Posts Tagged ‘life after cancer’

09
Mar
2016

10 Ways To Be Better Not Bitter

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Life has a way of throwing curveballs. We’re all recipients of unwanted detours, closed doors, and unfortunate circumstances. In fact, I once heard that if you feel good about where you’re at and what you’re doing, be prepared, because it’s all about to come crashing down. I’d say that while it’s a rather fatalistic viewpoint, there is some truth to it. Life isn’t easy and it never will be. We all have seasons of greatness where everything seems to be going right, when stars align and favor shines down on us. But likewise, we each experience tragedy that seems to strike at all the wrong moments. Death, divorce, accidents, sickness. We’re all susceptible to unforeseen affliction. It’s not about avoiding or denying misfortune, it’s about being prepared for it. It’s about allowing tragedy to make us better and not bitter.

My husband and I were married on a beautiful, sunny day in June. We had a blissful romance. Our first date lasted for 9 hours and, by the second date, I knew I would marry him. We laughed, loved, and enjoyed each other. We might as well have had a Disney soundtrack playing behind us as we moved into our first home, spent many nights cooking together, and lived a fulfilling and abundant life. Then, right as we were gaining our newlywed momentum and forging our way as us against the world, life hit. 19 months after we shared our “I Do’s”, I was diagnosed with cancer and given a less than 20% chance to survive. Our curveball came barreling into our white-picket existence and we were left facing a tragedy of the highest magnitude.

It would be easy to be bitter after everything that’s happened since our wedding day in 2010. It would be natural to be bitter after the loss we’ve endured. It would be expected that bitterness would reside in our hearts after all of this time. But facing the end of your life will teach you something. And what we learned is that we have a choice to make in our struggle. We can become better or bitter, but we can’t have both. Be intentional about where your heart rests. Bitterness is sneaky and creeps in at the first drop of your guard. Here are 10 practical ways to be better instead of bitter.

  1. Choose Joy. And I’m not talking about happiness. There’s a distinct difference between the two. Happiness is an outward expression while joy is an inward decision. Happiness is a reaction to what’s going on around us. Joy is a conscious choice that no matter what happens, you will rise above. Choosing joy will transform the way you live. It will allow you to see beyond your circumstance to what really matters.
  2. Grieve, But Get Back Up. Grief is a normal response to a tragic situation. It’s okay to cry, scream, and get angry. It’s okay to eat an entire pint of ice cream to drown away your sorrows. Grief is healthy. Be sad. Be upset. Be hurt. But don’t stay there. Walk through those feelings, but make sure you continue to walk. Giving up in the middle of grief can swallow you whole. When you’ve finished your ice cream, set the spoon down. Holding onto grief can paralyze your process. If you want things to get better, feel it and follow through.
  3. Pick Your Friends Wisely. Some friends serendipitously fall into our lives while others are hard-earned. Remember, you are who you surround yourself with. If Bitter Betty is your bestie, her bitterness will most definitely rub off on you. Be mindful of how your friends make you feel. If they bring you down, cut them off. The same goes for certain family members. If you have a sibling/parent/cousin/etc that can’t stop crying over the spilt milk, step away. Find relationships that speak life into your circumstance. Everyone needs Positive Polly as a friend.
  4. Keep The Faith. No matter your religion or beliefs, have faith. Faith that it is going to get easier. Faith that there is a light at the end of the tunnel. Without belief in something, there can’t be a belief in anything. My faith in God rescued me from bitterness. He is my strength when I have none. He will make a way where there is no way. Have faith that where you are now is not where you will always be.
  5. Have Hope. Similar to faith, we must never lose hope. Hopelessness is a breeding ground for bitterness. Those who give up hope often fester in bitterness until the very end. When everything else fades away, hope will be your anchor. When catastrophe comes, hope will be the gentle salve that heals your wounds. Hope gives us a future perspective and allows us to grow through our trials.
  6. Be Intentional. Don’t drift. Complacency leads to dissatisfaction and resentment. Without intent we become victims. We fall prey to our tragedy. A victim mentality is a guarantee for bitterness. Every curveball has limitations, but living without intent allows our challenges to overpower every area. Maintain some level of normalcy and be intentional about how you spend your days. Sitting on the couch is a recipe for disaster during life’s battles. We rarely have the choice of what challenges we will face, but we do have the choice on how we will respond. Being intentional is a sure-fire way to take your power back.
  7. Find The Lesson. Though it may be the proverbial needle in a haystack, you can find lessons in your tragedy. I’m not referring to reason why the tragedy happened, but rather the wisdom you can glean from it. Every struggle can teach you something. My fight against cancer has completely changed my life. There are many disappointments that have resulted from my diagnosis, yet, because I’ve searched for the lessons, I’ve become a better person. I’ve learned more during my lowest points than I ever have in my highest.
  8. Count Your Blessings. It’s easy to focus on the negative in the middle of misfortune. Remember that life hasn’t always been and won’t always be difficult. We all have reasons to be thankful. Focusing on the positive things in your life will shield you against bitterness. Blessings block bitterness. It’s as simple as that.
  9. Get Healthy. Physically, emotionally, and spiritually. We all feel better when we feel better. When physically weak, get emotionally strong. When emotionally weak, go to the gym and grow those muscles! Pay attention to what you’re putting into your body. Eat what gives you life. Though few want to cook healthy meals and would rather opt for quicker and easier options when life gets hard, making healthier choices will pave the way towards a better life. Treat your body kindly, it’s the only one you get.
  10. Help Others. Your tragedy gives you insight into what others may be experiencing. Be what you needed when you were thrown a curveball for someone else. Serving others gives us an outward perspective and allows us to see life for more than what it may feel like in difficult seasons. There will always be someone else who has it worse. Reaching out and lending a helping hand betters not only you, but the one you’re serving.

