Friday, 17 March 2017

Food and Follicles


The expectation had been set by my oncologist that the chemo drug I was to receive would not make my hair fall out, which was a minor relief in the overall scheme of things.  What he most certainly didn’t tell me was the effect that the radiotherapy would have on various follicles on my head, face and neck.

So let’s deal with the face and neck first, now I was never what you could call a heavily stubbled man, I have always thought that the extremely light growth that I exhibited went someway in helping me maintain my boyish good looks.  However my volumes of growth on my cheeks and neck currently are about on par with a pre-pubescent teenager.

The right side of my face and neck, the side where the cancer festered, is completely bereft of any hair growth at all. You know the expression as smooth as a baby’s bottom, well in this instance it really is the case. If we carried out a blind touch test, you really wouldn’t be able to tell the difference between my right cheek and Georgina’s backside.  The left side is not much better but I do have one patch of growth just below the side burn. I swear if I tried to grow a beard I would look like a cross between Worzel Gummidge and a Cabbage Patch Doll.

But wait there is a strange twist to this thread. So I have absolutely no facial hair on my right cheek/neck and virtually none on my left, yet above my top lip, since the treatment ended, has displayed a considerably heavier growth pattern.  I have gone from being able to not shave for a day and no one would notice to this permanent five o’clock shadow over my top lip.

When discussing this phenomenon with Emma a few weeks ago, she helpfully pointed out that indeed it did look strange and that I would look like a 1980’s porn star if I left my top lip unshaven for a few days. Ignoring the ridicule for a minute, I couldn’t help but wonder what sort of childhood my new wife had been exposed to.  A quick bit of mental arithmetic told me that at the end of the 80’s she would have just turned 12, how the hell did she even know what a 1980’s porn star looked like. Had she, at a very tender age, somehow stumbled across a stash of her father’s “special interest” VHS cassettes? Her natural enquiring mind driving her to load the VHS recorder and press down the heavy play key only to be confronted by Debbie Does Dallas and other Oscar nominated classics. I shook my head to empty it of these ridiculous thoughts.

The facial hair does seem to be a bit of a moving feast, as just this week I have a new patch of growth appearing.  Imagine a perfectly formed inverted equilateral triangle of bristles sitting neatly below my bottom lip and you will not be far off.  With Emma away in Cornwall this week, she is in for a surprise when she returns, she will think that D'artagnan has moved in with her – wishful thinking on her account one thinks.

The dashing D'artagnan
I have suggested to Emma now that it appears I may actually be able to grow a half decent moustache, that I do so for Movember this year.  I am not sure this is a sensible suggestion and will see if I am brave enough to withstand the huge amount of stick I would quite rightly get from various mates.  If I do undertake the challenge and start to resemble a 1980’s porn star then I will need a porn star name to which I am open to any suggestions you may have. The old adage that you take your first pet’s name along with your Mother’s maiden name means I would be Ruff Doherty, which I think has a certain ring to it.

That addresses the front of house, so now let’s move on to the hair on the back of my head. The radiotherapy beams entered me from one side and exited my head at the back just passed my ear at the base of my skull. The lasertron (as I have come to call it) is extremely precise and with the gimp mask holding  me in the exact same position on each of the 30 treatments, the beams entered and exited me in precisely the same place everytime.  The exit point was through my skull and I found out half way through the treatment that hair doesn’t like radio beams and so I have a flawless square bald patch of about 5 x 5cm’s on the back of head (luckily at the base of my hair line rather than in the middle of my head). In fact the patch is not completely bald as there is some light fluffy stuff still covering the skin, however to the casual by passer it looks like I have had some precision hair art work carried out to form this perfect razor edged square of baldness.

On my last trip to the barbers and without any reference to me the barber tried to even up the look across the back of my neck and so now I cannot decide if I look like GI Joe or some sad 53 year old trying to be down with the kids.
 
How do you do, fellow kids?
 

Moving on to the food side of things.  One of the toughest things that I have had to deal during my treatment with was my inability to eat solid food for more than 2 months.  Living on the dreaded “Ensure” shakes each containing around 300 calories, I was supposed to be shoveling down 8 a day.  I don’t know about Ensure, they should have been called Endure as I really disliked them and found it tough to get 8 down me in a day. But if I needed any encouragement to drink them, I didn’t have to look far, my new wife and the clan of Townend women (mum and two sisters) were all on hand to encourage me  (i.e. nag the living day lights out of me) to ensure I got my fill of Endures.

Then in more recent weeks (probably 6 or so) I have taken to solid foods once more, slowly at first but as each week has passed I have managed to get more solids down which in turn meant I could reduce the Endures.  You would have thought that now I was eating solids the “encouragement” might ease off a little.  How foolish of me, oh no Mein Führer Emma Marsh had other ideas and has instigated a brutal feeding regime in an attempt to put back on my skeletal frame the 1.5 stone I have lost during treatment. And when I say skeletal frame I mean it.  The other morning having exited the shower I spotted what I could only describe as a concentration camp survivor staring back at me.

So the daily feeding frenzy consists of 2 x Endure shakes, breakfast, mid-morning snack, lunch, mid-afternoon snack and dinner. Now that may sound all well and good but when for over two months you have survived on nothing but liquids, the stomach shrinks and you completely lose your appetite.

At times I wondered if this was what it felt like for the poor geese being force feed corn to fatten them up in order to make foie gras from their expanded livers.

Anyway one positive thing on the eating front is that most foods now taste OK with various exceptions, primarily anything with spices or vinegar is a big no as it sets my mouth on fire.  Just last weekend, having clear a plate of fish of chips on the Friday night (salt but no vinegar), I got over confident and as Emma was out, suggested to my older two daughters (I wasn’t sure Georgina was quite ready yet) that we get a takeaway curry.  I felt sure that a creamy korma would go down OK, but I can assure you that I will not be trying that again for a very long time.  It felt like I was eating an extra hot chicken phall. After one taste my mouth was on fire, I started sweating like a pregnant nun and my mouth stung as though a swarm of angry hornets had lay siege to it.

So I am pleased to report that in general I have made huge steps on my road to recovery, particularly over the past 2-3 weeks.  I still have some stubborn ulcers in my mouth and my throat and mouth get extremely dry very quickly if I do not take on water, but in general I am in a really good place, if still a little (a lot really) too skinny.

I have even started back at work, only from my home office and not full time yet, but that will follow in the coming weeks.  I forgot quite how much I enjoy my work and what a great bunch of people I work with and as for the senior executives, they have been so incredibly supportive of me during this time, something I will always be extremely thankful for.

Anyway the next big steps in my recovery are the April reviews, I have a date for the MRI scan and I'm waiting on the date for the all important PET scan for around the same time.  Once those results are in we will see the oncologist to review them and find out if I get the all clear or if further treatment is needed.

I will post an update as soon as I have the results.  I have had so many words of support and encouragement from people following my blog, all of which have really helped me through the past few months, so I feel it is only fair that I share with you the news be it good or bad.

Here’s to good news in April.
 
PS. Just between you and me, with Emma being away for 8 days as much as I am missing her and Georgina, I have not missed having to poof those bloody cushions each night. Better make sure I do a good job Sunday evening.

Shhh, mum's the word