12 December 2017 Up until today the past couple of weeks have been a bit up in the air, or sort of on hold. It was difficult to apply myself to what needed to be done or to the things I wanted to get done. I'd start off each day with the best intentions but soon run short of energy and resolve. The high heat and humidity probably hasn't been a help, made it easier to taper off on the efforts. But there was always this sense of not knowing the full facts, not knowing exactly where everything was going. The PET scan in Adelaide was back in November but the results were somewhere out there in the ether. Appointment with the specialist seemed to be too far out into the future. On the one hand there was the feeling that the test results maybe were good and there was no urgency with a follow up. Or, could there be an indifference about it all as lots of people get cancer all the time, just another day in the life of a surgeon. The feeling was like being suspended, just left dangling, unable to reach forward. Just a feeling of powerlessness or of the tiredness that seems to keep overwhelming me. Maintaining constant positivity gets a bit daunting at times. I tell myself that it is just my impatience rather than delay that is the problem. But emotions still tended to yo-yo along from day to day. Today, however, was the day for the appointment with the specialist to find out the results of the PET scan so I headed into Darwin Private Hospital early in the day. Even though fiddling around with minor jobs at home so that I wouldn't be too early and end up waiting ages at the hospital I still got there well before the appointment. Of course bear in mind that timing can be a bit tricky when you're out in the rural area as you don't know whether traffic is going to hold you up or allow you a fast run through. I met the receptionist's enquiring look with "I'm the 9:45AM entertainment." There were two behind the desk, one of them came back with "That's a different way of looking at it. You're going to be entertaining us?" I just smiled "Always, my aim is to please." The specialist started off with the usual "How are you feeling today?" This time I came straight out with "That depends on what you tell me. Ask me again just before I leave." Then he just said that it was good news. The cancer looked to be confined to the prostate, no indication it had spread any further. We got into a discussion of what the options were. He spoke about surgery on the one hand and radiation with hormone therapy on the other. I told him I'd googled the hell out of prostate cancer but only the reliable sites like the American cancer organisations and reputable clinics as well as Australian ones so I had given the matter a lot of consideration. My preference was for surgery. The cancer was in a discrete area and should be easily excised. The problem with radiation is the chance of peripheral, or 'collateral', damage and the long term need for hormone therapy with its side effects. If the cancer had spread a bit more then the situation might be different. He told me that there were also risks and side effects with surgery such as some incontinence and erectile dysfunction. For me there are three focal points that I try to use to guide me in life: Get the facts; Get real; Deal with it. I had done my best with getting all the facts short of a 6 year university course specialising on the subject. I feel my grasp of my situation is now realistic. I had given it deep consideration and it was time make my judgement and deal with this situation. I wanted to know the nitty gritty of the process. Firstly was the question of when the procedure could be done, how long the hospital stay would be, and how long I'd be laid up at home afterwards before I could do physical work. I have a rural block and a lot of the work needed there is fairly heavy, especially during the dry season. There are no "light duties" that deal with everything needing doing on a rural block. Ideally for me the procedure should be done and recovery confined to the wet season. His information was that the stay in hospital would be about 4 days. The tube into the bladder would be in for about a fortnight. And the overall period of being laid up before being able to work would be 6 to 8 weeks. With that all settled we went out to the reception desk to sort out a date. The first available was 2nd of January, then 10th, then ..... I jumped in on the earliest date saying that I wanted the least amount of time to be thinking about it. It then dawned on me that it was only 3 weeks off which gave me a bit of a mental jolt. But I stuck with it as it has to happen sometime. I paid the bill and walked off with a bundle of paperwork under my arm and a feeling of time running out. Heading back I called into Thorak Cemetery for another session of dealing with reality. At the office I said to the woman at the desk "I'm looking for a bit of real estate". She was amused by my approach to the subject. She outlined the types of plots that were available and in which sections of the cemetery. We also got into prices, not really cheap. I opted for having a small headstone rather than a plaque or one of the larger monument style memorials. She went out with me to look over the sites as she had a list of the plots already reserved and what was still available. I said she was like a real estate agent selling a block. We laughed over that. I asked the question that had played on my mind a bit, "What's the criteria for an ideal funeral plot?" She just said "Whatever you feel comfortable with". We sat out in the shade of trees near a new section where there was a burial in progress. It was for a young indigenous man killed in a car accident. I knew some of the family but didn't recognise any of the people there. I checked the list of taken plots and worked out the position of what was still available. The site was quite nice. Next to a row of trees which were going to grow a lot larger. There would be shade from the middle of the day right through the afternoon. But it would get morning sun quite early. Despite the woman saying that I didn't have to make a decision right away I decided on the plot next to the one for today's funeral. I then told her about my situation and said if the procedure next month goes "pear-shaped" then I want everything in place and sorted. Following our site inspection we walked back to the office where I filled out the documentation for the site. I've never had an address with that high a number before. Next will be the payment but they'll send me an invoice first. Of course that isn't the end of the story. There's also the actual funeral arrangements and organising the headstone yet to be done. After I got home I rang the Public Trustee's office and made an appointment to get a will drawn up. That won't happen until the 20th December, just over a week away. All this funeral business is very involved and I can understand why people (some people anyway) like to get it all organised before hand. But I'm well into the process now