From Big Brother to Cancer Care Giver

July 23, 2023

What’s the John Lennon line about how life is what happens when you’re busy making other plans? I had this vision of flying into Georgia (on my father’s dime), rescuing my brother from his shithole hobo camp, and delivering him to a Portland cancer treatment facility, then watching his recovery from a safe distance. It didn’t quite turn out like that. 

When I got to my dad’s after landing in Atlanta, my brother, Ronnie, was on the phone, telling me I had wasted my time and that he wasn’t going to leave his camp in Cartersville, Georgia. I could tell he was afraid of the incredible change he was facing. Instead of suffering from his rectal cancer in a hell he knew, he was looking at relocating in a place far away from the Georgia piedmont. And he had never even been on a plane. I told him I wasn’t going to force him to do anything, I was just headed to come hang out with him for a bit. He’d been held up in a Quality Inn for a few nights because his pain was so great. He was convinced he was on death’s doorstep and just wanted to be left alone. This would have to be his choice.

Finally seeing him after two years was a bit rough. I thought about the last days of Howard Hughes but without the billions. His hotel door was propped up open so the Georgia heat and flies could come in as he lay in the bed. I went into operational mode. Food, coffee, and whatever else he needed. Gradually he realized he would be better off in Portland. He wasn’t ready to die just yet. I got a room next to him and we made plans to strike his camp later in the day.

He had been living on a hill behind the Cartersville IHOP for seven years. How he survived, I’ll never fully understand. Another blistering summer in rapidly evaporating Georgia would have killed him. His camp was a tent, full of spiders, and a year of garbage hidden under tarps, and a dozen gallon jugs of urine that served as his bedpans when he was immobilized by pain. It wasn’t pleasant but that thought that there was something better waiting motivated us to clear the camp and head to Atlanta to catch a flight to the land of Obamacare. 

The journey home was a challenge. Whatever you do, don’t fly Frontier Airlines. It’s the nightmare airlines. Just getting a wheelchair to get Ronnie to the gate at Atlanta Jackson Hartsfield Airport was an ordeal. Then, because of cancelled flights, I had to race him to another gate on another concourse and hope that delayed flight would get us to our connecting flight in Las Vegas. The Las Vegas to Portland flight was cancelled and they told us they could get us on another flight home three days later. I told them he was a cancer patient who had an important oncology appointment the following day and Frontier Airlines ticketing agent just shrugged her shoulders. So we headed to another terminal (Ron still in a wheelchair) and bought a ticket for that night on Spirit Airlines. (I never thought I’d say this, but Frontier makes Spirit look like Delta.) We finally made it to Portland, but Ronnie’s backpack didn’t arrive until six days later, with all his electronic items stolen from the bag. Frontier sucks.

After a day of adjusting to West Coast time, my job driving my brother around began. First to an oncologist in Tualatin, south of Portland, where we found out his cancer was Stage 4. Then to a residential facility I was hoping to move him into, where they told us it would be a few weeks. This was happening the week I was driving Cozy to and from art camp, way out in the traffic hell of Beaverton. Endless calls to Medicaid to get his long term care interview moved up from late August, making CT scan appointments, preparing meals, and administering pain meds every two hours.

Suddenly, I’d become an in home care nurse.

It just seemed really clear that this was the obvious role to step into. What else should I do? My brother is battling anal cancer. He was doing it alone in the Georgia woods, and now he’s doing it on my couch in a state that has legal weed. 

The legal weed bit has blown his mind. It’s been hugely helpful with his pain and appetite (although it wasn’t helpful with the Taylor Swift video I tried to make after we got high and watched Yellow Submarine.) In the conservative state of Georgia, possession of less than an ounce of pot is an automatic year in prison, on the taxpayers’ dime. In the liberal state of Oregon, an ounce of weed just means you’re running low on weed.

Once the pot and narcotic pain meds started to work, Ronnie started to feel human again. He’s got an amazing oncologist at OHSU’s Knight Cancer Center and wonderful palliative care coming. We’re still trying to find housing for him. Going through chemo on my couch is not an option. Keeping him in colostomy bags and diapers with an 8-year-old running around is a less than an ideal setting for him and my family, but he’s, literally, out of the woods. Sitting on our porch in the cool Portland night air (the opposite of Georgia), has allowed us to connect in a way we never did when we were kids. It started to feel like this experience was healing me as much as it was intended to heal him. 

