Cussing at God Tonight

“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.

Micah Johnson…

Today was supposed to be forgettable.

Wake up. Go to the hospital. Drink the radioactive aquarium water they call CT contrast. Get scanned. Go home. Repeat the same mental cycle I’ve apparently been living in for months now.

I got to the hospital at 7:30 this morning, checked in, and started working through the required 32 ounces of watered-down contrast like it was some punishment specifically designed by people who hate joy. If you’ve never had a CT scan before, I highly recommend keeping that streak alive. The scan itself isn’t painful exactly, but the dye they inject into you feels like your body suddenly decided to preheat itself from the inside out. Every single time it happens, I briefly become convinced I’m either dying or actively peeing myself. Neither experience is ideal.

Once it was over, there wasn’t much to do besides kill time until dinner, so I found a coffee shop in Montrose called 787 Coffee and camped there for a few hours with a book. The place looked like an old house that had slowly been overtaken by graffiti artists and caffeine addicts, but they made a fantastic tiramisu latte. On a completely unrelated note, it took me six tries to spell tiramisu correctly just now, and I’m still not confident this is the winning version.

I spent most of the afternoon reading The Flamethrowers, which is a book I’ve been “currently reading” for what feels like the last presidential administration. I genuinely like it. I think. It’s mostly character development mixed with the history of an Italian motorcycle company, which sounds incredibly boring when I type it out, but somehow it works. I keep picking it up, putting it down, and then guilt-reading twenty more pages every few weeks like we’re in a toxic relationship together.

Really though, the only thing I cared about accomplishing today was finding somewhere outside to work out.

I have developed a completely unscientific belief that cancer probably struggles to survive inside a body that is actively trying to become unbearable to live in. Is there medical evidence supporting this theory? Absolutely not. Am I still treating sunlight, exercise, water, and vegetables like they’re magical anti-cancer cheat codes? Yes. Very much yes.

So I found a gym, worked out outside in the Houston heat, and according to my Whoop band, absolutely beat the hell out of myself physically for a while. Which honestly felt good. There’s something comforting about physical exhaustion right now because at least it’s understandable. Your muscles hurt because you used them. Simple. Straightforward. Not mysterious little blood markers floating around your body like unwanted plot twists.

That alone would’ve made for an incredibly boring blog post though.

But then dinner happened.

I wanted something light and healthy, and since Houston sits reasonably close to the Gulf, seafood felt like the right move. After looking around for a bit, I ended up at Navy Blue in Rice Village after seeing it recommended on Eater. That was honestly enough research for me.

I threw on jeans and a t-shirt and headed over, which weirdly felt significant because it was the first time I’d even brought jeans to Houston since all of this started.

Last year, there never really seemed to be a reason to pack them. My trips here revolved around hospitals, recovery, exhaustion, and trying to survive the Texas heat without feeling completely miserable. Gym shorts, joggers, t-shirts — that was basically the entire wardrobe. Jeans are what you wear when you’re planning to actually go somewhere. When you want to feel somewhat normal. When you think there’s a version of the night that might involve more than just getting through it.

For most of last year, normal never really felt like it was on the table.

So standing there in a pair of jeans on my way to dinner somehow felt like progress, even if it was the smallest and dumbest version of it imaginable.

I grabbed a seat at the bar near the windows so I could keep reading while I ate. I ordered the swordfish, which ended up being fantastic, but the real problem was the cheddar biscuits they brought out. They were basically elevated Red Lobster biscuits, which meant I immediately entered into negotiations with myself about how many counted as “reasonable.” I’m trying to eat mostly Paleo these days, so I stopped at two, even though deep in my soul I wanted approximately thirty-nine.

At some point while I was reading, a guy sat down nearby and started talking bourbon with the bartender. The restaurant had an impressive bourbon selection, and he was asking all the right questions, which naturally activated the part of my brain that cannot mind its own business.

So I joined in.

We started talking bourbon collections, unopened bottles, allocated releases, all the usual nonsense that men who spend too much money on brown liquid enjoy discussing. I mentioned that my collection had unfortunately crossed the line from “selection” into “problem,” which got a laugh and led to the obvious follow-up questions.

