The robot did it

 6 days ago I went in to have the kidney tumour that's been quietly growing for about 5 years removed. They found a tiny one tucked behind it and got that out too. Nice. 

This time the robot helped. The not quite epidural was horrid, 3 attempts and the electric shock of the two not quite in the right place was grim. Claire - the assistant - was amazing. This too shall pass I told myself. It doesn't last forever. 

I was asked what I would dream of, Malawi I said, after a moment of panic that I had no good memories at that moment, just the panic of pain and discomfort and the memory of all the ones before. All 6 years of Malawi came over me and I went under. 

3 faces of worry and relief saw me next, those 3 important faces and then the recovery began. Not really pain but the feeling of a body not like the one you had a few moments ago. 

This too shall pass. 

Then a morning of not having the energy to do anything and I mean even ask for help to get my phone. No visitors. I'm not used to ward recovery - I'm used to HDU. I'm used to being checked on constantly. Not this time, a curtain and noises, the odd check. I felt very lonely for a few hours and then those three faces again. I don't know if that was day one or two. But I do know that at some point the pain in my shoulders was excruciating. Sharp and sudden. I cried out, I pressed a button. eventually someone came. Then a bit later someone gave me a pain relief and it worked, but I still didn't feel okay. In fact the worst day, bit , afternoon - I had no sense of time, was when I panicked and thought I was losing myself. I got frightened. 6 Days later I'm able to say, good sign, I clearly want to be alive and didn't want to not be. 

This too shall pass. Along with a fair few glory bes, Hail Mary and an Our father for good measure. 

Slowly but equally quickly, this bit came out, that bit came out, that Dr said yes and I did the necessary shit to be able to leave. The drain was the last. That is a very strange sensation. The tears of joy at the permission to go home, The wait for that, the taxi and then home. Oh home. 

I didn't sleep well. A snatched hour at best followed by discomfort. Bloating and gas, my back and sides and stomach. The bruising from the IM steroids and blood thinners and  - nothing to do with the operation - but the throbbing thumb.  

This too shall pass. 

I ate when I could manage, the three faces still worried but much more relieved getting me what they could. Tolerant of the farts and burps. Each one felling like a bit more of me was returning to normal. 

Yesterday my sister came and I cried. It was so good to see her. Our 3 faces, her, my mum and me can only ever know this. I've felt so alone at times, they are the closest ones to really knowing. I've been crying a fair amount. This brings back such unpleasant memories. And I know I'll get on with everything but I can't help but wonder about the next one. Spine? Other kidney? Something new? 

Because this too shall pass. 

hello new place

I'm sitting waiting for an MRI. A new one. The form is almost the same. The wait feels a bit different. I'm not nervous of the scan but instead what it represents. 

I got the wobbles yesterday and this morning. I had the intense and real worry of the 'what ifs' 

What if it has grown lots

What if the cancer has spread

What if they cancel the operation

What if they don't

What if I die

What if I lose the whole kidney

What if my recovery takes longer than I'd hoped

What if

And the 'then whats'

Then what will happen to my family

Then what will happen to my new job

Then what will happen to me

Deep breaths 

when you are not

Writing to be seen

maybe when

Maybe when it's too repetitive

Maybe when it's not a simple cure

Maybe when you can't feel too much pain

Maybe when your body says "no more"

Maybe when you hear real understanding

Maybe when you don't survive

Maybe when you're at you're lowest

Maybe then your fight is live

Time to go...

There is a clear theme when you have a disease like VHL... waiting. Waiting for appointments, waiting for results, waiting rooms, waiting games. 

I think most of us learn to forget the wait at times, it sits quietly in the back of our mind and surfaces most when someone else, who is waiting too, asks "do you know when..." or "have you heard?" 

This week, an appointment I'd been waiting for arrived quickly and happily when I could go easily without a lot of rearranging and adjustment. And at the end of it I have a better idea of how long I need to wait for the next bit. I don't know exactly of course, that would be too easy, that would be too convenient. And so I give my news;

mid-December. 

So I'll wait to find out the exact date and then I can plan more. It doesn't just impact me, it means my work, my family and my friends. It means cancelling things, probably, adapting things, likely and a period of recovery, definitely.   

and then, of course, because it is VHL

wait for the next one. 

happy anniversary

 8 years since that day that I didn't know would be a long month 

you never know what's round the corner

How long is soon?

 What does soon mean then? 

In Malawi if you say now, it's an unknown amount of time, if you say now now, it's now. 

In the NHS when you say soon, it could be anything from a week to a month to more. An endless amount of obviously not now but when, running around my head. 

I'd quite like a before or after Christmas answer. 

My first brain tumour I was given the choice of before or after Christmas and I chose after so I had the operation in January 2000. As I sat on the sofa with my sister on the 31st of December 1999 we didn't feel like that was really the right choice. Party over, oops out of time. That's how it felt. It felt frightening. It felt unknown and it felt far away. 

It always will when my first real experience of VHL was my brother's routine operation not going to plan. 

This robot better be good. 

I've got cancer

 Which one should I go for next? 

so far in my various communications I have given the news in a range of ways

A cyst that is now more complex

A little bit of cancer

The tumour has grown

Good news - all basically the same - but I need a procedure

Luckily a robot will do it

Not as bad as last time

Will be able to get back to work faster

Cancer - they are getting rid of just the cyst, not the whole kidney

You can live off 10% of one kidney as long as that bit is working

Nope - I don't need yours, yet. 

I'm thinking of - I've had kidney cancer for a few years now, the good kind but now it's looking like it might turn bad and they want to get it out, Please still give me a job. 

and while this is my reality, while I'm taking this in I saw the scan and the size of the one in my spine. Ooof he's grown. It's a he. I might name him. He looked like a lozenge. Lonnie. You can stop showing off now Lonnie. You just stay right as you are. I wasn't ignoring you before it's just that your sister was doing such a good job of growing but quite as much as she could have. She's complicated your sister. She's moving out soon and I'll be all yours. 

As expected

 There is an oddity in all this. 

"it's time for it to come out" and I had been anticipating it. I can track the growth and knew it would be within the next couple of years, but I had hoped for a bit more time. 

But getting it out - something I wanted so much for the last one. I wanted to wait, I wanted to feel settled. I wanted to know I had a proper job. And I still don't know. I am now waiting to see the surgeon. 

Strange too, to cry about getting rid of cancer. After this, it will be gone. After this I start that clock again. Because  it doesn't end. 

How you give the news matters, I have given my usual optimistic slant. 

and so it comes

It was the night before clinic and all in the house, everyone was quiet, even the mouse. Or I'm being quiet. I'm quietly frightened. 

Today I was ok, busy but on the way home I began to feel the dread. The not totally irrational fear that tomorrow I could hear some bad news, even some very bad news.

My new colleagues got it. A card and some chocolates. Just to say they get it. That this is hard. I tried to play it down, like you do. But honestly, the simplicity of the new people in my life just saying. This is hard. Meant so so much

It must be hard, every six months. I thought, she gets this in a way some don't. I suspect she gets it because she's had to find out. I suspect she's had a clinic or a diagnosis - at our age lots of us do. 

So I'm having a glass of wine and I'm making dinner and I'll wrap myself up in my family tonight. 

Preparation

 6 days to go. 6 days to wait and 6 to be uncertain. Although as you know well by now, it is a short lived sense of certainty. 

