Sunday, January 4, 2015

Resolving the Resolutions

"When you die, it does not mean you lose to cancer. You beat cancer by how you live, why you live and in the manner you live." - Stuart Scott

Stuart Scott died early on January 4, but he beat cancer. Scott continued to live his life as a partner, father, and ESPN anchor, despite his struggles with the disease. His words resonated even before I was diagnosed with breast cancer last August.

When you have a life-threatening condition. Scott told us, you don't want to leave everything behind and travel. You want normal. You want your day-to-day life. He fought for seven years to live his normal life. Making long-term goals doesn't always make sense because none of us is guaranteed a long term. 

We are now in the season for long-term goal-setting, the New Year's resolution. I have resolved to look at them in a different way. 

On New Year's Eve 2013, I had big plans for 2014. I had struggled with diverticulitis that year that eventually resulted in surgery on my colon. I was feeling better than I had in a long time. I was going to focus on my work and on my health.

Instead, I found my job in jeopardy and I was battling breast cancer. I was a different woman on New Year's Eve 2014, one whose priorities are definitely different. It doesn't make sense to make plans for the next 12 months, when undoubtedly I'll be different again.

I may rip a page from the 12-Step Program - One day at a time. I could concentrate on how I keep myself healthy just today, how to make a difference for my family, my colleagues, and my students just today. Those goals might mean different things a week from now, a month from now, or a year from now.

Trainer and motivational speaker Chalene Johnson (chalenejohnson.com) advocates re-writing 10 life goals every week. The ones that recur are surely important to you. She also says there will be one or two that, once achieved, will allow the others to fall into place. Being healthy and cancer-free winds up at the top of my list every week, and it will allow me to achieve my other goals.

These kinds of resolutions will allow me to beat cancer in the way I live and how I view the world. When the ball drops on 2015, I will be different. Two things will be certain: Don't mess with me and I am capable of everything. 


Rest in peace, Stuart Scott. My prayers are with your family, your friends and colleagues, and your fans.

Monday, December 1, 2014

Beautiful Angels

There are angels among us. I have often felt their presence, but never more profoundly than during and after my cancer surgery in October 2014.

They wield scalpels and stethoscopes. They bring food for your family. They send cards, flowers, messages. They bring you your breakfast when you can't get out of bed. They curl up in your lap and purr. They pray for you.

You don't see their wings, but you often recognize their faces. But sometimes they are strangers.

The day after the surgery to remove both my breasts, I was hurting physically and emotionally. My friend, Peter called me. "I have something I think will cheer you up," he said.

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Indeed. Peter had secured a poster promoting a concert by singer-songwriter James Maddock. James had signed it to me, wishing me well. It really lifted my spirits to have a personalized message from an artist that I admire so much. It was a simple gesture that had a big impact.
The poster James gave me

I first discovered James when he played a concert nearby. I had never heard of him. By the end of his opening song, I was hooked. He is British, but his music seems uniquely American, rooted in the folk-rock traditions of the United States. He is a fixture in the fertile music scene in downtown New York. He has a distinctive raspy voice, an amiable stage persona, and a quirky social media presence. He's released three studio albums, and his newest, The Green,  is now out and available here at Amazon,. His lyrics seem deeply personal, but listeners can interpret them for themselves.

Like me, James is 50-something, and his songs tend to reflect the themes that inhabit those in our stage of life:

  • A longing for more time to explore the roads not taken ("Another Life")
  • Messy relationships ("Mister Universe," "What Have I Done?")
  • The vagaries of love ("Stoned On You," "Love is a Flower")
One of his loveliest tunes is entitled "Beautiful Now." The lyrics tell of a man looking at an old photograph of his beloved, taken long before he knew her. As he gazes at the picture, he notes her youthful splendor and radiance. Then he hits us with this chorus.

"You were beautiful then/ But you're way more beautiful now."

Those lyrics have taken on a new meaning for me. I don't have the body of my youth, but it had been replaced by one that was stronger, curvier, more confident. The surgery abruptly changed it, and I have been struggling with the "new normal."

At first, I thought the scars and incisions that snake their way across my chest were ugly. They hurt and I hated them. James' lyrics prompted me to re-think them. Now I see the gentle curves and delicate folds as the beauty of health and the brilliance of life. They are beautiful now.

So thank you, James, for taking the time to cheer up a stranger when she needed it. Thank you for your music. Thank you Tracy Plass and Peter Swarr for making it happen.

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Please enjoy this live version of James singing "Beautiful Now."




