Ok, that's
alienated any readers who didn't grow up watching UK children's TV in the 70s and
80s, not to mention those with taste and discretion.
But it
looks like I've got a bit of record breaking to do myself, as it turns out.
The lumpy
bit they took out of my head last week is called a glioblastoma. Better out
than in, rather like Simon Cowell and a life-raft (thanks to Jo Brand on QI for
that one), but not a good thing to have had in my skull in the first place.
A
glioblastoma is a type of brain tumour, and it's not a nice one. While the
object itself is gone - excised,
dissected and centrifuged, or whatever it is they do to determine what a blob
of ronin cells actually comprises - the
mismatched wiring along my double-helix that triggered it remains, and is quite
likely to try to grow a new one.
This is not
curable. But it is controllable with chemo and radiation, both of which I will
shortly be receiving in abundance. I'll know a bit more about that when I go in
for my first appointment at Glasgow 's
reputedly excellent Beatson Institute on Monday, but it looks like it'll
involve a five-day-a-week regime of both for six weeks, beginning in the New
Year. The treatment seems relatively kind, with the main side-effect of the
orally-administered chemo being mere nausea, controllable by another drug, and
the side-effects of the radiotherapy just temporary tiredness and a patch of
baldness where the gamma-rays go in – and, let's face it, I'm getting to that
age anyway.
Prognosis
is wide and varied. An average life expectancy for this kind of tumour is about
a year, but people have lived for ten years or more. And averages are
meaningless here, since they must include the elderly, the infirm, people with bigger,
nastier and inoperable tumours or ones in places inaccessible to radiation. I
am, it seems, on a good base-line: I am young, strong, apparently very good at
recovering quickly from major surgery; my tumour was easily accessible and is
out, so any treatment is to prevent or control return, rather than to try to
deal with something that remains lurking; I feel healthy and well, and I will
remain positive because depression is debilitating, so I'm not going to do that.
So while I
know what it is that is likely to kill me, I don't know when. And since the
timings involved and the relevance of the data on which they are based all seem
so imprecise, I'm taking the ten years as an absolute bare minimum and, in
fact, plan to do a great deal better than that.
This is not
faith or mindless optimism, but a rational interpretation of the facts and
information I have available. This type of tumour does not spread, not even to other parts of the brain, but should simply try to regrow where it was. With the gold-star treatment I am down to
receive, which is as good as any available on any system anywhere in the world,
followed by constant monitoring and a regime of discover-and-zap as
appropriate, combined with my own natural resilience, I see no particular
reason not to save my final breath for cursing the driver who eventually knocks
me down as I stagger out of the pub somewhere around my 87th
birthday. Ideally, later.
Break a few
records, in fact.
Right-oh, deep breaths. Tough times ahead (awful,unintended pun, I realise, but I'll leave it there as I think you might like it). Good luck. Isla
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