My dear friends. It is only Wednesday and I don’t think I can take any more of this week. Hashem me slammed against a wall and I am fighting hard to see the good in it all. And every time I get a little close to gratitude, empowerment and joy, He slams me again.
Not to get into the myriad of challenges in the private places in my life that I’ve been grappling with in deeper and growingly serious ways, I had been dealing with the special challenges of preparing for Pesach. I cleaned every drawer, every shelf, every surface of my house. Though, I didn’t get too deeply into the basement (sold it for the most part), or the garage (no chometz out there) and my attic is just stuffed with school equipment (anyone want to buy some?). I feel pretty good about what I did do and I definitely dumped a satisfying number of black trash bags stuffed full with the debris of spring cleaning. Then there was “the turning over of the kitchen”, which began on Sunday (with the mysterious disappearance of the family alpha male) and the deep cleaning (thanks Jasmine and friend!) followed by an encapsulation (not unlike a complicated absbestos abatement) of the chometzdike surfaces, cookbooks, pots, pans, serving pieces (thanks to Maria) and ending finally with the emplacement of the Pesach countertops (in some odd size places with black garbage bags and heavy plastic tablecloths), cookware and serving utensils (thank you much to my strong friend Yaakov, who singlehandedly shlepped all of my stuff down from the attic, and even offered to help put it away! And all with a smile and sense of humor. You’re the best!
Then there began the Pesach shop and we hunted and gathered (thanks Mom!) some of the essentials. But there was still nothing to eat until Yoni finally reappeared from his mysterious obligations in Monsey and scored some pizza at JII and we devoured it in the chometz only zoned the front porch. I was done being mad at the breadwinner, but tensions continued rising when my very resourceful daughters, and their good friend from down the road, decided to make a lemonade stand. It was a freezing day, the lemonade was chometzdik, the table they found in the garage surely had been chometzdik at some point in its’ past and I was exhausted, stressed out and beyond tired. I fell asleep on the living room couch and Mom gratefully took the whole gang to her house for dinner and rollerblading (not Mom, can you imagine? Though she was quite the roller queen in her youth).
When Tsvika called to schedule our film shoots for the week, I told him I was done making Pesach. Forever. I had this idea a while back and it suddenly resurfaced in my brain. I ran it by him cause he called, and now he was stuck on the phone. A Pesach trailer. Like a film crew catering vehicle. You rent it, park it in your driveway, and just cook up a storm. Yoni came in and suggested refined it. Time- share portable Pesach kitchens. Up to three women can take turns cooking up a storm. There are many creative solutions to be discovered. I was losing it and Tsvika was pretty impressed that I can really crack myself up. When I went on to my next idea he started taking notes. It’s called a Hukkah. You hitch it to your car over chol hamoed Sukkos and just hit the road, anywhere you want to go, and your bar mitzvah boy and men can eat just about anywhere because you always have your Hukkah. And when it rains, no worries, it has a flip top lid. (I suppose you could hitch your Pesach kitchen for long hauls as well for that matter) The Hukkah can be a rustic contraption, not unlike a refurbished UHaul Truck, with the lid replaced and the storage space fitted with a picnic table and portable barbeque. Maybe even a cot, or hammock for longer trips. The cooking trailer is more like an Airstream RV, remembrer those? The slick silver tin can of a thing? It could be made pretty with little gingham curtains fluttering out the slide open-kitchen window. Just pull up some folding furniture (a la Metro Goldwyn Mayer) and enjoy your matzah. Like it? You can rent both serious yom tov vehicles for one low package price. But you have to reserve early, these things roll out fast! Call 1-800-hukkahmeup. Or something like that.
I told Tsvika I was going to Monsey for some big shopping. He said hey, can you pick me something up while your there? It’s like that these days. I’ll be talking to my friend, and she’s just going into Kosher Konnection and I’ll has her to please get me a quart of Pesachdike milk, or she’ll be jumping into Target and I’ll say, “Wow, Target! Do you think you could get a plastic Pesachdike tablecloth?” So I said “sure, what do you need?” And without missing a beat Tsvika gave me his shopping list. “Do you think you could get me a purple hukkah?” Good one. I never made it to Monsey.
