Posts Tagged ‘follow up scan’

Fear, Faith, and Follow-Ups

SMadsenHope25-2“I don’t know about you, but I feel really good about this scan. You’re going to be cancer-free. I just know it.”

You’d be surprised at how often I hear this from family, friends, and sometimes strangers around the time I’m due for my latest follow-up scan. While my initial reaction is to bristle in response, it also breathes life into the dark and doubting places in my spirit. It’s a double-edged sword. I love and hate hearing it. I appreciate the words because, deep down in my soul, I feel them to be true. Yet, history glows on my medical reports. Having experienced three recurrences, I’m cautious and timid about predicting what’s to come. The truth is, we never know what the results of each scan will be until my doctor presents them to me face-to-face.

There have been seasons when I have felt, with every fiber in my being, that the cancer was gone. And I’ve been wrong. Likewise, there have been moments when my fears were overwhelming and I was convinced that the disease was infesting my body. And again, I’ve been proven wrong. I’ve had more scans than I can count, so I’ve learned to maintain a specific posture while facing them. Cautiously optimistic and abundantly thankful.

I stand with cautious optimism to maintain balance. It’s neither healthy to be ridden with the anxiety of looming bad news, nor to be preemptively and naively excited for positive results. It’s crucial to rest somewhere in the middle. Cautious and optimistic. Additionally, I remind myself to be thankful when scans are on the horizon. Depression, fear, and doubt cannot penetrate gratitude. Joy is birthed in a thankful heart. I reflect on how far I have come, all that I have, and all that God has waiting for me in the future. Second to salvation, life itself is the greatest gift of all.

“I feel good about it.” My dad actually said this to me yesterday. As soon as the words hit my ears, my insides shuddered. And as quickly as I recoiled, I also smiled. What an odd experience. I am full of faith and hope, yet fear pricks at my heart. You see, fear and faith are not mutually exclusive. So often we believe they are. That if we are afraid, we are simply lacking faith. How defeating must that be, for us to be faithless if fear is present? It’s simply not the truth. Fear is a human response, yet faith is a supernatural assurance. They can be felt simultaneously.

Likewise, I’ve grown to understand the difference between fear and fearless. Fearlessness is not a lack of fear but rather a resilient determination to push through the circumstance that makes us most afraid. Fearless means forging a way amidst paralyzing doubt and trepidation. Fearless is a mindset and a commitment. To be fearless is to overcome.

I am full of faith in a God who redeems, restores, and heals. Faith is an assurance in what cannot be seen, and while I have not tangibly seen God, I have seen Him to be true in my life. He is present, at work, and carefully orchestrating every detail. He has gone before me. He has written my story. He has rescued me. My God is alive, and I have faith in Him. At the same time, I struggle with the fear of my earthly opponent. My flesh is quick to breed anxiety and doubt. Rather than reflecting on the miracles woven in my story, my mind falls prey to the memories of past disappointments and recurrences. Fear is a looming shadow, stealthy to entrap me.

My faith is unmoved and unwavering, though my flesh is broken and afraid. Simply put, my faith is abundant because it rests in my Savior, and my fear is present because it rests in a scan. God does not change, our circumstance does. And right now, as my latest follow-up scan approaches, I am choosing to maintain a posture of cautious optimism and an attitude of gratitude. Am I afraid? Not overwhelmingly so, but enough to put me on edge. Scanxiety is real, no matter how long you’ve been cancer-free. Do I have faith? 100% YES! God is bigger than my fear and mightier than my disease.

As you read this, Matt and I will be in between appointments at MD Anderson for my next round of scans, tests, and doctors visits. If you remember my last trip to Houston, I officially reached the two-year mark of being NED, which means my scans have now switched from every three months to every six months. It’s hard to believe that it’s been only six months since my last trip to the hospital! We’ll be venturing to MD Anderson once again to not only meet with my specializing gynecologic oncologist and receive a PET/CT scan, but additionally to meet with a new team of doctors for further tests. (I’ve been experiencing intermittent nerve pain in my breasts and want to be extra sure it’s nothing, therefore I’ll be receiving a mammogram to be precautious.)

While I rarely look forward to these appointments, I find myself with excited anticipation for my last appointment on Thursday. It’s something I have looked forward to for years, and it’s hard to believe it’s finally here. Barring no new spots on my scans, my port will be removed! A momentous occasion indeed!

As we spend two solid days at MD Anderson with eight separate appointments, we ask that you stand with us in prayer. Though this isn’t our first rodeo and we aren’t expecting news other than the positive kind, fear and anxiety are present, but we are full of faith and cautiously optimistic for good results!

Philippians 4:6-7 (MSG)

Don’t fret or worry. Instead of worrying, pray. Let petitions and praises shape your worries into prayers, letting God know your concerns. Before you know it, a sense of God’s wholeness, everything coming together for good, will come and settle you down. It’s wonderful what happens when Christ displaces worry at the center of your life.”