Hebrews 12:15 (MSG)

“Make sure no one gets left out of God’s generosity. Keep a sharp eye out for weeds of bitter discontent.”

17
Feb
2016

Finding Fertility as a Young Adult Cancer Survivor

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(As seen in Cancer Knowledge Network’s #YARally)

“I’m sorry to tell you, it’s cancer. You will need an emergency hysterectomy followed by chemotherapy and radiation.” With one fell swoop, my life, dreams, and plans dramatically changed. Not only did I learn that I had cancer, but also that my chances of bearing children were erased.

Prior to my diagnosis, my husband and I spoke frequently about having children. We dreamt about how many we would have and what their names would be. We laughed at who they would take after. Would they be fiercely independent (and stubborn) like their mom or gentle and patient like their dad? Would they have Matt’s tan complexion and my blue eyes? We noticed every pregnant woman passing by and couldn’t even walk through Target without perusing the baby section, dreaming of all the possibilities to come. Babies were destined to be in our future.

From a young age, we both felt called to be parents. Though we initially got married with the five-year plan in mind, after our first year of marriage, we were both struck with a bad case of baby fever. We no longer wanted to wait and were ready for a bundle of joy. However, no sooner could we begin the journey to pregnancy before a monstrous disease barged through the front door of our lives. Cancer began to fill every area of our perfectly prepared existence, quickly leaving no room for children.

Dreams began to disintegrate right before our eyes. No matter how tightly we clung to our hopes of bearing children, the dust of our wishes slipped between our fingers, disappearing into eternity.

We begrudgingly traded morning sickness for chemotherapy induced nausea. OB/GYNs for oncologists. Ultrasounds for PET scans. Mom bobs for bald heads. Baby showers for fundraisers. Dirty diapers for hospital bed catheters. Pint-sized outfits for hospital gowns. Pregnancy pains for surgery recovery. Labor and delivery for a radical hysterectomy. Motherhood for survival.

Shortly after my diagnosis and prior to my hysterectomy, we met with a fertility specialist. We learned about preserving fertility and what that could look like for us if we chose to walk that path. She versed us on the difference between surrogacy and gestational carriers, and taught us what an IVF journey looks like. We spoke about harvesting eggs, creating embryos, and freezing them for future use. We learned that not only could we adopt children, we could also adopt embryos. Our fertility doctor shared organizations that financially covered the cost of IVF for cancer patients. The immense knowledge that we learned in that first meeting not only gave us peace, comfort, and understanding, but also left us incredibly overwhelmed. How would we even begin to figure out what to do?

Because of the aggressive nature of my type of cancer, we were given a short amount of time to decide which route we would take. In fact, in our case, we had one hour to make the most life-impacting decisions one can make. Diagnosed on a Wednesday, by Friday we needed to have a game plan. The reason our decision needed to be made so quickly was due in part to the fact that the following Monday I would either be going into surgery, or beginning the four week process of harvesting my eggs. The single most terrifying and stressful moment thus far has been figuring out what path to walk.

Would we move forward with our fertility specialist and begin the process of harvesting my eggs in order to create embryos that someday would become our biological children, or would we choose surgery with my oncologist, saving my life but reducing the chances of creating a biological family? Ultimately, after endless tears, prayers of desperation, and emotional pain, my husband and I reached a conclusion. The priority was my life, and regardless of if our children were biological or adopted, they would need a healthy mother. The following week I underwent a radical hysterectomy.

They say hindsight is always 20/20 and I agree. After further testing of my tumor, we learned that my diagnosis was much more critical than we initially thought. I was given less than a 20% chance of surviving the first year. The type of cancer I was fighting was hormonal and in order to harvest eggs, I would have needed to be on daily hormone injections. We cringe at the thought of what might have happened had we chosen that path. I would likely not be here today.

