When I was young, probably about 8 or 9, a good friend of my dad's died from brain cancer. I remember that it had a profound effect on my dad because this man was my dad's age, probably in his mid- to late-thirties. The man also had two young boys, not unlike my dad (my brother had probably not arrived yet, but was soon on the way). At the time, the age of 35 seemed really old to me. Logically, I could understand that this was a relatively 'young' age to die of something like cancer, particularly because my dad said it was so, but naturally I had no real sense of this, and it still seemed a long way off.
This past Tuesday night, we received a call from a friend. It was pretty late, after ten, and the person who called us was not somebody we normally would have received a call from, especially that late. When you receive an unexpected call late at night from somebody you don't normally receive calls from, your first instinct is to be concerned. Unfortunately, there was cause to be concerned. We found out from him that a good friend of ours, Lance, had been diagnosed with stage-four colon cancer, which had spread to his liver, and he had been given only a year to live. Lance is 34.
I think now I can understand a bit of what my dad must have felt when his friend was diagnosed with a terminal, untreatable cancer, coming face to face with the reality that there are just certain things that can happen with regard to our mortality that are completely unexpected and beyond our control, and there is nothing we can do to prevent them. That flavor of gospel truth ain't the kind we like to hear, and it can either freeze a person with fear of the unknown, or make them a bit loopy - crazy from the shear absurdity of it all. In Lance's case, there was no family history of colon cancer, so a routine colonoscopy wasn't even something a doctor would have done for another 5-10 years, if that. He had had some strange gastro-intestinal problems going on, but he knew he was lactose intolerant, so he always attributed those to that condition. Until Monday, when he went in for a colonoscopy and wound up in the operating room to have a section of his colon removed, along with 6 lymph nodes.
When we arrived at the hospital, we met Catherine in the parking lot. She had driven straight from work. The walk from the parking lot to the room was one of the longest walks of my life. I can't speak for everybody, but I know I was very anxious about what the scene would be like in Lance's hospital room.
That's why there was a certain bit of relief felt by everybody when we finally saw Lance. On the one hand, he looked like a patient who had just had a portion of his colon removed would be expected to look. He had IV tubes leading into his arm and a tube coming out of his nose. The IV tubes fed him with saline, vitamins, and occasionally morphine. The tube from his nose rid his stomach of fluid and it made funny noise, like a tea-kettle whistle. But aside from these various plastic fluid channels, Lance looked remarkably well. Nothing like I was expecting. Certainly nothing like what I would expect a 'cancer patient' to look like. His color was very good and he was alert. In fact, as we stayed and talked with him and his girlfriend, we came to realize he was his same old self, cracking jokes, being quick-witted. I think we all felt a responsibility to try to keep the conversation light and humorous, but it was Lance that kept us all, including himself, in stitches, metaphorically and literally. He had to keep a pillow pressed to his stomach because it hurt him to laugh.
If there is anybody that has the ability to fight a life-threatening disease, it's Lance. More and more I think people are made the way they are for a reason, and if it was in 'the cards' that Lance was to get colon cancer, then it also worked out that he was given the constitution and positive energy to fight it and win. Lance doesn't have a negative bone in his body. Not only does he have a great sense of humor and a wonderfully positive outlook on life, but he is an ex-military man. So he knows how to fight. Oh, and I almost forgot: his name is LANCE! I mean, come on! Who better to fight cancer than somebody named Lance? To make things even better, he has a very strong support structure in his girlfriend and his sister. Both are excellent cards to have in an otherwise bad hand. Lance's girlfriend had a grandmother who had colon cancer and so she has experience with possible treatments. And if I understood correctly, I think she even has had formal education in a related field. She had already spoken to a doctor at Johns Hopkins who made it seem like there was some hope for Lance's condition, especially since he was young and healthy, which means they could fight it aggressively. Lance is going to meet with that doctor tomorrow to find out more.
Before we arrived I wondered how it would be talking about 'it' with Lance. I know my family never liked to use the word 'cancer' when my grandfather developed a tumor in his lung and I wondered if Lance would be the same way. He wasn't. He was very up-front with all of us about his prognosis. When the doctors came in to talk to him, we asked him if he wanted us to leave.
"No. Absolutely not. You are my friends." That was his reply.
The first doctor that came to see him was the surgeon. He was very nice and answered every question in a factual way. He described what he saw when he operated. He was not an oncologist, so he did not discuss treatments. The second doctor, who we nicknamed 'Dr. Death' seemed to be auditioning to be a doctor on
Days of Our Lives. He had a flare for the dramatic. He was not an oncologist, either, so really should not have been discussing treatment options at all, or even giving a prognosis. But that did not stop him from doing just that. He insisted on providing a grim outlook for Lance's condition. He would stare at Lance for an uncomfortably long period of time and say nothing, but his face said it all: it is hopeless. As Lance said after he left, 'Why don't you just stick a fork in my ass.' We didn't like Dr. Death.
For all of us visiting Lance, I think the entire afternoon and evening can be characterized as one extended 'blond moment.' And no one in particular had it worse than the others. Emily forgot she could use the HOV lane. Mat forgot to put the cap back on when we stopped to refuel. At one point, I referred to 'four of us', when there were only 'three of us' in the car. Oh, and I wound up divulging a surprise that really should have been kept secret. Okay, you know what? I take back what I said: I think I had it worse than the rest of us!
On the way back from the hospital, our forgetfulness changed to downright loopy-ness. At one point on the road, our cars ventured through a patch of foul-smelling air. I thought it was skunk, but Emily wondered if it was pot. I began to take her suspicions more seriously when we stopped for dinner. I had firmly decided what I was going to eat and yet when the waiter came to take our order, I had no recollection of what it was. At this point, we were all a bit delirious. Perhaps there was something in the air. Of course, I think more than anything it had to do with the fact that we'd just seen our 34-year-old friend in the hospital, whose otherwise healthy-looking body had recently been found riddled with malignant tumors, and for whom the term 'life-span' had suddenly taken on a surprising new meaning.
It's sad. It's tragic. It's absurd. And it is certainly
not fair. It smacks of a harsh reality, and yet it seems fictional, unreal, like an episode of ER. And I think what we all felt that night was that if we didn't laugh, we would surely cry and so it was much better for all of us, especially Lance, to choose the former, for now.
If you don't know Lance, you wish you did. He's a truly great guy. Always willing to help. Always positive. Always fun to talk to and hang out with. We've only known him for a little over a year, but already we consider him a very good friend. Whatever your beliefs, whatever your 'higher power,' if you're reading this, maybe you could do what you do during times like these for Lance: Say a prayer. Burn some incense. Eat a hot dog.
And maybe our collective actions will make a difference.
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