Final Outcome

I promised a “final” update after my oncology visit so I will keep my promise to those who still have any interest in this seemingly never-ending story of mine.

I shared a lovely drive to Victoria (takes about 3 hours) to see my oncologist yesterday with my sister Anne. She likes to drive so I was thrilled to sit and enjoy the spectacular vistas of “earth’s rebirth” on Vancouver Island on what was a sterling spring day.

The visit was about reviewing my options in the oral hormone/chemotherapy category.  The Tit-o-Whirl rides slows but never really stops.  I did a bit of reading before the trip so as not to appear uninterested to my oncologist.  If you recall, I was not filled with warm fuzzies from my medical oncologist when we first met, so I wasn’t really looking forward to having this chat. But I was determined to at least have some REAL hard questions for him that I would not let him pass on answering.

My tumour was a hormone-receptor-positive (fed on estrogen) little bastard.

So for those who have taken Tamoxifen (or who have read up on it), you can skip this little educative bit if you like.

Since its approval in 1998, tamoxifen has been used to treat millions of women (and men) diagnosed with hormone-receptor-positive breast cancer.  Tamoxifen can (so we are told) reduce the risk of breast cancer coming back by 40% to 50% in postmenopausal women (me) and by 30% to 50% in premenopausal women.  It can reduce the risk of a new cancer developing in the other breast by about 50%.  And most importantly (especially for me…..) if any breast cancer cells escaped past my lymph nodes and are lurking elsewhere in my body, Tamoxifen can slow or stop their growth.  It is usually taken for 2-3 years (followed by an aromatase inhibitor for another 2 years) in Canada.  In the US  and Europe, it is now common for a 10 year treatment of oral hormone therapy for cancer treatment.

What I didn’t know is that it can also be taken by those who have not actually been diagnosed with cancer, but are at high risk of developing it!

Tamoxifen offers other health benefits that aren’t related to treating cancer. Because it’s a selective estrogen receptor modulator or SERM, it selectively either blocks or activates estrogen’s action on specific cells. While tamoxifen blocks estrogen’s action on breast cells, it activates estrogen’s action in bone and liver cells. So tamoxifen can: help stop bone loss after menopause and lower cholesterol levels!  YAY!

However, as you may be sure….there is always bad with the good, right?  So Tamoxifen, along with the potential for a MYRIAD of shitty, annoying fuck-with-you side effects (like weakness, memory loss, vaginal discharge or extreme dryness, vision problems, mood swings, depression to name ONLY a few) also brings the risk of blood clots, stroke and cervical cancer.  YAY!

So after Cousin Tammi has her way with you, you move on to an aromatase inhibitor  for 2-3 years.

The ovaries, while they are our main source of estrogen, are not the ONLY source.  Our adrenal glands, located at the top of each kidney, make small amounts of estrogen and so does fat tissue and brain tissue through the activity of an enzyme called AROMATASE.  So even us old peri and post menopausal dames are capable of making enough estrogen to feed those cancer cells that thrive on it. (Some factors known to increase aromatase enzyme activity include age, obesity, insulin, and alcohol…. YAY! That covers most of us peri and post menopausal dames!!)

So the smarty-pants scientists decided to develop an aromatase enzyme inhibitor (Aromasin, Anestrazole or  Letrozole)  which are meant to stop your body from producing ANY estrogen through enzyme activity. Because these meds lower the amount of estrogen in the body, less estrogen reaches bone cells, which can lead to significant bone thinning and weakening and a higher-than-average risk of broken bones. It also has a long list of side effects that mirror Tamoxifen, especially heart problems (27% higher risk).

Because I am osteoporitic (already have shown bone density loss), and I have had NO side effects from the Tamoxifen, my oncologist feels that I should continue with “cousin Tammi” for the full 5 years and likely continue for another 5 after that. And that the results will be virtually the same as if I had switched to an aromatase inhibitor.

I am happy to stay with the “known”.  I am happy to have me back.

So dear reader, my ride seems to be done for now, and so am I.  Thank you for sharing and bearing it with me.

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Spinning Into ANOTHER Year

It is April  23, 2019. I was initially diagnosed with my breast cancer (with Lymph node involvement) on April 28, 2016.  It has been ANOTHER spinning, circle of the sun made by the earth AND this survivor.

I am so grateful that I am feeling so well.  So…. myself.

Pilates, TRX, dog walking, golfing, Mexico holidays, lunches with dear friends, taking care of my Mom, laughing with my sister, mundane tasks, and just….being.

So I had my “annual” mammogram this AM (23rd).  I have an appointment to see my oncologist in Victoria on the 29th. I believe he is planning to perhaps switch my oral hormone, and I am not sure how excited I am about this as Tamoxifen is proving to be an easy ride for me. He also may just want to “see” me and make some easy coin.

