Is routine bad????

 By the third week, the routine started feeling a bit like Groundhog Day. There were subtle variations, but the grind was stronger than anything—and we quickly realized we couldn't give in to it. Because if I surrendered to the fatigue, I’d spend my days alternating between radiation and naps; and as much as I love a good nap... well, you know.

So, every free morning hour while the kids were living it up at the JCC’s ridiculously over-the-top summer camp was pure magic—time for just Sharon and me!

We tried to stick to nearby spots (since traveling in a car was getting rough for me) that were still interesting. Sometimes we’d take short walks (picture a gentle hike, but in extreme slow-motion with a cane) and grab a bite at a different restaurant each time. Looking back, that was kind of funny given that my appetite was pretty nonexistent, and in classic fashion, I started struggling with the absolute basics—like swallowing, which became tricky and downright uncomfortable most of the time. But hey, food is fun and interesting.

So, restaurants. Some were genuinely challenging, but every now and then we’d stumble upon a real gem. There were also a few times—fortunately very few—where I wasn't entirely sure if my miserable stomach was due to the radiation or the menu. In hindsight, we probably should have heeded the red flags... like an empty dining room, a location inside a gas station, and so on...

On the flip side, there were great surprises. Take this one Vietnamese joint right next to another gas station, which came highly recommended by our dear friend "Google." From the outside, it looked tiny and beat-up, but the entrance led into something huge and spacious. Suspicion kicked in. Then both of us stood there, jaws dropped, trying to find where the menu actually ended. The place was massive! Luckily, it wasn't peak hours. My rating system for restaurants simplified rapidly: if I actually have an appetite, eat the food, and actively consider ordering dessert at the same place—it gets a star from the resident expert! 😊

Beyond a colorful lineup of diners—some we couldn't wait to run away from, and others we gladly brought the kids back to later—we made sure to pack in plenty of other activities and surprises.

My mom flew in for a short two-week visit, which instantly snapped us out of the routine and did wonders not just for the kids, but for all of us. On one of the days when my radiation was scheduled for the afternoon, as a special welcoming gesture to the brave grandmother who crossed half the globe to be with us, a stunning leaf insect jumped right onto her and Moran. This happened while everyone was waiting for me in the center's courtyard as I wrapped up another full workday of glorious radiation. With a magnificent welcome like that, the visit was guaranteed to be a hit.

My mom got a room at the same extended-stay hotel where we were living, right up until we moved to another complex that had no vacancies. Her initial room happened to be right next to a cluster of rowdy young folks making a wall of noise. After three challenging days, she was moved to a room at the far edge of the property, right beside a massive lawn glowing with fireflies.

Naturally, I kept showing up at the radiation center every morning, usually full of energy and positivity, eagerly awaiting a shift in how the staff reacted to my answers during check-ins. But as stubborn as I am, they were definitely more stubborn. Much more.

Every single day brought the exact same astonished reactions and double-checks—sometimes triple-checks. Take my weight, for instance, which hadn't dropped by a single gram. To the medical staff, this was nothing short of a miracle, considering that swallowing was becoming a struggle due to radiation near my esophagus, and my appetite was mostly shot from being wiped out all day. So, after multiple requests and outright pleading, my doctor at the center asked what my secret was. I finally agreed to reveal my top-secret formula for high spirits and maintaining weight.

Like all good things in my life, it started with my amazing wife, who managed to track down the absolute richest, most decadent drink ever created in the Starbucks universe! I'm pretty sure listing all the ingredients might actually be illegal, but essentially: whole milk, whipped cream, more whipped cream, and a splash of extra whipped cream (and just so the coffee doesn't feel left out, some caramel, sugar, coffee, and more caramel). A light, nutritious health drink! After days of persuading my mom to try it, she finally caved and pretended to take a tiny sip. A second of silence passed, her eyes went wide, and she immediately ordered one for herself! I successfully dragged her down into the sweet, sugary abyss.