It’s a good idea though, the hukkah, no? Want one? I’m taking orders right after Pesach for Sukkos. Just call 1-800-hukkahmeup.
By Monday morning we were living off of plain yogurt, oranges and potato starch chocolate lace cookies. So, after a great session with Dr. Gatto I headed for Whole Foods. I loaded up on organic produce and organic eggs and headed for the checkout. While I was unloading my stuff I saw that my field of vision was distorted by the light. I rubbed my eyes and hoped it would pass quickly, as it had a few times in the past, but it just got worse. After a few minutes the light was fully blurring my view (not blurring really, because the image was clear, it just wasn’t focused at all in any one place) and I was seeing in a jumble of disorganized levels. And the light and shadows were hitting the image in lots of places I had to squint really hard and get really close to the bank card machine just to choose my button. And I had to stare and press to find the button with my finger because when I thought I knew where it was, when I reached for it, the button was a little more to the left, or the right. I kept rubbing my eyes, but it didn’t help and I hurried to get out of there and outside into the natural light. But it wasn’t any better. I and managed to get my bags in the car while I waited for it to pass and prayed that nobody would sit and wait for my spot, because I needed to sit and wait for my eyes to get normal. I couldn’t wait anymore (Yoni was home alone trying to work and all four kids refused to go to their arranged playdates so I felt a certain dread and pressure just from that) And I still had to get to Monsey, and to the liquor store and to Target.
I pulled out slowly and kept checking behind me and on both sides. I still couldn’t focus. I pulled into the smaller parking lot that was off to the side and tried to read my dashboard, the clock, the traffic signs, but it was hard and I was getting a sharp headache from all the strain. I tried my glasses, but they didn’t help and they made me nauseous. I started to cry, I imagined the worst and I just couldn’t handle it. When the road was clear I got a grip, pushed the terrifying impossible thoughts aside, and I rolled out of the parking lot and sloooowly headed for Valley Road – a straightaway home. The traffic was very light and I wondered if people were keeping a good distance behind me. Was I driving funny? I checked the speedometer – it looked like I was going somewhere between 30 and 40. Good. I could do that for most of the trip home. I got on route 3 and the traffic was light, and I got off on Passaic Avenue, the least number of turns all the way home.
When I miraculously pulled into my driveway my vision still hadn’t cleared and it had been about 40 minutes. I left everything in the car and ran into the house. I bumped into Yoni in the kitchen and blurted out something like “I’m having a problem. I can’t focus my eyes.” And Yoni followed me into the bedroom He grabbed my laptop to see if it could be a drug reaction from the chemo, but it was unlikely. He wanted to call Dr. Krug, but I forgot the number. I started to panic and my head was aching from the driving I was freezing and shaking and nauseous. I ran to the bathroom to throw up but I hadn’t eaten anything all day except for a pear. Yoni brought me an orange. I took one bite and gagged. I had no appetite. Yoni found Dr. Krug’s number and called Jaquie. I got on the phone and lost it. I told her I hadn’t been able to focus for about an hour and I was throwing up. She was great. Told me she was calling Denise, Dr. Krug’s nurse, right away. I hung up. When Ella called, or Yoni called her, I told her what was happening and she was very calm about it, but hinted at the worst as a distant possibility. She asked me a question and I couldn’t locate the words to answer her, I had the thought but I was stumbling over the words and I gave up. I was crying and panicking. I hoped it was all just an anxiety reaction.
When Denise called I asked Yoni to take the call. He described the symptoms and she said what I knew she’d say, “come to urgent care to get checked out”. She was also great and said they would do a CT scan to rule anything out, but they really wanted an MRI and it was hard to hold onto “to rule everything out”. She said I could take some Tylenol, which Yoni brought me.
