Abide with Me
Page 2
“Anyway,” Andrea continued, “Sandra’s black slip just disappeared. She blamed Madge. Madge denied taking it, and from there, a monumental shouting match. Of course, shouting and screaming never resolved anything. Sandra and Madge each held their ground. For weeks after, Sandra would make snide remarks, blaming Madge for the missing black slip, and Madge would play the wounded victim of ‘rash judgment.’” She shook her head. “Then Mother found the black slip when she was housecleaning. The slip was stuck behind Sandra’s bureau, caught between the bureau and the wall. Mother said it looked like the slip had somehow gotten wedged behind the bureau after sliding off the laundry she piled on each of our bureaus on wash day. Sandra was grounded for a month.”
Madge’s cheeks blushed pink. “And she spent even longer apologizing.”
“And well she should have,” Andrea cautioned.
Caroline arrived with plates piled high with steaming hotcakes and browned sausages. After quickly refilling their beverages and removing the now-empty Spinner plate, she left the three sisters to enjoy their breakfasts.
Andrea slathered her stack of hotcakes with butter, cut off a generous piece and savored the bite.
Madge poured low-calorie syrup on top of her stack and watched the syrup ooze over the sides. She cleared her throat. “Actually, I have a confession to make. To both of you. I—I had taken Sandra’s black slip and hid it behind her bureau. I was just playing a joke on her. I didn’t think she’d get so angry…but things just got out of hand, and I didn’t know how to stop it or what to do….”
Andrea sputtered and choked on her tea.
Jenny’s eyes twinkled. “You really had taken the black slip?”
Madge nodded. Her eyes glistened with tears. “I promised Sandra I’d tell you that today. On her birthday. That she had been right about the black slip,” she whispered. “I took it, and the argument was my fault. After all these years, I never really thought it was important to confess to that. Not to Sandra or either of you. I’d already prayed for forgiveness from God, but I never asked Sandra to forgive me. Not until she got sick. I told her right before…right before she left us to go Home.”
Andrea raised her glass of tea. “To forgiveness.”
Madge and Jenny raised their coffee cups, and they gently clicked their cups and glass together.
“Sandra had the biggest heart and most generous spirit of anyone I’ve ever known,” Jenny murmured.
Andrea swallowed hard before she took a sip of her iced tea. “She was a good friend, not just to me, but to a lot of people.”
Madge bowed her head for a moment. “She was more than just my sister. She was my shopping buddy and my gardening buddy, as terrible as she was, and she was my…my best friend.” She let out a deep sigh, paused, and then said, “I don’t know about either of you, but I hope it’s a long, long time before we have to do this again.”
“Do what?” Jenny asked. “Have a Sisters’ Breakfast? Kathleen’s birthday is in October, you know. Mother and Daddy’s aren’t until March.”
“No. I like the breakfasts. I like the tradition. I like sharing memories with each of you.” She reached out and took hold of Andrea’s and Jenny’s hands. “I hope we have years to be together. I hope…I just hope I don’t lose one of my sisters again. Not for a long, long time. That’s all.”
Andrea gulped hard and squeezed her sisters’ hands. “I pray we do, too. According to His will,” she added, certain that now was definitely not the time to share her news. She did not have to start chemotherapy for two weeks yet. Actually, she had a consultation tomorrow with the doctor to discuss the particulars of the process that would take a full year to complete. With all the experience she and her family had had with cancer and the treatments used to cure that hideous disease, she did not expect any surprises tomorrow. She did have questions, though, and decided it might be best to wait until she knew more before telling her sisters and asking for their help and their prayers.
Unless tomorrow held news she would not be anxious to share with anyone, most especially the sisters who were still grieving for Sandra, who had so recently been called Home.
Chapter Two
Andrea sat in her parked car outside of the urologist’s office under the shade of a swamp maple tree large enough to cast a shadow that covered her entire station wagon. Her purse was at her side on the passenger seat. Her bottle of iced tea was in the cup holder. Her mind was focused on prayer.