The reality is, every young adult with cancer faces a multitude of decisions including matters of fertility. Many are fortunate enough to have doctors inform us of our choices before making final decisions that may inhibit fertility in the future. However, too often young adults are not made aware of the finality some treatments may cause for their dreams of having biological children once they enter remission. A cancer diagnosis brings fear, and many treatment plans are decided under pressure and fear of survival without consideration of the lifelong ramifications of rushed decisions. Before making treatment decisions, young adults need to feel comfortable with the full scope of what life during treatment and life after cancer will look like with each option.

Each diagnosis is different than the next. Therefore, each treatment journey looks different as well. Depending on what type of cancer, the location of the malignancy, staging, and necessary treatment, preserving fertility should be dealt with on a case-by-case basis. My decision may not be the same as yours, and that’s okay. Young adults should be aware of every option before reaching a conclusion for their fertility. Not only is there IVF, harvesting and preserving embryos, but should the route of forgoing chances of a biological family be chosen (or required), one must know that that does not close the door on hopes of a future family. There are several options for family planning, and the choices continue to expand in number as our advances in the medical community continue to grow.

My husband and I have always wanted to adopt, and once we grieved the loss of a biological family, we knew that my diagnosis was affirmation of that path. However, we feared that due to my medical history, we would be disqualified from adoption. I’ve lost my ability to conceive and carry a child, would I now lose the ability to even adopt one? After further investigation and a handful of helpful adoption advocates and agencies, we have learned that my diagnosis will not affect our chances of adopting. In fact, though we are only in the beginning stages of our adoption journey, we have seen several friends, who are young adult cancer survivors, with beautiful, successful adoption stories.

Though a young adult may not be ready for children yet, they should be well informed of their options before making crucial decisions. This is where our oncologists, fertility specialists, and advocates play a significant role. A cancer diagnosis can be emotionally paralyzing — a fog that causes decision making to feel impossible. Medical professionals have an important duty to walk alongside us, advocating for our future. It is imperative that oncologists and fertility specialists view our fertility and family planning as if it were their own.

Most young adults are unaware of the multitude of family planning options that exist in the medical community, but with the help of caring doctors, finding fertility can be a much less daunting task. There is hope for finding fertility and family planning as a young adult diagnosed with cancer.

Jeremiah 29:11 (ESV)

“For I know the plans I have for you, declares the Lord, plans for welfare and not for evil, to give you a future and a hope.”

25
Jan
2016

4 Years Later

It feels like yesterday that I first heard the most powerful three little words, “You have cancer.” In reality, it was exactly 1,460 days ago. On this very day, four years ago, our lives changed forever. My husband and I have been reflecting over that moment and the years that have followed and we are blown away. Blown away that cancer is a part of our story now. Blown away that I’ve survived. Blown away that our marriage is stronger than ever. Blown away at the beautiful story that has emerged through the vast wreckage.

Four years and two days ago, on Monday, January 23rd 2012, I went in for my annual women’s wellness exam. I found a different OB/GYN in hopes that a new doctor would be able to answer all of my questions. I had been experiencing symptoms for a year and they were growing in severity. Over the course of those twelve months, I visited more doctors than I can count in an attempt to figure out what was wrong with my body. I had blood draws, pelvic exams, and ultrasounds, yet they all came back clear. There were many days that I would return home, a 25 year old newlywed, and cry to my husband that I thought I was going crazy. How could I not be when all of my doctors were telling me that I was okay? I knew something was wrong. I could feel it. I could sense it. And I had an urging that I simply could not ignore. That Monday, the answers to my questions began to be revealed through a generous doctor that was determined to help.

I laid on the examination table with my feet in the stirrups as my new doctor went through a normal exam and pap smear. Within minutes, she said, “Oh. Hmmm.” Typically, a response you don’t want to hear from a medical professional, I was relieved. After asking if she noticed something, she let me know that she could visibly see what she initially thought to be a fibroid on my cervix. Would this explain the bleeding, stomach pain, irregular menses, bloating, weight gain, unusual cramps, hair thinning, and more? While taking two biopsies from different areas of the mass, she said that fibroids could cause numerous symptoms and that this could be the answer. The exam was over and she stepped out of the room while I got dressed. I remember exactly what I wore that day. My doctor asked me to return in a week, the following Monday so she could give me the results from the colposcopies.

Four years and one day ago, on Tuesday, January 24th 2012 (the day after my exam), I received a call from my OB/GYN’s assistant. I didn’t recognize the number, so I allowed it to go to voicemail. The message on the other end raised more questions and I was left shaking and confused. “Hi Stephanie. The doctor received results from your biopsy and asks that you come in tomorrow on your lunch break so that she can discuss results. Also, please bring your husband so we can talk about treatment.” Click. I called my husband and shared the news. My doctor let me know during my exam that fibroids may need to be removed surgically. Maybe the treatment they were referring to would be surgery. Though I had never experienced surgery besides my wisdom teeth removal, I felt like I could handle it. Remove the fibroid and carry on with life. No big deal.

