I'm currently sitting in bed, drinking my coffee, with some murder mystery show on TV playing in the background, and it feels like a normal day. I've done this exact same thing, this exact same way, hundreds of times before. Not much in those past instances differ from this very moment.
Except.
Out of the corner of my eye, I can see Penny the Port sticking out of my chest. An unwanted, but welcome, intrusion on my body. Most of the time, I forget she's there. I've long since stopped covering her up when I leave the house, because I figured it's not worth my energy to constantly hide her. And, if anyone is curious enough to ask about her, I feel comfortable enough to give an honest answer to whomever that person might be (stranger or friend or new date) without full breaking down into tears. Today, though, I notice the little mountain she makes on my skin, right below my collar bone. My neck has been sore on that side for a few days, and so of course, my worry is back, thinking, "Shit, what if the cancer spread? What if it's in my neck now?" I know that this is highly unlikely, but I think for a few years to come, every ache and pain I experience is going to lead to that very thought. Penny is this physical reminder that I am still very much a cancer patient, and my body does not belong to me.
It is not easy being a cancer patient out of treatment. Well, out of the worst of treatment, since Herceptin still counts as active treatment. It's hard to feel like we (my doctors and I) are no longer doing everything possible to fight the cancer, therefore what if some microscopic bits of it escaped free and are still attacking my insides? I've hardly ever liked my body, and now I feel like I can't even trust it.
Not only is the sight of Penny slightly bothersome, my breast hurts. It's been 10 months since my surgery, and I still get shooting pains in my left breast, which is the side my tumor was on. The back of my arm from shoulder to elbow is still numb from nerve damage when they took out lymph nodes, making certain weightlifting movements at the gym difficult, and also frustrating.
This limbo of being between cancer treatment phases is difficult for me. I feel so incredibly far removed from the woman I was just 4 months ago going through chemo, but not yet entirely the me I want to be beyond cancer. Every time I get a little distance from my cancer, some part of it pulls me back in, to the reality that I'm still very much fighting this cancer, if you can call it fighting. Every little ache and pain is a reminder of what I went through. And even though I still rarely look in the mirror, my scars are proof that it happened.
I know that time will continue to move forward. I will eventually be done with Herceptin, and will be able to check that off of my treatment plan. Penny will be removed from my chest at some point next year, and then all I'll be left with are the physical (and mental) scars of my cancer. I'm trying to help myself heal as I go along, so that way when this final chapter does come to an end, I'm not completely terrified and anxious, but I can only do so much in the here and now. I plan on living in the moment. Smiling and laughing. Making plans for my future (next year's bucket list is growing: Costa Rica, skydiving, Half Dome...). Being grateful to be alive. Being excited to get to know someone new who sees me for more than my cancer.
These little reminders about cancer are hard. But I am so happy to be alive to tell my story and inspire others.
Thursday, October 8, 2015
Sunday, October 4, 2015
Constant Worry
People have congratulated me for being out of the worst of treatment - surgery, chemo, radiation - but I think what many people fail to realize is that life after cancer carries so many additional concerns and worries.
A while back, I mentioned I was having abdominal pain. It was behind my ribs on my right side, and I was worried about it, wondering if my cancer had spread. I set up an appointment with my PCP, and she scheduled an ultrasound for me. Going to that ultrasound was incredibly terrifying and traumatizing. I found myself in the exact waiting room from 7 months earlier when I had my surgery - the first in many steps of my long journey with cancer. I had to remind myself to breathe as I sat there waiting for my name to be called, trying not to panic. I walked the same halls I walked when I was on my way to getting nuclear dye and a wire guide injected into my breast. The ultrasound took what felt like an eternity, and with every measurement, every shot captured, my worry grew. There were times when the tech would zoom in on an image, and spend a long time scrutinizing what she saw, which made me even more concerned. At the end, of course she said that she couldn't tell me anything and that I'd have to wait for my doctor to review the images and get back to me. Luckily, a few days later, I was told that there was nothing abnormal about my ultrasound or my blood work, other than my cholesterol was high.
Well, for the past month or so, I've been having abdominal pain on the same side, but lower. Chemo put me into temporary menopause, what's often referred to as "chemo-pause", so I haven't had my period since February. I was given a drug called Lupron twice during my chemo that shut down my ovaries, with the idea that it would protect them from being harmed or damaged by the chemo drugs. They were 3 month injections, and the last one I received was in May. So, if you're doing the math right, my 3 months is up. But still no period. So, once again, I found myself worrying about a cancer recurrence, or possibly a whole new cancer. Ovarian cancer is a sister cancer to breast cancer, so the fact that my pain was coming from that area in my body this time around, I was worried that maybe there was a cyst. Once again, I found myself on the phone scheduling a doctor's appointment, this time with my OB. I had a plan - I was going to go in and demand an ultrasound (and not the exterior kind - the really uncomfortable and awkward trans-vaginal kind that I hadn't experienced since my IVF appointments in January), and then, if necessary, a CT scan. I pushed my fear and panic aside, and had a plan.
