A little over eight hours ago, I wrapped up my second round of in-person chemo at MD Anderson. I’m spending the night here—mostly out of caution, unsure how my body would react this time around. So far? Honestly, pretty uneventful. I still have a chemo pump attached to a tube that goes straight to my heart, tucked inside a fanny pack that now feels like an unfortunate fashion statement. I doubt I’ll ever get used to that part.
But here’s what has improved: the awful mechanical churning sound that came with the pump last round, the one that made me nauseous, has been silenced. Credit goes to my oldest friend Zac, who sent me a white noise machine shaped like a marshmallow. It lives inside the fanny pack now, drowning out the chemo noise with soft, whooshing peace. Brilliant, Zac. Truly.
This time, I came to Houston alone. Not because no one offered—on the contrary, the support has been overwhelming—but I wanted to see if I could do this solo. So far, I can. We’ll see how long that lasts. At some point, I’ll need help. Definitely around surgery time.
Until then, people seem to really want to help by watching Tugboat, my dog. He’s living his best life right now. My friend Leah is house-sitting this weekend with her dog Peaches—Tugboat’s bestie—so he’s got 48 hours of nonstop dog party. I offered the same to him myself, but he still prefers to curl up in a closet by himself rather than hang out with me—his food-dispensing manservant.
The hardest part of treatment right now isn’t physical. It’s informational overload. There’s a blood marker called CEA—carcinoembryonic antigen—that helps monitor how the treatment is going. Sounds useful, right? And it is. But also? It’s a fresh slice of psychological torture. Before each chemo round, they draw blood. The CEA results land in my patient portal the next day, and for the next 24 hours, I refresh the page like a backup quarterback waiting to see if he’s been cut. (Football metaphors are weirdly common at the hospital, so my brain’s just rolling with it.)
Also difficult, in a much dumber way: I cope with humor. But chemo nurses have heard it all. So when I drop what I think is a novel line, I get the kind of polite, half-hearted laugh usually reserved for office birthday cards. Like when people call me “A-A-Ron,” thinking they’re the first to come up with it. I laugh politely. Every time. Because I’m a gentleman. But originality is dead.
So naturally, I’ve resorted to dark humor. My brother kept that impulse in check last time. He’s the smarter one. But he wasn’t here today, so I unleashed the full force of my broken brain.
Case in point: every time a nurse scans my wristband, they ask me to confirm my name and birthdate. This time, I clutched my head dramatically, winced, and said, “Every time I try to recall anything about myself, my brain catches fire and I lose the ability to see.” I thought it was hilarious. They… did not. But hey—at least it was clearly original.
When they asked how the fight was going, I said I’d applied for a gun license so I could make it a one-sided fight. Still no laughs. Tough crowd.
(Just to be absolutely clear: I don’t own a gun. I’m not planning to get one. This is a joke. Please don’t call my mom.)
Anyway. Round two? Pretty quiet. Tomorrow I’ll drive home, probably listening to something soothing.
Today, I revisited one of my favorite episodes from The Memory Palace by Nate DiMeo. I’ve listened to it a few times before, but I came back to it today because it always hits me in the right way. The episode is called “Wake,” and it tells the story of Tim Wakefield, the knuckleball pitcher who spent 17 years with the Red Sox before dying of cancer at 57.
The episode ends like this:
“You throw the ball.
You hope for the best.
You don’t control where it goes.
I am better off having watched him throw.”
Those four lines? They’re the perfect metaphor. For baseball. For cancer. For life right now. And I am better off for having heard that episode.
Listen to “Wake” here → https://thememorypalace.us/wake-2/