Tales From The Ride Share: In N Out

In the summer of 2023, I left my job leading an LA newsroom and spent the summer speaking with everyday people… these are their ride share stories

A Philly businessman gets in at his hotel and triumphantly says “Take me to In N Out”! He then proceeds to tell me how he LOVVVVVEES it and has already had it twice this week. He wants to bring the kids back some swag and t-shirts if he can find them. We’re in Pasadena- about two miles from the In N Out on Foothill. I say, “too bad you don’t have more time… if you ever do, you need to get to the original In N Out in Baldwin Park— they have a whole company store and the original burger stand there.” “I have time”, he said, “let’s go”.

OK hang on— it’s at this point I need to make sure you know it’s like 20 miles away and the company store may already be closed. “I’m a gambling man. Let’s go!” And so we went.

In N Out Uber at your service.

The ride was comprised of a full discussion of In N out, the company, the great customer service, the wild story of its CEO Lynsi Snyder. We debated In N Out French fries both agreeing they need a little more salt and a little more crispness but it’s hard to build on perfection.

I relayed to him the story of radio host Tim Conway Junior who talks about the fry strategy. When you get to the drive through, you send someone IN to the counter while you go through the drive through. They order JUST the fries and bring them out so you can enjoy all the super hot fries while you make your way through the line and then you just order your hamburgers and shakes at the end of the drive through.

GENIUS he thought.

The sun sets on the 605 and the 10 as we pull into Baldwin Park and it was like harps and angels as the sign beckoned this weary traveler from Philly who is about to get his third dose of In N Out in as many days.

By this time Uber was messaging both of us with “Are You OK” messages since we had deviated about forty miles, three freeways, and forty minutes from the route to Foothill.

We were more than OK.

I waited while the guy ordered his grub. Even though the company store was closed, he came out with T-shirt merch for his entire family to bring back to Philadelphia.

I took him across the freeway to the other side to see the original In N Out shack which is still there with the green neon sign. My kids flipped fake burgers there when they were little kids.

So awesome. He loved it.

The ride back was just as fun and now the entire car smelled like French fries and burgers.

Again Uber asked if we were OK.
A resounding YES.

We talked about California, the Rose Parade, the Hollywood strike and more. When I pulled up back at the hotel— about fifty miles and an hour late from our original destination, he was all thanks.

He tipped me 40 bucks on a 45 dollar ride.

If In N Out needs an Uber ambassador, I’m here for you. And in the meantime, see you back soon in the news business. In-N-Out Burger

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The Quinceanera


The speech I wrote for our daughter’s quinceanera. One of the original dadmissions kids;

Gloria and I would like to thank you all for coming.. it’s so great to see everyone in one place.. 

it’s been a LONGGG few years hasn’t it?

so thank you all! It’s great to be here to celebrate Andreya’s quinceanera 

If you didn’t know it— 

I’m an OVER SHARER.. when it comes to parenting… or over SHARENTING. my kids may have been the first kardashians— 

their lives were documented on social media wayyy before it was even a thing. I’ve been writing down things since they were super little… posting them online and on the blog named dadmissions

gems like this that I found 

in preparing for tonight. 

In her sincerest voice, 4 year old Andreya asking as she drifted off to sleep, “daddy, was Justin Bieber a member of the Beatles?”

no honey  he’s NOT

or when she said:

“Typical daddy…  and typical means crazy”

or when she said “it seems like you want MOMMM to be the responsible one”

in her defense… 

that could have been now -OR- then

or when she said 

“I’m a child.. I’m SUPPOSED to be childish”

or this one ten years ago:

Andreya: “Daddy how old are you”

Me: “I’ll be 37 tomorrow”

Andreya: “You seem HEAVIER than yesterday, how come”

But I also did MY own share of writing.. documenting my thoughts along the way

At the playground when andreya said:

Daddy won’t you watch me swing
Look at me daddy how high I can go..
Daddy watch me fly

or at her Preschool graduation when I wrote:

So you’re graduating preschool
What a day it will surely be
You’re no longer the baby
But you’re always a baby to me

Or THIS- I forgot about this

A letter to my little kid’s kindergarten crush:

we’re taking his name out because I think he’s still in school; 

Dear *****

I just wanted to introduce myself. I’m Andreya’s dad… and I’m really big and mean. I work in the TV news business and even though you’re only six, I thought you should know I have many contacts in law enforcement. Jail can be a really lonely place for a little kid. I’m sure there’s no Angry Birds there or Playstation. What’s that? No, I’m not threatening you. I just want you to know that nobody likes a heartbreaker. Your little kindergarten smirk may work on my kid… but not on me buster. I will not hesitate to flick boogers at you or to give you the old tittie twister you deserve. 

