“Well, I am pretty much fucked.”
That is the opening line from The Martian after Mark Watney realizes he has been stranded alone on Mars. I was going to avoid using it because I already stole it once in an email to coworkers over a year ago, but after today, it still feels like the most accurate possible opening statement.
Because things did not go well with the doctors.
There is still cancer somewhere in me. We know that much. The problem is nobody can find it.
It does not show up on scans. It does not show up anywhere they can point at and say, “There it is.” Which sounds like good news until you realize if they could see it, they could probably attack it directly with radiation or surgery.
Instead, we are basically dealing with cancer ghost mode.
Chemo is not really an option anymore either. I already got the strongest version they had, and whatever survived it is likely resistant now. Possibly because of a mutation.
So apparently I have X-Men cancer.
Those are the fun updates.
The less fun update is that for the first time since all of this started, I am actually scared.
Not “slightly concerned.” Not “trying to stay optimistic.” I mean genuinely scared.
Scared I will not get to do all the things I thought I still had time for.
I still do not have the bespoke suit I wanted. I have not gone back to Montenegro. I have not visited Ed on the Jersey Shore. I have not finished my master’s degree. I never got the chance to work for Mike in security like I always hoped I would. There are restaurants I still want to try, books I still have stacked next to my bed, cities I still want to wander through with no plan whatsoever, and probably an irresponsible number of meals I still want to learn how to cook.
Some opportunities do not wait patiently while you spend a year trying not to die.
That realization hit harder than I expected today.
There are basically two paths forward now.
One option is to wait and see if something eventually grows enough to show up on a scan, then try to treat it once it finally reveals itself. The problem is that by then it could be in multiple places and much harder to contain.
The other option is an immunotherapy clinical trial that both my doctor and my older brother actually seem pretty hopeful about.
My brother’s words sounded optimistic anyway. His face looked like a man trying very hard not to look worried in front of his little brother.
According to the very simplified explanation I got, the cancer basically hides from my immune system. It creates some kind of defense mechanism that lets it disguise itself so my body does not recognize it as something that needs to be destroyed. The drugs in this trial are supposed to strip away that camouflage so my immune system can finally see the cancer and attack it.
I think it is called PD-L1.
Or maybe that is the protein.
Or maybe I completely misunderstood everything after the phrase “there is still cancer in you somewhere.”
Hard to say.
Apparently this type of treatment has been very successful in other cancers, which is where the optimism comes from. To me, it still sounds a little bit like a Hail Mary. A very advanced science Hail Mary, but still.
I also sincerely hope the clinical trial is not named something dramatic like Project Hail Mary because I am not emotionally prepared for irony at that level right now.
I do not know much else yet.
I know I will avoid another chemo port, which honestly feels like a decent win considering the alternatives. I know I will be driving to Houston a lot more over the next few months, which means I should probably start rationing audiobooks now.
The good news is I likely will not have many side effects from this treatment. At least not compared to chemo.
The bad news is I can no longer shave my head for summer like I normally do because people will think my health is getting worse instead of realizing I am just hot and making poor grooming choices.
I wish I could say I handled all of this calmly and heroically today.
I did not.
I spent a pretty significant amount of time mentally yelling at God.
Not metaphorically either. I mean full-volume-in-my-own-head yelling.
“Seriously God, WHAT THE ACTUAL FUCK?”
And honestly, I think I am allowed that one today.
Because the thing I have realized about faith is that if God is actually God, then He is probably not fragile. I do not think honesty scares Him nearly as much as people pretend it does.
The frustrating part is that if He answered me directly, I already know what the answer would probably be.
“You asked for this.”
And annoyingly, He would be right.
Not cancer specifically obviously. I did not pray for mutant hidden X-Men cancer. But I have spent years asking God to let my faith actually mean something. To let me show people trust and hope and perseverance when life got difficult. I have prayed over and over to somehow be useful in whatever plan He has.
Turns out I should have been more specific.
Still, somewhere in all of this, I have found myself grateful that it is me going through it and not one of my siblings. Not because I think I am stronger than them. That is not some martyr complex thing. It is just the honest realization that if somebody in my family had to carry this, I am probably the one built to do it.
That does not mean I enjoy it.
It just means I can survive it.
At least I hope I can.
And maybe that is what faith actually looks like. Not confidence. Not pretending everything is fine. Not fake positivity stitched onto fear with Bible verses and motivational quotes.
Maybe it is just continuing forward while scared.
Maybe it is trusting God while simultaneously wanting to yell at Him.
Maybe it is believing there is purpose in this even when I absolutely cannot see it yet.
I do not know what happens next. That is the truth.
But I do know tomorrow morning I will still wake up, go to work, answer emails, sit in traffic, work out like a maniac in the evenings, watch Spurs basketball like the outcome somehow still matters to my emotional stability, and probably cook something unnecessarily complicated this weekend while telling myself there is no reason one person needs to make that much food.
And somewhere in the middle of all of that, I should probably call my mom and apologize for the amount of cussing in this post.
Life will keep moving forward.
So I guess I will too.