Fashion and joy

I took this photograph of my friend Bill pointing out that he and my daughter are wearing the same fashion: the three stripes on the navy blue adidas workout pants. He is accentuating the stripes!

We were headed out for a bike ride, Christmas, 2021 in Maryland.

For the Ragtag Daily Prompt: accentuate.

I am listening to versions of Lift Every Voice and Sing. Here is Ray Charles. I think he wins the fashion statement for this post! And his version accentuates joy!

For the Ragtag Daily Prompt: accentuate.

Sherbet skies

We sail on a jaunt into sherbet skies.
The water is gold, the wind is light.
The sky changes color and charms our eyes.
The light is gold sliding into the night.
The boat glides through the water with gentle ease.
Light hand on the tiller, our wake lights up.
We pass peaches and cherries and crackers and brie,
pour tea into each other’s cups.
It’s cooling off so we sit very close.
Phosphorescent creatures trail behind.
Warming each other as we steer the boat.
Darkness falls and we don’t mind.
The sherbet skies call us out to roam
But we are ready to come about towards home.

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For the Ragtag Daily Prompt: jaunt.

Hoping for more peace and tolerance on Juneteenth.

Forever or not?

Once someone has cancer, do they have it forever?

I think that is a complex question. But one example comes to mind.

An older woman, in her early eighties, is seeing me. She wants to go back on hormone replacement.

“But you have a history of breast cancer.” I say.

“That was six years ago. And I took that horrible tamoxifen for 5 years and I still am having hot flushes after a year off it and I am sick of it. Give me hormones.”

“Hmmm.” I say. “Let me do some research.”

I call the oncology group south of us. This is over ten years ago when we had no oncologists in our county.

“How old is she?” Her oncologist is digging up her records. “Ok, got her. Hmmm. Well, she had a stage one cancer and a lumpectomy and five years of tamoxifen. THAT cancer is gone, for sure. If she wants hormone replacement, it puts her at a bit more risk for a new breast cancer, but the old one is gone. As long as she understands the risk.”

My patient is back and we negotiate. “Ok, the oncologist says your previous cancer is truly gone, but hormones put you at risk for a new breast cancer. At least, raise your risk a little.” Age is the biggest risk in women, if they do not have the abnormal BRCA I or II genes. “Also, if we have you on hormones, you have to do your mammogram, because I’d want to catch any cancer early. That’s the deal.”

“Fine, I want the hormones.” She signs a consent that I’ve prepared and we put her back on her hormone replacement.

“I want to hear from you, ok? Whether it works?”

She calls in a week, delighted. “No more hot flushes! I feel great!”

__________

I took the photograph at Mats Mats Bay last week. There is a sign about osprey nests. I look up and think, oh, yes! Pretty obvious if you look up!

__________

I don’t remember her exact age and I don’t remember if the five years was tamoxifen or one of the other hormone blockers. She could have been in her seventies. At first I thought, no way back on hormones! Then I thought, quality of life is important. Maybe I choose this photograph because the nest is out on a limb.

Some cancers ARE currently forever, especially those that are stage III or IV and metastatic. Maybe they won’t always be forever.