Archives for "Experiences"

Posted by Lavonne on 15th October 2010

Going Natural

After having been diagnosed with a breast cancer for a second time. I had to think long and hard about treatment options. Should I do chemo, should I not. What about radiation, can I do more? Should I do more? What about surgery options. Breast off, ovaries out?? Force full menopause in the blink of an eye? Tamoxifen or not?

I know I was lucky, I had good doctors and that I was diligent about checking my remaining breast for changes. I was able to have the tumor removed with clean margins, and no node involvement. Feel a bit like I won the human lottery, so now with my new found luck I had to review all the information and decide.

Chances of re occurrence was set at about 10%, but I chose to look at it as a 90% survival rate. So with that information I decided that doing chemo and having all the side effects of the drugs was out. Radiation, well could do it but, instead decided that I would opt for doing a mastectomy. I was choosing quality of life, go thru all the unpleasantness of harsh treatment or the short term uncomfortableness of a surgery.

With my first diagnosis I did not have a choice as I was at a 90% chance of not making it thru treatment, it was either do it or well the other choice was not something that I wanted, so I did full treatment with extreme determination that I was going to make it. (And I did – I remained cancer free for almost 10 years before my second diagnosis).

Remember, for my new diagnosis, I was looking at only a 10% chance of re-occurrence, doing chemo and radiation would decrease that to a 0%, but I was betting the odds that with some other choices that I could also decrease my chances of re-occurrence.  So I have my surgery for the mastectomy for the beginning of October, and have started to see a Naturopathic Physician and I am working with him and taking products that are cancer fighters as well as a product that works much like tamoxifen, but without all the side effects. I have been a vegetarian for over 10 years, so my diet and nutrition are good, but the doctor made suggestions and discussed ways in which I could make small changes to make that even better. I have always been very physically active, running, hiking, swimming, skiing and that will always remain a part of my routine as it is a very important part of being and living healthy.

I discussed my thoughts and feeling with my oncologist and shared with her the same information that I have posted here as well as information from the Naturopath. She was very receptive and interested – most oncologists will not always be so.  She supports me in my decision, based on my odds of re-occurrence and the decision to have the mastectomy.

I feel that I have made these decision to do what is best for me, both mentally and physically. Some may not agree, but I am being pro-active about my health and taking steps to take the odds that I have been given and improve them and ultimately beat them. Choosing to support my body to help itself to become stronger and healthier has been my choice.

Do all that you can each day to improve your health by making choices that work for you so that your body and mind can be stronger and healthy, not just now but always!

Here is an article about some of my approach:  http://jn.nutrition.org/cgi/content/full/133/7/2470S

Posted by moderator on 11th October 2010

Reflections of a Birthday Girl

submitted by Saleema

I’m writing this blog on my 39th birthday. I try not to (I’d rather just keep it light and eat cake), but I can’t help but reflect on my life on this day. I have a lot to be grateful for. I have a caring, solid, sensitive husband, a wonderful family including a sister who is my best friend and two amazing step-daughters, and I enjoy a successful and fulfilling career as a sexual health educator.  I am healthy, training for the New York Marathon in November, and I live in a nice home. I am careful not to overlook these things, but for me no evaluation of my life is complete without a check in about my experience with breast cancer.

As I was running on the seawall this morning, the first question I asked myself was “How often do you think about cancer?” My answer was “Not as much as I did last year at this time.” A victory. Although I used to be, I’m not ashamed to admit that it’s only in the last year that I have started to feel that this whole cancer thing is behind me (I will be three years cancer free in November). The black cloud over my head has lightened, but some days are harder than others. Like the day in June when a friend of mine was diagnosed. In an instant, all those feelings of hopelessness rushed in. If she can have cancer, who else around me has it? Who’s next? Although I feel strong enough to support my friend through her treatment, I’d be lying if I said it wasn’t difficult to sit in the waiting room while she was having radiation the other day. Then there was the day just last week when the florist at Save-On with the pink ribbon tattoo on her ankle disclosed to me that her cancer returned after 18 years and that “chemo almost killed her.” Again, panic. So, even after 18 years, I’m not going to be home free? Am I just a ticking time bomb? Luckily, I have the support system and the anxiety management skills to bring myself back down to a more optimistic reality. Putting my F@#$ Cancer t-shirt on also helps. Interesting, though, how quickly fear can take power over me. The last thing I want is to live my life from a place of fear.

