Posts Tagged ‘cancer-free’

NED, Now What?

The transition between cancer and life-after isn’t as easy as I thought it would be. As I shared in my last post, celebrating my five-year cancerversary and two years NED (no evidence of disease) wasn’t as exciting and celebratory as I expected it to be. Now that the confetti from my two-year NED scan has settled on the ground, I find myself questioning what my goals are since being cancer-free can be checked off the list.

As you’ve probably noticed, my writing on this blog has diminished in frequency. I went from posting weekly, to now monthly. And to be honest, I struggle with being okay with that. I feel pulled between regularly writing on this blog and focusing on a much bigger and more pressing goal. I’m still trying to work out the kinks and pave a new path for what lies ahead, and it’s proving to be quite the task. Not only do I find myself juggling the grief and emotional triggers of surviving cancer, but I’m also juggling what most everyone does when one chapter closes and a new one opens. I’m navigating new waters, and it’s, well… new! (And scary, and overwhelming, and joyous, and wonderful, and all the feeeeeels!)

Many of you have asked about my future endeavors. From questions like, “What will you do now that you’ve gotten a second lease on life?” and “Are you still traveling and speaking?” to more pointed and direct questions, “Are you writing a book?” and “What happened to the adoption process?” I thank each of you for being so invested in my life. For following along this arduous and quite emotional journey of mine. For rallying beside me to support, encourage, and pray me through the most difficult years of my life. In all honesty, I couldn’t have done it without you… My team. And because you’re on my team, you deserve to know what’s next!

While I can’t share many details because I’m still trying to wrap my mind around and navigate the road ahead, I will answer both yes and no. Bear with me. I’m learning so many valuable lessons during this new season of life after cancer, but they aren’t all easy. I’m learning that release is as important as focus. I’m learning that I don’t give myself hardly enough grace, forgiveness, and mercy. I’m much too hard on myself and I place exorbitant amounts of pressure and expectation on my shoulders. I set myself up for failure more than I do success because my goals are vast and innumerable. This last lesson learned has been eye-opening and revelatory for this next chapter of my life. I’m learning that redirection, regrouping, and refocusing is necessary. And as cliche as it may sound, I’m learning that we are meant to live life, not life to live us.

Yesterday I found myself having one of “those” days. As usual, I woke up early to work out, then sat and had my coffee and quiet time, and began getting ready for my day. As the sun was shining and birds chirped outside my window, a dark and looming cloud settled over my spirit. I tried to push through my day and continue on with my list of to-dos, but I simply couldn’t get out of my funk. The worst part was that I had no discernible reason to even be in a funk at all. Life has been grand and wonderful and so much fun recently. So why was I on the verge of tears for an entire day? That night on a drive to the grocery store, Matt and I began to talk. Let’s be honest, it was more of me talking and him graciously and patiently listening. But in our conversation, I realized something. Some of the pressure I have put on myself has stemmed from a season that I have just stepped out of. And frankly, it doesn’t deserve a seat at the table anymore.

My fight(s) against cancer has brought tremendous blessing and opportunity. Through my chaos came my calling: to write and share about the deep dark pits of despair and use my platform as a way to encourage my readers to focus not on what we are facing, but instead through faith to find joy and hope amidst it all. To inspire you to look beyond your circumstance and see the beauty in the journey. I’ve been privileged to walk through cancer with such an abundant amount of support and am incredibly honored that you’ve celebrated each feat with me. But I’m realizing that cancer can’t have a seat at the table anymore and I must move on.

Am I causing more confusion than clarity?!

Derailing My Diagnosis was birthed with the mission of living life beyond cancer. It’s in the name… I am more than my diagnosis. There is much more life to be lived beyond the constrictions of a circumstance. And now that cancer is in the rearview, I need to continue with the mission. Because cancer isn’t the focus in my life anymore, it can’t be the focus in my life anymore. Are you with me? Frankly, I need to build healthy boundaries and cancer can’t steal my energy, focus, time, and emotional well-being any longer. I need to begin the process of compartmentalization. And cancer needs to be redirected.