Even though things were getting genuinely hard and car rides weren't comfortable—meaning I frequently passed out while Sharon was driving—these trips were absolutely worth it. Every single ride was worth every minute!

Sharon immediately jumped back into trip-planning mode, complete with route calculations and new spots that neither we nor my mom had ever visited. The kids were beyond thrilled, and the fun officially kicked off! Almost every day that I didn't completely collapse from exhaustion, we headed out to a museum, a nature trail, or a cool local attraction.

We even drove through a safari. In my head, I figured: a 30-minute drive through the safari and we're at the zoo, just like back home!

An hour and a half into the drive, after endless choruses of "Wow, look at that!" and "Look over there!" and "Check out that one!", we started to realize this was on a totally different scale and we were nowhere near done. And sure enough: two and a half hours in the car of an incredible experience that started with giraffes blocking the entrance and ended in the adjacent amusement park, filled with screaming from a roller coaster that nobody cared about—except me.

By then, we were approaching the halfway mark of our stay in New Jersey. The place was starting to feel like home, the kids were packed with activities, and we even had our go-to spots for shopping, eating, playgrounds, and endless accessible nature right at our doorstep.

Then my mom headed back home, and it took the kids a couple of days to adjust.

Me too.

Unrivaled professionalism

 Wallet? Check. Water bottle? Check. Sketchbook and a few pens? All there.

Headphones on, long-sleeved shirt—because even if it’s 100°F outside, it’s basically sub-zero penguin territory inside the radiation center—bright orange toe-shoes, and of course, my walking cane.

Yep, I was officially ready for a new week, striding out first thing Monday morning on my way to treatment.

Despite all my meticulous Google Maps recon, the sidewalk ran out impressively fast. I soon found myself walking right through the grass, directly toward a guy on a massive riding lawnmower who was staring at me like I had two heads. The sheer number of times I had to cross the road just to cover 750 meters—with barely half of it on anything remotely resembling a sidewalk—was nothing short of breathtaking.

But hey, the open space, the lush green scenery, a deer darting right across my path, and a flock of ducks escorting me all the way to the building entrance... all of it made the commute way more interesting. Right up until the mama duck let out a terrifying shriek, sending the entire flock into a frantic panic.

Taking the final turn toward my destination, I walked inside, curious to see what kind of wait time was in store for me. To my surprise, within ten minutes I was already done with vitals, questionnaires, weigh-ins—and a few bewildered looks from the staff. Mostly directed at my bright orange shoes paired with socks, but we’ll save that fashion statement for another post.

So there I sat in the waiting room, clad in a hospital gown, cane in hand, zoning out over some mindless phone game to kill time. Even the technicians couldn't ignore the shoes—or my answer that I’d been wearing them long before any diagnosis.

Gradually, I started observing the people around me. The older patients who came with a clear mission looked exhausted. Those traveling from out of state looked even worse—usually flanked by a few family members, all of them thoroughly drained by the journey and the routine. The locals, on the other hand, even if they had driven a fair distance, acted like this was just a quick pit stop on their way to a nice restaurant.

Another session down, and the body aches hadn't really let up—even with enough painkillers in my system to knock out a pair of elephants.

Toward the end of the first two weeks, a wall of pure exhaustion hit me almost out of nowhere. Sometimes I’d crash for a few hours and wake up feeling like I’d just run a marathon. Other times, I’d just lie there staring at the ceiling, completely drained, waiting for the feeling to pass. On better days, I’d manage to catch a nap in the car on the way to a short outing—a absolute win for everyone involved.

Like proper tourists, we pulled over for every single deer, elk, squirrel, or leaf-bug, getting excited as if we’d just discovered a new wonder of the world. In the evening, we realized the lawn next to our lodge was lit up with fireflies—yet another reason to feel like starry-eyed tourists. Then I’d glance over at the locals casually walking right through the cloud of fireflies without a second thought, as if it were the most mundane thing on earth.

And just like that, quietly, another week of radiation and New Jersey adventures came to a close.

