Why Me? Part Two.

Hiking along the Harpreth River Narrows, TN

The name of my blog is a reminder not to give all my energy to something that worry cannot control—something that can happen to anyone, at any time, for no clear reason.

Why me?

Why not?

Last fall, I changed oncologists. I mentioned an area of concern that one of my surgeons had noticed on a scan two years earlier. My previous oncologist decided to “watch and wait,” but that never sat well with Bobby or me.

My new oncologist moved quickly and immediately began investigating. She ordered scans and referred me to a thoracic surgical oncologist, who ordered more detailed imaging followed by two surgical biopsies.

First, we needed to rule out recurrent breast cancer. Another major concern was pancreatic cancer because the scans revealed a cluster of enlarged lymph nodes and a mesenteric mass surrounding the celiac artery.

That brought us to March and, once again, we waited—through appointments, blood tests and consultations.

My diagnosis: follicular lymphoma, a type of non-Hodgkin lymphoma.

Blood cancer.

Speed bump.

For two weeks, we sat with the possibility of a surgically implanted port and R-CHOP chemotherapy.

The thought of putting my life on hold so that I could continue living made me angry. I was in disbelief.

My body and mind had already endured so much during the previous two and a half years: breast cancer, a pandemic, six surgeries, my brother’s death and even my big boy leaving for college two states away.

Despite everything, I honestly had never felt stronger—physically or mentally.

Gradually, my anger and disbelief began to soften.

I started preparing for a pause in my life so that I could protect my future. I prioritized the things I wanted to continue and considered what I might need to put on hold.

I knew I wanted to continue practicing and teaching yoga, so I decided not to plant a garden that year. A summer family vacation seemed unlikely, so we planned a last-minute trip to Nashville for the week before treatment.

I researched nutrition and ways to manage the possible effects of chemotherapy.

I cut off my hair.

Less than a week ago, I added another oncologist to my anticancer army. Her specialty is hematology.

She explained follicular lymphoma by comparing it to a weed in a garden: We treat it, watch it and, if it grows again, treat it again. It is generally considered incurable, but it is treatable.

She leads the department and is also involved in research—a rock star in hematology-oncology.

She gave me several treatment options. The first choice was targeted therapy using rituximab, a monoclonal antibody given through weekly infusions.

It seemed like a good place to begin.

I’m all in.

And just like that, we start Friday.

For the next four Fridays, I’ll be at the cancer center for treatments that could last between five and eight hours. After the fourth week, I’ll take a break and have scans to measure my response.

We are hoping to see the mass shrink significantly. If it doesn’t, my doctor has more options in her cancer-fighting arsenal.

For now, we are beginning with a treatment plan that is expected to be less difficult on my entire body than traditional chemotherapy.

I can garden. We may still be able to take a vacation. I’m embracing my short hair and, of course, continuing with yoga.

I can still do the things that matter to me. I may need to slow down, but all my energy is focused on this treatment working.

Why me?

Why not?

If you would like to join me, please send a little love, energy, encouragement and a few good thoughts my way.

Season Transition

The boys are in their second week of online school, but I’m not ready to let summer go!

I had understandably lowered my expectations for the summer because of COVID-19, cancer treatments, a second surgery, closed beaches, canceled flights, canceled college tours and canceled summer camps.

But I have to say that I’m continuing to enjoy a wonderful summer, even though the school year has already begun.

Really, I am!

We certainly made some adjustments, but the summer was still filled with family, friends, beach trips, girls’ weekends, a couples’ weekend, plenty of grown-up lunches and even a surprise 50th birthday celebration.

Yep, I turned 50!

I can honestly say that a day or two will sometimes pass without the word “cancer” crossing my mind.

It always finds its way back, but I’m better able to manage those thoughts. Cancer no longer has the hold on me that it once did.

I’m doing everything I can to care for my body, mind and soul. That has to be enough for now.

I have things to do!

My doctor’s appointment went as expected, with no new developments. I’m still taking Tamoxifen and will continue for at least the next five years.

The side effects are either diminishing, or I’m learning how to live with them.

Thriving while staying-home

Sometimes it takes a while for the blessing in a situation to reveal itself, but I immediately recognized that the stay-at-home order could be good for me.

Without carpools, after-school activities, tutoring, errands and routine appointments, I have time to concentrate on my health.

That feels especially important because my test results took much longer than the 10 days originally promised. Those results would help determine the next step in my cancer treatment.

I tried to view the delay as extra time to prepare for whatever came next—and as time when I could protect my immune system during a pandemic.

A blessing.

I should also add that on some days—many days, actually—the word “cancer” leaves my mind. In its place, I find room for relaxing, watching, reading and simply being.

I’ve gradually regained my strength through walking, biking, a little tennis and even running a mile or two.

Last week, I finally received my results. I’m still absorbing the news.

My recurrence score was low, indicating that chemotherapy was unlikely to provide enough benefit to outweigh its risks and side effects.