Monday, November 17, 2014

R-E-S-P-E-C-T

As I continue to recover from breast cancer surgery, I realized that my relationship with cancer will be an ongoing one. I have further treatment to come and continued monitoring for many years. But how to describe this complicated relationship? I have been searching for the right word. A few that I've considered:

  • Fear - My tendency with fear is to hide under the bed and wait for whatever is scaring me to go away. This is not a good strategy for maintaining health. We all know people who avoid doctors and tests because they are afraid of what they might find. So fear is not the right word.
  • Hate - It's easy to be angry and hateful about cancer. I've seen it ravage the bodies of people I love. Some of them didn't survive. But hate is a heavy burden to carry. To me it also implies malice and intent. Those little cells were once a normal part of my body. For a variety of reasons, they broke bad. I don't think they were out to get me. If I did hate them, I forgive them now. They are gone.
In talking to my husband about this, we came up with a new word: Respect. I respect cancer. I respect its power. It is an adversary worthy of my due diligence.

I respect cancer enough to have routine regular screenings, one of which resulted in my diagnosis. I respect cancer enough to find out as much as I can about it and its treatment. I respect cancer enough to seek out the best medical professionals to help me fight it. I respect cancer enough to carefully follow post-operative care instructions and recommendations for ongoing treatment. I respect cancer enough to research diet and lifestyle changes that can help me keep it at bay. I respect cancer enough that I will do whatever I can with my life to help those who are coping with it and to see it eradicated.

So, I have a new mantra I repeat in my head. They are the words of the incomparable Otis Redding that have been immortalized by the Queen of Soul herself, Aretha Franklin.

"R-E-S-P-E-C-T
Take care, TCB"



Tuesday, November 4, 2014

Baring the Scars and Bearing the Scars

Nothing prepares you for the first time you look at your mastectomy incisions.

Nothing.

No amount of preparation and looking at photos of other surgeries. No amount of love and support from your spouse and family. No amount of emotional strength (you think) you have.

When I took my first shower after surgery last week, I finally had the courage to look in the mirror. I saw myself as torn apart. Ripped. Ruined. And I cried. I gave myself permission to mourn the way my body used to look. But in the midst of the tears came another image.

The new smoothness of my chest reminded me of the days when I wore undershirts and camis. I remembered the cute little sundresses my mom dressed me in. There were no worries of bra straps slipping or too much cleavage showing. I could almost feel the golden California sunshine of my 1960s childhood.

It's not that I want my body to look like a little girl's - I'm having reconstruction done. But that fleeting image reminded me of two important things:  1) that beauty comes in many different forms and 2) my body has been constantly changing since the day I was born.

I recall when I was pregnant with my son. My body dazzled me almost daily with the changes it made to grow a little human boy. I am no less astounded by my body's ability to be up and walking mere hours after major surgery and that my use of my arms is coming back so swiftly. It is now working hard to scar over the incisions and heal. Amazing! Among the strongest parts of our bodies are the scars.

I am fortunate that the surgery went well. The sentinel nodes were clear and the margins were clean.

I have since spent more time with those incisions. They are healing well. I don't feel as troubled by them, and I know the scars will continue to fade. I have begun the process of reconstruction with a wonderful plastic surgeon. He told me from the start that I won't be the same. All I want is a little piece of "me" back. I don't think I want to fill out a D cup again. A little extra perkiness would be nice.

So, cheers to change. As my husband and I gazed at the new topography of my body he said,. "This is what healthy looks like."


Monday, October 13, 2014

A Tribute to My Husband

This is dedicated to all the caregivers.

No one expects bad things to happen. That is why on our wedding day, the happiest of days, we are reminded of the sad ones to come. There will be worse times. There may be poorer times. There will be sickness. Stick together, and you'll make it.

I am fortunate to have married a man I love, and one who takes our marriage vows seriously. We are in one of those sickness times now - I am facing a double mastectomy to treat cancer. Dan has risen to fulfill his vow.

We met almost 25 years ago in a Connecticut newspaper newsroom. I was a 30-year-old reporter and editor in the middle of a fairly successful writing career. He was a newly-minted college graduate, 21 years old and in an entry-level reporting position. On paper, maybe he wasn't the best choice. But I saw a person who was open and honest and loving. He treated women well, especially me. Oh, and did I mention he's drop-dead handsome? 

Our wedding day
We married in June 1992. Since then, we've experienced the better and the worse of our vows. He's supported me after the death of my beloved stepfather. He coached me through a days-long labor that culminated with the birth of our son. He encourages me in my writing career (he's a big fan of this blog) and supported me when I tried out a new career as a reading support tutor in our local schools. 

He makes me laugh on a daily basis. He is the smartest person I know. He is the one editor I really trust. If my writing needs improvement, he shows me how to fix it. If he says it's good, it really is good. Did I mention the handsome part?