Head bowed, she took small, measured breaths and kept her hands loosely steepled as they lay on her lap. Just the word cancer had the power to send shivers down her spine and arouse all the memories of her loved ones and their suffering she had stored in her mind, casting images of pain and suffering that made her heart beat so fast she grew dizzy.
Keeping this ten o’clock appointment to hear the particulars about her cancer recurrence would have kept her paralyzed in her seat if not for the power of prayer and the presence of the angels who had been sent to protect her from her own fears.
“According to Thy will, with the blessing of Your grace,” she murmured. She believed in God, and in His protection. She believed in the power of prayer. She believed. And with that belief came a gentle peace that washed over her, calmed her racing heartbeat and gave her the strength to make it from her car and into the doctor’s office with more dignity that she thought she might be able to muster today.
She entered the office and immediately cast aside the memory of her last visit when she had had a checkup at the other office Dr. Newton shared with several partners closer to the hospital. During the cystoscopic examination that day, more commonly referred to as a cysto, the doctor had discovered and removed several small growths in Andrea’s bladder and sent them for biopsy. The visit itself had become a blur, but the clinical setting Andrea remembered in the examining room did little to assuage her unease today, despite the fact that she would be keeping all of her appointments here, in the doctor’s office, which was closer to Welleswood.
The second blessing of the day came when the receptionist quickly ushered Andrea directly into the doctor’s office. No forms to sign. No referrals to submit. No waiting. Just a gracious welcome and immediate escort to a private office with a comfortable upholstered visitor’s chair facing a window that provided a spectacular view of an outdoor garden.
The doctor’s desk itself looked like no desk that Andrea had ever seen in a medical office. It didn’t hold files or a telephone or a computer screen. Instead, this small antique lady’s desk cradled treasured family pictures and trinkets and a vase of wildflowers. A door next to the desk led outside to the garden, which, Andrea guessed, was the source of the flowers in the doctor’s office.
With assurances that the doctor would be in momentarily, the receptionist left, closing the door. Through the window, Andrea could see the private garden was protected on all sides by a tall fence, bordered by lush hedges and flowerbeds bursting with riotous color. Elegant wrought-iron benches faced the open center of the garden, where Andrea glimpsed some sort of tiled patio. She noticed a number of low garden lamps and imagined how beautiful the garden must look at night. No matter the hour, the doctor would always have a private haven at her fingertips.
Andrea was half tempted to step outside, to enjoy the sweet fragrances of the flowers, when Dr. Newton suddenly appeared in the garden door, cradling an oversize calico cat in her arms. “Why don’t we talk outside? I’m afraid to bring Muffin inside the office. Too many patients are allergic, though I didn’t note that on your records.”
Startled, Andrea followed Dr. Newton outside. They sat together on one of the benches. Dr. Newton settled the cat on her lap and stroked the calico’s head, and another cat, a small, dark tiger cat, wove in and out of Andrea’s legs. The doctor chuckled. “I hope you like cats.”
Andrea leaned down and picked up the tiger cat. Already purring, the cat curled up on Andrea’s lap. “As a matter of fact, I have a few of my own. Three actually,” she murmured, gratef
ul for this added blessing to the day.
“I thought you might be a cat person.”
“Only recently,” Andrea admitted. “I wanted a little companionship. With my schedule, having a dog was out of the question. But cats are easier to manage, especially when you get several from the same litter. My brother-in-law is a sales rep for a pet-food company so I get most of what I need for the cats from him. Cats are more independent, too.”
“Independent? Like you?” the doctor remarked with an raised brow. “Most of my patients prefer to spend the night in the hospital after surgery.”
Thinking of last year’s surgery, Andrea’s blushed. “You said it could be same-day surgery.”
“I also said you might want to consider spending the night,” the doctor reminded her. “The tumor was a little more expansive than I originally thought.”
