A Control Freak's Worst Nightmare
I am a self-confessed control freak. I have to be to have any hope of managing this chaotic circus I call my life. In fact, I'm actually a wee bit proud of it. Being a total control freak is one of my best coping strategies, if I do say so myself.
However, when you're faced with something like cancer, being a control freak has its good points and its bad. Let's face it, you really don't have control over too much when something that incidious invades your body, but on the flip side, controlling anything you possibly can about the situation does give you at least a small hint of peace.
So, when I found out I had to do chemo again, I decided right then and there that it would be my way or not at all and at the very top of my list of "demands" was a PICC line. PICC stands for Peripherally Inserted Central Catheter. Essentially, it's like an IV that stays in for the whole course of treatment. They can deliver the IV chemo meds through it, draw blood, etc.
This little device was at the top of my list because of one of the drawbacks to being a control freak. I am NOT good with needles. It took me a long time to realize it wasnt the pain that I had a problem with. Ive had hang-nails that hurt worse. Its just that I don't like the idea of anyone doing something unpleasant to me. I know if I ever became diabetic and had to inject insulin every day, it wouldnt be a problem because it would be ME doing the injecting.
Turns out there was just one tiny little flaw in my plan to avoid the prospect of IVs every three weeks and blood work every week in between. PICC lines may look like normal IVs, but the part that goes into your vein isnt a half an inch long like it is with an IV. Instead, it is threaded from (in my case) the left bicep, all the way up into the main vein near the heart. Still, says I, how bad could it be? They said they freeze the insertion site so all I have to do is tolerate one or two more pokes for the freezing and were good to go, right?
Wrong.
Enter the control freaks worst nightmare. There I am, stretched out on this narrow table with my left arm flung out to the side on an extension that looks like those things you iron sleeves on. Im sure I looked like some sacrificial victim from one of those old B grade horror movies. Next comes a camera from a real-time x-ray machine, which is a big white square box lowered over your upper body to within a hairs breadth of skinning your nose. Okay, okay, I can handle this. Its open on the sides. If I turn my head just a bit I can still see the ceiling. I can handle this. I really can.
I almost had myself convinced of that when I got to crane my neck a bit and actually look at my own left humerus, clavicle, ribs, etc. Pretty cool and almost enough to take my mind off what was about to happentill it actually started to happen.
They had to tie a tourniquet around my arm, right up at the shoulder. Yeah, a little uncomfortable, but I can take it. Im a tough farmer broad, remember. I revised that opinion after what felt like a half an hour with my entire left arm in a very large bench vice. I know it wasnt actually half an hour, it just felt that way. I thought I was doing an admirable job of suffering in silenceuntil several people in the room felt it necessary to remind me to breathe.
It kind of went downhill from there. The long wire they have to insert into the vein to guide the PICC line kept getting stuck in the wall of the vein. Pull back, try again, push, prod, inject dye (which burns a little), try again, prod and poke some more. By this time, I dont think there was a person in that room except the doctor who wasnt telling me to breathe. He finally got the wire where he wanted it, but by then I was a blubbering basket case.
Giving in to the tears turned out to be the cathartic release I needed and after that, things went a little better. He warned me there would be two more really big mosquito bites. If youve ever seen Saskatchewan mosquitoes, youd realize just how apt that description was. Im sure the little devils snouts are at least the size of a 23 gauge needle! I got through those last two needles with remarkable ease and then, at last, I heard the words Id been waiting for: All done.
As soon as I was able to sit up, I looked at my watch. The whole procedure had taken just over half an hour, but it was half an hour that easily felt like a 40 hour marathon at the local torture chamber. At least, thats what it seemed like to me. Looking back on it with the objectivity afforded by the luxury of putting five hundred some odd kilometers between me and that room, it really wasnt nearly as bad as I have portrayed here. The tourniquet was painful, yes, but beyond that, there actually wasnt anything much more uncomfortable than the chemo nurses trying to find a vein after three or four treatments and I withstood that with far more aplomb.
It all comes back to that downside to being a control freak and herein lies another of those wonderful lessons God keeps handing out like pop spelling quizzes which, by the way, I was far better at than these oh-so-much-more important lessons Im learning now.
Being a control freak can be a good thing. It can ensure you get what you need, when you need it, for both you and your loved ones, but there comes a time when you need to let go, to trust in the well-trained, caring and compassionate people into whose care God has entrusted you. Face it. Farmer broad or not, you CANNOT insert your own PICC line, and youre the one who wanted the dog-gone thing in the first place!
p.s. Sorry this got to be so long, but it turned out to be a full fledged journaling experience and has been VERY theraputic.
