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Showing posts with label recovery. Show all posts
Showing posts with label recovery. Show all posts

Monday, 31 October 2016

Good News, Good News, Good News! :)

10/31/16 - For the first time that I can remember, I actually walked out of that place feeling happy, heard, respected and in full agreement with my oncologist regarding my surveillance plan going forward. And it's official, I am 16 months in remission!!! :)   I got my regular oncologist today who not only was running on time, he was very clear re: my ongoing surveillance plan AND I'M FINALLY GOING TO GET MY MRI!  :)  He also assured me that the previous surveillance plan that he & I discussed at the start of this year WILL stay in place, contrary to what the other oncologist said last time!  I actually told him in a tactful manner about the other oncologist NOT wanting to do MRI's on me at all "until symptoms appear" & that I was so upset by this that I went home & cried.  He was very good about it & assured me I *will* get my annual MRI, so I am very relieved & happy!  So, we're continuing with the chest x-ray every four months & the annual MRI of my thigh & annual CT scan of my chest, abdomen & pelvis.  However, to my delight, there is one change - we're no longer going to monitor my ovarian cysts, as they've remained stable & will show up on the annual CT scan anyway, so f anything looks suspicious, we can address it then.  Hurray, no more internal ultrasounds!  Those are the worst!

Speaking of MRI's, I also got answers re: the increasing pain I've been experiencing in part of my surgical area.  He confirmed that...

  • (a) It's normal for extremity sarcoma survivors to experience this on an ongoing basis, and is most likely a result of radiation damage, in addition to all the scar tissue I have around my nerve.
  • (b) it can take up to two years to truly heal from this surgery & all the radiation I had.
  • (c) I may find at times it gets worse & other times it's not so bad.
  • (d) The best thing I can do is stretch the area as much as possible, so looks like my yoga ball & I will be making a reacquaintance in the near future!
  • (e) My hunch about this damage causing inflammation was spot on, which explains why the turmeric helps so much!

The other interesting thing to note, is he mentioned several times that my four-month interval of X-rays may  last up to THREE years.  Damn!  Here I thought I was graduating to six month intervals in the next eight months but not necessarily!  Oh well, if that's all I have to complain about this time around, I'll take it!

Better yet, we inadvertently got free parking today when the hospital changed their parking payment system without us realizing!  We could've gotten ticketed but fortunately for me, we didn't!  Can this day get any better?  Well, yes...YES, it can!  ;)   My luggage is all packed and i'm ready to finally see Culture Club for the first time after waiting 33 years, followed by a whole lot of Placebo gigs not long after that, and who better to do it with then my Kindred spirit in Placebo, packing, and planning! Let the fangirling begin!  :) <3


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Monday, 14 March 2016

"A Place for Us to Dream"

03/15/16 - THANK YOU, universe!!!  Not only did you help me beat cancer, I’ve recovered well enough to see the announcement of my beloved Placebo’s 20th Anniversary Wold Tour!  Now to get back onto my elliptical to ensure my leg is as strong as possible for all those sprints to the barrier, and to pass all the various medical tests between now & then!  I just hope the venues don’t have a bunch of stairs for the floor level…  *anxious sigh*  is it December yet? And a heartfelt THANK YOU to Placebo whose music got me through one of the toughest year's of my life!  See you in nine months!  <3


Thanks for reading! :) If you enjoyed this post, please help spread #SarcomaAwareness by sharing it on Google+, Twitter or Facebook using the buttons below. You can also subscribe to this blog using the links on the left.

Have a sarcoma blog of your own that you'd like linked? Feel free to drop me a line or post your link in a comment below.

*[NOTE: Post title inspire by a lyrics out of Placebo's song "Narcoleptic", as well as the name of their upcoming 20th anniversary tour.]

Sunday, 3 January 2016

Sometimes

01/03/16 - When a song comes into your life precisely at the right moment,  as if to mirror your soul...



Something's telling me I need more than just this one week in my pajamas. So, to my friends and loved ones, please don't take it personally if I turn down more than a few invitations over the next while. I need to take some time to myself to process, well...EVERYTHING..

I've read other survivors' talk about experiencing depression & anxiety after treatment & physio finally ends.  I don't know if this is that or if my body, mind & soul just need to recover from the past 11 months.  But whatever "this" is, it's more than me just wanting to crawl into my introverted shell.  I feel like I've been in "fight mode" constantly for nearly a year now, so consider this my "time out".

Friday, 1 January 2016

Coming Undone & 2015 Farewell - Processing the Flood of Emotions When Treatment Ends

12/31/15 - Well, it’s New Year’s Eve as I write this, and boy am I glad to see the back of 2015!  When I spoke with a counsellor soon after diagnosis, she told me she often sees patients return towards the end of their treatment, and it’s only now that I’ve gained enough insight to understand why.  The past few weeks have been an emotional roller coaster, as I cope with the anxiety & fears of a possible recurrence, wondering could this be my last Christmas & if this is just the calm before the storm.  I realized the other day that I pretty much jumped straight from physiotherapy into socializing three times as much as I’d normally prefer out of fear.  Fear that it’ll come back, and with a vengeance.  Fear that funny little lump on my elbow that i never noticed before is an early sign of METS.  Fear that  little dry cough is also a sign of METS.  Fear that I won’t be around in ten years.