I never sent the note.

Suffice it to say I’ll always be watching 

In closing— 

Andreya— 

we hope all your dreams come true. 

Despite you being a typical teenager.. and by typical I mean crazy! we love you anyway! And we want all the best…

you’re an 

amazing artist, 

an aspiring guitarist, 

a sibling 

and all around good human… 

in your own words from 2012  that I wrote down.. when you were just four; 

Remember, all your fears are just in your head 

and in my words:

You’re no longer the baby
But you’re always a baby to me

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Headed to College

Some times the stars align just right. And some other times, you can’t see the stars through the snowstorm. And thus, that’s how it was for the older child Alicia who for months has been working to achieve something called the “Posse Scholarship”. Thousands of kids are nominated, the process is rigorous, requiring meetings and interviews and applications as these high school seniors all look at college. As a “Posse” scholar you are grouped with fellow seniors and a select batch of colleges around the country. If selected, you head off to college WITH your posse. Classmates for four years. Potentially friends for life. The idea being that you are stronger as a team. Strength in numbers means a stronger foundation. So Alicia was nominated by her teachers for the Posse program and has been on this journey for much of senior year. Meetings. Interviews. Transcripts. Essays.

Alicia was named a finalist at the end of October. And we were all called to a family meeting. Thousands of students now just a couple of hundred, hand picked potentially for the posse program. One school really called to Alicia. It was the top pick. We met with the alumni and it was like they were speaking right TO Alicia. THOSE were clearly Alicia’s peeps. And so Alicia did the final rounds of interviews, and weeks ago officially submitted the early decision Posse application: This past week Alicia went for one MORE interview with the very final group. A three hour interview meeting the fellow final finalists and college leaders. The Posse committee told the students to expect followup questions. Nervous times.

Later in the evening they asked if Alicia could zoom with them for some follow ups. Alicia nervously sat by the phone and went on zoom at 8:10pm. The Posse team came on and says that Alicia knew they would need some followup questions and so that’s what this was about. And then they proceeded to ask how much Alicia likes the SNOW. Alicia cautiously answered as the moment started to sink in. And then they said, “because you’re going to be seeing a whole lot of it!!!”. And they break into cheers and Alicia breaks into cheers. And mom and dad hiding in the corner of the room break into cheers. And a once-in-a-lifetime moment happens on a very routine weeknight. I’m pleased to say that Alicia is headed to Kalamazoo as a Posse scholar on full tuition as part of this prestigious program.

Alicia’s gonna be a HORNET at the zoooooooooooo!!!! Kalamazoo is a small liberal arts college and it is sooooooo Alicia and we couldn’t be more thrilled for all their hard work. Alicia got off the zoom and I gave a huge hug. Alicia then crumbled into mom’s arms and both burst into tears. The weight of the moment heavy -and- uplifting at the very same time. The committee said Alicia “killed it” and they couldn’t wait for the posse team to arrive. They also said Alicia’s been ready for college since the 6th grade. And there’s some truth to that too. Now comes prep time for the rest of senior year and weekly meetings with fellow posse teammates before they all take flight together for their future.

For my wife who often doubts whether our parenting has done any good amid all the normal teen angst, I asked her to SAVOR that moment. How AMAZING for a lifelong educator to see her own daughter’s education flourish. So amazing.

In closing, I learned something through it all. Some times the stars align just right. And some other times, you can’t see the stars through the snowstorm. But it doesn’t mean they haven’t still aligned for something very very special.

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A Life Well Lived: Lessons From My Mother In Law

When I planned to ask Glo to get married more than twenty years ago, I made an important phone call first. I spoke with Glo’s mom in California and asked if this guy from Boston could have her blessing to marry her daughter.