As usual, the mammogram (after a cancer ride) is an appointment that is filled with equal amounts of  spinning optimism and dread….I was happy to hear the sweet little technician say, “See you next year!” as I went out the door.

She reassured me that the pictures would be read by end of the day and I would be contacted no later than tomorrow if “anything” was seen. that would require me to return for ultrasound.

“ANYTHING”.  HAHA! What an odd spin of words of trying not to scare me. But bless her for trying.

I didn’t see the message light flashing on the phone until 5:05 PM.  My doctor’s office left a message at 4:50 PM to “call as soon as possible and ask to speak to the office nurse”.  As my heart rate picked up, I dialled the number and waited for about 10 minutes for someone to speak with me. “Sorry”, I was told, “The nurse goes home at 5 PM, you will have to call back tomorrow.”

Well now.  Sound familiar? Are you imagining me going into a spin?  A potty-mouthed-laden rant about the fucking ignorance of this?  HAHA! Oh…..I confess, it crossed my mind. But just for a second or two.

But….instead, I said I would call in the morning, and I actually found my heart rate had settled almost immediately.  Whaaaat? Who IS this stranger feeling calm and resigned to wait a whole evening and night to hear what it is that they want?

Weird! But kinda cool at the same time. Does it mean that I have evolved? Learned? Changed?  Grown? I realize that I could still chew my arm off for a smoke, and I still am having my two cocktails everyday, so not EVERYTHING has changed! But my sense of what “needs my wrath” has indeed changed, apparently.

I proudly present to you a 63 year old woman (who thought she was indelibly set in her ways) who seems to have climbed a step.  I am still PROUD to be an annoying asshole who speaks out against almost everything that does not fit into my sense of what the “world-order” ought to be,  but the tit-o-whirl ride has somehow spun a new mental path for me. Some of the synapses in my brain seem to have found new options for me to disseminate and digest things.

I find myself wondering if this would have happened if I had NOT taken the cancer ride. Whether it is Tamoxifen, a survivor mentality, or simply a growing older kind of thing, I am welcoming the growth.  I will add another journal entry after I have seen the oncologist.

I am happy to let the earth do the spinning on  its’ own for a change.

NOEL

WOW! December 2018.  Merry Christmas!

SIX months since I last made an entry! My bad! My life seems to be moving forward at “WARP” speed. Again. Not sure if that is good or bad!

My life has returned to pretty much its’ old self. which is perhaps why I am not journalling as often.  I turn around and the day/week has simply dissolved.

The Tamoxifen that I take daily seems to be more of an inconvenience than a problem…..no side effects that I can point to as being “completely unacceptable”.  I always had chin hairs; often had night sweats; usually had a hard time managing my weight; never could do a sit-up……

I have started doing Pilates Yoga and TRX.  TRX stands for Total Body Resistance Exercise.   “Yes!” They said. “TRX training helps to lose weight! It’s an intense workout that will help you to build and tone muscles, but you’ll also lose fat so that these muscles will be more visible. …  the muscles you build will burn more calories between workouts!”

I have no idea why I believe this when “they” couldn’t even get the acronym right….But I tried to find an image of “TRX and fat woman” but happily they don’t exist. So sign me up, Scotty!

Then I am told that Tamoxifen will “inhibit muscle growth”.  The fucker. I do feel the stretch (sometimes uncomfortably) under my left arm pit where the lymph node was removed.  I wonder if TRX would be even harder if I had had more nodes removed.

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Just to be clear. THIS mage is not me. (HAHAHAHA! Like I had to tell you.)

Here I am…or at least it is likely how I appear in class. As God is my witness.  I think it is because my outfit and sneakers do not match the straps. Or maybe because my boobs are off balance. Nah. I’ll go with the colour coordination failure.

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But I DO feel “stronger”. Whatever THAT means…. I wish I could mesh the physical with the mental.  People keep asking me …. “How ARE you”?  (STILL with the head tilt).  “GREAT”!  “FABULOUS”! “NEVER BETTER”!  I can’t bring myself to tell them what is often the truth.

Inside, I often feel older, more tired, and a bit anxious.  The old “after cancer treatment” remnants still linger, I fear…..

I realize that my “time” with my Tamoxifen is ticking away.  I will meet with the oncologist and be “switched” to a new medication in about a year. I wonder if I will have as little “problem” with the new one.

I keep my hair wicked short, and rather chuckle when people who barely know me say” “Wow! your hair is starting to grow back in!” (It has been 2 years. I have a black-humored heart, I know.)

I realize that this coming spring will signal three years (!!)  since my diagnosis.  It seems a long way in the past but also seems like only a few weeks ago.

As the Christmas season speeds by, I am trying to slow down my mental processes enough to recognize and be thankful. A hard thing to do when assaulted continuously with the “Material Merry Christmas Messages” that bombard us starting in October. I want to think about “my life experience” a little more deeply and see what makes my days ( that fly by)  worth remembering at the end of the year.  Or at the end of my life.  I want to try and extend myself a bit more so that those “worthwhile” memories are more abundant.