Adding fuel to the fire, a fellow survivor found a research-based nomogram by the Memorial Sloan Kettering Cancer Centre that shows estimated survival rates specifically for liposarcoma patients, and it appears that resident physician (the one my oncologist initially had answer my many questions because he was strapped for time) may not have been as forthright about survival rates as one would expect.  Remember, this is the resident who gave me my grade instead of my stage, plus she’s the one who told my mom & I she’d be right back but then never returned!  So, needless to say, I don’t have a lot of faith in anything she’s told me.  But back to the nomogram…  It made me realize, I probably don’t have as much time left as I was originally lead to believe.  I mean, I pretty much figured that anyway due to my high (>25%) round cell component, but it appears the survival rates for even those with as little as >5% round cells are reduced.   And while the realist in me knows I could always die of something else, like a car or a plane crash, it’s still quite daunting realizing that if nothing else takes me out, the cancer most likely will, even if it’s years down the road.  The chances of a recurrence or distant metastasis are fairly high.  So, even though I’m clear now, it could be waiting in the wings & show up in my lungs a few years from now.  I can deal with that, but  I just want the truth out of my medical team.  So, I definitely plan to show my oncologist the nomogram when I see him in March.  I realize some people wouldn’t want to know, but being single without a spouse to fall back on, I need to know how I should prepare for the future.   For instance, is retiring in 20-25 years even a realistic possibility, or should I be saving like someone in their 70’s who’s likely only got an average of 10-15 years left to live?

Another thing that’s knocked the wind out of my sails lately is “survivor’s guilt”.  Last week there was a news story about a 22-year old woman that lost the love of her life a month earlier when he passed away suddenly of unknown causes.  Meanwhile, she, herself, was dying of stage four osteosarcoma in her leg & her last wish was to make it long enough to be able to hold her yet unborn baby.  Well, she made it, as her son was born Christmas day, but that baby will never know either of his parents.  Yet here’s me with no children, other than the four-legged kind, and no significant other, yet here I sit cancer free.  Don’t get me wrong, I am grateful, but what the hell is the universe thinking???  If I wasn’t an agnostic-atheist, I’d swear the angels got our paperwork mixed up! Fortunately, I was quick to reach out for support from the online liposarcoma group I belong to, and it appears I am not alone with this paradoxical range of emotions.  This knowledge alone brings me comfort & takes the edge away from this whirlwind of ups & downs I’ve been feeling lately.

Offline, I've tried sharing a bit about these post-treatment emotions with a few close friends but it was obvious they just didn't get it.  After all, how could they?  Only those who’ve had cancer themselves can truly understand.  It's for this reason, I’ve noticed myself starting to hold back with friends and family about how I’ve been feeling - quite the opposite to when I first began my journey.  They have moved on now that I am cancer free, but for those of us who’ve faced cancer directly, “cancer free” is a bit of an oxymoron, because once it’s touched you, you’re never truly “free”.  It’s always in the back of your mind, and there isn’t a day that goes by where you don’t think about it, even if it’s just briefly.  If forever changes your views on life, for better or worse.

Speaking of holding back, I've decided to be more selective with whom I tell in person about my having had cancer.  i have lost count of the number of times I’ve heard “Oh…BUT you look good!” after telling someone I’m a cancer survivor when they ask about my leg.  I’m not a small girl, so although I lost weight due to stress & lack of appetite, I don’t look like the stereotype people have of what a cancer patient should be.  On top of that, despite loosing a lot of hair, I never did go completely bald.  It just looks like I got a major haircut.  So, to anyone reading this who’s never had cancer themselves, please note that what we as past & present cancer patients hear when you tell us “Oh…BUT you look good...” is “Oh…you don’t LOOK like you had cancer!”  Seriously people, stop & think before you open your mouth! :p  On the other hand, I’ve met a few fellow survivors in the real world by being so open, so choosing to be less so is bit of a double edged sword...

Last but not least, the thought of returning to work…or in my case, looking for a new job for the first time in over a decade after being laid off sent my anxiety so sky high that I’ve decided to take one or two more months to truly relax before starting my job search.  Sure, some people might think being on medical leave for eight months would be enough of a break, but it’s been anything but relaxing.  So, I’ve decided to be good to myself & give myself this time to properly unwind. For one thing, doing so will help me to be more resilient once I do return to work, and it’s not like I’ll ever get this kind of free time again, unless well…you know, but then that will be anything but relaxing!  So, the first week of 2016, I plan to spend in my pyjamas! :p  Then I plan to continue my endeavours of learning the ukulele & lose myself in my e-books.  I also want to work up to riding my elliptical for five hours a week.  Right now I’m at three hours a week.  I want to find that wonderful balance I once had between my introverted “me time” & hanging out with friends.  I'd also like to do a bit of soul-searching as to what I want in my next job & employer.  While I’ll likely end up in a similar line of work, I don’t want to just settle for the first thing that comes along.  Life is too short to spend it working for a company that makes you miserable.  Most importantly, I plan to enjoy this extra time with my fur-kids (my dogs), as one of them has a health condition which will eventually end his life.

