Visualising Hope

“Life is meaningful because it’s a story. And the story’s arc is determined by the moment when something happens. So unlike your experiencing self that is absorbed in the moment, your remembering self is not only trying to remember the peaks of joy and the valleys of misery but also how the story works out as a whole. …the story’s ending matters.”
Atul Gawande, Being Mortal

In September 2014, my late husband Peter, was diagnosed with a brain tumour and subsequently 4th stage lung cancer. Over the next 12 months, the oncologist and radiologist presented us with many ‘scanned images’ showing what was happening inside Pete’s brain and body. They took Xrays, CT, and MRI scans. These ghostly blue/grey images with red crosses (indicating tumours), were both fascinating and scary. We both felt an immediate urgency to get rid of the cancer in Pete’s body as quickly as possible.
diary_cell_image_smalOver the next 9 months these images represented the success or failure of various treatments. The following extracts were written in 2015 as Pete and I tried to make sense of what was happening to him though these images.

At first we had planned to publish our observations in a blog where Pete could add his perspective and insights.  However, this proved impractical as Pete was too busy with the business of staying alive. So, I focussed on writing about events in relation to my studio practice, rather than dwell on our shared emotional journey as Pete was not comfortable sharing his hopes and fears.

The doctors thought Pete would have at least 2 years before the debilitating effects of cancer took hold. Pete was even more optimistic and planned on being around for another 5 – 10 years. However it became clear to me, after the first chemo treatment, that he didn’t have long to live. I continued writing and drawing sporadically not really having much purpose, other than continuing some kind of ‘pseudo’ research practice (I had put my PhD on hold). Pete was interested in what I was doing but decided to add to the Blog after I had published. He preferred to be part of my practical art experiments rather than spend time deliberating over issues to do with reading scans. We resolved to try and have fun every day.

mri-imageIn the beginning of the cancer treatments, seeing changes in the scans, and understanding what we saw, was extremely important. Sometimes we read the scans incorrectly causing unnecessary angst between oncology visits. It was a steep learning curve. As the months passed, and Pete’s condition deteriorated, he preferred to ‘feel’ how his body was coping, rather than focus on visual changes. The images became less relevant to him and he had little interest in looking at them. I became obsessed and wanted to know what was happening as a result of various treatments he was subjected to. It gave me the illusion of control.

It raised questions for both Peter and myself about the process of ‘fighting cancer’ and what procedures are necessary; what knowledge is really needed (or wanted), and if seeing whats happening internally contributes to a quality end of life approach. I may explore these questions further, and exhibit some of the visual outcomes, when the memories of this time are not so raw. Meanwhile, this is a topic of conversation with many people I know and meet, so I have included some extracts from my 2015 diary (not the personal bits). I never wrote the blog. Life (and death) got in the way…

Janet Saunders, 2017

2015 Diary extracts:
23rd May
“Today I decided to start a story; a blog. I have been recording and trying to make sense of the last nine months through my drawing and visual arts practice. The drawing research I am conducting as part of my PhD, has taken on a new and surprising direction since the events of last September. It started as an inquiry into the value of drawing in the creative process and has become my ‘therapy’. Drawing is helping me understand and come to terms with the ‘terrorist’, that has taken my husband and me hostage; Cancer.”

30th May
“It is a difficult week. I have put my PhD on hold but I am still ‘fiddling’ about with aspects of my drawing practice. I have been continuing my early squiggle and doodle experiments, which have taken on a therapeutic role. I am not sure where this mindless repetition and patterning will lead, but I am currently finding comfort in the continuous lines.”

6th June
“As Peter is now officially retired he volunteered to do some prints of his body. The process was funny and ridiculous; like playing in mud. You can’t be serious when naked and covered in blue paint. Although Pete struggled physically getting up and down, we laughed a lot. It was a bonding experience.”

12th July
“It has been 10 months. Precious time seems to be slipping away. Increasingly I find myself not only doodling lilies and lily pads, but cross sections of brains.”

18th July
“Sitting in the MRI waiting room last night, I could spot the ‘foreigners’ to this hospital world. When Peter emerged from his noisy MRI ordeal, we immediately looked at the scans the receptionist handed us. I know the scans are not to be used as a diagnostic tool, but the temptation to look at them, and see if there were any new changes, is just too strong.”

26th June
“My experiments with water squiggles (marbling) and pareidolia, have also taken on a different direction. Originally I saw faces, animals, landscapes and all the usual imagery that most people see in random marks and textures, but now all I can see are cancer cells, xrays, CT scans and MRI images!”

6th August
“Emergency is not a restful environment. I have a huge admiration for the doctors and nurses who work in these places. The Emergency department is a magnet for the dysfunctional. Today the place was full of police and ‘nutters’. There was a man covered in cuts, bruises and tattoos circling the ward occasionally harassing patients. The man in the next bed has a strange ‘groan’ that sounds like a muffled scream. Nurses and doctors sporadically rush like a flock of green and blue birds towards the sound of an alarm. Despite this, Peter is very pleased to be in hospital. He can breath again.”

11th August
“I brought Pete home yesterday. He is now tethered like an astronaut to the mother ship of oxygen. In hospital he had an x-ray – I saw the two doctors looking at ghostly images and discussing something on the other side of the emergency ward. I recognised Peter’s rib cage. They took another MRI scan of his lungs and compared this with the last one. The young doctor, Mat, walked over to tell us the bad news. “The cancer appears to have grown significantly”. But hadn’t the last scan only been taken three weeks ago? This is happening way too fast!”

Peter passed away on 21st August, 2015.