Thursday, January 9, 2020

It’s Shot Week



               As part of my on-going treatment for multiple myeloma, I receive a shot once a month of Xgeva.  Xgeva is given to MM patients and cancer patients whose cancer has metastized to the bone. The primary function, as I understand it, is to help prevent breaks.
               For me the routine is as follows. Once a month, I go to the Vanderbilt labs for blood work. I then go to the oncology room to wait on the results of said bloodwork.  When I started this process, my wait time on results took approximately 1.5-2 hours. The last 3 times have taken up to 4 hours.
               Since my diagnosis, my opinion of sitting in a waiting room has drastically shifted.  On the day that the lesions were found in my bones by an orthopedic doctor, I went directly to my primary care physician to begin the diagnosis process. She pulled me directly out of the waiting room and began running tests. I cannot tell you what it meant to me to have her attack my issue so quickly and thoroughly. And now, when I sit in a waiting room, I think about that and I think about the next person who might need a quick response to a life-altering diagnosis.
               With all of that said, sitting in a waiting room for 4 hours is still not a comfortable scenario. The seats are hard and the magazines are old. My phone battery inevitably runs down and the afternoon shows on HGTV are always re-runs. As a Christian, I do use the time, however, to pray, for myself, my care team and the others in the waiting area. This week, there was some relationship drama playing out in the waiting room. It’s hard on my soul to listen to people fight, even if I am only getting one side of the conversation. I found myself deeply sorrowful for the young woman who was hashing out her relationship in a room where living is the main objective. I sure hope she finds her worth and a man who values it.
               A sweet nurse took me into one of the oncology rooms about 3 hours into my wait. I was so thankful for a warm blanket, a tv remote and a reclining chair. It would be another hour before my oncologist gave his approval of my labs for me to get my shot. And then, just like that, in a matter of 10 minutes, it was time to go.
               While everyone reacts differently to treatment, the aftermath of my shot is always pain. Pain in my joints. Pain in my back. Pain in every major bone in my body. Oh, and a raging headache, not a migraine, thank God, but a doosie nonetheless.  The pain is pretty intense in the first 24-36 hours. I walk like the crooked man walking his crooked mile. They tell you to take Claritin, and for the life of me I don’t know how it helps, but it does.  I take Claritin as part of my nightly meds and so going to sleep with the pain is less problematic than it would be otherwise.  However, I take a different antihistamine during the day, and it does not seem to affect the bone pain.  Go figure. 
               Today is day 3 after my shot this week and I’m beginning to feel better with only lingering pain in my right shoulder blade (the one that was broken) and hips. It’s much easier to ride the pain out when you know it will eventually go away. I’ve never had a high tolerance to pain, or illness for that matter, so every time I work through the “after-shot”, I remind myself how far I’ve come. It’s as important to the healing process as any prescribed medication, and some days just as hard to swallow. I don't get it right every time, but I'm learning.

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