All of this to be said, cancer will always be a part of my story. And as much as I wish I could put it in a box to be hidden away in a dark corner, it still affects me everyday. I will carry it with me forever. But my focus is shifting and if you haven’t noticed it already, you will. I will continue writing on this blog because it’s important to speak life into darkness and  simply because I love it. However, from here on out, not every post will fit in the cancer category. I’ll be sharing life lessons and the truth that Jesus is speaking to me in the hopes that through my words He will speak to you, too.

Though cancer no longer will be the focus on my blog, it will be shining bright in another area of my life. This brings me to the answer of one of the most popular questions I receive. YES, I am writing a book, and NO, I can’t give details! It’s crazy and I still can’t believe it’s actually happening, but I’m thrilled for it and believe that God is preparing beauty through its pages. This book will encompass my journey to survival; The highs and lows, the grief and loss, the celebrations and, ultimately, the victory. It’s authentic, raw, and beautiful. And I’m believing that it holds treasure waiting to be revealed. I ask that you pray for me during this process.

So yes, life is changing and I’m entering a whole new season. My blog is shifting, my book is being birthed, and I’m still pinching myself that I’m actually alive to experience all of this. God is good. All the time.

Stay tuned. The best is yet to come!

Philippians 3:12-14 (MSG)

“I’m not saying that I have this all together, that I have it made. But I am well on my way, reaching out for Christ, who has so wondrously reached out for me. Friends, don’t get me wrong: By no means do I count myself an expert in all of this, but I’ve got my eye on the goal, where God is beckoning us onward—to Jesus. I’m off and running, and I’m not turning back.”

Photo: K Mitiska Photography 

Milestones of the Miraculous

IMG_9044

Engrained in our spirit is the act of looking forward. From a young age we are encouraged to dream, imagine, and explore the exciting things the future has to offer. We are trained to set goals and achieve them. Children innately await the new adventures maturity will bring. Parents proudly prepare for their child’s first steps. Looking forward creates rousing anticipation of the opportunities that tomorrow may hold. We are consistently seeking what’s to come. The future is what we strive for.

There are distinct milestones that remain enveloped in our memory. Our typical landmarks may include graduations, marriage, children, home ownership, age achievements, career successes, weight loss, and financial accomplishments. Never have I encountered someone who has no intent for their future. No matter how big or small the goal is, we seemingly have them all of the time. Long term goals. Short term goals. Wishes, hopes, and dreams. They are synonymous to our existence.

Since cancer has entered my life, my goals have changed. The milestones I have reached are much deeper than my once superficial ideals. No longer do I crave the “next best thing.” No longer am I seeking superfluous nonsense that lacks ultimate fulfillment. The resounding similarity in the majority of my current goals is life itself. Once told I had less than a 20% chance of surviving the first year after my diagnosis, my goal was to beat that. Once told a recurrence would be difficult to make it through, my goal was to survive each time the cancer returned. Through each and every recurrence and subsequent treatment, my unsaid goal has been to achieve one year cancer-free. My goal is life. The one year mark has been my buoy. It’s been my north star while I’ve been lost in the wilderness. My lighthouse in the middle of a raging storm at sea. My compass when all sense of direction was lost. One year cancer-free has been a milestone I’ve desperately dreamed of reaching, but had never obtained.

One clear scan, praise God. Two clear scans, hallelujah. Three? Nope. Never have I experienced more than two clear scans in sequence. Cancer has always reminded me that it’s still here… Sometimes microscopic and sometimes maxing out at softball-sized girths. Reaching one year has become more than a milestone, it’s transformed into a miraculous feat. I’ve often thought, “It’s going to take a miracle for me to hit one year.” My latest scan brought more scanxiety than I have ever experienced. It was the scan I had never made it to. The one milestone I could never obtain. While sinking in the deep and dark abyss of the ocean, it was the buoy that I’ve always seen but couldn’t quite reach. Even though I’ve been fighting for three and half, one year has always seemed so far away… Simply a miraculous landmark.

I battled the inevitable in my head on repeat. I wanted to prolong the appointment’s arrival and fast-forward to the results all at once. Soon, I found myself walking into the doors of my home away from home. The hospital that housed my answers.

