Margaret Innes

New Worlds: Reading, Writing and the Imagination


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6 Chemotherapy or The Hunger Games

The question I asked myself most before my first chemotherapy session was what would I read for the three hours I would be sitting in the chair? I stashed a small collection of books into my bag and with my partner, headed down to Building 19 at the Canberra Hospital, their cancer centre, and then to the fourth floor where they do what they call the infusions. There was, as always, an education session to start, meticulous and detailed and another collection of papers to add to my portable filing cabinet. I asked, will my hair fall out? The nurse said yes regretfully. I accepted this as inevitable and then it was into the large room where everyone else is also being infused. Later there would be a young Asian woman ushered into a chair not far from me. She had the most beautiful long shining black hair whereas mine is only fine and grey. We are both doomed to lose it.

Since I have always mostly associated the word infuse with aromatic ingredients in cooking, it made me a little sad to think of it in this context. But it’s accurate. After putting the cannula into my arm, the nurses arrived in full protective gear, including gloves and eyeglasses, double checked the drugs and began the process, the slow infusion of docetaxel and cyclophosphamide into my bloodstream to counter whatever possible cancer cell might be there. Which is why I have likened this whole process to Suzanne Collins’ novel The Hunger Games. The drugs are poison: they take your hair, your energy, your cancer cells, your white blood cells without discrimination. In other words they make your body fight against itself for the survival of either the cancer or you.

To prevent nausea, one of the hospital’s pharmacist had given me steroids to take the day before, during and after chemo, with the unexpected warning they might give me nightmares. They did no such thing, they gave me a three-day high instead where I thought there was nothing I couldn’t do. Probably a good attitude to take into a chemotherapy session and one that went well with the book I chose to read, a book from a vibrant local publisher, Recent Works Press, a wildly imaginative, innovative collection of prose poems about loss called Errant Night by Jerzy Beaumont. Very simply put, to deal with grief he travels the stars and the universe, returns to where I was in Canberra Hospital to come face to face with the loss of someone loved before going out into the universe again. I speak of this book because, even given where I was, there was something close to exhilarating about reading of imaginary journeys to the far reaches of the universe and all its way stations to deal with grief while sitting in a chair having docetaxel flowing into my veins in the very location that is at the heart of the book. It was in its way a comfort, that wherever I am, my mind can go anywhere. I, all of us, always have that freedom to imagine, to find ways to feel and grieve, to read and to think.

There were other true heroes beside the nurses and the patients in the chemotherapy suite that day. There are the volunteer women who wheel trolleys around with tea, coffee, juices, biscuits (Arnott’s assortment for the nostalgic), cake, sandwiches and who stop to chat and laugh. The hospital also serves lunch, hospital food but it’s there for you. And when it’s all over and the cannula is thankfully taken out of your vein to be replaced by a round white dressing and you get a little shakily to your feet to go home, the nurse comes to wish you the best. I have to come back the next day for a pegfilgrastim injection to boost my white blood cell count. This is the process, a serious gladiator fight within the confines of your skin, within your system. It will keep happening until the doctors think they have done enough to save you from yourself. What I have to do now as a patient is navigate the battleground they have created inside my body to achieve that end. 


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5 Oncologists can be persuasive.

When I saw my surgeon for my follow up appointment after surgery, he was obviously pleased with how the operation had gone. The incisions were healing well, the margins around the tumour were all very clear. He smiled at me. ‘You won’t need chemo,’ he said. The moral of this story is, don’t take your oncological advice from your surgeon. However skilled they are, this is not their area of expertise. The oncologists I saw had a very different opinion.

I took that false confidence into my first meeting with the radiation oncologist. Radiation I knew to expect; three weeks of it instead of four because the margins were clear. We began, as usual, with education and detail. The registrar took all my facts again, I received another thick sheaf of paper to add to what I had begun to call my portable filing cabinet, a thankfully discreet bag from Bosom Buddies. Then the oncologist herself appeared, a young woman with long fair hair.

Everyone brings a demeanour with them when they walk into a room; they’re at ease, they’re ill at ease, they’re nervous, they’re self-possessed. Her first glance at me was serious. She took a seat and began to explain to me they had received the pathology results for the tumour. It had not reached my lymph nodes but had been active, its growth pattern one that would have seen it move out into the rest of my body. They had removed it but what else might be left behind that they couldn’t see or test for?  ‘It’s fifty-fifty whether you need chemotherapy or not. You’ll need to speak to the medical oncologist,’ she said. Her words were measured but her demeanour suggested she saw this as troubling.