Still, even once I do resume said job search, the job market right now in my province is pretty tight.  To say we’re in a recession here would be an understatement.  So, whether I like it or not, it could be quite a while before I manage to return to the workforce.  This presents another challenge, as many other survivors I’ve chatted with online say returning to work really helped.  But what if there’s no work to return to?  I might look into volunteering in the spring or summer if something still hasn’t cropped up by then or those elusive tour dates I’ve been waiting for still aren’t announced, but for now…pyjamas!  Yes, pyjamas!  ; )

*[NOTE: Post title inspired by the Placebo songs "Come Undone" & "H.K. Farewell", which can be found on their "Battle for the Sun" & self-titled debut albums respectively.]

Saturday, 31 October 2015

"Pity Party" of NONE! I'm a Fighter & Survivor, NEVER a "Victim"!

10/30/15 - Where has the time gone!  I’ve been meaning to post here for ages now but have been so busy concentrating on my recovery that, before I knew it, three months had passed!  Apparently, some of you (Wow, there’s actually more than three people reading this? LOL! ;) :p) have been wondering what happened to me, so I guess an update is in order!  But first, a little something I need to get off my chest...

Call us fighters, survivors or even warriors but NEVER call us “victims”!  THIS was what came to mind the other day, as I read a post on Facebook that, while penned with the best of intentions, was clearly written by someone who’s never had cancer themselves.  Everyone’s experience is different, and although not all of us are lucky enough to win the battle, we are NOT “victims” to be pitied!  We are just everyday people like the rest of you who just happen to have some extra challenges to deal with!  It’s posts like that & the  cringe-worthy reaction I received from one of my non-cancer related specialists that really give me pause for thought.  During the past year, I’ve been commended over & over again by others, including friends whose lives were previously touched by cancer, for being so open about my personal journey.  One friend spoke of feeling in the dark when another of her loved ones was much less open about their cancer experience - a stark contrast to my approach.  I never understood why anyone would want to hide such a significant aspect of their life from those around them, especially close friends & family.  But now I get it.  I really do.  But that was just never a choice for me.  For my own sanity, I needed to write this journal & reach out to those around me, because quite frankly, I was scared shitless & would’ve gone insane if I’d held it all in.

As one of the many medical professionals once said to me this past year, I am an information seeker, so burying my head in the sand & pretending it wasn’t happening just wasn’t an option, and talking about it with others actually helped me deal with things, because no matter what you do, it’s always on your mind, even if it’s lying dormant for a while.  There isn’t a day that you don’t think about it at some point.  And even once you’re told you’re cancer-free, it’s always there.  As an announcer on CTV News recently stated while reporting on Rob Ford’s suspected recurrence of pleomorphic liposarcoma, anyone who’s survived cancer will tell you, the biggest fear is that it will come back.  Seeing Rob Ford hold back tears as he spoke of how far he’d come only to have to start “it” all over again really struck a chord with me, and I’m sure every other cancer survivor out there.  My heart truly goes out to him & his loved ones.

That being said, I have my first post-surgery chest x-ray in two days, followed by a an appointment the following week to discuss the results with my oncologist to find out whether or not I'm still cancer free or if it’s spread to the lining of my lungs or heart. I also want to request an ultrasound or CT scan, as I’ve noticed an imbalance in the way my body feels around my ribs on one side.  Hopefully, it’s just me being overly paranoid about the slightest idiosyncrasy, but we all know what happened the last time I ignored something like that, so I’m not going to ignore it this time!  Still, here’s hoping my news will be happier than Mr. Ford’s.  To say I am experiencing “scanxiety” right now would be an understatement.  But I’d better get used to it.  Got another seven years of this “fun" to come every three to six months, and even once that’s over, I’ll need to have tests for the rest of my life, but hey, at least I am here to have the scans in the first place, so it could be worse!

Whew!  Now that I got that out of my system, here’s an update on the last three months!

In early August, nearly a month after surgery, my stitches finally came out & I was discharged from home care.  Thankfully, that wasn’t nearly as painful as when my foot-long drain was pulled a week earlier!  However, the nurse MISSED a few, which actually impeded wound healing, so eventually in early October, I took matters into my own hands & managed to pry the remaining sutures loose, cutting them out on my own!  Keep in mind, that these stitches were on the back of my thigh, so lets just say I had to contort myself into some rather interesting positions to get the job done!  It sure was worth the effort, though!  The extra sensitive trouble spot quickly expedited healing from that point on!  Sure, I could’ve returned to the hospital to get them to do it, but my thought on that was, I already went once & they buggered it up then, “If you want something done right, do it yourself!"  So, I did just that, being sure to thoroughly sanitize before, during & after!

Finally having the stitches removed allowed me to progress into off-site physio in mid-August. It wasn’t long before those six exercises  prescribed in hospital ballooned and the number keeps growing to this day!  Currently, at the time of writing, I'm up to 23 daily exercises at home that take over an hour to complete, in addition to 2 hours & 20 minutes of recumbent bike throughout the week, one to two hours of elliptical each week, walking my dogs 4-5 times a week and a few other exercises limited to the actual physio clinic due to the fact I don’t have the equipment at home.  I was also encouraged to purchase a yoga ball & resistance band as part of my physio plan, which have really helped.  The other part of my physio involves my therapist working to break down the scar tissue, which can be quite painful but will reduce chronic pain in the long run.  I swear, my theme song right now should be “It’s the Physio that Never Ends”, LOL! ;)  Fortunately, the end is near, as I’ve only got three more weeks of off-site physio, followed by a month break before my final one or two sessions to tie up any loose ends.  Oh, I can’t wait!!!  While I’ll likely still need to continue with at home physio, I’m really looking forward to getting my life back, and the end of formalized sessions will be a step in that direction!

