Leaf Litter, the ER, and Wobbling

My wife and I just returned from 10 days in New England. We entered Acadia National Park, in Maine, the afternoon prior to the government shutdown. There, we hiked to the summit of Cadillac Mountain and walked along the shores of Sand Beach and Jordan Pond. On the second day we followed the Great Meadow Loop Trail that wanders in and out of the Park boundaries. 

The next morning we drove to New Hampshire. While cruising on the turnpike, I mused on the elastic language of my blood cancer, multiple myeloma. Silly thoughts, mostly. Am I relapsed or trending? Was I ever in remission? No, I don’t think it’s the correct word if you are taking meds. So, technically, stable under treatment, responding as opposed to being refractory.

Then, I recalled Dr. L, my oncologist, saying the increased dosages she prescribed might “squish down” the rising myeloma markers. Conversely, Siddartha Mukherjee, in his essay, The Cancer Sleeper Cell, found that, “The word “relapse” comes from the Latin for “slipping backward,” or “slipping again.” Hmm, remission and relapse or squishing and slipping? I prefer the more casual terms. Neither has scientific clout but both are to the point. And, obviously, it’s all about context.

Atop Cadillac Mountain
Jordan Pond
Great Meadow Loop Trailhead
Along the Trail
Bar Harbor

Upon arriving at our destination in New Hampshire, we checked into a traditional country inn. A few hours of daylight remained. The owner directed us to a trail up Black Cap Mountain. The steep invigorating climb led to a granite summit with views of the surrounding hills and their thick hardwood forests. Along the way, my stamina faltered and a sharp pain skewered the left side of my chest. 

The following day we took two hikes in the State Park. One, The Flume Gorge, climbs a well-constructed boardwalk through a deep cleft of granite carved by the Pemigawasset River. The trail loops back under a canopy of multi-colored leaves; the dappled light filtered by birch, maple, and beech trees.

Pine Tree and Clouds Atop Black Cap Mountain
Leaf Litter
Leaf Litter
Trail fork, near the summit of Black Cap Mountain
Leaf Litter on the Flume Trail

That evening, I succumbed to the nasty virus festering in my lungs. My throat burned and a leaky nose disturbed my sleep. 

In the morning we drove to our final stop, a motel in Woodstock, VT. We continued our serendipitous day-hiking even though I felt puny. Shortness of breath dogged me due to the virus tromping through my respiratory tract. By 7:30 that evening, I was in the Emergency Room of the county hospital.

Four hours later, after an EKG, X-rays, a CT scan, oxygen therapy, and blood tests we found …, nothing.  I definitely had a bad cold but there was no reason I could not fly across country on the following day. 

Leaf Litter in a Stream on a Trail Near the Summit of White Mountain
Vista on the Road to Vermont
Leaf Litter
Trees on the Pond Trail

So, a bit of an embarrassment to bother the nurses and PA in the ER. But the shortness of breath spooked me. And, that’s the thing; isn’t it? Cancer unhinges a person. Sometimes, the discipline necessary to manage one’s disease collides with irrational fears.

Therefore, what is my status in the context of cancer’s lexicon? I am not relapsed. Nor am I in remission. And my stability? Well, it wobbles. Wobbly, now that’s a word Dr. L and even Mukherjee might like.