This is just a quick post for those who may not have social media accounts. I was honored to be interviewed on my friend’s vlog called the Brain Cancer Diaries on YouTube a few weeks ago for breast cancer awareness. If you’ve ever wondered what I sound like and wanted to hear more of my story first-hand, then click on the link below and check it out!
Was there ever a time when one could just be the patient and
trust the doctor would take time to review their chart and make customized
recommendations of treatment?
I was born three months premature, so I was a sick baby and
little girl. I was always going to the doctor for tests, infections and
surgeries. I have fond memories of my pediatrician Dr. Tift. He always wore a
bowtie and had the best bedside manner. I trusted him.
Once I graduated from college and had to find my own
doctors, I was still that trusting little girl at heart. I really had excellent
doctors in LA and GA during my 20’s and early 30’s. I felt like a person. I had
so many issues with my ovaries, uterus, cervix and painful periods. They knew I
was at risk for those cancers. I had more vaginal ultrasound action than sexual
partners!
All my gynecologists over the years truly made me feel like
they were doing the heavy work and monitoring my health. I trusted them.
Fast forward to the three years before my breast cancer
diagnosis. All that comfort and trust was diminished.
I remember being told by countless doctors – primary,
endocrinologist and dermatologist – that I was overreacting and needed to
reduce my stress level and exercise. I was so angry and wondered why they made
me feel like it was my fault for gaining weight, hair changing texture and
falling out and irritability. I’d never been an overweight person in my life
until six months after my 34th birthday. The dermatologist said
there nothing she could do about my hair falling out or give me a reason. All
she said was I should invest in Rogaine and eat better.
I was beyond devastated, yet I kept pushing for answers
because I knew in my gut that something was very off in my body. It’s only when
those tiny green bruises appeared on my left leg that I was finally taken
seriously.
Why wasn’t my word and other symptoms enough to warrant
concern from the start?
Why did it have to get to the point of feeling miserable and
lethargic to be taken seriously?
“Oh, let’s get her a blood test here and there to shut her
up,” is the vibe I consistently felt during that time until I physically felt
the mass in my left breast that August 30, 2015.
During active treatment for my breast cancer, I felt heard
and heavily monitored. I felt like I was a person again and not just a number. I
was a well-cared for patient.
Then I enter post-treatment and just feel thrown out into
the sea with no life jacket. I’m now swimming with millions pushing and shoving
to be heard.
I thought palliative care would be different. I started out
feeling heard again regarding my chronic pain from fibromyalgia and neuropathy
thanks to chemo and multiple surgeries. I felt comforted knowing I was wrapped
in this extra level care. I naively thought the relationship with my palliative
care doctor would be different.
Instead, I’m consistently dealing with managing my own
health and presenting outside the box ideas to help manage my chronic pain.
Get ready for my rant…
Why am I paying the copays when I’m presenting research to
my doctor about new treatments for my case?
Why do many of my doctors look shocked when I make a
suggestion?
Why aren’t any of these doctors’ part of cancer support
groups to read what other patients go through?
Why does the doctor always ask why I’m there even though
I’ve stated it in the portal, filled out the stupid paperwork and told the
intake nurse?
Why are they so quick to dismiss my ideas or when I’m
experiencing a side effect?
Why are they recommending medications within the same family
when I’ve already shown the first option didn’t work or was allergic?
Why am I having to beg for x-rays and scans and other
procedures?
Why aren’t doctors staying up to date on the latest
research?
Why are doctors using Google on their phones to look up
medications and the side effects in front of me?
More importantly, why aren’t they listening to the patient?
I no longer trust that any of my doctors truly have my best
interest at heart. They are being mandated by insurance companies to push
certain drugs. They aren’t taking the time to review my chart before walking
into the exam room.
I didn’t set out to be my own doctor. I no longer have the
mental bandwidth to stay on top of it all but I must because none of them will.
When will these doctors stop trying to cookie cut my treatment? I’m a square Meg who can’t be pushed into a round hole.
I
was dealing with depression and anxiety long before cancer. Now I feel the most
fragile I’ve ever felt. Just when I think I have a handle on things, everything
explodes. I’ve written about this in the past. What happens when the strong
need to weep? They weep alone.
I’ve
struggled finding people to talk to and let my guard down, really and truly let
my guard down. What tends to happen is they listen for a few minutes and then inevitably
tell me the following:
You’re
so strong.
You’ve
got this.
Be
positive.
This
goes on for a few minutes until the shift happens where I become their therapist
and shoulder their pain and their fears. They assume I’ll be just fine and can handle
anything.
When
others can’t handle hearing your fears or darkness because your
“normal” personality is sunny and zany, that’s pressure to always
appear okay. That’s my current situation. Heck, it’s been my ongoing
situation.
The
chronic pain makes it harder to keep my emotions in-check. I no longer have the
energy to keep up the appearance of being okay. I don’t get a break from what
my cancer treatments and multiple surgeries have done to me. I wake up hurting
every morning and go to bed hurting every night.
I’ve
been very down on myself about my weight and being chronically single. I grow
even more frustrated with being told the following:
Weight
isn’t everything.
Dating
or relationships are overrated.
You’re
your own worst critic.
Not
understanding my body and loneliness just adds to my depression.