The lack of stress of the last few years has meant that I dealt with it all so much better. I'm sure the sun helps too. I've been looking after myself in some important ways, I have cut down on my daily drinking massively and I sleep so much better for it. I have begun to take vitamin D supplements because I am not getting my daily dose of sun here. I'm trying to do weights a bit, I don't do a lot or often but I am doing some. I am thinking about how to get more fitness in. I eat well. I eat a varied and mostly vegetarian diet. I have never smoked. And despite this my body will do what it wants anyway. I'm aware these measures are, for me, much more about how to make my body recovery ready. 

The news about a young girl having a successful stem cell transplant and kidney transplant made me smile. Not that I suspect that would be me one day, but more that we - the human race - keeps finding ways to make life last and last well. 

I am expecting either, all stable let's scan in 6 months or, it's about time we thought about taking out those kidney tumours. I'm expecting a potential cerebellum tumour. I feel wobblier than I have before. I'm not expecting anything more than that. Ha - that's a VHLer - the good news of nothing is killing you right now. Come back in 2024 and we'll see how that year will be. 

I am trying not to feel the stress of not having a job and the fear of unpaid sick leave. Can I sign on when I'm off for surgery?

I'm letting myself enjoy the happy moments in life, singing in the kitchen with my girl, eating great food and treating myself to new shoes. I think tomorrow I'll do a bit in the garden. I will possibly buy more shoes. You can't have too many. 

Spanish football

Last night, the women - my girls included, talked about our experience of misogyny. I said and know to be true, that have forgotten more experiences of it than I remember. 

The issue with the Spanish team is really bugging me. The blame, the phrases the man is using. That it is becoming a decisive issue for some.

I'm angry with no way to stop it and all the rest of the times. 

When will it stop?

FFS

HR rules

 I've got my clinic appointment through, at the end of September. I spent a few hungover moments this morning having a small panic about that and figuring out if I should or shouldn't tell any potential employees about my (currently fictional) operation. 

I know that it would be classes as a protected characteristic so they can't not employ me because of it but if I tell them then they might and if I don't they might be really annoyed when I then tell them. 

Remember that I don't even know if I do need surgery - I'm just having a planning ahead worry session. 

low

My mother in law is worried about me. She's spent a couple of days here and I suspect she can see a version of me that I really don't want to be. I told her that, 

I'm finding it hard to motivate myself to get out of bed. I didn't want to start the garden. I can't buy things, when I do I feel like they don't look good. I'm getting low. 

Her suggestion of pills isn't one I can consider. I know they help others but the one time in tried it was horrible. And I'm not depressed - I'm a bit sad and I'm adjusting. It's going to take time. It's going to take some effort and I can do it. 

Part of it is the wait. The MRI has happened - but I haven't had a reply to when I have clinic - there emails to three different people and no reply. I don't even know the date of it. Some time in September. I might not be booked in. So maybe October.

I'm sure this is the year they say the kidney cancer needs to come out. 

I'm sure this is the year I have a new something.

I'm sure this is the year I have been ignoring, mostly successfully, for 6 years. 

My mind races, it sends me off into the worst fears, it runs towards the imagined conversations with new bosses. 

Starting at a new school - I've already reminded myself I need to find HR, go tell the school nurse about my hydrocortisone - make sure someone there knows what to do, in an emergency. Then the thing you have to do when you have a day off for clinic. I'm sure that's why my dad used to have us all seen in the holidays. Not just to not miss work, but to avoid the questions. 

Oh poor me! I can feel my frustration at myself. I could have more time. But I'm back to being on 6month stays of execution. I have technically been for years, I just haven't done it. My Catholic side is of course telling me it's my fault, you buried your head and now you'll pay for the fun you had. 

I fluctuate daily from happy to worried to anxious. But it is getting better. 

I just need that appointment. I can cope better when I know. 

my birthday month

August feels like a month to reflect and gather myself. I'm not sure I can this time. Waiting on results

Waiting on the way I'll feel in September

Waiting on the need to feel like we made the right choice.

I'm filling up my time.

Being back feels hard when I remember we're here now. 

It's done.

I'm here.

to be reunited

 I am being reunited with people who have kept me strong through hard times, I am enjoying the connection and closeness. I am also 'excited' to be reunited with my MRI machine tomorrow. I will get to lie in her cosy space and listen to her melody of bangs and clicks and I will then, in September know where we are. I will maybe get a sense of what the year ahead will really be about 

I've been toying with some ideas around taking a year out, of spending it not doing very much at all. And I would simply put in the gap on my CV 'cancer recovery' would it put some off, no doubt but others  - maybe would bump me up their pile. Maybe. This is just a small yet recurring idea. I still can't let go of the idea of going back to work, not least because we are not wealthy enough for me not to earn, my husband won't be getting a very well paid job any time soon. I can't imagine him suddenly needing or wanting to earn more. Would those who saw the gap think that I'm fully cured, all done, a once in a life time awful experience? Because I think a lot of people see cancer as a one off thing, one that can come back but often I've had cancer. Maybe not these days, maybe people know it isn't so simple. And that's partly because there are more people surviving the first one, maybe the second one too.

And here I am just assuming that I'm only worrying about my kidneys - and I am. But of course I know another little bit of me could be slowly fucking up, could have a new brain, spine, pancreas, spleen, liver and maybe even an ectopic one somewhere. Could. 

I've been conscious too of the age of my body, hearing a pal support another woman, 50, who has just had surgery, the recovery is just harder the older you are. You don't bounce back in quite the same way, 6 weeks is not the whole story. 

Letter on the table

 When we got back, less than 5 hours ago there were flowers and 2 letters in my familiar yet unfamiliar kitchen. 

One was for my daughter and one was for me, And even though I'd asked my mum to send it I was still a little taken aback when I realised it was my scan letters. 

I'm tired and grumpy and it's muggy. Thank god I could have a cup of tea. 

End of an era

 This evening I set a fire and opened a bottle of wine that my yr 12 class bought me as part of a leaving gift. I danced in the front room and looked around at all I'm leaving and I felt a soft contentment. 

Who knows what the next chapter will hold, I only know it will have ups and downs. 

The comfort of going home and the people I will see and love is making these last few days so much easier. I have my worries, I have my mild anxiety but they are not overpowering. 

Soon we go, go home and we'll find out about that when we get there. 

today is bitter sweet

Here it isn't father's day. But it is in the UK. 

And I know I would have loved to see him. Talk to him, probably get frustrated by something. He would probably have run over by feet or spilt something. I would have taken time to adjust to understanding his speech. But I would have been able to ask him questions. That's what I miss the most I think. 

Just asking him stuff. 

fellow VHLer on Instagram

 I feel and affinity with a complete stranger, and have been happy to see her comment on my posts. She looks to be my age, think she has kidney issues too. She has a face not dissimilar to mine and hair of a equally enhanced shade of blonde. But more of course she speaks in a way I can connect to. Someone who gets it. Someone I hope I can support and share this all with. 

Don't even know her name 

I'm a worrier and a warrior

I have been on a hen do, with some lovely women, each of us have been through trials and tribulations. None of us are coming out of this unscathed. As we get older the more events happen that shape us and more define moments too. 