Eventually I mentioned that my surgeon had told me I needed to give up bourbon for a while.

That’s when he told me he was a colorectal surgeon.

Of course he was.

Not just a doctor. Not just a surgeon. Specifically a colorectal surgeon from another hospital system in Sugar Land. The exact kind of doctor who immediately understands the strange little world I’ve been living in lately.

The conversation shifted after that.

He asked about my surgery. The bag. The reversal. Recovery. He seemed genuinely surprised I was doing as well as I was physically, which I’m not gonna lie, felt pretty great to hear considering there was a period of time where I felt i looked rough.

Then he asked why I was back in Houston so soon.

So I told him.

The Signatera test. The lingering numbers. The fear that maybe this thing isn’t actually done with me yet.

He stopped for a second and thought about it carefully before answering. Then he said something that honestly landed harder than anything I’ve heard in weeks.

He told me those numbers were still encouraging.

That if one of his patients had results like mine after everything I’d been through, he’d feel really good about where things stood.

Not perfect. Not guaranteed. But genuinely good.

And for the first time in a little while, I felt some of the panic loosen its grip for a second.

Before he left to rejoin his wife and friends, he reached out his hand and asked my name.

I told him.

Then he introduced himself.

Micah Johnson.

My younger brother’s exact name.

Now listen, I know how that sounds. I fully understand coincidence exists. But at a certain point in life, you either start believing moments can mean something or you don’t. And sitting there in a seafood restaurant in Houston, talking to a colorectal surgeon named Micah Johnson about bourbon and cancer on the exact day my brain needed reassurance the most…it just felt like too much precision to be random.

Maybe that was God.

Maybe it wasn’t.

But it felt like someone reaching down into a pretty difficult stretch of life and reminding me that I’m probably not walking through it alone.

And honestly, I think that’s enough for today.

.05

I am once again sitting in a hotel room across from the MD Anderson Cancer Center campus in Houston.

Two weeks ago, after giving blood for something called a Signatera blood biopsy, I found out I still have a DNA signature of the tumor they removed floating around in my bloodstream. The first test showed .04 parts per million. Small enough that they wanted to run a second test to make sure it was not a false positive.

This morning, I got those results back.

.05 parts per million.

Tiny numbers, but not zero. Small, but there. Enough that it has to be dealt with.

I should probably be angry tonight. Honestly, I kind of want to be. I want to yell at God. I want to drop a long string of F-bombs while asking, “What the hell?”

You can insert whichever curse words you think sound most natural in my voice there. I cleaned most of them up for my mom and some of her friends who read this blog, but trust me, there would absolutely be profanity involved in that conversation tonight.

And honestly, I think most people would say I earned the right to ask that question at some point.

If you stacked up all the “what the hell?” moments in my life together, my dad dying of cancer, diabetes, going blind, family struggles, the torn Achilles, career setbacks, cancer round one, eventually it would seem reasonable to look toward the sky and yell:

“Seriously, WHAT THE ACTUAL FUCK, GOD?”

Sorry, Mom.

But weirdly, that is not really where my head is tonight as I wait for tomorrow’s CT scan and whatever news comes after it.

And it is not because I am blindly optimistic or pretending this is fine.

It is just hard to stay angry when life keeps giving you things you once desperately prayed for.

Most afternoons last week around 5:30, I was flat on my back on the hot old AstroTurf behind my CrossFit gym, sweating out what felt like every ounce of water left in my body while my Whoop app politely informed me that my heart rate had been hovering somewhere near 180 BPM for the last twenty minutes of a fifty-minute workout.

I felt absolutely cooked.

No energy left. Legs shot. Lungs burning.

And somehow I still could not stop smiling.

Because only a couple months ago, I remember sitting in a hospital bed asking God over and over to just let me get back to that exact moment someday.

That exact miserable moment.

Laying on the ground trying not to throw up after assault bike sprints, sled pushes, ski ergs, wall balls, and dumbbell snatches sounded like the greatest privilege in the world when I was stuck in a hospital wondering what my future was going to look like.