See what it is that I am missing and understand what I can change.

I recognize and am thankful that I am surrounded with blessings all year long and that most of them come in “angel” form.  Souls who touch mine when it cries to be touched and souls who need mine to touch/soothe/tickle theirs from time to time.

I recognize that it is more often than not a wonderful world I live in and I’m glad and thankful I am still here.

So dear Santa, you can feel free to not worry about what I “want” or ” need” for Christmas this year.  I recognize that I have enough money to buy the colour coordinated TRX outfit, and am thankful that I prefer not to.

I’ll get that “sit up” done on my own, eventually. And if I don’t?  I’ll still be OK.

 

PS: I got to get a photo this summer that made my day! Even better that Mom took it.

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Re-defining and Moving Forward

So last night I was blessed to have attended a lovely gathering of valuable and grace-filled souls.

It’s the best way I can describe the colleagues and friends I have gathered along my journey as a nurse.  Women who are strong, smart (some, brilliant), wickedly funny, caring, and insightful.  Some live alone; some are married; some with partners; some have children; (some even have grandchildren!) I have known some of them for decades, others for only a few years. some are retired and others are still slogging through the arduous shifts in the recovery room, operating room and various supportive departments that we all depend upon to “move forward and get ‘er done”.

Some of our conversation was about how stressful retirement can actually be! Even though it is something we all SAY we are happy to reach!

A friend texted me this morning and asked me to try and write out the things I said in our conversation together as she found them to be “right on” and they struck a chord with her. It made me revisit my thoughts and I thought maybe it was worth a journal entry.

So. I wrote on Facebook:   “It is MY philosophy/belief that nurses often DEFINE themselves by their work. Over the years we often push partners, children, sleep, food, (and especially OURselves) into the background as we immerse our heart, hands and brains completely into our passion/gift/art of helping strangers. It is WHO WE ARE. Why would it not be expected that for some, having to “re-define” all of that would be such a challenge? (Even our own nursing college refuses to let us keep our “RN” status after our names if we are not part of the “work force”!)
So I think it is important for RNs to support, honour, and help each other keep a healthier “balance” throughout our careers (and into our retirements) so that we can see ourselves for ALL that we are, not just simply what we do (or did!). Once a nurse, ALWAYS a nurse, true….but we are so much more. And we deserve all the happiness life has to offer when our shift is done.”

I find myself wondering today, why and how it is that I let myself be morphed into a creature who defines herself almost exclusively by what I did for a living?  And NOT what I am doing NOW to live?  Sometimes I worry it may even be to the extreme extent that I may have  lost important parts of myself along the way.  I am such a “selfish” person (something I say usually with a tinge of pride) that I am surprised at how easily I seem to have slipped into that woman who often defines herself by her nursing career or what I do for others…. Kind of stuck in a role and a personae that was (is) just a small part of who I truly am.  So even though I have totally adjusted to my retirement from nursing, I STILL often “define myself” as a nurse. A care provider. THAT is kind of set in stone, and I can “carry” that.

But I DO want to re-define/ re-adjust other parts of who I am. Especially the part that sometimes feels I am not doing “enough moving forward” with my life. My left brain, who wants me to be musical, creative, volunteer, meditate, exercise (et al).

But what if I “dance like nobody’s watching” and someone gets it on video and it goes viral? What if it turns out I can’t dance worth shit? I can’t read music. I hate exercise.

What if “I can’t”? What if?

So. How is it that I have become so engaged (if not married) to the thought that I actually have the power to control situations? And be so disappointed in myself when my expectations don’t always materialize?  My right brain tells me, ” Shit will not ALWAYS turn out the way YOU want it to.  Deal with it.  It’s perfectly all right. Move forward. ”  But still, I often struggle to embrace the wisdom of that part of my brain.  (It is too opinionated and fact-based in my opinion.  I also suspect it has been colluding with my left brain.  I may start an investigation.)

But curiously, even though I have almost adjusted to my Tit-O-Whirl ride, I still find myself “defining” and “re-defining” the ride.  It’s that “re-defining” that has me fascinated. And seeing that things can be viewed differently.

I am creeping forward (sometimes at glacial speed) and discovering that the more I let change “in” and see the impermanence in my life, and that sometimes shit happens for no reason (or at least as a result of something I did or didn’t do) the happier I actually am.

Embracing change (allowing for some re-defining”) has brought newfound strength into my life. And 44 years of nursing isn’t what did it. It was having cancer.  How fucking weird.

I won’t say it has brought me inner peace because it hasn’t.  I am still the chaotic, fearful, interrupting, outspoken control freak. ( I would miss her if she totally went away.  Feel free to re-visit the journal entry on why I shall never obtain sainthood.)

