Thursday, April 28, 2022

Conversations with Liz - The Paparazzi Version

When I started this blog in 2010, the main objective was to share the details of my cancer while I was home recovering. Friends, co-workers, and geographically distant family said that they wanted to be able to keep tabs on my progress without calling all the time and interrupting my naps. This was a wise plan, as a nap-deprived Liz is a cantankerous Liz. It's best to be avoided.

I had the initial surgery and was out for five weeks. Then I went back to work for a week of feeling human before I went back under the knife and was out for another six. During all of that time, it was really helpful to employ this digital format for medical information dissemination. 

In 2022, things are different. We all text more than we talk in person. Texting provides an easy, unobtrusive way to check in on each other and allows the recipient the ability to respond whenever it's convenient. (Although, to most of us "convenient" had better mean within 42 seconds ... or else a subsequent, slightly more irritable message will be deployed). 

Texting is great for me as a patient, because I can see all of the love that you are sending without having to pause my Netflix binge to answer the phone or the doorbell. P.S. Ozark finale is being released tomorrow, so don't even bother trying to call. I'll send you right to voicemail. 

2022 is also different because my surgery was much easier and the recuperation much faster. As a result, I went back to work yesterday. I'm only managing half-days, but that is enough to get my mind focused on fundraising and communication for a few hours before I come home to nap and think about cancer some more. Half-days are also enough time for lots of people to come to my office to offer support and ask questions. So, I thought I'd use this archaic blog forum to answer some of the most popular for you.

Friend, "How are you feeling?"
Me, "I feel okay."

This is true. I do feel okay. But things are all relative. I like to think of the surgery I just had as a bee sting and the one from 2010 as a shark bite. Bee stings are annoying. They don't feel good and you wish they didn't happen. But, you take some Advil, ice the site, maybe have a glass of wine and then move on with your life. Shark bites, though, involve hundreds of stitches, blood loss, skin grafting, and muscle atrophy. That's basically what I went through when I was 34. In comparison, this is okay.

Friend, "How did the surgery go?"
Me, "It went well."

This is true, too. The wound is small and seems to be healing perfectly. The anesthesia was manageable and I don't think I threw up on anyone when I woke. I don't really remember, but I assume that I asked clever and medically appropriate questions about the details of the procedure and the cellular structure of a cancer tumor, but right now all I remember is that they told me I wouldn't be able shower for two days. Incidentally, this is why I now have a sizable collection of surgical hair nets in my possession. Apparently, I was concerned about how I would look - to my family and dogs - going without a shower. My semi-lucid brain thought that wearing a hair net around the house would be less conspicuous than bed-head. I was incorrect, for the record.

Scott and I went to see the oncology surgeon on Tuesday. I was prepared for the worst, which doesn't mean I'm a pessimist. It just means I have a memory. My minimal Google research told me that 25% of lumpectomies result in the need for a secondary surgery and my first bout with cancer was within that stupid quartile. So, I expected it would be again. Not so! The dissected part of Liz that made a trip to pathology was rolled around in some dye and shockingly - to me at least - the tumor cells were within the obligatory 1mm margin from the dye. So, that is what we call a success. It is also what I call suspicious, because my history doesn't involve a lot of success, but I'm trying to be cheerful about it. 

Friend, "What is the next step?"
Me, "I go to see the medical oncologist on Wednesday and then the radiology oncologist on Friday."

Accurate. I do have those appointments. I also don't know much more than that. The Wednesday appointment will address medications, hormone blockers, and chemotherapy (which I don't expect to need, but am bracing for). The Friday appointment will address radiation treatment (which I have been told is the standard of care for a breast cancer recurrence and I do expect).

How much? How long? How often? I don't know. Will I feel okay or need to take time away from work? I don't know. Will there be more scans or will I start treatment right away? I don't know. Will I be well enough to go to Laila's graduation? I had better be or else I would advise everyone in the vicinity invest in ear muffs to drown out my incessant swearing. 

Friend, "How are you doing?"
Me, "I'm fine."