First week

Armed with an access card bearing my photo, a bag of long-sleeve clothes because it's freezing in there in the middle of summer, and the excitement of a first day at a new job.

Standing in front of the camera, holding my new card at every possible angle at the entrance to the radiation center itself — and the number of negative beeps screaming at me just wouldn't stop.

From the front desk, a polite young man emerged at a pace that can only be described as aggressively slow — very on-brand for Americans — and with ice-cold composure re-entered my details into the computer. At that same speed he took my card, swiped it once, got a positive beep and a green light. He opened the door for me, handed the card back, and returned to his seat.

It took us a few moments to realize we were already inside the patient area. Sharon was beside me, and of course within less than a second a nurse had pounced on me with a stack of papers and launched into the "morning interrogation" — with her favorite questions: age, weight, blood tests, X-ray, this test and that test. Fun stuff for a Monday morning.

After about an hour, the long-awaited moment finally arrived: the changing rooms, the special gown, and — most importantly — the hook on the wall specifically for my walking stick. From there I moved to a small waiting room that usually holds at most two patients waiting for their turn. Sharon waited with the kids in the main waiting room — first time, after all.

The nurse called my name and I shuffled over at a pace befitting a tortoise, stopping at the entrance while three diligent staff members dismantled the entire setup from the previous patient, brought in the cast made specifically for me, connected it, loaded my treatment plan into the system, asked me twice for my full name including ID number, and then of course also scanned the tag.

Not forgetting to hang my walking stick on the hook designated specifically for that purpose.

Even though I'm perfectly capable of climbing onto the table myself, they set up stairs and had someone standing by to support me, making sure I was as comfortable as possible.

I've been through plenty of procedures in my life, surgeries too — and yet, for some reason, staring up at the enormous wheel surrounding me as it calibrated itself several times before it was ready to start, watching the entire staff flee the room when the bell rang, and finding myself alone — gave me a strange feeling. For the first time since the whole process began, I felt a combination of tension and calm at once. A quiet laced with anxiety about what the rest of the treatment would bring.

The whole time on the table went somewhere between five minutes and a quarter of an hour at most, and still felt like half a day. Between beeps: "now take a deep breath, hold, don't move, breathe out" — a range of commands that reminded me of training our dogs. Done. The stairs returned on the way off, along with the person making sure I didn't go flying.

Leaving the room, while they dismantled the table and prepared it for the next patient, they went through the questions again, scanned the card, made sure I wouldn't forget my stick, and told me what time to come tomorrow.

I walked past the waiting room with a slight sense of superiority, on my way back to the changing room — stopped for a moment by a girl who I couldn't help but feel a chill for, knowing she too had to go through the same process.

From there I headed to the outer waiting room — the one with the Coke fridge and the crackers, which I surprisingly needed. Rested a bit, and we went grocery shopping for the first time. My very first time in a Walmart — love at first sight. A supermarket and everything else all in one. I only stood at attention in front of the wall of jerky and cured meats. Alongside sorting out things we were missing, we also tried to figure out something for the kids. It was July-August after all, and we had two and a half months of full treatment ahead — assuming no complications.

Aside from discovering a group of incredible Israelis who just wanted to help, we were pointed toward the Jewish Community Center to ask about a day camp. But like in Israel, only until 4pm. The concept of a sleepaway camp — sending your child away for a month without seeing them — is still beyond me.

Every morning, usually by 10am, I'd show up at the institute, and most days I was done within an hour. Every so often I'd walk out to find Sharon and the kids sprawled on the couches waiting to go carry on with the day, or they'd be returning from a short walk nearby to pick me up.

By the end of the first week, the kids had a camp sorted too, with enormous help from the JCC.

As the days went on, I occasionally managed to walk to the treatment center — while Sharon dropped the kids at summer camp — surrounded by flocks of ducks and not nearly enough sidewalks beside me...  (everyone drives everywhere there). Though let's say those walks accounted for no more than 10% of treatment days, for many reasons, the main one being: the fatigue and weakness that set in about two weeks after radiation began

A coca-cola fridge!

