Delia Parr - Abide With Me

“According to Thy will, with the blessing of Your grace,” she murmured. She believed in God, and in His protection. She believed in the power of prayer. She believed. And with that belief came a gentle peace that washed over her, calmed her racing heartbeat and gave her the strength to make it from her car and into the doctor’s office with more dignity that she thought she might be able to muster today.

She entered the office and immediately cast aside the memory of her last visit when she had had a checkup at the other office Dr. Newton shared with several partners closer to the hospital. During the cystoscopic examination that day, more commonly referred to as a cysto, the doctor had discovered and removed several small growths in Andrea’s bladder and sent them for biopsy. The visit itself had become a blur, but the clinical setting Andrea remembered in the examining room did little to assuage her unease today, despite the fact that she would be keeping all of her appointments here, in the doctor’s office, which was closer to Welleswood.

The second blessing of the day came when the receptionist quickly ushered Andrea directly into the doctor’s office. No forms to sign. No referrals to submit. No waiting. Just a gracious welcome and immediate escort to a private office with a comfortable upholstered visitor’s chair facing a window that provided a spectacular view of an outdoor garden.

The doctor’s desk itself looked like no desk that Andrea had ever seen in a medical office. It didn’t hold files or a telephone or a computer screen. Instead, this small antique lady’s desk cradled treasured family pictures and trinkets and a vase of wildflowers. A door next to the desk led outside to the garden, which, Andrea guessed, was the source of the flowers in the doctor’s office.

With assurances that the doctor would be in momentarily, the receptionist left, closing the door. Through the window, Andrea could see the private garden was protected on all sides by a tall fence, bordered by lush hedges and flowerbeds bursting with riotous color. Elegant wrought-iron benches faced the open center of the garden, where Andrea glimpsed some sort of tiled patio. She noticed a number of low garden lamps and imagined how beautiful the garden must look at night. No matter the hour, the doctor would always have a private haven at her fingertips.

Andrea was half tempted to step outside, to enjoy the sweet fragrances of the flowers, when Dr. Newton suddenly appeared in the garden door, cradling an oversize calico cat in her arms. “Why don’t we talk outside? I’m afraid to bring Muffin inside the office. Too many patients are allergic, though I didn’t note that on your records.”

Startled, Andrea followed Dr. Newton outside. They sat together on one of the benches. Dr. Newton settled the cat on her lap and stroked the calico’s head, and another cat, a small, dark tiger cat, wove in and out of Andrea’s legs. The doctor chuckled. “I hope you like cats.”

Andrea leaned down and picked up the tiger cat. Already purring, the cat curled up on Andrea’s lap. “As a matter of fact, I have a few of my own. Three actually,” she murmured, grateful for this added blessing to the day.

“I thought you might be a cat person.”

“Only recently,” Andrea admitted. “I wanted a little companionship. With my schedule, having a dog was out of the question. But cats are easier to manage, especially when you get several from the same litter. My brother-in-law is a sales rep for a pet-food company so I get most of what I need for the cats from him. Cats are more independent, too.”

“Independent? Like you?” the doctor remarked with an raised brow. “Most of my patients prefer to spend the night in the hospital after surgery.”

Thinking of last year’s surgery, Andrea’s blushed. “You said it could be same-day surgery.”

“I also said you might want to consider spending the night,” the doctor reminded her. “The tumor was a little more expansive than I originally thought.”

“My sister Jenny is a nurse. She was able to help,” Andrea countered, hoping the doctor would also remember how well Andrea’s post-op checkup had gone and how well she had continued to be in the months afterward. “She will again. Provided I need help.” She took a deep breath, but she did not stop petting the cat on her lap. “How much help…that is, I’m not quite sure what to expect from the treatments,” she murmured.

Then she corrected herself. “No, that’s not true. I’ve lost four family members to cancer, and I know what to expect from the chemotherapy. The nausea. The fatigue. The loss of appetite, as well as my hair…” She stopped before her voice broke.

“What type of cancer?” the doctor asked gently.

“Breast. Bone. Stomach. Liver. Brain. Take your pick,” Andrea said quietly. “We’re an equal-opportunity host family. Unfortunately, we’re not an equal-opportunity surviving kind of family.”

Dr. Newton shook her head. “Not all cancers are alike. And not all chemotherapy treatment is the same, either, Andrea. In fact, your chemotherapy will be very different from what you’ve experienced with your family before. Based on the biopsy results and the early stage of your cancer, despite the fact that this is a recurrence, the standard chemotherapy treatment involves coming to my office here to have the drugs injected directly into your bladder via a catheter—with minimal preparation on your part, I should add. After two or three hours at home, you simply void the drugs out of your bladder. You won’t get nauseous and you won’t lose much of your appetite, if any. You probably will experience some fatigue as the treatments progress, but you will definitely not lose your hair, although you might be tempted to continue to keep it very short. Many of the patients complain that their hair gets very coarse and somewhat unmanageable. Now probably wouldn’t be a good time to start to color your hair, though.”

Andrea knew that her skepticism was etched in every feature of her face, but she couldn’t help it, any more than she could stop herself from reaching up and touching her salt and pepper hair. “That’s it?”

Dr. Newton chuckled. “Well, let’s not pretend this isn’t serious or life threatening. It can be, Andrea. But in your case, yes, that’s it. Chemotherapy will be once a week for six weeks, then once a month for nine additional months. We’ll monitor your progress very carefully to make sure the chemotherapy is effective and doing its job.”

Andrea blinked several times, anxious to hold on to this good news just a little longer before this blessing disappeared almost as quickly as it had been given. “There’s bad news, too, isn’t there?”

“Yes,” Dr. Newton said. “You’ll have to be monitored for the rest of your life. Eventually, that means I’ll only see you once a year. Eventually. But the bad news is that you’re going to be my patient, or someone’s patient, for life. As long as you come for your checkups, the odds are that there’s no reason to believe you’ll have a recurrence or at least one we can’t handle, just like this one.”

Effective chemotherapy. Recurrence. Odds.

Andrea had heard those words before—from Daddy, Kathleen, Mother and then Sandra. All of them had lost their battles. Eventually, each had failed to beat the odds. Each had had chemotherapy that ultimately proved ineffective.

Would Andrea follow this dreadful family tradition, or would she begin a new one called survivor?

If she should survive and beat cancer, why? Why her? Why not Daddy or Kathleen or Mother or Sandra? Why?

She shivered and blinked back tears as she whispered silent prayers for courage. She could beat cancer. She could be a survivor. With His grace. According to His will.