Tagged: ovarian cancer

Checking In

I recently had the pleasure of being interviewed for an article on dealing with life post-chemo for our local newspaper, the Dallas Morning News. I say pleasure, but it was actually tough to talk about that time in my life, even though I think about it all the time. Looking at photos of that time was even tougher.

If you’re interested in reading, here’s the link: https://www.dallasnews.com/life/healthy-living/2017/10/02/declared-cancer-free-still-feel-sad

Boxes with Bows

I have a very bad habit of trying to compartmentalize my life. I want everything settled, tied up in a pretty red bow, and organized neatly on the shelf. Running in one box, knitting in another, and cancer in that large box in the corner.

Apparently I do this with my blogs as well.Giftbox_icon

Rather than be happy with one all-encompassing blog, I periodically feel an overwhelming need to separate things out–kind of like when you don’t want the mashed potatoes touching the green beans on your plate. I felt like my cancer story took over this blog, so I started a new one–and then only wrote one post. And didn’t write anything here. Or on my running blog. And my knitting blog has also been severely neglected.

And that’s not to mention the gardening blog I tried out years ago, or the photography blog. I think I can still remember my husband suggesting that it might be difficult to keep up with all the different blogs . . .

Enough! Mind Margins has always been my home blog, the place where I can write my thoughts and experiences about anything I want. The byline “thoughts on being human” is there for a reason. The fact is, I can’t separate out anything that’s happened to me these past two years into separate little boxes. I think having all those boxes has actually kept me from writing–and I need to write. Running and writing are the best therapies, and God knows I need them both.

I will admit that I also needed this past year to process what I had gone through. Cancer didn’t end when I stopped chemo. In fact, in a way, that was the easy part. All I had to do was get through it. It was my 24 hr a day job for over six months. But once the chemo drugs worked their way out of my body (which took longer than I thought it would), I was left with a lot of what-if’s, whys, and what-nows. More than anything, I’ve spent the past two years learning to live with uncertainty. That’s something I’ve been working on my whole life, and will probably continue to do until the day I die.

Another reason I didn’t write was because I was embarrassed by the attention. You would think someone who shared every gory detail of having cancer, and who shares probably more than she ever should about everything else in her life, would love the attention. After all, no one made me write about any of it. Instead, I felt like a show off. And I have only myself to blame.

(Why did I never think of writing an anonymous blog??? Problem solved!)

My only intention in sharing so much about what I went through was to help other people who might be going through something similar. I found very few stories from other women who had ovarian cancer, and I felt the need to help someone else. That desire is still stronger than ever–and that’s why I keep writing about cancer. Life does go on, but it will never be the same again. And that big box in the corner, the one labeled Cancer? It’s getting smaller and smaller as the months go by.

Hitting the publish button is a scary thing. I cringe every single time I post something. The thoughts in my head range from Why would anyone care what I have to say to I sound like a complete idiot. Ultimately, I write for myself. I always have, since the day I first put my stubby pencil to a Big Chief pad. I write because I have to.

So I’m raising the white flag and calling a truce between me and my blogs. I’ll probably shut a few down. If surviving cancer has taught me anything, it’s to keep things as simple as possible, and to get rid of the stuff that’s not important.

Time to clean out some boxes.

(photo courtesy of petercui [Public domain], via Wikimedia Commons)

This is What Happens When Cancer Takes Over Your Blog

Top searches that brought people to my blog this month:

– i’m 63 will i definitely lose my hair during chemotherapy?

– golytely not working kids

– i did my golytely prep but it feels like something is stuck

– chemo day 14

peach pit and seedling

Well, I have only myself to blame.

It’s been awhile. I’ve been busy. Very busy. So busy I pretty much stopped writing for six months.

Let’s just say, life is good. Very good.

Last year was an incredible year. I got married, was in the best shape of my life, had just come back from a vacation in Utah (one of my top three places on earth) with my son and his girlfriend, and had enough finished knitted items to toy seriously with the idea of starting my own little business.

And then at the end of May I went to the ER. And quickly discovered I had cancer. Ovarian cancer.

I won’t go into detail about that year. I wrote extensively about the experience here on Mind Margins. After surgery and chemo, I was declared cancer-free by December 2013.

It was an incredible experience. I am so lucky to have caught it early and to have survived. Two friends I made during that time, and the majority of women who were diagnosed with ovarian cancer last year (all years, in fact), weren’t so lucky.

Looking back at this past year post-cancer, I suppose I went through a modified version of the stages of grief. During treatment I was nothing but positive. I never, ever thought I wouldn’t survive. Post-chemo, however, was another story. Looking back on what I had gone through, and survived, I initially felt scared. I thought a lot about dying. That turned to anger. Then sadness. Then just plain depression. It didn’t last long, but these past few months I needed a break from all things cancer.

And every time I sat down to write, my fingers wanted to write about having cancer. My brain didn’t.

So I did everything but write–which means I got a lot of knitting done. I started running again. I spent a lot of time just sitting and thinking about what had happened and the things I learned from it. I put things in perspective and reorganized my life. My husband and I finally went on our honeymoon.