"The Jewish community there is amazing!"

That's a sentence I heard countless times from people who'd gone through treatment there. The thing is, Sharon and I try — as much as possible — not to lean on other people, based on the belief that whoever truly needs help should be the one receiving it.

We started to understand what everyone meant when Sharon asked on Facebook for the best way to get from the airport to our first place. A connection through a friend led to a conversation with a remarkable woman, and the answer came back: "Boris will be waiting outside for you." And he was. Boris waited outside the terminal in New York, loaded everything into the car without many words, and off we went.

We arrived too early to a very strange long-term residence — a cross between a movie hotel and a kibbutz room — and of course there was no one to check us in. Before we could even ask, an Israeli woman who lived there materialized out of nowhere and swept us all straight to her apartment. She came armed with a bag containing everything a new arrival in America needs: odd adapters, games for the kids, and more — all to soften the landing. She stayed with us for an entire day and helped with all the administrative chaos of getting started.

She helped us settle into the interesting room we'd been given, which was right next to a basketball court buzzing with players of all ages.

The next day she drove me to a series of tests, and took Sharon and the kids to rent a car. While I was busy with examinations and questionnaires — where every twenty seconds someone asks me on a scale of 1–10 how much… — and every few minutes another specialist reviews my medical file and gives me the exact same look as the one before: a look of deep empathy and endless astonishment. Then they get to the medications and recoil at the dosage, and at my ability to still walk in a straight line. Relatively speaking.

Eventually Sharon returned, armed with a new car. The kids had been connected to the waiting room Wi-Fi, and Sharon joined me for the meeting with the doctors. Toward the end, the doctor walking us through the process explained all the risks of this type of radiation — and paused at their concern about weight loss. The worry is that too little body fat causes the beam to do more damage (and any change in weight at all can reduce the precision of the treatment).

So: not the time for healthy eating. I was advised to go back to burgers, Coke, ice cream, and so on. We smiled and said that's my usual anyway, so we'll happily oblige.

The kids waited in the institute's enormous and genuinely beautiful lobby, which included a coffee and tea corner, a drawer of cookies and pretzels, a Coke fridge (very important) — basically everything a human needs to survive. And a stunning fireplace that runs even in summer.

I was given tests to do at a different hospital and told to come back in five days for the start of treatment. Light free time ahead.

After a day that was mildly exhausting for me, and apparently quite enjoyable for Sharon and the kids, we returned to our small, strange, but soon-to-be-beloved room at the extended-stay roadside motel.

We'd be moving to a different apartment later — but that comes later.

Out of necessity, as part of acclimatization — and when there's no choice, there's no choice — we spent two days at the largest indoor water park in the area. Water at a reasonable temperature (who said he hates cold water?). We walked around a bit in New Jersey, took the train for a day in New York, and then — off to treatment.

Up to that point, our idea seemed to be working. Looks like we were actually going to make some tasty lemonade, and almost effortlessly. (Reminder: this is the part before the radiation started.)

Day one —

I spent another full day answering questions, watching faces go from blank to stunned, and then came the interesting part: inside a CT machine, lying still while a bag of plaster and clay mixture was molded to create a custom cast of my upper body — so that I'd be positioned on the machine to the exact millimeter in front of the beam. And as a parting souvenir, they marked the spot with three dots using a tattoo needle. The most painful part of the entire process. I finally emerged with my own photo on a name tag, a schedule for the coming week, and a can of Coke.

Wish us luck — and we're off!

 

The race for flight

At this point we should have already figured out that logic and pretty much anything that happens — or is supposed to happen — in the oncology system don't really have much to do with reality.

Lying on the table at home were 4 passports. Three with visas, and one belonging to our youngest — without a US visa. Eight days to the flight, and out of everything on the to-do list, this was the top priority: making sure we don't arrive at the departure date with a 5-year-old who has to stay behind. A scenario so absurd and surreal it felt made up. Turns out it's very much real.