That night I shared my worst fear with my husband. “What if it’s cancer?” He promptly cut me off and said, “We don’t say that word until and unless that’s what it is.” I laid awake that night grappling with the multitude of scenarios the results may hold. Ectopic pregnancy? Though highly unlikely due to our paranoid contraceptive plan (condoms and birth control), maybe. Fibroid? Still likely. Cancer? I can’t get cancer. I don’t want to lose my hair. I’m only twenty-five. That doesn’t happen to young adults. Finally I fell asleep, and everything up unto my appointment became a blur.

Four years ago, and depending on what time zone you’re in while reading this, almost to the minute, Matt and I walked into my doctor’s office. I remember being extremely sensitive to everyone’s stares. It felt like the entire office knew the results and that we were the only ones walking through the fog of the unknown. I was nervous but ready. We didn’t have to sit in the lobby for more than one minute before we were ushered into a room. It might have been the exact room where I was two days prior, but I can’t remember. Strangely enough, that detail has slipped from my memory. We sat down. I can describe the room. A wall with a large window was behind us. An exam table in front and to the left. Cabinets and sink to the right. Though it felt like an eternity of waiting for my OB/GYN, she entered the room in probably less than five minutes. She was pregnant with answers. I could see it on her face, though she maintained a friendly and professional demeanor. She sat down on a rolling stool with my medical file in her lap. With a somber smile she shared, “Stephanie, we received the results from the colposcopy. I’m sorry to tell you that it’s cancer.”

I’ve heard several people share what that moment was like for them. Some fall to the floor overwhelmed by grief. Some quietly shed a few tears. Some instantly choose denial. I simply responded with, “Okay, now what do we do? What are the next steps?” She had already scheduled an appointment the following day with my gynecologic oncologist and sadly shared that I would need a hysterectomy and chemotherapy. More news flooded from her mouth as we soaked it all in. Soon she was quiet. I can’t imagine being in her position. Having to tell someone that they have cancer is unfathomable to me. What strength and kindness you must have, knowing that your patient will forever remember that moment. I stood up and asked if I could give her a hug. I caught her off guard with my response to the news. I didn’t cry. I simply wanted to hug her for she was the one, in a handful of others, who helped me find an answer. She saved my life that day. We embraced and I whispered in her ear, “You’re my angel. Thank you for helping me.”

Matt and I sat in the parking lot in our car that clear, beautiful, mild winter’s day in Colorado. We barely spoke. The quiet was comforting. Soft words escaped our lips as we sat in disbelief. “I can’t believe I have cancer.” I was thankful for an answer to the symptoms that had been plaguing me, but was fearful of what was to come. We held hands. We had no idea what our future looked like. We were overwhelmed at the intensity of our new situation. The only person that I knew who had cancer had died. I didn’t want that to be me. I was young, barely twenty-five. We hadn’t had children yet, and I was facing an irreversible decision… a hysterectomy. A monster had ripped through our perfectly canvassed life and threatened to take it all away.

To say that it has been an easy four years would be a blatantly disrespectful, untrue, and a highly exaggerated lie. These last four years have been, by far, the most difficult, challenging, and scary years of our lives. I was diagnosed with an extremely rare and aggressive cancer called large cell neuroendocrine carcinoma of the cervix and was given a less than 20% chance of surviving that first year. We’ve experienced a depth of heartache that many will never face. We’ve felt immense pain, walked through tidal waves of grief, and desperately fought for the light at the end of the tunnel. We’ve been kicked down and beaten up by this disease, yet have chosen to stand up and turn the other cheek. We’ve stared death in the eyes and proclaimed victory over my diagnosis. We’ve turned our eyes to the One who can offer peace, hope, and true help.

Looking back over the most intense season of our lives, I can say I am thankful. Though four years ago I was afraid, unsure, and defeated, four years later, I am fearless, certain, and victorious. It’s now four years later, and I’ve undergone four major surgeries, three recurrences, 55 chemotherapy treatments, 28 radiation sessions, and I’m ALIVE. Cancer has forever altered my life, yet only because I’ve found true joy in my suffering, am I grateful.

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Lamentations 3:22-23 (ESV)

“The steadfast love of the Lord never ceases; his mercies never come to an end: they are new every morning; great is your faithfulness.”

20
Jan
2016

“By The Way, I Have Cancer”… Dating After a Diagnosis

By The Way I Have Cancer PHOTO

(As seen in Cancer Knowledge Network’s, #YARally)

Dating

Finding “the one” in a world of seven billion can be a daunting task. Sifting through people while searching for compatibility, meeting with strangers for awkward conversation, and allowing yourself to be vulnerable with someone you hardly know is not for the faint of heart. As if dating isn’t difficult enough, dating with cancer can prove even more challenging.