I grew my hair back.

And I knit. I knit a lot, sometimes for hours and hours. These past six months have been filled with family and love, appreciation for life, and learning to pick up where I left off. It sounds trite, but things that used to seem so important really aren’t anymore. When little things get to me now, it’s easier to see how unimportant they are. I don’t brood for days over them, like before.

I know how short life is, and how every moment is a choice. Either we embrace what we’re given and move forward, or we stay stagnant in resentments and feelings of injustice.

Relationships are important. Being kind is important. Never forgetting how short life can be is really important.

Though I haven’t been writing, I’ve been reading. I may not have commented on my friends’ blogs, but I have been keeping up.

I’m running again, and am up to 10 miles. I’m slower than I was before, but that’s okay. My oncologist says I’ve inspired her to run, and we’ve run two 5K’s together, both of them benefiting cancer. I even have my future daughter-in-law running with me. I’m also doing strength training and eating much healthier than before. Except for some residual chemo brain fog, I feel great. I’m not the same person I was before, and that’s a good thing.

I’ve learned a lot from cancer, but it’s time to release its hold on my blog. Here’s to more writing, more questions, and more thoughts on being human.

– Angela

Picking Up Where I Left Off

I’ve been procrastinating. I’ve been doing everything but finish the post I had started about my second round of chemo. I had planned on finishing the story. Instead, I’ve done everything but write about it. In all honesty, I’ve forgotten a lot of what happened. Whether from the chemo drugs or selective memory, I don’t remember as much as I thought I did. I made notes during that time, and we have video and photos, but I haven’t wanted to look at them.

The main reason I’ve been procrastinating, though, is nothing other than pure dread of reliving the experience. Now that I’ve put a little distance between what happened and my return to “normal” living, I much prefer the way things have turned out. It’s hard to leave the bright lights of survivorship and go back to that dark, scary place.

And so I keep putting it off. I write about knitting. Or I don’t write at all. I have enjoyed getting my life back on track and feeling good again. I do yoga. I run. I go for a walk. Last weekend I ran my first 9 mile loop around the lake since last May, with walk breaks, and I’m starting to feel as good as I used to. Running is still very, very hard. It’s taken me much longer than I thought it would to get my conditioning and stamina back. I still have to walk a lot, and after every run I am bone tired. But I realize every step, no matter how fast, is an accomplishment. Thankfully, I have good friends who still want to run with me, despite the walk breaks.

shoe polished car

My friends thought it would be funny to shoe polish my car while I was running to commemorate the loop.

shoe polished car

So funny.

shoe polished car

So, so funny.

I have been very emotional lately. All those salute to mothers commercials during the Olympics always made me cry. Any athlete’s story that was highlighted made me cry. Even seeing the winning athletes stand on the podium made me cry! I seem to feel things more deeply now that I know how tenuous life can be.

Reading other cancer patients’ blogs makes me feel so sad for them. I love reading them, but I feel frustrated that I can’t help. I saw a bald woman walking her dog at the lake the other day and I instantly teared up. I wanted to run over to her and tell her how beautiful and brave she was for walking in the open without a scarf. I didn’t, and I wish I had. I was never brave enough to walk around without a cap, even at the cancer center.

I dreaded going back to the hospital for blood work a few weeks ago for my three month check up. I thought that sitting in the waiting room amongst the people going through chemo was going to make me want to cry. It didn’t, and instead I looked around at all the amazing, strong, upbeat people who were waiting for chemo. They all had hope, and it made me proud to know I was once one of them. Instead of feeling sad, I felt powerful for having made it through. I got to see the chemo nurses. Seeing my oncologist and her nurses felt like going to see my family. And my CA-125 cancer antigen number was a 9, the lowest it’s ever been.

I celebrated a birthday this month. It was, of course, a very special birthday, one I might not have seen if we hadn’t caught the cancer as early as we did. A year ago Saturday was the last marathon I ran before I got sick. There are lots of milestones ahead in the coming months, and I plan on celebrating them all.

The kids are all gone again and the house is a lot more quiet. We’re starting a large vegetable garden in the backyard and I’ve been eating a lot healthier than I was before. I love being able to enjoy and savor the taste of good, simple food again. Losing my taste buds and not eating were by far the worst parts of chemo. That, and losing my hair, which has grown out to about an inch now–with a lot more gray, dammit. My body looks different after being sliced open and having tubes inserted for chemo ports, one of which still remains in my chest.

mulch pile

The huge mulch pile we had delivered that had to be transported to the backyard. You can tell how excited I was. But at least I’m no longer the bald headed lady who lives on the street.

I’ve changed. There’s no way around it. The first few months after chemo were joyful. Everything was shiny and new. I had my life back. I had dodged a bullet. That was so close! Nothing could touch me now. I was like teflon; all the small aggravations and worries seemed inconsequential and insignificant.