My health fund, it turns out, has a department that handles procedures unavailable in Israel. In general, the Israeli government funds treatments for anyone who has no domestic option (logical, and also heartwarming — yes, there are things like this in our tiny country. And important to note: as far as Sharon and I know, these are not experimental treatments).

So after a fairly short call and filling out some technical details with the person in charge at my health fund, I explained that we were planning to make lemonade out of lemons and fly the whole family to the US for two and a half months as a summer vacation. To my surprise, she wasn't surprised at all. She was already prepared for it, and even tried to help with the adjacent stuff that wasn't technically her responsibility (our children, bless them).

Travel agents are something we'd long forgotten existed in regular life — but in this world, not only do they exist, they're genuinely necessary and remarkably efficient.

Meanwhile, in the chordoma patients group — which barely has a double-digit headcount — I consulted about the flight, the treatment, where to stay and what to do. Everyone reassured us that there's a caring and active Jewish community there, plus an Israeli community that's also very invested in helping. More on that later.

Back to the US visa situation and the embassy rules nobody told us about. The pressure was on, so we tried everything: friends, family, companies claiming they can get a visa in 72 hours. Everyone gave me the same answer — it's medical, it's an emergency, the embassy must respond within 48 hours, which is exactly why they can't help.

Between what's supposed to happen and what actually happens, there's a small gap. No matter how many emails I sent, how many people tried to reach someone they knew at the embassy — silence. Four days of it. Meanwhile, simple math: four days left. It turned out later they'd had a holiday, and despite their own rule about 48-hour emergency responses, it took them four days just to open the inbox.

In the middle of the day, someone called me — very calmly, in a way that somehow still felt stressful — asked a lot of questions and basically read back all the documents we'd already sent. After a very long call, they scheduled an appointment for the following day. Three days to the flight, the clock is not stopping, and the woman on the phone was not particularly bothered. She too repeated the mantra: everything will be fine, these are just the procedures.

Meanwhile, Sharon is wrapping up her school year, packing up her entire office, making lists of everything we'll need, and — as always — calculating every expense: the apartment, the car, camps, food, and more. She's also reaching out through people to understand how the community there can help — even just with familiar faces.

Mid-packing-up-the-house-and-making-sure-the-plants-get-watered, I drove with the kids to drop the dogs off at the kennel. Not an easy goodbye.

Alongside all the chaos, and over two months late, I received the conclusions from the National Insurance committee — who not only violated their own rules, but also refused to give me documents I still don't understand why they withheld.

In short: many pages explaining just how active, healthy, and frankly ready for the upcoming Olympics I am — but I do have this "little quirky thing called chordoma," and since it's my first year since diagnosis, I'm at 100% disability.

Which also means I'm entitled to a disability parking permit that I very much need in the US. So, magically, yet another bureaucratic item was added to my personal fun list.

Three days to the flight, and I find myself back at the American Embassy — except this time with an appointment. The wonderful security guard who had genuinely tried to help me last time opened the door cheerfully, and I waddled in like a duck as people overtook me, going from door to door until I reached the large hall and a snake-shaped queue straight out of a theme park.

Within less than 30 seconds, a doorman approximately two meters tall walked straight toward me. His eyes locked onto mine and I felt like the Mona Lisa — wherever I moved, he followed. He pointed at me, said "after you," and I, with my cane, hobbled behind him, past quite a few people, until he positioned me first in line. No one dared breathe next to him.

Straight to a pleasant clerk who clearly knew the whole story and just wanted to help. Which meant that within ten minutes I was outside with a visa for the kid. I stood there mildly dazed outside the embassy, a little stunned by the speed and efficiency after the initial chaos. Another thing that needed to happened...
successfully, and grandma and grandpa could finally breathe a sigh of relief.

At work, they somehow managed to contain my nonsense. An interesting conversation with my boss and my boss's boss ended with good luck wishes, hugs, and gifts from both sides (a bigger gift from their side). What mattered to me was emphasizing that I plan to keep working from the US between radiation sessions — and I caught my boss's very diplomatic "sure, sure" look, which clearly meant "give me a break."