We talked a lot, us women, about the way marriage is a task. It's often hard work. I feel a little for the hen, but she took our wisdom in good grace, saw that each of us married ones have been through the ups and downs and she knows. She is not daft. There is not fairy-tale ending. 

My husband has helped me with what I know is a life long affliction of being a worrier. As I woke next to a woman I have never spent an evening with let alone a bed with we talked about how we slept. Badly, of course, different bed and too much alcohol. I told her about my habit of worrying and it's mostly a voice that hits me hardest in the small hours of the morning. 

As I explained this, the ways I deal with it, the self doubt, the nastiness my voice can be and how I have tamed her, I was able to see three things and slightly articulated them. 

1. I've always done it as long as I can remember, my parents would try to help me, a worry book by my bed to write them in, the letters I would leave on their pillows so I could get it out of my head. 

2. It makes sense to be a worrier when you know from before you even know it that your dad has a disease that gives him brain tumours (I was less aware of the others) and that you and your brother probably have that too. Having annual check ups, clinic appointments and then the scans, annual results. They did a good job of underplaying it, of making a family joke of the massive bottles of piss we collected for 24 hours once a year in our bathroom. The Dr that once checked if I had pubic hair by simply pulling my knickers down a bit while I lay on a bed. The change to a big hospital, Addenbrookes when a specialist was found. The eye scans of old, the yellow glow of skin and piss. The journey back through East Anglia, back to the coast with the words ringing in your head, angioma, pheochromocytoma, hemangioblastoma. Surgery, monitor, growth, tumour, cyst, partial nephrectomy  and never really knowing the difference between them all until you then do. 

3. My husband has helped me worry less, talking it through, refocusing, allowing me to fear the worst and then concentrate on the likely and the hopeful. 

and as I reflect on that now I see a 4th.

4. I am a warrior 

telling my story

 I had a fascinating chat with a colleague, we discussed all things kidney. 

I will be pleased when I get back into the scan flow - I am pushing my luck. 

But I'm glad I have, it was the right thing to do

VHL awareness month

And the month that my dad died in. 

I'm missing knowing he's alive and I'm feeling so deeply sad. 

Right now my life is very unsettled and I feel all sorts of vulnerable. 

So much so I'm annoyed by things I can usually rise above. 

I'm annoyed by things that I really just shouldn't be. 

I'm annoyed I don't get to see him - the healthy well him. 

And I'm so sad. 

I'm lost at sea. 

VHL - is it rare?

 My pal's brother has had to have emergency surgery - hemangioblastoma in his cerebellum. They have suggested he gets tested for VHL.

Small genetic world. 

His father is unknown - he is probably the carrier- too long a go to have been my brother. My pal's half brother. 

My brother was always told he couldn't be reckless. 

He never was, we think. 

Imagine if he was, a niece or nephew. 

triggered

This morning as I waited for my husband to get ready so we could go to breakfast he was listening to a podcast and a female surgeon was talking about the sexual harassment she and many others have experienced. What she described and talked about brought back my fear and memories of the times I've felt afraid and abused at the hands of medical professionals. 

Some minor moments of not being listened to, the lack of knocking on the door, the assumption that they can do things to my body without explanation and care. 

And the harder ones, the time I knew I was being sexually touched by a male nurse doing an ECG. I didn't know how to report it. The time I was treated like a slab of meat and my pubic hair shaved in a hurry without care to get the job done. Being hurt and told it didn't hurt  The moment I wondered why I had bruises in strange places after surgery. After my c-section having a man shove his hands inside me, remarking that I shouldn't be able to move my legs that much as I squeezed them shut, he hadn't warned me. 'A sweep' he said as if it was the routine I should have expected it. 

Perhaps I have more of these than most being a frequent flyer - I'm mostly very happy. 

The women said she hadn't experienced much in recent years, sighting that she had changed. I too became hardened to the system and found ways to protect myself. To ask for what I want and hold the gaze of the medical staff who thought they knew better. Until they could justify why they did. Asking why the door wasn't knocked, pointing out my rights. Requesting my family are informed and having someone with me. 

But still I cried as I explained my memories to my husband and felt it all again. My vulnerability each time I go. My need to meet the surgeon and know that he's (all but one have been men) a good guy. 

And the light is being shined on this - good. 

#metoo

I miss him

I'm really missing my dad. This week I've dreamt of him often. I've woken up crying and I've sensed that he's not here. 

He's the only one who really could know how I feel some days. No one else, not even those with the same disease.

I could always ask him.

I could always tell him

And he's gone. 

I'm feeling empty and today a little bit afraid. 

The death if Ros. 

Another one gone. 

I'm wondering who will be next. 

You weren't my aunty but you were

 I didn't even know she existed until my brother stayed with her and my mum's cousin Tim. But I didn't register that, a couple of names of relative who lived in London. 

Then as a 21 year old I was suddenly in need of a place to stay and not just for a night but for months and she and Tim said yes without any reservation. And how she looked after me, how we talked, Ros was such a generous person, with her care and love and often her clothes too, she was forever trying to give me items she had decided she wouldn't wear again. 

She cooked the most fabulous and flavourful lamb shank I have ever eaten and her roast dinners were divine. I ate so much while living with them, I ended up the heaviest and plumpest I have ever been in my life and I include my time being pregnant in that calculation. I couldn't resist that early evening G&T and the expensive and quality wine while we ate. 

If you haven't trained to be a teacher you won't fully appreciate how hard that first term is and She and Tim looked after me and made it a much easier experience. We stayed in touch over the 20 plus years that followed, they coming to us and being there not long after my little girl was born. We caught up whenever we could, at least once a year until COVID stopped so much of that and I so hoped that in July we would take the trip out to St Albans to see her and make each other laugh, I can hear it now, that slightly dirty chuckle of hers and how she would almost wink at me when my husband said something she thought was dirtier that it was! 

Passion fruit

 I can leave Malawi content as I have harvested some passion fruit. 

This little moment matters to me, not leaving something undone. 

I don't really know why but it does.

Leaving behind a legacy of fresh, passion for others to enjoy. 

I perhaps want that on my grave stone. 

Searching for what should make me happy

 I am increasingly relying on fate and not sensible planning. I have applied for a maternity cover - the Headteacher was very nice but I got the feeling I'm not what he's looking for. I might be wrong. I've seen another role I think I'd love, but then I feel that clawing doubt that I won't get it, been out of it too long. The news schools might be shut here for longer so frustrating and unnecessary for us and other schools too.  And with the devastation around me, the giving of stuff to those who now have nothing, and those who had almost nothing anyway it just doesn't feel important. 

And yet it is and it is my life and I want to be happy. 

With this sense I'm aware as well that I'm taking a gamble with my scan dates. I'm willing it all to be ok and waiting for July and not thinking about it, but of course that's a lie because I am thinking about it, often and I push it aside. My husband hugged me yesterday, he held me tight as he cried because he had seen a woman and a small child sat with almost nothing, a small cloth with what were probably all their belongings. He went to them and gave them the money he had in his pocket and some food he had bought for other people. As he held me I thought about my kidney! Imagine that, I thought about what is inside me and if it is growing and if it might kill me. The two things at the same time. Such is my privilege. 

Today he has gone off to help again. We have a 4x4 and he's using it to help. I'm here, offering people our shower - people who are used to hot showers when they want them. Not much is it. I'm not sure how I feel. But I know I want to be happy. 

adults think they know everything

When I was about 18 I went to a odd hotel in Great Yarmouth. It was too see if I deserved an arts sponsorship to get to arts school. 