But I can see  now that when life fails to ruin you with its’ ride’s twists and turns, you realize that changes can’t break you. And THAT makes it possible to listen to my right brain’s wisdom. (At least from time to time!) And tell my left brain to be patient.

And continue to move forward. In retirement AND life.

 

 

What the Dragonfly Said…

Where Is The Instruction Manual For Life After Cancer?

I am including a VERY well written article by a woman who blogs named Dragonflyangel. Worth a read if it may apply to you and to those who live with/love someone who has experienced cancer. Or you can go to her blog for more bits of insight…. It was shared with me and it resonated.

She wrote:

“During cancer, you get books and pamphlets that have information on treatments, doctor appointments, etc. But then there is the life to go back to when you are done. What now?

Those nagging words – “You have cancer” – can really feel like a sucker punch to the gut. They are unwelcome, unnecessary, and just flat out mean. I heard those words when I was 32 years old when I was told I had breast cancer. I remember I cried about three tears…okay, maybe four tears, put my boxing gloves on, and never looked back. I cried only one other time and that was when I was told I was going to lose my hair. I knew that was a given, but come on! Cancer had taken everything from me – my breasts, my peace of mind, and my calm. It was going to take my hair too? That was my last straw. However, I kept the boxing gloves on and moved forward, because what choice did I have?

I finished my six months of treatment and although it was rough, tiring, scary and overwhelming, I made it through. I was now a cancer survivor. Yippee! But that feeling of joy never hit me like I thought it would. This was the day I would run out of the office with my hands up, cheering and happy. Instead, I walked out more terrified than I was the day I was told those three dreaded words. What was wrong with me? I later came to find that nothing was wrong with me. The “now what?” side of cancer had just hit me and I didn’t know what to do. I did the only thing that came to mind – I cried.

Where was the manual for life after cancer? Where was the pamphlet on the “what now”? How come no one told me about this world? I went from seeing doctors every week to now every three months? I had chemo running through me for four months and now there is nothing. I got a certificate for completing chemo, a pin, and I was sent off on my merry way.

About a month later, the emotions of everything all came crashing down. I felt like I had literally stared death in the face. That was obviously an emotion I was not prepared for. The survivor’s guilt set in too. Why was I lucky to have survived? What do I do with my life now that I have a second chance? Everything became too overwhelming. I saw a therapist a couple of times to help with my emotions. It felt good to talk about it and realize the feelings were normal. The problem was I didn’t want a “new normal.”

It took a long time to find that “new normal” and officially accept it. Sometimes I still don’t want to. I am over five years out now. When will cancer officially crash into a brick wall and stop tailing me? I walk fast, it speeds up. I run, it keeps pace. It hasn’t caught me yet and I hope it never does. I look forward to the day where I turn around and I don’t see it keeping up. I have been working hard at that and believe it will eventually happen. In the meantime, I keep working on my “new normal.”

From one cancer survivor to the next, things truly do get better. It’s harder for some than others, but you do move forward. Acceptance is the key. Mourning your old self is a fine way to start. Allow yourself that. I did not initially. I am in the process of accepting now and it is a good place to be. You don’t have to forget, but you do need to move forward.”

Forces Outside Ourselves

Three months have come and gone. I am in a whole new YEAR!!!

I have thankfully recovered from my ” flu/pain issue” at Christmas and have been getting back to feeling well.  A trip to Hawaii, some weight loss, starting pilates YOGA, volunteering at a dog kennel, and some sunny days have forced me back on “my” track.

You may or may not remember my mentioning  a friend/ nursing colleague with ovarian cancer whom I shared some Chemo session laughter with (see my blog of November 3rd, 2016).  She passed away this January.

It was hard to see her just before she died. It sucked. I experienced a strange emotion  that forced itself into my heart.  Not in my HEAD, but into my heart. I felt it break a little.

Guilt that I was feeling so well.  Guilt that I have survived.

My head was, as always, rational and told me that I should “not allow” it in.  It came anyway.  Forced its’ way past my common sense blockers.

But where the fuck did it COME from? Why should I feel (of ALL things) guilt??? I meditated, prayed, and did some soul searching on my walks.  I even shared it with a few friends and they reassured me that it was merely “stinkin’ thinkin’ “.

I never found the answer and thankfully the guilt slowly snuck away as my memories of Kathy stopped being of her final day, and returned to those of when we laughed and worked together for so many years. ( If anyone who reads this has any ideas on why I felt “survivor guilt” here, I am open to hear your theories….)

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Today, I got a text from my dear “ObiWan” who just went through a scare with HER annual “sister squeeze”.  My Tilt-O Whirl guide (interestingly, also named Cathy buy with a Cee) calls the annual check up, appropriately,  “The Black Legacy of Terror“.

