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Dec 6
the immunotherapy it seems is not working
the CT scan results had some "big brain words" as my dad called them
he showed me his phone
not looking too closely at the words as he passed it my way
he's smart enough and so am I
"residual/recurrent tumor"
"enlarged"
"narrowing of the luminal space"
we know what this means

the tumor grows still
squeezing that space where food wants to go
making the tube
that protrudes
from his waist so necessary

brown slop full of minerals and vitamins and calories
poured into the tube by his loved ones
so vulnerable
so bare as he lifts his shirt to be fed
by a daughter 50 years younger than he

his skin so dry and sagging
once inflated by muscle and a bit of fat
now clings to his bones

the skin is pink around the tube
and wet
raw where the tape is ripped up 4 times a day
we keep a bandage there
it hurts when he showers and he flinches if I accidentally jostle it while inserting the syringe

to make your aging, dying, thinning father flinch
is a pain I want no one to know
but how many countless women have cared for their aging fathers
in this way?

I didn't ask to be a nurse

Since he showed me the damning results
black letters on a white screen
I've avoided him
I don't want to talk about it
What other option is there?

Maybe the drug administrators at John Hopkins
will think of something new
Maybe he can go back on the other immunotherapy
my mother seems to think was working best.

I can picture the tumor
so resilient and pink
ripe with blood vessels
new thick flesh
cuddled there inside the esophagus
gatekeeping saliva
from entering the stomach
so he has to spit it back up
walks around all day with a little cup for the saliva he cannot swallow
food he can't swallow
and because he refuses to chew and spit out delicious foods as I've suggested we do together
he doesn't even taste
the only thing he tastes
is burps
that rise with chemical gusto to push through the tumor's gates
"that stuff is nasty"
he says with emphasis
"hardly people food"
he says with disgust
Now I mix his goo with strawberry or banana smoothie
to make the suffering a bit less
hoping he isn't assaulted with nasty burps from the goo
that entered his stomach
through the tube
Caro
Written by
Caro
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