No chemotherapy for me!

It was a surprise to all of us, including my doctors.

My treatment plan includes close monitoring, follow-up imaging as recommended and hormone therapy to reduce my risk of recurrence. At this moment, there is no evidence of cancer, and I am deeply grateful.

I still have a couple of surgeries ahead of me. I don’t yet know when they will happen, but I will share more when I do.

Until then, I have so much to be thankful for—and I’ve already gone through two bulk-sized boxes of thank-you notes!

Post-surgery check in!

I’m caught in another waiting game: waiting for pathology results.

Because I chose to have my surgery through a different hospital system, there was some miscommunication and a delay in sending my results. What would typically take about two weeks is now taking four.

As I have mentioned before, my definition of time has changed since my diagnosis. I’m continually reminded that this is a “slow-growing” cancer, but I can’t say that puts my mind completely at ease.

Tick. Tock.

Pathology

My pathology sample will be used for Oncotype testing, which examines the activity of certain genes in the cancer tissue. The resulting score will help my doctors estimate the likelihood of recurrence and whether chemotherapy may be beneficial.

We already know that my cancer is estrogen-receptor-positive and that hormone therapy will be part of my treatment for the next 10 years.

Healing

I’m standing much more upright, and today I walked two miles—my farthest distance so far.

It seems I can walk well every other day. The following day, my back pays the price.

“No pain, no gain.”

My incisions are healing, but my abdomen is still very tight. Imagine filling your stomach with air and stopping in the middle of a breath. Tight!

My DIEP flap surgical sites are healing, and some sensation is beginning to return. For now, there is a great deal of tingling as the tissue and nerves heal. At times, it feels as though my shirt is made of sandpaper.

As uncomfortable as it feels, I’m told this is a positive sign.

Blessings

There are too many to count: family, friends, neighbors and all the mail. I’ve read every card more than once.

My meal train keeps my boys fed and my kitchen clean. My parents are “parenting” the boys, handling grouchy mornings and providing miles of taxi service.

My husband tends to my wounds and remains at my beck and call with icy water, hot coffee and middle-of-the-night pillow adjustments.

He even vacuumed today.

Yep, I can’t say I have much to complain about!

Walking with Petals, my 13-year-old pooch—loyal and never far from my side.

5K is My New Marathon!

Saturday morning, I laced up my running shoes, ready for the Crush Cancer 5K.

I’m a runner. I simply love to run, and I’ve run countless miles. Only two weeks after surgery, I knew I couldn’t walk—let alone run—most of the distance, but I was going to do it anyway.

With special permission to “cheat,” I completed most of the 5K on an electric bike.

I looked like a Shriner clown in a parade, but I didn’t care. I was determined to be part of this community and support the cause that brought us all together. Cancer has affected everyone in one way or another.

I “ran” with my family, friends and neighbors. I walked the final portion of the 5K with my big boy, Justin, and Pink Petals.

Sure, I was the last person to cross the finish line, but next year I plan to place!

Once it was over, I was exhausted, but I had a wonderful time. I spent the rest of the day cozied up in front of Netflix.

Coming out with Cancer: The C Word

I have breast cancer.

Saying it, writing it and even thinking it feels shocking, awkward and difficult. I know the person receiving this information often feels much the same.

The purpose of this story is not to explain whom I chose to tell. It is to acknowledge the simple fact that I had a hard time saying, “I have cancer.” I also want to share the reactions and responses that brought me peace—the ones that reminded me I wasn’t alone.

Telling my family was extremely difficult. It was Christmas, and our house was filled with people whose experience with cancer was still all too recent because of the loss of my brother. The holidays are a bittersweet reminder that he is no longer with us.

We chose not to share my diagnosis until after the holidays. It was difficult, and at times I had to leave the room with a lame excuse, but I can honestly say it was one of the best holidays we’ve had.

Somehow, peace and relaxation settled over all of us. What is usually a hectic time found us spending entire days together on the back porch—just being together.

Telling my closest friends was also hard. I overthought every detail, primarily because I wanted to make it more comfortable for the person receiving the news. I don’t know why.

In my mind, I rehearsed it. Should I say it by phone, by text or in person?

I couldn’t say the “C” word. I found myself using phrases like, “My biopsy wasn’t good,” or “I’m having a mastectomy.” Anything but that ugly word.

How would they react? How would I react?

I didn’t want to cry. I was tired of crying, but I always cried.

With each “cancer reveal,” I felt emotionally and physically drained. I needed a two- or three-day break between each conversation.

There was one friend I especially wanted to tell in person, but she was out of town with family. On Christmas Day, I accidentally sent her a text asking, “How was your cancer?” instead of, “How was your Christmas?”

Freudian slip?

Another friend simply knew instinctively.

It has been nearly three months since my diagnosis, and every day another friend is just finding out. It’s not as though I could send a mass mailing or make an announcement on the local news. Imagine telling a yoga friend just before savasana.

There is never a perfect time.