This has stirred me to journal today,  as I realize that there are so many things in this life that can suddenly force us to our knees. Unknown and unwelcome forces that seem to multiply when you have been on “the ride”.  The loss of anyone else you know that had cancer; irritating pharmaceutical side effects; surgical scars; altered body image;  weight gain; weight loss; hair loss; memory loss; fatigue; and especially overthinking that every “sideways fart” is somehow indicating Death is lurking around the corner.

Cee had to undergo extra pictures, hushed consultations between technicians and radiologists, hurried ultrasound, and then ANOTHER ultrasound…..(no doubt more of a “I will need to burn my underwear after this ” experience than simply a “scare” experience).  She was finally given the somewhat reassuring phrase of  “nothing to worry about”  but those who go through these annual breath-holding exercises after cancer treatments will understand her agony.

I can almost FEEL the expulsion of air as she allowed herself to breathe again. And somehow, you just force yourself to your feet, step out again, go back to work, get on with your day, do laundry, interact with strangers, family and friends as if your world is not still spinning madly.

My guts tighten up and a not small number of butterflies take flight in my stomach with the thought that my own  “annual (second!) check up with mammogram” is only days away.  While I am pleased I have made it to TWO, and am fairly confident that it will be fine, I am journalling to perhaps connect with those others who are also forced to “mark their years” now not only at their birthdays.

To let them know that we totally are with them (and know they are with us) as we are forced to step up to the ride again, forced to hold our breaths, and forced to wait (and hope) to hear, “Sorry, Miss, but you will have to go to the end of the line until next year. No ride for YOU t’day!”

May “The Force” (…. only the good, strong kind) be with us ALL on our journeys and rides.

So sad to see you go Kathy.  God speed.

So, SO happy to hear you are staying in line with me Cee.  I am not done laughing with you.

 

It Ain’t Over ‘Till It’s Over

So Christmas is ten days away and I am going to be celebrating not only a “joyeux Noel” buy also a full year since ending my chemotherapy.

I wish I could say I was feeling 100%, but a flu a few weeks ago ( I usually get a flu shot but this hit me before i had the chance!) had me “out for the count” for a full two weeks and it culminated in “something going on” (sorry….it’s the best description I can do) on the right side of my chest immediately below the breast.

It started with a very mild little pain when I coughed (I would simply hold my side) that progressed over about four days into a monster.

It has been a pain that is so intense (like a rib fracture) with any slight deep breathing or God-forbid…a sneeze that it has had me pretty much immobile for about three weeks now. Along with a phlegmy cough that has me almost weepy when it hits.

I even got so bad that I went to the local ER at 6 AM when even regular breathing seemed too difficult.  They gave me a shot of Toradol (anti-infalmmatory which hurt worse than the chest pain) and four hours later in a department with only three other patients, I managed to have an ECG (cardiogram), a chest x-ray and blood work. The doctor informed me that there was nothing to be seen in any of the tests except for a “very minuscule tear of the outer lining of the lung. There is also likely some torn ligaments or muscles along the chest wall that would not show up on x-ray.” “(thank you Captain Obvious” )

So no broken rib, but at least an understanding of what was causing the pain.  I am told it could well be as a result of the radiation treatment to my right breast.

How long to have it heal?  Could be “a while” I am told.  Instructions to rest, take Tylenol and Ibuprofen sound particularly lame. Especially at THIS time of year.

So while I am resting, I begrudgingly re-visit my information on radiation.  Among the words, I find stuff I knew and some stuff I probably was told, but it was down-played to a point that I didn’t pay close attention.

“Radiotherapy makes tissues less stretchy. Doctors call this radiation fibrosis. How this affects you will vary depending on which part of your body was treated. Fibrosis may cause any of the following:

  • fractured rib due to a weakened rib cage
  • inflamed lung tissue”

Yup. Nice.

So.

Here it is, time to be putting up and decorating trees, lights outside, going to Christmas parties, shopping for gifts, planning and having get togethers of our own.  What is Sally the Sloth doing?

Same thing as this time last year. Mattress surfing, wasting the days, and feeling like a complete burden on everyone around her.  Watching as THEY do all the Christmassy tasks for her and realizing how lucky she is to have such loving, supportive family and such understanding friends.

I think I am also feeling cheated in a way.  A lump of coal (more like a lump of shit, but I will go with the “seasonal” description) has been dropped in my stocking and I am NOT amused.

I knew going into this ride of treatment that it would be long and dreary.  I was not disappointed. It was everything I imagined it would be and more. This time last year, I fantasized about “next year”.  All the things I would do at Christmas ….when I had energy and hair.  The radiation vacation was almost enjoyable and as my energy came back, I was starting to see the return of …..me.

Every time I met anyone they would say “Gee you look great! How are you feeling”?  I would respond (sometimes with more enthusiasm that I felt), “Just great! Wonderful!”

