Posts Tagged ‘results’

Moving Forward Regardless

Stephanie_Retouched_Images_KMitiska_Photography_030

Looking down at the file in hand, he reads aloud, “It looks like the report says that there’s an eight millimeter spot on the bottom of your right lung.”

Silence. Though there are four of us in the room, nothing can be heard but the crinkling of the paper on the blue examination chair as I shift my weight. Suddenly the room grows smaller.

“We’ll need to send this over to our imaging team so they can explain further. Sometimes different technicians read results differently than others,” my doctor shares, noticeably attempting to maintain positivity.

My words are trapped. I desperately cling to hope, but with each breath it’s dwindling. Thoughts racing, I can’t seem to organize a simple sentence. The news hits me so violently, my breathing becomes labored. The wind is knocked out of me and I’m struggling to make sense of the force behind this reality.

All of a sudden, the questions begin to flood my mind. Each one determined to be asked first. They claw their way to the forefront of my brain, spilling out in jumbled words as my mouth involuntarily opens. “What does that mean? Is it cancer? It’s not cancer, right? How big is eight millimeters? You said it’s on my left lung or my right lung? On the bottom? Are you sure? But all of my scans for the last 26 months have been clear. How can this be?”

With more grace than I could ever muster, he shares, “This report says it’s non-specific, so let’s try not to panic. Let’s stay positive. We’ll need a few minutes to pass this by our imaging team. They’ll be able to give us more details. Maybe the technician that wrote this report was mistaken.” The door closes as my doctor and his PA leave the room in search of answers.

It’s just my husband and I now. We look at each other in disbelief. Our eyes speak while our lips cannot. The furrow in my husband’s brow tells me that he is confused, scared, and in shock. My eyes jolt to every corner of the room, frantically seeking explanation. I look back at him in astonishment and defeat. What is happening? I’m convinced this must be a bad dream and that I’ll soon wake up to find relief. But it is not a bad dream. It’s real. And it is in fact happening. Soon, my strong, compassionate, empathetic guardian of a man encourages me as only he can. “We have to have hope that it’s nothing. The doctor says this spot could simply be an infection in your lung that your body is fighting off. He says this could happen to any of us. It could be nothing. It may not be cancer.” Oh how I love him each time he speaks hope over my fear. His words are a salve to the fresh wound of this news.

Confusion lingers between us as we wait for my doctor to return. I valiantly fight back tears as I quickly map out the what ifs. I have climbed to the top of the ladder of worst case scenarios and tell myself ultimately, if I die, it’s okay. I’m going to heaven. But Lord, please take care of my husband. I step down one rung and quietly think to myself that if it is cancer, I know how to fight it. And I’ll do whatever I have to. With each step down the ladder, I consciously choose hope above all else. My breathing slows. My fidgeting lessens. Calm is just around the corner. I’ve addressed the worst of the worst, and there’s no need to go there again. I bring myself back to the moment and take a deep breath. “Don’t worry about tomorrow, for tomorrow has it’s own worries.”

The door opens, and I’m standing now. Give it to me, Doc. I want the answer. I need to know. “Unfortunately we don’t know anything more. Our team confirms that there is a non-specific spot. It’s too small to even biopsy. I know you wanted answers. I wish I could give them to you. I’m so sorry. This isn’t how I thought this would go.” Me neither. Me neither. My mind rewound to the beginning of the day. We woke up early, before the sun. For hours, we drove to what we fully expected would be celebratory news. We tossed ideas back and forth about which restaurant we’d celebrate at after we learned the results. Yet, here we were, without those results, left with more questions than we had when we first arrived.

The rest of the appointment is a blur. I know I asked a million more questions, several of them rhetorical. I know we agreed to do a follow up PET scan in six to eight weeks to monitor this spot on my lung in order to see if it grows or becomes more visibly malignant or benign. According to my doctor, if this is an infection, it may resolve itself on its own and may not even appear on my follow-up scan. We can only hope. I know my doctor was patient as I asked what treatment would look like if the spot proved malignant. Consultations with a thoracic surgeon to see if the spot could be removed. Possible chemotherapy. “We just don’t know yet,” I remember him saying.

One of the most profound moments of the day has set the tone for these proceeding weeks as we wait for my upcoming scan, and proves the importance of proper bedside manner. As my appointment wrapped up, and the four of us turned for the door, I hugged my doctor. He whispered in my ear, and thinking of it brings me to tears just like it did in that very moment. “You are strong. You can do this.” Having a doctor who believes in and encourages you while understanding your fear and uncertainty is a game changer. Cancer is fought with a team. Strength builds with unity.

So here we are now. Two weeks out from learning that I have an unidentifiable spot on my lung, and less than four weeks away from my upcoming PET scan that will hopefully identify said spot. While it may not seem like it, there are many choices to be made when fighting this disease. Joy is a choice. Strength is a choice. Peace is a choice. Hope is a choice. Faith is a choice. When facing cancer, these choices are excruciatingly difficult at times, and they can also be fleeting. In the car on the way home, through tears, my husband and I decided that we would choose hope. We would fight back the fear and doubt, and focus instead on our faith. We would try not to waste our energy on worrying, because worrying is a quick ticket to stolen joy.

