The only bit of sentimentality I'll allow myself is from Ernest Hemingway who said something very true; "But man is not made for defeat. A man can be destroyed but not defeated."

Bear in mind he also said, "Always do sober what you said you'd do drunk. That will teach you to keep your mouth shut." Never have truer words been spoken.

Saturday 7 September 2019

My tribute to Bru


Today it’s a month since Bru left us.  He used to hate the expression ‘fight against cancer’.  He felt that it was not a choice and if you have it, you have to deal with it as best you can and that anyone would do it.  His words from a bit of writing he was doing a while ago - “You don’t really have a choice. The word “fight” suggests or implies some kind of gentleman’s pugilistic pursuit. That is, it implies a contest, where there may be the opportunity to use physical strength or intelligence to overcome cancer or even win.  The reality is that it is not a contest, and you have to take your poison and hope for the best.
With a terminal disease not only are the odds stacked against you, but you are also generally guaranteed to lose. So I am writing this through sheer luck rather than good judgement.”
He did fight though and I think he would agree with me now that for the last six months especially, it was a real fight.  Everyday was hard for Bru in some way.  I know it’s not nice to hear and it was hard to witness sometimes too.  Of course he felt low and complained about things  – just having to tell people what his current malady was meant that he had to address how rubbish he was feeling but he did not wallow in it for long.
I suppose in stages over the years we were almost in mourning for the regular life we knew we wouldn’t have together – big travel adventures, career progression, a house of our own and most of all children.  Bru loved kids and once they got over his gruff exterior, they often really warmed to him; he used to enjoy teaching them how to draw or showing them his guitar. Although our world was ‘smaller’ we were still happy.  I used to look forward to getting home to see him and even if he’d had a rubbish day, we would soon be joking about something.  We went on some beautiful UK adventures and our amazing friends and family always made the effort to visit and support us.
Looking back through the photos when I was preparing for Bru’s funeral, I found pictures of all that he went through: the steroids and the awful side effects that they bring; the pressure sores – I mean he was in bed 100 % of the time for almost a year and a half and he handled it somehow and still didn’t complain or feel sorry for himself too much; the psoriasis – those who saw him during the phase of his whole face peels will know how bad it was yet he still used to joke about me having to hoover him (yes I did but just so you know, it was a freshly bought hand held especially for that purpose!); the going into septic shock situation and more recently, over the last two years it was the pain – the nerve pain, the shingles pain, whatever the pain was, it was sometimes so bad it would leave him shaking.  There were many more daily struggles and things that are difficult to deal with just being paralysed.  Dealing with any one of these things on its own would probably be a huge life event for someone.
This is a bit of Bru’s recent writing that I found called ‘Honesty is the most dangerous thing’ and as usual he explains things so well.  He didn’t finish it but I know he was writing this recently when things were much harder.
Honesty
People always ask me, ‘so how are you?’ This seemingly innocuous question is almost impossible to answer. You have several responses ready and loaded in the chamber, ready to be fired back.
If the person asking is someone you don’t know well then the simple, yet effective, ‘I’m keeping as well as to be expected.’ Of course, this is a bullshit answer that saves you a lot of time and heartache.
Do people want the truth? Sometimes I wonder. The truthful answer is really complicated and painful.
If the person asking the question is a friend or family member then I immediately have a quick and efficient ranking system that helps me design a tailored response. For example, some will get a vague partial answer that is designed to make sure his or her day isn’t ruined by the truth. So the door of honesty is cracked open a little bit. Accordingly, a good friend with some shared life experience, who I trust and love, will get a more honest, truthful answer. Of course the truth is I am not well physically and sometimes I’m not well mentally.
Pain, discomfort, a myriad of side effects from drugs, nausea and weakness are a constant. Boredom that is bordering on the dangerous is also a constant. Sometimes I’m depressed beyond belief. I am sometimes angry at the world, angry at various people who inadvertently grind my gears, and worryingly, sometimes I imagine Swiss-cheesing these innocent people like a 1930’s American gangster with a Tommy gun. Sometimes I’m tearful and can cry at the slightest bit of nostalgia, sentimentality or the film Moonlight. I’m not gay, African-American or Floridian and have no connection to the story, but it still just moves me to tears. As they say in the great Australian comedy maybe ‘It’s just the vibe of the thing.’