How does one stay motivated to do all that physio, you ask?  Well, let me tell you, it’s not easy!  The first four months were great - I did nearly every single exercise religiously every single day.  But by October, I was starting to feel a little challenged in the inspiration department!  So, what I did was create an inspiration board with pictures of my favourite band & a photo of me with friends at one of said band’s shows.  I rode my elliptical for an hour straight the other day with the inspiration board propped up in front of me, so I guess you could say it’s working!  :)

All this hard work has really paid off, though.  Gone are the crutches & walker, all the rental equipment/aides have been returned & I have lost 12 lbs since surgery without even trying!  And although I still walk like a duck, I’ve come a LONG way in the past three months!  I can even touch my toes with a bit of bending at the knees, the neuropathy & other nerve pains have improved (though they're not gone entirely) and to my delight, I can once again get down on the floor (very carefully, I might add!) to hang out with my beloved fur-babies!  <3   My next goal is to one day be able to run without looking like a drunken weeble-wobble, in hopes of making it near the front at all those Placebo gigs I’ll be attending next year!  Yes, a girl’s gotta have her priorities!  It’s all about the music!  And the Molko!  Don’t forget the Molko!  ;) <3

Speaking of which (music that is!), September saw me embark on my endeavour to reconnect with my musical brain, as I began taking part in Wellspring’s music programs for those touched by cancer.  In particular, I started both the ukulele class & drumming circle I’d missed during summer, and I must say I’m really enjoying them!  I have a whole new level of respect & admiration for anyone talented enough to play a stringed instrument & do it WELL!  Drumming circle is my favourite, though, because it doesn’t matter about all the music theory I’ve forgotten over the years.  Anyone can do it & you don’t have to fight with your fingers trying to get the hang of chords!  You just lose yourself in the drums & it’s simply amazing!  One thing we do each week is play specifically for two members of the circle, surrounding them as they lay down on chairs in the middle of the circle.  As we play, we focus our energies on whatever they want the healing-focus on.  For instance, it could be something as simple as finding peace or it could be something more serious such as chronic pain or a recurrence.  I was brave enough to volunteer to go into the circle during my first time, and it was such a surreal feeling hearing the music move around me as the others walk around playing various percussion instruments!  And the healing touch at the end was, well, a nice touch - and completely optional, I might add. :)  Music has been found by scientists to have great healing power, and I believe it.  Amongst other things, it reduces stress hormones & depression by creating a natural high with the production of dopamine, which also helps increase energy.  It’s no wonder there are so many music programs at Wellspring. :)

Still on the topic of Wellspring, I also finally got to take part in that laughter yoga I’d been wanting to try for years!  Although, I only did one session due to its early morning start-time, I highly recommend EVERYONE try it at least once in their lifetime!  There’s actually a science behind it, as well.  Around 1995, it was invented by a doctor in India who felt his cancer & stroke patients’ lives were just too stressful & in need of more joy.  Thus, laughter yoga was born!  But it’s not just all jokes & smiles.  Laughing, whether real or fake, provides the body with increased oxygen, which boosts both energy & immunity.  The instructor even went so far as to suggest that a body with increased oxygen is inhospitable to cancer cells, so there just might be something to that old adage, “laughter is the best medicine”!

[NOTE: Post title inspired by the bonus track "Pity Party (of One)" by Placebo from their 2013 album "Loud Like Love"]

Thursday, 30 July 2015

Did I Forget to Take My Meds?!?! Finally Awake Enough to Write a Post-Surgery Update! :p

07/30/15 - Wow, where has the time gone?  It’ll be two weeks tomorrow that I’ll have arrived home from hospital!  Been wanting to write in here but am so fatigued most of the time that I just never seem to get around to it.  Feeling unusually awake right now, so I’m grabbing the chance while it’s here before that pesky urge to nap creeps up on me yet again!  Please bare with me if I’m not as eloquent as I usually am!  I’m on  five different meds right now, down from six, as one ended yesterday!  Anyway, hopefully I don’t babble too much & this will actually make some sort of sense! :p

So, my surgery went well three weeks ago, despite taking twice as long as expected & being very difficult & complex due to my sarcoma being wrapped around a nerve. Remember my friend’s hypothesis that my discomfort was due to my sciatic nerve?  She wasn’t far off the mark, except this was obviously more than your average case of sciatica!  The way my oncologist described it was, they had to “peal it (the tumour) like a banana” in order to preserve the nerve, but luckily they were able to do that in one piece, so as to lesson the likelihood of the cancer spreading.