Which freed me up to go back to hassling the Ministry of Transport about the parking permit they still hadn't sent, with excuses that were not particularly helpful. After dozens of calls over three consecutive days, two days before the flight, the permit also decided to show up. Another green checkmark off the list.

Everything was packed and ready, including all the flight bureaucracy. The agent got me a seat where I could lie flat — which meant we were separated for a very long flight. Sharon somehow survived it fine.

At the airport, still in Israel, I won't forget the expression on the check-in agent's face after she explained there was overbooking in business class (still not entirely sure how that's possible), and maybe I'd want to move to a different seat in exchange for compensation. Midway through her explanation, she received my oncologist's medical summary. Her eyes went wide. She went pale. She stared at me in shock. Then, without a word, typed furiously, announced on the phone that I need business class, and within a minute we weren't there anymore — we were in duty-free.

Guilt is a very powerful thing, especially when I'm sitting in business class with a reclining seat, excellent service, while Sharon is crammed in economy with the kids. I still landed exhausted, while Sharon and the kids looked very pleased with themselves. The worst part was that I wasn't allowed to complain — and rightfully so. Cruel world.

From Snail’s Pace to Absolute Panic.

I’m already moving at a snail's pace as it is. So, when things start moving in parallel and at high speed, I find it impossible to stay focused or even keep up.

Every professional around me agreed that I need radiation. But, just to keep things complicated, it had to be the kind you can't get in Israel. Nuclear radiation. And much to my disappointment, it has absolutely nothing to do with Spider-Man or any other superhero origin story.

My radio-oncologist and a certain Austrian doctor—a world-renowned radiation expert based in the US—built a plan for me. And no, this isn't the start of a joke.

Being the organized physician that he is, the Austrian doctor CC’ed me on every single email. Polite? Very. Efficient? Not so much—especially since I found myself needing a medical dictionary for every second word.

On a different front, we found ourselves racing from meeting to meeting with a neurosurgeon who was new to us but very seasoned. He was there for a "light" surgery (his words, not mine) to replace my titanium fixation with carbon.

Since I have a bit of a background in materials, I was actually quite hyped about this new direction. I figured it’s my first step toward becoming a high-end bicycle—slowly but surely. The doctors were less amused by the joke.

Throughout the preparations, they kept emphasizing that this surgery was relatively minor and nowhere near the scale of the major one I’d already been through. In my head, that translated to "recovery will be a piece of cake." Or maybe that was just wishful thinking.

Every hospital has its own protocols, philosophies, and work practices. The moment I got used to one, everything flipped at the next place.

For example, at Sheba, all pre-op preparations happen within the department itself, pretty much in one spot. At Ichilov, however, things are a bit different. I suddenly discovered the place is much larger than I thought—apparently, you can easily walk for over ten minutes in one direction and still be on the same floor.

I reached areas that felt way beyond the hospital's borders—it felt like a parallel universe. Shacks that remind old-timers like me of a military induction center, packed with a disproportionate number of people and yet another diverse "queue management system" whose logic I stopped trying to decipher a long time ago.

Just entering one of these shacks requires a bachelor’s degree just to figure out which option to pick on the sophisticated LED screens. Every click feels like the end of the world—like maybe the surgery won’t happen—if I press the wrong button.

Even during the examination, which was nothing more than a formality, the doctors looked a bit confused. They checked everything multiple times to make sure they hadn't missed a thing, because every mistake would require quite a few physical steps on my part to fix.

After half a day and a significant amount of waiting, I got the official stamp of approval confirming I was ready for surgery. I was able to return home before the procedure with a "good heart" and a backpack full of anxiety.

While the pre-op waiting room at Ichilov is much larger and noisier than at Sheba, there was still something very pleasant about it. It was likely the fact that Sharon stayed with me until I was literally taken down that final hallway that made the difference.