If this spot is not cancer, we move forward. If this spot is cancer, we move forward. We will move forward regardless of the outcome. We are called to be courageous in the face of death. We are called to be brave in the presence of fear. We are called to walk firmly in faith when doubt tempts us. We are called to choose joy above all else. And with each day that passes, we move forward with our choices made.

Matthew 6:34 (MSG)

“Give your entire attention to what God is doing right now, and don’t get worked up about what may or may not happen tomorrow. God will help you deal with whatever hard things come up when the time comes.”

PC: K Mitiska Photography

Pruning What Doesn’t Belong

A fourth surgery in less than three years? No problem. In fact, I told my doctor if he needed to cut me open from my shoulders to my knees, I wouldn’t care. Just get the job done. Remove what doesn’t belong.

Last week Matt and I drove to a meeting with our newly appointed team member. A urologist, who happens to be the top adrenal surgeon in the state. He’s one of the many doctors on our team who helps navigate and combat this dreaded thing called cancer. I currently have a gynecologic oncologist, radiation oncologist, general oncologist, and now a urologist, among the slew of techs and nurses helping as well. Adding a new doctor to the team is always met with some hesitancy (on my part), as I become comfortable with those who have treated me over the last couple of years. My team of doctors and I have grown as a family. The hospital where I have received 99.9% of my treatment is a second home.

Adding a new doctor is like welcoming a new in-law to the family. Will I like him/her? Is he/she going to be able to keep pace in our conversations? Can I see myself spending hours and hours with this person? Can I place my trust in this person’s hands? As my medical team has become family, it’s quite entertaining to see what role each of them falls into. The one who is like an aunt whom you can cry and laugh with, and tell your darkest secrets to, all the while feeling great comfort. The epitome of a distant uncle who awkwardly hits it to you straight and leaves you hanging mid-air wondering what he’ll say next. The sister figure who has your best interest in heart, but doesn’t mind telling you the truth when you need to hear it. The cousins who greet you and play catch-up for the mere minutes you have to see them. Every person on our team fills a role in our medical family. Each one serves a purpose and is vital in my fight against cancer.

Though we’ve only met my new doctor once (on our four-year wedding anniversary, might I add), I can confidently say that I trust him. Matt and I both do. He is smart, professional, and compassionate and, after our meeting with him, we are ready to move forward in the next step. As I’ve mentioned HERE, I have a tumor on my left adrenal gland. The CT and PET show “activity” in the mass, however, based on its location, there is not 100% certainty that it is malignant. From what our doctor discussed with us, we know that adrenal masses happen and are often completely benign. Of course, based on my history, we have to be cautious. Caution and cancer go hand in hand.

Upon having our conversation, my doctor, husband, and I decided it’s best to proceed with surgery to remove this unlabeled mass. Usually, there is talk about doing a biopsy whenever a spot shows up on my scan, but it’s quickly ruled out. This time was no different. For a minute we passed over the idea of taking a biopsy of this tumor, but the risk of spreading the cells (cancer or not) is too great. IF it happens to be malignant, we don’t want  it to spread and wreak havoc elsewhere in my body. This is a disease you don’t want to piss off. Therefore, I’m going under the knife once again.

This will be my fourth major surgery since diagnosis. At this point, I like to consider myself a professional. I’m not concerned. In fact, I would rather be cut open to remove the entirety of the unknown intruder cells as opposed to just peeking through the door, taking a piece, and testing them. My scan is showing something that shouldn’t be there, and although it may not even be cancerous, I don’t like things where they don’t belong.

Pruning is a must in all areas of our existence. While I have undergone surgery to remove malignant masses in my body, likewise I have undergone metaphorical surgery to remove toxicity out of my life. We often hear certain things being compared to cancer. “He is a cancer in the group. He pulls everyone down with him.” Nothing about cancer has a positive connotation. It is the worst of the worst. It will destroy you from the inside out. Ridding ourselves of cancer and its metaphorical meaning is vital to live a healthy life. We prune gardens, cutting back the weeds to allow flowers to blossom, and likewise we should be pruning our lives.

Is there an area of your life that is so full of weeds, it’s taking over your world? Are the weeds drowning out who you really are? Have you ignored the weeds, hoping that they’ll go away on their own? We must cut back what doesn’t belong and rid ourselves of what shouldn’t take residence in our lives. It could be a toxic relationship, hidden addiction, or unhealthy patterns. We all have areas that need to be pruned.

Just as surgery hurts, pruning hurts as well. Removing what doesn’t belong will cause pain, and that’s often why many people avoid it. But once the weeds are removed, the blossoms can thrive. Though we are believing this mass is not cancer, it still doesn’t belong. Therefore, this coming Monday (6/16), Matt and I will venture into the hospital once more to do some pruning. The doctor believes he can perform the surgery laparoscopically. If this is the case, my recovery will be much easier. We are confident in this process, and are expecting wonderful results.

Please be praying for myself, Matt, and our newly added team of medical staff. While I receive all of the fun parts of surgery (sedation, pain medication, and doting nurses), Matt sits in the wings for hours awaiting the results.

