Small Celebrations.

Each morning presents a new skein of yarn, knotted and jumbled as if carelessly carried in the bottom of my backpack, beneath leaking and softening apples, a sandwich wrapped in wax paper whose crumbs have escaped, the shuffling of notebooks, pricks of pens.

A friend asks me to xc ski this weekend. I pause and then warn her of possible abject failure. Can I balance? Can I even snap boots into bindings? Talking, I think of my ski boots in the upstairs closet. A year ago, a knitting companion asked to borrow needles: an inconceivability. A year ago, I couldn’t walk up my house’s wooden staircase, let alone swing open the closet door and shuffle through needles. I might as well have considered mining for gold with a plastic spoon. Pulling together boots, skis, poles: that alone would mark a kind of success. I am a lousy skier, but the glide of ski over fresh snow has given me so much pleasure. I imagine again stopping at the trails on my way home from work, how the cold winter twilight gleams on snow.

A theme that emerges in my writing over and over is order versus chaos. How laboriously I endeavor to keep the chaos from my life, from vacuuming the ashes and bark shreds around my woodstove to ordering my work life. Be productive. Get my work done…

When I first emerged from surgery and chemo this summer, I flung myself into living with buoyancy and joy. Now, I am in the longer stretch — grateful to be here, but mindful of sinkholes. A longstanding quarrel in town rises up again and grabs at me. I remind myself, this was not my doing and not my requirement to undo. What I do, instead: I force myself up from the couch, lace up my boots, and walk. In town, I fill my backpack with library books, zip my coat against my throat as the gloaming sprinkles down. I take the longer walk home through the neighborhood built near the coal-dark Buffalo Mountain, these houses built for Hardwick’s granite workers, a hundred years and more ago, once filled with hardscrabble people from other places, seeking not a fortune but a livelihood. The kind of work where a slip or accident had horrible consequences. I pass a house with a family of small children, strung with glowing lights, sleds jammed in snowbanks. The empty house where the old woman with the two barking dogs disappeared in my illness, and another empty, for sale. On my road, I’ve strung red globes in an apple tree, bits of brightness, small celebrations, better than order.

The oncologist… “knows not to describe everything all at once.” — Marion Coutts, The Iceberg

Trainwreck.

On the year anniversary of beginning chemotherapy, childishly I crab at my siblings. It’s a small thing—a bad internet connection, a request to make a phone call that might have taken 10 minutes—and I’m angry as all get-out, fury galloping in my blood. The common lingo is that chemo equals nausea, like a bad flu. That is not true, or was not true for me. Enduring chemo was like lying between two burning rails while a train sped over me. I held myself still as could be to survive that months-and-months-long train (how could something be so large?) rattling over me. Sure, there’s a few moments where the train slows, and you think maybe I’ll survive this, but steaming metal rushes right over your face, your mortality far closer than spitting distance. While the rest of the world is immersed in meetings or drinking wine in Spain or skiing, there you cringe, the pain so intense in your bone marrow that morphine means nothing.

In the first round, I had a common and horrific reaction to one of the drugs, rituximab, which stole my breath and shook my bones so hard the bed rattled. The room filled with people in scrubs. I did not know one person’s name. They kept talking to me, and I could not understand a single word. I was under that train, remember, the wheels hammering on tracks.

I never considered myself a warrior battling cancer. But my body was a war zone between two matched enemies: would the chemo quell the lymphoma, or would all of us go down together? A year later, in remission, I’m suffused with gratitude for my life, for so many people who got the train off me. And yet, a year later, there are days I’m still turning the pieces of my life over and over, wondering WTF? Like anyone, jab a shovel into the soil of my life, and the layers appear infinite. Twenty-two years ago, I left my crying four-year-old (“I want to come!”) behind and drove to the airport with my brother in my sister’s time of need. I had left in such a rush that I’d forgotten my driver’s license. It was not long after 9/11, and I had to cry to get on the plane without ID, but I finangled it. Coming home, we hit a snowstorm. My friend and her four-year-old drove over the White Mountains in a white-out to bring me home. At the crest of Franconia Notch, she pulled over. I got out to clean snow from the windshield and lights. No one else was on the road. Snow billowed through a freezing wind. I looked through the window at her son in his carseat between us. I had bought him a little toy, a hexagon of blue fluid with a yellow fish, and he was turning it around and around in his hand, so the fish would swim. It seemed like we were the last three souls on the planet. Such a long and treacherous way home to my little daughter and her twiggy braids. But my friend drove carefully in her red pickup. That story shook out into all’s-well, something that needs no bow-tie of a moral. Simply, all were saved. Our lives went on.

So many pieces of a life. On this Thanksgiving morning, how grateful I am to remain yet here, disease-and-treatment battered, broken by fate and my own rough actions. The terrain of the living.

