping at night. I lay awake often to two in the morning until exhaustion takes its toll. Is that becomes dreams are now harder to come by? What is there to dream about? I have no idea what the after life looks like.

Will I see my parents again? Will there be a welcoming committee? Bunch of girls in hula dresses dancing and draping flowers around my neck? OK, so I watch too many movies. Will I see old friends, like Judy Elder? I imagine the after life as a continuum into eternity. A progression of the soul as it moves through the ether. The evil ones start lower while the saintly ones have the advantage o starting on a higher plane. I figure I am somewhere in the middle. I will be happy as long as I can Gandhi and not Hitler.

We have also started planning for the final days. We have an appointment with palliative for November 9. An appointment with the funeral home on Tuesday. The strangest part of all this is that I am basically healthy and sound in great spirits. I called the funeral home. Has the person died yet? No, I am working on it. Everyone is amazed that I am still laughing and joking. I figure these are my final days. I would like people to remember me with joy on my face rather than sadness.

My mother spent the last three weeks of her life in hospital. She was not in very good shape. I spent a couple of hours with her on what turned out to be her last night. We had always been very close, except during her cancer period. She turned to Fetneh to look after her. The last night was very precious to me. I showed up at hospital around midnight. Those were the days of lax security. We talked a lot. She had made sure that no one would be allowed to see her in the last three weeks. She said the way she looks is not the way she wanted to be remembered. She died the next morning. I remember looking art her body lying in peace, finally and thinking she is indeed dead. The soul has left.  That last memory has remained with me for the past 31 years. She was right. Remember us with the passion we had when were in good shape, not as we lie in pain in hospital.

We are going to Atlanta next weekend. Leaving on Friday, returning on Monday. It has to be short. We cannot take the chance of something going wrong while in the U.S..  We have been told that things could go from right to wrong in seconds. I believe it. I wake up sometimes, not feeling quite up to snuff. I return to bed to recover my strength. This morning was one of those mornings. I seem to be fine now. Nothing like a bunch of steroids and Tylenols to perk you up. The steroids open the lung channels, and the Tylenol deals with the pain. Miracle workers between them.

We are staying in a hotel in Atlanta. More privacy. Devin is coming down from New York, and Fetneh is joining us from Montreal. My family is planning on spending a lot of time with me over the next little while. Fo’ad has cleared his schedule and intends on coming up to Toronto to spend a week at my place. Our hotel is opening its doors again.

The whole situation is surreal. I will keep saying that. There is not other way of looking at it. You talk about your own imminent death. What kind of conversation is that to have? Defies sanity. Everyone keeps asking what they can do for me. The only thing left is to enjoy each other’s company. Talk, laugh, have a good time. Nothing else matters.

I am planning to have a plain casket, made from pine. I am told that these are available. I would like a stamp placed on top that says: Property of God. The style will be along the type that was used in raiders of the Lost Ark. I am not going to have a guest book. We will instead have markers of different colours available so people can sign the casket. I can have your names with me for the next part of my journey. That will also save Janet from having to send thank you notes to everyone. Consider yourselves thanked.

This has been a very difficult entry to make.  We received the news last Friday. I have had this open on my computer for a week now trying to find the right words and cadence.

I thank you for being there. For listening, crying and laughing. Hopefully more of the latter.

Yesterday was the one year anniversary of my operation. I am not sure if anniversary is the right word. I guess it would from the point of view that I am around to make this entry. On the other hand, I am not sure one celebrates an operation, specially an eight hour job.

I had lunch with my father in law the other day. I always enjoy his company (he may be reading this). We talked about the operation. I remember waking up and wondering when they were going to start. We are finished they said. I lost eight hours with those words. I have no words for what it feels like to lose eight hours out of your life. Almost a full day.

No recollections, no memories, nothing. Eight hours just went by and you have no idea what happened. You are alive, so it could not have been that bad. The lack of recollection is hard to forget or get over. My pa-in-law remarked that it is probably as close as we can get to death and come back to this life. Strange thought that. If that is what death is like, then I will have no recollection of that either. Except it may last a bit longer than eight hours.

I am seeing my oncologist this coming week, and my surgeon the week after. I might suggest we have champagne to celebrate. If only I drank. A number of my friends wanted to know if I was about to change my ways and start drinking.

On a separate note, I got a phone call from a telemarketer from the U.S.. She wanted to know if I wanted to move by business bank account to the TD Bank. I told her I was out of business. She went on to explain the benefits of making the move. I told her the company was closed. She went on again with her script. Again, I said, the company is closed. Oh, you are out of business? I told her that was a bit harsh and I still prefer to say that y company is closed. They can still provide me with some services, for instances coming up with a new business plan.

There was little point in continuing. She was very nice on the phone. Had a good way about her. I did not want to be rude and just hang up. I told her that I was not interested because I have cancer. She did not miss beat. Calcium is good for fighting cancer, she has read. A telemarketer is giving me cancer advice. Wonderful world is it not?

