Showing posts with label life of a cancer patient. Show all posts
Showing posts with label life of a cancer patient. Show all posts

Thursday, October 8, 2015

Little Reminders

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.

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.

Wednesday, August 19, 2015

Roller Coaster

I wish I could better describe the roller coaster of emotions that come with cancer. One moment to the next is uncertain. I could be happy, or at the very least content, and then burst into tears. And I know that people without cancer experience these same mood swings, so it's not all inclusive to my experience. But, the cancer makes it different.

I know I could attribute the mood swings to a variety of things - the possibility that my period is about to come back, the fact that I'm still in a state of medically induced menopause, or simply that I'm a 27 year old female. But I know that it's deeper than that. I have anxiety and fear regarding the end of my various phases of treatment, and those attribute to a lot of my wavering emotions. I had an insane amount of anxiety at the end of chemo. I didn't allow myself to get excited about it because my thought was "well, now what? What are we going to be doing to actively treat the cancer after this?" Then came radiation, and that quieted the anxiety for a few weeks. But now the end of radiation is near, and that question has resurfaced. There's a lot of fear associated with "survivorship" that people fail to realize. Cancer is this all-encompasing thing for however long you have to deal with it, and then treatment is over, and you're left in a fog.

What comes next? Who am I without cancer? 

It's bittersweet to me that I still have to go in for Herceptin. On one hand, I want my cancer experience to be over. But on the other hand, I'm grateful that I'm not being thrown out to the wolves and forgotten about. Instead, my gradual decline of cancer appointments is giving me a little bit more time to accept the end of treatment, and what it means to live after cancer.

That concept is something I'm struggling with. I feel inadequate in life. I don't think I'm smart. Even before cancer happened, I felt as though I wasn't doing enough with my time. And now, after cancer, everyone expects you to become this amazing, strong, proactive person with a zest for life, and that's a hard expectation to fulfill. I'm putting all this pressure on myself to do something or be someone important, when in reality, I should be more gentle with myself considering what I, and my body, have been through. I really do want to make a difference somehow, but I need to stop thinking that I have to figure it out right now.

Earlier today, I let myself get lost in this fear of not having my life figured out to the point where I made myself feel physically sick. I ugly cried in my car while on my way to support group, hiding behind my sunglasses. My car is my sanctuary, and I just let it out. I had tried to suppress all of these fears I had about not "finding myself" after cancer, but today I let myself feel my feelings. It helped to be honest with myself and realize that I needed to let the tears happen, and then going to support group helped. Because the other women that were there don't have their shit figured out, either. We're all young, and still in the midst of fighting for our lives, so we don't have to have anything figured out just yet. I need to give myself permission to believe that and accept it.

I'm now drugged up on Ativan, because the looming panic returned after the group ended and I was walking towards my car, and I decided that being in a fog was better than being in a panic. Today was a high dose cancer day - radiation, doctor appointment, Herceptin, and support group, and it fell on a day where I really didn't want to do any of it, but had to. I'm hoping that the Ativan works its wonders and puts me at ease, and helps me sleep.

Tomorrow is a new day. Hopefully I'll be on a happier roller coaster by then.


Tuesday, August 18, 2015

Never Hide

Check out Nalie's TedTalk about being true to yourself.

"Never hide your imperfections, because that's what makes you beautiful. Never hide your weaknesses because that's what makes you strong. Never hide who you are because there is no one out there in the world like you, and someone out there needs you. The real you."

http://www.nalie.ca/tedtalk/

Friday, August 14, 2015

Everything Changes: Another perspective

On my last post about how everything changes, I was extremely focused on the loss of my former self. I've mentioned on several occasions how I need to mourn the loss of that person, and move forward, but that's easier said than done.

But the next morning, I realized something. Everything is constantly changing, and that's not a bad thing. I am not the same me of last summer, of 8 months ago, of even 5 months ago, or hell, even 5 minutes ago. And there's an extreme amount of beauty in that. It means that at any given moment, we have the power to change (most) whatever it is that's going on that we don't like about ourselves or our lives.

"If you don't like how things are, change it! You are not a tree." - Jim Rohn

Things change, people change, if life stayed the same all the time, it'd be pretty boring. I didn't need a cancer diagnosis to teach me that, but alas, that's where I'm at.

Lately, I've often referred to "cancer perspective" when talking about things to friends and family. As in, this cancer experience has made me able to really hone in on things that I do and don't want in life. I'm able to be more honest with myself about whether or not I want to finish my MA, what I'm willing to put up with in a relationship, and that despite the money, I'm not okay with the idea of working a job that requires me to work a 50 hour work week. There's no life in that. A good friend of mine is always preaching that you should "Work to live, not live to work." I want to actually be able to enjoy and embrace the rest of my youth, not spend it holed up at a job simply because it pays well. Yes, that's an added benefit, but I want whatever work I do to have meaning. I want to be able to change lives and inspire people.

On Tuesday, I had lunch with my former boss and dear friend who's now more like family. When I expressed all of my concerns to her, she stopped me and pointed out that I was trying to tackle too many things at once. She gently reminded me that right now, I only need to get through radiation. That's my full time job. Then, I should focus on one issue at a time, rather than overwhelm myself and try to solve multiple problems at once. She talked me off my ledge.

Yesterday, at lunch with Becky, I continued to down talk myself - about how I don't like the way that I look at the moment. And she said, "Hey! Don't talk about my friend like that." And that was a slap in the face. She's right. I wouldn't like it if she talked about herself like that. And at this extremely difficult time in my life, I need to be better at being my own best friend. I was doing a decent job of treating myself during chemo - buying flowers to perk myself up - but I haven't done that lately. Becky played that role for me - treating me to lunch, shopping, and a manicure and pedicure, again, reminding me that I should be more gentle with myself. I didn't choose this road, but how I handle it makes all the difference in moving past it.

So yes, everything changes. But I have a choice in I respond to those changes. I choose to be better.

"Incredible change happens in your life when you decide to take control of what you have power over instead of craving control over what you don't." - Steve Maraboli
"You aren't what's happened to you, you are how you overcome it." - Beau Taplin
"Some women are lost in the fire. Some women are built from it." - Michelle K 
"I survived because the fire inside me burned brighter than the fire around me." - Joshua Graham