Now I realize that what has returned is, in fact, me….but the “OLD” me.  I feel like I have aged more than just a year.  I seem to be moving through thick, knee-high grass.  I can do it, but it takes more effort than it should.  I am envious of those around me who are seemingly unencumbered by any aches or pains.  I can’t remember being this whiney before the ride.

So I am now going to “buck up little soldier”.  Enough self-pity.  Push through the discomfort, and put on a smile.  There may be some residual dizziness after the ride, but this “mental caging” is unnecessary and completely of my own doing.

I am planning a dinner party tonight and to go out this weekend.  Anne helped me get my tree up, it looks great, and we will do a bit of out door lights today.  Christmas IS here and I am done with my treatments. I am being greedy wanting more perhaps and I intend to see the season with the knowledge that some are unfortunately still on their ride.

Joyuex Noel everyone! And Happy New Year!

 

Still Kicking, Thanks!

I realize that it has been a while since I posted a journal entry, ( April!!! Where has the time gone???) so I will take a few minutes and post some thoughts as I do not want to scare anyone who is still “following me” into thinking I am no longer around.

I have been doing as I promised and “living my life after cancer treatment” as best I can, trying not to worry over every bit of fatigue or forgetfulness.  I am still trying (in a half-assed way) to lose my chemo/ smoke-quitting weight gain…with moderate success.  I confess to still having a hard time denying myself pleasures like alcohol and favourite foods…. kind of like BEFORE I was diagnosed….and I am hoping that my cells are not going to hold it against me because I have not adopted a juicing/quinoa/flax seed existence.

Dave and I had a wonderful holiday in New York City and Washington, DC.  Both places are quite different and equally amazing to visit.

Then we seemed to “settle into the summer” with our old and comfortable way of just enjoying where we live and with whom we share our time.  Anne (my sister) kept us busy as she moved from the mainland to the island, purchased and did some usual renovating of her new home.  Painting, flooring, yard work etc., kept us all happily busy and the summer really flew past.  The summer was dry and sunny.  Lovely compared to the rest of the world/ country/ province that suffered forest fires, rainy weather, or hurricanes! Mom was happy to have her home back to being a “bachelorette pad” after Anne moved out and her tomatoes are STILL producing late into October.  (Dad would have been proud.)

We watched a solar eclipse….

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and actually had our little boat out on the water a few times with one of our granddaughters, Finnley.

My Tamoxifen regimen seems to be going well…..and I have had really NO serious side effects that I am aware of.  In fact, I confess, that my sex drive has actually increased in the past four or five months. I had read that it can cause “vaginal dryness” but it has not been the case for me.  Maybe it is a psychological thing, but I confess that intercourse has been even more intense and pleasurable with LESS estrogen in my body. Who knew? HAHA! Don’t tell Dave.

Finally! A cancer “perk”.

I also realized my passport had expired and I decided to have my new ten- year passport with my “post-chemo hair”….haha! Will enjoy watching the look on the airport security people when they try to figure out if lightning indeed struck me just before the photo. I thought I could try and let it grow out a bit….but it just got weirder looking.

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I saw a fellow in Lund, on my trip down the Sunshine Coast with one of my “besties”, Kate in early in September, and I wanted to ask him what “product” he used.  My beard is not quite as nicely developed, but then again, I pluckIMG_3760

Anne has taken off for a holiday to the east….Ontario and Newfoundland.  What I thought was going to be a few weeks, has morphed into a two month journey for her! She is returning this weekend with a new Jack Russell puppy named Lola.  Should be interesting when she and Sidney meet.

My Mom has been my house guest for a month now since a pipe burst in her bathroom ( in our home across the road) resulting in a midnight move and a total house reno… asbestos discovered and flooring ruined.  So I had hardly put away my rollers and paint trays from Anne’s place, when I decided it was a good time to paint the entire interior of her house.  Hours of painting have shown me that I have some arthritic changes in my knees and hands.

Achy joints are new to me. I am not sure if it is treatment-related or just old age.  Maybe a combination of the two. I also know that my months of inactivity during my treatments did me no favours. My energy levels are acceptable and I am sleeping well. So all is good.

In fact all is GREAT!  We have booked a trip to celebrate my TWO year anniversary next April.

A seven day cruise through French Polynesia. (Of course in a VERANDAH SUITE STATEROOM) to be followed by a week in an overwater bungalow in Bora Bora…in a “Diamond Room” at the end of the pontoons….

My bucket list reduce by one and our bank account reduced by MANY!!!

 

So fall has arrived, summer is over and we will ready ourselves for Hallowe’en and Christmas.  We may take a week mid winter to go to Hawaii “just because” , but my heart and mind are already in Bora Bora.

Kickin’ it.

 

 

Happy Anniversary

Well here it is April 27th… eleven months since my first journal entry.