After redundantly checking the box that indicates I have cancer, ingesting the nauseating contrast, and waiting the long-winded forty-five minutes as my body soaks it up, my name is called. I try and smile naturally as I approach my technician. My heart races and I fear that she hears the pounding inside my chest. She’s sweet and gentle. She remembers me… They usually do. We joke as I need no introduction to the machine, and no further instruction on the process. I’m a pro, we both know that. I fumble to find a place for my purse. As usual, I then hand her my phone and pose in front of the device that quite literally sees right through me. She awkwardly takes a few snapshots and I ease her quiet questions by explaining the documentation of my journey. We share laughter out of polite necessity. I tell her my particular requests for a slower insertion of iodine, and lay on the cold, hard surface beneath the machine. My technician leaves the room. Everything the scan needs is fulfilled. I’m hooked up, laying still, and my heart begins to slow to a soft beat. A rhythmic tap of a drum, my heart is calm. My spirit is gently strengthened and prepared. No longer is it just the technician and I in the room. My hand is being held by someone neither of us can see.

The iodine slowly floods my body. The warmth is overwhelming and I instantly taste it in the back of my mouth. The machine starts to stir. Loud whirring begins to indicate the commencement of the scan, and soon I am being ushered underneath the spinning technology. The machine tells me to hold my breath for a few seconds, and then welcomes me to breathe once more. I’m praying inside. I know I don’t need to say much. “Please” is all I can utter into my spirit. The machine quiets, and slows to a hum. I’m brought out of the cylinder. My technician says, “All done,” and I thank her for being so helpful. I genuinely appreciate what she does day in and day out. For a split second, my eyes question hers. Has she seen my enemy inside of me once more or is she quietly rejoicing as she knows the results? The waiting begins. I’m looking forward.

After what always seems like months, I received the results. This time, I was back at the hospital in the middle of drug therapy. My infusion nurse, who has become a friend as she has walked me through every step of this journey, smiled as she shared the news. Tears fell from both of our eyes and I could no longer hold back the emotions that I had been guarding. I couldn’t believe it. Frankly, I still can’t.

I have officially reached my milestone! A milestone of the miraculous. One year ago on June 14th, my latest malignant tumor was removed from my body. I received more chemotherapy, and now, one year later, the cancer is still gone. There is no evidence of recurrent or metastatic disease in my body. I’m rejoicing, celebrating, and thanking God for His faithfulness. I’m cancer-free once more, and this time I’m breaking my own records. Now, I continue my drug therapy once every three weeks and recover. From here on out, each scan will be a milestone of the miraculous. I’m not only looking forward, I’m moving in that direction as well.

IMG_9101

Philippians 13:12-14 (MSG)

“I’m not saying that I have this all together, that I have it made. But I am well on my way, reaching out for Christ, who has so wondrously reached out for me. Friends, don’t get me wrong: By no means do I count myself an expert in all of this, but I’ve got my eye on the goal, where God is beckoning us onward—to Jesus. I’m off and running, and I’m not turning back.”

 

 

 

 

I’m Cancer Free. So Why Do I Still Feel Anxious?

(As appeared in Everyday Health on April 10, 2015)

Stephanie_Headshot_1

Treatment is over. The poisonous toxins are no longer coursing through my every cell. My body is recovering and my energy is being refueled. My hair is growing. I’m seeing hints of familiarity in the mirror — what I was before this wretched disease took over.

I’m beginning to feel like myself again. My scans are clear and there is no evidence of disease.

A burden has been lifted.

But another one has taken its place.

Those outside the gates of Cancerland believe that life goes back to normal once treatment ends. It’s as if we get to press some universal play button and then proceed on our merry little way.

Life is never the same after cancer. The disease does not pause our lives, it redefines them.

Cancer is like a tornado ripping through a town in middle America. It tears through lives and leaves destruction in its wake. Like trees violently uprooted and thrown aside, so too are dreams and goals. Life doesn’t go back to normal after the dust settles. The survivors are left to survey the rubble and pick up what remains.