Luckily, I have an incredible OB. She's the first doctor I saw when I found my lump, so she's been with me through this whole experience from day one. As I waited in the room with the paper blanket over my lap, I kept wondering if that was the same room she examined my lump in (I'm about 85% sure it was). Rather than breaking down and fighting a panic attack like in the waiting room of my previous ultrasound, I felt confident that things were going to be okay, no matter what the outcome was, because I had a plan. Dr. Lee soon came into the room, rolling in the ultrasound machine behind her. I didn't even have to ask, she automatically felt like it was important to do the ultrasound right then. Though those types of visits are never comfortable, I was comforted by the fact that even she felt the ultrasound was necessary. The one good thing about the aches and pains I feel is that my medical team will no longer take any chances - so I will be utilizing my health care at every single sign of pain. I will never let someone tell me "it's nothing" or that I should wait.
The best part about Dr. Lee doing the ultrasound herself right then and there is that she explained everything to me as we were looking at it - what we were looking at, how big it was, if it appeared normal, and if there were any abnormalities. I didn't have to wait for the results. Luckily, everything was normal. There were no cysts on my ovaries, and my uterine lining was thin and normal. The conclusion? My body is probably just still confused and thrown off course by the chemo and Lupron, and might be trying to figure out if I'm going to have my period again. So far, it's still MIA, which I'm not complaining about. It's just a pain to have to be constantly ready. The consistency and routine of what my monthly cycle was like pre-cancer is long past, and I'm not looking forward to the chaos of my body figuring itself out again. I'm only just hoping that I didn't get put into menopause at the age of 28, because that would seriously suck. It's unlikely, but, so was me getting cancer in the first place, so I don't take bets on this kind of stuff anymore.
A while back, I mentioned I was having abdominal pain. It was behind my ribs on my right side, and I was worried about it, wondering if my cancer had spread. I set up an appointment with my PCP, and she scheduled an ultrasound for me. Going to that ultrasound was incredibly terrifying and traumatizing. I found myself in the exact waiting room from 7 months earlier when I had my surgery - the first in many steps of my long journey with cancer. I had to remind myself to breathe as I sat there waiting for my name to be called, trying not to panic. I walked the same halls I walked when I was on my way to getting nuclear dye and a wire guide injected into my breast. The ultrasound took what felt like an eternity, and with every measurement, every shot captured, my worry grew. There were times when the tech would zoom in on an image, and spend a long time scrutinizing what she saw, which made me even more concerned. At the end, of course she said that she couldn't tell me anything and that I'd have to wait for my doctor to review the images and get back to me. Luckily, a few days later, I was told that there was nothing abnormal about my ultrasound or my blood work, other than my cholesterol was high.
Well, for the past month or so, I've been having abdominal pain on the same side, but lower. Chemo put me into temporary menopause, what's often referred to as "chemo-pause", so I haven't had my period since February. I was given a drug called Lupron twice during my chemo that shut down my ovaries, with the idea that it would protect them from being harmed or damaged by the chemo drugs. They were 3 month injections, and the last one I received was in May. So, if you're doing the math right, my 3 months is up. But still no period. So, once again, I found myself worrying about a cancer recurrence, or possibly a whole new cancer. Ovarian cancer is a sister cancer to breast cancer, so the fact that my pain was coming from that area in my body this time around, I was worried that maybe there was a cyst. Once again, I found myself on the phone scheduling a doctor's appointment, this time with my OB. I had a plan - I was going to go in and demand an ultrasound (and not the exterior kind - the really uncomfortable and awkward trans-vaginal kind that I hadn't experienced since my IVF appointments in January), and then, if necessary, a CT scan. I pushed my fear and panic aside, and had a plan.
Luckily, I have an incredible OB. She's the first doctor I saw when I found my lump, so she's been with me through this whole experience from day one. As I waited in the room with the paper blanket over my lap, I kept wondering if that was the same room she examined my lump in (I'm about 85% sure it was). Rather than breaking down and fighting a panic attack like in the waiting room of my previous ultrasound, I felt confident that things were going to be okay, no matter what the outcome was, because I had a plan. Dr. Lee soon came into the room, rolling in the ultrasound machine behind her. I didn't even have to ask, she automatically felt like it was important to do the ultrasound right then. Though those types of visits are never comfortable, I was comforted by the fact that even she felt the ultrasound was necessary. The one good thing about the aches and pains I feel is that my medical team will no longer take any chances - so I will be utilizing my health care at every single sign of pain. I will never let someone tell me "it's nothing" or that I should wait.
The best part about Dr. Lee doing the ultrasound herself right then and there is that she explained everything to me as we were looking at it - what we were looking at, how big it was, if it appeared normal, and if there were any abnormalities. I didn't have to wait for the results. Luckily, everything was normal. There were no cysts on my ovaries, and my uterine lining was thin and normal. The conclusion? My body is probably just still confused and thrown off course by the chemo and Lupron, and might be trying to figure out if I'm going to have my period again. So far, it's still MIA, which I'm not complaining about. It's just a pain to have to be constantly ready. The consistency and routine of what my monthly cycle was like pre-cancer is long past, and I'm not looking forward to the chaos of my body figuring itself out again. I'm only just hoping that I didn't get put into menopause at the age of 28, because that would seriously suck. It's unlikely, but, so was me getting cancer in the first place, so I don't take bets on this kind of stuff anymore.
Subscribe to:
Posts (Atom)