I started the journal one month after I got the call from radiology that “they found something”. So in fact…. this is my ONE YEAR ANNIVERSARY.  To celebrate (?) I had my first diagnostic mammogram since last year. Yay.

Boy, I do know how to rip ‘er up eh? HAHA!  OK. That was sad.  I should be happier.

WHOOPTY-FREAKIN’ DO!  (Imagine loud horns, crowds cheering, or church bells ringing.) There. THAT’s better.

I am drawing to what I hope is a close of this chapter in my journey.  I am considering putting it together in a published format (at the encouragement of  few Tit-O-Whirl groupies) in the hope that it just might make someone else who has been given a ticket a little less frightened of their ride. And those who have not been issued (yet and hopefully never) a ticket can perhaps have a better idea of what others may be going through.

I met a friend on my walk today and as we walked, we chatted about how quickly the year has flown by.  Inside, I was thinking, ” I wish I could say that it flew”.

Fly? No.  For me, it kind of staggered, crawled, snuck, dragged, skulked, and tip-toed.  There were even times when I swear it almost stood still.

But now, I am returning to me. I am energized and enjoying the heavy yard work, walking, helping my sister Anne plan her new house renovations  for later this summer, seeing some hair grow, being with Mom for the hockey playoffs (missing Dad), and booking dinner and show reservations for  our trip to New York and Washington next week.  I have had (thankfully) no further murderous thoughts or mood swings, my weight is coming off, and my “tired” is a normal one at the end of the day.  God is in Her heaven, and all is right with my world.

At least it will be when I hear the “all clear” from my mammogram.

And I know that this will be at a yearly event/ anniversary that I will fearfully hold my breath for and then (hopefully) celebrate quietly by myself as I mark a calendar in my head.  Or maybe acknowledge it with a text to a few other ticket holders who have similar anniversaries of their own. I am anxious to just have the second hand of the clock tick tock at a more “normal speed” that allows me to see clearly what is around me.  Behind me, to the side and definitely in front of me.

I do not want to live in the “world of cancer” anymore.  Enough with the articles, the research papers, the invitations for cancer fundraisers,  or the Face Book “share the candle for cancer” shit.  It was always there before, I know.  It was just easier to ignore it then.  I am so looking forward Dave and my trip away.  Freedom!! I am way too excited at the thought of having some NEW and hopefully funny stories to share!

They say that the first wedding anniversary gift is paper.  I don’t know what the first anniversary for cancer should be.

Maybe the anniversary is the actual gift.

You can’t wrap it up in a box, but it sounds pretty good to me and I am more than grateful for it.

 

And THAT, dear reader, is the entire year of my journey through “the ride”. I may continue to journal, but for a while at least, I am stepping away and getting on with…..

 

Life.

 

Stop by any day around three for a cocktail.

 

Cheers.

 

 

 

 

 

 

Hammering it Home

I had an awful day yesterday.  I will journal it only so that I may look back for comparison if it should happen again. I am guessing it was hormone related but I will examine THAT in a bit.  First let me try to describe the “awful”.

I awoke yesterday (April first) thinking what seemed like a gazillion random thoughts.

“Man….I HAVE to start getting rid of some of this extra weight.”; “What am I going to wear out for dinner this evening?”; ” I wonder if I really have to go?”; ” I really have to get at the yard work today.”; “I have to check my calendar and make sure ALL my appointments for April are on there so I don’t double book or miss any appointments.”; “Where is the dog?” ; “I wish I could find my frigging keys…” ( I misplaced/lost them over a week ago)  were just a few that I could remember. As I said, there were a GAZILLION.

I do remember feeling odd. Not connected. Not “together”. Spacey.  Slightly annoyed. But at nothing in particular. Not able to focus.

As usual, I got up at about 6:30, fed the dog, got him out for his morning ablutions, and when I came back to bed, I might have been hoping to go back to sleep and wake up again on the “right side of the bed”.

But Dave had the TV on.  Which is nothing really unusual. What was unusual was how my annoyance morphed into anger. I hardly EVER go back to sleep, but the fact that he had the TV on would assure that I wouldn’t.  Then he fell asleep in front of me.  I wished for a hammer. For him and then for the TV.

And so my day began. And ended. I went all day not finding one bit of HAHA.  Everything I touched seemed to not work, break, smack me back, or just piss me off.

The poor dog got dragged, jerked, sworn at, smacked, and berated for doing what he always does. Pull me on the walk.  It was just that yesterday, it seemed SO unacceptable.  And he seemed to be just doing to on purpose.

My sister Anne was quiet as she walked with us and I think knew that I was in a foul mindset.  (We usually gab up a storm).

When I got home, I thought, I will stop. Breathe. Do something for me. Focus.

Trying to get Weight Watchers set up “on line” proved to be beyond my ability.  All it did was piss me off.  Two hours wasted (even with Anne trying to help).  Where do I find the fucking point value for food? How am I going to go and buy food if I don’t know what their points are?  Stupid fucking website. They have my credit card number and I have shit. My head was pounding and I started to cry.  Then I decided check my blood pressure.  155/94.  Not good.  I felt almost nauseous.