She agreed.
And my life was never the same.

How lucky for me to be adopted into a second family. It would be a new chapter for me, for Glo, for my family, for her family, and her mom who had immigrated to the United States from Central America to raise her family here.

Gloria Estela Melendez a woman who made her own American dream.

I’d soon learn that working hard was her trademark. Taking pride in everything done, for years the backbone of the facilities team at Loyola Law School in downtown Los Angeles. Pride in her work. Pride in her family, especially in raising her three children Gloria, George, and Vanessa and getting them off to college and starting their own lives. Her own graduation photo posted prominently on the stairs, followed by each of her children’s graduation photos in order. She was tough on them growing up. She was tough and expected the best from her kids. She demanded the best. Catholic school. Cleaning the house on Sundays after church. That house, the wall to wall blue carpet, always spotless. Always.

No TV for the kids in the bedroom either. (I’ve heard the stories of how they snuck the little TV under the covers)

I was in college when Glo and I began dating and we made that first trip to the west coast to meet Glo’s family. A college sophomore who found the love of his life, and her family. On that first trip they took me, a guy who hates amusement rides, to Six Flags Magic Mountain. Just to mess with me I think. Batman was first. They STILL get a laugh remembering my pasty scared to death complexion. I tried to get off the ride and the operators clamped me down with a traumatic thunk of the restraint and sent me on my way. Just an 8 story drop hanging from your shoulders. Five more roller coasters that day.

I’ve never gone back to Six Flags.
But I was officially in the family.

And our family kept busy. Over the years, traveling as a family to the east coast, to New York City at Christmas, to Washington DC and the White House, to National parks, to the lush forests of Hawaii. And yes, I’ve heard how she heated up food in the hotel room on that trip using a clothing iron. Always practical.

Food? Oh have we eaten.
We’ve broken bread, and pupusas, and latkes, as our two families mixed our heritages. Her juicy holiday turkey sandwiches are legendary with the turkey, lettuce, mayo, toppings, and then her homemade salsa on top soaking into the bread. That salsa belonged on store shelves. Always cooking a meal for someone. Her side hustle as a caterer with her friend Grace always had me thinking that the side hustle would one day be the main hustle.

I knew it was meant to be a long time ago when I learned that she and I both shared the same birthday. September 16th. Mother in law and son in law. What are the odds. For years, we’d celebrate together with the family in September 16th. Only recently did I learn her birthday is really September 17th and we’d been wrong all those years. I still wished her a happy birthday on the 16th. That’s our day.

I think it was the weekend of her retirement from Loyola Marymount, she got the same news of her cancer diagnosis. This self-made woman, the product of her own American dream, battling a rare cancer. It was an unfair twist for someone who’d worked their whole life and was just getting around to the good stuff. The same year, I got my own cancer news. Now we shared birthdays AND something else.

The family concerned for her.
She concerned for the family.

We got to carpool to chemo once this past year, I dropped her off at her appointment and then I went off to mine. I was happy to do it.

By now you know she loves her family.
Abuelita as she’s become known to our kids.

Other things you should know about Abuelita:

She loves her novelas.

She loves Celine Dion.

She loves a good game of Loteria.
“LOTERIA” she’d yell as she cleaned us all out.

And she loves Cobra Kai: LOVES it.
a fanatical love which doesn’t any make sense at all but there is was.

It was a guilty pleasure during covid and always the question, “when is the next season coming”? I got her a Cobra Kai T-shirt at the mall a couple of weeks ago hoping we could reminisce about the “All Valley Invitational” until the next season. Sweep the leg.

As her cancer progressed, she made the incredibly brave decision to stop treatments and go home, to be with her family, no more doctors and no more needles. Her family especially her children taking amazing amounts of care with her over the months.

I got the privilege of being with her alone for the whole day in the hospital waiting for her release that day a few weeks ago and I got to learn even more about my mother in law.

She wished she had traveled more. Paris. That’s where she always wanted to visit. The Eiffel Tower.

But really she told me, she didn’t regret much. She set out to do what she did.

“I had a good life”, she told me.