I was freezing and wanted a hot bath to warm up before dealing with it. I filled the tub with hot hot water but it just made me uncomfortable so I got out and got into bed. I was so tired. Yoni asked if I could be ready to go in 30 minutes. It was getting late. 30 minutes was a lot. I guess I could shoot for that. After 25 minutes hiding under my covers my vision was getting much steadier, but I was still nauseous and my head was aching. I got dressed in 5 minutes and hit the bathroom one more time to throw up. All water. I still couldn’t eat, though I was starting to get really hungry. The orange had disappeared somewhere under the blankets.
Ella said she’d meet us at Sloan, and Tsvika asked if I wanted him to come too. So, Team Chemo was back in action and we got in the car and I fell asleep in the backseat. By the time we got to Urgent Care I wasn’t so nauseous and my headache was gone. My vision was totally normal. So, of course, I felt stupid, but I went in anyway. Everyone around me looked awful. Really acute cancer patients. A lot of pain a lot of suffering. A nurse took me into triage (followed closely by Team Chemo) and she got a blood sample lickey split. She left an IV in for the CT scan and any fluids I might need.
We went out and waited. I Drank some diet Coke that Tsvika brought and within minutes my nausea was gone. I ate part of a donut and a few bites of a bagel that Yoni brought for me. I felt pretty good. Someone came to wheel me down to radiology for the CT scan and Ella arrived with her huge bag of shopping while we all waited. And waited. Yoni sat in the little space that they used for drawing blood and putting in IVs. Tsvika joined him. When he saw Ella arriving he quickly pulled the little curtain closed around them. That was his pleasant hello. That’s how it always is with them. But it’s funny sometimes, and this time I needed a good laugh. Ella started pulling out fruit. Apple, orange, banana. She ate her lunch and I ate some banana. We waited.
They finally came and took me into the room with the CT machine. The technician looked nice. He had a cool name. Anamta, I asked him what it meant. He said it was Hindu for immortality. Oh that’s great. Gimme some of that I said. He said he worked in a great place to share his name. I guess we all need to leave some legacy he said. I told him I’m working on my legacy. I’m making a documentary film H was impressed. I said my filmmaker was outside. Could he come and get some shots? Immortality looked a little nervous but clearly interested. It wasn’t hard to convince him to let Tsvika in for a couple of shots.
They scanned just my head, but I didn’t think too much about it. Good film ops make everything easier.
After the scan they brought me back to the waiting room in Urgent Care to wait for a doctor to evaluate me. Tsvika went out to grab some lunch and took everyone’s weird orders. I just wanted a tuna sandwich. Finally they put us in a room in the ER and we waited. Tsvika came back. Various cold pizza slises, grilled veg wrap, tuna wrap. The nurse came in, took my vitals, hooked me up to a saline drip and we waited for a doctor. Yoni noticed that the upholstered bench in his corner was really a hidden toilet.
The doctor arrived and she noted my symptoms. Ella cut her off and asked her for the scan results. She was surprised that I had the scan, she was just going to order one. Then she said she’d go check the report, but that knowing Dr. Krug, he’ll want an MRI anyway, He’s conservative that way. They started with a CT scan just because it’s quick and easy to do.
While she was gone we manufactured all our diagnoses. Yoni was sure it was dehydration. Ella and Tsvika thought it was a drug reaction. Stress was mentioned. But Dr. Ellie came back and didn’t beat around the bush. The scan showed brain abnormalities. Dr. Krug would want his MRI and I needed to meet with a radiation oncology team. There were several spots and they had to radiate the whole brain to get it all. I was being admitted. We just stared at each other. My worst nighmare was confirmed and I couldn’t really believe it. After a few minutes I said “this is just a blip right” The other three nodded vigously. “Yup a blip. A road bump. A bump in the road.” Then there was the pep talk. “You’re gonna gather all your strength and you’re gonna fight it and you’re gonna win. It’s good you caught it early. Tsvika flushed the toilet to send home the point. We all laughed. That felt good. Then Yoni and Ella went to look for a real bathroom and Tsvika talked to me. He said get a good night’s sleep, eat a big meal and get gather your soldiers for battle. I couldn’t believe he could sleep and eat before going to war. He said he had to and it helped him a lot. His army wisdom always empowers me. When the doc came back to tell me I’d be starting on Dexamethazone (my good friend the steroid) I asked her to please give me a sleeping pill. She ordered Ambien and I was at peace about it. I need a good night’s sleep, a big meal in the morning and then I’d gather my solders.