Discussing the realities of life after cancer can cause pain, grief, and discomfort. Some struggle to move forward because they are stuck living in fear. The “what- ifs” can be paralyzing. It’s easy to be consumed by thoughts of your own mortality even after you are deemed “cancer-free.” This disease doesn’t just affect your body, it also affects your mind. The battle against debilitating fear and anxiety is real. And can be more difficult to bear than treatment itself.

The slightest presence of pain can deliver thoughts of a recurrence. “I have a headache… Has the cancer spread to my brain?” “My stomach hurts; I wonder if a new tumor is growing there.” This mindset is ingrained. Throughout treatment you are constantly asked if you notice any new pain or experience symptoms. Therefore, like Pavlov’s dogs, you are intuitively trained. Even the smallest change is cause for alarm.

Being cancer-free is bittersweet. On one hand, finishing the treatments that have been wreaking havoc on your body is emancipating. But, on the other, the thought of no longer actively fighting the disease is terrifying. Many people have a love-hate relationship with these life-saving treatments. After saying goodbye to our chemo cocktails, radiation, or other therapies, we are left to pray and hope that cancer will no longer choose our bodies for its residency.

How do we live after cancer? Do we try and fill the shoes we wore prior to our diagnoses? Do we begin a new journey?

Many use their experiences with cancer to help others going through the same battle. Others say that cancer makes them better people and redirects their focus. For those who leave Cancerland, life is much more fragile.

Cancer gives you a new lease on life. As if the multitude of decisions we have made since diagnosis aren’t enough, we now must decide what to do with the rest of our lives. Often, life before cancer seems meaningless compared to the vast experiences and enlightenment we gain afterward.

We have looked straight into the eyes of death, and have come out on the other side. We have been beaten down, knocked around — and yet we have survived. Our faith has been tested and reborn. Hope has emerged from the ashes. Though we have lost much, we have also gained strength we never knew existed.

We are different. We have evolved, developed, and grown. We must acknowledge that even though cancer has affected every area of our lives, we have come out on top. Living every day is a choice. And choosing joy is vital to a healthy and happy existence.

Unexpected Early Results

Yesterday morning, I woke up early and drove to the hospital for my three-month follow-up CT scan. Generally I have a fair share of “scanxiety,” yet that morning was different. Maybe my nerves were suppressed due to the overwhelming congestion in my chest, head, and sinuses, or possibly from the after-effect of two amazing vacations. Regardless, I felt confident, ready, and at peace with whatever the results would show. There still was an undercurrent of suspense as I journeyed my way to the life-changing scan, yet I suppose there always will be with every test I receive. That’s what you get with a diagnosis like mine.

After choking down every last drip of the repugnant “fruit cocktail” that would light up my insides, I waited. And waited. And waited some more… Story of my life.

My name was called and I was then directed to the room where the monstrous machine sat eagerly anticipating my body in its grasp. Before I laid down and surrendered to the process, I uncharacteristically asked the radiation tech to take a picture of me flexing my not-so-strong biceps beside it. Odd, yes. But, for whatever reason, I felt the urge to display my strength to the beast that has been trying to kill me. The tech laughed, the camera clicked, and I positioned myself on the scanning table, ready to be sucked into the machine. All the while, praying fervently that nothing would light up.

The nurses, radiation techs, and I chat frequently throughout the process of these scans. We become friends. I give them the run-down of my diagnosis, the long list of treatment, and the hope for healing that I cling to. Many share well wishes and good vibes, while several others say they will be praying with me for complete healing. After the CT machine was done spinning around my body, I was free to go. And as I said my goodbye’s and thank you’s, I caught a glimpse of my tech behind the computer that displayed the vast pictures of my internal organs. I could’ve sworn she was smiling.

No matter how hard I try not to read the faces of the techs as they instantaneously see the resulting photographs from my scan, I still succumb to curiosity. This time was no different. But did I really see a smile form on her face as she examined the results? Maybe I was fooling myself.

Typically, I wait about a week to receive the phone call from my doctor with results from my scans. However, barely seven hours after I had left the hospital, the number of my doctor’s office appeared on my phone screen. SHUT UPWhy are they calling me so soon? I bet all of my insides lit up, the cancer has spread, and they want to notify me that we must proceed with emergency treatment. Dammit. As I nervously answered the call, my ears began to hear unbelievable news.