As the days grew shorter, family gathered at the house. She and I spoke at home by her bedside on Thanksgiving. She told me she loved us all. And especially,

I know she’s referring to her children:
Glo (Isela), George, and Vanessa.

her grandchildren:
Alicia, Andreya, Jayden, and Joaquin

her siblings:
Miguel, Miriam, Rosa, Arturo, and their late brother George

and all her friends and family.

She said she regretted not finding the word earlier in life to tell everyone. The word “love” had evaded her. But now as her words grew fewer and fewer, she had found the word which really mattered. If her kids read this, they need to know she loved them most of all. Even if this tough as nails woman didn’t always have the words to say it.

In that same moment, she told her grandkids that she’ll always be watching over them and whatever they do, to do it well. They agreed.

Just a few days later, with things moving quickly, the family gathered again. Her kids surrounded her and held her hands and just spoke to her. Her kids providing for their mom as she’d always done for them.

And one other thing.
We watched season 4 of Cobra Kai, and narrated to her what was happening. In her final act, she saw a Hollywood sneak preview of the upcoming season.

As I left last night,
I told her I’d see her soon, but I also told her if she was ready to leave on that big trip to Paris, I wished her love and I wished her safe travels.

My wife stayed with her overnight and called me this morning, That trip to Paris was waiting.

Gloria Estela Melendez,
my mother in law
A life well lived.

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Keith Richards: My Long Life Inspiration As I Tackle Treatment #8

I’m in “maintenance” treatments now but the routine is the same. Me and my pretty bladder as the doctor has named it. I had gotten used to six weeks without treatment. Now I’m in the middle of another three. This week a rare Thursday. You show up, give a pee sample. And wait. It may be TMI so stop now if you need to. You’ve been warned. Here goes.

They prepare the BCG immuno/chemo at the hospital. Custom ordered just for me. So lucky. They prepare the batch when I arrive and then it comes in a little cooler with a medical escort. The tube itself- what I can only describe as one of those little caulking guns- a tube with a plunger at the end. No modesty here. Clothes off below the waist. Cheap paper table cloth of a medical napkin placed down below. I appreciate the nurses and the small talk in the most unenviable of positions (them AND me). Last week the nurse told a joke in the middle of the injection, an ill-timed belly laugh from me.

Today, clothes off, custom BCG arrives. The procedure itself doesn’t take too long. I try to take a deep breath and stare at the ceiling. Lidocaine is used to numb everything down there. Then comes the catheter. Hard to explain what that sensation feels like other than maybe an alien abduction procedure. Then comes the caulking gun- and a hit of the plunger through the catheter to send what is essentially a form of liquid Tuberculosis into the body. Years ago they discovered it had the ability to ward off cancer cells from returning. Would LOVE to know how those first experiments came about. Medicine is a mixture of weirdness, wild, and wonder. And so here I am. Discomfort. Yes. Embarrassment. Yes. Life-saving- Yes, maybe. And then it’s done. I can get dressed and move around.

The immunotherapy stays inside for two hours— exactly— and then I ‘dispose’ of it. This involved pee’ing. The scientific term: “gotothebathrooma”. And then bleach in the toilet to kill all that BCG. Yeh I have my own Clorox supply. Rinse and repeat for the next six or so hours. Pee. Bleach. And Nap. There can be side effects but mostly it makes me sleepy. I try and do it on a Friday to rest up on the weekend. This week I get Thursday. As the Rolling Stones sang, “You can’t always get what you want”. One more maintenance treatment and I’m done for three months or hopefully even longer. Fewer treatments, longer and longer gaps in between. Another step on this unexpected bladder cancer journey.

But I’ll get there. Get to the doctor. Early detection is key. The camera scans say I’m cancer free. And if I live as long as Keith Richards then I guess it’s all worth it. 

For more information on Bladder Cancer and treatments visit the Bladder Cancer Advocacy Network at bcan.org

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The Scope Of Things: my bladder cancer update

Seven months after first diagnosis of bladder cancer, two TURBT procedures, six weeks of immunotherapy injections, it came down to this one scope. I’m one of the 80,000 new bladder cancer cases in the US this year. You don’t hear much about it because it’s uncomfortable to talk about. It’s uncomfortable to live with it. It just is. Uncomfortable.