Not wanting to dwell on the negative, the next question for myself was “What have I learned in the past year?” I’ve read about people saying things like “Cancer has taught me so much, it’s a blessing because it makes you a better person, it makes you change your life in positive ways.” Really? I’m definitely not there, and I don’t think I ever will be. Cancer sucks, I’m angry that it took space in my body that I took such good care of, it’s not fair that good people die of it.  But, I will say that I have learned a lot from cancer. I’m still learning from cancer. At one of my appointments soon after treatment finished, my oncologist and I were talking about follow up. I couldn’t believe she didn’t want to see me for another 6 months, I would have had a mammogram every week if she let me just to make sure everything was good. But she reminded me that nothing and no one can guarantee the cancer won’t come back. What I need to do is learn to live with uncertainty. There are some things in life you can’t control, no matter how resourceful, on the ball or proactive you are. I’m still working on that one. I’ve also learned that you can’t rush healing. And until you are well into this process, you can’t be there fully for others.

As I crossed Burrard Bridge and my run was coming to an end, I felt comfort in the realization that, overall, I had come a long way in the past year. On a day-to-day basis, cancer no longer has a hold over me. It rears it’s ugly hear every now and then, but it doesn’t control me. Now all I have to do is come to terms with being 39…I’ll save that task for my next run!

~ Saleema

Posted by moderator on 13th September 2010

Is that me in the mirror?

Random things about breast cancer that I find funny

Submitted by Kim Tempest

I made the decision to reconstruct after my mastectomy.  Before the surgeons did anything I went to meet with my plastic surgeon, as they like to combine reconstruct with the mastectomy.  I met my plastic surgeon and he went over all of the options available to me.  The two that we discussed in detail was the Tram Flap and a tissue expander followed by implant.  He showed me pictures of other women’s reconstructions.  It was like a brag book of reconstruction. They were beautiful.  A thought occurred to me that these were examples of everything going right – I wondered where the ‘not so perfect’ examples were.

The Tram Flap is a pretty big deal, as they move muscle from the torso and also fat from the tummy area.  The recovery is 6 to 12 weeks, with no heavy lifting, no exercise, no housework.  Now although the prospect of laying back in the recliner eating bonbons was very appealing, I also had a 5 year old who still liked to be picked up.  So the option I decided on was a tissue expander. The plastic surgeon said he would also reduce and lift my opposite breast so we would not have to expand as much and I would look more symmetrical.

Off to surgery day I went.

When I woke up, I lifted the sheet to look down at my very sore chest.  I don’t know what I was expecting to see – everything was bandaged up. What I did notice was that I was a lot smaller.  The right breast, of course, was flat.

Once I was recovered enough, the plastic surgeon started to ‘fill’ the expander with fluid.  The objective was to expand the chest muscle to accommodate an implant that would be representative of the size of my remaining breast.  What we did not know at the time, was I needed to have radiation, as the cancer had spread to my lymph nodes (bummer).  He expanded as quickly as he could before radiation as he knew radiation would harden the muscle and skin and would make the implant more difficult to do.  We almost got there.

I started radiation.  As the radiation came to an end I noticed that my new mound was now in the position that it started when I was around 13.  Perky is great, but this new breast was quickly becoming a chin rest.  The surgeon knew we were not going to have success with an implant.  Only one problem – I had lost so much weight from chemo I no longer had enough fat anywhere to make a breast.  This is when I really learned who my true friend were because I had offers of excess fat from most of my gal pals and family.  I was ordered to gain 20 pounds.

The next couple of months was great – I ate everything – chocolate, ice cream, burgers, fish and chips – if it wasn’t fattening it did not go into my mouth.

Once I had enough fat, I was scheduled for the surgery.  Out came the tissue expander and my new tummy fat was moved to a higher altitude. Unfortunately, the extra 20 had added to other parts of me too, so I now not only had a new boob, I was also packing around new booty in the rear.  At this point I am thinking I might be a candidate for a rap video.

At the end of radiation, I was put on Tamoxifen.  The weight gain continued.  HELLO  – IT CAN STOP NOW!! One day I caught a glimpse of myself nude in the mirror and stopped in my tracks, “Is that me in the mirror”.  I looked like my Grandmother (most wonderful woman on the planet, who loved her food).  Yikes. This was an instant motivator!  I had already stopped with the fattening foods, so now it was back to exercise. That was five years ago. I still exercise, so at least the bigger me does not jiggle as much.

