I didn’t write last night because I got home too late, and because sometimes good news still knocks the wind out of you.
The drive back from Houston was long and dark and mostly quiet, the kind of drive that gives your thoughts too much room to stretch out. Earlier that day I’d sat in exam rooms, stared at scans, and endured the third—though apparently not final—time someone put a tube where no one ever wants a tube while fully awake. And then, somewhere between all of that and the drive home, I was told the thing that matters most: the tumor has shrunk by more than fifty percent. The cancer hasn’t spread anywhere they can see. In a week, they’re going to surgically remove what’s left.
Eventually, the ostomy bag will be reversed too. Probably not before March, but still—almost all of this is good news. I would’ve preferred a version of this story where surgery wasn’t part of the plan at all, but that was wishful thinking, a fact my older brother helpfully and bluntly confirmed.
I spent most of the drive home fixated on the surgery. Nearly two feet of intestine will be removed. Things will change. There will be a before and an after. But when you compare that to the alternatives—living indefinitely with a bag, or living with cancer that spreads somewhere it can’t be cut out—“changes in quality of life” starts to sound a lot like winning. Whatever those changes are, I’ll learn them as I go.
What hijacked my brain yesterday wasn’t the news itself so much as the delivery. My surgeon is incredible—everyone I meet in the medical world tells me how lucky I am to have her—and she is relentlessly honest. She walked me through every possible complication, from manageable pain all the way to catastrophic, life-ending scenarios. Leaks. Sepsis. Sutures failing. Bleeding out. The bag returning permanently like some kind of medical ghost.
None of it was sugarcoated. And none of it was framed as likely. But once you hear those words, they move in and start unpacking. And when you’re driving across Texas in the dark, there’s nothing to stop them.
It took hours—and a Diet Coke—to remember what actually mattered: the cancer is shrinking. It hasn’t spread. There is a plan. Today, with a little distance from yesterday, it’s clear that this was a good day carrying good news, even if it didn’t feel that way at the time.
Now I’m hoping the next part goes according to plan. That my intestines are cut, stretched like a slinky, and reattached to the egress port (still my favorite clinical term for the butthole) without incident. If all goes well, March will arrive with a different kind of reflection—one where I look back on the past year and wonder how I made it through without falling apart, or disappearing into something darker.
I don’t entirely know how I’ve done that so far. I suspect it’s some combination of friends, family, faith, and Tugboat. Last night he climbed into bed and curled up next to me, which was unexpected and oddly grounding. It didn’t last long—eventually I disrupted his ability to get the eighteen hours of sleep required to sustain his difficult, loaf-shaped existence—but it was nice while it lasted.
I leave for surgery Wednesday night. I don’t know how long I’ll be in the hospital, but if last time is any indication, it’ll be at least three days. Hospital beds are engineered somewhere between “thick wool blanket” and “punishment device,” which explains both bedsores and why sleep becomes a distant memory after day two. I’m also curious how quickly I’ll irritate the nurses. Last time it took less than a day, mostly because I interpreted “you can walk to get coffee” as permission to leave the hospital and go to Starbucks. Apparently they meant the one inside the building. Lesson learned. Probably.
For now, this is where things stand. Surgery is coming. The news is good. The fear hasn’t disappeared, but it no longer gets to be the headline.
Thank you for the prayers, the texts, and the steady reminders that I’m not walking through this alone.