While we prepare for pruning, ask yourself what needs to be pruned in your life?

pruning quote for DMD

John 15:2 (ESV)

“Every branch in me that does not bear fruit he takes away, and every branch that does bear fruit he prunes, that it may bear more fruit.”

 

 

Surrendering Worry Leads to Freedom

Cancer-free once again! (February 2014)

Cancer-free once again! (February 2014)

Scans are routine in my life now. In fact, I can’t remember the days when I didn’t have to lay in some form of a machine that took pictures of my internal happenings. When I’m not in treatment, I receive a CT scan every three months to ensure that my body is free and clear of cancer. When I’m actively fighting this disease, I must wait until the completion of treatment to get another scan. Since I recently finished my latest adventures in chemotherapy, it was that time again. About two weeks ago, I laid on a tiny hard table for the umpteenth time as a fast and loud spinning donut somehow created an image of the inside of my body.

Typically, my phone rings anywhere from one day to an entire week after my scan. In terms of a waiting period, that window is very large. There are times when I receive results within hours, and other times where the days crawl by and I don’t hear back for a week. I’ve often referred to the anxiety that comes from awaiting scan results as scanxiety; However, the more scans and tests I have done, the better I am at not worrying over the results.

As John Mayer sings in The Age of Worry
“Alive in the age of worry
Smile in the age of worry
Go wild in the age of worry
And say, ‘Worry, why should I care?'”

I’ve learned that worrying doesn’t accomplish anything, and it will never change any result I may receive. Worrying is a waste of time, emotion, and energy. Worrying is pointless.

These past two years have been a trial of great magnitude. And while I’ve experienced a depth of grief and loss I never could have imagined and wouldn’t dream of wishing on anyone, there have been numerous blessings dispersed along the way. Experience is our most effective teaching tool, and among the many lessons I’ve learned throughout my voyage, surrender has been the biggest one of all. Not only surrendering my plans and dreams, but also surrendering my thoughts and emotions. Understanding the true meaning of surrender has been one of the biggest gifts I’ve gained in this series of unfortunate events.

According to the Merriam-Webster Dictionary, surrender simply means, “to give the control to someone else.”

I am not one to surrender. I am a Type-A personality. I am a planner, an organizer, a keep-her-ducks-in-a-row woman. I have a tangible schedule, in which I physically write and record the many daily, weekly, and monthly events going on in the ever-adventurous life of the Madsens. When Matt and I were first married almost four years ago, we had our five-year plan set in stone. We knew when we were going to have children, where and when we would move, and how we would achieve our short and long-term goals. Everything was planned. We had it under control. Little did we know what our first five years would actually bring.

Though the majority of our plans have been wiped off the canvas of our life, new creations have replaced the old. Losing what we had dreamt about for so long was devastating. We continue to grieve the loss of what we imagined our life to be. However, at some point in this journey, we were given a choice. Do we grasp for remnants of what we had desperately wanted for our life, or do we instead surrender our plans, dreams, hopes, and goals, and place the control in God’s hands? Making the decision to choose the latter has forever changed our perspective. Giving the reigns to someone far more capable of directing our lives has removed burden and responsibility. After all, if I was in full control of my life, I know I would screw it up righteously.

Worry is an emotion. A verb. A tangled web of feelings and actions. Worry is an enemy that lures us into a trap and once we are overtaken, it takes hold of our every thought. It tempts us with pity-parties that seem much more fun than they turn out to be. It sneaks around every long-awaited result, and silently slips into our minds if we don’t keep a relentless guard. Yet, as with all temptations, we are called to surrender our worry to God. Surrendering worry leads to freedom.

Though I wish I could say that I surrender all of my worries without fail, it’s not true. I slip up. I let my guard down, and worry slips into my mind, corrupting everything within me. Fortunately for us, the world we live in offers us many opportunities to practice our ability to surrender. We will always face troubles and areas where worry could easily be a chosen response. One of the regular opportunities that I have to practice my ability to surrender my worries occurs every three months. Before, during, and after each scan I am reminded that in order to live freely, I must surrender my worries of the impending results. I’ve learned that no matter how much I worry, I cannot control the outcome of my scans. Worrying has proven time and time again to have zero effect on results. What worrying truly affects is my spirit.

Because I surrendered my worry about my latest scan results, I experienced a freedom and peace that I haven’t quite felt before. As I awaited the life-changing phone call, my thoughts were on other things. I wasn’t fixated on the possibilities. I wasn’t anxious. I wasn’t fearful. I was confident in the One I surrendered to, knowing His plans are always far greater than my own. No matter if cancer had returned once more or if I was officially rid of this beast, I wasn’t concerned. I had the kind of peace that passes all understanding, and a freedom birthed from my surrender.

Worrying will never change the circumstance. Worrying will only affect our spirit. I’m thankful that my spirit was guarded, for it allowed me to better appreciate the results I received last week. I can happily share that I am cancer-FREE! Had I chosen to worry, my joy might have been robbed in the moment I heard the wonderful news.

