Sunday, January 6, 2008

Art, Cancer and Mental Health

Found this in the NY Times today.
One thing Dr. Heineman, an English professor at USF and head of the Honors program, often said was that in the United States of America, there is too little focus on mental health. I never forgot that.
We were reading Freud at the time. As a 21-year-old student at a private college in San Francisco, I had the privilege to not think about the issue, or at least not feel affected by it.
Nearly ten year later and having been through cancer and chemotherapy, I completely agree with him.
The physical is obvious and visible. You can see when someone is physically sick or feeling weak. Signs like the return of hair, the tone of ones voice and strength in your step, are easily noticed.
But what goes on beneath is not. And, as we all know, it's not that hard to hide.
At least in this country, and many of this country's cultures, it is difficult to talk about mental health.
How often do we honestly reply when some asks 'How you doing?'.
Though I think there has been a great shift -- in acceptance -- in attitudes towards psychiatry and mental wellness between my generation and my parents, there still seems to be more to go.
I was lucky. I had Adrian, Paul, Guadalupe and many more friends to talk about how I was feeling. My oncologist, Dr. Ahmann, mentioned he could refer me to a psychiatrist that works with cancer survivors. My parents were anxious to listen to my feelings. Even here, I was able to write and get it out.
As a writer, be that articles, poetry, essays or songs, I am comfortable expressing my feelings. But that's not the case with everyone.
I can't even imagine being a child cancer survivor, like little Henry Ortega, Jr., or 11-year-old Alexandra La Force Harkins, mentioned in the Times article, and dealing with cancer and survival, let alone regular growth and development. How different the world must, and will, seem to them. they are the real survivors.
So programs like this are important. I'm glad to read about one.

just in case you were wondering


(Shakeys, Nogales, AZ. 12/30/07 by GRC)

Here's a photo of me: full head of hair and my bigote. Guadalupe shot this one of me last week when we went to visit her grandfather, Samuel Herrera, in Amado, AZ. We took him down to Nogales and we wandered around all afternoon.
Grandpa Herrera has come up with some great plans to support his family after he passes on and he has enlisted my help to set up a factory that manufactures toy UFOs. Also, we'll be heading off to Caborca, Sonora, Mexico, sometime in early February to find a hangar where he can build a safe plane.
I kid you not.
Expect a short story on this adventure later on down the line. While I was getting excited about our adventure, he promised Guadalupe there would be no girls, only pilot business.

Saturday, January 5, 2008

Never Saw My Face in the Obituaries

I got a fade today.
It has been nearly five months since I last walked into Curley's (formerly Johnny Gibson's)in downtown Tucson.
Thomas, my barber, was really excited to see me. He said he'd been wondering how I was doing. I let him know how things had gone and how I was feeling. He explained that he kept a close eye on the obituaries in the local newspaper. Since he never saw my photo, he figured I was alright.
I suppose that's one way to keep tabs on me.
My hair isn't that long. In fact, it is about the same length when I left Curley's back in August. I've been letting it grow since the reunion. But my cousin Diane is getting married in Albuquerque next weekend and I want to look sharp. Besides, Guadalupe tells me every time she sees me, my hair is different and it feels like she's seeing a new man. so I can't let her down.
Meanwhile, I've been keeping an eye on my finger nails. Another subtle reminder of the chemo., the dark streaks have moved closer to my finger tips and I suspect that part of my nails will be clipped by the time I get to Abq. Slowly returning to normal.
Oh yeah, I thought I'd share this with you.
Turns out only nine people tested positive for TB after the Cancer Clinic screened 700 people.

Saturday, December 15, 2007

6-mile manda for St. Ignatius

manda [mahn'-dah], f. 1. Offer, proposal. 2. Legacy or donationleft by virtue of last will.
-- Velazquez Spanish and English Dictionary