And last week, there I was again.

Completely exhausted. Sweaty. Struggling to breathe. Whispering “get the hell up” to myself before forcing out one more rep.

Happily.

That is the weird thing cancer has done to my brain. It has made me unbelievably grateful for things that used to feel ordinary.

It is hard to stay too angry at God, or fate, or whatever it is you believe in, when you realize so many of your old prayers were quietly answered without you even noticing at the time.

Of course, I did not pray for cancer. And I have prayed alongside so many of you for this cancer to completely disappear.

But somewhere in all of this, I have also learned that God works on a timeline I do not fully understand and probably never will while I am here.

Maybe years from now I will be old, unable to work out anymore, laughing while telling somebody this exact story.

Maybe life goes differently than I hope.

But I honestly believe that someday all of this will make sense in a way I cannot see right now.

So no, I am not screaming “WHAT THE ACTUAL FUCK?” tonight, even if things are continuing in directions I wish they would not.

Because I still have hope.

I still have faith.

And I still believe there is a very good chance I will spend years laying on that AstroTurf, sweaty, exhausted, smiling, and cancer free.

And if life turns out differently than I want, I think I am okay with that too.

So for now, I will see what tomorrow brings.

One more time.

Sympathy, a Starving Tugboat, and a Good Distraction

I think this week is going to be a test of the thing I do worst of all: patience.

I’ve been an instant gratification person my entire life, which probably speaks to some other issues I should unpack once I get past this damn cancer. But that feels like a problem for Future Me. Current Me is busy obsessively checking Natera’s website for blood test results like I’m waiting for Grand Theft Auto 6 to finally release.

They conveniently gave me a tracking number for the blood they took last weekend, which I’m sure has to weird out at least a few people at FedEx. Somewhere out there is a guy scanning a box labeled with biological material while I’m at home refreshing tracking updates like it’s Christmas morning.

Still, I’m weirdly grateful for both the tracking number and the people moving my blood around the country because at least it feels like progress. According to the shipping updates and my own completely unqualified detective work, Wednesday seems like a realistic timeline for news.

Until then, I’ve been trying to distract myself.

Much to the frustration of Tugboat.

Man’s best friend is apparently supposed to comfort you during difficult times. They lay beside you on the couch, rest their head on your lap, and provide unconditional love and emotional support.

Not Tugboat.

Nope.

Tugboat’s version of support is trying every morning to slip out of his collar, sprint downstairs to the coffee shop at the base of my building, and convince complete strangers that he is both starving and horribly mistreated. It’s honestly impressive how committed he is to the performance. He wanders around looking like a Victorian orphan asking for scraps while I’m upstairs paying an embarrassing amount of money for prescription dog food he refuses to appreciate.

Once he exhausts the coffee shop crowd and squeezes out enough sympathy belly rubs, he usually starts trying to visit other residents in the building. On most days, he successfully finds someone willing to let him hang out for hours. If Tugboat could speak, he would probably say these people aren’t suckers at all, but generous benefactors honored to have him serve as their emotional support muse while they work from home.

He has an ego nobody really gets to see in public, but it is massive.

There are moments where he pretends to show me affection, but I see through the scam pretty easily. He becomes very loving around 7 AM and 5 PM, which just so happen to align perfectly with meal times. Even then, his affection is conditional upon whether I’m serving portions he finds acceptable, despite the fact that he is objectively fat and currently on a diet he deeply resents.

The low-calorie food has apparently ruined his life.

He voices this opinion often.

Meanwhile, when he visits other people, I get routine updates about how amazing he is. How they took a long nap together. How he stayed close to them all day. How comforting and sweet he was.

With me? He goes into the other room, attempts to claim the entire bed, and gives me judgmental looks when I have the audacity to try and sleep in my own apartment. He’ll move just far enough away to avoid accidental touching, but the second I get up in the middle of the night — which still happens regularly while I figure out how all my new plumbing works — he opportunistically reclaims every square inch of mattress space before I can get back.

He doesn’t care why I’m awake at 2 AM.

He doesn’t care that cancer is the reason he gets sent off to extended sleepovers full of treats and attention.

