Archive for April, 2010

The Unexpected

04.11.2010

This cancer journey is strange in many ways, not the least of which comes from the unexpected details. I have been told that I am remarkably positive, despite my cold honesty about the ugly details of my treatment. I think if I am positive, it largely comes from my experiences with my step-brother. I know how much worse things can be, so no matter how challenging the physical or psychological parts of all of this get, I viscerally understand that the path I am taking is leading me to a cure and that is such an absolutely wonderful thing.

I have never thought of myself as a positive person. I have always thought of myself as a realist. I like empirical fact. I like the scientific detail. But upon reflection, I see I do tend to frame my experiences with a broad enough swath of reality to see my good fortune in almost any situation. In this case, I am absolutely clear that, as my seven year old has said, cancer stinks. But having curable cancer is so much better than having the kind that is a mystery to treat. Tapping into this positive part of my personality for such a long period of time is changing my understanding of who I am in the world.

Here is something I did not foresee: The endurance demands of treatment are at the root of a lot of the challenges. For example, right now, I am experiencing a number of physical discomforts, none of which are terrible in and of themselves. But the cumulative effects of chemo –– which give me nightsweats, hot flashes, fatigue, and neuropathy –– are now coupled with the discomfort of surgery –– limited mobility, pain, discomfort of the surgical drains. I have to sleep on my back, surrounded by pillows and wake up several times a night to either take pain medication or because I am soaked in perspiration. Having multiple discomforts makes it more difficult to tolerate any of the individual ones.

There are also unexpected gifts in all of this. I would never say that cancer itself is a gift, but the things I am learning about myself, my family, my community and friends definitely are. The unbelievable kindness of so many people constantly amazes me. When my husband and I went away for a little stay-cation before my surgery, a woman at his work gave us a gift certificate for a nice restaurant near the hotel we were staying at. I have never even met her, yet she was so eager to help us. When we were at the hotel, housed in an old train station, we came back from dinner to see a wedding reception taking place in the lobby. We curled up in a couple of lobby chairs, watching the celebration. The wedding band was playing in a room off of the lobby, and we bopped and sang to some of the tunes that floated overhead. The mother of the bride came over and introduced herself. She invited us to dance and partake in the open bar, so we ended up dancing 4 or 5 dances with the wedding party.

I never expected to become a minor cancerleberty. I have no idea how I came upon my alter ego of ChemoBabe. I know I started a blog because I had heard from a number of my friends that the email updates I sent out were very helpful in understanding my experience of breast cancer and treatment. I thought that if my writing was helpful to my friends, it might be helpful to others. I have since connected, via my blog and other social media, with people all over the world. Last time I checked, I had over 5000 hits on my blog. I also recently did an interview with a radio station in St. Louis. I was a featured health care advocate on a social networking site for people interested in patient issues. The support and outlet this has provided me has been a surprise. It makes me smile that I turned my cancer into an occasion for education, advocacy, and connection, again showing the depth of an aspect of myself that is more unexpectedly fundamental than I had realized –– my impulse to teach and connect through an honest reflection of experiences, a desire to look at what it means to retain our humanity as we move through institutions and how institutions might better support our efforts to remain human in their face.

As for my treatment, I am continuing to recover from surgery. Hopefully, I will get my last two drains out this week. One of them fell out prematurely, leading to a seroma under one of my scars. I had to slosh my way through a few days, as the nurse wanted to see if my body would re-absorb the lymph that was building up. By Friday, when my every move was followed by a sloshing sound, I went to get the scar catheterized and have a new drain installed. I was awake for the procedure, which was done by one of the kindest and most competent nurses I have encountered. Nonetheless, it was psychologically hard to have another bump in my recovery, watching her struggle to get the catheter in my apparently “tough skin” and having to resort to using a scalpel to open the wound wider to make the line go through. I cried softly, feeling weary of all of the pokes and prods and procedures.

In some ways, it’s not the stuff that you know you have to endure that makes this cancer journey so difficult. It’s the stuff that pops up unexpectedly. The funny thing is, the unexpected stuff is also exactly what keeps you going.

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Farewell, Breasts

04.06.2010

How do you say goodbye to your breasts?

For me, chemo was a tremendous physical challenge, requiring me to continually submit myself to harsh treatments with grueling side effects. Psychologically, though, the mastectomies posed a greater test. My hair would grow back after chemo, but my body would be forever altered through surgery. Although I will eventually get reconstruction (over a year after surgery), mastectomies meant that I would permanently lose an erogenous zone on my body. The sign of maternity and femininity would be numbed and changed.

I can’t speak for every woman who has undergone double mastectomies, but here is what I did to make it through psychologically.

  1. Spent some quality time with my husband saying goodbye to my body as it was. He even wrote a poem about the surgery.
  2. Made a plaster cast of my torso so that my children will know what my body looked like. I don’t want my daughters to emulate silicone breasts.
  3. Drew pictures of myself pre- and post-surgery. It helped me visualize my new body and lessened the shock of seeing it for the first time.
  4. Celebrate my new body as the body that will give me back a cancer-free life.

I plan to get prostheses when I am able to in a month or so. In the meantime, I can honestly say that I feel happy in my new shape, knowing that it means I am that much farther along through this difficult course of treatment.

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Coconut Vegetable Curry

04.06.2010

I am a huge fan of the slow cooker. It’s an easy way to cook with fresh ingredients. I also tend to have my energy in the morning, so I like to throw a bunch of stuff in the morning so that we have a healthy main dish ready for my family at the end of the day. It’s also simple to make two meals at once. And it makes your house smell so good!

In a recent blog entry, I mentioned a coconut vegetable curry I made and got a few requests for the recipe. I adapted it from Judith Finlayson’s Healthy Slow Cooker recipe book. I hope your family enjoys it as much as mine does. It’s designed for a 5 quart or larger slow cooker.

2 tsp        cumin seeds

1 tsp        coriander seeds

1 tbsp      olive oil

2              onions, finely chopped

4              carrots, peeled and thinly sliced

4              parsnips, peeled and thinly sliced (about 1 lb)

4              cloves garlic, minced

1 tbsp      minced gingerroot

2 tsp        turmeric

1              piece (2 inches) cinnamon stick

2 cups     vegetable stock

salt (optional)

2              sweet potatoes, peeled and thinly sliced (about 1 lb)

1 cup       green or brown lentils, picked over and rinsed

1/2 tsp     cayenne pepper dissolved in 1 tbsp lemon juice

1 lb          fresh spinach, stems removed (I use pre-washed baby spinach)

1 cup       coconut milk

  1. In a dry skillet over medium heat, toast cumin and coriander seeds until fragrant and cumin seeds just begin to brown, about 3 minutes. Immediately transfer to a mortar or spice grinder and grind. Set aside. (I’ve substituted cumin & coriander powder for these ingredients and it works fine too.)
  2. In same skillet, heat oil over medium heat for 30 seconds. Add onions, carrots and parsnips and cook, stirring, until vegetables are tender, about 6 minutes. Add garlic, gingerroot, turmeric, cinnamon stick, and reserved cumin and coriander and cook, stirring for 1 minute. Add vegetable stock and bring to a boil. Season to taste with salt and transfer to slow cooker stoneware. Add sweet potatoes and lentils and stir well.
  3. Cover and cook on Low for 8 hours or on High for 4 hours, until lentils are tender. Add cayenne and stir well. Add spinach in batches, stirring after each patch until all the leaves are submerged in the liquid, then coconut milk, if using. Cover and cook on High for 20 minutes until spinach is wilted and flavors have blended. Discard cinnamon stick.

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