“Stephanie, we just received the results from your CT, and I couldn’t wait to call you. The results show that there is no evidence of disease in your body. All of your internal organs look normal and healthy. Your liver is normal. Your kidneys are normal. Your ovary is normal. Your lymph nodes are not swollen and are normal. You are currently cancer-free!”

Even as I relive what happened less than 24 hours ago, I find myself speechless. I am in awe of God’s healing power. I am in awe of His faithfulness. I am in awe of His sovereignty. I am, yet again, cancer-free. And yet again, I am a survivor.

This is the longest I have gone without cancer in my body since diagnosis 18 months ago. I received a clear scan in August of last year, but within days, the beast was growing inside once more, and by November I was starting treatment all over again. In March, I was almost done with my second season of treatment and received my first clear scan. Yet, still actively undergoing chemotherapy treatments, I figured, of course the scan would be clear. After all, the poison was still coursing through my veins. But, my scan yesterday was different. This cancer-free proclamation is more meaningful, because it’s the first scan post-treatment that I have received good news. The way my doctors and I view it is, I have been cancer-free for the past seven months. It breaks down to look something like this:

  • November 2012 (post mass-removal surgery): Cancer-free CT and PET scan
  • March 2013 (before completion of chemotherapy): Cancer-free CT scan
  • June 2013 (post all treatment): Cancer-free CT scan

That’s seven whole months that cancer has not invaded my body, and I am overjoyed! I remain cautiously optimistic, but nevertheless we are celebrating this victory. With every ounce of good news, there are heaping amounts of hope. I have yet to see what my future holds, but I am standing firm and believing that through The Lord’s healing power, I am ultimately healed. I celebrate this victory, and I am humbled by the hands of my Savior. He is GOOD! Continue to pray with me that cancer will no longer take residence in my body, and that the glory of God will reign.

Strength before a scan! (June 2013)

Strength before a scan! (June 2013)

Psalm 107: 19-22 (MSG Version)

“Then you called out to God in your desperate condition; He got you out in the nick of time. He spoke the word that healed you, that pulled you back from the brink of death. So thank God for His marvelous love, for His miracle mercy to the children he loves; Offer thanksgiving sacrifices, tell the world what He’s done—sing it out!”

Drumroll, Please…

Stephanie and Matt, February 2012

Last Friday (8/24), I went to the hospital to get a PET scan. This was my second scan of this kind, the first being exactly seven months ago. Besides being the same procedure, this one was drastically different than my first scan, which you can read about here. Why was this one different, you ask? Well you see, in January I knew I had cancer, and was receiving the imaging to determine where and how far the cancer had spread. A week ago, I received the imaging to determine if, after all my treatment, the cancer was demolished. Waiting for results is the worst part of the process. Although God has been teaching me patience throughout my entire life, specifically during this journey, I haven’t yet mastered it. Let’s just say, I am not a fan of the waiting game.

Waiting truly is the hardest part. Whether it’s waiting for results for an important exam, waiting for paperwork to go through on purchasing a home, or waiting for doctors to tell you cancer is or is not present in your body, it’s still difficult. In the stillness, your mind is more capable of wandering off onto paths you thought you blocked off. I’ve had five whole days to battle against doubt. So many thoughts have run through my head. But over these last few days, I’ve learned that my thoughts are a choice. I can either choose to let doubt flood into my brain and infect all aspects of my being, or I can look forward and keep my thoughts fixed on the end goal. My end goal is to be cancer-free. And I will be.

Sometimes it’s hard to fight those thoughts of fear and doubt, but I’ve found that I am meant to rest in God. Only in Him can I find authentic relief. I was not created to fight this alone. None of us are. He has reminded me of that greatly throughout these past five days. On Sunday, pastors from South Africa came to speak at our church. I was amazed at how God used this man to speak directly to me. The message was titled “Hold On.” And one major point that stuck out to me was: “God’s delays are not God’s denials.” I’ve actually heard that saying twice since diagnosis from two separate sources. He’s obviously wanting me to absorb it! Holding on is all we have to do when things get rough. When you think you can’t possibly keep your grip any longer, find your strength in Jesus. He will give you rest. “Blah, blah, blah,” you may be thinking, but give it a shot. I promise you won’t be disappointed. But always keep in mind, our timing is not God’s timing. Be thankful for that; His timing is never wrong.