Sure,
I’m resilient. I don’t know where that comes from, but I somehow always get
back up after being slammed to the ground over and over and over again. I’ve wanted
to give up, but my nature just won’t let me.
I
don’t want to be alone.
It’s
not fair.
It’s
not easy.
Wading
through the darkness while leaping from one friend to another, sharing spurts
of what’s hurting the soul but knowing there’s no one shoulder big enough to hold
all your darkness is my daily struggle.
As October approaches, I grow angrier and angrier. Why?
Because it’s now become PINKtober. We’ll be flooded with commercials and
friends doing walks, wearing tutus, toothy smiles and cheers nationwide. Breast cancer is glamourized to look pretty,
easy and fun. No wonder other cancers hate us.
The media attention breast cancer gets is HUGE. The funding for it is HUGE. The awareness part is bullshit. Yep, I said BULLSHIT! A lot of that money raised from the tons of “walks for the cure” is nowhere to be seen. The bulk of these organization – yes, Susan G. Komen; I’m pointing at you – are funneling millions of dollars…into their pockets!
The wool that was once over my eyes is gone. Why? Because I’ve
lost countless friends from metastatic breast cancer. I’m acutely aware that I
could still get metastatic cancer. I’m not “cured.” I will be getting scans
every six months for 10 years!
I had Stage IIA Invasive Lobular in the left breast.
Let me give you some information on this type because it is not common.
Here’s an overview from the Mayo Clinic’s website:
Invasive lobular
carcinoma is a type of breast cancer that begins in the milk-producing glands
(lobules) of the breast.
Invasive cancer means
the cancer cells have broken out of the lobule where they began and have the
potential to spread to the lymph nodes and other areas of the body.
Invasive lobular
carcinoma makes up a small portion of all breast cancers. The most common type
of breast cancer begins in the breast ducts (invasive ductal carcinoma).
I’ve realized many women and men are under the assumption
that if you have a mastectomy, that you’ll never get a recurrence or metastatic
cancer. I’m going to take this time to educate and give some definitions for
those who may not be aware or too scared to ask.
Here are the Types of Recurrent Cancer and definition of Metastatic Cancer from the National Cancer Institute at the National Institute of Health’s website.
Local recurrence means that the cancer is in the same place as the original cancer or very close to it.
Regional recurrence means that the tumor has grown into lymph nodes or tissues near the original cancer.
Distant recurrence means the cancer has spread to organs or tissues far from the original cancer. When cancer spreads to a distant place in the body, it is called metastasis or metastatic cancer. When cancer spreads, it is still the same type of cancer. For example, if you had colon cancer, it may come back in your liver. But, the cancer is still called colon cancer.
Metastatic Cancermeans the spread of cancer cells from the place where they
first formed to another part of the body. In metastasis, cancer cells break
away from the original (primary) tumor, travel through the blood or lymph
system, and form a new tumor in other organs or tissues of the body. The new,
metastatic tumor is the same type of cancer as the primary tumor. For example,
if breast cancer spreads to the lung, the cancer cells in the lung are breast
cancer cells, not lung cancer cells.
Despite how the media glamourizes breast cancer, I still
love wearing pink, tutus, tiaras, butterfly wings and feather boas. Why? These
items were ALL in my closet before my breast cancer diagnosis. I’ve always been
a tad extra and a Nut-Meg. When I look at those items in my closet, I don’t
associate breast cancer with them except for two of the six tiaras I have. I
bought one a year after I was declared NED (no evidence of disease) and the
other this year for my birthday because I wanted one even bigger and heavier to
celebrate that I’m still above ground.
Breast cancer has taken away so much. It’s a daily struggle
to reclaim pieces of myself. My body will never, ever be the same. I’m still
healing from my 8th breast cancer related surgery I had in June of
this year.
I remember how financially giving so many were when I was
initially diagnosed. I can’t tell you what an enormous help their generosity
was for me, especially as a single woman, but the medical bills don’t stop once
the cancer has been removed.
I didn’t think I would get diagnosed with cancer at 39 years
old; two months after my birthday.
I didn’t realize how expensive getting scans (diagnostic mammogram
with either an ultrasound or MRI) every six months would be thanks to super
high deductibles.
I didn’t expect to have additional surgeries afterward.
I didn’t expect that I would be intolerant of every type of
post-cancer medication to help prevent recurrence.
I didn’t expect to have permanent chemo induced peripheral
neuropathy in my hands and feet to the point I have a permanent handicap sign
because I can’t walk far anymore.
I didn’t expect that all these surgeries would trigger
fibromyalgia and have to live with severe chronic pain every blasted day.
I didn’t expect I would still be single and can’t even think
about dating or being intimate because I was medically induced into menopause
at 40 years old.
I didn’t expect to long for children until the choice was
taken away from me and had to get a hysterectomy and salpingo oophorectomy at
40 years old.
I didn’t expect to have these continuous cognitive issues
(chemo brain).
Most of all, I didn’t expect to meet so many beautiful
fellow warriors who have since DIED in the past three years.
For me, PINKtober isn’t reality. It’s made to be cute, fun
and money grabbing.
The reality is we need to know the cause of why so many
early stager’s eventually get metastatic cancer. Why are so many women and men being diagnosed
under 40? Why are so many with zero family history of cancer getting breast
cancer? And, why aren’t there better treatment options for during active and
post treatment?
That’s what needs a continuous spotlight and research.