Now that things have settled down again, and I physically feel almost as good as I did before I was diagnosed, I’ve had more time to think about all that I went through. I’m a little more somber. The shiny, happy feeling is a little more tarnished. The fog cleared and I understood for the first time how serious everything had truly been. I could have died. Chemo was hell. How did I get through all that? Every slight twinge of pain anywhere in my body now makes me instantly worried. What if it comes back? is always in the back of my mind.

But I survived. Hopefully the cancer will never come back. If it does, I know I’ll be able to deal with it, like so many others have done and continue to do every day that they’re given. I’m only one of many who have gone through this. Some days I’ll feel sad about what I went through, but most days I won’t. There’s no reason to. I’m alive, I’m healthy again, and life is very, very good.

And one day I will finish the story I started, all in good time.

yoga dog

Look at all that hair! Yoga dog just wants a good belly rub.

A Begrudging Salute to Chemo

CHEMO WEEK 2, Treatment #3:

The first two chemo treatments were really rough. After years of running, and being a naturally outdoorsy type of person, it was so hard to lie around in bed and be sick. By Thursday of the second week, my third chemo treatment and the last one in the first three week cycle, my appetite had returned and I felt good. Just in time to get knocked back down again!

The week after the first two treatments I pretty much lived on white rice, homemade fruit smoothies, Ensure, and cheddar popcorn. I realized quickly that any calories I could tolerate were good calories, no matter how nutritious they were. Nothing sounded more disgusting than vegetables, raw or cooked. The chemo made me so sick I didn’t even want to drink water–which is bad because chemo can damage the kidneys if they are not flushed out enough.

After surgery and the first two chemo treatments, my weight was just south of 110. I was very thin, and I knew I had to eat. And drink.

The “electric” feeling I had after the first two treatments slowly dissipated from my body, and I was even able to meditate a little and do some very easy yoga. The meditation really helped me to calm down when I felt like I was going crazy. Meditation is usually one of the hardest things in the world for me to do, but it really helped.

I had also decided to cut my hair again, even shorter, because I knew its days were numbered.

chemo

I was starting to recognize certain people in the cancer center waiting room: the breast cancer woman who always came with the same friend, who rarely looked up from her iPad and looked like she might be a teacher (all teachers have “that look”);  the tall, thin man wearing the track suit who moved to another seat away from us the first time I saw him–who this time said hello, talked about being bald, wished he’d cut his hair years ago, talked about how expensive it was for his wife to do her hair, discussed his wife’s friend who had a beauty shop in her house, and how we should go to beauty school and cut hair in our retirement; and another tall, thin man who smiled sadly at me and walked very, very slowly when they called him back to the infusion rooms.

I also met a possible distant relative. The receptionist told me one morning when I checked in that there were two patients with my last name in their computer. Turnage is a fairly uncommon name, and this was unexpected news. As we waited in the lobby, a nurse called out Turnage! from the wrong direction. I stood up, confused–and so did the man sitting next to me. We looked at each other, I asked “Are you a Turnage, too?” and he nodded. We agreed we had to be distantly related when he told me his family could trace their ancestry to two brothers named Turnage who emigrated from Ireland to North Carolina, which is similar to a story I’d heard years ago.

Sometimes you may discover you have more than cancer in common with the people in the cancer waiting room.

It was a very long day. I went into the chemo room at 8:15am and wasn’t done until 5:00pm. My oncologist’s nurse was waiting for me when I got to the chemo room and said that I looked great for someone who had such terrible numbers. Apparently my blood work showed that my potassium and magnesium levels were low and my heart rate and blood pressure were elevated. I knew the IP chemo had been tough, and the numbers agreed.

I was given a 6 hr potassium IV drip in addition to the Taxol IP. My sister stayed with me the entire time and we watched The First 48 Hours on A&E.

Chemo is boring. IV (intravenous) chemo is administered into the port in my chest. I sit in a recliner and let the cancer killing chemicals slowly drip into  my veins. IP (intraperitoneal) chemo goes into the port directly into my abdominal cavity, on the same side where the tumor was located. For IP chemo I have to lie in a small bed and turn on my side every twenty minutes. I set the alarm on my phone in case I fall asleep (which is often). In addition to the chemo drugs, a massive amount of fluid is pumped into my abdomen. It’s not painful, but when IP chemo is finished I feel like a big juicy watermelon. And I have to go to the bathroom a lot.

Some of the drugs make me sleepy. I’m actually happy when I nod off because it makes the time go by faster. I rarely watch TV. Sometimes I turn it on just for the distraction, but mostly I just recline or lie in bed and somehow the hours tick away. I always have someone with me, usually my husband and either my daughter, Dominique, or my son’s girlfriend, Nicole, to stay with me and drive me home.

chemo drugs

After the third chemo treatment, I thought maybe I could eat some Asian food with rice. My stomach and the chemo drugs gurgling in my belly had other plans. I will spare you the details of dinner and the effects of the IP chemo on my stomach. Maybe Thai food wasn’t such a good idea. Lessons learned . . .