The operating room, however, was still frozen way beyond the comfort zone of a penguin colony!

Luckily, there was an unlimited supply of heated blankets right there on the operating table. They gave me something warm to hold onto at the last second and sharpened my cosmic ability to focus on completely unimportant details.

So much for the perks. When I woke up, I finally understood the difference in philosophy between hospitals—or surgeons. The surgery was a success, but the recovery was a totally different beast. It hurt. A lot.

On one hand, I felt like they only "opened" my back, so my mobility was much better. On the other hand, the amount and types of painkillers were different and much lower. I discovered new, creative types of pain, and nothing really helped.

I was only hospitalized for three days in the ward with quite a few visitors, but my "attentiveness" toward them was, to put it mildly, lacking. I was in so much pain that I frequently fell asleep in the middle of a visit—and no, it wasn't a tactic to avoid the guest.

Those were 10 complex days, no less intense than the three months it took me to recover from the first surgery. Even here, I tried to get back to work as quickly as possible.

Driving after back surgery isn't easy, but being a passenger in a taxi isn't much better. I watched taxi drivers change their entire driving style just by witnessing my breathing—or lack thereof—and my "stunning" facial expressions.

While I was busy with my nonsense of trying to become functional again, the "Three Wise Men" (the oncologist, the radio-oncologist, and the Austrian doctor) continued making plans and closing deals.

For instance, we were positive we were flying to Austria. We already imagined moving into a friend's house. It would be a short 4-hour flight for family to hop over and help. Besides, Austria is supposed to be beautiful for trips.

Then came an email—and a surprise!!! The Austrian doctor informed us that while the facility in Austria is new, they don't have enough experience with "trouble" like mine. As far as he was concerned, only the center in New Jersey is seasoned enough to handle a complex case like mine. And surprise number two!!! My radio-oncologist agreed with him.

For the first time ever, I wasn't happy about being "special."

This is where my wife and I began hatching a diabolical and genius plan: turning lemons into lemonade. We sold the kids on a "trip to the USA," except we didn't actually know the dates yet.

We assumed it would be around August, give or take a month. Since we were less than two weeks away from the start of July, there was no way it would happen before then.

Or so we thought!!!

With peak American calmness and nonchalance, we received a letter from the US facility: "Your plan has been approved. You are invited to start in 12 days."

It definitely wasn't going to be a month. It wasn't even ten days. This was real-deal panic time.

Just the technical stuff: health insurance bureaucracy, finding a place to live there, checking everyone's visas (and getting one for one of the kids), booking flights, and updating my workplace. Oh, and I’m sure there's something small I’m forgetting... like packing the entire apartment and finding a dogsitter.

Logically? It would take at least 10 days.

Or as I said to Sharon: "It’s a small thing."

More on that "small thing" later...

Even in illnesses, luck is needed.

 It’s not a competition, and nobody really gets to choose their hand. But even I know when I’ve been dealt a truly, truly garbage hand—not a single card connects to anything.

If you haven’t figured it out by now, my specialty is getting into situations or doing the exact opposite of what’s expected or desired—in almost every scenario. For instance, since we’re already talking about cancer (not that I had a choice), it’s better to have a "user-friendly" one. The kind that thousands, if not hundreds of thousands, of patients have had, and maybe even recovered from. And if you ask me—the kind where the radio-oncologist is a supporting doctor, not the lead guitarist.

All these complaints are because after almost a year in this mess, there was a brief moment of silence where we realized we actually knew nothing about my rights. It’s not just that there’s a lack of concrete information on Chordoma; everything with me is upside down—it’s "unmanaged bureaucracy."

We also realized that my family doctor was a pro as usual. From the moment they discovered what I had, he did two things.

The first and most important (which, turns out, isn't automatic)—he entered me into the oncological patient database. It’s a pretty large club, and definitely not one you want to be a member of. But that simple action made dealing with my health fund and National Insurance (Bituach Leumi) a bit easier. Don’t worry—the Tax Authority remains its usual self.