Our Plan, His Will

These past few days have been entirely orchestrated by God, of that I am sure.

Tuesday night, our church had it’s monthly women’s event, and I was asked to be a small group leader for the evening. One of my dear friends shared her testimony with all of us, and her message was enriched with His faithfulness. In fact, God’s faithfulness was the theme of the night. I am convinced that both the theme and it’s timing were orchestrated with enormous purpose.

Most of us say that He is faithful. We worship Him with that word. We pray for that characteristic to shine in our lives. But how many of us really know that it is true? God’s faithfulness is not measured by how many prayers are answered. He remains faithful even when our plans aren’t in alignment with His.

As I led my group into discussion, I was given questions to pose to the ladies. Here are a few that stood out to me, and have meaning especially now:

  • “Has there been a time where God has made something beautiful out of your hurt or pain?”
  • “How is our story part of God’s bigger story? Share a time when it was hard for you to see at first, but in the end you realized that God was doing something for a reason that you couldn’t see at the time.”
  • “Why is it sometimes hard to surrender to God’s plan in our lives?”

Notice that not one of these questions mentions an ease to or fulfillment of our plans. Many times God sees our plans and wants something bigger for us. I’m sure He looks at our life goals, plans, and desires and thinks, “That’s it? That’s all you want? My will is far greater that that.”

My follow-up CT scan was on Monday. Our women’s event was Tuesday. And I received the scan results on Wednesday. In the moment, I wanted the results immediately. Why couldn’t I receive them within seven hours like I did last time? I didn’t understand why. But now I do. Tuesday was God’s time to speak to me. To remind me of His faithfulness, regardless of the circumstance. It was His moment to encourage and empower me, and to remind me of His steadfast love. His timing was perfect.

I received the call yesterday morning at 7:03 am. Upon answering the phone, I heard my doctor’s voice. I immediately knew. A tumor had grown near my remaining ovary on the right side of my abdomen. It’s a little smaller than two inches. The cancer has returned for a third time. After listening to the medical details and ensuing plan of action, the conversation ended. My husband slid to the ground with his face in his hands, and began to cry. Tears began to fall from my eyes, as well. Instead of asking “Why?” I uttered, “I don’t understand. What plans do You have for me Lord?” I refuse to question His intentions, but can’t help questioning His plan. The tears of disappointment quickly turned into tears of sadness that I would, yet again, lose my hair. I ran my hands through my thick curls, and continued to express grief over the future loss of my locks. I hate losing my hair. It continues to be the most difficult part of this journey.

From the moment I processed this news, a calm confidence has filled my spirit. Where fear, doubt, and worry could hide, confidence has held residence instead. Large Cell Neuroendocrine cancer is extremely aggressive and, more often than not, fatal. However, this cancer is behaving unusual in my body. Unusually good. Sounds oxymoronic considering it’s return, however, it’s seemingly losing it’s power inside of me. Typically, this disease grows out of control and spreads quickly. Because both my hormonal and nervous system (Neuroendocrine) are under attack, this cancer has no bounds to where it can travel. In fact, in many cases, it heads to the lungs and brain rapidly. Yet, for some reason, it is remaining very localized in my pelvic region. It’s attaching itself to surgically removable organs. It is nowhere else in my body, and is no longer growing out of control. The tumor this time is significantly smaller than the second softball-sized tumor that developed within three months. I have been out of treatment for nearly six months, and was nearing the one year mark for being cancer free. All of these facts are good. They give me great confidence that once we remove this last ovary, the cancer will see nowhere else to grow and will cease residency in my body. I’m not dying from cancer. God has bigger things in store.

On October 6th, Matt and I will be running our very first 5k. We have been training for nearly eight weeks, and have put a lot of sweaty effort into our goal. This race immediately flashed in front of my eyes upon hearing the news that I would need surgery and chemotherapy all over again. “I WILL run this race. We’ll postpone surgery if we have to, but we ARE running this race.” Matt was adamant that I was delusional, but agreed to speak with my doctor. Explaining that this accomplishment would mean so much, I was insistent that cancer not take it away from me. Thankfully my doctor agreed, and smiling, she told us to run the 5k. Thank you, Jesus! Postponing surgery a few more days than expected should not have an impact on my health. If at any time between now and surgery, we feel the need to move forward with the procedure earlier, we can and will. However, my hope and prayer is that my pain will remain at a minimum and that the tumor will neither grow nor spread in this time. Our race is in ten days. Surgery is scheduled in eleven days, on October the 7th.

Through all of this, God remains faithful. Our plans and His are not in alignment, yet I know that His will for my life is far greater than I can imagine. For that reason, I continue to trust in His healing power, and know that He’s got this all figured out.

Psalm 138:8 (MSG)

“When I walk into the thick of trouble, keep me alive in the angry turmoil. With one hand strike my foes, with your other hand save me. Finish what you started in me, God. Your love is eternal—don’t quit on me now.”