If you’ve stuck with me through these tough past three posts, bless you. I promise it does get better. I don’t generally like to dwell on the hard times, but those who know me know that I don’t like to sugarcoat things. Chemotherapy is the hardest thing I’ve ever done, and in honor of all the people through the years who had no choice when they were dealt the cancer card, and were saved by chemo, I’m giving it the respect it deserves.

Chemo, I may hate you, but I salute you nevertheless!

Super Bald

Everyone has told me that my hair will start falling out fourteen days after the first chemo treatment, emphasis on WILL. I await this momentous occasion with trepidation, false bravado, and magical thinking that everyone is just plain wrong.

chemo

At my first chemo treatment, with shorter haircut #1

Monday: I am aware of the fact that my hair should start falling out in three days. While sitting in the car, waiting to order a sandwich at Great Outdoors, I feel something on the back of my head. I rub the spot and think, “Great. I’m going to be bald and have a zit on the back of my scalp.”

But there is no bump. Then I realize my scalp hurts, like when you wear your ponytail too high all day and then take it down and your hair is confused as to which direction it should bend. I’m thinking this is the beginning of the end. I’ve heard this is how it starts.

My husband (who is bald) wants me to shave it off, immediately. He tells me to “own it.” He is chomping at the bit, over the moon that, finally, someone will understand how he felt when his hair started falling out in high school. I’m glad I’m talking to him on the phone and not in person so he can’t see my huge eye roll.

I tell him I’m not going to shave my head until I’m certain that my hair is really, definitely going to fall out. I’m still holding out hope that I’ll be one of the lucky ones, that Taxol won’t affect me like it does almost everyone. I know I’m deluding myself, but you never know, there’s always a chance.

Time to pull out the scarves and practice tying knots.

short hair

Shorter haircut #2, and looking mighty thin after surgery and the first two cycles of chemo.

Tuesday: My son’s girlfriend and I have a discussion about not shaving my hair until I’m absolutely certain that it’s really going to fall out. She uses the words “clumps” and “patchy.” She thinks if I cut it really short and it comes out in clumps, I might have bald spots. If I keep it long then at least the longer pieces might cover up the patches.

Am I really considering a female comb-over for myself? Has it really come to this?

The hardest thing of all is going to be losing my eyelashes. I can imagine myself bald, but I cannot for the life of me imagine myself without eyelashes. Eyelashes are pretty, and mine have always been long and worthy of mascara. I resolve to continue wearing mascara until I have only three eyelashes left. Less than that would look ridiculous, right?

Now, losing the eyebrows is an entirely different matter. I don’t mind losing them at all. Here’s to a pluck-free next three months! And how can I complain about not having to shave my legs for the next three months?

Wednesday: My husband can hardly contain his excitement about getting to shave my head. It’s like Christmas in July. Who knew he could derive such joy from such a weird thing? Is this every bald man’s secret dream, to have their wives lose their hair and get to shave it off for them??? I’m mildly disturbed but glad he’s willing to help.

Thursday: Definitely more pain on the back of my head why I wake up. Hair still hanging tight, though.

Friday: A trip out of town has put some distance between my husband and his razor, thank God. This trip was needed, if only for that reason. For the first time, after I wash my hair, I notice a small handful of hair. The exodus has begun.

While visiting relatives in Oklahoma, including an uncle who is battling cancer, my aunt shows us photos of his curly post-chemo hair. I can only dream of getting the curly hair I’ve always wanted. My aunt’s sister-in-law, also a cancer survivor, tells me how hers fell out within a week. Her advice: “shave it all off.”

Saturday: More hair loss. An unexpected trip to the ER later that night (due to an infection where they removed the IVF filter from my neck), and seeing the semi-long strands of hair all over the pillow are proof of the truth. This is really going to happen.

losing hair

It has begun.

Sunday: I’m not happy about being in the hospital on my “good,” non-chemo days. Maybe this colors my thinking, but I’m starting to feel very sad about losing my hair. I thought it would be no big deal. I’m actually dreading having to shave it off.

Monday: I’m released and get to go home. I tell Michael it’s time. Let’s do this.

I’m crying before he even starts shaving. I’m surprised. Why is this so hard? I realize that for the first time in my life I will be bald. I had a full head of hair when I came into this word, jet black American Indian hair my mom always said, so this is something completely new. It feels like the time I decided to ride the double loop roller coaster for the first time with my son, how I would have paid someone any amount of money to stop the ride and pull me off before we got to the top of the hill and descended into the first loop.

I do not want to shave off my hair.

He gets out the electric shaver and starts shaving. I cry the entire time. I hate it so much.

cancer scarf

I really, really hate this.

Afterwards, I look at myself and think of all the things my female friends have said when discussing this: You’re going to look great. You have such a pretty face. I can’t wait to see what you’ll look like.

I look like a concentration camp victim. I look like a bug. I look really ugly.

I don’t want anyone to see me. I am so embarrassed.

What is up with me? I’m a feminist! It’s just temporary!! I am more than my hair!!!

I am almost bald.

chemo hair

Fake smile. I’m still crying inside.