Among everyday issues like discovering who we are and what we are meant to do with our lives, young adults face a variety of life changing decisions. We are completing education, paving a way for our future, and stepping into our careers. We are establishing friendships and seeking long term commitment and love. We are eager and expectant and ready to begin the next chapter with someone by our side. Yet as a young adult facing a cancer diagnosis, beginning romantic relationships can be complicated.

When diagnosed as a young adult, dating often gets put on hold. You become engrossed in your treatment plans and immersed in the grief that follows your life-altering news. Though many soon discover that a diagnosis doesn’t have to prevent you from living a fulfilling life, when the time comes to step out into the sea of dating once again, some young adults feel paralyzed about where to begin. Having a cancer diagnosis is like wearing a neon name tag. We stand out. Whether physically, emotionally, or simply by circumstance, we are different than our potential suitors. Therefore, we have a few more things to keep in mind when introducing ourselves.

Choosing when to share your medical history is an important factor to consider when entering a relationship. Sharing a diagnosis on the first date may frighten someone. Waiting too late may cause feelings of betrayal and dishonesty. Many don’t want to be labeled by a diagnosis and want to be seen for more than just a disease, but young adults should be considerate in telling others their medical journey.

Experts state that a safe guideline is to share the news on the third or fourth date. Generally, young adults should share medical history before emotional attachment begins. This allows potential partners to make informed decisions on whether or not to proceed with the relationship. Be open to both possible outcomes. Your date may be uncomfortable with everything that comes with your diagnosis, however, they may be understanding and desire to move forward. As it would be with someone you simply lack chemistry with, be okay with letting someone go. And if your potential mate is interested in continuing a relationship, foster an open and honest conversation about how cancer affects your life.

Cancer affects each young adult differently and no diagnosis, prognosis, nor side effects are the same. Most cancer survivors struggle with changes in their sexuality. Whether it’s sexual function, body image, or self-esteem, many face a multitude of challenges. When sharing your medical history with your partner, be willing to share the facts.

Chemotherapy, radiation, and surgery can cause drastic changes to sexual organs. Heightened skin sensitivity, lower sex drive, and infertility are common among young adults with cancer. Being open with your partner will help guide your relationship into a deeper understanding for one another. Always remember that intimacy is much more than sexual intercourse. Communication, trust, and commitment are conduits to intimacy as much as physical touch is.

Marriage

Some view me as lucky. My husband and I had been married for a year and a half when I received the news that I had an aggressive gynecological cancer. However, the fact that I was already in a healthy, stable, and committed long term relationship upon diagnosis did not make receiving the news or handling the journey easier. Cancer amplifies hurts and wounds, as much as it does love and respect.

Unfortunately, many marriages do not survive the trauma, heartache, loss, and difficulties that cancer brings to the relationship. Couples must work not only to save the life of the person afflicted with the disease, but also to save the life of the marriage. Each individual grieves differently, and my husband and I found ourselves at different ends of the grief scale. At times I would be experiencing deep sadness, but my husband would be experiencing anger. Other moments I would be encouraged, but my husband would be feeling frustration. My husband had hope when I had none and vice versa. Because no two people are identical in emotions and experiences, patience, forgiveness, and love are key in maintaining a healthy relationship.

Four years ago, as my husband and I sat in the car in the hospital parking lot after hearing of my diagnosis, he looked at me and said something so profound it has defined our relationship. “Some may say I didn’t sign up for this, but I did. I vowed to you, ‘in sickness and in health,’ and I’m not giving up on that promise.” Among many reasons why our marriage has thrived amidst this disease is that we simply committed to one another. To love, respect, and hold each other up. Marriages don’t have to fail after a diagnosis. They can thrive and grow into something more beautiful than you thought possible.

Relationships can be fun and they can be challenging. If you are a young adult cancer survivor and are ready to enter into a relationship, remember to be kind to yourself. Though being vulnerable is often more difficult with a diagnosis, dating requires vulnerability. Do not let fear of rejection keep you from finding love, happiness, and a fulfilling long term relationship. Keep in mind that there is someone for everyone, and though you may have to filter through some duds, you can and will find the perfect person for you. If you are a young adult married cancer survivor or spouse, remember to be gentle, patient, and forgiving. Cancer has already taken so much from you, don’t let it steal your love as well.

Philippians 1:9 (MSG)

“So this is my prayer: that your love will flourish and that you will not only love much but well. Learn to love appropriately. You need to use your head and test your feelings so that your love is sincere and intelligent, not sentimental gush.”