… And last, I’m honored to have been nominated for a Pushcart Prize (a secret dream of mine) by Under the Sun for my essay “Weeds.”

How We Spend Our Time…

Sunday, I ask a friend to take a walk. It’s been a morning of housekeeping and writing chores, vacuuming and laundry, and the easiest thing would be to lie on my couch all afternoon and read. A light snow falls — pretty flakes and scant accumulation. As we walk, I pull off my hat and take off my mittens. It’s not the swimming season, not an afternoon where we meet at #10 Pond and talk about kids and work, about old parents and gardening, the loons calling and the sunlight thick with pollen. November is the honed-down season, stick and bone season, where your eye admires the landscape’s starkness. On these back roads, we pass farms, fields scattered with equipment, the shorn-down remains of last summer’s crops.

For so much of my life, I seemingly always had somewhere to be — and, raising kids, I probably did. I hurried to work and home to make dinner, or to pick up a daughter at school or a soccer game. Now, my girls are grown, with their own places to be; how hungrily I’m anticipating the abundance of our small family and apple pie this holiday. But this Sunday, I leave my post-it list on the kitchen table, check the woodstove dampers, and lace up my boots.

A year ago, I was for the first time in the Dartmouth-Hitchcock ER, in the trauma room with my daughters and the first oncologist I met. I was so new to the cancer patient world that I did not yet understand IVs and fluids and pain meds. That night, a surgeon told me I had to have surgery right now, immediately or I may not live, and I might not live through the surgery, either. It was the first time I had gone under in an operating room and woke in a dim recovery room and wondered, what now?

What now is the privilege of the living, and my god, I embrace that.

A year later, a few hours in the afternoon on a slippery dirt road. Later, I arrive home as twilight falls, the darkness so impenetrable in late autumn, back to my clean house and the cats who insist upon their dinner immediately, my solitary and sometimes un-solitary life, and what I’m making of my mortal time: fiercely writing, keeping the cats and myself fed, the hearth glowing, a holiday meal imminent. These earthly joys.

“… how we seek to spend our time may depend on how much time we perceive ourselves to have.” — Atul Gawande

The Illusion of the Ordinary.

A year ago, I entered the local ER with acute pain. I’d been there before with my kids for stitches and an allergic reaction, things that could be patched up and remedied. A year ago, an MD told me that a scan revealed metastatic cancer. It was the eve of a contentious election, the nation cracking apart. In my life, however, I suddenly had no time for beliefs or opinions. To survive, I had to lean on facts.

For years, I’d been running not so much as a lone wolf but a mangy coyote, hustling my single mama gig, utterly determined to nourish and protect. But there was no way I was going to weasel through this cancer alone. Almost immediately, I was forced to size up strangers — a surgeon, an oncologist, nurses — and do what I had never done before. I had to trust these strangers with my life. Divorce had school me to be wary; now, disease was forcing me to revise my life, rapidly, on the (incredibly painful) go.

A year later, I’m alive. Some was my stubbornness, the trait that enraged my mother — and yet she herself had taught me stubbornness. Back me into a corner, and, damn, will I fight. But that’s a scrap. The more profound reason I’m alive is that I had access to first world health care. I benefited from medicines and decades of trial-and-error, thanks to researchers and so many suffering patients before me. I had access to that small rural hospital who took me in, over and over, this winter, and to Dartmouth-Hitchcock, such a remarkable cancer center surrounded by New Hampshire woods. We drove down the interstate in multiple snowstorms, and always I was gladdened to see the crimson EMERGENGY sign that never turned off. Entering, I knew I would be treated with compassion, with unflagging skill.

I could not have been treated at Dartmouth without my daughters’ immediate willingness to relinquish nearly a year of their young lives to ferry me through the sheer wretchedness of chemo and the brutal complications, and to keep enduring when I finally broke. They had the patience to stay with me while I put myself together.

I was determined to endure all the chemo to gain the best chance of a cure — and I did, running and then limping and eventually crawling — but I received so much kindness from family, from friends old and new, from many of you here, and from strangers. People brought soup and pot roast, drove me to appointments and blood draws, took me outside on walks, carried in firewood and brewed tea, and insisted that I did not look so terrible at all when I couldn’t even sit up. My post office box filled with lovely cards that I taped on the wall over my bed. A friend texted me photographs nearly every day of the beautiful Vermont winter that I was missing; another dear friend texted me a poem she read every night. Boxes of books and cookies and stollen — such treasures. The end of the chemo was followed by a painful surgery. By then, I had no income, and a check from a friend carried me into the summer and recovery. All these well wishes — all this meant so much to me. Gratitude beyond gratitude.