It takes me days to get used to the shock of seeing myself in the bathroom mirror. I wear a scarf or hat and never take it off until the lights are off. What I could hide before is now visible to the entire world: I have cancer. I could pick and choose who I let know what I was going through before. Now, there’s no hiding.

When I reached a certain age, namely 50, I noticed I suddenly became a little bit invisible. Ask most middle-aged women and they will tell you the same thing. There’s a certain threshold a woman reaches when male eyes glance and slide past to younger, greener pastures. But there is also a freedom that comes with being invisible, a more carefree kind of existence, and you learn to accept that you have to make yourself visible with more than just your looks.

But now, suddenly, people were looking at me again. Their eyes would linger just a little longer than they should, noticing my scarf and lack of hair. It wasn’t mean-looking, it was more curiosity-looking. It’s summer in Texas and she’s wearing a scarf. Something must be wrong with her.

chemo head

Almost gone.

And that’s the problem right there. I hate having to show my weakness to the world. Even against something like cancer, I hate having to show others that there is something that may be stronger than me, something I can’t fight off or wish away.

Being bald is the manifestation of the weakness one has to accept when they have cancer. It’s the loss of control that’s on display for everyone to see. Before, I didn’t have to tell you unless I wanted you to know. Chemo, in addition to all the other harsh effects on your body, makes it visible for everyone to see. It takes your choice away.

It’s really okay, it’s been a great lesson for me, especially in giving up control. But when you’re forced to make yourself so vulnerable to others, to show them what you’re dealing with, there’s a lot of pity that comes from that–and I do not want anyone’s pity over this.

All I really want is my hair.

last chemo

Leaving my last chemo treatment. By this time I’ve lost almost all of my eyebrows and eyelashes.

Have You Missed Me?

As you might have noticed, I went missing for a while. I started a story and left everyone hanging, right in the middle.

How rude of me, and probably somewhat thoughtless to those who don’t see me outside the words of these posts.  My only excuse, and the real reason I went missing, is that it was hard.

Life became a daily cycle of feeling like crap and not wanting to bring anyone down to where I was. I didn’t want to talk about it, think about it, or put into words how hard it was. It was too close. I needed a break from cancer, so I took it.

Chemo is the hardest thing I’ve ever gone through, in every way you can imagine. I never doubted that I would survive, but I have no idea why I ever felt that way. Maybe I was naive, or in denial, or just plain stupidly stubborn  And it wasn’t bravery or strength, and I’m certainly no hero just for having survived cancer. Braver, stronger women than myself have fought much harder than I ever did and still lost.

I was simply lucky enough to be diagnosed before it had spread.

I wouldn’t wish cancer on my worst enemy, but cancer itself was also never the enemy. It was always just something that happened to me, a bunch of rapidly dividing cells that found a home on my left ovary.

Chemo and I, on the other hand, were never friends, and I cursed him often. He had a job to do, though, and because of that I tried to be as accommodating as possible. I hated chemo. Chemo was scary because I could physically feel, with each treatment, that his poison had the power to kill all of me, and not just the cancer cells.

medicines

Having cancer has been quite an experience, a very humbling one, to say the least. But it’s even more humbling to know that I survived.

Today I sit here on the last day of the year, reflecting on everything that’s transpired this past year, from the first inkling I had on January 4, the day after our wedding, that something wasn’t right, to a trip to the ER, surgery, chemo, and now, recovery.  While I was thinking about all of this, the thought crossed my mind that I should be ready to see 2013 go. Hell, I should be ready to kick it’s sorry ass to the other side of the moon!

But in all actuality I’m kind of sad to see this year end. In some strange way, I’m okay with all that’s happened. It wasn’t all bad.

I married a wonderful guy, one who challenges me everyday to see things in a different way and to be a better person. I logged a lot of good running miles the first five months of the year, and I’m slowly starting to run again.

I got a lot of reading done. It wasn’t always quality reading, but those fluffy novels got me through many hours of post-chemo nausea and fatigue so deep I could barely get out of bed. And I won’t even go into depth on all the hours I spent watching Breaking Bad on my iPad. I credit it for saving my sanity those first two worst chemo treatments.

I got a lot of knitting done, too, and set up an Etsy shop. I rediscovered walking. My taste buds are back, and a good, cheesy pizza is once again heaven on Earth.

I learned that my children have turned into good, kind, caring adults, and that they chose their partners well. I discovered that people you think you barely know can turn out to be nicer than you ever imagined. I realized that people want to help, that almost everyone is kind in their own way.

I got four new hairstyles this year: shorter, even shorter, bald, and now a quarter inch of baby fine fluff with a lot more white hair (or extreme blonde, as I prefer) than before.

That’s me on the right, in case you couldn’t figure it out. Everyone loves to rub my baby soft hair now.

I learned that you can become friends with someone and love them just through their words and emails, and that losing them hurts just as much as losing someone you’ve known your entire life. Friendships, like life, can be forged–and lost–in the blink of an eye.

The words “life is short” became real this year, but that’s not necessarily a bad thing. I appreciate more now, the so-called little things. Taking a walk outside, running without a watch, playing games with my kids, cooking a meal together, hearing a good song on the radio . . . I could go on and on. I try not to waste those moments.