As I regained consciousness, I awoke to 30 stitches running from my buttock to the back of my knee, two drains (knee & backside), a lot of swelling (edema) in my leg (foot included), a sizeable chunk of my hamstring muscle missing, neuropathy in my left foot & some awesome painkillers, pain pump included!  Oh, and no more evil alien living inside my thigh!!!  :)

They actually warned me the neuropathy (nerve damage) may occur & may or may not go away with time, but so far there’s been no improvement, so I’m just learning to live with it.  So far, it’s more uncomfortable than it is painful, though once in a while, the irritation borderlines on pain.  The best way I can describe it is if part of your foot was half a asleep…yet the pins & needles feeling is most pronounced when something is putting pressure on my foot.  Even something as light at bed sheets is annoying!  God help me when winter coms & I have to wear socks!!!  But, like I said, you just get used to it.  Other than that, my leg is extremely swollen right now.  My oncologist says the edema will take roughly six months to dissipate, but my recovery & medical leave will be about three more months if all goes well.

As for the pain in my leg, it has its moments, but the meds have been working quite well to keep that “bubble” going, where I don’t have too much pain while not moving.  However, I do get sudden shots of pain while walking (especially long distances), and sitting for long periods of time is very uncomfortable.  I also have to sit on a pillow ALL the time, placed on a firm surface for stability & to minimize the irritation on my drain site & stitches.  The larger drain site on my backside has been the most significant source of pain so far.  More on that later!  Meanwhile, parts of my leg have significantly reduced sensation, whereas other parts of very sensitive!  I think of it as a mixed blessing, as there are many sensations right  now I have no desire to experience!  :p  Probably the oddest sensation I do have right now, though, is the feeling as if someone stuck a bunch of cotton candy in the back of my leg.  Not sure if that’s the edema, nerve damage or both, but the inside of my leg just feels like a giant sponge.  Currently, I’m barely able to bend my knee, nor can I bend over.  My remaining muscle is also very weak, so I always need to grab onto something to stand up, sit down or climb stairs. As for nerve pain, I do get occasional discomfort in my back, which I’ve noticed is increasing over the past few days since i’ve begun reducing the Tylenol 3’s with Codeine.  This could also be related to the fact I tense up when my drain site gets irritated.  Let’s just hope it’s not a sign of things to come!!!

To my shock & amazement, they actually had me up & walking the day after surgery with the aid of a walker!  I thought they were crazy, but apparently they do this to everybody!  It’s worth noting, it took two people to get me out of bed for several days after surgery, but eventually, I graduated to one person & then eventually was able to do it on my own with just the aid of an ingenious tool, courtesy of the hospital’s physio team - a foot loop that allowed me to support my leg& hoist it along while I dragged the rest of me out of bed with the aid of the bed-rails.  Getting in & out of bed actually hurt more than the walking did.  When I say walking, though, it’s more like waddling!  “Quack, quack” <incert duck sound here>!  :p  They started me off with a walker, which I still use now for longer distances, since I can barely bend me knee & am unable to bend over.  In other words, if I fall, I’m not getting back up, so hence the walker.  Being visually impaired on top of all that, adds even more reason to use the walker, especially while out of the house.  About five days after surgery, they also taught me how to use the crutches, which are less steady, but are necessary for stairs, since a walker won’t fit most standard-sized stairs, and if I’m leaving the house alone, I can’t exactly take the walker with me.  But if I’m getting a ride somewhere & we’re going somewhere that’s accessible (has a ramp or elevator), I’ll always choose the walker over the crutches.  It’s also much faster than the crutches!  Like about twice as fast!  But my house has a LOT of stairs, so the crutches were a must have.  I actually bought them outright but am just renting the walker. Hopefully, I’ll eventually graduate to just a walking stick (or in my case a support write cane for the visually impaired) or better yet not need any extra support at all.  But time will tell on that one.

Other tools that have come into my life post-surgery include: an extra long-armed reacher, a sock-aid, extra long shoe horn, bath transfer bench, commode, two shower grab bars, the addition of proper physical railings on one of my stairways that previously only had wall carvings that functioned as a railing, and as previously mentioned, that handy-dandy foot loop, walker, crutches & lots of lots of pillows!  Also bought a recliner, to help combat  the edema, rather than having to pile a mountain of pillows all the time on the bed or couch.  This way I can watch TV (if I manage to stay awake!) & battle the edema at the same time. :)

Now back to those darn drains.  The first one (near my knee) was small & a piece of cake to have removed.  The second one (on my backside), on the other hand, was the complete opposite!  It was nearly a foot long & to say its removal was painful was an understatement!  On a scale of 1-10 for pain it was a 20.  It was so bad, I actually sobbed like a baby when they finally took it out, which by the way, got delayed because my leg had so much drainage.  But finally, they took out out 17 days after surgery.  It was also on that day that I learned, I am officially cancer free!!!  The toxicology report came back negative & showed clear margins!!!  :)  So, it was a bitter sweet day!  But the pain of that drain was all worth it if it means all remnants of that evil alien are gone from my body!  :)

It was weird, though.  I felt like I should be celebrating, but as mentioned, I am so tired ALL the time, as is my poor mom who’s been temporarily living with me while I recover, there’s just no energy left.  And there’s also the knowledge that recurrence could happen & that I have a long three months ahead of me.  But I am grateful.  Earlier today, I learned that a long-time co-worker of mine who worked at the same place I did for many years passed away on that same day I learned I was cancer free.  She was only about 10-15 years older than me at most, and had chronic health issues of her own.  So, news of her passing hit me surprisingly hard.  I am just so thankful, though, that the universe has decided to give me more time.  

