Archives for "Over It"

Posted by KristaLouise on 29th January 2011

Returning to Work: March 2011

Returning to Work is a  3 part education series for cancer patients taking place in the lower mainland / Vancouver area … I don’t think you need to be actively in the “treatment phase” though. If you consider yourself a cancer survivor, I’d call and see if you are eligible to participate even if your treatments are completed.

The sessions, roughly 2 hours each, are planned for March 15, 22, and 29, 2011. Depending on interest, the group will run again several more times during the year.

The sessions will be led by Maureen Parkinson, M.Ed. C.C.R.C. Vocational Rehabilitation Counselor, Patient and Family counseling services, BC Cancer Agency.

Sessions include:

  • Setting yourself up for success
  • Getting ready physically, mentally, & emotionally
  • Knowing your needs
  • Developing a plan
  • Dealing with insurance,employers, & co-workers

If these dates and times won’t work for you, the BC Cancer Agency’s counselling services offer alternate options. Why not phone, get some more info, put your name on the list, and if these workshops aren’t convenient, perhaps there is another approach that’s better for you!

To register, please call 1-800-877-6000 ext 2194 or 1-800-663-3333 ext 2194 , or email pfc@bccancer.bc.ca

Outside the Lower Mainland, if you are in BC and you want to travel down for this, again just phone and get some info. Outside BC? Can’t travel? Check out the vocational tips on the BC Cancer Agency website, which cover many of the same issues:

http://www.bccancer.bc.ca/PPI/copingwithcancer/emotional/Work+Related+Issues.htm

~ klc

Posted by Vanessa on 11th January 2011

Making Peace With Your Body After Cancer

This summer, while visiting the local outdoor swimming pool, I saw a woman in the corner doing the move.  I was distracted, concentrating on getting my kid and her friend to stop horsing around and get changed.  But this motion seemed so familiar; I did a subtle double take. I think I stared because I usually see the older ladies dressing quite confidently and comfortably in this part of the changing area of the pool.  They have made friends with their bodies (or have at least declared peace). It’s the pre-teens with their pencil thin legs and perky… uh, elbows who always seem to squeal and run for cover.

But there was this venerable older lady doing my move.  Facing the wall, she’s lowered her head and draped a towel over her back as she changes. I know it’s not modesty motivating her because she doesn’t bother to cover her bottom, just (very consciously) her top.  And then as she carefully shifted the towel away before her bra was fully closed, I saw it – a small pink line beginning just under her arm. She had reconstructed breasts. I wanted to dash over and show her my scar exclaiming, “hey, look I got one of those too!” But that would certainly be awkward – and to what end? So I propelled a silent greeting, some positive thoughts with good wishes and go on my way.

I’d like to say that it seems like only yesterday that I was having surgery for breast cancer, but it really feels like ancient history to me now. I was diagnosed at age 28 in 2002. Time has healed my wounds, faded my scars, and time has made a reconstructed left breast feel pretty normal to me. I can honestly say that I hardly ever think about cancer anymore. But it took a really long time and a lot of work to get to this place.

In Sherri Magee and Kathy Scalzo’s book, “Picking up the Pieces, Moving Forward after Surviving Cancer“, they talk about how the side effects of cancer are not only physical, but emotional and and spiritual as well. “Cancer shatters a lot of illusions,” Kathy says. “The illusion of health, the illusion of having control over their lives. Survivors live on a roller coaster of emotions because right next to the intense gratitude for life sits fear and anxiety, even depression because you are not who you were.1

They write that many survivors experience a dissociation from their physical selves after cancer, and talk about how it’s important to rediscover your body and to learn to live with it and care for it again. Saying that reclaiming your body and adapting to your new physical self are essential to the recovery process.

We live in a culture that worships physical beauty and perfection. Cancer represents our worst fears of our bodies becoming less than whole, not measuring up to societal norms. There are an infinite number of body shapes, sizes, and features, yet society tries to convince us that only a few of them are desirable. Before cancer, you may have focused on your bodyʼs outward appearance, relating to yourself from the perspective of how you looked rather than how you felt. Now you’ll be turning that perspective inside out and looking at your body differently.2

When I had the mastectomy, my worst fear was to wake up without a breast, so I requested an immediate reconstruction. A latissimus dorsi procedure was recommended for by body type.  This surgery involved moving a flap of skin and muscle from my back to fill in and support a small implant. But I had some rotten luck with scar tissue forming a capsular contracture in the weeks following my surgery and I eventually did have to have my implant removed for about a year to allow the reactive area to calm down before attempting another implant leaving me with an odd lumpy void on my left side for at least one bikini season.