and it feels good to have achieved this much. 14 December 2017 Today I caught up with the neighbour who'd given me the lift to the airport for my flight to Adelaide for the PET scan. She's finished her radiation therapy and is now doing the hormone therapy. I talked about my progress with funeral arrangements as she had already done hers some time ago. It feels good to have someone that I can speak to about all this business, someone who knows and has "been there". She could relate to all my doubts, contradictory emotions, uncertainties, and all the other feelings that were quite "normal" in the circumstances. While there's no reason to expect a negative outcome I asked her if it did go "pear-shaped" for any reason could she release my two Long-necked Turtles. Years ago they were on my place when Cane Toads turned up. I penned up the turtles in an enclosure with ponds to protect them. I feed them but they also have some "wild food" in the ponds they can also get. But long term they couldn't survive in the enclosure without extra feeding. If she opened up the enclosure the turtles could move out into my swamp and creek and take their chances in the wild as they have never stopped their hunting practices. The other favour I asked for was getting a lift to the hospital, she could use my car instead of hers. That would alleviate the worry of leaving my car in the hospital car park all that time. Then she could pick me up in it afterwards and I wouldn't have that perennial argument with the hospital about driving myself home. Meantime at home I'm trying to get a lot of things done before the operation as afterwards my capabilities will be limited. At the same time however, my feelings about all this are still a bit ambivalent. Despite outlook being mostly positive there's still a niggling feeling that I shouldn't worry too much about not completing things as it won't matter if the results of the procedure turn out less than expected. Do I have a responsibility to finish projects if there's a possibility someone else is going to come along with different views to mine and more or less 'bulldoze my projects into oblivion?' I'm really glad for having an early date for the procedure. Less time for errant thoughts. 21 December 2017 Yesterday was quite a busy day. I'd made an appointment to get a will drawn up by the Public Trustee. Having a Seniors Card means free bus travel so it was easier to drive to Humpty Doo bus interchange, park the car and travel by bus. Of course that meant getting into the city very early. So had some breakfast, a subway roll - they're healthy, and the rest of the time was filled in looking around NT General Store, an outdoor gear supply shop that I've used over the years. Eventually got to the Public Trustees office still almost a half hour early. It obviously wasn't a busy day as they showed me into a meeting room early. The bloke dealing with me looked like he'd only just finished high school a few years back. Everyone seems to be getting younger while I'm getting older. That's the impression anyway. We went through all the details and he took notes. Afterwards he said a formal document would be drawn up from the notes and I'd need to sign that. That's when I explained my situation and the operation that was going to be on 2nd January in the new year, saying that I realised it was late in the piece and the Festive Season wasn't a good time, but that it would be good to have it all sorted before the operation. I added that having the will finalised and getting a cemetery plot was part of "Plan B". My "Plan A" was getting through the operation with a few bits missing but generally okay. He said they may be able to get the will pushed through and finalised beforehand. If not, then if it came to it there would be a "Plan C". They would take the notes which were signed by me and witnessed to the Supreme Court and get it ruled as valid as it was clear what my intent was. With that all set up I then headed back to the buses to get to the hospital, one bus to Casuarina then another to the hospital. It was nice to be sitting back in a bus rather than behind the steering wheel of a car and have the worry of getting parking space. But the compromise is having to fit in with a number of bus timetables. Went into the patient travel desk to put in claim for the taxi fare from Adelaide airport to Flinders Lodge. Staff first said that I couldn't make a claim without having the travel clearance signed by the hospital in Adelaide. Told them it was faxed through by Flinders Lodge so I could get the return air travel arranged by Darwin. Then another woman butted in saying that isn't what happens, that nothing gets sent to them. I disputed that saying it was what I was instructed to do and it was what I'd done from Adelaide. She then arrogantly said I was mistaken and that wasn't what I'd been told to do when I picked up the travel warrant from their office. I said she had no idea of what I was told as I'd spoken with bloke in charge on the phone and he'd emailed the papers out to me. She said he was there to back her up but when she turned to him he walked away without saying anything. She continued to loud mouth me but meantime another of the staff there found the papers that had been faxed to them and filled out the claim form. I was really upset by this time and asked the woman for her name as I was going to put in a complaint about her. She said "Ann" first and then added "Smith". From the expressions on the other staffers faces I got the impression she was lying again. So I walked off with the completed claim ignoring her continuing loud mouthing at me. i was really shaken up by her insolence but collected the refund and walked over to Darwin Private Hospital to hand in the admission papers for the operation. That went smoothly and soon I was back at the bus stop to get back to Casuarina. From there I got the bus around to Winnelie via Berrimah. From the Winnelie Post Office I walked to the stone masons yard to organise a head stone for the cemetery plot. A bit of a long walk out in the midday sun but I got there just as they were leaving for their Christmas party. The premises were shut and they didn't have the key to get back in side. So we discussed the matter outside and they said they'd email me a quote. Not looking forward to the long walk back to the bus stop I asked if they could give me a lift on their way. It was a bit of a wait for the Palmerston bus but at least it was in shade. At Palmerston I had time to get a bottle of drink before catching the bus to Humpty Doo, via Noonamah. It was quite a long day but I really felt I'd accomplished a lot, beside the marathon bus travel. Somehow getting all the funeral arrangements sorted gives me a feeling of having some control in what is mostly a situation beyond my control. It's not just something happening to me but me also having direct input into how it happens. There's some sort of consolation in that and I'll take whatever I can get.
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