It’s certainly a left turn from my normal summer, teaching on line and working on my side projects, but the support of Cozy, Andi, and Jaime makes it work. Watching Cozy and her uncle bond has been a thrill (Cozy is ferocious on the board games), and Andi has helped me remember how important this effort is. The moments I can escape with Jaime for a bit have kept my battery charged and her concern for my brother just fills my heart. And I’ve been able to show Ronnie some of the joys of my little town, like green tea at the Chinese Garden and way too much sugar at Voodoo Donuts.

Fifty years ago, everything was a constant fight between us. I never would have thought of trying to comfort him. Now my hand is on his back as the doctor tells him that his cancer has spread from his rectum to his lymph nodes and lungs. I don’t put him down for his assertion that he can “shred” his tumor with turmeric and sound waves. I just encourage him to listen to his doctors, who are among the best in America. This isn’t Georgia. Under Oregon’s expanded Medicaid, even the poorest among us have access to be best care.

Part of employing empathy is seeing this through my brother’s eyes. He has to be scarred shitless about this diagnosis, that is close to a death sentence, with a treatment option that will be a true test of his mettle. He’s lived as a hermit in the Georgia woods for ten years and now he’s in the hipster metropolis of Portland (Just the number of people walking around has shocked him. Nobody walks down the street in Cartersville, Georgia.), and, on top of all that, he has to trust a brother that has showed him more hostility than love in his life. I can’t imagine what’s going on in his brain. Thank God (Oregon voters) for legal weed.

Ronnie has been incredibly appreciative and acknowledges turning my living room into a cancer ward has been an imposition. But I thank him. This opportunity to help him has been good my for soul. If I can expunge a lifetime at anger towards him, I can deal with my anger issues for good. The other day he reminded of me when I knocked him out for calling me a “baby killer” in front of my girlfriend who had just had an abortion. He’s not the same person, and now I have a chance to be different.

Healing can take many forms. For my brother, it’s going to be regular radiation and chemo treatments, a bunch of pot, and hopefully a bed of his own. For me, just being here for him is the healing I needed.

Ron’s GoFundMe campaign: https://www.gofundme.com/f/help-house-my-brother-for-cancer-treatment?utm_campaign=p_cp+share-sheet&utm_medium=copy_link_all&utm_source=customer

7 thoughts on “From Big Brother to Cancer Care Giver

  1. Wow.
    What a story that has changed many lives along the way.
    Doing what’s right always feels good, we just have to take the first steps.
    Kudos to all involved … and thank Gawd Oregon has so many cannabis options.
    Randy, you just keep up the hard, exhausting, emotionally draining good work/love.

    Liked by 1 person

  2. OMG, Randy. I’ve been waiting for an update on your brother. This is the BEST possible outcome for him, sanity wise, treatment wise and loving care wise. You do the best you can. I wonder if one day I may have to do the same for my brother who lives in GA (not homeless). But he hasn’t been to the doctor or dentist in 30 years. You inspire me, Randy. I send all the love and caring to your brother!!

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  3. I hope Ronnie continues to get better. The laws in Oregon fortunately are so much more liberal in terms of taking care of people who need it. I have and will continue to support any law that helps people.

    You talking about your feud with your brother kind of hit a nerve since I have a similar situation with my brother. My mom keeps hoping the two of us will patch things up, but it doesn’t seem likely.

    Then again you and Ronnie did it. It took a terrible situation to bring you together. You went and did what a good brother should do. As the older brother maybe that will influence me.

    David

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  4. My husband and son died of cancer and then I helped take care of a friend who hadn’t been to a dentist in years and developed oral cancer after smoking for over 60 years. It was the most grueling death possible as they first did surgery to remove & rebuild his tongue. Like your story, I could just try to help him through it after he refused months of chemo & radiation that wouldn’t give him much of a life. The pain was excruciating and the drugs took over. The doctors kept saying it would all be fine, but I knew better. Hospice had nurses who showed up a couple of times a week for a few minutes. I became the one in charge. Enough of that. You are doing what he needs – giving him reassurance that he is loved and that his life mattered. All I can do is send you hugs and admiration. You absolutely get it!

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