But there is still a story to be finished, a resolution to be told.

So in 2014 I want to finish the story I started, if only to help other women and their loved ones, and to honor my friend Katie and all the women who didn’t make it. Even though you all know that I’m okay now, please bear with me for the next few months while I write up all the unfinished posts I started. Maybe something I share will help you or someone in your life one day.

So, as I bid adios to 2013, I have to admit it was a good year, if only for this one big reason: I’m still alive.

teal ribbon

A Letter to My Friend

Dear Katie,

Six months ago you sent me an email. You had just left a comment on my first post about being diagnosed with ovarian cancer. You had also just been diagnosed, and you were scared. You were so scared you asked me to delete your comment because you didn’t want anyone to know.

Thus began our friendship. We traded stories of our surgeries, gave each other advice on how to get through chemo, and compared notes on our lives. You told me about your young daughter and your brother, and we promised each other we would run a race together when this was all over.

You made me promise, over and over, to NEVER GIVE UP! You always wrote it like that. You also put actions in your emails with an asterisk. *nods nods* was your favorite. God, you were funny. I could always hear your Irish lilt in my head, even though I’d never heard your voice.

On Sep 29 you told me that things weren’t going well. Your cancer wasn’t responding to chemo. You didn’t want to tell me the news, thinking it would affect my own recovery. I wrote emails to you periodically after that, knowing you would write back when you were stronger.

Tonight I found out you didn’t make it. You went into the hospital two days after your last email and passed away a couple of weeks after that.

I am devastated. Hearing the news was like a punch to the gut.

We never met in person. I don’t even know what you looked like. We were friends. You were my hero.

Your last post was titled “This Isn’t Goodbye . . .” I think you knew it probably was.

You touched other lives just through your comments here on my blog. People asked about you when you disappeared. I understood why you stopped writing and needed a break. I did so as well. After a certain point in chemo, when it got really tough, I needed to save all my energy for the fight. My brain was all jumbled up and I couldn’t string a sentence together, let alone make my fingers work on the keyboard. I’m sure it was the same for you.

You fought hard, Katie. You never gave up and you never lost hope.

You went so quickly.

Now that I know you’re gone, I feel like the only survivor of a plane crash. We are a small club of women. This cancer doesn’t leave many behind. It is selfish and claims most of us for itself.

I never felt anger towards our cancer before now. It was just something that happens to some women. Now that it has taken you, it’s become personal. Now I’m angry. This cancer can mess with me, but how dare it take someone as good and kind and honest as you were? And how dare it should take away the mother of a fourteen year old girl?

I bought a sticker for my car while I was still doing chemo. It’s a teal ribbon and says “I won.” I’ve saved it all these months until I got the official news from the doctor that I was cancer free. I’ve debated actually putting it on my car, thinking it might seem arrogant or disrespectful to the women who didn’t make it. You fought harder than anyone I know to beat this cancer. In your last email you told me you hadn’t given up hope. You told me once again, as you had so often before, to NEVER GIVE UP.

That sticker is going on my car today. I know you would want to see it there. I hope it makes you smile when you see it from wherever you are.

I didn’t give up, Katie. My fight was nothing compared to yours, but I never gave in. I was only lucky that we caught it so early. Most are not so lucky. It doesn’t make sense to me that someone can fight as hard as you and others have done and not win. I will never understand that. My victory is a hollow one without you here. It’s like breaking the tape at the finish line and realizing you’re the only one who made it to the end.

Rest in peace, Irish Katie. Your fight is over, and we’ll miss you here on Earth, but you’ll always be in our hearts.

Your friend forever,

Angela

http://irishkatie.wordpress.com/

This is Harder Than I Thought It Would Be

CHEMO WEEK 1, Treatment #2:

Back to the cancer center. This time I dressed a little nicer and carried a lighter bag. I was starting to realize what a time consuming thing it was to have cancer.

Today we would be accessing the IP (intra-peritoneal) port under my left breast for the first time to administer Cisplatin, the anti-cancer drug, directly into my abdominal cavity where the tumor had been removed. We would also be accessing the chest port at the same time to administer fluids and anti-nausea medicine.

Chemo

Whereas yesterday I sat in a recliner, today I was in a bed (which was actually more like a gurney). This was so that when the Cisplatin was administered I could rock back and forth to coat the area where the cancer had been. It sounds more exciting than it really was.

Chemo

Two ports, tubes, and the top of the nine inch surgical scar.

I had been told that today would be a longer day, as in seven to eight hours of chemo. I was pleasantly surprised that I was done in only three.

I had also heard all about the horrible side effects of Cisplatin: abdominal bloating and cramps, nausea, vomiting, and upset stomach. The nurse told me that the nausea usually took a day or two before it showed up.

The nurse took a lot of time to explain everything she was doing, and she gave some great advice about handling the nausea. There were no immediate side effects this time, like there had been with the Benadryl and the restless leg syndrome the day before.