Nope. This one is pretty much a lie. Sure, I'm technically fine in the literal sense of the word. I'm not inconsolable and unable to get out of bed. I'm not so weak and enfeebled that I can't care for myself. I haven't come down with a post-surgical infection necessitating a hospital stay. But, I'm really sad. I don't know what is coming and I do much better when I can plan. I don't understand how one wayward cell could have the power to make this happen again and what could possibly prevent me from feeling like it's just going to keep happening forever. Cancer blows.  

Saturday, April 23, 2022

I Don't Even Know What to Say

 


I can't believe I'm doing this. It's been so long since I've posted on here that I've completely forgotten how to do it. I wish that I didn't need to re-learn. I wish that I didn't have anything to report. I wish that I wasn't sitting here reliving the nightmare that I survived 12 years ago, but I'm clearly not in charge. I have had a recurrence. It's the same cancer in the same spot. It's still stage 1. It's still estrogen-receptor positive. And apparently, it's completely and totally resistant to a bi-lateral mastectomy, a hysterectomy, and five years of Tamoxifen. What a stubborn, tenacious, cellular jerk. 

Things have moved faster this time. In 2010, I found the lump myself and then it took six months, 3 ultrasounds, 2 mammograms, 2 gamma scans, 1 MRI, and 1 biopsy for the doctors to confirm what I already knew. It was a lot of waiting, a lot of confusion, and a lot of inconclusive results. My 2022 cancer experience has been markedly different. Here is a run-down:

March 26 - I noticed a lump in my left breast that felt like it maybe had aspirations to kill me.

March 28 - I called my oncologist (because I have one on speed dial. Doesn't everyone?) It was determined that the lump was likely scar tissue and the best course of action was to see my plastic surgeon.

March 29 - I went to see my plastic surgeon (because I also have one of those on speed dial). He felt the lump and right away agreed that we should treat it seriously and swiftly. He is one of my favorite physicians in the history of healthcare, by the way. If you need a referral, do let me know.

April 1 - I went to have an ultrasound, during which the radiologist recommended a biopsy that could go one of three ways:

1. Needle in, biopsy out. Easy-peasy. Lemon squeasy

2. Needle in, implant punctured. Oopsies all around.

3. Needle in, tumor is at an angle that is too hard to reach. Mission aborted.

I decided to go ahead with the procedure, hoping for scenario 1, but knowing that we could easily encounter 2 or 3. Six biopsies each the size of a grain of rice were taken. The implant was not damaged.

April 4 - I waited ALL DAY for results and finally decided that I didn't want to relive the 2010 diagnosis experience that occurred in my office cubicle. So, I went home. That evening, I got the call that it was not scar tissue and was, instead, a recurrence. SHIT. I screamed that into phone to my doctor. I swore ... out loud ... to a medical professional who was trying to help me. Then I apologized. Then he said, "it's okay. I swore, too."

April 5 - We went to see the oncology surgeon and learned that the best-case scenario was that I would have surgery and 4-6 weeks of radiation. Awesome. Super. I'm so glad to be here again. Worst-case scenario was that the cancer had spread to other parts of my body and was now incurable. Oh. That's less awesome. I see the difference, now.

April 8 - I went in for a PET scan. It showed that the cancer is contained to my breast which is news that caused waves of jubilation from all of those around me but I just kept thinking ... so what? I still have cancer.

April 20 - Surgery. My surgical oncologist took out the 6 mm tumor encased in 14 mm of my tissue that was not supposed to be inhabitable to cancer. And now you're up to date. I'm waiting for the appointment with my surgeon to tell me if we have clean margins. I'm waiting for the appointment with my medical oncologist to tell me if I will have radiation or chemo or both. I have cancer again. I did EVERYTHING I could to punch it in it's stupid little cancer face the first time and now ... I HAVE IT AGAIN. 

It's unfair. It's infuriating. It's demoralizing. I am consumed with sadness and anxiety and guilt and fear. How many times am I going to be expected to do this? I took it the first time, understanding that statistically 1 in 8 women will have breast cancer in their lifetimes. Me having cancer means that 7 women in my family and friend circles won't. So, I took it. I shouldered it. I attacked it and did everything in my power to eradicate it. And, now, I'm sitting on the couch with an ice pack in my bra again. 

What the hell? I mean, seriously. WHAT THE ACTUAL HELL?