I didn't get it. 

One of the panel + they were all grown up. They were adults. They didn't believe that I could have experience grief or pain. 

Fools. 

Those were some of my darkest days. Those were hard, my art was raw and amateur and real. 

Today I am less of the artist that I was then. 

home is where the heart is

 I am home, in the Warm Heart of Africa. It certainly felt odd. My heart is split and that might never change.

I understand why I'm feeling this way, I don't feel like I am in either home properly, it's a strange transition and one that I don't want to waste on feeling befuddled and feeling sad about. This morning, having grabbed a grapefruit from my tree and had it for breakfast, reminded me to love each moment I can and take it in. 

I've seen people who are leaving find fault and tell themselves it will be so much better somewhere else. It is different but not better. Some things are lovely to leave behind and some things are not. 

I was struck by the huge difference in my friendships  between the two places are very different. It was lovely to see everyone here but really only one person has a piece of my heart. But in the UK I have a bundle of people with whom my heart has grown. 

My heart is my little family - my little girl who is so tall. And so I'm here with her, my heart. 

The magic cure isn't as magic as I thought

 The last few days I've seen posts from people who have not had the miracle cure from the drug that they and the rest of us were expecting. Tumours re-growing once the medication stopped, having to still have the kidney removed despite the months of side effects. 

It's making me feel a bit sad and I begin to spiral into the unknown future. 

I need to focus on something else 

last chance - well it's not but it feels like it

When the fates allow it I will look back and use these last few weeks as a lesson in keeping on. I feel so utterly supported by so many people in my life and I'm sure if it was based on that alone I would have smashed it by now. 

My husband doesn't take things personally which I admire and try to emulate. He has a good philosophy on this. I wasn't the only one disappointed - only one person was happy. 

So now to revision on the next thing... 

Maybe this is the one 

harder than I thought

 I've been very tearful today and finally had a good cry.  Simply put, although I know it's the right thing to do for so many reasons, I don't really want to be doing this. It isn't helping that I miss my family loads and that they are in the sun and I'm in a jumper. 

I was just, essentially, coached by my clever and logical husband and decided to put my energy into the job I want more. I have no idea if that's the right choice. If I could I would fly back now and just accept I don't have a job. I want so much to hold my baby girl and be held by my man. 

It's hard to maintain the joy of London when I want to be sharing it with them. 

Tonight I want to sleep well and prepare and feel as ready as I can. 

I want to be able to do my best. 

I want to be appreciated for all I can offer. 

I want to want the job. 

I wish I was better at finding out what I want. 

hydrocortison

 Humph

I need more than I brought with me and it's very annoying. In Malawi I can just go and buy it. I don't think this is necessary, in the grand scheme of  things, a good thing, but my goodness I wish I could go and get some that way now.

I've considered halving my dose so it will just about last. That, of course is not a good idea. 

Humph 

flying home

I keep having to remind myself this is real. It doesn't feel it. Like a crap prank. I don't know if I believe this is happening and try, it really is. 

Each moment a little bit closer to that big change. If I get the job I know I'll deserve it. I'm essentially applying for the same job I went for 9 years ago, when I knew nothing! 

I know so much more now. 

Genetic lesson in ethics

 There are moments in your life that hit harder than others and then, like any other kind of grief, it tends to fade or at least hits less often. 

This week I again talked to a A-level biology class about my life with VHL. The starter for this lesson is essentially a similar genetic profile to me and the students are looking at the ethics of genetics. I've talked about it before, but the teacher and I have this routine down now. We are a great team. I'm also surprised that 4 years on and several versions of this lesson and they are still always so surprised when I reveal I have VHL. I'm the person they advised that couple not to try for. the disease sounds so awful. And that the girl they know, my daughter was a surprise and 'happiest day of my life wasn't when she was born but when we found out she didn't have VHL' 

Classes obviously don't really talk about it out of the room. But I know from those students who I talked to later on it had a significant impact. One boy telling his mum (who then told me) he's going to go into genetic to find a cure. 

And thanks to a scan they also get to look inside my body. They have hard copies of my abdominal MRI. 

I am a teaching tool. 

Why moments hit hard is that of late I've been thinking about that nasty brain tumour, it hit hard. It was the worst and I stood in front of them realising I am past the main fear. I'm coping well and I am more optimistic. Yes today when I had a sharp pain in my head I suddenly let myself quietly freak out. I was doing a poo. My dad was diagnosed with one of his brain tumours because he reported pain when did did a poo. And just for a moment I drifted back to the room and the weeks of fear and utter hideous dizziness. 

whiskey

I'm watching a zombie apocalypse series. I don't like them. I don't like to think how easily so many people you know and probably love could turn and eat you. 

But what strikes me this evening is good well off the survivors seem to be. They have food and water, a roof over their heads. They seem to have a change of clothes. They also had a fair amount of whiskey. 

They had loss, naturally but here, where I am now this isn't fiction and they don't have this much. Cholera is killing people so much more than COVID ever did. Poverty kills even more than that every day 

It's hard to sympathize when the people in the film are in a better situation than the man I didn't buy a pineapple off today.

I'm not a good person 

prediction

 someone I know and respect has begun to read this blog. Exciting and a little unnerving. In response to his comment via email I  thought, well I should read those ones again as, understandably I can't remember what I wrote. And I kept reading, enjoying the memories and reflecting on them and then I see one about my dad and his wobbliness. 

At the time I had simply written that he probably had another 15 years in him. I was kinda spot on. 15 years. good guess hey. 

My little girl is 15 and a half. How many years do I predict for myself? Not my life expectancy. How many does she need? I know that we are making this move, partly to give her a step towards better independence. This week she asked if I would sleep in her bed with her. She didn't want to be alone. I obliged. I know what it means to be able to be there for her, emotionally and physically. 

we have a couple of secret messages we share, I of course won't say what they are but they are proof that we are who we are. No alien invasion. I have the same with my mum. we used it often. She would ask me them when I awoke from an operation. Imagine that, my mum checking I hadn't been replaced by a science experiment. 

I know that's not what that was. I have passed this onto my one. I'll be me always, we have our code. if there is an after life and I get shunted back to her I will be able to prove I'm me. A bit like 'ditto' in the film Ghost. It is ours. 

nope - not telling 

when you're sphished

This evening I'm shpishhed

It is fun

It is ok

It is fun

didn't bother

I went to bed early, I didn't bother with it. I am feeling low and worried about the year ahead. I haven't been able to book my MRI here and all I see when I look on the various types of media is the NHS crashing to the ground. 

I will probably have to book a trip to SA to get it done. I don't want to do that. 

I woke up several times in the night. The worries of the year ahead looming large. 

I have a list of what ifs I can't seem to shake. 

But I'm lucky enough to have rolled over to my husband and I told him and I cried. And he understood. I know that overall we'll be fine. We just will. White privilege and a healthy dose of affluent parents. But I'm just feeling so gloomy about 2023. 

We're leaving our safe haven and our escape from the harsh reality of all that the UK holds. 

I know I'm bored quite often, but I've had so many years of craving that, I'm not going to let it go easily. 

I also need to see a dentist. 

Urgh. 