What I learned is that now I am post-menopausal (thanks to Chemo) and still taking meds to stop estrogen, weight gain is easier. I also learned that my girlish form is gone – but I am not.  I live each moment with as much passion as possible and I have learned to look in the mirror and be happy with who I am.  I threw away all of my ‘skinny’ clothes.  I don’t torture myself with the hope of getting back to my smaller self.  If Hollywood icon, Marilyn Monroe can be sexy in a size 10 – so can I – it is all attitude.  Besides I know that my husband is just grateful that I am still here – no matter what my size. You know what? So am I.

P.s. My pre and post surgery pictures are tucked away in a file and not in the brag book of reconstruction.  Oh well.

~ Kim T.

Posted by moderator on 29th July 2010

The Most Difficult Side-Effect

Submitted by Sondra S.

Like many women, I have always had a love-hate relationship with my   hair.  Most of the time it was too short, too long, too straight, the   wrong colour.  Imagine my surprise when I learned that I would lose it   altogether due to chemotherapy.  Was it bad karma for not being happy   with what I had?

Alopecia, the absence of hair, is a reality for many breast cancer   patients.  For me, it was the most difficult side effect of my cancer   treatment.  I still find that odd because over the course of 5 years I   endured 5 surgeries, 9 months of chemotherapy, 6 weeks of radiation &   burns, and who could forget premature, surgically induced menopause?    How could something as superficial as hair (or the lack thereof) be   worse than any of those?

Why was being bald so difficult?  Perhaps because it was a new   experience.   Chemo-nausea resembled my old friend pregnancy-nausea.    Surgery pain was similar to childbirth pain.  As for radiation burns,   lots of experience with sunburns.  But baldness?  Never crossed my   mind.  Being bald was not at all like putting my hair up or getting a   short haircut.  Without hair I could never escape the knowledge of my   cancer diagnosis.  My baldness and what it represented would stare   back at me in the mirror every morning.  Even with a wig I was   unrecognizable to others & myself.

Baldness did have a practical side.  I saved money on haircuts that   winter.  I also remember walking through a local pharmacy thinking how   pretentious hair care products were.  I realised how much time I had   wasted reshaping my hair instead of accepting it for what it was.  I   “got” Buddhist monks; how liberating the absence of hair was:  no   errant thoughts on windy days, no washing, drying, detangling,   brushing.

A few other lessons I learned from being bald:

1.  It’s cold without hair!  Women are always cold, men aren’t.  So   therefore, being bald is more unpleasant for women than men.  No   comparisons please.

2.  Because we women are not usually bald, when we are, others   automatically think that we are sick, so they treat us as sick.  The   baldness is a visual reminder to society that we are fighting for our   lives.  I think this is what made being bald so difficult.  Whenever I   saw myself in a mirror, I was different than others.  I could read   others’ sadness at my disease when they looked at me.  The second time   I fought breast cancer, luckily, the treatment did not make me bald.    Relationships with family & friends were more normal because I still   looked the same as always.  There were no visual reminders of my   sickness.

The most important lesson, however, is that:

3. Hair does grow back!  Armed with this knowledge, haircut   appointments no longer make me nervous.

Last week I returned to Montreal to attend the funeral of an aunt who   died of breast cancer.  Like me, she also had difficulty accepting her   treatment-induced baldness.  My cousin and I compared her cancer   journey with mine.

She asked me whether cancer had changed my life.    I told her it hadn’t really, no major life changes for me.  But   perhaps it did change my life in small ways.  One of those is that I   can now appreciate my hair for what it is.  I have no doubt I would   eventually have adjusted to the lack of hair.  I’m just really   thankful I didn’t need to.

~ Sondra S.

Posted by moderator on 19th July 2010

We did the Seek the Peak Relay – whew!

Submitted by Kim T.

Well we did the Seek the Peak and are still standing. We were not last – we were 3rd (from the last).  We all shaved 4 minutes off of our time so we did do it all in under 3 hours (so we were really excited).  We are the top fundraising team. We also donated the $2900 from our Young and the Breastless account, which Rethink has said they will direct to breastcancernowwhat.ca.  So all together we raised over $9000.

