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.