And honestly, I didn’t think he cared much about what I needed at all.

At least not until last night.

My brain would not shut off. I could feel the anxiety creeping in while I waited for news about whatever comes next with all of this. The blood test. The remaining cancer questions. More treatment. No treatment. All the stuff your brain likes to weaponize against you when the lights go out and things get quiet.

And then, completely unprompted, Tugboat came over and laid down close enough to snuggle.

Which genuinely made all the difference in the world.

Right up until I realized he was farting directly on me.

I turned on the light and I swear I could actually see him smiling in his sleep while he did it.

But honestly, it made me laugh. It broke the spiral in my head. For a little while, I stopped caring about blood tests and timelines and cancer.

And it reminded me that even though Tugboat is absolutely a little jerk sometimes… he’s still a good boy who cares in his own weird way.

I Guess Its Not Over Yet

This blog was supposed to be over already.

That was the plan anyway.

But like most of the stupid plans I’ve made throughout my life, this one also fell apart almost immediately. I don’t know if “fell apart” counts as a colon joke anymore or if my brain is just permanently broken now. Either way, I think I’m running out of energy for cancer humor.

Although apparently not completely.

Because even now, I still can’t stop myself from making shit jokes.

The reason I thought this blog was ending was because I thought cancer was behind me. I thought I had done the hard part already. Surgery was over. Chemo was over. I had mentally started putting this entire chapter of my life into storage somewhere.

Then Tuesday happened.

On Tuesday, I got the results from a Signatera blood test showing trace amounts of metastatic cancer cells still in my bloodstream.

Last year, my first test came back at 1.98 parts per million.

In January, it dropped to .05.

This week it came back at .04.

Which, to me, sounded good. Lower seemed good. Lower is the direction numbers are supposed to go when you’re trying very hard not to die.

Apparently not low enough.

Doctors wanted zero.

So now this story keeps going whether I want it to or not.

The strange part is that the results are simultaneously scary and almost encouraging at the same time. The amount they found is so incredibly small that there’s a good chance it wouldn’t even show up on a CT scan yet. It likely hasn’t spread anywhere visible. There’s even a possibility the result was a false positive because the level detected was basically the lowest measurable amount the test can find.

So right now I exist somewhere in the middle of all of it. Not healthy enough to fully celebrate. Not sick enough to fully panic. Just sort of stuck in this weird emotional waiting room where nobody really knows what comes next yet.

Tuesday hit me harder than I expected.

Not because I thought I was dying immediately, but because I had already emotionally moved on from this version of my life. I had already started relearning how to exist without cancer sitting in the middle of every thought I had.

And now suddenly it’s back.

Or maybe it never really left.

I left work early Tuesday and did the only thing that made sense to me at the time. I went to the CrossFit gym, got on an assault bike outside in the Texas heat, and worked until I could barely stand anymore.

At some point between nearly throwing up and questioning every life decision that led me to voluntarily exercising in 100 degree weather, the pity party ended. The frustration disappeared too. And for the first time since getting the news, my brain got quiet again.

I think part of what scares me most is chemotherapy.

I made it through chemo fairly well the first time compared to what a lot of people experience. But “fairly well” is still relative because chemo still sucked in ways that are hard to explain to people who haven’t done it.

Driving to Houston before sunrise on Fridays. Getting accessed through a chest port that hurt for nearly a year. Sitting there while poison got pumped directly into my bloodstream knowing the next several days were already gone before they even started.

Then driving myself home alone down I-10 with a chemo pump attached to me, listening to podcasts because silence gave me too much time to think about what was happening.

That part was hard.

Really hard.

And if I have to do it again, I honestly don’t know yet how I feel about that.

If this ends up being oral medication or something smaller and manageable, then fine. I can do that. Hell, after the last year, I can probably do more than I think I can.

But I also know enough now to understand what the harder version of this looks like too.

That’s difficult knowledge to carry around once you have it.

What’s also been strange is telling people.

People want this story to be over almost as badly as I do. They want to celebrate. They want the happy ending. And honestly, for a while there, I thought we had one.

