Showing posts with label Mayo Clinic. Show all posts
Showing posts with label Mayo Clinic. Show all posts

Tuesday, June 04, 2013

Another Time, Another Place - Ron Sdraulig



Cancer - My Chemical Romance

And in the blink of an eye another year has passed. And as I mark yet another anniversary of profound loss, I want to focus on what can be done so others may not have to feel the pain. I don't wallow in self-pity. It is what it is. If I could change it I would but I have had a few years to adjust and cope with my loss. I wasn't always alone. It just seems like a lifetime. I came from a large family. There were 6 of us and counting when my Dad passed away unexpectedly, and in the decades that followed everyone else went away also. The last to go was my brother Ron Sdraulig. Ron was 21 years old on June 4 1984 when he muttered my name and gasped his last breath. I was glad to be with him to offer comfort (I hope) and to see for myself that his transition onto the next journey was peaceful. It was, but 29 years later when I think about that night I still hurt a lot. His biggest fear before he died was my mental state - it's a good thing that his physical being wasn't here in the past two years because he would have kicked my ass. Or maybe we would have together kicked some ass before I could be beaten down. Truth be told, less than a month ago I was preparing to join him. And then something happened to renew my hope that it was worth the fight. I may have a halo of angels floating around my head but even they aren't always strong enough to keep me standing on my feet while I am getting sucker punched. Fortunately my stubbornness reminded me that it's "Never Too Late"

When Ron passed, the official cause of death was noted as Heart Failure. I read that as a broken heart - a young man who had lived a decade fighting for his life alone when all he wanted was the support of his mom in his time of sickness. The Mom who had been there by his hospital bedside, holding his hand during painful treatments and their side effects, who listened to the prognosis and made the decisions. Ron battled Hodgkin's Lymphoma from the age of 9 when the first goose-egg sized lump appeared on his neck like an unwanted gift the day after Christmas. And so many recurrences and illnesses that followed after she was taken in a car accident when he was just 11 years old. I was a kid myself and didn't understand but I do remember the recurrence in his groin and the tumour that appeared his head far from the lymph nodes. And in between the cancer operations, radiation and chemotherapy, there were spinal taps and a severe and painful bought of shingles. You really don't know what you have when you have your health. A pain-free day for him was filled with worry of what the next day would bring. I didn't support him emotionally then - I was an angry kid, making unwise decisions about my own life and unmindful of Ron's struggles. I was just a year older than Ron - I can regret my selfishness now but I would rather focus on the positive. Sneaking in to see him when we were told that it was dangerous (for me) and sitting on his bed laughing. About what, I don't remember - but for just a moment he forgot pain and laughed. It's all that mattered then. Just like being there awash with tears to tell him I love you the very last time June 4, 1984.

In 1972, cancer was not very common, especially in the young. Certainly not like it is today. The only thing I know is that while the population of Canada did not double between 1987 and 2012, the chance of a Canuck being diagnosed with cancer has doubled. I want to know why. It seems that everything causes cancer. Back in the day, Ron and I had an interesting discourse about cancer risks. Of course it can't be argued that smoking in any way is good for you, but even then, more additives were put into the commercial cigarette compared to the time when if you wanted to smoke you  got a bag of tobacco and rolled your own. Certainly there were many people that we knew who smoked and never got cancer, what was the difference? To my mind, the nasty brownish-yellow acrid foul-tasting smoke coming from the stakes of the local paper mills and enveloping the surrounding neighbourhoods was far worse to inhale then commercial tobacco. And indeed working in the mills certainly presented health concerns. Somewhere in my files I have two articles that I set aside to prove my point in the next debate. One article stated that caffeine consumption was proven to cause cancer. Not a month later there was an article from the same newspaper that claimed caffeine prevented cancer. And these days you could drive yourself batty trying to keep up with all the do's and don'ts.  

There wasn't a kid who grew up in the 1960's - 1980's that didn't drink from one garden hose or another. We were out playing all day long. To go inside the home for a drink of water meant that we might be caught and forced to stay in and do homework or some other distasteful chore. The hose was the go to - we never thought we were contributing to our own demise by partaking in the sharing of the hose fountain. If anything, being allowed to be kids may have strengthened our immunity and permitted us to be healthier. There was no toxic soup being used on the grass we played leap frog on. Homes were cleaned with chemical baths and disinfected to the point of sterilisation. And perhaps most importantly the food we ingested was not genetically modified and filled with chemicals and antibiotics. It was a healthier time and our bodies reacted to that. We are simply not built to fight off all the toxins that we are exposing ourselves to. And in our paranoia and attempt to cleanse we are killing off the good germs and at the same time creating super bugs that we can't kill to protect ourselves. 