“My sister Jenny is a nurse. She was able to help,” Andrea countered, hoping the doctor would also remember how well Andrea’s post-op checkup had gone and how well she had continued to be in the months afterward. “She will again. Provided I need help.” She took a deep breath, but she did not stop petting the cat on her lap. “How much help…that is, I’m not quite sure what to expect from the treatments,” she murmured.
Then she corrected herself. “No, that’s not true. I’ve lost four family members to cancer, and I know what to expect from the chemotherapy. The nausea. The fatigue. The loss of appetite, as well as my hair…” She stopped before her voice broke.
“What type of cancer?” the doctor asked gently.
“Breast. Bone. Stomach. Liver. Brain. Take your pick,” Andrea said quietly. “We’re an equal-opportunity host family. Unfortunately, we’re not an equal-opportunity surviving kind of family.”
Dr. Newton shook her head. “Not all cancers are alike. And not all chemotherapy treatment is the same, either, Andrea. In fact, your chemotherapy will be very different from what you’ve experienced with your family before. Based on the biopsy results and the early stage of your cancer, despite the fact that this is a recurrence, the standard chemotherapy treatment involves coming to my office here to have the drugs injected directly into your bladder via a catheter—with minimal preparation on your part, I should add. After two or three hours at home, you simply void the drugs out of your bladder. You won’t get nauseous and you won’t lose much of your appetite, if any. You probably will experience some fatigue as the treatments progress, but you will definitely not lose your hair, although you might be tempted to continue to keep it very short. Many of the patients complain that their hair gets very coarse and somewhat unmanageable. Now probably wouldn’t be a good time to start to color your hair, though.”
Andrea knew that her skepticism was etched in every feature of her face, but she couldn’t help it, any more than she could stop herself from reaching up and touching her salt and pepper hair. “That’s it?”
Dr. Newton chuckled. “Well, let’s not pretend this isn’t serious or life threatening. It can be, Andrea. But in your case, yes, that’s it. Chemotherapy will be once a week for six weeks, then once a month for nine additional months. We’ll monitor your progress very carefully to make sure the chemotherapy is effective and doing its job.”
Andrea blinked several times, anxious to hold on to this good news just a little longer before this blessing disappeared almost as quickly as it had been given. “There’s bad news, too, isn’t there?”
“Yes,” Dr. Newton said. “You’ll have to be monitored for the rest of your life. Eventually, that means I’ll only see you once a year. Eventually. But the bad news is that you’re going to be my patient, or someone’s patient, for life. As long as you come for your checkups, the odds are that there’s no reason to believe you’ll have a recurrence or at least one we can’t handle, just like this one.”
Effective chemotherapy. Recurrence. Odds.
Andrea had heard those words before—from Daddy, Kathleen, Mother and then Sandra. All of them had lost their battles. Eventually, each had failed to beat the odds. Each had had chemotherapy that ultimately proved ineffective.
Would Andrea follow this dreadful family tradition, or would she begin a new one called survivor?
If she should survive and beat cancer, why? Why her? Why not Daddy or Kathleen or Mother or Sandra? Why?
She shivered and blinked back tears as she whispered silent prayers for courage. She could beat cancer. She could be a survivor. With His grace. According to His will.
“When…when will we start the chemotherapy?”
“That depends,” the doctor murmured. “Have you had anything to eat or drink today?”
Andrea stiffened. “Today? Just some iced tea earlier. About seven.”
“Then let’s start today. While Nancy gets the chemotherapy ready, I can explain precisely how it’s done. I can also give you a key to the garden. There’s an outer door you can use when you want to come to visit. That’s why the garden is here. For my patients. Feel free to use it anytime.” She checked her watch. “It’s ten-thirty now. By eleven, you can be home. By one-thirty or two o’clock, you can be back at work. Unless you have an appointment between now and then?”