The good news is that each conversation became a little easier because of the loving responses. Yes, I received a few odd, dismissive or unexpected reactions, but I credit most of those to the shock and awkwardness of adding “cancer” to a conversation.

I hope cancer does not enter your conversations anytime soon. Unfortunately, it may someday. If it does, I want to share the responses that brought me the most peace:

Extra-long hugs.

A loving look.

Reminders of my strength.

Assurances that you will be by my side.

Someone holding my hand.

A joke that cancer has already met its match.

Continued encouragement and regular check-ins.

Most importantly, the “thoughts and prayers” offered hundreds of times. I felt loved each and every time.

There is tremendous power in thought and prayer.

It’s working, my friends.

How are you feeling? Really.

4FE1E675-0268-41E8-A367-5AD20F5268EDA longtime friend stopped by yesterday to chat. No matter how much time passes, our rapport never skips a beat. She is someone whose questions I can always answer honestly, and I want to offer that same honesty to anyone taking the time to read my story.

How am I doing mentally and physically?

“How are you feeling? Really?” she asks.

Mentally

I respond with tears in my eyes. Holding them back keeps the words at bay. It is quiet, and my friend patiently gives me a moment.

“I’m doing really well.”

She understands my tears because cancer has also deeply affected her life. These are tears of relief. The surgery is over, but I will never forget how scared I was during those two marathon months leading up to it.

I was scared of the pain, the recovery and the restricted activity. I was scared of how surgery would change my body, of losing my fitness and, most importantly, of what it could mean for my family.

The surgery is over, and the greatest fear has passed. My future still holds uncertainty and a challenging road, but I am moving forward.

“Fear is only as deep as the mind allows.”

I have faith in God, my oncology team, my friends and family, and myself.

Faith overcomes fear.

Physically

My body is recovering. My surgery involved a bilateral mastectomy, lymphadenectomy and DIEP breast reconstruction, which stands for deep inferior epigastric perforator flap reconstruction. The procedure uses tissue from the abdomen to reconstruct the breasts, with microsurgery reconnecting the blood vessels.

Chest

Since the first day, I have had very little feeling in my chest. It looks a bit Frankenstein-like, but I have not had much pain there. As the reconstructed tissue heals, I’m told I may regain some sensation. For now, there is tingling as everything begins to heal.

Armpits

I have discomfort in my armpits from the lymph node surgery. The incisions are located where my arms constantly move. My concern about lymphedema is greater than the discomfort, so I continue gently moving and reaching.

Abdomen

My abdomen has caused the most pain. I quickly discovered just how involved the abdominal muscles are in every little movement.

I have a 16-inch incision that is sewn very tightly. My stomach feels like a drum. The funny thing is that I didn’t even realize they had made me a new belly button until a few days later, when I was finally allowed to shower.

The incision prevents me from lying flat, sitting straight or standing upright. Almost any position that would normally feel restful is uncomfortable. Thankfully, the pain decreases considerably each day.

I credit some of my progress to my daily yoga practice before surgery—and to my inability to sit still.

Back

As the other pain lessens, my back seems to hurt more. I’m using muscles differently because I cannot stand, sit or lie flat. This will pass, but sooner would be better.

I cannot stand in one place for long, I use a cane to walk and I would do almost anything to feel the stretch of a Sun Salutation. That will have to wait for another day—one still far away.

Seven days after surgery, I completely stopped taking the major pain medication. I now use only ibuprofen, Tylenol and prescribed medication for the muscle spasms in my back.

This has been a long post, so I’ll leave you with words shared by another wonderful friend:

“Why stop the tears if they want to fall? Sorrow, fear and anger are looking for a way out. Why not show them the exit? Then perhaps laughter, hope and resilience can move in and stay.”

Two Days Post Surgery

We received wonderful news: Only the sentinel lymph nodes were removed. This is a good sign that the cancer has not spread.

Last night, I was able to sleep in three-hour stretches. Throughout the night, the nurses remained vigilant—clearing drains, checking tissue, changing IV fluids, administering countless pills and monitoring my heart rate, blood pressure and temperature.

Regardless of the hour, even at 3 a.m., going to the bathroom is quite an ordeal. Bobby was sleeping so deeply that I resorted to throwing pillows and empty cups to wake him.

We unhooked cables, leg cuffs and monitors. I gingerly inched out of bed and, shuffling behind my IV cart, made the arduous journey to the bathroom. The journey back is another story in itself.

Last night, I received well wishes from so many friends and family members. My mom and the boys came for a visit and brought baskets of gifts filled with love. My boys took turns walking with me through the halls of the ward.

I hope to see them again tonight, but there are weather warnings, and we don’t want them traveling on unsafe roads.

It took some time to get comfortable this morning, but right now I am feeling pretty good. My teeth are brushed, my belly is full, Bobby combed my hair into a ponytail and I’m snug in my bed.

The doctors say I’m healing beautifully and expect me to leave on Saturday or Sunday.