At 1:45 PM on Friday September 5th, 2008, my future changed.
Actually, my future had been altered sometime earlier this year. I noticed a small lump on the left side of my neck. Being 55, I have gotten used to the bumps, lumps, and irregularities which accompany the aging process. As Summer wound down, I visited my long-respected Dr. Dan Thompson for a routine physical...and a check of the now growing, disregarded bump. He ordered CT scans which showed "some mass - probably a cyst". Dr. Dan suggested Dr Bruce Campbell, a Director of Head and Neck Surgical Oncology at Froedtert Hospital.
Prior to our appointment at Froedtert, my wife Colleen - R.N., researched cysts. Working on this assumption, we were both dismayed to realize I was probably going to have a small scar just under my chin from the day surgery needed to remove the cyst. 2 days later we were at Froedtert for our quick in-and-out visit.
Dr. Campbell is the consummate professional. He was on time, thorough, and asked basic background. He did a routine mouth and throat exam, reviewed the CT screens and than brought out a laryngoscope to get a better view of my lower throat through my nose! This scope has a long "tendril-like" black hose with a bright lght and Hi-Def camera at the end. It films the journey downward (sound like a Disney reality ride?). Up the nose and down the throat it went with my wife and the good doctor watching the computer screen - I had my mouth open, eyes closed tightly, and breathed quite carefully.
I sensed a subtle difference in the room as the tube snaked down...down...down. And then...the tube was retracted and I relaxed. Dr. Campbell suggested we watch the film while he explained what we were looking at. Way back and way down, at the base of the tongue, there was a "sore" and a golf-ball sized (1 1/4" diameter) "mass" - the obvious cyst I would have removed. My wife started weeping quietly and, to lessen the obvious tension and now believing the cyst scar would be bigger than expected, I asked Dr. Campbell to switch the computer to ch 30, ESPN for the Brewers Game...
"Mr. Walt, you have a Squamous Cell, Stage 4, Tongue Cancer..." "There is a tumor on the base of your tongue and it has spread to the adjacent cervical nodes(hence - the 1 1/4" lump)"
That room got very hot almost instantaneously, and perspiration flowed freely from my forehead. "It can be treated with radiation and chemotherapy..." My comprehension skills were dimming when I realized how Colleen had to be feeling and how much I needed to support her right then and there. She had just left a challenging healthcare meeting concerning her father to join me at Froedtert...and now her husband has "Cancer - Stage 4!" That's more than most families should deal with in a decade, much less 2 hours apart. My "Head of the Family" instincts kicked-in and I asked about cure rates, types of and duration of treatments, could it be something-anything else?
It's amazing how one thinks in different planes during extreme moments of challenge. "How do I approach this with my kids, friends, co-workers, and business associates?" "How come I don't physically feel different with Cancer vs without?" "Why did this have to add to Colleen's concern for her Dad - and why now?" "Do I trust Dr. Campbell or do I need a second opinion?' "Now that I have Cancer, how quickly can we move forward with treatment?" These thoughts and hundreds more flew through my head while the doctor asked for additional in-depth medical history. My mind was racing..."I want to see my kids' weddings; I want to hold grandchildren; I want to be a part of my wife's life for years to come; I don't want people worrying about me; This was not supposed to happen now; I need to be an exemplary strong patient; Why am I not afraid?; I absolutely insist on maintaining a sense of humor; I don't want to be a burden to my family; my kids and Colleen will take their cues from me..." And the doctor's questions continued...
And on that day, and I don't know or question why, there is one thought which never entered my mind - "Why me?"
It can only be rationalized as how blessed I must be to have this many people who mean so much to me...
NEXT: Colleen and me - Alone...