Those comments from that man

I have been very troubled by JCs writing in The Sun. I immediately got the GoT reference. And that's because I found that scene one of the most disturbing moments of TV I had seen. There are others, usually a rape scene, done all too well. Those and that scene, her walking having just had her hair roughly cut and stripped naked, paraded in that way made my stomach turn. It still haunts me, when I recall it, accidently or because it is presented, I feel a visceral unease. It was deeply unpleasant and although fiction I felt it summed up so much about hatred thrown at women. How we must be punished for doing what men do. thinking of it makes me feel vulnerable and afraid. It felt all too real and very possible, because this happens to women, metaphorically and physically. 

For him to reference it and for that to be being used as an excuse has made me physically angry. I am appalled by it. Horrified it was allowed to be put into the public domain and all for money. It will have caused more men and sadly women to believe this level of hatred and violence is not only acceptable but normal. It will have validated many with whom misogyny is part of their every day, and may well have concreted the rationale for such a mindset for many more.

I am grateful to every person who has been as angry about it as me and has spoken out, including his daughter and I am in disbelief at anyone who can defend his words or the paper for allowing it to go to print. One prominent Headteacher and I think behaviour tzar has tried to minimise this. I have no respect for that view and cannot fathom why she waded in. I have seen girls come to school distress at their hair being cut as a punishment, I have talked to girls and women for whom being stripped has been used as a punishment, I have known the fear of just the threat of if can produce. How can anyone minimise the intent behind those words. 

how much to declare

 I'm applying for jobs. There is always the confidential section. Last time I was applying in the UK I ended up having to disclose to the HR department. I'm not sure if I do need to do that. 

What if I get a job and then, within quick succession I need an operation. Currently my situation is stable but I know that kidney one is near needing something doing. Could even be now, could even be before, could still be a few years. If I have stuff done over the summer break I could even be in out and done before anyone would even know. 

There I go, thinking through it all, over thinking, and then I wonder. How, when you don't know me, would you take it. 

Do I say - oh and just as a final thought, I have a disease which probably won't be an issue but I do, well sort of have cancer. 

not VHL a different disability

I recently explained to teacher

'if you're dyslexic, it's always about dyslexia.'

I don't know if he got it. 

I'm high functioning. The most obvious part to those I work with is my spelling. Some people don't get it.

Tying my laces 

Reading the time from a clock

Remembering a short conversation

Time

Timetable

All sorts... If you don't get it, you don't see it. 

If you don't get it you don't see how much we adapt and learn ways to thrive

being with fellow know how it is peeps

 I had pizza with a pal last night who just gets it. She and I both have a disease that means results day is always more of a  - can I live my next 6months roughly the same as I just have or maybe a bit better?

I am going to miss being there for her face to face and I'm going to miss her laugh. She laughs with her whole self. 

What's great is that we do still find ways to laugh and it means the world to me.

cat's out the bag

 the news that we are leaving hasn't gone down well. Which is nice. Some tears and some expressions of sadness. Not all mine 

Perfect day

 toady I got up and made myself a cup of tea, and then I finished a jigsaw, made a fried egg sandwich and then did a bit of tidying up. I sorted the water and  brushed my teeth. I looked at social media and posted about why  today mattered. I had a cuppa with a friend, I worked on some stuff and made myself a crumpet with marmite (a real treat) I helped my daughter with an application and I kissed my husband. I planted some seeds and planted out some seedlings. I washed up, twice, maybe three times if you count the little bit in between. I walked around and I smiled. I contacted friends and I watched something on Netflix. I made dinner for my family. I had a bath and scrubbed my skin and washed my hair. I'm typing this now, still smiling. 

A perfect day because I'm living it, unaided and full of gratitude to all the people who made sure I am here. It's my 7 year craniversary. I don't remember the date of my first brain tumour operation. I know that one was in January. I saved the date of this one. It really was a frightening time. I went into that operating theatre not knowing how I would come out, who I would be, even if I'd be alive. Not the first time, but this time, I wasn't sure if I wanted to be alive at the end if I was going to stay the woman who couldn't move for fear of the consequences, who would have given up completely if it had been possible just a few days before, a thinner version of the person who had been admitted 3 weeks before, a person who wasn't sure if she liked herself. 

And so today I'm allowing myself to be happy as I do most days now. I'm lucky. 

off to church

 to go with my mum, it's not a place I feel I belong anymore. I get it and I am grateful for what the church, and by that I mean some of its people, have given me over the years. 

I still pray and I still feel a connection but I don't know if that's ingrained habit or faith and perhaps both. 

I am saying thank you today and asking for guidance. 

near to all clear

 the simplicity of it

all stable... the best news someone with VHL can get I think

the immediate telling to all the folks I know care... and then I wonder how much I should share. I'm rare. I told twitter. I thought I might be able to build more of a community on there - not so much. Be told not to minimise and misunderstood at times. I don't think they see more than the snapshot  - much like some people in my real life. 

And of course today some of that crash you feel after the 'good news' The letting go of the tension you hadn't fully realised you had been holding onto. 

And then... well then the next scan right... in less than 6 months this time because I had to wait so long for this 'as near to all clear' as I get 

My daughter asked me this morning 'what would you do if they told you it had all gone?' 

'get them to check again.' 

how many times do I talk about waiting

 I am good at it, distracting myself but my goodness this wait is very long. Scan in July and still no definite answers and information. 

I feel like I'll be due another scan before I know what this one really means. Hoping it's not 'a little bit late' by then. 

I'm a really good person

You know when you just think... Now despite my doubt, despite my faults l, despite my fear

Actually

I'm, like so many people I surround myself with, I'm a really good person.

I'm not perfect

And that's the proof 

building and trying to ignore the worry

 the scan... the size and the 'lots of white on that' feeling. 

the disc was sent off a little under a week ago. When will I hear, when will I know? 

and then... what will it mean? 

I hurt myself the other weekend, I hit my right side on a shelf, it hurts, it's getting better. I have had to talk myself out of deciding I've done permanent damage. Popped the cyst! 

It's on my mind. 

3am worries

 I gave my physical scans to one of our biology teachers, we held them up to the light to see what they looked like. 

'That bit' I pointed to the large vivid white circle where an adrenal gland probably used to be - 'that would be the...' I stopped, I didn't know what to call it. cyst, tumour, cancer, so I mumbled a little and talked about MRI scans and contrast. I couldn't remember 

gladioli - no, gladiminium, errmm, 

it's this Gadolinium contrast 

I of course then couldn't really get the blob, not the only one either - out of my mind. A ticking clock, definitely growing but maybe not bad stuff growing. I wish I was an expert. 

The wrong time to decide

 this is a place where I have been so very happy, a place that feels like it saved me. I had a really good chat with one of my favourite people yesterday and she knows me so well. We are torn, we are undecided, but I think maybe it is time for the next step. 

I worry that what has kept me so healthy and well is this place, the air, the lifestyle, the calm. I just don't feel as stressed, even when we face turmoil over COVID, staff issues, devaluation, none of it gets into my bones like it did in London. 

The chat helped me reflected on what it was about London and the truth is I haven't meant London, I've meant my last job. A place that I at first thrived in and then almost drowned in. I never gave myself the chance to say just how horrific the brain tumour was, just how terrible that small and endless month of hospital was, how I wanted to ruin my own life, all that made me feel safe because then I was in control of the disaster and yet, in the end what we did together was make a big change. It needed to be big.