On the day before this year anniversary, I walked down a dirt road as the darkness fell down. In the gloaming, I could see across the valley a tiny white square I knew was my house where my cats were hungry for dinner. The neighbors’ house glowed orange and yellow with their Halloween lights. An utterly ordinary November day.

What remains with me is a body weakened and damaged, but alive, and the steely secret that the ordinary is luminescent with the extraordinary. Here I was — this small woman stripped down to a t-shirt in a billowy warm November afternoon walking along an empty road. Overhead, a line of cacophonous geese arrowed through the sky. The road dipped down in a wet area, and the mud stunk of rank water and rotting leaves. Ahead of me, mist hovered. What luck! I thought. I strode into the mist. In the spring, Daphne plants grow in these roadside woods where someone too broke or too lazy keeps dumping household trash. By the time I was back at my car, I was in the solid dark, the stars and moon swallowed by clouds. Oh, this messy, unclear, uncertain, marvelous world. What luck.

Crazy-Making.

Yesterday, my oldest and I made that drive again down I-91 that flanks that Connecticut River. My knitting in my lap, I counted exits, St. Johnsbury first exit, then the second, the third that heads east to New Hampshire’s White Mountains, the fourth Barnet, which I took when I stayed at Karmê Chöling. We talked about fall colors and a meatball recipe and family, of course, all the way down to exit 13, the Norwich and Hanover exit, where we stopped for coffee and scones, as if a good luck charm. Coffee and sweets, not a dash to ER. We watched the time, careful not to be late for what I hoped would be a mere routine check-in.

All summer this day has hovered in my mind — what will this day reveal? — but this past week this coming journey was as near to me as something I held in my hand as I went about my days, doing what needs to be done. The day before, talking with friends, the fear of this day erupts and I hear myself on the verge of screeching, nearly crying. All summer, I’ve relished my good life, learning to walk again and eat again, to read on my back porch in that hand-me-down butterfly chair. To marvel that I am not in pain. That I might sleep and reasonably expect I might wake in the morning exactly as I want, in the pre-dawn darkness drink milky coffee and write. That I will witness the unexpected autumn buds on a yellow rose bush open, these final velvety blossoms of the season.

At Dartmouth, we wait again in 3K, in the cancer center. I am no longer one of the pallid-gray-faced chemo patients, hobbling, enduring. How desperately I never want to return here. My oncologist gently reminds me that he’d assured me I’d pull through this winter, even as I was admitted again and again and again, a dozen times. Add to that, more ER visits.

Later, a friend asks about the scan’s sign-off, but the only rules that matter are what the hidden mysteries of my blood and flesh reveal. The markers are that the lymphoma has not returned. I know that the reaper’s scythe heads towards me as that inarguable blade poises over each of us. But not this day for me. Not yet.

Driving home, people crowd the interstate bridges with RESIST signs. As our car sails beneath the metal and steel, we wave. I’d told the oncologist that my wellness plan was four-fold: eat real food, walk, do my work, and try not to go crazy.

He said, This is crazy-making. Just do your best.

There is only one heart in my body, have mercy
on me…

Thank You for letting me live for a little as one of the
sane; thank You for letting me know what this is
like. Thank You for letting me look at your frightening
blue sky without fear, and your terrible world without
terror, and your loveless psychotic and hopelessly
lost
with this love

~ Franz Wright

Crossroads.

I park at a dirt crossroads this weekend beside a former tavern and walk up the hill to the Old West Church. The sunny afternoon speckles through the roadside maples, and I meet others doing what I am, in pairs or singly, and we greet each other, cheerily. At the Old West Church, I hear two terrific poets, but on my walk back to the tavern the line that runs through my head is from a Franz Wright poem, There is but one heart in my body, have mercy/on me, an incantation.

I keep thinking of my dead mother on this radiant Sunday, my mother who pulled her last breath a year and a half ago, hardly a hopscotch jump ago. In my mind, I’m building the architecture of what I’ve tagged as this Cancer Atlas I’m writing, scaffolding this book’s bones. The book is about the here-and-now, about living (at least for now) through a terrible disease, about walking along Vermont’s autumn-gold back roads, about pulling up this summer’s frost-killed pepper plants that produced so bountifully this summer. And my mother? As I work, I think so often of her, this woman both generous and mercurial, the double blade I harbor in my own heart. Gracious, how much she’d enjoy this picturesque walk. She was a woman who loved old churches, was fascinated by adjacent cemeteries, who would have relished the art in the tavern.

At the tavern, I linger in an open doorway, talking with a curator, drinking iced tea from a half-pint jar. My mother would have drunk the wine, feasted on the cured meat and seeded crackers. Dust kicks up in the road. Old friends appear, and we joke about winter’s ferocity. It’s always a crossroads, isn’t it?

“We are created by being destroyed.”
― Franz Wright