She mentioned that calcium creates an alkaline environment which is not favorable to cancer cells. She also suggested that I deprive the cancers cells of oxygen. I explained that while it was true that an alkaline environment is not favorable, I am not sure how much calcium you have to take for it be effective. It is highly probable that the amounts you have to take would damage your system. That is possible of course, but she had just read an article on calcium healing cancer. She was a nice lady.

I think every day of my friend who is about to go into palliative care. Her cancer has run its course, I accompanied her for her appointment with the department the other day. Strange to be there. I am glad I went.

Why does it take a crisis to find out who your friends are?What is it about a crisis that brings some people closer to you while alienating others?

We read and talk about people not knowing what to say, or how to behave, but I think there is more to it than that. Not sure what it is, have not read any studies on the subject. Maybe I should. Or not. There appears to be some opportunism or reverse opportunism in all of this.

A bit of – I have no use for this person any more. They have stopped being fun. Turned into a downer. All they talk about it their chronic condition. Not interested in watching sports any more. Not interested in shopping and all the other things that made you fun to be with. Why is the chronic person so quick tempered and angry all the time? Time for new friends, or more to the point, renewed friendships.

People rising to the occasion, visiting, talking, making their presence felt one way or another. Everyone catering to their strengths. Some just dropping by for a visit, companionship. Others making conversation, others lending you their cottages, or places to while away your time. Whether one takes advantage of the occasion, the offers, is hardly germane. One appreciates the sentiment, the offer, the gesture, the sentiment.

People are constantly telling me they might die any time as well. Avoiding the crisis. Death is hardly ever a pleasant conversation, nor is the specter of imminent death, whether speculated as something that is about to happen tomorrow or in ten years, a very pleasant thought to live with. Yet, here we are. Are people attempting to defuse the subject? Is there a benefit to telling the chronic person that there is competition to dying?

We would surely leads our lives differently if we believed truly that we could die at any minute, negating the doomsday scenario that prevails the chronic person. We live our lives the way we should, planning ahead, looking forward to watching in horror as our children grow up. Waiting patiently for the grand children, the travels, the parties, the friends.

Only a crisis provokes serious concerns about imminent death. The concerns soon evaporate as reality set in. We do not know when we will be lining up at the pearly gates. Even my friend who is dying and is seeing the palliative doctors has really no idea when the day will come. We just know that we have to be prepared for it in a way others don’t.

The crisis that is my condition has subsided somewhat. People have returned to their daily lives. This just a footnote to keep track of. So it should be. It is enough that it has disrupted the lives of one family, let alone a need for it to disrupt those of so many more.

I have been very disturbed since the last CT-Scan results. We were progressing in such amazing ways that the sudden stop has been very unsettling. We knew it was coming. Everybody stop reacting to their Chemo cocktail at some point. 17 Chemo sessions is a lot to put the body through and expect stellar results. At some point the body just gives up and stops reacting. I am there.

The repercussions of this are not known. We live day by day not expecting much. This is not a negative feeling. You just have to learn to appreciate all things at all times.

I was lying in bed last night when the visual of walking along a precipice presented itself. I imagine a whole bunch of us walking along this precipice not daring to look down. Some stones crumble off the edge as we take our walks and fall silently into the unseen depths below us. A bit of our life chipping away? Fewer days ahead?

The edge of the precipice is crowded. Some are closer to the edge, others further up the small hill that abuts the precipice. We are all milling about, recognising some faces, talking, making new friends, contemplating, sitting in silence. We lose someone occasionally as the ground beneath them crumbles taking them in the void below. Some people congregate taking solace in the crowd, others stray farther afield treasuring their solitude. Yet others remain close to the entrance hoping against hope for a way out. The nature of the crowd changes continuously.

People move towards the precipice, as life is coming to a close, then back off as they are given a reprieve of sorts, more time. Time for whatever you think deserves it.

In the distance you see a wall behind which there are suitcases and backpacks and purses and containers. Everyone comes here with their baggage, real or imagined. They topple to their fate leaving it all behind. It accumulates gathering dust, rotting into the ether, a reminder of sorts. I will let your imagination sort that one out. There are tags on everything identifying the owner, some still with us, others long gone. The dust of time hangs heavy in the air. No one ventures further in.

Should you dare look down into the precipice, you will see nothing. Deep, cavernous, never ending, the sides shrouded in mist. People toppling over in silence. No screams or shouts of surprise at the fall. If you listen carefully, you might hear a heavy grateful sigh. A soul leaving the body perhaps, a sigh of gratification maybe.

There is a sense if resignation amongst the crowd. No one has given up. There is no sadness. The inevitable fall is staring us in the face. Yet, we mingle, compare notes, talk, laugh and make the best of it. No longer a question of why but rather one of when?

The first did not have an answer, and the second is no better.

© 2010 I Have Cancer Suffusion theme by Sayontan Sinha