Maybe now is the right time to acknowledge that we need to see how we fair in the real world. Maybe make some choices on how we live again. Maybe. 

I'm torn. 

More cancer - not mine

 I see her as a reflection of my story in some ways. We met at an NCT group, our children just weeks in age apart. they still laugh and play together now, even if it is on Minecraft and 8000km apart. 

She had a brain tumour removed not that long ago and has just had emergency surgery to remove cancer in her bowel. 

It is perhaps what my story could have looked like if I'd been the first in my family. But because I'm not, because of that clever Dr, who asked my dad the right questions and joined the dots, I get scanned and screened. I get to find out slowly and before (usually) it gets too dangerous. I have the luxury of waiting and not always knowing but at least I do. 

I want to wrap her in my arms and tell her it's all going to be ok, and it has to be, for her and for her boy. They got most of it. She'll do chemo. She is one tough cookie. I wish she didn't have to be. 

So I will wait - happily lucky that I get to

Thank you VHL alliance

 I waited until I was back from my holiday, despite the temptation, to ask for the scan report. It came back within the hour. That was impressive. I read it and compared it to the last full report I have. 

Then I had a little wobble. 

I sent the report onto my Prof's secretary, with the sing song tone that says - I don't want to bother you but I want you to look. And I got a reply within the hour. Not an answer but I know I've been acknowledged and now I will have to wait. I can do that.

Then I had a little cry and got a hug from my husband. We talked it through, best to wait. The report didn't seem very thorough, the MRI machine wasn't as high a T number as the others, they could be looking from a different angle. I quickly calculated a thousand different outcomes, the best being  - we can still wait and the worst - well... going back to the fear I felt in 2013. I even began to think of the cost of more scans. Would my insurance cover it? I have savings - I can use those. When would be a good time of year for surgery. Then my calm husband held me again. Breath and just wait. 

I thought about telling my mum  - but she worries and I don't want her to, so I looked again at the report. And did a bit of googling, before finding my way to the place on the internet I should have started with! 

Kidney Cysts, Renal Cell Carcinoma : VHL Alliance

this bit

Cysts are generally not considered sufficient cause to operate, even if large. In the rare event a tumor is present in the wall of a cyst, it will be important to watch the size of that solid tumor, not of the cyst.

and this bit helped 

Tumors typically grow in steps, with periods of little to no growth followed by periods of rapid growth. Looking at tumor growth over a number of years, NIH has found the average growth rate is 3-4 mm per year. Generally, growth greater than 5 mm over a year is considered accelerated.

and so the left one has gone from 13 x 12 mm to  29 x 23 mm cystic lesion

no news on the right one

I'll wait

just wait

scan connoisseur

I know a few MRI machines well, one I consider I've had an on going long term relationship with, although I have been seeing his brother on the side. I've had a couple of one night stands with some, holiday flings really. 

And then there's the first, you never forget your first. In my home town. He was new to the area, my family knew him. I haven't seen him for years. 

long life milk

Living somewhere else is about accepting long life milk

where will I be scanned next

 Who knows, looking unlikely that it will be here. But I do need to have my 6month one. 

I know I do, but only to ease my mind, I'm sure of that. 

Today, I sat in my pjs with my husband and friend and we were talking about life's path. I have lived a very full and happy one but I still see a long future. I think that is why I feel frustrated by a small hiccup in the road. Very small, it will resolve but it occurred to me that asking me to wait for something I want isn't a good idea. It's not so much that I'm running out of time and more I need to use my time. I don't like being bored. I have been happy to slow down these last few years, take things as a pace which has helped me connect with my daughter and get to know different sides to my self and others. But I'm restless now, I need another thing and I don't want that to be VHL related. 

In a different world

 An old friend's wife died yesterday, she was young and had been told 10 years ago she was probably going to die of cancer. She was remarkable to keep going, I only ever saw her brave face. I suspect her husband and son saw many more faces. I wonder if she had days when she would cry in the shower, scream why me, get angry at the universe, lie awake terrified of leaving her son behind. I expect so. I live knowing that I'm being monitored and I've come to a sensible realisation that this isn't the same terminal as she faced, just life limiting. 

Just. 

I don't know how they did it, but they kept on hoping and kept on. 

Now her husband and son need to learn how to live without her and that's what breaks my heart. 

once I couldn't keep my eyes open

I remember it well.

You don't forget that

There are moments in life when you want people to do you justice... Today I hope I did that. For others. It matters

oh your dad died too

There is a club I belong to. Newish to me. The dead dad club. I understand it's not the same as the dead mum, brother, sister, friend, child club. 

It's still a thing, an unexpected one, although I knew it all. I thought I did. Yesterday someone I know, not quite a friend more than an acquaintance, joine to the dead dad club. 

I sent my habitual concern

What I'm waiting for is the next one

blossom

In my garden a tree that I don't normally notice is blossoming. It's subtle and beautiful. 

It's making me think of VHL. I'm not sure why. Maybe the unexpected growth. Maybe the sense of dormancy and new spark. It's the way it's snuck in, almost unnoticed. 

It's a clever disease and I need to remember to keep watching. I need to check in. I need to keep looking for the changes. 

And while I do, notice the beauty. 

silence me

I've been told I talk too much

Often

I've been silenced more.

I've been told I over share

Often

I've hidden so much more

I've been told I over react

Often

I've been restrained more

who knows where the time goes

If I'd been able to, that would have been the song at your funeral.

Because, because it's the first one we really learnt together, we sang it at my sister's first wedding.

We played it many times again and I can even almost play it on my guitar. The one you gave me that sits here... That'll have always.

This song means so much

This song reminds me of your soft gentle reassurance that all will be well. Even when they just weren't, you didn't let me see that. 

I miss you

I didn't know I would miss you this much

I'm looking out over a cloud covered sky, listening to waves crash into the side of the room I'm in, the beauty and power a welcome reminder of how blessed I am. I'm in a little bit of pain and I just offered a small request up. I call on those who should be 'up there' knowing that if they can they would definitely help. And I remember that my dad is now there too. I'm not used to him being on the list, nearly a year on. So I ask him. Then I do my superstition of, oh but wait, what if he's only allowed to help a little bit. I should save this for some bigger stuff. 

And then I think of his suffering, he just didn't really complain or burden me with it. I didn't know really, except of course we did. And that soft layer of missing him bubbles up and I feel sad. I want to just check in on him. My dad. Gone. 

pain in the arse

It is getting better. Healing. A slow process when you are going through it and every so fast on reflection. 

This time, a break is a time to rest and sleep. I'm happy with myself for managing lent so far. It's been interesting to have been battling with my body though. It's not behaving as I'd hoped. 

My arse, my armpit and my finger. 

But I was reminded yesterday by someone I hope dear, that it's not fighting me as much as it could. We've had rougher patches. 

She's going through a battle with her body and she doesn't know what and who she can trust. It reminded me of those times I haven't known if it's all really real. When the cure feels worse than the disease. The lack of pain or disability but to be told... 

It's time. Time to cut you open, time to intervene and stop it. Time to take the risk. Time to sign the yellow paper. 

my bum hurts

VHL sucks, I'm glad I get scanned, but I know I'm happy to put them off, until the doubt gets in.