Next on the agenda is to hopefully have all my stitches removed next week, though part of my incision site has been slower to heel due to the chemo & radiation therapies, but it seems to finally be coming along, as I just graduated from having daily home care to having homecare every second day, so crossing fingers all goes according to plan.  They’re also going to give me a referral for physio next week, so hopefully that’ll help combat those silly sponges that seem to have taken up residence where the evil alien once lived in my leg!  The at-home stretches have helped a bit but still have a long way to go!

But on that note, my drain site is really pissed off at me now, so I’m getting out of this chair, which by the way, is a lawn chair with lots of pillows!  Another ingenious adaptation we’ve come up with in lieu of my killer computer chair, which would likely roll away on me while trying to get in or out of it! Wheels on walker = good, wheels on computer chair = very bad, LOL!!!  :p

*[NOTE - The title of this post is loosely inspired by Placebo's song "Meds" from their album of the same name, released in 2006.]

Monday, 6 July 2015

Pre-Surgery Consultation

07/06/15 - Quick update.  Please forgive my lack of finesse in writing today.  Got less than four hours sleep, as the anxiety of everything is starting to creep up on me, but here goes… Saw my oncologist today for my pre-surgery appointment.  Everything’s on track.  The bug bite from hell, though slowly healing (my foot’s still more swollen than usual), won’t have any impact on my surgery.  He’s also not worried about all those nodules that came up, because everyone has nodules throughout their body whether they have cancer or not, so they’ll watch them & if any get beyond a certain size, they’ll take further action.  Re: my concerns about the >25% round-cell component, he says that it does NOT change my current treatment plan, so he is not overly concerned about it at this point.

As for surgery itself, surprisingly, it’s only going to take two hours & he aims to remove my tumour (aka “the alien”) in one piece, which will reduce the chance of it spreading.  I’ll be in hospital for about a week, possibly even less - yes, LESS!  I juste hope they don’t try to push me out of there prematurely just to free up a bed.  They’ll also do toxicology reports at the time, which will take two weeks to come back, if memory serves right.

I will have some physio in hospital, but considering I’ll have stitches still healing, not sure how much that’ll entail, aside from wobbling & hobbling around very slowly!  Oh, and thank god, there’s no requirement for a skin graft, which is a relief. He’s expecting my recovery time to be about three months, so hopefully I’ll be done before my short-term disability runs out, cause otherwise I’ll be in for a substantial income drop if I have to go onto long-term disability.  So, that’s pretty much it.  I have a pre-surgery preparation appointment via phone tomorrow morning, as well, and on Thursday I have to call for my surgery time.  I, of course, forgot to ask my oncologist several other questions, despite writing numerous questions down!  But it doesn’t really help when you forget to write the question down in the first place!  :p  Damn it, I’m so tired right now, I forget the questions I forgot!  :p  Can’t even come up with a Placebo lyric to go along with this post!  :(  Zzzzzzz...

Thursday, 2 July 2015

I am the Bones You Couldn't Break - June May Have Kicked My Ass But I Won't Let It Win!

07/02/15 - It seemed innocent enough - a Sunday evening BBQ with a few close family members.  Little did we know the danger that was lurking in our midst!  Being lulled into a false sense of security with the mosquitos not being too bad yet this year, I forgot yet again to put on bug spray.  You’d think I’d have learned my lesson the week before, when something other than a mosquito - possibly a wasp - took a microscopic chunk out of my right leg.  It was red & hurt like a bitch for about four or five days but other than that, it healed up relatively quickly.  So, little did I suspect what was coming next!

This time around, we think the culprit may have been a black fly, which is apparently known to take quite the chunk out of its unsuspecting victims!  Well, I’d estimate the micro-attack happened around 10pm.  By midnight, my left leg was oozing so much clear liquid, it ran don my leg.  By 5am, there was a wide area around the bite that was red & by the following afternoon, my ankle & entire left foot were swollen, and the impact site was still seeping clear liquid! Oh, and blistering.  Don’t forget the blistering!

Now, perhaps this is normal for some people, but not for me!  Even when I’ve been stung, I’ve never had a reaction this severe, which leads me to wonder if my immune system is now super sensitive to certain bug bites post-chemo.  After all, the whole reason my surgery is taking place eight weeks after my pre-radiation chemo is to avoid complications with wound healing.  Not wanting to take any chances, I decided to call Health Link, who suggested I have a doctor look at it. So, off to a walk-in clinic we went, expecting to simply be prescribed oral antibiotics.  In hindsight, Health Link actually suggested I see my family doctor if possible, but that would’ve delayed things by a few days at least, so I opted for the walk-in.  Big mistake!  As soon as the physician heard the “C” word, he was clearly out of his comfort zone, and before we knew it, we were being referred to EMERGENCY!  Yes, Emergency….for a bug bite - albeit, a bug bite from hell, but nevertheless, a bug bite!!!  His reasoning was that they may want to do an ultrasound & put me on IV-antibiotics, which he explained would work faster, so that I could get this cleared up in time for my surgery.