So telling people this might not be over creates these awkward little pauses where nobody really knows the correct thing to say next.

Some people just say, “Cancer sucks.”

And honestly, I appreciate that response more than most.

Because it does suck.

There’s really no smarter or deeper way to say it than that.

But I also don’t think that’s the full story anymore either.

Because somehow, in a very strange way, cancer also created space for optimism and hope that I don’t think existed in me before all this started. And over the last year, I’ve had people reach out to me saying that the hope they saw in me helped them somehow during their own difficult situations.

I still don’t fully understand that.

But if the way I’ve handled this helps somebody else carry their own heavy thing a little easier, then maybe there’s value in that somewhere.

Maybe that matters.

And maybe that means this entire experience becomes something bigger than just fear and hospitals and chemotherapy and bad scan results.

I don’t know.

What I do know is that I still have hope. Maybe stubbornly so.

And I still don’t believe this is where my story ends.

But tonight, I’m done thinking about all of it.

It’s Saturday night. Tugboat is asleep at the foot of the bed dreaming about food he can’t eat because he’s fat and currently on a diet. His entire world right now is basically just hunger and inconvenience, and honestly, that seems peaceful compared to whatever is happening in my brain.

So tonight I’m going to be more like Tugboat.

I’m going to enjoy the evening.

And I’ll worry about tomorrow when, or if, it comes.

Good night.

Waiting On What Comes Next

Sitting on the couch with the NFL Draft humming in the background should feel like a clean return to normal. A year ago, this would’ve been exactly the kind of night I’d want, nothing urgent, nothing heavy, just football, a couch, and the slow drift toward sleep.

But it doesn’t feel quite right.

If you asked most people what I’d want after everything from the past year, they’d probably say this, normal life again. And that makes sense on paper. It just doesn’t quite land that way in reality. I wouldn’t say I’m struggling, that would be way too dramatic, but there’s something off about just sliding back into the same life I had before the diagnosis, like nothing happened.

It feels incomplete.

There’s this quiet assumption that going through something big is supposed to lead to something equally big on the other side. Some kind of transformation. A dramatic shift. Like you’re supposed to come out of it with a brand new life plan and a completely different version of yourself.

And I don’t know if that’s actually true.

What I do know is that it feels like a waste of a second chance to just pick up exactly where I left off. To go right back to the same routines, the same habits, the same everything. And yet, here I am, doing exactly that, letting the TV drone on while I slowly fall asleep on the couch.

The problem is, I don’t know what “different” is supposed to look like.

It’s not like I have some burning desire to blow up my life and start over. I’m not about to sell everything, quit my job, and move to Montenegro with Tugboat to drink Aperol Spritz and paint questionable watercolors. That version of reinvention sounds fun for about a week, maybe two, and then it turns into something that feels more performative than meaningful.

So if not that, then what?

Right now, I don’t have an answer. I don’t even really know how to go about finding one. I just have this underlying sense that something should change, I just can’t tell you what, when, or how.

And patience, historically, has not exactly been my strength.

To be fair, it’s only been a few weeks since I could definitively say cancer is behind me. In the grand scheme of things, that’s nothing. Expecting clarity this quickly is probably unrealistic. Still, it’d be nice to have at least a hint of direction.

Until then, I’m trying to remind myself of something simpler.

Every day is still a gift, even if it looks exactly like the day before.

Even if it’s mundane. Even if it’s routine. Even if it’s just sitting on the couch with the draft on in the background and Tugboat snoring like he just worked a double shift.

Those things still count.

So maybe this post is less about figuring anything out and more about saying it out loud. Getting it out of my head. Because when I hear it, it does sound a little ungrateful, and I don’t think that’s what this is.

I think it’s just unfinished.

But for now, I’ll take the night for what it is. I’ll watch the rest of the draft, enjoy the soundtrack of Tugboat’s snoring, and let tomorrow show up however it’s going to show up.

Thanks Rusty…

I can say I’ve closed the cancer chapter of my life now. That feels like something I should pause on. Sit with it. Maybe even let it sound profound. But the truth is, the next chapter doesn’t exactly start clean. It starts at 2:30 in the morning, half asleep, trying to figure out if what just happened is gas… or a problem that requires a full shower, fresh clothes, and an immediate load of laundry.