I was the top fundraiser for quite awhile and then one woman, Jennifer Matthews, who was really close to me passed me the morning of the race.  I forced my family to donate more – ha ha.  I realized how competitive I am.  For whatever reason it is really important to me to be in that top spot it is almost like a mission.

I met Jennifer at the top of the mountain and gave her a big hug and thanked her for her fundraising. It sounded from her fundraising page that she works in the medical field as she states that she has recently witnessed a number of young women go through breast cancer and recently lost someone she had got quite close to.  Many of her donors were doctors.

It is so important to advocate for younger women facing breast cancer because many doctors don’t.  Rethink asked me to write up a press statement and I said,

“Young women need a voice like Rethink to advocate on their behalf, because often when they find a lump, their doctors dismiss it saying ‘you are too young to get breast cancer, it is probably nothing’.  They are also too young to die from the disease and many do, due to the fact their cancer goes undiagnosed and it is often more aggressive.”

The really good news is that with this fundraising, Rethink will continue to fund the www.breastcancernowwhat.ca website, which I think is an amazingly valuable resource for young women across Canada and around the world.  As we know, for some, it is the only young women’s support available to them.

Lavonne looked like a million bucks!  She is taking very good care of herself (what else is new?).  They got clear margins with her lumpectomy and the lymphs where clear.  She is opting for a full mastectomy and thinks it will be scheduled for August.  As she says, “I am getting rid of this stupid boob”.

What was an interesting factoid that neither of us knew, is that if you are going to get a reoccurrence in the breast with the primary breast cancer it is likely going to happen within the first year.  That in fact a reoccurrence is usually a metastases which will more likely appear in the bone, brain or liver. Who knew?  I would love to hear more about this on our site, because I suspect many women think the reoccurrence is going to appear as a new lump in the offending breast.

~ Kim T.

Posted by moderator on 30th June 2010

This Club I Never Asked to Join

Posted for Saleema

I have to start this, my first blog, by saying that, as a sexual health educator, I spend most of my time speaking in front of large groups of people. I can advise a group of parents what to do when their child walks in on them being “intimate”, I can talk about practice erections with grade 2s without even flinching, and I can teach 200 Gr. 9 boys how to do testicular self exams as if I were talking about bicycle safety.

 But speaking or even writing about myself and my personal experience is so much harder! On the one hand it feels so self-indulgent. What’s so special about my story? On the other hand, though, I see this as an opportunity to challenge myself, to shed some light on the experience of breast cancer, to offer hope to breast cancer patients, survivors and their loved ones. I also do this because I believe now more than ever that sharing our stories brings us closer together as women, and as people in general.

  In this blog, I’d like to share with you how http://www.breastcancernowwhat.ca  has impacted my breast cancer experience. But just to give you some context in which to hear my story, I’m a bit, shall we say, tightly-wound. I like to feel in control of my life, and most of the time I am (or was). I am highly organized, time efficient, and like to have a plan…an “if you’re not five minutes early, you’re late!” kind of gal.

A few years ago, the plan was to marry the love of my life, Chris, in March 2007, take some time to settle in to my new life as the super wife and the super step mom I knew I could be, and then have a baby in April or May of the following year. All of this was happening later in my life than I had planned, but at least now I was on the right track.

  Then on October 22nd, seven months after we got married, two months after I went off the pill, I found a lump. This was definitely not part of the plan. What I wanted to do was ignore it, but my internal voice was screaming, don’t you dare. So the next day I went to my family doctor and although she was pretty certain it was a fibroid she sent me for an ultrasound. That was followed by a mammogram and lump excision. On November 23, 2007, Chris and I stood in the surgeon’s examination room and without even sitting us down the surgeon said “It’s not benign. You have cancer.”  Just like that.

  Neither Chris nor I remember driving over Lion’s Gate Bridge, but somehow we ended up in Stanley Park. We walked and cried and sat, and eventually headed home wondering how are we going to tell our family. I wasn’t ready to tell my parents or my sister or my step-daughters. That would have to wait until later when I was feeling stronger. Plus, before I did that, I wanted to have a plan of action…something to let my family know that everything would be OK.