I'm not a scientist and not the first person to tout this vein of thinking but, I believe that the incidence of breast cancer in women has gone up as women entered the business world and working more frequently outside of the home. It's not the work itself that's the problem it is the deodorant that they are using. Our bodies are magnificent machines that left alone can work trouble free for a lifetime. Yes, I see the irony there - but bear with me a moment. We blink without thought and it cleanses and protects our eyes, we sneeze on reflex to rid our respiratory system of an irritant. When we ingest something that is not good for us, for the most part they are expelled one way or the other. My mother used to say that if God put it there, there was a reason for it and unless it was absolutely necessary - it wasn't being removed. Of course this was the era of commonplace tonsillectomies. (Yes, I have my tonsils.) The point is that our bodies are meant to sweat and when we use a product to block the sweat glands where does the sweat (ammonia, urea, sugar and salt) go? Sweat itself does not smell - the reaction of the sweat with the bacteria on the body makes the smell. Yes, for some people it is a medical condition. For most of us, we don't have an issue with excessive sweat - we use it because years of effective marketing has convinced us that we must. So did our middle school hygiene/gym teachers. It is hard to find and more expensive but do yourself a favour (men and women) and buy deodorant instead of anti-perspirant. Unless you know you have the gene that has been identified as causing breast cancer like Angelina Jolie does.

Part of it is smart living. Watching how many chemically engorged processed foods we eat, being aware of genetically modified fruits and vegetables. I'm not an organic eater or a radical hippie, live off the land type. Just trying to be aware and not paranoid. It's a moderation thing when it comes to food. Too much coffee, diet soda, fried foods, beer is not good for you. But like the occasional glass of wine it won't kill you and life is about the enjoyment. Most of my family was killed in car accidents but rarely a day goes by when I don't get into a car. I try to be a safe driver and I'm aware of assholes on the road but I won't stop driving because it can kill you. 

So how did that discourse with my brother so many years ago end. Well, with a few tears and sand bags of sadness weighing on our shoulders we decided that everyone has cancer cells in them. For some the cancer is triggered by saccharine, by others caffeine, for others it will remain forever unknown. There are a lot of people who smoke and haven't contracted lung cancer. George Burns smoke and drank his whole life that ended after he turned 100. My brother never smoke or drank before beginning the fight for life at 9 years of age. And for the critics, it was pre-dominantly a smoke free home.

It is my goal to do what I can so that my brother did not die in vein. I try to keep his memory alive through my writing and spreading the word of his life story. I am also a part of a sibling study being conducted at the Mayo Clinic in Rochester. I was approached many years ago, my part in it is minimal - I provide medical information on myself and my children and submit the occasional saliva sample and I've allowed them access to Ron's medical files. One thing that they have discovered is that many who were treated for childhood cancers where given treatments that their tiny bodies could not handle and they often succumbed from heart failure because of it. Like Ron did. 

Although in his case I suspect their was much more to it. The doctor at the time of his death said that "in a sense, Ron committed suicide because he had given up the will to live and had refused treatments in the recent past". It is true that Hodgkin's Lymphoma is considered to be one of the most curable cancers. Even in 1984 the doctor said to me that with treatment Ron could have lived another 10 years. By then, with the advances in medicine he would have had another 10 years. Be it what it is, he had fought for more than 10 years - mostly alone and he was tired. I get that! Now more than I ever have in my life. I get it! Ron was and will always be my hero. He cared about me more than he cared about his own future. He put himself in harms way to save my life when he returned to a fully-engulfed burning car to pull me to safety. He loved me when I was not lovable. 


Ronald McDonald Clock - Dan Gleeson
Ron's life in picture and song
(if the video doesn't show up - here is a link Ron Sdraulig Clock)

ANOTHER TIME, ANOTHER PLACE WE'LL BE TOGETHER AGAIN

PS
I have a recording of my brothers voice on an answering machine cassette. One day there will be a way to hear it again - on this earthly world or beyond. 

Monday, January 09, 2012

Forever in my heart, forever in my thoughts...forever 21 years old. My brother Ron Sdraulig

Wouldn't It Be Good - Nik Kershaw 

January 9, is my brother Ron's birthday. Ron and I were cut from the same cloth we lived in the same house and couldn't have been any more different. We each had heavy crosses to bear growing up - much more than any child should have to endure. Ron's got too heavy and he left the physical world to join the rest of our family at the age of 21. 


In happier times, Ron was a bit of a privileged soul. With Dad having died when we were babies, Ron was the only source of testosterone in the gaggle of 4 female in the house. He was revered by my grandparents - who tended to favour the male species. There were no hand me downs for him, no girly toys to share and he had his own "boys" bike for his use only. Mom fought to have us all treated fairly but with financial struggles, she didn't look the gift horse in the mouth. At the time, except for the bike which I was envious about, it was all good by me. Life was grand! We thought we were living the dream!


Then came Christmas Eve 1972, Ron was just shy of his 10th birthday. We were all in the kitchen with my grandparents and Mom had just finished making her traditional Crostoli. There was laughter and Mom was gong to embrace Ron when she suddenly stopped mid-sentence and with a fear in her voice that silenced the room, she gently touched the goose-egg sized lump on the side of Ron's neck and asked how long it had been there. 


That was the moment that changed the rest of my life from a dream to a never ending nightmare. 