Anne left with advice for me “relax”.  I have NO idea what gave her the impression I was not relaxed.  She is very intuitive.  I can laugh now, but I wanted to take a hammer to her yesterday.  She will read this and I hope understand….

Just leave it, I thought, and go out to do some yard work.

It helped a little, but I was positively brutal with the clippers and shears.  I looked back and decided that before I clear cut the yard of all greenery, I had better take a break.  Maybe try and walk the dog again.

Then Anne sent me a text with a picture of some bread she had made (I was annoyed that she was being so productive….) inviting me to have some of it while it was still warm. Since I couldn’t figure how many fucking points the bread was, and it was almost three o’clock, I thought I may as well have a cocktail with it. Fuck Weight Watchers.  I should take a hammer to them.

All the thoughts about hammer-usage may have lowered my diastolic pressure a bit at the time and give me some dark relief, but it served no real healthy purpose. In stead I decided to think about what the hell could be causing this emotional tail spin?

It HAS to be part of the Tit-O-Whirl ride.  The Tamoxifen.  How foolish I was in thinking that I would avoid side effects from “evil Tammy Foxen”.  I decided make an appointment to see Dr. Google tomorrow when I would have more time because I had to get ready to go out, and I wanted to take my time doing my searching and reading. I took a huge chance and chose not to write the appointment on my calendar.

We went out for dinner to a retirement party for our local MLA which I did not enjoy  very much.  Got home and I went straight to bed. Still annoyed, but less so than earlier in the day.  I thought, “Dave had better not turn on the TV in the morning” ….but I didn’t say anything out loud. Then I dealt with twitchy legs for an hour before finally falling to sleep.

This morning I visited Dr. Google.  But what the actual…..?  Breast Cancer.org (my “go-to” website) says:

Tamoxifen Does Not Affect Sexual Functioning or Mood Swings. Contrary to speculation, long-term use of tamoxifen (Nolvadex) does not affect mood or sexual functioning, according to British researchers who studied the use of this antiestrogenic drug in women who are at high risk of developing breast cancer.”

Shit.  But wait…further down in the SAME article, it states : “Side effects of Tamoxifen include hot flashes, vaginal dryness, mood swings, fatigue, and nausea.”  (Fucking British scientists. Make up your fucking minds will you? Don’t make me get the hammer….)

And THESE are the thought I have when I am not in a mood swing! HAHAHA!

So I continue to read: (my thoughts that follow are not in italics)

Managing Mood Swings:

(OR : How To Avoid Committing Manslaughter) 

  • Identify and avoid sources of stress that can cause changes in mood.

(The hard part is “identifying and avoiding sources of stress”.  This is difficult when the stress is being driven by pharmaceuticals that you are taking in the hopes of living longer. I am open to suggestion as to how to NOT be pissed off at your husband or dog wanting to breathe in and out….)

  • Exercise can help relieve stress, focus your energy, and balance your emotions, all of which can help ease mood swings.

THIS one I get. Since hammers are not usually allowed in Zumba classes, I shall focus  my energy on working out at home and picking up my pace. (Plus, since I lost my car keys it’s harder to drive anywhere to exercise classes…. I am waiting for a new key fob.)

  • Get plenty of rest. If your sleep is disrupted or you don’t get enough sleep, you may find that you’re anxious, angry, and irritable.

No shit Sherlock! I will be hiding the TV remote for the bedroom in the morning.  Maybe NOT in the toolbox.

  • Eat healthy snacks and small meals throughout the day to give you energy and keep your insulin levels constant. Hunger and varying blood sugar levels can trigger mood swings.

I did have a healthy dinner and I did feel less nauseated and more focused afterwards….so maybe Weight Watchers is a good place to start. (I had my lovely niece Sarah walk/talk/guide me through setting up my iPhone Weight Watchers App and it really is quite cool.)  I found where the food points can be found….so my dietary world is turning smoothly again….

Check. Meditation. Increase spa visits. Be complimentary. (HAHA!)  No hammers.

  • Talk about your emotions with friends, a counselor, or your doctor to help you deal with them appropriately. 

I did talk about my emotions (a bit) to Dave and (more) to Anne and a friend I ran into at the party….(Thanks Kathy!)  It didn’t really help my stress, but now that I am fairly confident in it’s cause, it will be easier to clarify to others how I am feeling.  Hopefully it will not be required daily.

I realize today (the day AFTER) that had I been prepared, I could have actually done most of the things recommended and had a MUCH better day.

I also realize that those little white pills that I consume daily are no “April Fools” joke. It is serious stuff.  And it may be messing with me from time to time, so I have to be READY.

And THAT point was hammered home.