Chemo paraphernalia

Chemo paraphernalia

Before we were done, the nurse saw that my CA 125 test results were in from yesterday’s blood work. The CA 125 is “a protein that is a so-called tumor marker or biomarker, which is a substance that is found in greater concentration in tumor cells than in other cells of the body. In particular, CA 125 is present in greater concentration in ovarian cancer cells than in other cells” (courtesy of medicinenet.com).

The night before my surgery my CA 125 was over 450. The current test showed the level was now 37 before I’d even had my first chemo treatment. The nurse was amazed, saying they rarely see numbers that low before the first chemo treatment. The norm is anything below 35, so it was definitely a good number.

CA 125 results

Celebrating the news with my daughter.

As we were leaving the center after chemo, I ran into my oncologist coming from the hospital. She had seen my number, had already called to tell my family physician the good news, and was ecstatic. She actually said that we had a good chance of “curing” my cancer. The word “cure” is not one you hear very often when speaking of cancer. It was the best thing she could have told me.

Jut like yesterday, I felt pretty good after chemo. My daughter, Dominique, and my son’s girlfriend, Nicole, took me to Target and Buffalo Exchange for some shopping. Other than feeling fatigued, I ate a good dinner and thought to myself: maybe it won’t be as bad as everyone keeps saying it will be. I slept well and hoped for the best.

The next morning, Saturday, I woke up and felt a little tired and queasy, but nothing too extreme. By lunchtime I felt nauseous. Really nauseous. And nothing helped. It got progressively worse as the day wore on.

I took the anti-nausea meds the doctor had prescribed (Zofran and Compazine), but really didn’t notice that they helped all that much. The Compazine made me feel woozy and drunk. All I could do was stay in bed and not move. The slightest movement made me feel nauseous.

The entire weekend was a battle. I was too nauseous to eat, but I knew that not eating and having an empty stomach would only make the problem worse. I ate some crackers and tried to drink water. I wasn’t used to being in bed all day, and being so inactive was driving me crazy. On top of that, the Cisplatin made me feel like there was electricity coursing through my body, so trying to stay still was impossible. My friends Liz and Todd came over to see what they could do.

Sunday was even worse. I had constant nausea and felt restless, anxious, and like I had lost all control over what was happening to me. If you’re the type of person, like me, who is very active and doesn’t even like to take an aspirin, having your body pumped full of poison is not an easy thing to go through. I thought I would first go mentally crazy, and then the chemo drugs would kill me off after that.

Sick

If I wasn’t in bed, I was usually on the couch.

I ate nothing more than a small amount of white rice, more crackers, and drank water and Gatorade. The nausea was so bad that putting anything in my mouth, even water, made me gag.

Nicole, bless her heart, cooked dinner for the rest of the family. Within ten minutes of starting dinner I had to run to the back of the house to escape the smell. Within another two minutes, when the scent of sauteed garlic and onions wafted into the bedroom, I had to sprint to the bathroom. Once again, my stomach was empty. She felt horrible for not realizing how sensitive I was to strong smells, I felt bad for her for feeling so bad, and we opened all the doors to air out the house.

After dinner we all drove to Liz and Todd’s house. I needed the fresh air and a distraction from feeling like I was going to jump out of my skin. The house was starting to feel like a prison. It was great to see good friends and it took my mind off feeling so horrible. When we left, though, I was so weak and out of it, I almost passed out when I stood up from petting their cat. I literally felt myself falling backwards as Michael caught me from behind. I laughed it off and thought I was just sleepy.

Blow drying hair

I was too exhausted to stand up and blow dry my hair.

I called my sister the next day and told her I didn’t know if I could do this, that chemo was scary and much harder than I thought it would be. She told me I “just had to do it,” that I didn’t have a choice, and that it was going to save my life. My friend Alex, who is a doctor, called to check up on me and gave some great advice. He told me I was going to have to find something to occupy my mind during chemo.

Trying to concentrate enough to read a book or write something was out of the question. I tried to meditate using some guided meditations I had downloaded onto my computer, which helped some. The thing that really got me through this tough week: watching all five seasons of Breaking Bad. Walter White and Jesse Pinkman might be two bad dudes, but they saved my sanity during this time.

I slept off and on all week, which was a blessing. I felt nauseous, lightheaded, and so tired I could barely walk from the bed to the bathroom without stopping halfway. I told my husband I understood why some people opted out and refused to do chemo, especially if they’d already been through it before.

Sick

Going from the bed to the bathroom.

The extreme nausea lasted until Tuesday, and Wednesday I could eat and drink a little more. The nurse had told me I was going to feel like a truck hit me, and she was right.

I still had one more treatment in this first cycle, another IP of Taxol, on Thursday, the very next day. Wednesday night, however, I mustered up the energy to meet my running group at Alex’s place for pizza afterwards.

Seeing all my friends, even if I couldn’t run, was the best medicine for me. And I had a great excuse for getting out of a hot, sweaty, Texas summer run.