Surrendering is difficult for this “I’ve got life all figured out” chick, but it’s so worth it. Freedom feels good. Worry, why should I care?

Matthew 6:34 (MSG)

“Give your entire attention to what God is doing right now, and don’t get worked up about what may or may not happen tomorrow. God will help you deal with whatever hard things come up when the time comes.”

Not So Fast

1

(Guest post by Matt)

Stephanie and I have spent a few days in the hospital, and she seems to have been progressing better than she has after previous surgeries. When they rolled her out of the post-op area, she was already sipping water. In prior surgeries, she wasn’t even allowed to touch but a few ice chips for about a day afterwards. Aside from a furious bout with itchiness last night (which we think was brought on by the hospital bedsheets, soon replaced by soft sheets from home), Stephanie has been able to do everything they want her to in order to go home.

But, as we have learned on multiple occasions during this journey, life can be unpredictable. I noted in the last post that they had to check the removed ovary for microscopic traces of the cancer. Well, the pathology report came back today and MJ gave us the news: there were microscopic cancer cells in the cystic walls of Stephanie’s ovary, nothing that could be seen with the human eye. That’s the thing with this or any other type of cancer. There’s an obvious battle against tumors and what shows up on scans, but there is also the microscopic battle.

So, there will be further treatment.

Stephanie will once again have to undergo chemotherapy treatments after all. She’ll start in a couple weeks after she heals up from her hospital stay. The good news is that these cells were found in the ovary that was taken out. There wasn’t a tumor, and there wasn’t any spreading to other areas of her body. So this chemo season will be an “insurance policy” to fight the microscopic battle. MJ is confident that it’s nowhere else and if there are still cancerous cells, the chemotherapy will prove effective against them. And, tomorrow morning, Stephanie is getting a PET scan, not a CT scan. That is good news.

In hindsight, we were a little spoiled with the immediate post-surgery news that no cancer was seen. Just because it wasn’t seen doesn’t mean that it still wasn’t present (obviously). It’s so small that the doctor who sees cancer every day couldn’t even see it. But we know that God is still good. He has orchestrated this whole story. Nothing about this is a surprise to Him. He is obviously still working in this story to bring glory to Him. Yes, it’s a bummer that Stephanie will lose her hair again and have to get chemo again. But, this is what we were planning before we even got to the hospital on Monday. We were prepared for another season of treatment and we still are.

Prayer-wise, we would appreciate prayers for emotional strength and endurance for the season ahead. Imagine the amount of stress and anxiety that is endured when you spend months and months growing your hair out just to find out you’re going to lose it again. This is difficult (especially for a woman). Just like everyone else, we have been expecting to be able to plan out our lives a little bit. Some people get further along than others before God reveals HIS plan for their lives. We are experiencing this in the time when we would otherwise be thinking about buying our first house and starting a family. Having to put those things “on hold” has been difficult for both of us, so prayers for understanding God’s will for our lives and being able to handle the “holding” gracefully would be especially appreciated. Also, very short-term, I am bouncing between home and the hospital not only to care for our pups, but it is moving week. So, we also request prayers for a smooth move. Big props to the fellas who will be helping us out this weekend with this task, it means more than you know.

We are praying that the “third time’s a charm” with this treatment. We’re keeping positive attitudes and we know that how people handle what comes their way reveals their true character. Thank you for praying with us and standing beside us.

Ecclesiastes 4:9-12 (MSG)

“It’s better to have a partner than go it alone. Share the work, share the wealth. And if one falls down, the other helps, but if there’s no one to help, tough! Two in a bed warm each other. Alone, you shiver all night. By yourself you’re unprotected. With a friend you can face the worst. Can you round up a third? A three-stranded rope isn’t easily snapped.”

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.”

 

 

Being Still Amidst Scanxiety

Yesterday I made the familiar walk into my second home. The hospital. I hadn’t been through those doors in over three months, and the typically all familiar halls were strangely foreign this time. For nearly two years, the hospital environment had been a weekly sight, yet since my latest cancer-free results, I haven’t needed to visit until my most recent follow-up CT scan. I strolled confidently to the floor of high-tech machines and qualified nurses and technicians, checked in, and began the wait with my most favorite oral iodinated “tropical fruit” flavored beverage in hand… Side note: Whoever markets these oral contrast drinks lies. Perhaps they have lost their taste buds due to the amount of taste tests they’ve had to endure. Perhaps they’ve never experienced the true flavor of fresh tropical fruits. Or, perhaps they slap that description on the bottle in hopes that patients will believe them, knowing full well we won’t. Have you smelled antifreeze? Have you smelled something and immediately been able to imagine it’s taste? “Tropical fruit” flavored oral iodinated contrast tastes like what antifreeze smells like. Now imagine drinking 16 ounces of that. Makes your mouth water similar to the way it does right before you vomit, right? I digress…

Scanxiety will forever exist in my life. No matter how far I get away from treatment and the closer I get to remission, scanxiety, to some degree, will persist. It’s the anxiety experienced before an impending scan. The feeling encountered when the “what if’s” begin. When the unknown has the potential to excite, relieve, and overwhelm, as much as it has the potential to disappoint, stress, and underwhelm. In the beginning of my battle against this beast called cancer (I don’t capitalize it for a reason), scanxiety was at an utmost high. The unknown was so unchartered that my weak physical and mental body could barely defend itself against the “what if” bandits. As I have grown and gathered more armor for this battle, I have been better able to fight off these fearful thoughts. Yet, no matter how strong and confident I am in my Healer, the bandits lurk in the shadows, continuously peeking around corners to make sure I know they have not left. The degree of persistence is varied, and as I get closer to fully annihilating this disease, the scanxiety wanes.