04
Nov
2015

Living an Intentional Life

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I decided not to make resolutions this year. Instead, I chose one word that I wanted to represent 2015. Intentional. I desired to be more intentional with my time, my relationships, and my work. I didn’t want life to pass me by. I wanted to be present in everything I did and with everyone I was with. Yet somehow, I wasn’t as intentional as I intended to be. Sure, there were times when I was focused and diligent in certain areas of my life, but many things fell between the cracks. Decisions that were made and not made, relationships that were poured into and those that were put aside, and work that succeeded and some that failed, has taught me something. We must continually strive to be intentional. We must live a life that demands effort, otherwise our entire life will soon be witnessed through our rear view mirror.

My sole focus has been fighting cancer for many years. I have been diligent with appointments, medicines, and treatments. My intentions were always to beat this disease, and by the grace of God, my intentions were fulfilled. I’ve spent hours, days, weeks, months, and years in assiduous pursuit of my goal. I never let recurrences blur my finish line. I was persistent and determined. Fighting cancer requires devout commitment, after all. It demands every ounce of attention and every fiber of strength. I’ve been so committed to defeating this disease that the rest of my intentions got lost in the fog of cancer. Now I’ve succeeded (in Jesus name and with fingers crossed) and am ready to pursue other items as intentionally, but it’s not as easy as I assumed it would be.

It’s amazing how unprepared you can feel for life after cancer. You spend years trying to overcome your diagnosis, and most other goals lower on your priority list. But then… You’re cancer free… So, now what? You’ve attained your goal, and though it’s something you’ve passionately hoped and prayed for, once it’s gone, a void remains. Where all of your time and efforts were focused on cancer, there now sits an empty spot. What do I do on Mondays from 9am until 1pm? What do I do with this energy that has slowly returned? How do I plan my week now that appointments aren’t filling my calendar? I find myself stuck in the loss of a pursuit. I’ve lost what I’ve been so intentional about, and while I’ll never take for granted a fifth chance at living a long life, I’m sorting through what it should look like now.

I’ve heard that adjusting to life after cancer is similar to the adjustment that soldiers go through upon returning from war. And while I find the two vastly different, I can understand the analogy. I’m re-entering a world I’m not familiar with. Sadly, I’m often more comfortable in hospitals than I am at dinner parties. It’s an unsettling feeling. I’m beyond grateful that I’m on this side of the disease, but I often feel alone in my emotions and unsure of how to proceed with this new life. Now that cancer has passed, I’ve realized that I’ve gotten pretty good at being busy doing nothing. Now is the time to recommit to living intentionally. I’m relearning how to be busy doing something. I fought hard to survive, and now that I’m here, I dare not waste another moment.

It’s easy to become paralyzed in grief, fear, and uncertainty. But as the fog clears, I’m reminding myself that I beat cancer. I beat cancer. Not once, twice, or even three times. I beat a terminal disease four times. And I did it by being committed and intentional. Every day, I must wake up and say, “Stephanie, you did THAT. Now go do THIS!”

Cancer doesn’t have to be your interruption. It can be the loss of a loved one, a traumatic accident, a divorce, a miscarriage, or even bankruptcy. We all experience seasons that require devoted attention and commitment, and therefore we all find ourselves walking out of the fog with blurred vision. It’s time to re-harness our intent. You’ve come this far. Look at what you just walked through. Don’t let what’s ahead paralyze you. Let’s step forward with powerful intention and not let life pass us by.

Psalm 16:11 (MSG)

“Now you’ve got my feet on the life path, all radiant from the shining of your face. Ever since you took my hand, I’m on the right way.”

20
Aug
2015

Post Cancer Blues: The Struggle of Beating Cancer

You’re trapped in a dark room and can see a sliver of light outside. Your eyes have adjusted to the darkness that surrounds you and though you have embraced the fear of the unknown, you are seeking the light. Your goal is to reach the outside, but on your way you fumble and trip on things the darkness hides. You sustain injury by trudging through the hidden places of the room. You run into walls, slamming your face into a barrier. You can feel blood trickling down your cheek. You can’t give up. You refuse to be stuck in the dark. You move forward with your arms outstretched in attempt to intercept opposition. You’re bruised and scarred from your previous struggles to reach safety. Just when your path feels clear, you face another road block. You fall down and begin to weep. The light is an ever-changing mirage. One moment you’re within reach, and the next it’s across the room. You’re confused but determined. Overwhelmed but steadfast.

The dark is turbulent, but you find solace and peace within it’s walls. You’ve been locked inside for years and it’s become familiar, yet no matter the familiarity, you know you must escape. You can’t live like this, so you press on. Sore and frail, you stand back up and trudge forward. Cautious. Slowly. Continually looking at the glimmer of hope the light provides. You’re close now. You’re almost there. Fight for it. Do whatever it takes. Your life is on the line, after all. Though bruised, bloodied, weak, and tired, your spirit has a raging ferocity. Your will is strong. And when there’s a will, there’s a way. After many failed attempts, you finally reach the outside.