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As I’m doing this blog post, I am wondering why I’m sharing all of this now.  I think it is because it makes how Bru dealt with everything all the more impressive.  His positivity, humour and pragmatism certainly weren’t just put on when he was writing his blogs or seeing people – that is how he used to face it and deal with it.  I believe it helped to keep him going and exceed the doctors’ expectations right to the end.
So the end was a huge shock to us even after all the dire prognosis we heard over the years.  I don’t think anyone can ever be really ready for it but I / we really, really weren’t ready for it.  That sounds silly as Bru had had a terminal diagnosis for about nine years but he had bounced back so many times. We certainly knew that time was going to be fairly short after getting the scan results in the last week, but we had never known exactly how the tumour would affect things in the end.  Bru’s main concern was losing the use of his hands and arms and they had definitely weakened.  We thought the tumour would keep growing until it affected Bru’s breathing. 
Towards the end of July, Bruce was very chesty which we were concerned about and his pain was getting worse.  He had antibiotics for his chest and the Trinity Hospice doctor decided it would be a good idea for him to be admitted there so that they could change his painkillers to a different type.  He had been feeling very drowsy and sleepy a lot of the time and this is one of the side effects of opioid toxicity. This is when the opioids are not tackling the pain effectively so the levels in the body are too high, causing drowsiness, hallucinations and twitches which Bru had to some extent.  So the plan was to stay in the hospice for a couple of weeks to taper down and then switch to different painkillers.  By the time he was admitted, we knew the scan results and knew that the last chance chemo was not working.  Bru had been vomiting a fair bit, was often weak and tired and had struggled taking the last two months of chemo so I was just hoping that this switch of pain drugs and not being on chemo would give Bru a few more comfortable months. 
Bru was admitted on the Wednesday and was very drowsy by lunchtime and slept most of the day. On Thursday we had a trip to A&E because of catheter issues and Bru was pretty perky and not drowsy at all – probably the best he’d been for a while so that was a relief. At A&E they took bloods, which were all good and they listened to his chest.  Although he still sounded chesty, his lungs were clear so there was no chest infection.  
On Friday Bru was wiped out again but the hospice doctors just thought it was due to him being up all day the day before and the opioid toxicity.  I asked the doctor how she thought things might progress in terms of timing because I needed to let some family who were due to come in September know.  She said the most likely thing to happen was that Bru would get a chest infection/pneumonia which wouldn’t respond to antibiotics.  I asked her if she thought we’d be going home and she said that once they’d switched the pain drugs over she couldn’t see why not but she thought I should let family know to keep travel plans flexible or come early Sept just in case Bru got an infection.  It was hard to hear but I was relieved that she still thought we’d be going home.  Bru slept most of the day but woke up at eight and was fine and chatty. 
 On Saturday morning Bru was awake for breakfast but was still sounding really chesty and was drowsy again.  A different doctor who we hadn’t seen before came in at about midday and checked up on Bru who was struggling to stay awake.  She then told me that she thought it would be a matter of days. 
I was shocked because of the discussion I’d had with the doctor the day before and didn’t understand why as his bloods and chest were clear.  She said she would be happy to be wrong but that based on looking at him and in her experience, she didn’t think that Bru would have much longer than a few days.  Bru woke up again at about 5ish and my dad was with me now too.  Bru was chatty and chirping about some guy on TV.  I told him what the doctor had said and he said he felt fine and he thought the doctor was over egging the situation.  He decided he wanted to get up into his chair to try and cough sitting up to clear his chest.  I was so relieved that he seemed ok and was determined to get up.  Bru passed away shortly after that.   
I would take the few days the doctor had predicted in a heartbeat now.  It was too sudden but Bru really was fighting and determined until the end. 
Below are the words I wrote for Bru and read at his funeral.  It was a really special send off for him and I think he would’ve approved.  Thank you to everyone who was able to come and to those who weren’t, thank you for all the meaningful messages you sent.  I typed some up and displayed them at the funeral so you were with us in spirit. 