Like I mentioned, I’ve waited since last Friday to receive my PET scan results. I can finally announce, the waiting is over. I received a call from my nurse at my Radiation Oncologist’s office a little bit ago. She happily informed me that my scan came back… drumroll, please… “clear!” Praise God! After asking her if there were any possible traces of cancer in my body, she responded with “the scan shows absolutely no evidence of malignancies anywhere.” In English, this means there is no cancer in my body. None. I can proudly say that these last six months of treatment have worked! (Cue applause, hoots and hollers, jumping up and down, and tears of joy!) I am elated.

Where do things go from here? Realistically speaking, I am nowhere near the end of this journey. Not until I reach five years of clear, cancer-free scans will I be considered “in remission.” Until then, I will continue to get pelvic exams every three months, and PET scans every three to six months. This adventure isn’t over, and like I’ve talked about before, this next part of the story might indeed be harder than the beginning; The battle of protecting my mind from doubt is on. I will be fighting against the statistics of Neuroendocrine cancer. It’s gnarly. It’s aggressive. It can come back. I will most definitely have ups and downs, good days and bad days, but I will persevere. My hope is in Jesus. And He has promised to never disappoint. I’ll say it again, with Him, I will defeat this.

I’ve been asked several times how I’m feeling now that treatment is complete. After my blood transfusion, things have been on the up and up. I’m feeling more and more like ME with every day that passes. I’ve told Matt he has his wife back, and he’s pretty stoked about that! My energy is coming back, my body is starting to cooperate with me, and I no longer wake up and think “is today a good day or a bad day?” Most days prove to be great days. I haven’t touched on it much, but I gained quite a bit of weight during chemotherapy. In fact, I was shocked when the numbers on the scale continued to increase with every treatment. It’s actually not uncommon. Truth is, after I got diagnosed and was told what treatment I would be undergoing, I literally thought, “YES! Chemo-diet! It’ll be great to lose a few pounds!” How silly and naive of me. Chemotherapy is known to shut off your metabolism. Frankly, it throws your whole body out of whack. Yes, some people lose weight. A lot of people simply lose their appetites. As for me, I definitely didn’t. Nurses say it’s a good thing, however my scale says otherwise. Since my hysterectomy, I have gained about 25-30 pounds. Yuck. With the whacked metabolism, lack of energy, and extreme body pains, I was unable to be very active. Think couch potato. However, now that I am regaining more and more energy every day, I have been able to be more active.

Many of you can understand what gaining unwanted weight feels like. It sucks. And I really don’t like the way my body looks with these extra pounds clinging on. So, I’ve told myself, “if you can fight and beat cancer, you can whip your ass into shape, girly.” Ok, so I left the girly part off… whatever, that’s not the point. Since Wednesday, (8/22) I have been extremely committed to losing this extra weight and getting back into the shape I was before diagnosis. Hopefully I’ll be in better shape than before the craziness began! My commitment means working out five days a week (typically at 5:30am, yikes), and eating very clean. Thankfully I have my husband who is my teammate and accountability partner. Many of you know I am a vegetarian and have been for the past four years. I was vegan for an entire year, but that’s a totally different story. Don’t get me started. But although I’m a vegetarian, I’m a carboholic. I love carbohydrates. This new weight loss commitment has entailed me ridding myself of most carbs. I eat tons of fruits, vegetables, and find my protein in things like eggs and nuts. I can proudly say that what I’m doing is working! I’ve lost seven pounds already. My goal is to lose twenty pounds by the time Matt and I head to California for our “cancer-free” vacation in thirty days. I’ll keep you updated on my progress, and look forward to fitting into and wearing the jeans I wore eight months ago.

Oh, by the way, if you missed it… I’M CURRENTLY CANCER-FREE!

Romans 5:3-4 (NIV)

“Not only so, but we also glory in our sufferings, because we know that suffering produces perseverance; perseverance, character; and character, hope.”

We’ve come a LONG way! Stephanie and Matt, August 2012