Little “c”

We met with my oncologist this afternoon. He reinforced that if I had to get cancer in my pancreas this is, indeed, the best possible scenario. His exact way of wording it is that I have little “c” cancer instead of big “C” cancer.

Here are the specifics as I recall them (I am writing this on my phone while sitting in my car and killing time before a performance of Vulva Va-Voom: Hollywood Psychic. A show I am in as part of the Tampa Fringe Festival. Come see it).

I have what is known as a Pancreatic Neuroendocrine Tumor. It as an extremely rare form of pancreatic cancer, so yay me for finally being something other than average for a change. The important thing here is that it is not Adenocarcinoma, which accounts for 90% of all pancreatic cancers and is the big “C” one my doctor was referring to. The tumor I have is fairly large for a tumor and has likely been developing for years. It is possible that it was actually the cause of my Type II Diabetes and may have contributed to several other conditions I have been treated for over the last decade or so. What I have been diagnosed with is, by all accounts, very treatable and survivable.

The treatment is not going to be “easy” on me and I will be recovering for a while, but it is invasive surgery and that is pretty much par for the course for that kind of thing.

And yes, for those of you who are wondering, this is the exact same diagnosis Steve Jobs initially had, but I have one thing going for me he did not…I actually intend to let my doctors do something about it.

I have more tests to undergo to make absolutely sure this has not spread to or damaged other organs, and I am meeting with a surgeon at the Moffett Cancer Center as soon as I can get in to see one.

I am, I think understandably, unsettled by all of this and occasionally go deep into my feels and get all “why me?” I am not looking forward to the things that are now looming in my immediate future, but I am feeling very good about my chances of seeing the other side of it. I mean, Marvel just announced Secret Wars at the end of Phase 6 and I have to see how the Multiverse Saga plays out, so there really is not much choice in the matter.

Well. OK then.

I will get directly to the point if this post. Here is the cut and paste summary of what I have sent a few folks directly…

I have a cancerous tumor in my pancreas. It is, by all indications, highly treatable and was caught very early. In some cases the actual treatment for this kind is to do nothing and see what happens. I already have a relationship with an oncologist I really like and will be following up with him.

At this point I really do not have much additional data. I meet with my oncologist on Friday to figure out what kind of treatment, if any, I will need to undergo.

I am, as I am sure you can understand, a little tweaked out by the news, but I am very optimistic. I have excellent insurance, and a fantastic support network. I also have a partner who has been, and will be, by my side to help me get through this. I would have preferred to not deal with this, but I am grateful for all the positive things that are in place around it.

More as I learn it and as I have the mental fortitude to share, but I figured it made sense to share what I know for now.

As President Bartlett likes to say…”What’s next?”

A very brief health update…

My first biopsy was negative (thyroid).

Next biopsy is Monday (liver/pancreas).

I am still asymptomatic for anything related to cancers in that area, but they saw a cyst big enough to warrant further investigation.

I feel like the iron supplements are starting to work and my energy levels are beginning to rise again. Still confident the ultimate issue is just going to be that I give blood too often, but will not be 100% sure if that until September after my Upper and Lower GI tests and my next set of labs.

Mentally I am drained but still feeling positive about the whole thing. Lisa combines her medical experience and research skills to be able to provide contextual answers for me when I rabbit hole too deep into bad “what if” scenarios. She also has a whole laundry list of questions she wants me to pose to our primary care doctor when this is all said and done about our lifestyle choices and what we might have done differently to prevent some of this. I strongly suspect my coffee intake is going to be an issue but for now I am refusing to acknowledge that possibility. I will cross that bridge when I officially cross into my 50’s this November. Damnit. In any case, she has been by my side through all of this and her support, as always, is a major contributor to my mental health.

This was not as brief as I intended it to be, but there it is.