Ella and Tsvika both left after 1am and Yoni and I fell asleep on the gurney together. It worked if we lay down head to toe. I felt like I did a year ago, but different. I wasn’t so alone now. I had my friends and I had G-d, even though wasn’t too happy with him by Monday night.
The Ambien helped a little and thankfully my roommate was quiet. The night nurse was an angel and I was left alone till at least 7am. I met with Dr. Krug’s associate and we discussed the details the treatment. I told him I’d probably want to do the radiation therapy closer to home, in light of the holiday and promixity, and he asked with whom. I told him Dr. Gejerman, at Hackensack, and he was totally on board. He said he’s sure Dr. Krug would approve too. Before he left he asked me if I wanted to participate in a study on non-smokers and lung cancer. I said you bet, it’s a about time. Dr. Krug told me last Erev Pesach, that they haven’t found any genetic or environmental links. Dr. Miller said that now they’re looking and it could open the door to lots of new and experiemental therapies. He knew my case and said he knew that I had a very rare mutation and that even then I had a 1 in 1,000,000 presentation of the mutation. I’m very interesting to them. My data is critical to their study. But I had to laugh, because I’m probably one of their few patients with a strong G-d factor, and I knew that would skew all their research. Oh well. He was grateful for my participation and I was grateful for G-d’s miracles.
Dr. Krug and Denise came by and it was good to review everything in person with them. He approved of my choice to go to Hackensack and said he’s be in touch with Dr. G. He was holding chemo until after the radiation was complete, CT scan in a month, and he felt really good about the efficacy of the treatment. He said it almost always works, and it works well. I said I was looking at this as a blip in my progress, and he said oh yes, definitely, just a road bump. He said that a good attitude was key, and I surely had that. He’s noticed! Dr. Krug really cares about me, and I can tell that I’ve opened some doors for him in his thinking. We’re a good team. He said he needed an MRI, or at least a CT with contrast, for significant baseline information. He knows I’m claustrophobic, and couldn’t see getting an MRI ordered with an anesthesiologist to put me out, in short order. So we settled for the CT and he ordered it for later that day.
Someone at some point mentioned that chemo drugs can’t penetrate the brain blood barrier, and that radiation to the whole brain has to be limited to 1 time only. Radiosurgery would be an option, if necessary, pin-tointing remaining or recurring cells. This all sunk in slowly throughout the rest of the day.
Ellla and Tsvika were up to their ears in Pesach prep and they talked about coming later on Tuesday, but I didn’t push it because I knew we’d be out of there in a few hours. The scan was unnerving. I knew they were looking for stuff that they were going to find and it was kind of scary having all the information revealed. But I hung in there. They got their pictures, and I only started to all apart later. A woman came by to see if I wanted to fill put a form appointing someone in charge of making decisions on my behalf in a medical emergency. I’d avoided it this long, and here she was, so I said okay. And so we did it, and it’s in my chart for them to consult with Yoni to decide on behalf if I can’t. Then I cried. For lots of reasons. And we gathered out things and headed out. We had an appointment with Dr. Gejerman and his team in Hackensack in two hours. We grabbed a bite in Teaneck but I just kept sobbing. It was a lot to process. Why was Hashem giving me all this? Tsvika said he’d meet us at Hackenack with his camera. Good. That would be interesting.