So today I was back at the doc again for my three month scope after beginning immunotherapy. She said it was the single most important scope in my entire life to determine if I’d be seeing a recurrence of bladder cancer. Bladder cancer is notorious for coming back which is why early detection is key. So they take that camera, and peek around inside your bladder. There’s only one way in. Yeh, THAT way.

As uncomfortable as it was, I’ve become accustomed to it all and was able to watch it all live as it happened. The doctor looked around, pointed out the scar from prior procedures, looked around some more, I’m holding my breath expecting bad news around the next curve and she said, “you have a very pretty bladder… and I see no evidence of cancer”. She had me at pretty bladder. THERE’s something that’s never been said to me before in my entire life. Oh and no evidence of cancer.

So I’ve graduated now to ‘maintenance’. Me and my pretty bladder. Another shorter round of immunotherapy. A longer gap before my next scope. And so it goes. If you ever see blood in your pee. Get checked out. Fast. I’m cautiously optimistic and we’ll see what the next scope brings.

I left the doctor and had one more appointment to keep across the city. This guy with the pretty bladder and cancer battle got an appointment to get his first covid vaccine shot. Done.

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5 Lessons As A New Cancer Fighter

World Cancer Day is meant to inspire action for a cancer-free future. For me, it’s taken on an important new meaning after being one of the 80,000 people diagnosed this year in the US with bladder cancer. This has been a year of lessons learned on the cancer road I’m traveling and it’s clear that everyone’s road bends a different way.

Lesson #1: 

For me, the number one lesson learned is that early detection is key. It was two bright spots of blood in my pee one morning that got me to the doctor in the middle of a pandemic.Those two bright spots of blood may have actually saved my life. They weren’t normal and I knew that. Listen to your body. The cliche is true. It took a couple of months after that to get my full diagnosis and then surgery and treatments.

Lesson #2:

Cancer isn’t pretty and it isn’t fun to talk about. For me I’ve found I need to lean-IN to the discomfort. If I can’t talk about my treatments. If I can’t talk about my fear of needing a bladder removal one day. If I can’t talk about the worry of needing to pee through a bag for the rest of my life, who CAN I talk to. I hope it never comes to that. But it’s my truth and I need to own it— and I intend to own it— in hopes of making a difference.

Lesson #3: 

I’m learning to accept the help and encouragement and recognize that people don’t know how to react when they’re facing YOU who is facing a serious illness. On more than one occasion, I’ve heard from people that I “look good” said with a hesitant consolation prize voice. I’m grateful to look and feel good. I’m grateful to have been able to keep working through treatments which is also a reason I’ve often refused help or have rain-checked people when they’ve reached out with an offer. A good friend hit me with that dose of reality and said, “you need to learn to accept help”.  I’m still trying. 

Lesson #4: 

I’m trying to forgive myself for my shortcomings. And there are many. But life is heavy enough, and dealing with an illness is hard enough, without being weighed down by other baggage I don’t need. Resolutions? Weight loss. Work-life balance. Patience. More family time. I’m a work in progress this year. Health is my priority and beyond that, it will all happen in time.

Lesson #5:

My biggest moments of panic come when I google too much, and look too far down the road. I feel fine one minute and think I’m doomed the next. None of us know what’s around the next bend and that’s especially true if you have a serious diagnosis. But you CAN successfully manage the road right in front of you. Today. Baby steps.  

Today I’m good. 

Let me concentrate on that.

So on this World Cancer Day remember:

Prevention.

Detection.

Treatment.

oh and get a dog.

We got a dog this year.. Bowie

a bright spot in a tough year!

read my other columns:

My Bladder Cancer Battle: The Text Chime Which Could Change It All

Going on the OFFENSE: taking charge in my bladder cancer battle

Opening The Door To My Heart

Bladder Cancer: the unexpected curveball 2020 threw my way

Cancer: The Walking Contradiction

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Going on the OFFENSE: taking charge in my bladder cancer battle

It was late spring when this chapter began. Two bright spots of blood in my urine would lead to a summer of doctors appointments and eventually a diagnosis of bladder cancer. Two TURBT surgeries later, and many other followups, the warm summer air has given away to chilly late fall mornings as Christmas lights now decorate people’s porches.