So, into the vortex of the hospital from hell, we went!  Eight hours later, we emerged with stories of Buzz Lightyear & Pirate Porkchop, courtesy of a mom reading to her son across the waiting area, yet more tests and….drum roll please…ORAL ANTIBIOTICS with NO IV in sight!!!  The emergency doctor said that in this case, IV antibiotics wouldn’t have made a difference time-wise.  And after all that, they weren’t really sure if this was my system being hyper sensitive to the bite or in fact a skin infection.  By contrast, the clinic doctor who sent us into a galaxy far, far away, actually went so far to suggest it was a cellulitis, a rapidly spreading skin infection!  But they said we did the right thing, having it looked at quickly, as I do have to be careful being post-chemo & with surgery less than two weeks away.  The frustrating thing is, next time, I’ll think twice about going to a clinic or emergency & just wait however many days to see my family doctor.  Watch, that’ll be the time they’ll tell me I should’ve gone to emergency!  :p Four days of antibiotics every six hours later, it is slowly improving.  Hopefully, it won’t impact my surgery, which is now eight days away.  It’s still pretty red & swollen but it’s better than it was.

Meanwhile, earlier in the week, I got a hold of all my medical reports available to date, as I needed them for insurance purposes.  Now, remember those MRI images on CD from February I never should have looked at?  Queue in the deja-vu!  I really shouldn’t have read my reports either but just couldn’t resist.  In addition to the nodules I already knew about on my spine & ovary, they also discovered one on my intestine.  I don’t even recall them mentioning my intestine, so that totally threw me for a loop!  And then came this gem: “We are unsure of their significance….Although we are not formally classifying them as metastasis at this time, we have chosen to follow them”.  In a nutshell, they have no idea if it’s spread, so they’re playing the wait & see game.  Fast forward now to late June, where the tests reveal the same nodule on my spine but no mention of the nodule on my intestine.  They didn’t bother to check my ovary, since my ultrasound couldn’t find anything back in April.  However, I now have a new nodule that wasn’t there before on my thyroid & the word lesion came up, and yet still, they’re unsure if its significance, saying “There is no evidence of definite metastasis, which to me means, they have no idea at this point!  Still, with nodules on my spine, intestine, ovary & now thyroid, I’m needless to say, a bit worried.  Hopefully, my oncologist will clarify everything next week when we meet before my surgery.  The good news is, the alien hasn’t grown, but it’s a bit bigger than I was initially led to believe.  It turns out, it’s actually 25x13x8.7cm.

As if starring in my own personal episode of When Bugs & Aliens Attack wasn’t enough, there’s MORE!  After nearly two decades with the same company, I learned I’ll be out of a job once my medical eave is done, as the department I work in has permanently closed!  Seriously, Universe, what ARE you trying to do to me?!?!  Enough already!  Fortunately, they’re allowing me to continue my current medical leave for as long as necessary.  Once recovered from surgery, my severance pay & benefits package will last about a year.  Thank god, because finding a job when you already have a disability is hard enough.  Add in the additional complication of cancer scans every three months for the next two years & every six months for the five years following that, and well, let’s just say searching for work could be quite a challenge.  Grateful yet terrified pretty much describes how I am feeling these days!  Anyone know of a good Canadian insurance company that’ accepts cancer patients & survivors???  Trying my best not to panic.  Hopefully his chapter's end will open doors to something better & much more inspiring, a job that i can be proud of rather than being just a paycheque.

They say things happen for a reason, and sometimes I wonder if there just might be something to that.  A week before all hell broke loose job-wise, I began attending the Visualization & Relaxation sessions at Wellspring, and boy are they coming in handy!  Tried my first self-guided meditation last night while out on my deck, alongside the soothing lullabies of my water features. I fell asleep!  D’ya think it worked? ;)

Eight days till the alien gets evicted from my leg!


"I, I, I, will battle for the sun, sun, sun.
And I, I, I wont stop until I'm done, done, done.
You, you, you are getting in the way, way, way.
And I, I, I have nothing left to say, say, say.

I, I, I, I, I will brush off all the dirt, dirt, dirt, dirt, dirt, dirt, dirt.
And I, I, I, I, I will pretend it didn't hurt, hurt, hurt, hurt, hurt, hurt, hurt, hurt.
You, you, you, you, you, are a black and heavy weight, weight, weight, weight, weight, weight, weight.
And I, I, I, I, I, will not participate, pate, pate, pate, pate, pate, pate.

Dream brother, my killer, my lover.
Dream brother, my killer, my lover.

I, I, I will battle for the sun, sun, sun, sun.
Cause I, I, I, have stared down the barrel of a gun, gun, gun, gun, gun, gun, gun. No fun!
You, you, you, you, you are a cheap and nasty fake, fake, fake, fake, fake, fake, fake.
And I, I, I, I, I am the bones you couldn’t break, break, break, break, break, break, break, break!

Dream brother, my killer, my lover.
Dream brother, my killer, my lover.
Dream brother, my killer, my lover.
Dream brother, my killer, my lover.
Dream brother, my killer, my lover.
Dream brother, my killer, my lover.

I, I, I will battle for the sun.”

- “Battle for the Sun” by Placebo



*[NOTE - Post title also inspired by Placebo’s song “Battle for the Sun”, which can be found on their 2009 album of the same name.]

Tuesday, 21 April 2015

A Million Little Pieces Come Together - Results Day #2.