The second thing—from that moment on, for anything that didn't involve an Acamol or a band-aid, he sent me straight to the oncologist...

But wait, I don't have an oncologist!

I had quite a bit of bureaucracy to handle. The kind that takes at least two hours just to fill out the forms on the National Insurance website. Because I couldn't find an option for "Chordoma," I kept ending up back on the same page, greeted by that warning in bold red letters stating I hadn't filled everything out. After more than ten attempts and zero help from Google or tech support, I gave up. I decided to click on the cancer closest to my disease—"Sarcoma"—and hoped for the best (Quick spoiler: at the board meeting, the doctor laughed and said I should have just ignored it).

I don’t really know where I, and of course my amazing wife, found the strength to start digging through the National Insurance website and Google to discover some real bureaucratic gems. For example: anyone diagnosed with cancer is automatically recognized with 100% disability for the first year. In my head, at least, that meant no board meeting was necessary since all the documents were there—it should be a rubber stamp from here on out.

Or so I thought. Don’t worry—two days after submitting the form, a clerk from National Insurance called me (the fastest efficiency I’ve ever encountered in my life) to summon me to a board meeting. During the call, I’m naively trying to understand why. They have all the forms; everything is clear in advance. There’s no reason to bother me, a consulting doctor, and a clerk for a redundant meeting with a predetermined outcome.

After 10 minutes of "So you refuse to come?" from her and "No, I just don't understand why" from me, she stuck to her script: "So you refuse to come." I decided to end both our miseries, agreed to show up, and finally hung up.

At 3:00 PM, while still recovering from my second surgery, I found myself hobbling to the nearest National Insurance branch. At the security check, they were more interested in knowing if I had a lawyer with me than what was in my bag or why I could barely breathe.

Since it was late, the branch was deserted, looking like a desert from a Hollywood Western. The only thing breaking the silence was the grating loudspeaker reading out numbers in no clear order to rooms hidden from view. There's always that dilemma—to go to the bathroom and risk them calling your number. Pro tip: always go!

Here, I’d like to point out that not only is there no reason to get stressed about these boards (and later I’d discover some positive changes), but you also don't have to surrender to all their whims, like I did in the room.

There wasn't an extra chair for me. Both of them sat comfortably, while I (it was my first time) was stressed and stood there with my walker like a good soldier. I answered all their questions. Halfway through, my strength failed me, and I asked about a chair. The answer still amazes me: "You can go look for one, but it’ll be on your meeting's time."

I’ll cut it short and surprise you: in the end, there was indeed no need for the board at all. When I dared to ask why they brought me there when I could barely stand, they didn't even answer. They just smiled and waited for me to leave the room for the next patient. The doctor even felt a bit peckish and pulled out a sandwich so he wouldn't starve to death.

So, as I said, that was the stage where we realized we needed to start getting organized. we went to the "market" to find an oncologist.

We needed an oncologist who wouldn’t just agree to take me, but who knew what I had, understood the disease deeply, and maybe even had experience with at least one other patient.

"Don't swap a winning horse"—Tel Hashomer came to my rescue again. We found an oncologist who, in hindsight, turned out to be a good friend of my radio-oncologist from Ichilov. He also managed to handle my incredible sense of humor and my cynicism, which never stopped reaching new heights.

The oncologist also had a punchline (just like the radio-oncologist): that he would do everything to help, to navigate the complexities of the disease, and sometimes act as a rubber stamp for bureaucracy—but having him was good, if not critical.

What many don’t know is that with great power comes great responsibility... wait, wrong story. With an oncologist comes an oncology nurse, a social worker, and quite a few other professional services—exactly, or almost exactly, for the problem I have.

The volunteers who were really trying to help me with National Insurance quickly summoned the social worker. She couldn’t help me with that, but suddenly, other services were resolved the moment I registered for the department. The question of "Are you oncological or not?" finally ended. I didn't get a badge, but every form was officially signed off that I belonged. It’s strange, but even a disease needs a home, and so do people.