Sunday 26 July 2015

"Of Malignancy of Life, (and benignity of Death)"


It was about 4:30 a.m. in the morning and I hadn’t rested even for a minute through the night. Lack of sleep however was no excuse to the long list of work that waits for me every day both at office and home. Although the attention to my two little kids was unavoidable, to continue with my job was now a distant reality for me.

And it all happened because of that one phone call…

I was a young woman with two young boys aged 5 and 7. A vegetarian, and almost insanely weight conscious, I believe I had a relatively healthier lifestyle as compared to women of this generation, many of whom I knew took to smoking and drinking right after school. I worked as a systems analyst in a multinational technology company and my husband Swastik was a Director in a consulting firm. Needless to say, we could afford the best school in the neighborhood for our kids Zeeshan and Rayhan. The point that I am trying to make is that we were financially quite comfortable. My husband, a smart man, seldom failed to display his well practiced financial wisdom (leveraging his financial consulting experience at work), and had planned for each expected fund outflow in advance such as travels, children’s education and marriage, estate investments, retirement and almost everything. So I never had to worry as far as money matters were concerned.

I had no family history of Cancer, and I was almost certain to death that I was never going to die of Cancer. We had just returned from a week long family holiday to Tahiti islands, the largest island of French Polynesia in the southern Pacific Ocean. We had all gone scuba diving, snorkeling and beach rafting. The kids had a marvelous time at the beach and the resort. After a long time and a full year of hard work, Swastik and I had found some really romantic moments together undisturbed by the con-calls and e-mails. The last night at Tahiti was like reliving the honeymoon, as magical as the teenage puppy love, coupled with a night of an absolute mature and daring lovemaking. After we had two great sessions, Swastik touched me again, desiring for a third. Only this time, he thought he felt a lump below my right breast. He brought my hand over it to make me feel it myself. Painless and definitive – I suddenly remembered faintly the words of my gynecologist at the time Rayhan was born; that it’s a lump that usually doesn’t hurt and is what you should be looking for. The flight back next day was unusually disturbed and uncomfortable in the awareness of the new suspicion. Hence, as soon as we arrived at the Chhatrapati Shivaji International Airport in the afternoon, I immediately went to the doctor for a mammography.

I hated the hospital environment for the anxiety issues it induced. It was the place where many times in the past I had confronted the unhappy reality of death and dying. As a matter of fact, I had never seen a severely ill patient ever come alive out of the hospital – as if it’s almost certain that if I’m severely ill and in the hospital, I would most definitely die. That very moment was when I felt the fear of dying, and realized that I was surprisingly more scared of dying than I thought I was. May be it was not for myself, but for my kids and my husband. In the latter part of the 33 years of my life, I had seen the death of family members, friends, and friends of friends, acquaintances, colleagues – of natural causes, diseases, murders, suicides, everything. None of it could be compared with what I felt at that moment. It was me this time. And believe me when I say this, it is difficult to imagine one’s own death.

The biopsy took a long time, as the pathologist needed to be convinced of the situation before issuing a definitive diagnosis to what could have been a prospective cancer patient.

There were unexpectedly too many people in the oncology unit of this hospital, mostly older men and women, and while Swastik was away at the hospital canteen to arrange a quick bite, I took time to observe their faces. Most of them looked well acquainted with the department and the doctors, had thick files in their hands and seemed at ease. They remarkably looked ‘Okay’ with their circumstances. “They might have older kids and have lived their share of healthy lives”, I thought to myself. “I am only 33 with 2 young kids and a bright career ahead! It cannot happen to me.”
And then I got the report with the devastating news. My world came crashing down. It was like a nightmare, and I hoped that I would open my eyes in the next second, and everything would be normal. I had always thought cancer happened to older people. It was like watching a movie, the only difference being this time that it wasn’t a movie, it was me.

And from that moment on was when the real issues of life started dramatizing themselves right in front of my eyes. All the savings my husband had planned for us, now appeared insufficient. Because, guess what, we hadn’t planned for a cancer at 33! Treatment was necessary, as it was the only option. Life had suddenly become grueling for Swastik who now found himself solely responsible to fund my hospital expenses, the already running EMIs, the apartment rent, his expenses, and those of the kids. I felt so helpless and thought my immediate death would have been better for him. He wouldn’t have to do all this alone, and at the same time see me suffer. It was as if this malignant situation of mine was trickier than a sudden and benign death. And when I told him how I thought, he hugged me tight.

The clock starts ticking in a countdown fashion, and everything happens quickly when you’re told that you’re diagnosed with cancer. You become conscious of the fact that there’s so little time left for you and your family to be with you in this world. The kids had to know that their mamma wasn’t well but they could hardly understand. I hoped that I’d get better after the treatment soon and be back to the role of a caring mother, though there was no such guarantee. Swastik was my biggest support in these times to keep the children’s life as normal as possible.

The cancer was at its second stage. The doctor assured that about 50 percent of the patients survive if detected in the first 2 stages. I was referred to the best cancer hospital in Bombay and the treatment started immediately. Life changed strangely with doctors who were now scheduling surgeries, chemo sessions, admitting me for days at stretch for radiations. The medicines were so expensive that our pockets bled. The property at the Pali Hill had to be mortgaged to arrange for the hospital payments. Our parents and my brother occasionally flew down from Delhi to assist Swastik in attending to me during my surgeries and chemo sessions, but ultimately that slowed down to the extent that almost every week Swastik had to take time off his office to attend to me. I lost my hair and had started looking older. Swastik got me a wig to wear so the kids won’t get startled when they come to meet me.

On the other side, my older one had figured something wrong in the situation and was failing in his grades in the school. In the meantime my mother had developed a knee issue and was advised bed rest for six weeks. Swastik missed his promotion for the first time and had been rated as an underperformer for the year. My sabbatical had been quite long as per my company’s standards and some people at the top decided to terminate my services after contributing meagerly to the hospital expenses in lieu of the insurance premium bit of the CTC that they paid to the insurance company for me. Life had always been so beautiful for us, but as they say like the tides of the sea, the day and the night, no one told us that life will always be a bed of roses. But sometimes, even when you lose all hope, people who love you don’t let you give up. I give all the credit of my survival today to my husband Swastik and pray that we all be supported by our families in the times of test.

My treatment continued for three long years in hospital. Zeeshan is ten now and has become a very introvert and reclusive child. Rayhan is okay though he has very few friends. I only have to take the medicines now that are usually prescribed for a longer period to avoid recurrence of the cancer, but again, there is no such guarantee. What has changed now for a not-so-young-and-vibrant-woman-anymore like me is the way I appreciate life and the value of being part of a supportive family. Nevertheless, I am proud of myself too that I could instill the inspiration that I received from my loved ones, and kept myself high on the spirit even when the time turned against me – in a countdown fashion. With this new perspective, at 37 I now walk free from cancer, but at the same time much more conscious to the short lived and uncertain nature of the life we are living every day, and the inescapable death.


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