I’ll also post some tributes from family and friends when I get a chance over the next few days. 
Love to you all  
Jay
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Bru is the one who normally does all the talking but I’m going to try. 
The messages that have been sent for Bru have been beautiful to read – there are so many adjectives that stand out and they were used to describe Bru over and over again - funny, brave, intelligent, kind, resilient, loyal, courageous... 
Bru wasn’t a fan of using too many adjectives in writing as it can sound insincere but I know that all of these words have been said with huge sincerity and it makes me so proud of Bruce.  He was all of these things to me and more.  I am sad that he doesn’t get to hear all of this.  He was often so hard on himself as he felt he hadn’t achieved the conventional milestones in life.  I used to tell him he had a fairly good excuse.  I am so grateful though, that so many people did get in touch with Bru after every blog and said some wonderful things to him.  
Bru faced a lot throughout his life but was always so positive and determined.  Right from the beginning when he first became paralysed, he somehow didn’t wallow in self-pity. He laughed and joked with the nurses and put all his stricken visitors at ease almost immediately by cracking a joke.  He was always so friendly and polite to all the many nurses and doctors he saw – they immediately warmed to him.  Even at his sickest in the hospice when he was struggling to stay awake one afternoon, he offered his doctor a seat and some water. 
It was a privilege to look after Bru but importantly, Bru really looked after me too – I couldn’t have done it without his ongoing positivity – he went through some awfully difficult things but somehow was able to bounce back and keep us smiling – he kept me going as much as I kept him going. 
He was so loving, he cooked for me whenever he could, even if he felt terrible; he often complimented me out of the blue; he worried about me and supported me when I faced things that I was nervous about.  He was so generous and just wanted me to be happy. And of course we laughed.  We always, always had fun together and occasionally he even laughed at my jokes too. 
Bru was interested in so many things and he made life interesting. He loved music (his music collection is a thing of wonder), loved dancing and loved a party.  I’m so grateful that he lived his relatively short pre-illness life to the full and we have his crazy stories to tell. He loved learning about and cooking different types of food, he loved sports and cars and could remember random stats about these things at the drop of a hat.  He loved history and sharing books that he found interesting with his friends. His ability to remember general knowledge was frustratingly good – annoying because I very, very rarely beat him in trivial pursuit. 
He wasn’t perfect of course. DIY was definitely more my domain and he was very stubborn.  For no good reason, he would not let me teach him how to use predictive text and that drove me crazy!  In the old days he would also love to stubbornly buy a bottle of Sambuca right at the end of the party just to keep the fun going, while his friends often faded around him. His stubbornness and determination to keep going though, were in fact, huge strengths because he never gave up – right to the end. 
 Bru was a collector of things – music, colognes, cars, books etc. – not always good for our tiny flat. But most importantly he was a collector of some really, really special friends.  We were lucky enough to have had the love and support of so many of our close friends through the ups and downs.  He was, and I am so grateful and overwhelmed by the messages and kindness from, friends, friends of friends and even people who only knew Bru briefly – thank you all so much. 
And our families – we have had so much love and support from everyone.  I want to thank my sister and my mom and dad for always being here for us and for sacrificing things in their lives to be close to us.   Bru’s family has also often gone the extra mile - building Bru wet rooms, accommodating us for months on end and all the cousins and family from all over the world, travelling to come and visit us.  We have had so many special times with everyone and the thing that stands out is laughter.  This is a quote from some of Bru’s recent writing “I have always been surrounded with a surplus of love and affection and thank my lucky stars to have had such a devoted family” 
Thank you families – we love you.
There is so much more I could say but I’ll save it for Bru’s final blog.  I’m not sure what my life will look like without Bru and I don’t think that that has hit me just yet – a hospice nurse said to me – he was half of me and he was.  A big half. 
There are things that I have learnt from Bru and everything he went through that I will try to take forward: to look after your body and health – change things if you have the ability to; appreciate spontaneity and make the most of opportunities that present themselves and tell people how you feel about them. Stay positive and laugh a lot.
I love you Bru.