He now finds himself in the role of caregiver. While he is going through this experience with me, his is unique.He has been the voice of calm when I have been afraid. He has made the phone calls to help me get the care I need. He has been the extra eyes and ears during sometimes overwhelming tests and doctor appointments. 

He is the very definition of a cock-eyed optimist, a mix of Annie and Pollyanna. But when we got word of a second cancerous area, it hit him hard. He is now helping me face surgery that will change me. He will be the one caring for me in the difficult post-operative days. He has been relentlessly on-message: "After this you will be healthy."

It is the storms that make us appreciate the days of smooth sailing. We know the storm clouds have been gathering in the distance. The sky is darkening. Soon the rain will be lashing the windows and the waves will be crashing.

Please hold Dan up in your thoughts and prayers next Monday during my surgery. For me, the time will pass in the blink of an eye. He will be the one watching the clock tick.

Sunday, October 5, 2014

Breathe and Reset

"If you've met one person with breast cancer, you've met ... one person with breast cancer. For although there are certain aspects of the experience that are seemingly universal - the initial terror, a reckoning with mortality, and initiation into the bewildering world of treatment - breast cancer changes the lives of those it confronts in ways that are unique in every case." - Judith Newman, Allure Magazine October 2014


That is how the wonderful writer, Judith Newman begins her article, Live to Tell, in this month's Allure magazine. She goes on to interview six women whose lives have been touched in different ways by
#breastcancer. The truth of the words in her introduction resonated with me and my experience. It is truly unique and each woman must navigate it in her own way.

I am still awaiting surgery. Several truly upsetting snafus forced me to change doctors, hospitals, and ultimately my decision about what kind of surgery I'm having. I'll detail that nonsense in another post, but suffice it to say, I'm with the medical team I need to be with having the surgery I want and need. 

The change forced me to take time to reflect on what was happening to me. I have found a few truths of my own to pass on.

  • Decisions. They are yours to make. At my first meeting with my new surgeon (a breast specialist), she told me the type of surgery I have is my choice. "But I won't let you make a bad one," she said. I realize now the first surgeon I was with was steering me toward what was easy for him at a time that was convenient for him. It really had little to do with me and my treatment.
  • Fear. Deal with it. Don't ignore it as I did. Fear is a way of informing our experience. I was so filled with dread as my first surgery date approached that I was afraid I wouldn't survive the operation. I realize this fear was grounded in the fact that I didn't trust the doctors I was with and had ignored several red flags that should have made me put the brakes on this whole procedure. A paperwork problem made the decision for me and I am truly grateful to be where I am now.
  • Prayer. Yes, it matters. No, I can't prove it. But there is something buoying in knowing that people you care about are praying for you. There is also great power in the knowledge that people who do not know me are praying. A colleague I don't know very well asked if she could put me on her church's prayer chain.Absolutely, I replied.  In my darkest moments in the past two weeks when I didn't know where to turn, I prayed to God to deliver me. In His tender mercy, He did. He put angels in my path who knew what to do. . 
I still have breast cancer, and I know I am facing trying days ahead, but a weight has been lifted from me. I have control back. I am ready to be healed.

Thursday, September 11, 2014

They're Real and They're Spectacular

In an episode of the sitcom "Seinfeld" titled The Implant, Jerry decides to break up with his girlfriend, Sidra (played by Terri Hatcher) because he is convinced she has had breast augmentation. In the end, Jerry finds out Sidra's breasts are natural. As she walks out on him, she lets him know what he'll be missing."They're real and they're spectacular."

Terri Hatcher and Jerry Seinfeld
It pretty much sums up how I've always felt about my breasts. I've always liked them, and age and childbirth have done little to diminish their beauty. So it is with sadness that I must bid farewell to my right breast.

A second core biopsy last week revealed another cancerous area about 6mm from the original tumor. My doctors say a lumpectomy would not have an aesthetic result and would risk leaving behind some malignant cells. So on September 24, I'll undergo a mastectomy.

This is a surgery that cuts psychologically as well as physically. For example, I didn't cry when surgeons cut out about 12 inches of infected colon. But when my doctor called me this weekend (it's never good news on a weekend) to tell me of the second tumor, I did.

 It sneaks up on me. Today a fashion magazine came in the mail and all I could think about was how the surgery would alter me and my clothing choices. This is not an earth-shattering tragedy, but I took a few moments to feel really sorry for myself. This week I started back at school to begin what promises to be an exciting school year. But almost as soon as I start, I'll be taking some time off. Can you tell I'm having a bad day?

I've put off any reconstructive surgery. I'll wait to see what kind of ongoing treatment I'll need first. That means I'll need to learn more about what my body will be like after this surgery.

Any advice you have for me is welcome.