04/20/15 - After much waiting & a week's delay, I finally got my consultation to discuss the results from all the many, many tests I've had over the past two months, especially those over the past two weeks.  To my relief, the news was mostly good, though I'm not completely out of the woods yet.  There was so much information covered today, there's no way I'll remember it all to share here.  They estimated the consultation would take approximately two hours - we were at the hospital for nearly FIVE!   That being said, here are some of the more important highlights. :)

First, I have a stage three 25x12x8cm tumour, which currently does not appear to have metastasized. [EDIT: I later learned speaking directly to my oncologist that the resident doctor screwed up, and I was actually stage 2B, GRADE 3, 25x13x8cm!]  However, indeterminate spots WERE found in the bones of my abdomen & spine, plus another unusual spot was found on one of my ovaries.  Now, before you panic - I sure did! - the abnormalities found in the bones of my abdomen & spine can also be found in people who do NOT have & have NEVER had cancer, BUT due to the fact that I do have cancer, they have to be vigilant.  So, for now, my specialist is not overly concerned but will continually monitor them.  As for the ovary, that's another story.  Yep, here comes one more test (an ultrasound) to ensure it's nothing to worry bout.  It's possible it could be related to surgery I had 10 years ago, so it may not be significant, but again, better safe than sorry.  So, that'll be checked out prior to starting my treatment, which has been further delayed.  Looks like it'll probably be another two weeks now.  I'll also need to go in for a more in-depth radiation planning session, where they'll determine the best way to go about the radiation, such as position of my legs, etc.

So, to better cope with all the endless waiting, stress & yet more delays, I've decided to take advantage of the hospital's individual & group counselling services, in addition to the closely-matched peer support volunteer available through the Canadian Cancer Society.  They also gave me info on courses patients can take through our local cancer centre.  Haven't had a chance to look  through them yet, but once I have, I'll share more info if they seem useful.  Speaking of which, one very useful service they have on offer is a volunteer driver service to get patients to & from appointments.  It's not only free but it's more flexible than the city's shared ride service for people with disabilities, as you don't have to worry about missing your ride home, should your appointment run longer than expected.

In addition to meeting with my orthopaedic oncologist again, I also met my radiologist for the first time, along with the respective resident-physicians for both specialists.  Think of the residents as  extensions of your primary medical team who fill in the gaps when your primary specialists have other patients to attend to, etc.  It was here where I started to get more answers re: treatment & its short-term & long-term side effects.  Now, keep in mind, everyone's different, and not everyone gets the same dose of chemo or radiation, but this is what they're expecting in my case...

Chemo therapy - Despite the low dose & short duration I'll he receiving, there's still an 80% chance I'll lose my hair but only on top of my head.  It is rare for patients to lose ALL their hair (eyebrows, lashes, etc.), although it can happen occasionally.  Despite being well aware hair loss was likely, the high percentage rate sure threw me for a loop!  They also expect fatigue to be an issue, in addition to bruising more easily, risk of infection, nausea,  change in appetite & taste.

Radiation - One of the most significant side effects will be skin soreness, irritation & peeling comparable to that of a sunburn....   My skin will also become darker in colour & become tighter.  Other side effects are likely include fatigue & mouth sores.  Due to the many changes to the skin, they recommend regularly using powder, such as baby powder, in addition to a medically prescribed cream.  Fortunately, they don't anticipate blistering in my case.  Here's hoping they're right!  Given the large size of my tumour, feeling as if I have a sunburn on the posterior & side of my thigh will be more than enough to deal with, thank you very much!

Long-term side effects to keep in mind after treatment will be an increased risk of fracture years down the road due to the tumour removal occurring so close to my bone, as well as the possibility of secondary tumours due to the radiation.  They said these secondary tumours occur in 25% of the individuals, and if cancer were to reoccur, it would most likely be in the same site as my original cancer.  For the first two years once I'm cancer-free, I'll have to be checked every three months.  Then for each of the five years thereafter, it'll be every six months.  While this sounds like a lot, I'm being assured that my work's insurance company will be required to consider this all as part of my original claim, and thus I won't lose a bunch of sick days over all those appointments. :)

Recovery time will largely depend on how well my tumour responds to radiation & how the surgery goes.  It could take anywhere from one to three months to recuperate from the surgery alone.  It is up in the air how much physio therapy will be required, as this will be determined by how much surrounding tissue they'll end up removing.  What I do know, is regardless of this, a large chunk will be removed from my leg, and it'll look as though someone took a bite out it.  Fittingly, the in scission will be large.  They are going to do everything they can to preserve the nerves & muscle surrounding the area but it's impossible to say that this point what the outcome will be.  That being said, I did ask about my eventual ability to once again stand for long periods of time at, say...a general admission concert gig.  Come on, Y'KNOW this question had to be forthcoming!  ;)  The resident physician said although the muscles in that leg will always be weaker, chances were promising, but of course, no guarantees.  Only time will tell!  Better start compiling my physio-workout music playlist now, haha!  2016 20th Anniversary Tour, here I come!!!  Even if I have to waddle like a duck, I'll be there, someway, somehow!!! ;-)

*[NOTE: Post title inspired by Placebo's song "A Million Little Pieces" off their 2013 album, "Loud Like Love".]