This is the part nobody really writes about. Somewhere along the way, having my colon removed turned basic bodily functions into a nightly guessing game. And when you guess wrong, there’s no snooze button. There’s just the cold reality of being awake, annoyed, and very aware that you are not getting that hour of sleep back.

At one point, I briefly considered solving the problem by just throwing away every pair of boxer briefs involved. Maybe even investing in an incinerator. But that feels like a financially irresponsible response to a medical situation, so for now, laundry it is.

It’s frustrating. It’s inconvenient. It’s humbling in ways I wasn’t prepared for. And yet—somehow—it’s still better than the bag. So I remind myself of that. A lot. Because the bigger picture is that I’m healing. Slowly, but undeniably. Every day gets a little closer to normal, whatever that word even means now. This is what I prayed for. What a lot of people prayed for.

And now that I’m here, I didn’t expect this part: I’m as frustrated as I am grateful. Not because I’m not getting better—but because I am. Because “getting back to normal” comes with this quiet realization that I could very easily slide right back into the same life I had before. Same habits. Same routines. Same patterns. And that feels… like a missed opportunity.

You go through something like this, and you assume there will be clarity on the other side. Some obvious next step. A direction. A calling. Something. But mostly, it’s just you. Same as before. Just with a slightly different operating system and a much more complicated relationship with sleep.

A while back, I heard someone ask: If the version of you ten years from now could talk to you today, what would they say? I’ve always liked that question. You’d think that version of you would know. They’d have perspective. They’d point you somewhere. But if I’m being honest, I don’t hear some clear, life-altering instruction.

I hear Rusty. “Just aim to be 1% better in any one thing, and you’ll be good.” That was his thing. Simple. No drama. No overthinking. Rusty passed away last Tuesday.

And I can’t help but think if I had called him after my last surgery—told him I didn’t know what to do next, told him I felt like I was wasting whatever this second chance is—that’s exactly what he would’ve said. No big speech. No deep philosophy. Just: be a little better tomorrow.

I’ll be telling that story at his wake this Saturday. In front of a room full of people I’ve never met, trying to explain a guy who made things make sense by keeping them simple.

And maybe that’s the answer, at least for now. Not some massive life overhaul. Not some perfectly defined purpose. Just… 1% better. Maybe that honors him. Maybe that’s me listening to God. Maybe that’s exactly what the version of me ten years from now would hope I’d figure out. Or maybe it’s just the best I’ve got right now.

Either way, it feels like enough.

 

At this point, I’ve been up too long, spent too much time going back and forth between my bed and the bathroom, and Tugboat is officially concerned about my decision-making. So I’m calling it a night. And tomorrow, I’ll take a shot at being 1% better at something. Even if it’s just guessing right.

The End of This Chapter

It’s been a week since the surgery. I needed to wait this long to write anything, because once they took the bag off and removed the chemo port, I wanted to make sure my insides actually worked — they do, sort of — before I let myself say out loud that this chapter of my life is coming to an end.

That realization first started to sink in the night I got home — last Saturday — when I sat in the shower for nearly fifty minutes, completely unbothered. No fear of the bag getting too wet and falling off. No fear of the ostomy discharging mid-shower and what that cleanup looks like after — and I’ll let you use your imagination there, but it involves a fair amount of bleach on the shower floor. For fifty minutes, I just sat there and enjoyed a shower in a way I’m not sure I ever truly had before.

It’s a strange thing, learning what you miss most when something simple is taken from you without warning.

What I don’t think I’d fully appreciated before the bag was how much of your life quietly reorganizes itself around it. What you wear — black, always black. Whether you go out, and for how long, and how far from a bathroom. Whether you let people get close enough to notice. Whether you stop at the sauna you used to love, or the restaurant with the long wait, or the friend’s house where you’d have to explain. You don’t make one big decision to shrink your life. You make about four hundred small ones, and one day you look up and realize how much smaller it got.