This week however I have a non VHL related medical issue that I'm living with and it's nasty. So I've self diagnosed, self medicated and now I'm at the, why don't you just go to a Dr stage in my head and then quietly and stubbornly replying; I don't want to be in a hospital. It can wait, it will sort itself out soon. 

The fact I can't sit down for the pain should be shutting that other voice up. Nope. It wins. E v e r y time. 

Same with my current broken finger which looks odd... I just don't do Drs unless I have to.

Ummm... What is have to? 

spring and winter

It's that time of year. In the UK the sun is making more of an effort and here is raining, lots. Here the nights draw in, as much as they can. 

Here feels right and I can't quite imagine not being here. I'm needed and I'm fulfilling a role I love. 

It's that time of year when I wonder more about my brother. I don't have the same questions of my dad. 

I have the questions of me.

I usually say if I become a Head Teacher. I've been trying out saying, when.

My husband sees that potential and I think I do too. 

Some decisions to make.

happy birthday

Each time, each time, each time for so many times. 

I wonder and I know there's no point

But I wonder

seeing your mum again

I was telling my friend Tabitha about my mum and how wonderful it was to see her happy because she was doing what she does best .. helping the vulnerable. Those who don't know how to use their voice. The people who are scared, or scared - are those two words spelt the same? 

I'm not quite sure why I mentioned her age, but she lit up. She didn't know that my mum is 70. It was like she saw a future she didn't know could exist. 

My mum inspired her.

My mum inspires me, I'm so proud to call her my mum. 

I hope she keeps making a difference because that's what she was born to do. And in my own way I'm following in her footsteps. 

My dad was an inspiration too, he kinda had no choice. I was worried I might have lost my mum to his illness. I think we nearly did. But I see her again. I see her recover. I see her finding herself again, after many years being a person who she was obligated to be. 

The joy of joy 

Welcome back mum

the good news

The journey, not the destination. I'm certainly always on one. The twists and turns. Right now I'm back in a lovely bit of road, it's pleasant enough, no real bumps to speak of.

So this next 6 months is as set as it ever can be. It's what I needed to hear. It's been a stressful year and I needed to know the magic of Malawi isn't the only reason I'm safe, maybe for a little while longer. 

VHL isn't what's going to cause the bumps for a while. I hope

it's probably nothing

Sat on a toilet.

Common I think.

Here I am taking it all in to make sure I can face my baby girl.

"Prof wants to see you face to face" 

It'll be my eye

It'll be something

Maybe nothing

Can it wait?

Am I over reacting?

Can VHL wait a bit longer?

I know I've had a good break... Eyes are so good when they work. 

Maybe I need to go home

Maybe it's time to face reality again

And I'm in the toilet for two reasons.

1 + the email shocked me and I took a sharp intake of breath and that starts me coughing and that starts me sneezing and that takes a while to stop. So I need to blow my nose and have a wee

2 - I'm protecting her. 

Should I be?

It's probably nothing

Home and a cushion

We made it home in one piece, the unpacking began, I always do it before I sit down. We have one bag missing but happily it is one that only has stuff and things. Nothing meaningful.

Never before have I travelled with such important cargo. Not counting my living family.

Now, in my room are memories of my dad and a little bit of him. They surround me physically in a way he does in my memories. Now I see him each morning. He's visiting and staying with us a while. 

It's important. 

I didn't realise just how important.

There is a faint smell of him from the aftershave my nephew sprayed on the T-shirt that my big sister had made into a cushion. 

I've said goodbye to him at my childhood home and welcomed him into my new and for now home. 

I'll show him my garden.

I'll see if he has any advice on my tomatoes.

all of the reasons home is harder

We've now done all the 'homes' 

They are all harder than would be ideal

They all have people

They all make more sense when you're away

They are all are filled with past and memories

They are all harder

familiar chairs, unfamiliar faces

I'm sitting in the yellow chairs of the imagining department. It's been like this for a while, the changes and improvements continue. This place holds a lot of memories for me. 

I've been coming here for so long, for me and for my dad. They always ask after him on the ward, so I'm glad I'm not going there today. But who is left to ask, maybe a couple of the nursing team. If Prof Drake was in, maybe him. He won't be. It's not a clinic day. It's a scan. 

My full scan.

How lucky I am. It's the back bone of our country. I'm sad and angry knowing what the government are doing to it. 

Will it always be here?

I'm feeling nervous, unsettled and unsure. I feel cheeky to be getting the scan and also relieved. 

But I normally build up to this. I was caught off guard. And I don't know when I get the results... What will they say, what will the next year hold? Are my kidneys going to be ok this time, has anything new and dangerous begun, are the old and previously faithful ones behaving? 

Who knows.

Not me of course. 

Not yet. 

winter is different

I'm looking at one of the fastest pigeons I've ever seen. I have on a hat and scarf to begin to warm up for a walk in the grey cold air of my home town. 

This place, my home, my land is different and more than ever before. Changed forever because he's not here. His room is cosy and comfortable and he's not here. My mum has done a great job of making it feel full, but it's of course empty, unless we're all in it, filling it with jokes and laughs, which we've been trying to do. 

it's raining

Here in the heat of Africa's warm heart I'm watching the long awaited rain begin to fall. It's been almost a month since there was any real rain here in my small part of the world. 

It's gentle, the rain the mornings tends to be, it's falling softly and steadily and it's easing my sadness. 

Afternoon rain is heavier, more urgent, it's responding to the heat of the day. That was my tears yesterday. Now my tears are morning tears. 

Familiar strangers

I suspect that many people have more than one home. And some, none.

I'm about to leave home to go home. 

I'm nervous, excited, longing for the familiar of before. I'm happy to experience the cold and the sense of just being where I know I'm welcome. Not a guest. 

But this new home is really home. And I'm going to miss it. There is a simplicity to life here. 

I'm nervous of the situation there and how to fit everything and everyone in. 

Focus on family and friends, the close ones. Mainly my mum and sister. They matter the most.

And I'm there to say goodbye to my dad. 

My heart feels a strange type of heavy. 

flying home for Christmas

I won't believe it until I'm in my mum's arms, but we're going. Red lists, politics and my own sense of trepidation aside, we're off. 

Nervous doesn't come close.

That's if we get all the things you need to fly, that's if the plane goes where it's supposed to go.

I don't know how I feel, except right now, anxious. 

inheritance

I get half the House

One day

Facebook memories

It's this time of year when Facebook reminds me of that time.

6 years now, 6 years I really didn't think I'd have on some of those days. 6 years that have made it such a joy to be able to do everything and nothing that I do. 

And although the slight layer of fear persists that it could happen again, this year there has been a break through. This year I know about a drug and this year, maybe I'll be able to have a scan in a machine just 30 mins drive away. 

This year I'm feeling great. 

how she died

I wonder what it was like for my Gran, the one I never met, that my dad hardly knew. I wonder what her death was like. Dying of a brain tumour. 

I'm guessing not great. 

I suspect it's why my dad wasn't allowed to see her. 

He didn't talk about it. 

Nothing to report, he would say. 

My grandad didn't either. 

But I wonder. 

my friend...

A pal of mine is having brain surgery today. It's the 6 year anniversary that I was admitted into hospital for my second brain tumour. Somehow this has made me believe this is a good sign. The connection. 