I did a 6-mile ride for St. Ignatius this afternoon. My body is sore, but I feel very relaxed. The afternoon air is crisp despite the desert's evening freeze. Coffee and afternoon tea make a big difference here.
My pilgrimage was a manda i made with St. Ignatius, part of the cadre of saints i prayed to every night during chemotherapy and since. I realize some of my readers are unfamiliar with Spanish and Latin American Catholic tradition. so I'll explain a manda real quick before I return to my story.
A manda, as I understand it, is a promise you make with a saint, the holy trinity or even god itself. typically it is made out of desperation or fear. sometimes prayer is all you've got. For example, Mothers pray to La Virgen asking for fertility and in exchange they'll promise to name their child Guadalupe.
when it was discovered there was a tumor in my right testicle, a few mandas were made for me and for my health.
personally, I don't entirely like the idea of making mandas with the spiritual world. not for any existential or logical reasoning. very simply, I think there's plenty of other problems in the world that need attention and mine feel very minuscule in comparison. nonetheless, every night, when i pray, I invoke several saints: St. Francis, St. Ignatius, St. Augustine, Saint Peregrine, San Martin de Porras, St. Michael, St. Judge and La Virgen. People who have asked me to pray before a meal have heard my litany and sighed in exasperation. Anyway, during chemotherapy I would pray and ask for strength, not only for myself, but for those who were by my side, physically and emotionally. i also pray for my father and lately I've added a new name, Henry Ortega, Jr., the nephew of a Loyola classmate and young cancer patient.
So, as i previously wrote, when I had the chance, I visited the basilica in Mexico, D.F., and thanked La Virgen for her support during chemotherapy.
This week, as I was looking up mass times for the feast of our lady of Guadalupe, I stumbled across this address: 785 W. Sahuaro Street, Tucson, AZ 85713.
It was the address of a capilla, or chapel, of St. Ignatius of Loyola. that night, after work, i drove to the capilla, which was adorned with flowers and portraits of La Virgen. unfortunately when I arrived, they were locking up the folding gates placed at the entrances of the capilla. I promised to return.
the capilla is in the heart of Old Pascua and on the grounds of the Old Pascua neighborhood center.
It shouldn't be surprising that the Yaqui community has a capilla dedicated to San Ignacio.
A brief history lesson: the first known Europeans to wander the southwest were Alvaro Nunez Cabeza de Vaca and three others, shipwreck survivors from a Spanish expedition in 1528. One of Cabeza de Vaca's companions, Esteban the Moor, as he is called, later led the Franciscan Missionary Fray Marcos into the Southwest. Marcos' reports led to the Coronado Expedition of 1540, which was the first major European excursion into the Southwest. Disappointed that there were no obvious resources to appropriate, Spaniards left the area and its inhabitants alone (well, lets just say they didn't rape, pillage and decimate, like they did in Mexico, Central and South America) for nearly a century, until mineral wealth was discovered and mines created in Sonora. the new found source of wealth prompted a Jesuit mission in1686, which was lead by Father Esubio Francisco Kino, who is buried in Magdalena de Kino, south of Nogales, Sonora. The Jesuits helped the Spaniard government colonize the area until 1767, when the Jesuits were expelled from the new world by the Spaniards.
The effect of the Jesuit missions were long lasting, physically evident by the missions that dot the Sonoran landscape and metaphysical, by allowing the Yaqui to mix their own religious practices with Catholicism. Pascua ceremonies, and I'm extremely simplifying things here, are an amazing mix of the two.
Now back to the twenty first century: I am the product of Jesuit education -- Loyola High School class of '97, University of San Francisco class of '01. I am interested in the history of the Jesuits and the personal journey of St. Ignatius. To be honest, I often thought about his own convalescence and conversion during chemotherapy.
I've prayed to him for many years and this one was no different.
So I awoke this morning, had breakfast, took care of some bills and paperwork and a little after noon made out on my bike for a my own small pilgrimage to la capilla San Ignacio de Loyola.
It was my first long bike ride since before chemo. and I gave myself a couple hours for the ride. I didn't know what I'd be capable of.
with helmet and yellow safety jacket on, I pedaled my rebuilt JC Penny cruiser north up Park Ave., about a mile and half, to Grant Road, where I turned West. As the traffic wizzed passed me and a few cars and trucks encroached a little too much on the bike lane, I continued past First Ave., Stone Ave. and eventually past Oracle Road, and down south into Old Pascua.
My calves burned at first, especially on the slight inclines on Park Ave. just north of the University of Arizona. But the ride, from my apartment to Old Pascua, took only about thirty minutes. It's a little more than three miles, according to mapquest.
i dismounted my cruiser, chained it up at the Old Pascua Community Center entrance and walked across the dusty, dirt courtyard to the entrance of the capilla. The front gate remained locked. Adornments from the feast of La Virgen were still out. So I kneeled on the concrete, up against the gate, said a prayer and thanked St. Ignatius.
The ride back was peaceful, going slow through Old Pascua, looking at the architecture of the homes and trailers, the corner stores and warehouses. I stumbled upon Esquer Park, 1331 N. 14th Ave., a large, green plot of land in the shadow of Tucson's downtown.