Yesterday, I couldn’t identify what I was feeling. The “what if” bandits were as quiet as a whisper, yet I didn’t feel entirely confident. To clarify, I was neither diffident nor afraid. But there was such an internal battle waging inside my spirit that I couldn’t focus on my feelings. Was I fearful that the monster had taken residency in my body again? No. Was I sure that the results would show no evidence of disease? No. My senses were clouded, as I could not differentiate if I was feeling good or bad about the possible results. Yet, no matter how thick the fog on my prediction was, my spirit was focused on the One bigger than any result.

There are many in-between moments in life. Times when we must wait between our dreams and fruition. I’ve spoken about the gap before. In these moments, our patience is tested. Our faith is tested. During the in-betweens, our character is revealed. Do we make the choice to be impatient and allow the floodgates of worry to envelop us? Or, do we stand firmly, confident that He who has been beside us through it all, will be faithful to carry us to victory? Being still isn’t easy. Being still doesn’t mean not moving. Being still means allowing yourself to fall into the arms of the One who saves. For in His arms, we cannot be influenced. We are safe, un-touched, and protected.

Between the scan and the results, I have choices. I can allow the “what if” bandits to turn up their volume and spread fear, doubt, and worry. I can turn off the volume of negativity, and replace it with a confidence in my ability to beat cancer; confident, sure, and self-reliant that did it. Or, I can turn off all of the noise around me and be still, awaiting His voice, for my God, my Sovereign Healer, already knows the results. These three choices all have differing outcomes. If I choose to listen to the lurking fear and doubt, I will be catapulted into a pit of despair and worry, completely losing sight on He who holds me in His hands. If I choose to quiet the fear, and inflate my own abilities, I will become self-reliant, independently destructive, and will see no need for God. If I choose to be still, press into Him, and allow Jesus to comfort me in the waiting period, I will find peace, assurance, and rest.

Sometimes these three choices are difficult to decide upon, for we don’t see the outcomes of each. But if we are aware of the outcome, the choice should be simple. Peace, assurance, and rest are what I seek, so I must quiet the noise around me and focus on Him, and Him alone. The “what if” bandits and self-reliance will soon become muddled. Resting in God’s hands blocks all noise.

And so I wait. Being still. Patient. Until I receive the news, I will focus my eyes on He who is greater than any scan result.

Psalm 91:1 (ESV)

“He who dwells in the shelter of the Most High will abide in the shadow of the Almighty.”

CT Scan (September 2013)

CT Scan (September 2013)

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!”

Cautiously Optimistic

Scans are scary. And the week before and after are often anxiety-filled whirlwinds.

I received a CT scan a couple of weeks ago. You might remember that directly following my November surgery to remove the softball-sized mass, the tumor was sent to pathology. There, it was cut up into several different pieces and tested with various types of chemotherapy drugs. Results showed that some chemotherapies would work, while others were proven to be ineffective. There’s a catch, though. Three of the drugs shown to effectively eradicate my type of cancer, had already coursed through my body during my first season of treatment. Clearly they worked while swimming through my veins, but once I completed the regimen, the monster came out of hiding and grew once more. One of the drugs proven to be ineffective is what I am currently taking. Apparently several doctors don’t hold tight to the results of these biopsy tests. Therefore, my doctor suggested we stick to this proposed type of chemo and get a scan after four of my six scheduled rounds. So, with these rounds of chemo, it’s been trial and error. Let’s see if it works. If it doesn’t, let’s test something else. The longer I’m in this game, the more I’m learning how common the “trial and error” approach actually is. After all, there are no cures for cancer. I suppose it all really is just a guessing game. Unnerving to say the least.

As always, I was a bit on-edge the week leading up to my scan and the week following, while waiting for results. These scans show exactly what kind of game cancer is playing in my body. It’s not a “pass” or “fail” conclusion. It’s “live” or “die.” Often cancer doesn’t show symptoms and can only be detected through these methods. And considering I was technically prescribed a chemotherapy regimen that pathology showed to be ineffective on my type of cancer, my nerves were shot while awaiting the outcome. I ask for a large dose of grace from my dear husband during these times, as he often gets to experience the roller coaster of emotions that surround these scans. Add being menopausal to the mix, and you’ve got a pretty gnarly version of me. Oh…Menopause. I’ll save that discussion for a completely different post.