Thursday 5 September 2019

What's in a name?


Hi everyone, 

This is the last blog post that Bru had started writing. Unfortunately he didn’t manage to finish it as he was feeling so unwell over the last few months.  I thought it was important to share his last blogging words with everyone who has been following and supporting him for so many years. 

I’ve added a little bit in yellow explaining the treatment bits that Bru had started to mention as I roughly know what he wanted to say.  I apologise in advance for not being as succinct or as witty as Bru but I will promise not to use any exclamation marks in Bru’s honour.  

I will send out a second blog post soon with a bit more about what happened.  I find that I’m still mostly avoiding my phone and communicating in general but I’m so grateful and touched by all of your kind messages.  Even though I haven’t responded yet, I have read them all and appreciate them hugely.   Love Jay

Here's Bru.........


Greetings y'all,

I hope this finds you all well and surviving whatever the weather gods have thrown at you recently. The UK was properly hot for a few days and people were going spare. For some reason this meant cancelled flights, train chaos (to be fair a passing cloud can cause train chaos), mass fainting at Wimbledon, amongst other things that you might expect with the temp nudging 40c.

We have been pretty busy with family visiting. My mother, Alison and my sister, Kim came over from Australia. Them and most of Queensland's Macadamia nuts and Tim Tams. Not that we were complaining about such luxuries. We had a number of fun family gatherings when they were here with the UK cousins and the Parkies too.  





My cousin Cal, one of the Barefoot Adventurers Club mentioned previously - see https://www.facebook.com/barefootadventurersclub/
- and all round raconteur, also joined us from Australia. Cal's parents Siobhan and Grant came over from Botswana via Germany for a quick visit and cousin Ross and family also popped in for a day. It's been good to see everyone again.



                                                                 Two baldies - Bruce and Jonty Bruce

I'm going to cut to the chase as I have no idea when El Vomitron will re-appear to ruin my day. The beauty of having an aggressive rare form of cancer is that things can always get worse so carpe diem mo fos..

So when I left you last time we had run out of treatment options. Then, 10 days later, out of the blue my oncolologist decided to put me back on etoposide, a treatment I undertook previously for one year which kept the tumour stable and had limited side effects, apart from rapid onset baldness.  What all of us forgot was that I was a lot stronger back then and a lot more resilient. When my relies were over I was joking about the chemo and to illustrate my point, I grabbed a clump of hair. Bad move. I managed dislodge more hair than I'd care to imagine. Last time the process was quick, but this was ridiculous. Overnight is an understatement.

I was pinning my hopes on the magical medical marijuana doctor, who specialised in skin cancers. Getting to see the man was difficult, but worth it in the end. What an interesting man. He has dedicated his medical career to curing cancers and was a leading light in identifying CD4 as the major cellular receptor for HIV in humans.

Anyhooo he prescribed me some cannabinoid oils and I'm to try them for a month and see if they help at all. I get them from Scotland - something to do with licensing. I take them 4 days on, 3 days off, all for the princely sum of £59 per month. So thank you Prof for making life a bit easier, and not getting me caught up in the scam of cancer drugs.  

*Unfortunately, Bru wasn't able to take the oil consistently or for very long because he was nauseous a lot of the time during the last two months of chemo. It seemed to make his nausea worse – that or just the sheer volume of drugs he was taking.  He was and had been taking so much medication for such a long time (it genuinely ended up at about 40/50 tablets a day) and he was starting to struggle with that.  