“No. I cleared my schedule until four. I—I wasn’t sure how long I would be here. Today? Are you sure we have to start today?” she gushed as panic sent her heartbeat into double time. The prospect of being able to start chemotherapy today did appeal to her, but she hadn’t talked to her children or her sisters yet, to tell them about her treatments, nor had she prepared herself for beginning her journey toward recovery today. “What about…the referral for the insurance company? I didn’t bring one today. Maybe—”
“We’ll take care of that.”
“Oh. Then…you’re sure? You’re sure we should start today?”
“Why not? Let’s make today your first day toward full and complete recovery.” The doctor stood up and set the calico cat down on the ground. Within a heartbeat, the tiger cat leaped off of Andrea’s lap and scooted away.
The doctor held out her hand. “Shall we?”
By noon, Andrea had been home for half an hour. Her cell phone had been turned off, the machine was answering her home telephone was on, and she’d set the alarm clock, in case she fell asleep. She was lying on her tummy in her bed, watching the clock on her nightstand. “Time to roll, girls,” she murmured to her three cats, who were all in bed with her. Each treatment required that she spend half an hour in four different positions, to ensure the inside of her bladder was coated and treated with the chemo drugs.
It wasn’t a terrible way to spend a few hours, although resting was not something Andrea often made time to do for herself.
Unfortunately, none of the three sister cats made any attempt to move, and Andrea rolled onto her left side as gently as she could. Two of the cats rearranged themselves along the back of her legs, while Redd, the smallest, curled up next to Andrea’s cheek. Normally loving cats, yet independent, the “girls,” as Andrea called them, seemed to have an intuitive sense that something was different. From the moment she’d returned home from her first treatment, the cats had stayed close, as if they knew that she needed them next to her. It was yet another blessing in a very odd day.
Andrea looked around the bedroom, glancing up at the white border covered with ivy that she’d stenciled near the ceiling, after she’d painted the walls a very dark green. Every time she was in the room, she felt as though she had stepped deep into a forest where she felt safe and protected from the outside world. She smiled when her gaze rested on the pictures of her two children. Rachel, her first-born after several miscarriages, was now thirty, and looked so much like her father, she kept his image alive. Unfortunately, she had her mother’s stubborn streak and drive. A successful engineer, Rachel lived in Boston with her husband and their two daughters. Andrea’s son, David, was going to be twenty-eight in a few weeks, but although he was close in age to his older sister, he was completely opposite in temperament. Easygoing and spontaneous, David
lived in the woods, in a small cabin in the New Hampshire, eking out a living as a cooper, making wooden barrels with seventeenth-century techniques and loving every minute of his austere lifestyle.
Andrea loved them both with a depth of feeling that never ceased to amaze her.
She was frightened that Dr. Newton might be wrong about effectiveness of the chemotherapy, but she was more afraid of letting her children sense her fear or think that she might not be there for them much longer. Blinking back tears, she snuggled against Redd.
Right now, Andrea needed time to get used to the idea that she was facing a year of chemotherapy. She needed time to get used to the idea she might, indeed, be her family’s first cancer survivor. She needed time to think of all the things she should do, just in case she wasn’t. If she had put one of her notebooks on her nightstand, she might have actually started one of her infamous “to do” lists. She needed time to…
“To pray,” she murmured aloud. Prayer was going to be the only way she would survive the next year. She checked the clock, rolled onto her stomach, waited for the cats to get settled again and spent the next half hour praying for strength and wisdom and gratitude for the blessings of this day. She also prayed that the chemo drugs inside her body would work well and keep in remission the cancer that threatened her life. And she prayed for the courage to face the plan He had designed for her life, even if that meant being called Home sooner than she had thought.
As she prayed, a seed of hope began to grow inside her. If Dr. Newton was right—if the chemotherapy went well, with no noticeable side effects—then Andrea might be able to get the weekly treatments finished before she had to tell her children or her sisters anything at all. She could sidestep their questions about the biopsy. Yesterday, with Sandra’s birthday occupying their thoughts, Jenny and Madge hadn’t even asked about the biopsy results. To be fair, Andrea had already told them that the results weren’t expected for a few more weeks.