Last Thursday , I went in for another dose of chemo cocktails. That morning I knew my doctor would probably discuss the results of the CT scan I had received the week prior (3/8). I felt ready. I was ready. In my heart I was at peace with whatever the outcome. The waiting is the hardest. I just wanted to hear the results…good or bad. Before I was even able to speak with my doctor, my chemotherapy nurse walked over, papers in hand, and opened her mouth to speak. I don’t think I’ve seen my husband so nervous in my life. He was literally at the edge of his seat in anticipation. After a confusing introduction and with all eyes on me at this point, my nurse placed the papers in my hand and asked me to read the bottom line. “Impression: 1. Normal CT of the abdomen and pelvis.” So what? What exactly does that mean? As I asked my nurse these questions, she happily proclaimed that the scan showed no evidence of disease! The sigh of relief that Matt released at that point nearly brought me to tears. Sometimes I don’t realize the enormity of his love for me. At that point it was clearer than ever. What a vivid testament that my husband is in this by my side; From beginning to end. The results don’t just mean something to me. I’m not the only one affected. I know these things, but often I get trapped in my own head. Trapped in my situation. When the truth is, it’s our situation. I’m honored and blessed to have such an incredibly strong, faithful, loyal, and committed partner.

Clear CT scan results! (March 2013)

Clear CT scan results! (March 2013)

A “normal” result is a positive one. We are celebrating this news. However, I have received this outcome on a scan before. In August after my first season of treatments, I was also declared “cancer-free,” and you can read about that HERE. My attitude in receiving good news has changed since then. Afterall, I did have a recurrence three months after a similar declaration. Cancer came back after I had excitedly celebrated it being gone. Therefore, we rejoice in this news differently now. While we are very relieved and elated, we are cautiously optimistic. Just because I received a clear scan, doesn’t mean I’m forever done with this beast. And, it was only a CT scan which is localized to one area of the body; Different from a PET scan that tests your entire body for malignancies. We are optimistic and thrilled, yes. But we are cautious. We don’t expect cancer to show itself in my body again, but according to this disease, we can’t throw the idea completely away. I don’t think I’ll be fully able to relax and rejoice until I hit remission…in five years. And even then, it will be hard work to trust that I won’t have to deal with this diagnosis ever again.

Some cancers can be eradicated with surgery. Some with chemotherapy. Some with radiation. I’ve had all three types of treatment several times, and the monster continued to lurk and cause havoc. For now, it is gone. I’ve only got one more chemotherapy session in a couple of weeks and I’m happy. But to blissfully believe that I am forever done with this season would be foolish and naive. Cancer plays dirty. It doesn’t play according to our rules. It has none. However, to counteract that thinking, I believe in a BIG God that performs BIG miracles. The fact that cancer has no rule-book doesn’t mean that it can’t be righteously defeated. Statistics don’t mean a thing to me. My God writes my life, not statistics that some analyst wrote down. No matter how awful this Neuroendocrine carcinoma diagnosis may be, God can erase all of that. He healed people all throughout stories in the Bible, and continues to perform jaw-dropping healings today. I am believing that I will be another testimony of being healed and cured. I have faith that He will permanently remove any malignant particle from my body. I am believing that He has filled every single microscopic cell and that cancer will no longer reside in my life. While I stand cautiously on the results of this scan, I will continue to stand firmly on my foundation…on my God. I will continue to wait for His results.

James 5:10-11 (MSG Version)

“Take the old prophets as your mentors. They put up with anything, went through everything, and never once quit, all the time honoring God. What a gift life is to those who stay the course! You’ve heard, of course, of Job’s staying power, and you know how God brought it all together for him at the end. That’s because God cares, cares right down to the last detail.”

The Why

Many people initially respond to trauma or heartache by asking “Why!?” Whether someone you love passes away, you didn’t get that dream job, or things just didn’t work out…more common than not, it’s “Why me?!” I challenge you to be open to hearing the answer. In some moments, God may never reveal it to us; However, if you pay close attention to what He is doing in your life and around you, you may get a sneak peek inside His purpose.

It would be easy for me to ask, “Why?”, throughout the ups and downs in my current adventure. I am human and the fact is, I hate that I have cancer. I hate that I have to endure months and months of grueling treatment. It would be easy for me to ask, “Why did you allow this to happen to me!? I’m young! I have so much going for me.” And more often than not, we are faced with that thought, “Why?” While I have only once let that word slip from my mouth, it’s hard to not have that lingering thought bury itself in my subconscious as a cancer patient.

I am learning that the less I feel, “Why me?!”, the more I learn the reasons for my story. A wise woman once said, “Don’t focus on the problem, fix your eyes on the promise.” Let that sink in. It’s powerful.

There have been several moments in my journey that God has taken me behind the scenes to see what’s really going on. It’s as if He’s saying, “Stephanie, you want to know why? Check this out. You’ll be amazed.” And it’s true. In all things God wants the glory, and I believe my story is no different. No matter what, God will be glorified. And it’s an honor to carry this torch and spread hope for Him.