So yes. Fifty minutes in a shower. That’s what this year came down to, at least in the beginning.

If this were a movie, that shower would have been some kind of sweeping visual metaphor — washing away the memories of the last year, strings swelling in the background. But this isn’t a movie, and honestly, I don’t want it to be. I don’t have a clean takeaway from all of this yet. I’m not sure I’m supposed to. But I do think whatever I’m meant to carry forward will become clear with time.

What I have found myself returning to are four personal truths — things I probably already believed somewhere deep down, but that this last year somehow pressed into permanence for me. They’re going to sound like fortune cookies. Some of them probably are. I’m sure I absorbed pieces of them from people smarter than me. But that doesn’t make them any less mine.

 

  1. You can’t live a great story and have an easy life.
  2. It’s an amazing privilege to complain about the life you begged God for when you were younger.
  3. Everything good in life lives on the other side of fear, embarrassment, or discomfort. Run to that side any chance you get.
  4. Always drink the good bourbon when you can. There is no reason to save it for a perfect moment that will never come.

 

Take from those whatever you’d like — or nothing at all.

I still don’t have a clear answer to what now? — and honestly, that’s equal parts terrifying and kind of thrilling, and I’m finding I’m okay with not knowing. I figure if I hold loosely to those four ideas, whatever comes next should be some kind of adventure. For now, I’m going to enjoy all the small things I had to give up when the bag went on: wearing something other than black, getting back to the sauna, and taking as many showers as my water bill will reasonably allow.

This is where this chapter ends — mostly. There are scans ahead, and cancer could come back. But that’s true for all of us in one way or another, so there isn’t much point in borrowing that worry today.

For now, it’s on to the next adventure. Thank you for reading this long cancer chapter, its been a heck of a story so far…

Just a Tiny Corded Mouse…

It looked like a tiny corded mouse.

That’s what the thing looked like after almost a year inside me — my chemotherapy port, the thing that had made every infusion possible and made everything else harder — after every moment of embarrassment, every life adjustment large and small. Fifteen minutes and it was out. They held it up and that’s what it was. Small. Unremarkable. Anticlimactic in a way that felt almost insulting given everything it had put me through. I think I wanted some form of revenge on it. I wanted the removal to feel proportional to what it had cost me. Instead it looked like something you’d find tangled in the back of a desk drawer, and then it was gone.

I’m sitting in a Houston hotel room now, the incision point throbbing, and I’m smiling. That’s the last time it gets to hurt me. I’ll take that.

329 days ago I was sitting in this same hotel, staring out at the soft white glow of the MD Anderson marquee at the top of the hospital’s highest tower, wondering what was about to happen. I called it a seminal moment. That turned out to be accurate. Tonight feels like it could be another one, though I’m not sure yet.

Tomorrow, my surgeon — someone I’ve come to call a friend, though she might not say the same given that I am a difficult patient — will reverse my ostomy bag. Tomorrow should be, with some luck and the grace of God, my last surgery in this bullshit that has been cancer.

I’ve been pushing for both of these things for months. I wanted the port out. I wanted the reversal. There was hesitation from some people about removing the port this early — suggestions it stay in for a full year post-surgery, reasons ranging from what felt like superstition to the more obvious one nobody really wants to say out loud. I appreciated that conversation about as much as I did having the damn thing in me. While I was waiting in the procedure room I read that some people keep their ports for ten years. I don’t fully understand that, but I was grateful not to be one of them.

Here’s the part I’m still working out how to say.

For 329 days, cancer has been my entire identity. Every plan, every goal, every morning I woke up and knew exactly what I was doing and why — it was all pointed at the same thing. Get rid of it. All of it. And tomorrow, if everything goes the way it’s supposed to, that’s done.

I thought that would feel like pure relief. And part of it does. But there’s something else sitting underneath it that I didn’t expect — something closer to vertigo. Tomorrow will be the first day in almost a year that I don’t have a next thing. No port to fight to remove, no surgery to prepare for, no clear enemy. Just whatever comes after. I don’t know what that looks like yet, and that uncertainty — which is technically the good kind — is somehow harder to sit with than the certainty of the last year, even when that certainty was terrifying.