  Over the next days as the initial shock of my diagnosis wore off, I got down to business. I rallied the troops (my friends and family) and also learned that there was a lot of good news within the bad news of my diagnosis. I caught the cancer early, and it was less aggressive than it usually is in women my age. I was able have my lumpectomy and sentinel node biopsy scheduled for two weeks later (with a different surgeon). Everything was under control, and I like it that way. My second surgery went well– my lymph nodes were clear, and I felt good about my decision to have radiation and take tamoxiphen as follow up treatment. Around that time I was also able to connect with a few fellow breast cancer survivors on the phone, and these conversations were helpful.

  But, here’s the thing. Although there was lots of common ground, these survivors weren’t like me. They weren’t 36. They didn’t just get married. They didn’t have two young step-daughters. They weren’t trying to get pregnant when they were diagnosed. They didn’t need to worry about their fertility after treatment. They had friends who had experienced breast cancer and could draw support from them. I didn’t, and I needed that in some way.

  One night while researching tamoxiphen and it’s effects on fertility, I came across a link to Breast Cancer Now What?. I recognized the name from a postcard I had in one of my many information packages, and was curious. The first post I came across in the discussion boards was written by a young woman venting her irritation at how people mispronounce breast cancer terms…”Limp nodes” instead of “lymph nodes”, “massectomy” instead of “mastectomy”, that sort of thing. I laughed out loud, harder than I had in a long time. Within minutes I found myself writing my first post, feeling relieved that this website was exactly what I was looking for.

  I was a regular on BCNW discussion boards during my treatment. Sometimes I would post specific questions on the discussion board (what is tamoxifunk?), sometimes I would just vent (during the end of radiation treatment it was “my nipple is hanging on by a thread!”), and other times I would just read about other people’s experiences. Not only did I get wonderful support, but I no longer felt alone. The discussion boards allowed me to “get stuff out” without having to put on a happy face or be judged as ungrateful for my good prognosis. More specifically, I was reassured by other women on the site that it was OK that I wasn’t doing the Weekend to End Breast Cancer that summer. At the time I felt such guilt for not doing it, I thought I should because it was the responsible, giving, supportive thing to do. But the thought of being surrounded by breast cancer for 24 hours, being part of this club I never asked to join, seemed unbearable at the time. On BCNW I learned that that was OK and that I wasn’t a “bad survivor” for not being involved now or ever. Talk about a weight off my shoulders.

  Although I used to be, I’m not ashamed to admit that it’s only in the last year that I have started to feel that this whole cancer thing is behind me. Some days are harder than others, but the black cloud over my head has lightened. I’ve read about people saying “cancer is a blessing because it makes you a better person, it makes you change your life in positive ways”…blah blah blah. I’m definitely not there, and I don’t think I ever will be. Cancer sucks, I’m angry that it took space in my body that I took such good care of, it’s not fair that good people die of it. But, I will say this, in the past two and a half years, I have never felt so loved. My family and friends have wrapped themselves around me like the warm blanket they gave me after surgery. My hope is that reaching out to others will help my fellow survivors to feel this too, just when they need it most.

     ~ Saleema.

Posted by Lavonne on 24th June 2010

Not Again!!

There is no good time for a diagnosis of breast cancer, but imagine having to hear that same news again after almost 10 years of being cancer free.

This time was different however, I had acquired a lot of knowledge in that 10 years and this knowledge I used for this second time around. I found a lump and got it checked right away, first mammogram showed all was fine, follow up ultrasound 3 months later showed irregularities, needle biopsy confirmed that it was malignant. Partial mastectomy and sentinel node biopsy showed that the cancer was caught in the early stages, clean margins on the tumor and no node involvement; stage 2 breast cancer and a weak 2 at that.

I was so incredibly happy to be told that news, it didn’t freak me out as I understood exactly what that meant for me – I had cancer but its wasn’t bad! Now that might sound crazy to some but considering my initial diagnosis of an aggressive advanced stage 4 breast cancer, in comparison this new diagnosis was great news.

Not sure what was worse – first time I had no idea what would happen, or what to expect, or for the second time – remembering what I went through and worried that it could all happen again. I am glad to report that this time treatment will only be hormone therapy as I have decided to have a full mastectomy and remove the source of the problem. So no chemo and no radiation.

So another surgery and some Tamoxifen, that is nothing compared to what could have happened it I had not be paying attention to my breast health and having that lump checked. Early detection was the key that made a huge difference for me.

Your breasts are talking to you what are yours saying?? Are you listening??