Today specifically has been a day where I got to peek behind the curtain. In fact, I pulled up a [chemo] chair and watched it unfold before my eyes. This morning, Matt and I woke up bright and early to prepare for another chemotherapy day. As we were on our way to the hospital, my anxieties slowly dissolved. And once I walked into the room where all of us cool kids get treatment, I noticed one lady. Only one. This is extremely unusual, as there are at least eight chairs for patients. Any lingering discomfort fell aside, and I sat down in my usual chair which happened to be next to this beautiful woman. Soon, we discovered it was her first time receiving chemo. After introducing ourselves, we began to talk…and talk…and talk. Divine appointment? I emphatically say “YES!”

I believe that we are each given a story for bigger reasons than ourselves. We interact with others on a daily basis and encounter people who need to hear hope through every situation. I still hunger for hope, and have learned that my true hope comes from Him alone. But for those of us undergoing trials, be aware that you are a vessel. You are being used to share and help others through similar storms. Today, I was able to speak truth, life, and hope to someone very vulnerable and new in her journey. In speaking with her, I saw strength, determination, courage, and bravery in her eyes. She has a genuine spirit full of joy. We bonded immediately, and I look forward to where our journeys will take us in our friendship. As we left, I gave her a hug and shared my perspective of a cancer diagnosis and the battle to victory. “It’s going to suck. I will not lie to you. It’s going to be extremely hard and you’re going to have horrible days. But, be encouraged. Along with those bad days, there will be great ones. You can and will do this. Allow yourself to grieve, but focus on the positive and on overcoming this thing. It’s going to happen.” And she responded with tears in her eyes, “You are amazing. You have made this whole mess seem a lot less scary and much more hopeful. Thank you.” <–THAT, my friends, is the “Why.”

While leaving treatment, I was overwhelmed by the sense of joy and fulfillment in my spirit. Sometimes I yearn to know the bigger picture. I yearn to see the path that God has put forth for me. But, I am thankful that I do not know it all. I am thankful that He gives me blessings along the way. I am thankful for the unexpected surprises. I am thankful for a five-hour conversation with a stranger, who is transforming into a friend. We are going to be “chemo buddies,” we both agreed. I am thankful that she is extremely well-versed on all things baseball (Matt’s favorite sport), for she kept my husband entertained and captivated the whole time. I am thankful that God answers the “Why.” Who knew that you could discover another piece of the bigger picture whilst walking out of chemotherapy treatment!? (Proof that He shows up anywhere!)

It’s so empowering and fulfilling to know that my story is making a difference. I thank each and every one of my readers and dedicated followers for supporting my journey and rallying beside me to kick cancer’s ass. I am encouraged and deeply humbled.

The truth is, cancer sucks. There’s no way around it. If you read my blog, you know I am transparent in sharing my rough days. But those who read, also discover that I make a conscious decision to choose joy. I choose happiness. I choose life. I choose to be above my circumstance. I choose to fight. I choose to be a cancer survivor.

1 Corinthians 2:10-13 (MSG Version)

“The Spirit, not content to flit around on the surface, dives into the depths of God, and brings out what God planned all along. Who ever knows what you’re thinking and planning except you yourself? The same with God—except that He not only knows what He’s thinking, but He lets us in on it. God offers a full report on the gifts of life and salvation that He is giving us. We don’t have to rely on the world’s guesses and opinions. We didn’t learn this by reading books or going to school; we learned it from God, who taught us person-to-person through Jesus, and we’re passing it on to you in the same firsthand, personal way.”

Third Time is NOT a Charm

Who ever said, “Third time’s a charm!”? What a load of crap. Okay, okay…maybe it’s just my situation. Losing my hair for the third time is so not charming. At least not to me. My husband has a different perspective, and while I understand and am grateful for his outlook, I still hate that I have to lose my locks again. In his words, “Seeing your hair fall out is a sign that the chemo is working in your body!” True, babe. Very true. Although I was liking loving my short locks, I can’t argue with my husband’s perspective. It’s true. And it’s right. And yes, I am extremely thankful that my chemotherapy treatments are doing something.

Photos courtesy my husband, right before he shaved it off. Check out how long it got!

Photos courtesy my husband, right before he shaved it off. Check out how long it got!

Rewind…Happy New Year and belated Merry Christmas! What a fabulous holiday it was. Following my first treatment, I prayed each day that I would feel good on Christmas, and lo and behold…I did; Hallelujah! Matt and I were able to fully enjoy time spent with each other and our family and friends, and cancer was not invited to any of the parties!

Last time I posted was a few days before Christmas, on my first day of this season of treatments. I was unsure what to expect with these new drugs and regimen, and was a little nervous on what side effects I would experience. Oh boy, did I experience the gamut! Before I get to the enticing details of rashes, nausea, and flu-like symptoms, let me update you on my proposed treatment schedule. This round of treatment will consist of a few different drugs. One type of chemotherapy combined with a “booster,” and a shot the following day. By “booster,” I’m referring to a drug that coincides and works well in promoting the effects of chemotherapy. In essence, it cuts off the blood vessels that cancer needs to survive. While I’m on board for that idea, I am apprehensive about the possible and rare side effects that this booster causes. “Rare” doesn’t mean much to me anymore… I have a “rare” cancer with a “rare” recurrence, and have already experienced “rare” side effects. Booya! In yo face, statistics.