By the next day, Mom and Ron were on the way to the Mayo Clinic in Rochester Minnesota and the diagnosis was Hodgkins Disease! Cancer of the lymph nodes.  We didn't understand, we were just children. I was 11, Sandra was 12 and Linda was not quite 9. Cancer was not as commonplace as it is today. We didn't know anyone who had it, we didn't understand what it meant. Ron was sick and we had to put up with a succession of care-givers who came into the house to care for us while Mom and Ron were gone for treatments or checkups. I resented those people and even tried to runaway once because I missed my mother and her kindness, compassion and love. I feel bad now that I understand I probably caused her stress that she could have lived without. But children are selfish creatures and I didn't see beyond my own needs. 


Beyond that initial lump that was found I don't know anything about Ron's prognosis or treatment. I now know that Ron and Mom got very close, spending so much time together in travel and in waiting rooms. When she died, it affected him much more than it did me. Ron and I had very different interests, in the family we were on opposing teams. In an argument or in play it was always Sandra and Ron against Linda and myself. In a physical contest, they always won! But I digress, with Mom gone, my grandmother took over the guardian role and accompanied Ron to his appointments. The same grandparents so spoiled Ron before, continued to shower him with his hearts desire. For me, Mom wasn't around to balance the scales any longer. I rebelled. I argued. I fought. Ron didn't understand. He didn't see that we were being treated differently (selfish children remember), he thought we should be grateful. We had horrible fights about it. He didn't see my side and I didn't see his. 


Ron had a lot of medical set-backs throughout his teen years. He contracted Chicken Pox for a second time and with it came Shingles. I am beginning to review diary entries and learn about the on-going cancer treatment that Ron endured, but I don't know about recurrences except for the tumor in his head because the treatment caused hair loss. I felt so bad for him, that small patch at the base of his neck grew back in tight curls completely contrasting his wavy thick hair. Needless to say, because of our tumultuous relationship at home, we didn't discuss sensitive topics like feelings or his medical condition. I once overheard some talk about tumors found in his belly, but I don't know what it meant - today I am annoyed that I didn't care enough to know. 


Thankfully, there came a time where Ron and I were able to get close and be supports to each other. I moved out and he began to understand the restrictions that I was dealing with. All the negativity and anger that was directed at me was now directed at him. Some of my best memories of that time include him. Looking for a hill to teach me how to change gears while on an incline without rolling back. Him laughing at my ineptness and promising that we were going to keep it up until I was ready to trade in an automatic sports car for a standard. When it was time for him to go back home, he took my car and left his standard. I did my share of gear grinding and screeching as the car rolled, but by the end of the summer I was a pro! Ron came from Thunder Bay to the Toronto area to visit, but also for treatment at Princess Margaret. I wasn't allowed to visit, he didn't want me to see him throwing up and so sick. 


All told, we had about 4 years to repair our relationship. Four years that hold a lifetime of memories for me. For a couple of naive, hurting kids, we did pretty good. In his own way, Ron tried to make me a stronger person and prepare me for his death. My dad died in 1964, my mom and sisters in 1974, and we were nearing 1984. Everyone knows that bad things happen in threes and Ron's big concern was my sanity if I should suddenly find myself alone and if something bad happened in 1984 - the prophecy would be true. In his words, he was afraid that I would become "a crazy dog lady. Living alone with a house full of stray and adopted dogs, never leaving the house out of fear." 


Sure enough, Ron died in 1984. He was 21 years old. The doctors said that he shouldn't have died, that with the advances in research and treatment, that he could live to his 30's. By that time, progress would give him another 10 years. His doctor told me that in a sense, Ron committed suicide. He gave up, he refused treatment, he had had enough. Mom was his support and she wasn't there when he needed her, he missed her terribly. Ron didn't have a lot of hope for his future, he was fired from a part time job at MacDonalds because he needed too much time off for medical treatment. That wouldn't happen today but in the early 1970's it did. Ron spent the last few months of his life in the Port Arthur General Hospital. I left my life in Toronto to be with him, not knowing that the end was there but sensing I was needed. I watched as his once muscular legs became thin stalks barely strong enough to support him. Two days before Ron died I had officially closed an unpleasant chapter in my life and was moving on and he saw that and knew that he could move on too. And he did. 


And I still miss him...


"Another time, Another place
We will be together again"
(And Now the Waltz) C'est La Vie by Slade



- In the past 15 years or so I have participated in a sibling study conducted by the Mayo Clinic in Rochester Minnesota. In an effort to understand treatment options and their effects better I have granted access to Ron's medical history and submitted my own DNA and medical records for comparison. They have found that many children of that era suffered heart failure and died prematurely due to the radiation levels they were subjected to being to strong/high for their fragile and immature bodies. Officially, Ron died of heart failure


- In recent years I have learned that my parents celebrated their wedding anniversary on January 9th. With my father's early death, the day must have caused my Mom as much sorrow for the loss as joy celebrating her only son's birth. Never in life did I have a chance so I shall now, with all my heart wish Livia and Dante Sdraulig a Happy Anniversary and I am glad you are together to love each other...We'll be together again some day also!