WRRC

The White Rock Running Co-op

My First Chemo Treatment

CHEMO  WEEK 1, Treatment #1:

It was my very first day of chemo. The first thing I noticed when I walked into the waiting room was that no one else had the same amount of stuff as I did. I looked like I was moving into the chemo center. My huge bag was overflowing with “cancer snacks” (fruit gummies, hard candies, nuts, lemon drops, and protein bars), socks, books, Kindle, iPad, and a soft blanket inscribed with my name given to  me by my friend Heather the night before at dinner.

Why did everyone else have such small bags?

And then there was my husband, with his very professional video camera with the huge fuzzy microphone on top, and the still camera with flash hanging over his shoulder. My daughter, my son, and his girlfriend were also in tow. We got a lot of stares when we walked into the waiting room.

I think people wondered if we were famous.

I looked around at the other people in the waiting room. The breast cancer women were always visible because they wore a lot of pink, especially pink caps. The men were harder to pick out. Their baldness is a common thing. Being a bald woman is a pretty strong indicator that you have cancer, but for men their only giveaway is a visible chest port. In general, though, everyone looked surprisingly healthy.

It was also an extremely well-dressed crowd. I assumed people would dress comfortably for chemo. I wore track pants, a stretchy t-shirt, a cotton hoodie, and sandals. Most of the other women were much dressier. I felt downright shabby. But then again, not everyone was there for chemo, as the waiting room accommodates patients coming in to see their doctors, just as I had a few short weeks earlier.

chemo port

My port is all ready for it’s first dose of chemo.

Before seeing Dr K for a pelvic exam, I was called back to Fast Track for blood work. They would be accessing my chest port for the very first time, and I was a little nervous about that. It had only been inserted three days prior and the area was still sore and bruised. The nurse sprayed the port with a blast of ice cold Lidocaine, put face masks on both of us to prevent any chance of germs entering the port leading to infection, and inserted the needle. I felt it, but barely, and I’ll take that any day over inserting an IV into my wrist.

Afterwards I saw Dr K for a very quick pelvic exam, and then we were sent back to the waiting room where we waited for about thirty minutes before being called back to our chemo room. By this time I was very nervous.

Finally, we were called back. The chemo rooms at my cancer center are all individual rooms. Each room has a TV, DVD, a recliner, and two chairs for visitors. I settled into the recliner for my very first chemo treatment ever.

Right off the bat there was trouble. The very nice nurse told Michael she didn’t think he could record in the hospital. He explained that he was recording me for personal purposes only. Then my daughter got called out into the hall and I heard whispering. In the meantime, the nurse explained about the drugs she was going to pump into me through the IV port and exactly how chemo worked. She told me getting an IV port was a great decision, and explained how hard chemo is on the veins. Dominique came back into the room and Michael was called out to the hallway.

Great. Michael and that damn camera of his getting us all in trouble.

Eventually, the very nice head of PR came down to tell Michael that videoing in the room was not a problem at all, but I needed to sign a release form. Also, because of HIPAA and confidentiality, he was not allowed to video any of the patients (which we already knew). If we wanted to use any of the video for commercial purposes, that would also not be a problem, but we would have to fill out some paperwork. The hospital staff laughed nervously, explaining how this was all a first for them. They laughed nervously again when Michael took out his iPhone and showed them how anyone could do exactly the same thing he was doing, only without the expensive video camera, and without being hassled about it.

blanket

Showing off Heather’s snuggly monogrammed blanket.

This was my “easy” chemo day, the day I would receive the drug Taxol–which is the drug that will be responsible for making me lose my hair. It was considered an easy day because it would take only a few hours to administer.

Benadryl was given first to counter some of the possible allergic reactions to the drug. I have only taken Bendadryl a few times in the past, in tablet form when my allergies were bad, and each time I felt like a drugged and dopey mess. I generally avoided it at all costs. This time the dose was much higher and it would be going straight into my veins.

The effect of the Benadryl felt like a palpable wave of dopiness, like being dunked in a huge vat of vodka. Within minutes my speech was slurry and I couldn’t finish a sentence without forgetting what I wanted to say. I felt drunk. The nurse told me I might want to just take a nap, but it was impossible because I couldn’t stop moving my legs. I later found out this was “restless leg syndrome,” caused by the Benadryl. My sympathies to anyone who suffers from this affliction. It drove me crazy. All I wanted to do was get up and walk around and make it stop.

After getting some additional saline and steroids, the chemo drug, Taxol, was finally hooked up to the IV tree and administered. The nurse put on her special blue chemo outfit (to protect her from the drug, which could cause, ironically, a higher risk of future cancer for herself) and I was ready to go home an hour later.

chemo

All in all, I thought it was pretty tame. I bragged about how “it wasn’t so bad after all” and how much easier it was than I thought it would be. I had heard nothing but horror tales of the difficulties of chemo, and it didn’t seem like that big of a deal to me.

I went home and ate normally that night, and didn’t seem to feel too many effects the next morning when I went back in for my next chemo treatment. This time it would be Cisplatin, administered directly into my peritoneum (abdominal cavity) via my second port, just under my left breast.

And this, my friends, would be an entirely different experience altogether.