I will receive chemo once every three weeks about six times. That is very different than my last schedule of three days in a row every three weeks surrounding six weeks of weekly chemo combined with daily radiation. (That was a mouthful and a LOT of treatments!) I am thankful that this regimen is so different. It allows me more time to recover and to have more good days. In fact, this first time on the new drugs, I only had one week of feeling awful, which has left me two weeks of feeling pretty great. Feeling good for two weeks is a blessing, folks.

Besides simply having to continue treatment, the biggest things I loathe are the shots I have to take after each and every chemotherapy session. These shots are similar to what I had to self-inject last time around. They help stimulate my white blood cell growth, however, they are slow-releasing. Therefore, I feel sick and gross for a longer period of time. I have developed a love/hate relationship with these injections. While they help increase my white blood cells, they really put a damper on my body and mood. I, however, am thankful that they exist, because without them I could not continue to receive chemotherapy.

Curls for days.

Curls for days. January 2013.

If you haven’t already, buckle up. Here comes some truth. And it’s not going to be sugar-coated. I mean, come on… you know me by now, right?! I felt like utter shit after my first round of this new treatment. Ugh. Horrendous. Chemo itself already makes me feel awful, but combined with this new injection, I was bed-ridden for about four days. Most people enduring cancer treatments often find it hard to describe what they feel like after each cocktail, and I am no different. My best description is this: Imagine having the worst case of the flu. Complete with fever, stomach ache, diarrhea, and constipation (believe me, it’s possible). Add to that a grueling headache that won’t go away, severe body aches, and skin sensitivity. Mix in a weird and itchy rash on the tops of your hands. And, to top it off, throw in a semi-truck running over your hips, pelvis, and lower back. All that makes for a wonderful chemo-filled sundae topped with some Neulasta sprinkles. And no, I did not get run over by a semi, I was being descriptive. My husband will argue that it’s exaggerative, but I stick to “descriptive.” Needless to say, I felt dreadful, filthy, exhausted, lousy, horrendous, and gross. And like I’ve mentioned before, when I’m not feeling great physically, it takes everything in me to stay positive mentally. That first week, I truly felt defeated. There’s no other way to say it. My dad always tells me, “You’ve got to remind yourself that it will get better. You know that by now. If you can get through this week of feeling crappy, you will eventually feel good again!” He’s right, but damn, it’s hard to accept in the midst.

The good news is, Dad is right. It does get better, and it did. I began to feel better Christmas morning, and it has continued through today. Having good days really is a blessing. I have been able to cook, clean, and take care of my husband and our home. In addition, we’ve been able to enjoy time together and with family and friends. I am thankful for every good day that God gives me. Each good day allows me to fully enjoy the life that God has breathed into my body.

As we are all familiar with, my hair falls out when I receive chemotherapy. The fact that I am receiving a different drug does not change that. In fact, this time around, my hair began to fall out sooner than expected. Usually it takes two weeks (to the day) to fall out. This time it began to fall out a day before expected. I chose to take my husband’s perspective on this one and say, “Chemo must really be working!”  Nevertheless, losing hair still sucks. For some reason I thought maybe this time would be no problem, but I was wrong. This is the third time that I have lost my hair, and again, third time is NOT a charm. It was almost harder this time than previously. Losing my hair is a visual reminder for me that I am actually fighting cancer again. When I had my new hair regrowth and was going through my first chemo session this time, I was still able to style my curls and was subconsciously fooling myself into believing, “I just go into the doctors every now and then.” Now that I am losing my hair I think, “I just go into the doctors every now and then… for chemotherapy to fight cancer.”

Check out that texture!

Check out that texture!

Frankly, I really began to love my short hair. I’ve heard many times that chemo can cause a person’s hair to grow back differently- texture, color, thickness. I can attest, this is true! Mine grew back extremely curly! Before I first lost my hair in March, it was slightly wavy. It could be straight, and would also hold a curl very well. However, it was processed (I wasn’t a natural blonde, believe it or not) and therefore most of the natural wave had been reduced. The hair that had begun to grow back since my last treatments in August was extremely thick and full of tight curls. It resembled the texture my hair was when I was a toddler, before hair color, flat irons, and blow dryers. Losing the locks that I loved was hard. Hair regrowth helped me see that I was really done with treatment, that I was cancer-free. Hair loss forces me to see that I am back in the game. While it’s easy to host a pity-party (which I’ve already done some), I am confident in beating this thing again. I’ve said it before, and I’ll say it again: I’d rather be alive and bald, than dead with incredible hair. And while we’re being Positive Polly, I’ll add… I truly adore my new blonde wig. It’s the first time that I’ve felt like me in a long time. It’s nice to look in the mirror and see my hot blonde self smiling back.

Ultimately, my hair will grow back. For now, I’m going to embrace being baldalicious and kick cancer’s ass for the second time. Pretty soon, this stupid, little, annoying bug called cancer is going to run away, begging me to stop torturing it.

Joshua 1:9 (MSG)

“Have I not commanded you? Be strong and courageous. Do not be afraid; do not be discouraged, for the Lord your God will be with you wherever you go.”

1 2 3