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The Kreitler Compact
Peter Gwillim Kreitler

April 5, 2006 – Day One - Angeles Clinic Santa Monica, CA

Anxiety about the unknown can be debilitating and yet it is hard to explain what someone experiences facing chemo therapy. The word therapy is important for it conjures up images of healing. Chemical therapy is something of an oxy moron for me because chemicals have contaminated my body. We ingest a chemical soup provided courtesy of our air, water and food, the basic elements of life. If we were to isolate and analyze all the chemicals in our bodies we all might be candidates for a toxic waste site when we die. A simple focus on lettuce, for example, would most likely indicate minute residues of over a dozen different chemicals have attached themselves to parts of our inner complex system. Herbicides, pesticides and a long list of other cides are in our bodies to varying degrees, yet the chemicals FNR will be used to heal my body.

The Angeles Clinic’s treatment center is not like a spa where soothing music from Sukay or Yanni fills the room as you exfoliate, or do whatever you do in a spa, but the lounge chairs invite sleep which is probably what I will do during most of my 7 or so hours .There are 5 chairs in my section. One man 54, screenwriter and parent of a 19 year old sits quietly listening to music on his I pod, is being fed his cocktail for colon cancer. Two ladies, sisters in law sit across from me, and I can not understand a word being said for they are speaking Rumanian. The third chair envelops a frail senior with Alzheimer’s or as they say chemical brain. Her son is attentive and concerned. for her as she suffers with lymphoma. The last of the five chairs is empty now but a Middle Eastern woman with husband in tow has reserved it with her shawl. She is fighting breast cancer. All five of us are in varying stages that can be seen by hair loss. The two of us who are beginning treatment today still have our curly locks, and in my case those can be counted on two hands and one foot. The lady from the Middle East wears a lovely scarf, the elderly lady ad complete wig, and the Romanian woman is seeing her hair return. The ladies from Romania retired early and their chair was taken by a teenage boy, who coincidentally attended St. Matthew’s Day camp as both camper and counselor.

A little room in the Angeles Clinic shepherding diverse people through a process of solidarity reminds me of the hope I harbor for the United Nations. My first day on the hot seat illustrates that cancer has no favorites. This minute slice of life brought together an 86 year old woman and a 17 year old boy and everything in between. By the end of the day we were all supporting one another with words of encouragement.

In life it is worth noting indicator places, species, and cultures to determine the state of the world. To understand our own health or illness requires the power of discernment as well, and there are indicator milestones that help us know where we are.

Each of us are attached to a Flo-Gard 6201 Infusion Pump. Each tubing has been connected in a different place on the body. The gentleman with colon cancer is connected by a shunt just below his neck. The elderly lady has the IV in her arm, the preferential place, but I have a vein in the right hand that is the site of choice for me. Actually, I was butchered in both right and left arms and now I request a small needle for the veins in my hands.
The expertise of the nurses varies dramatically when it comes to the insertion of the needle. Being pro-active works for me, and it is more comfortable, and has yet to result in bruising. The secret seems to be pressure applied when the needle is removed. The more pressure the less swelling or bruising. Request the where, and the nurse staff willingly accommodate.

The 2 tablets of Tylenol are administered orally, but the Benadryl comes through the drip system. To prevent nausea, which is a common side effect of chemo therapy, another drug is provided, Kytril. Thus, I, in microcosm become what I am fighting against in the real world. Too many chemicals, unregulated and indiscriminately used are compromising the eco systems of the world, but chemicals are now a key ingredient in preparing my system for healing.

My procedure begins with Rituxan which is an anti body that gets my cells ready for the chemo treatment. After almost 4 1/2 hours of a slow drip of the Rituxan I will begin the Novantron. This marks the beginning of my chemo treatment! This drug will be dripping into my vein for 10 to 15 minutes. Fludara follows for 30 minutes. That’s my treatment- FRN. Because this chemo treatment will attack my healthy cells as well as my cancer cells I will be back on Saturday to take a drug called Neulasta to stimulate my white blood cells if my count gets too low. This is given as a shot so I’ll be in and out quickly.

These, in combination, have been shown to be highly effective in reducing the size and number of inflamed lymph glands. Our lymph system is part of our cleaning system and is vital to a healthy life. I start with Rituxan, but it is tough keeping one’s eyes open.

Nellie is my nurse. Efficient, pleasant, and diligent in her duties, she visits me every thirty minutes to change the rate of flow.. When you can trust your care giver life takes on new meaning. Trust is essential in all relations, and even in the casual relations we encounter through life. Competency at the highest level is appreciated in a more intense way when one’s life is on the line.

No pain, the drip drip drip of the solution reminds me that personal healing or global healing will come slowly. Patience is a virtue yet I felt I need to get on top of this immediately, and the same sense of urgency about the collapsing of creation infuses my every breath. I will be ‘hooked’ up for 8 months.

I think it is time to doze off.

More tomorrow.

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