Your body spills out of the darkness and is overcome by the light. You’ve been fighting for this moment for so long, yet it’s not what you thought it would be. Your eyes can’t adjust. The light is violently blinding. Your hands stretch towards your face and you cower behind them. For so long your eyes were used to the darkness. You became immune to the blackness in which you survived. Now, the one thing you had been desperately seeking isn’t as relieving as you dreamed it would be. You’re confused and afraid. With light, you thought you’d be able to see which direction to move in. You thought you’d know what to do. You thought everything would be so clear. You feel as blind in the light as you did in the dark and you hate that you feel this way.

Cancer is the dark room I’ve found myself trapped in for years. I’ve fought so hard for the light at the end of the tunnel and for my own survival. I’m now cancer free and have metaphorically reached the light on the outside. However, after the years of strenuous battle, I find myself lost in life after cancer. I would much rather be in this position than still fighting for my life, but being overwhelmed is a very real experience for those in my position. Fortunately and unfortunately, I know that I’m not alone. Many survivors describe feelings of confusion once their treatment has ended and they have received a clear bill of health. We get so used to the fight that we forget what life is like without it. Some refer to it as the “post cancer blues.”

We spend every waking hour fighting our disease by religiously going to our doctors appointments, working towards getting healthy, researching the latest and greatest in cancer care, and receiving scan after scan in hopes that someday we’ll be able to live a “normal” life once more. We’re so consumed with the cancer, that it’s easy to forget what life was like prior to diagnosis. We’ve set aside projects and goals to make room for treatment and the thought of beginning projects and to-do lists can be overwhelming. Fear can linger once health returns. Many say that time naturally resolves feelings of anxiety and fear, yet some continue to struggle with depression long after their disease is eradicated.

I’m squinting in the blinding light of life after cancer. I’m stumbling like a newborn deer. I’m trying to find my bearings and regain my footing. I’m trying to rediscover the world I’m living in outside of the dark shadow of this disease. I know the brightness will dim and my eyes will adjust, but for now I think I need to find myself a good pair of sunglasses.

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Psalm 61:2 (ESV)

“From the end of the earth I call to you when my heart is overwhelmed. Lead me to the rock that is higher than I.”

07
Aug
2015

Drug Therapy vs Chemotherapy

It’s been six months since I received my very last dose of chemotherapy. My hair is nearly to the length it was prior to diagnosis. My nausea has completely been alleviated. I’m no longer on steroids that caused terrible bloating and weight gain. And although I’m not experiencing side effects from chemo, some still remain. I look healthy and for the most part feel healthy, yet I continue to battle side effects. I’ve traded chemo for the alternative and less intrusive, drug therapy.

While a quick Google search will answer your questions regarding the meaning of drug therapy, I’ll try to put it in easy terms. Chemotherapy is the use of chemicals to treat malignancies. Drug therapy is the use of medicine to treat disease. Because I have reached one year cancer free, my doctors have prescribed that I maintain my health by receiving intravenous medicine once every three weeks due to my history with recurrences. The type of drug that I’m on is an angiogenesis inhibitor and works to inhibit the growth of new blood vessels. The goal is that if any malignant cells were to form, they would have no blood supply to grow. Medicine amazes me. To every doctor, nurse, technician, and researcher, thank you. You’re the ones that stand beside us and fight with and for us.

The administration of drug therapy is no different than chemotherapy. At least not for me. I receive treatment at my usual infusion center in the hospital. I sit in my preferred chair with my lovely nurses in attendance. My port is accessed identically as in treatments prior. Unlike chemo, however, drug therapy requires less time. Some chemo treatments lasted up to eight hours for me, while this therapy only lasts about two hours. It’s a fairly quick process, and doesn’t eat up most of my day.

As with any treatment, there are possible side effects. In fact, before I was cleared to receive this drug, I signed a form that lists in detail what could potentially happen. Every side effect form that I sign off on reminds me of pharmaceutical commercials. You know the ones. “Taking [generic drug] will greatly improve your [generic ailment].” These productions are set in rolling fields full of beautiful flowers in which the paid actors are frolicking through, holding hands and smiling without a care in the world. At the very end of the commercial, an auctioneer voice quickly rattles off every possible side effect. “Heart attack, stomach ulcers, and certain types of cancers have been linked to this product.” Oh, and your arms could probably fall off from it, too. Similar to these hilarious pharmaceutical commercials, the side effects of the prescription drug I’m receiving now can be alarming. Heart attack, bowel perforation, and stroke are on the top of the list.

Many have asked how I’m feeling. The truth is, I feel great. I do suffer side effects from this angiogenesis inhibitor, but I’ll gladly take them. They pale in comparison to what I experienced while on chemotherapy, but still have an impact on my daily life. Thankfully, my blood pressure and blood counts remain at normal levels. Because of my age and health, my doctors assure me that heart attack, bowel perforation, and stroke would be rare. As long as I keep a close eye on symptoms and listen to my body, I should be in the clear.