At the time it felt like I was having a mastectomy all over again. Over the next few days the breast area filled with fluid and the resulting shape looked better than an implant! It was a perfect tender teardrop shape… and then the fluid reabsorbed and I was left with an odd ripple because of the latissimus dorsi muscle. I began to get terribly annoyed at everything around me: the photos in fashion magazines, the choices of bras and halter tops, the girls at the beach, my itchy prothesis, and the terror I felt about being “ugly” and “broken. I become a little timid with my physical self, freaked out that my divot would show from certain angles. I was worried about how I looked and I was angry at my body. So I pouted for a good long while.

Looking back at it now, I feel that my strong, scary reaction was probably a normal part of the recovery process and something I had to get through in order to move past the pain. The sadness and anger helped me understand what was happening to me – helped me learn where my physical self ended and my true self began.  This is not at all to say that my body became less important! In fact, one of my main pursuits became proving to myself that not only did I look acceptable, but that my body was still trustworthy and lovable.

Reclaiming my body was a multi-stage process. One of the most healing experiences was when I joined a group of breast cancer survivors to model for 2005 edition of the Breast of Canada calendar (month of October). The six of us had a blast in the photographer’s studio feeling a strong sense of belonging and acceptance. I told a TV reporter who was doing a story about us that doing this made me feel proud of my scars. As proud as I was, as much as I wanted to show the world that it was OK about looking like this, I still hid myself in the changing rooms at the pool.

In the years that followed my mastectomy, I experienced a strong need to have my body serve and obey me. I felt betrayed by it. No matter how much meditation or relaxation therapy I did, I still felt like I wanted to challenge and dominate my body – show it who was boss! When the medication I was taking caused me to gain weight, I was lower than ever. But I didn’t give up on the mission.  I worked out regularly, and did things that made me feel connected to the breast cancer world like walking a 60k fundraiser and entering myself and two friends as a breast cancer relay team for the a sprint triathlon.

But I still felt really sad and angry.

As an artist, I found myself creating dozens of plaster casts of my torso and painting them for an art project I called Cancer Xancer. I had four more surgeries to complete my reconstruction and carefully documented the process with art and journaling. The nipple was yet to be completed and tattooed when it happened… I stopped minding. At first I just felt busy, occupied with going back to work, busy with a young child. Then it slipped my mind. Then one day I was showering in the change room at the pool (training to do the same sprint triathlon on my own) when I realized I wasn’t covering or cowering.  I simply was.

I’m not sure when I decided to accept my body the way it was but it felt good when I realized it had happened. And it took a looooooong time. This spring I competed the sprint triathlon in Delta, BC on my own.  It was a 700m swim, 20km bike ride and 5k run… and it felt AMAZING to complete!

~Vanessa

(Republished with permission from the Fall 2010 edition CBCN Network News)

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 Vanessa on 2nd September 2010

How Vocational Counselling Helped Me

I’m the kind of person who wakes up two minutes before the alarm goes off, saves ziplock baggies and twist ties, books a campsite three months in advance, and packs an umbrella if it looks somewhat cloudy. But this kind of mind also drives me crazy thinking of new ways to organize my drawers and recycle containers, prompting me to check emails when I should be heading to bed, and waking me up to mull over outstanding tasks in the middle of the night.

In my last post I wrote about my experience as a long term breast cancer survivor. I talked about how one of the most notable early side effects of having cancer is coming up against a huge amount of anxiety. I talked about how I found the relaxation and coping skills programs at the BC Cancer Agency very helpful for gaining control over some of the disturbing and destructive thoughts I was experiencing after my diagnosis and surgeries.  But there was another program that contributed to my well-being, and that was the vocational counseling program.

When I was finally ready to go back to work, I realized that I really wasn’t sure what I wanted to do with my life, but for a number of reasons I did not want to return to my job as a flight attendant. I had always been a very creative and organized person, but after cancer I wasn’t sure what kind of employment would suit me. The good thing was that I felt open to anything!

The vocational counseling program consisted of an interview and some survey writing. I’ve always enjoyed Cosmo quizzes and personality tests, so this was not unfamiliar or unpleasant. I discovered that I would do well working at a job that provided me an opportunity to solve problems and think on my feet, that I would prefer to have a mix of working alone as well as within a team, I enjoyed responsibility, and even a healthy amount of pressure and competition! I preferred projects with a beginning, middle and END. I desired work that could create something with meaning, that could make an impact. I would prefer something somewhat technical and detail-oriented. I was suited to leading a team of people and speaking to groups. I had an analytical mind. No shift work or body fluids please. And nothing requiring the preparation of spreadsheets.

It still took me a while to figure out what that really meant for me.  The results listed a set of “suggested” professions that included some pretty interesting jobs such as Fashion Designer, Film Editor and (my personal favorite) Fire Fighter.