I went home thinking again of the front cover of Marisa Acocella Marchetto’s Cancer Vixen and its drawing of a woman spectacularly taking a fall.

The medical oncologist was the same one I had consulted last time. I remembered her as a no-nonsense woman who was a stylish dresser. This being the time of Covid, we had a zoom session. Between her and her registrar, they laid out the situation. The tumour was unusual, an unexpected combination of pathologies. They could not tell if there were still microscopic cancer cells present. There might be, there might not be, there was no test to tell. If there were, they could reappear some years down the track as what is called metastasised distant breast cancer. ‘If they do, we don’t have a cure for that,’ said the oncologist. It would four sessions on the second tier of chemotherapy drugs. Horrible but by no means the worst possibility.

They spoke of it as being my decision, laid out the facts and the possibilities objectively but I could read the room; they saw the possibilities as troubling. I was reminded of both the sonologist and the radiologist I spoke of in my first blog. Without tests, they knew accurately what they were looking at pretty much as soon as they saw it. That kind of knowledge can only be gained by experience. To my certain knowledge, my medical oncologist is a very experienced doctor.

It is an odd thing, a precautionary gamble. Distant breast cancer might still happen even with chemo, it might not happen even if I do not have chemo. The percentages of those chances are low but they are possible. I write thinking of a line of William Blake’s poetry, ‘What is the price of experience?’ He goes on to write, ‘It is bought with the price/ Of all that a man hath.’  I couldn’t help but think that all the years of experience the medical professionals I consulted had collected between them meant they knew almost intuitively what they were looking at. I brought my own judgement to the decision. I said I would go ahead with chemotherapy, as another step along the way.


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4 Drawing on the skin

Just before I went into the operating theatre, my surgeon appeared in the ante room prepared for my surgery and carrying a Texta. ‘This is what we’re going to do,’ he said and proceeded to draw on my breast with that same Texta. On my skin appeared blacks lines, a map the surgeon was to follow with precision. I can now look into the mirror and see scars where he very neatly drew those black lines.

As for the surgery itself, one moment I was lying on the table, hazy with whatever they’d given me but chatting away to the anaesthetist and the next I woke up in the recovery room, with all manner of incisions, extractions and stitching of my own body done without me, very fortunately, being aware of any of it. I unreservedly give a heartfelt thanks for all those medical people involved in inventing anaesthesia. If there’s a monument to them somewhere, I will go and lay flowers on it.  

From admission for surgery to arriving in the ward for recovery is the strangest of journeys. You undress from your own clothes and in readiness put on your surgical gown, paper knickers, plastic shoes, hair covering. Once you were yourself in your own clothes, now you are in uniform, a patient. You wake with your body opened and reshaped, pieces of it gone, the incisions stitched like your skin was a piece of material, hoping your surgeon is a good seamstress. Then you enter the unreal world in the ward where you subsist between recovery and the prospect of your own life outside. Flowers brought by friends are vivid and living colour in that grey and white environment with the constant, essential humming of its life machines.

 I only spent two days in the ward before I was discharged. My good friend, a breast cancer veteran herself, visited and brought red roses. Other friends sent bunches of flowers. My partner visited both days. All the care I received from both the doctors and nurses was excellent. As for the food, it brings home to you that at its most basic, food is just fuel after all. Always the nurses were busy and sometimes abused. I lay there one night in that strange halfway world of shadow and muted lights listening to a woman in the corridor outside repeatedly and aggressively call the nurses untrustworthy bitches whose faces were filled with lies. They tried to calm her, offered her food, a cup of tea. She only wanted to go home and said they were imprisoning her. In distress, she begged others to call the police. Finally the ward manager called security, she had no choice.

It’s essential to be there, you know it. Your life depends on it. And yet. It feels so much like finding yourself as the unnamed character in a sci-fi movie, stripped of your own clothes and identity with no way out of an unknown institution. Where others smile while directing you to unnamed buildings for who knows what purpose.

It’s not like that, of course. When I was discharged, I left with a smile and best wishes from the nurses. Stepped outside on a sunny day in my own clothes with visits from the community nurses already arranged. And yet. Anaesthesia, surgery has changed me as it changes everyone. Not the obvious change with its cuts and excisions but a subtler sea change, of feeling the fragility of the body and its plasticity, seeing again that fine and delicate balance between life and death.