I’ve had eight cycles of drug therapy, and the side effects have joined the party. Who knew that we all have a layer of protection on our tongues? I didn’t until it was gone. Anything too hot or textured and the slightest amount of spice feels like acid and knives in my mouth. It’s unfortunate that I love spicy food. Things that didn’t affect me before really do now. Take watermelon for example. In the summer, I obsess over watermelon. I don’t let my sensitive tongue get in the way, but now I have to eat it gingerly. Typical toothpaste feels like fire, so I use Biotene (which is sent from the Heavens, I’m convinced). In addition to my tongue troubles, my hands and feet are increasingly more sensitive. Remember when I had Hand and Foot Syndrome? This time around my skin hasn’t entirely fallen off, but my palms and soles consistently hurt. My feet more so than my hands, and that probably has to do with me being on them most of the time.

The fact is, I’m lucky to be alive. I’ve survived cancer four times. I’m alive and healthy. I’m able to participate in my life more than I have in the last few years. My troubles now are spilt milk. These side effects ain’t nothin’.

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1 Thessalonians 5:18 (ESV)

“Give thanks in all circumstances.”

 

09
Jul
2015

Milestones of the Miraculous

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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.

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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.”

 

 

 

 

28
May
2015

The Scan I’ve Never Made It To

Have you ever had a prayer so desperate it crashed loudly in the torrential storm of your spirit? A plea so full of depth, it couldn’t be given an audible voice? One equally full of hope and fear? Lately, my prayers have been carnal cries to the Lord. Petitions that bring me to my knees.

Less than three weeks from now will mark one year of clear, cancer-free scans. June 14th is a day I have fervently longed for since the beginning of this journey. While I’ve derailed the statistics of my diagnosis (a less than 20% chance to survive one year), I have yet to make it an entire year without cancer. I’ve hit the three-month mark and have even made it to eight months cancer-free, but I have yet to receive one whole year of clear scans. Within the next week I’ll be laying on the cold, hard, metallic table while a machine takes pictures of my insides from head to toe. And then I must wait, which for me is the hardest; Scanxiety can be quite overwhelming. This is the scan I’ve never made it to.

My prayer life has been brought to new heights since hearing my life is not guaranteed. Not one of my prayers ends without the utterance of a plea to remain cancer-free for the rest of my life here on Earth. My conversations with God are full of asking for dreams to come to fruition. “I’d love to grow old with my husband. Please allow me to experience motherhood. I want to watch my children grow into adults and have their own children. I ask that I live until I’m wrinkled, hard of hearing, and gray.” Some petitions are whispered in my spirit without a voice to convey them. Some are one worded, and I find myself simply saying “Please” quite frequently. Recently, I have found myself showing up at the feet of Jesus with a new sense of urging… Truth be told, I’m desperate.

Desperation is typically frowned upon. It’s a sign of weakness and can be quite pitiful. However, though my spirit desperately calls upon my Savior in this time of need, I know that weakness is not a negative trait in this context. In fact, I know that God wishes for me to be desperate for Him– Putting all of my energy into seeking Him for He knows I can’t do this on my own. I am desperate for life. Desperate for time. Desperate for memories. Desperate for survival. Desperate to hear the words “no evidence of disease.” Desperate for answered prayer. I am desperate to receive yet another clear scan to stamp the one year mark.

The amount of doubt, fear, and uncertainty that can sneakily ease its way into my mind is unmatched. The battle of the mind is often much harder than the physical fight against cancer. I have to constantly and consistently cling to hope that someday I will live a cancer-free life. I must avoid the dark traps and triggers that can send me into pits of despair. I must, with every fiber in my being, believe that I am healed. Though I still experience aches and pains, I must respond rationally rather than place myself in a worst case scenario. I also must surrender my control to the One who holds my life in His hands.

Time moves by slowly and at the speed of light all at once. Some days I wish I was receiving my scan right this minute, and other moments I wish I could put off the inevitable for one more day. This is a scan I’ve never made it to, and the importance sears itself into my heart. I’ve gotten pretty good at avoiding the “what ifs,” but know that I very well could be in a position I’m all too familiar with. Overcoming my worry is accomplished solely by my reliance on God. I can not worry, for worrying only wastes precious time. For now, I desperately cling to my faith in a God who is capable of every impossible hurdle I face. I find encouragement in the fact that He hears my every cry. And I know that He in His love for me, wants nothing more than the achievement of this milestone.

Though this is the scan I’ve never made it to, I’m believing that I soon will.

Mark 11:24 (ESV)

“Therefore I tell you, whatever you ask in prayer, believe that you have received it, and it will be yours.”

21
Apr
2015

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

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

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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.

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