It’s a strange thing to realize you’ve gotten used to something you hated.

I’ll keep writing. There are things I’ve kept to myself this past year that probably deserve a page or two — if only for what writing them down does for me, which at this point I understand pretty well. I’ll write about the new normal, whatever that turns out to be. There is, for the record, a package of adult diapers in a CVS bag on the bed right now. My doctors told me to get them “just in case.” I expect that will make for a story.

But right now I’m going to get into this hotel bed and pick up the book I brought to Detroit a year ago — the trip I first got sick on — and never opened again after that. I’ve been carrying it around for 329 days. I think I can finish it here.

Seems like as good a place as any to start figuring out what comes next.

Seven Days & Hidden Beauty

Yesterday I had to go back to the hospital for my post-op checkup — the appointment where I’d find out if I’d healed well enough to move on to what I hope will be the final surgery of this cancer journey. If the news was good, they would reverse my bag. It’s one of the very few things I’ve allowed myself to look forward to over the past year. Looking forward to a surgery sounds morbid, I know, but that’s where my life is right now, and I think it goes a long way toward explaining why I hate the hospital.

I don’t hate the people. Far from it — they’ve saved my life, after all. But for a long time now, I haven’t been able to see that place as anything other than somewhere pain lives. I’ve kept that to myself, mostly. Attitude matters, in life and especially in something like this, so I’ve worked hard to stay positive. And besides, the sadness that seems to permeate every taupe-colored hallway of the MD Anderson complex doesn’t need me pointing it out, no matter how bright the furniture is or how shiny the slogans on the walls.

So it shouldn’t surprise anyone that I wasn’t exactly looking forward to yesterday, even with the finish line this close.

At some point during the visit, I found myself completely lost in the basement, wandering hallways I didn’t recognize, trying to find the place where I was scheduled to receive a barium enema. If you can’t understand why someone might dread a hospital visit, I’d invite you to schedule one of those for yourself and leave a Yelp review afterward. Five stars and I’d question your judgment — and suggest a different kind of hospital.

But here’s the thing about being lost and not trying very hard to be found: you start to notice things.

Maybe I’d missed them before out of self-pity. Maybe the day-to-day weight of cancer had just crowded everything else out. Or maybe I’m simply oblivious sometimes. But wandering those halls yesterday, I started to see the beauty that’s quietly everywhere in that place, if you take a moment to look past the surface.

I noticed an overworked medical resident who stopped mid-stride to help a lost stranger — just because he could see I needed it. I noticed a family tucked into a corner of the cafeteria, a parent holding an iPad so the kids could watch cartoons, doing their best to build a small, normal moment inside a place that is anything but. And then there was the barista. She was talking to the elderly woman ahead of me in line, and something made me stop and pay attention. Instead of rushing through the transaction, she was fully present — listening, really listening, to this woman who was clearly on the verge of breaking. No hollow words of comfort, no move to hurry things along. She just held her hand, and gave her a free coffee.

Small things. Simple things. But they hit me like a light coming on.

It’s remarkable how quickly something like that can pull you out of one way of seeing the world and drop you into a completely different one — a better one — almost without your permission.

I don’t know why it took me until this last visit to notice any of it. Maybe it’s because this will be my last real visit. The news yesterday was as good as it could possibly be. I healed well. The bag comes off next Thursday. The chemo port the day before. With a little luck and the grace of God, I may never have to walk those hallways again for anything more than a routine check-up.

And somehow, that’s exactly when I finally saw how beautiful that place can be. Not just the patients holding it together with everything they have, but the doctors, the staff, the people sitting quietly beside someone they love — all of it, remarkable.

I’m probably more emotional writing this tonight than I’d be on any other night. Being this close to the end will do that to you. But it felt like a story worth telling — maybe the best one to come out of yesterday.

So I’ll end with this: look for the small beauty in the places you don’t expect to find it. It might make all the difference — for you, or for someone nearby who needs it just as much.

For now, it’s late. Tugboat is snoring on the floor beside me, and I’m ready to call it a night.

Seven days and counting