Topic of Cancer

I’m now officially a cancer survivor! Achievement unlocked!

A couple weeks ago, on July 27th, during a routine colonoscopy, they found a mass in my ascending colon which turned out to have some cancer cells.

I immediately went to UNC Hospital, a world-class local teaching hospital, and they did a CT scan on me. There are no signs that the cancer has spread. I was asymptomatic, so they caught it very early. The only reason I did the colonoscopy is that there’s a history of colon cancer in my family.

Yesterday, I had surgery to remove my ascending colon (an operation they call a “right colectomy”). They used a robot (named da Vinci!) operated by their chief GI oncology surgeon, and made 5 small incisions: 4 on the left side of my belly to cut out that part of the right colon; and a slightly larger one below my belly to remove the tissue (ruining my bikini line).

Everything went fine (I made sure in advance that this was a good robot and not a killer robot that might pull a gun on me), and I’m recovering well. I walked three times today so far, and even drank some clear liquids. I’ll probably be back on my feet and at home sometime this weekend. Visitors are welcome!

There are very few long-term negative effects from this surgery, if any.

They still don’t know for certain what stage the cancer was at, or if it’s spread to my lymph nodes; they’ll be doing a biopsy on my removed colon and lymph nodes to determine if I have to do chemotherapy. As of right now, they are optimistic that it has not spread, and even if it has, the chemo for this kind of cancer is typically pretty mild. If it hasn’t spread (or “metastasized”), then I’m already cured by having the tumor removed. In either case, I’m going to recover quickly.

My Dad had colon cancer, and came through fine. My eldest sister also had colon cancer over a decade ago, and it had even metastasized, and her chemo went fine… and cancer treatments have greatly improved in the past few years.

So, nobody should worry. I didn’t mention it widely, because I didn’t want to cause needless grief to anyone until after the operation was done. Cancer is such a scary word, and I don’t think this is going to be as serious as it might otherwise sound.

I’ll be seeing a geneticist in the coming weeks to determine exactly what signature of cancer I have, so I know what I’m dealing with. And I want to give more information to my family, because this runs in our genes, and if I’d gotten a colonoscopy a few years ago, they could have removed the polyp in the early stages and I’d have never developed cancer. (And because I’m otherwise healthy, I probably wouldn’t have gotten the colonoscopy if I hadn’t had insurance, which I probably wouldn’t have had if Obamacare didn’t mandate it. Thanks, Obama!)

Yay, science!

Future Plans

So, the cliché here is for me to say that this has opened my eyes to the ephemerality and immediacy of life, and that I’m planning to make major decisions in my life that prioritize what I truly value, based on my experience with cancer.

But the fact is, I’ve already been doing that recently, and while the cancer underscores this, I’ve already been making big plans for the future. I’ll post soon about some exciting new projects I’m trying to get underway, things that are far outside my comfort zone for which I’ll need to transform myself (you know, in a not-cancerous sort of way). I’ve already reduced my hours at W3C to 50%, and I’m looking at changing my role and remaining time there; I love the mission of W3C, which I see as a valuable kind of public service, so no matter what, I’ll probably stay involved there in some capacity for the foreseeable future. But I feel myself pulled toward building software and social systems, not just specifications. Stay tuned for more soon!

I’m optimistic and excited, not just about leaving behind this roadbump of cancer, but of new possibilities and new missions to change the world for the better in my own small ways.

Update:

Today (Friday, 26 August), I got the results of my biopsy from my oncologist, and I’m pleased to announce that I have no more colon cancer! The results were that the cancer was “well-differentiated, no activity in lymph nodes”, meaning that there was no metastasis, and I’m cured. This whole “adventure” emerged, played out, and concluded in just a month: I heard there was a tumor, was diagnosed with cancer, consulted an oncologist, had surgery, recovered, and got my cancer-free results all in 30 days. It felt much longer!