Thursday, December 13, 2007

first post-chemo. appointment

Along with the feast of la virgen de guadalupe, yesterday was my first post-chemotherapy appointment with Doctor Ahmann.
the streets of Tucson were layered with a thick fog in the early morning like I'd never seen. You couldn't see more than a half block away. it reminded me of northern California.
not long after I arrived and checked in with the front desk staff, i had my blood drawn. When I sat down and the nurse found my vein, I remembered how i got a blood draw every week for two months. i had forgotten about my regular trips to the sonoran quest labs and how i'd become a regular with the staff at the office off 6th St.. not to sound cliche, but it feels so far away now.
about twenty minutes later, i met with Doc. Ahmann.
He was glad to see my hair had grown back so thick. He gave me a general checkup, poked around my body and asked the usual questions: pain, discomfort, energy level, etc.
I mentioned my finger nails.
Last time I was home, Bean freaked out about the dark streaks across my finger and toe nails. They occured during chemo. but didn't cause me any pain, so i paid no attention to it.
Ahmann said the streaks were a result of the bleomycin and should be considered a normal side effect.
While looking at my back, he said the acne was drying up like it should. that's nice.
it was too early to get the results from my blood draw, but otherwise, he said everything looked great.
after the appointment, I wandered over to the elevator to visit everyone up in the infusion pod. i ran into an elderly gentleman, his wife and a young lady I assume was his daughter. he was thin and walked slowly. i noticed the blue bandage on his right hand. it was his shunt.
i remembered how adrian told me its important to talk to other patients and survivors, even if it might seem awkward. in my mind, I could picture adrian talking to the others in my pod when he came to visit.
so i asked the gentleman how he was holding up. we spoke for a bit. he had a positive attitude and sounded good. the gentleman said he started chemo. around the time i left the clinic. I told him he could do it and that I'd been done for about two months now. i tried to give him what encouragement I could. I noticed the ladies eyes widened when I told them I'd gone through two and half months but was doing better now. I embraced all three of them when we got to the second floor and went our separate ways.
among the pods, I ran into shelly, estella and another nurse, whose name escapes me for the moment. we caught up, albeit briefly. they asked about my parents, work, gave me props for my coverage of TUSD and laughed about the TB incident. apparently shelly dealt with the patient.
i also ran into Selena, who everyone up there knew as Maria. She's a local churchgoer and our families ran into each other often at the clinic.
it was nice to see everyone. but I needed some time away before i went back to say hello. they understood.

Tuesday, December 11, 2007

La Virgen de Guadalupe


As I mentioned in the previous post, I was in Mexico City the weekend after Thankstaking.
The documentary was entered in Mexico City's first ever Chicano Film Festival, la 1era Festival de Cine Chicano en México. The event was a historic bi-national discussion on Chicano and Latino identity. Though attendance was sparse, it was still a great time. A few hours after I arrived on Friday, I had breakfast with Guadalupe, Julie, Jose Luis Ruiz, Robert Young and Edward James Olmos. Pretty Chingon, eh. Later that night we had a formal dinner with all the folks involved, including a bunch of heads from Tucson.
Saturday morning, Julie, Guadalupe and I made a pilgrimage to the La Basilica of the Virgin of Guadalupe. When mom found out I was head to D.F., she told me visit la Virgen, as did a ton of other folks. I know there were many Catholics praying to la Virgen for me during my surgery and chemotherapy. A visit was the least I could do.
I'll spare you my critical thoughts on Tepeyac hill and the Basilica that is constructed in plain view of Aztec ruins.
We first went to the new basilica, which has the shape of a UFO. There were hundreds, if not a couple thousand people, on the grounds, praying inside the basilica, making a manda and taking photos. After a prayer inside the basilica, where I was able to see the tilma of Cuauhtlatoatzin/Juan Diego, we walked up the hill to the teocalli built in honor of La Virgen. Outside the small chapel, I light a candle in her honor and went in with the other pilgrims and guadalupanos. Inside I knelt at her altar and prayed a bit of the rosary.
On our way down, i snagged a Bougainvillea for my own Guadalupe. Apparently that's forbidden in La Virgen's garden.
I felt something at the basilica. The sacredness of the site was strong, but the feeling was human. what I meant is I've had spiritual experiences, experiences that don't make sense if you are not spiritual. sensations from another place. but what I felt there, on that hill, was the energy that all the pilgrims brought to the sight: joy, sadness, hope and despair.
and that's what made the site holy, to me.
by the way, we took the best documentary award.