One month ago I was given the first dose of good news in the battle. “No residual cancer”. Now comes the task of trying to keep it away. Bladder cancer loves to come back and when it gets into other parts of the body it can be most dangerous. So the best defense in this case is a good offense even if the good offense sounds just about as scary.

BCG treatment. 

It’s been used for decades. It’s not chemotherapy but immunotherapy. In this case: direct injections into the bladder of a weakened strain of bacteria from the same family as tuberculosis. Yep living bacteria. It’s designed to intentionally trigger a fighting response from the body. I’ve done all the reading. Serious side effects can happen, but hopefully the most I’ll see is fever and fatigue. 

So here I am. 

Looks like I’m the youngest guy in the room. Bladder cancer usually strikes people twenty years older than me, lifelong smokers and factory workers. What can I say. I’m unique. 

The waiting room is the loneliest place. Another urine sample and then back to sit and to wait until the immunotherapy arrives.

Waiting.

Waiting.

Stomach in knots.

Waiting.

The procedure itself wasn’t bad. OK not good either. It’s not fun getting a catheter. If you haven’t had one consider yourself lucky. But the injection of the BCG therapy itself is pretty quick. Once it’s in, then you wait again for a couple of hours while the BGC does its work. 

I caught up on some Netflix:

Finished the first season of Dexter..

(Yes I know I’m fourteen years late) 

Began the first season of The Queen’s Gambit..

I guess you could say out with the old.. 

and in with the new…

And while I sat there I thought about others I know going through their own cancer treatments right now and other big life challenges. They’re the real heroes. So far I’m the lucky one. Early detection has been key.  

I left for the day and will wait and watch for side effects now, hopefully not many. The BCG comes with a list of safety instructions down to how someone uses the toilet after treatment. The staff handles it with gloves and a hazmat bag to dispose of. I got gloves too.

That’s the next phase: aggressive treatment to make sure there’s no sequel. Once a week for at least six weeks and then tune ups after that. It’s another step down the road.

In the meantime, 2020 is ticking down to the closing days, with a new calendar ahead.

As I said, out with the old. 

And in with the new.

And while my bladder is getting in fighting shape I’m thinking it needs a good super hero name. Maybe Blad The Impaler.. or Blad To The Bone.  Coming soon in 2021.

For more information about bladder cancer, go to the bladder cancer advocacy network: www.bcan.org

For more information on early detection, check out this podcast with friend and colleague Hal Eisner: https://www.foxla.com/podcasts/what-the-hal-overcoming-the-fear-of-doctor-visits-during-the-pandemic.amp

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Opening The Door To My Heart

It’s been three months, two surgeries, and countless needle sticks, scopes, and exams since my cancer diagnosis. I’m headed into immunotherapy in just a few weeks. It’ll hopefully cut down the 70% chance I have for a bladder cancer recurrence.

It would be easy to say thanks for nothing to 2020 for another gift I never asked for. But on this Thanksgiving week I’m reminded of so many family and friends and even total strangers who have reached out.

After my second surgery recently, two good friends offered to deliver dinner for the family. I delayed. I stalled. I was so grateful for the offer. But I also felt (and still feel) there are so many people going through things more difficult than me. After our third round of texts over a couple of days, this friend finally texted:

“You really need to learn to accept a gift and a thank you. I know it’s hard. It’s also an acceptance that you are as deserving as those you take care of.”

We were so thankful to accept the dinner and it was brought over the next night. And truth be told, it was the first night in WEEKS that we actually sat down for a meal as a family. That gesture brought us together even for just a few minutes. I’m grateful for it.

This week was my first day back at work in a couple of weeks. It doesn’t seem like much, but it’s the longest time I’ve been out of a newsroom in twenty years probably. I went to the mail room and grabbed a card in my mail slot. It was from someone at a competing station in LA who I’ve never even met. 

She wrote in part, “You don’t know me but I know of you through our mutual news business.. I want you to know I’m sending good energy your way… Our business is small so we gotta hold each other up!”

I got home that night and there was an anonymous package for me. I’ve written about my new suspenders fad I’ve started. Belts can be too painful with bladder cancer. So it was suggested I wear SUSPENDERS instead. A pair of tie-dye suspenders arrived from a mystery sender. I’ll wear them proudly as they join my new collection of Super Man suspenders, and suspenders in grey, red, and Dodgers blue. 

