As I went through my radiation treatments various side effects of the radiation developed at various points through the course of therapy. I was plagued by fatigue. Urinary pain developed. Through a lot of the time I experienced inflammation of my hemorrhoids which was annoying but not serious. After my treatments were finished the side effects subsided at different rates.
A few weeks after radiation was over the urinary pain had seemed to go away, only to come back later. At the time I thought it had another cause, but the urologist, after cystoscopy, told me that it was just from my prostate and that it was just what she would expect after radiation. In time this resolved, but it hasn't completely gone away although I would only characterize the occasional pain as “twinges.” Similarly the hemorrhoidal irritation subsided and returned to a pre-treatmant frequency of occurrence. The fatigue even got better to the point that I can get things done, although I have to admit that I am still not back to 100%.
About a month ago I started having a difficult to discuss and even more difficult to handle problem of rectal bleeding. It started out at a level that was like a severe hemorrhoid flare-up. Therefore, I was not too concerned about it and expected it to pass in a few days. However, it didn't clear up in about four weeks. In fact, in the last few days it got so much worse that I went to the ER at the VA yesterday. In an amazingly short visit, I was able to find out that, based on blood tests, the blood loss had not been significant, although it had looked alarming to me. Furthermore, the doctor ordered a colonoscopy as a precaution, because we cannot assume that this in fact only the result of the radiation treatments in spite of the high probability that is only that. As he pointed out there are too many possible causes of the bleeding that must be ruled out since some of them could be quite serious. I am most grateful that VA doctors are more inclined than those in private health care to order tests on the basis of best practice because they don't have to justify an expense to an insurance company.
I was really surprised that I would still be dealing with side effects of my radiation treatments almost six months after the last therapy session. However, just as the doctor pointed out to me, these tissues got blasted with radiation even though the prostate was targeted as the focus of the beams. Each beam still had to pass through healthy tissues and organs to reach the tumor or tumors. While these are of low enough intensity to not cause immediate serious harm, they are not without effect either.
Interestingly, the doctor who treated me had been my primary care physician before he was transferred to “ Urgent Care.” In some ways it seems that the VA is benefiting from his heightened diagnostic skills from his experience on active duty previously in Afghanistan. When he saw me, he almost didn't recognize me cleanshaven. We talked a little about my monastic aspirations.
Although I wish it were already over, I am still walking through my “Journey Through Cancer.” I cannot afford to be overwhelmed by each new development. The reality that we all have to accept, if we are to have any peace, is that everything changes which includes the certainty of death. I have survived so many things, but I still will have to die someday of something. With that certainty I still have to try to do what needs to be done.
What I need to work on are matters of my own practice as well as being of service to others. For example I have begun and will continue to do an auspicious smoke ceremony from time to time not only for my benefit but also for the benefit of my family and friends and all sentient beings. Furthermore, my medical history has brought about greater empathy for everyone dealing with medical issues especially hospitalization. I need to contact the local hospital to make myself available especially for Buddhists. At the very least, I can be the contact point for finding the appropriate persons to serve their needs. As I have written before, going through all of this is not just about the purification of my own karma, but also about making it beneficial for myself and all sentient beings.