He used to say that managing his drug intake throughout the day and keeping on top of organising his supplies was like a fulltime job.  Bru also had to wait before starting the CBD oil as his vitamin D levels where not high enough and apparently that really affects the efficacy of it.  The professor was frustrated that vit D levels are not routinely tested.

I am sorry and frustrated that this prescribed cannabinoid treatment wasn't an option sooner.  Bru and I recently watched the Netflix documentary called Weed the People which is really interesting.  I know Bru would recommend watching it.  I hope that the medical/pharma communities are able to formalise THC & CBD research and treatment sooner rather than later.
  

The Repurposing Drugs in Oncology (ReDo) Project, an international collaboration between the Anticancer Fund and US-based non-profit organisation Global Cures has identified 70 potential agents for which there is evidence of cancer-fighting properties. These include the diabetes tablet metformin, cholesterol-lowering statins, the antacid cimetidine, the de-worming tablet mebendazole, the anti-fungal itraconazole ........... “If these medicines were coming out today, some would be blockbuster cancer drugs. But most are no longer covered by patents so the pharmaceutical industry has no financial incentive to investigate them.” 
 *This is as far as Bru got with the blog and I think his title refers to these patent issues.  I know that he was also going to talk about Zim currency and the craziness of just changing the name of it.  He was going to upload this video about it.  


 

A book called 'How To Stave Cancer' by Jane McLelland was recently recommended to Bru and we got about half way through reading it.  As Bruce was starting to explain in the paragraph above, the book is about how the author explored using a wide variety of non-traditional cancer drugs, supplements and especially a low sugar (GI) diet alongside her chemotherapy treatment.  One interesting bit that we had been chatting about is that she really analysed her specific type of cancer cells and what they thrived on – apparently some cancer cells feed on sugar and some on protein.  

She also stressed the importance of having good vitamin D levels in order to ensure that chemotherapy is most effective.  Vitamin D has never once been mentioned to us in relation to cancer treatment.  I haven’t done any further research into this or spoken to an oncologist about it so I can’t be sure of the claims, but it sounds like it is worth looking into if ever being treated for cancer.  What the book did highlight though, is that in the main, cancer treatment protocols have not changed much for decades – one of Bru’s second or third line chemos was developed in the sixties which is fine if it works…  

It is understandably difficult for oncologists to experiment with different or alternative ‘off book’ treatments but the book did make us think that maybe we should have asked more questions or been more aware of alternative treatment protocols.  We always just thought of ‘alternative’ as being supplements or high doses of vitamin C (which Bru did try a multitude of back in the day).  

Neither Bru or I are real rule breakers (yes believe it or not, Bru was a stickler for following the rules – this may or may not have been the case in his earlier years). We always trusted what we were told by surgeons and oncologists.  Over the years, however, our experience has taught us that doctors don't know everything, and of course it is unrealistic and impossible for them to know it all.   

I guess the point I’m trying to make is that maybe we should all question things in the medical world a bit more (with respect) and not always accept the one size fits all treatment approach.  How we go about this, I’m not too sure...  

Although some of what the doctors have told us over the years has not always panned out as they said it would (thankfully Bru was a statistical anomaly), we could not have been more grateful for their continued care and just the amount of treatment, medication and time given to Bru and ALL FOR FREE…It is unbelievable (and possibly/probably unsustainable).  

The people on the front line – the doctors and nurses and especially oncologists and the hospice medical team are all amazing. I don’t know how they do it.  Bruce was so appreciative and did not take the treatment he received for granted, especially knowing that in other parts of the world we would've been in a very different position.  It certainly gave us more time together which I am eternally grateful for. 

Although not perfect, the NHS is a wonderful thing. Bru asked me to make donations on his behalf to Stanmore, St Georges, The Marsden-Sutton and Trinity Hospice which I have done and will continue to do over the years.  I know some friends have done the same and Bru would have been really happy about that so thank you all very much.
   

It's been a year...

Today it's a year since Bru left us... it's hard to know what to say next - what I know now is that I find it di...