Dr. G. escorted me into the back. He reminded me that I didn’t need to come here if I wanted to see him. I could just sit out on my porch and eventually he’d walk by on his way home from shul and he’d stop by if he saw me out. I said I’d try that next time. Then he explained what would happen. He’s always jolly and makes things sound better than they are. It’s not that he’s lying, it’s more like he is just matter of fact and okay with reality, no matter how hard it is. It’s all good. Like the plastic mask they’d be making for me to wear during treatment. And like that all of my hair would definitely fall out and maybe my eyebrows. (the eyebrows already mostly fell out and my hair is most what’s left after the chemo. He said the hair would probably come back in a month or two. Okay. I asked him to tell me if there’s be any side effects. Nausea, no. Indigestion, no. Loss of mental functions. No. He pushed for 15 fractions, slightly lower dose over longer time, to prevent that. Whatever changes occurred would be temporary. Like short term memory loss. He fought for more treatments lower dose with Dr. Krug who wanted 10 fractions. He thought I could handle the potential neurocognitive effects. Dr. G. said he knows me and that I surely wouldn’t be at all okay with that and Dr. Krug said yeah, I know her too, you’re right. Fifteen it is, preserving one chance to go in again with radiosurgey if necessary in the future. G-d willing, it won’t be necessary. He said I’ll be really tired for the three weeks. Okay, I can handle that.
Then his assistants came in to get me ready. They fitted me with this self hardening plastic frame that would be my personal mask. It had tiny holes all over it, but Tami cut more, bigger holes for eyes and for my nostrils. I thought about Freddie, from Friday the 13th. Thank G-d for small gestures. Then they bolted the finished mask, my head held tight inside, to the bed and they slid me into the CT scan while Dr. Gejerman lined me up with the XRay. They would use the CT imagery to line me up each time. That’s a good thing. I don’t want any radiation hitting my brain anywhere it isn’t supposed to go
I made it tbrough the long ordeal and we met with Dr. G. again afterwards. He told me again that he believed I was going to make it. He told me that radiation therapy to the brain is very effective, and that there would be options down the road if necessary. He promised me again that he’d get me through it. I start today at 12:15 noon. Must sleep, eat and gather my solders.
But I am buzzing on steroids again (wasn’t I last Pesach too?) and was wide awake at 1:30 am. But fell asleep last night at 9:30 and forgot to write, so I’m grateful for the time. Today is Birchas HaChama It comes every 28 years, and Hashem arranged it to fall now For me, for you, for all of us. There is a power in the day, the power of complete renewal. This year Birchas Hachama falls on erev Pesach, the day before Pesach, the season of complete renewal, the time of renewal of emunah I need emunah right now. I feel like I am close to the edge of losing everything. I’m searching everywhere in every moment, every test, for Hashem’s love, His closeness, His intention for my good.
After the brocha at sunrise, gathered in the park across the street from my house, among thousands of my neighbors, I’ll bring what’s left of my chometz, my leavened bread, the bread of haughtiness, over to the smoldering dumpsters and leave it on the fire. Humility is a key to emunah. Maybe the process of burning my chometz will be the portal to the redemption of Pesach. I desperately want to arrive at freedom. I think I will arrive very soon or I will not be able to function. All of these tests couldn’t come at a better time. After biur chometz, burning of my physical chometz, I’ll head over to Hackensack Hospital to begin my 3 week course of radiation therapy. And that is the real burning of my chometz: The physical cancer, the inner shells around my spiritual sources, and the resistance to letting it all go. It’s pretty ironic that it’s all in my head. I live heavily in my head. I create worlds with tremendous power in the cradle of my thought. Maybe this is my chance to really let go of disempowering thinking, to harness my awesome creative power and to let go of all that doesn’t serve me. Funny that it begins on the birthday of the sun. No accident that I’m a Leo, is it? Today is my day, I have the power of the sun.
After biur chometz in Radiation Oncology, I’ll come home and prepare for the first seder, yetzias Mitzrayim, the deliverance from bondage. Yoni taught us from the Nesivos Shalom that the longer we learn about our redemption from Egypt at the Pesach seder, the more we’ll be grasping the available energy of emunah, of total faith in Hashem, for the entire year.
It’s such an unbelievable day for facing our tests and coming out with G-d. I intend to milk it for everything it’s got. Getting up now. It's time to catch the sun.
Blessings for real geula this Pesach. Freedom from everything that binds and deep deep closeness with Hashem.
Love,
SE
PS Many thanks to all of our friends and neighbors who helped us over the past 2 days to finish and cook for Pesach!!! We love you!!!!