The first thing I did was take some community courses in design and technology and volunteer in the breast cancer realm.  It was a sphere in which I already felt like an “expert”, and as a volunteer, was able to get my feet wet with some new skills on my own terms. I helped organize and promote conferences, create media, and stepped forward as a spokesperson/advocate for young women with cancer. It was an amazing time of growth for me. I was very fortunate to have been able to afford time to play and find out more about what I truly wanted to do with my life.

In 2005, three years after my diagnosis, I began to focus more on what I enjoyed most – the web, and realized that I wanted/needed to go to school to learn more.  My family were incredibly supportive.  I wouldn’t have been able to complete the UBC multimedia studies program without my mother’s daily help. After graduation I began working as a freelance photo editor and web designer. It was very rewarding and exciting!

The mind that was responsible for making me anxious and that seemed to run madly off in all directions served me very well in my new career. All that anxiety and those racing thoughts could actually be harnessed to effectively plan, research, analyze, strategize, create, organize, communicate and orchestrate! (I have even discovered a secret love of spreadsheets…)

In 2008, I found my way to an amazing company and discovered  a passion for strategy and larger-scale projects. To further my career, I took the Project Management Diploma at SFU.

My current job as a Solution Architect incorporates many of the strengths that came to light with the BCCA vocational counseling session 6 years ago.  And who knows if I would have found my way this well without that initial guidance!

~ Vanessa

Posted by Vanessa on 7th July 2010

Anxiety and Breast Cancer

I was diagnosed with cancer when I was 28, in December 2002. That seems like a long time ago now, but at the time, I couldn’t imagine I would ever experience a day where I wouldn’t think about cancer most of the time.  Now, seven years later, I can confidently say I am totally “over it.” To help convince myself of this, I’ll be writing a regular guest blog on the experience of long-term survivorship.

One of the most notable early side effects of having cancer is coming up against a huge amount of anxiety. Fears about what will happen to your body, fears about the effects of treatment, fears about how to talk with your family and friends about it … and of course, the big one – the fear that you will die.  Many of these fears dissipate as the journey progresses from the unknown into the all too familiar. But long after treatment is over, we often continue to carry a tightly wound knot of anxiety around the fear of reoccurrence.

As women, we already tend to be seasoned worriers, claiming that we like to be prepared for things and that thinking in advance about negative possibilities helps us feel ready to respond. This may be true when it comes to taking an umbrella to a picnic, or bear spray on a hike, but I can’t imagine that any young woman could feel ready for a life-threatening illness, let alone know how to prepare for such a thing.

I’ve heard that for some women, the experience of being told they have cancer comes as no surprise. They say things like, “I always felt that something bad would happen to me.” For some women, it gives them something important to concentrate on; for others, cancer is the last straw – it renders them frozen with terror, such that even the smallest decision becomes too overwhelming to face.

My treatment was a total mastectomy of my left breast. At the time I was about to return to work (part-time) and still nursing my 16-month-old daughter. I had never experienced any kind of serious illness before, and this sudden situation caused me a huge amount of undo stress. I underwent three reconstructive surgeries during the next couple of years and, with them, some massive changes to my self image.

Even after I was completely reassured of my own health, I felt profoundly affected by the struggles of women I had met at breast cancer events and groups along the way. I experienced feeling guilty for having a less serious disease, feeling bad for losing a breast but not my hair (I didn’t have chemo). I worried that I hadn’t really appreciated the health I had prior to being diagnosed or truly enjoyed my body when it was whole. I still compared myself unfavorably to magazine pictures. My feelings of regret led backwards and my feelings of fear shot forwards, giving me little space in the present to feel at ease.

When it became clear that these thoughts were not slowing down — just sneaking up on me in more creative guises, I took advantage of several BC Cancer Agency stress-reduction programs.

I tried meditation classes, art therapy group and a facilitated cancer coping skills program. Everything helped a little bit, but it was right after I was introduced to Cognitive Therapy and Mindfulness that my painful feelings began to make sense. I feel tremendously grateful to the teachers who helped me learn these skills.

Cognitive Therapy teaches you tools to identify patterns of unhealthy thinking. Amazingly, you can, with practice, begin to confront some of your most stifling fears and understand the process your mind goes through to cause feelings of fear and anxiety. Bit by bit, you can carve away at these seemingly insurmountable feelings and eventually get to a place where you can, at the very least, recognize them for what they are worth and choose to feel them or not!

The feelings were still there, but I was slowly learning how to disarm them as they surfaced. I learned how to create space around the present moment so that I didn’t dwell in feelings about events that had passed and that I could do nothing about, or those in the future for which I had no control over.

Sometimes I get teased a little at work when I take a moment of transition time at the beginning of lunch to settle myself before I eat – I try to do this regularly throughout the day. I only need a minute or two to create a calm space, a stillness in the eye of the storm around me.  Let it rage – for this small moment I am safe.

~ Vanessa