One Year On

On December 3rd, 2019, I got my second cancer diagnosis. It wasn’t wholly unexpected by the time it arrived, but news like that still takes time to digest. You can read more about it here, if you want. My assumption at the time was that this would be the problem that I’d spend the next year navigating. That I would have to shape my life around it, one way or another.

2020 laughed at us all, didn’t it?

From the vantage point of twelve months later, cancer was just one of three major issues I ended up having to deal with. Of the three of them, it hasn’t been the hardest to get past, and it’s actually had the least impact on my day-to-day life. The others were, of course, the COVID-19 pandemic, which has upended and ended lives around the world, and the unexpected death of my father just as the pandemic was seriously getting started. Amid all of this, I can actually count myself a little lucky: as serious as my cancer is, it hasn’t been a massive burden to add to everything else 2020 has brought.

Yes, my cancer was and is serious. Lung cancer, stage 4, not curable. I have regular checkups and slightly less regular scans to monitor its progress. My running career has come to a grinding halt, and I can still feel the cancer’s presence with every deep breath or truncated moment of exertion. But I had a lucky break: a mutation in the cancer gene meant I was suitable for a pill-based therapy. Four pills, morning and evening. Minimal side effects and no need to be plugged into a saline drip for hours at a time, or have bits of me irradiated.

The result is that after being beaten back at first—allowing me to sleep more easily and largely eliminating my persistent cough—the cancer has been held in check for the rest of the year. The last few scans have been almost boring in their sameness, and my doctor and I have been enjoying informatively brief get-togethers for the past few months.

There have been hiccups, of course. Back around April and May, I found myself coughing up blood occasionally. No cause was ever found, despite a bronchoscope giving the medical profession yet another chance to poke around the inside of my lungs, but the fact that this coincided with the stress of my father’s funeral and the aftermath seems to offer a neat explanation. The pills have not been entirely without side effects either: a rash on my legs and a lowered heart rate that has seen me heading for my bed earlier than I might otherwise. (Typically I’m more of a morning person anyway, as several ex-girlfriends have bemoaned, so I’m not sure that many would notice any difference.)

Back when I was first diagnosed, I expressed some hope that I’d be able to spend some of 2020 travelling and writing. Prioritising things and people that matter to me. As it happened, none of that worked out. COVID-19 meant that international travel of any kind was off the menu, and the stress of living through a pandemic, family bereavement, and a cancer diagnosis turned out to be (surprise!) not conducive to the creative spark.

As the year has drawn to a close, I’ve started to get moving again, though the latest lockdown has kept travel far away. I did the 2020 NaNoWriMo challenge and hit the 50,000 word mark on time, giving me a boost of achievement that was sorely needed. Okay, so I didn’t actually finish the book I was working on, but I did at least prod my writing habit back into life. I’ve also kept up my walking in the face of worsening weather: work’s “Walktober” event probably helped with that.

Last of all there’s been Christmas. A strange, truncated Christmas that I managed to spend with my mum in the face of imminent lockdowns across the island of Ireland. A grab for normality as hopes for 2021 are born in the swirl of Brexit deals, vaccine arrivals, and the departure of at least one straw-haired headcase from the corridors of power.

For the past year, I’ve been appending these posts with a “Cancer Update.” Doing my bit to let people know how I’m getting on without broadcasting it on Facebook. With the end of the year, I think it’s time to retire that. As mentioned above, I’ve been enduring well enough through the year, with minimal side effects and struggles (cancer-related at least). While I’ll keep updating this blog, the “Cancer Update” will only reappear if there’s actual news to pass on. If it doesn’t appear, assume that things continue much as they have in the past year. Though I won’t take it amiss if you contact me to say hi and ask for a more detailed update.

So the time has come to crumple 2020 up and consign it to the dustbin of history. We’ll take our good memories where we have them and look to 2021 for a chance to improve things instead. I’ll continue to post irregularly, no doubt, and hopefully will have a chance to inspire some envy with travel posts before too long. After all, one advantage of cancer is getting bumped up the schedule for a vaccine shot…