She needs to make it through. 

I don't remember

I do.

I remember being so utterly helpless and so in need of someone to help me take a shit in a bed.

I remember only being able to piss a little bit at a time.

I remember being on my period and not being able to change my tampon or pad.

I remember not being able to feed myself.

I remember seeing the pity in their eyes

I remember the indifference in yours.

I remember being totally reliant on others, you. 

I won't ever forget. 

It's not ok that you don't remember. 

It's not ok to have forgotten.

It's not ok that you did it all so easily.

I don't want to be my dad.

I don't want to go through that again.

I don't want you to have found it so easy.

Then, a small glance of it. A moment where I got to care. We don't talk about it. 

I tell you I love you. I don't think you noticed.

I've walked away from a moment where I tried to connect, tried to get you to notice me. 

I often think we've lasted this long because you don't.  

There will always be a reason why I'm wrong. Why I didn't get it right. I'm used to it. I'll keep going. Probably because I do actually love you. You're really rather amazing and brilliant. I'm not the same as you. Never could be, never will be. 

Sometimes a new person sees me. 

Tonight you tried to laugh at that. It worked. I stopped myself being seen. That's ok, you worry that who I am isn't that great. You don't want me to embarrass myself. 

That's why I've hidden in the shower cubicle. That's why I'm only going to come out in a bit. That's why. 

happy birthday

It's been a hard week, I don't recall feeling this level of grief for a long time. When after his death it seemed easier. I think it's the feeling of being so impossibly far away from home. 

I've felt simply sad. 

stillness

It's the stillness I have here that makes it better for me I think.

Reflecting on my work like balance, seeing and hearing about the pace of the UK, the relentless pursuit of simply keeping up that schools have. There I felt guilt for staying still. For each break, for a moment to myself.

Not here. 

And that's how it should be. 

rare but treasure

It isn't often that I get to be useful in my experience of the medical world, but I could be tonight.

I got to say things that helped 

I wanted to give comfort and hope.

I think I did 

I'm evidence of survival and I'm evidence of being the watcher, and the watched. 

median age

49

So, about 6 years to go then. 

What should I do?

I know, live my life to the full. Maybe try and spend as much time with my daughter. Perhaps spend some time in another country, live life. Live Love Laugh.

And also... Be at the other end of that Bell curve... Love until I'm a healthy 90. 

the wood and the wire

Tonight I watched a new tribute to my dad.

It was beautiful.

It was real.

It was important. 

Belzutifan

Today on Facebook I saw that the drug belzutifan has been approved by the FDA.

I know it might be some time before it's approved by the UK, I know I might not be eligible to use it, but I hope so much that this means I can look forward to my life. A life that might not have so much surgery, one where I can take a tablet and avoid being cut open and all that that means. I'm crying, I feel like they're is a new layer of hope on my life.

I don't quite know what I'm feeling... Relief maybe, like a breath I've been holding can be let go. 

I know this is still just the beginning, how many times can you take it, is it permanent, will I find out I suspect. 

turning 43

I will turn 43 very soon. Closer to my desk by date. 10 to go. 

I've been on holiday and had a genuinely relaxing time. As we get closer to home the reality of work and real life has been creeping in. With that my dreams had changed. For the last few months I've dreamt my dad is still alive, I hug him and hold him. Confused by the diagnosis of death. Trying to figure out what we do 'legally' seeing as it's so patently obvious he's still alive. But the last two have been different. He's dead in those and I know it and I can't hold him. Maybe I'm just processing this. Maybe my mind wasn't ready to let go. I'm still not. I want to keep my chance to cuddle him. And properly, as it hurt him to squeeze too tight in the last years of his life. He couldn't really give me the huge hugs he did when I was younger. 

driving home for Christmas

Life can free so very different if you know you have a plan 

I'm hanging on the high hope of making it home for Christmas. 

I'm happy here, but I really feel I need to hold my mum. See my home without my dad in it. 

To know what I'm missing. 

To be really cold again. 

To then fly 'home'

is everything my dad?

I imagine that this is normal

Everything is my dad

scantastic

Great news, another 6 months. I don't trust it. Not in the way I would if it was the MRI the team, the same. But it'll do. Better then nothing at all.

And so here we go again. 

It's definitely rare to live like this. 

Recently people who know me have remarked on his well I cope. These are new people, but yes, good, I'm glad you noticed, yes, broadly I do. 

Here I am. 

Could I do it differently?

Yes.

I have and I could.

Should I? 

Time

Time

Time. 

I'm not as tolerant as I want to be

I'm feeling unnecessarily annoyed by the people around me panicking about getting their second vaccine.

It is about being able to travel in most cases. It doesn't feel like it's for good reason. 

And I'm trying to sort out a kidney scan and that is important. And so I'm grumpy and having to hide my irritation. 

The contrast of trying to get a medical thing... 

Humph

that footballer

Twitter seems full of people saying what an important reminder that a rich, physically fit white man collapsed in the middle of a match has reminded them what the important things in life are.

They really are sad and I'm glad they have had this prompt.

I assume he's doing a job he loves.

He had help instantly.

It nearly all disappeared before millions.

But why do you need this as a reminder. Keep your eyes and ears open and you'll see reasons to live life to the full everyday.

Is this a way to make reason out of the unexpected? 

Death here is frequent and unquestioned. 

planning a scan

I know that I'm due. My kidneys are on a 6month watch. I feel like I might be the one person who has remembered this. 

I'm having to have a big think about this one. I waited 'too long' last time but happily all was well. As well as it gets.

Now I have to think about what is worth me doing to get the next scan. What will it cost, where will I go? I don't know what my insurance will say. The last one felt like a bit of a once in a life time treat. 

Maybe not. Maybe I pay enough. Maybe.

What I do now is that it's playing on my mind. What is that cancer up to? 

Is it dormant, is it slow, should I get treatment? 

Questions with no answers. They are the most frustrating ones.

a day off

If I was in Norfolk right now I'd be busy. I'd be helping with the preparations. I'm not, I'm here. 

I'm taking my morning slowly. I decided not to go into work. 

I'm not very good at taking time off. I like working, I enjoy my job, but today I knew I needed to stop and be, feel all the things today. 

It's raining (highly unusual here) like the weather is caused by me and my mood. I'll know if that's true if the clouds break after I've said goodbye. 

Today I'm doing almost nothing this morning. I'm still in bed. I'm just letting this all be.

I'm remembering and feeling. 

My dad.

Always brought me a cup of tea on school mornings.

He took the dog got a walk.

He dressed well, had style.

Music meant a huge amount to him.

Best cook.

He never really complained. I don't remember him moaning. He didn't get cross about very much. He was more disappointed. 

He did art.

He was a teacher. 

Those who chose him as a friend loved his sense of humour. I must admit I didn't always get it. They induced a roll of the eyes and a groan from me more often than a laugh.

He was proud of me. 

He was up for an adventure.

He had great hats.

He liked Coventry football club.

He took on surgery like a fucking legend. 

I don't remember him ever really getting drunk. 

My god his curries were good. 

He was a solid, strong and quiet man who I will always love. 

He gave good advice. 

I feel lonely

 because, despite the love and care and the huge amount of support I am. 

My dad is dead, so is my brother. Just me with VHL. 

And of course there are others, but all mine have gone. 

Just me. 

Me.