I love them all.

There have been messages, texts, calls, including a couple from one person who has battled cancer himself. He may not know it but he moved me to tears when he called out of the blue and said he was going to keep calling and checking in on me. Just because.

So on this Thanksgiving week I’m more than thankful. Cancer is a diabolical bastard. But it has brought so many people back into my life over the past few months. 

Today I reflected back to Nathan who I met five years ago. Nathan was living in an RV behind the Rite Aid in town. I don’t know why but we struck up a conversation one day and I bought him lunch. As he shuffled through all his disheveled papers, he gave me one of them as a thank you for lunch. It was a handwritten drawing I still have. 

I opened it up and it said, 

“open the door to your heart.”

Nathan knew something that I didn’t.  So here I am. And I’m doing just that. And I couldn’t be more grateful for the family, friends and coworkers who’ve reached out.  Love you all!

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My Bladder Cancer Battle: The Text Chime Which Could Change It All

The message chimed in on my phone with a ding like it was any other text message. Of course it did. It’s 2020 after all. Maybe I should have given it a doomsday tone, or the Death Star music, but it just got a “ding”.

“New Test Result Available”. 

I knew exactly what it was. I’ve been waiting for it all week since undergoing my second TURBT procedure at UCLA.

It’s been several months since I was officially diagnosed with bladder cancer in the middle of an unforgiving 2020, several months since I underwent a first “Trans Urethral Resection of a Bladder Tumor” to remove the tumor, a chemo patch in the bladder to treat the area, and weeks of sometimes painful internal recovery.

Last week I underwent the second procedure. 

Bladder Cancer often returns. When it gets into the muscle it’s most dangerous. And even when you remove the tumor, unwanted cancer cells can stick around. So the prescribed treatment as crazy as it sounds is to often undergo a second procedure to cut again— this time cutting deeper— to make sure the cancer hasn’t found a way to hide.

Now the pathology was in. Ding. Just another text message on my phone.. only it wasn’t just another message. Maybe it’s ridiculous but I let it sit there a couple of minutes. The difference between knowing and not knowing can be a world of difference. For just a brief period of time I preferred not to know. More cancer found would mean a far, far different treatment path. It was a critical life juncture all of a sudden on a random afternoon.

I finally clicked the message.

“Hi Mr Wilgoren here are your pathology results. No residual cancer! We’ll discuss the next steps at the next appointment”

Deep breaths. I read the text ten more times. ‘They’ added the exclamation point not me. That must be good news. I googled “no residual cancer” to see what google said about the phrase. I read the medical jargon down below “no residual carcinoma identified.” I googled that too. More deep breaths. Certainly seemed like the best and only news I was hoping for at this stage. Not done with the battle yet but this seemed like a victory. 

I sat on the news till I could speak with the doctor today— Friday the 13th— in a video conference call. The doctor began the call saying it’s the ‘best news’ we could hope for and then she explained. True, they had found no cancer cells remaining. That’s the great news. But this cancer still loves to come back. Left without further treatment and I have a 60-70 percent chance of a recurrence and likely within the next few years. 

And so I’m choosing door number 2. 

BCG Immunotherapy. 

It’s an inactive form of tuberculosis which will be given to me on a strict weekly schedule starting in just a few weeks after I heal up again. It can cut my chance of recurrence by more than half. More Than Half. Based on the calendar, my first BCG treatments will come right before Christmas. Yes, there are side effects. Some could be severe but that’s unlikely. It’s the best, most important next step. As the doctor explained to me, the next five years of my life will be critical. AFTER five years, the chance of a recurrence drops dramatically. So the clock is now ticking.

A reminder to get to the doctor. Early detection is KEY as it has been in my case. 

Cancer screenings will be with me for my entire life now. It’s going to be that annoying relative who always shows up at the family gatherings.  We don’t have to like each other but we better learn to get along.

For more information on early detection: please listen to this podcast with my friend and colleague Hal Eisner:

https://www.foxla.com/podcasts/what-the-hal-overcoming-the-fear-of-doctor-visits-during-the-pandemic.amp

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