Offering hope to those on the path behind me

Category: My Story (Page 1 of 23)

A fun new project – Let me know what you think!

Well hello. It’s been a while. I have been busy living life with no chemo 🙂 We do finally have a plan and everything is good right now.

I have started a little project in my spare time and thought I would share a small peek at what I’m working on.

Working Title of a book I am working on

In January, I signed up for a free webinar about writing your memoir. I have been stuck in my writing for a long time and was looking for inspiration. The next day, I was driving and thinking about what I heard in the webinar. And just like that, the title of my memoir hit me.

If you have ever been in a conversation with me, you may have heard me use the phrase “What’s that word?” It is frustrating to be in the middle of a sentence and stop abruptly because I can’t form the next word.

Chemo Brain! Even as I age, I still refer to it as chemo brain because who wants to blame age, when they can blame chemo?

Below is a sample chapter I have been working on. I plan to start each chapter with a word (or phrase), the definition, and a quote with that word. Hopefully, it will be informative, helpful, funny, or maybe just a fun read.

Support Group – a group of people with common experiences and concerns who provide emotional and moral support for one another

“’Tis not enough to help the feeble up, but to support them after.” – William Shakespeare

Opinions. Everyone has one. Sometimes people ask for them. Other times they are forced upon us whether we want them or not. My favorite opinion is the unsolicited one (please hear the sarcasm as intended here).

Whether you want to hear it or not, eighty percent of people around you will share their opinion (that number is not based on science, but just my personal experience).

It may be as inconsequential as what color your next car could be, or if they like shoes you are wearing that day. Sometimes people say things and it comes across as a nice compliment. Such as “The shirt you are wearing really brings out the blue in your eyes. It is lovely on you.”

When that happens, you can smile and say thank you. You may even think about it later and get a little smile again just remembering it. It can turn your whole day into a positive outlook.

When you have a health issue, such as cancer, for some reason everyone is suddenly an expert and offers their opinion about everything. From who the best doctor is, to how you should change your diet, to the best non-toxic cleaning products. Or every non-western medicine, alternative medication/snake oil option out there. Once someone hears cancer, the Bat Signal must go up and everyone is sending you their “tried and true” cure. But that’s another chapter.

Within a few days of receiving my diagnosis, a friend (she was my daughter’s second-grade teacher and a lovely person – none of the following true story is a reflection on her) offered her opinion and suggested a Support Group. She gave me the information about a breast cancer support group hosted at her church. The church was close to my office and they met during the lunch hour.

Since this was someone I admired and thought highly of, I thought I would give it a try. The friend knew some of the women personally and thought it might help. Having had no experience with what a support group should look like, I blindly agreed to go.

Between the last surgery to have the port-a-cath placed and my first scheduled chemotherapy, I was finally back in the office and working. In good faith, I got in my car at lunch on the day of the support group meeting and drove to the church parking lot. As I sat there questioning myself, wondering if I really wanted to do this, I reminded myself I had agreed to give it a try. I got out of my car, opened the door to the church meeting room, and entered the room.

For someone who has always considered themselves an introvert (well, now I think of myself more as an ambivert), going to an unknown place, and meeting unknown people was considerably outside of my comfort zone.

As I expected, all eyes turned to me when I walked in the door. A hush came over the room as the person in charge came to greet me and make sure I was in the right place. After exchanging pleasantries, and ensuring me I was in the right place, she handed me a label to make a name tag. The low murmur of conversations started back up and the leader dragged me around to meet everyone before asking everyone to take a seat.

Just like in every movie or TV scene with a support group in it, there was a circle of chairs in the middle of the room. I let everyone take their preferred spot before sitting in one of the empty chairs. The woman who greeted me at the door had an official-looking clipboard and read the ground rules for participating.

According to the ground rules, no one had to participate if they didn’t want to. And man, did I not want to. I was content just sitting and listening to the others. After all, this was my very first experience with a support group and I wanted to see if it was something I wanted to participate in.

After reading off the checklist, she asked for a volunteer to go first. To this day, I can’t tell you the name of anyone I met that day. I’m pretty sure I have blocked most of it out of my memory. Something I never really want to relive. But here is the best synopsis I can offer.

Honestly, my head was still spinning from the past month’s activities: the mammogram with a suspicious lump, a surgeon who didn’t think it was anything to worry about, surgery to remove the lump, a follow-up surgery for clear margins and lymph node removal and testing, meeting an oncologist, another surgery to insert a port-a-cath so I could start receiving chemotherapy. And a scheduled first day of chemo on November 6. As I mentioned earlier, time speeds up when you have cancer. From the end of September to November 6 is a very short time when your life has been turned upside down.

Most of the women, or more likely all of the women except me, were on the “survivor” side of the coin. I was the only one who was new and about to begin treatment. And nine out of ten (another made-up number because I don’t remember how many women were there that day), were very pleasant and discussed issues they were having with side effects or upcoming appointments for a routine follow-up. I was just sitting there listening, with no intention to add to the discussion.

The spotlight fell on me. I didn’t want to speak, but the leader started asking questions and others joined in:
“When were you diagnosed?”
“Right side or left?”
“Do you have an oncologist?”
“Do you know the treatment plan?”
“Ductal or Lobular?”
“What stage?”
“Have you gotten a second opinion?”

The questions seemed to be coming at me rapid-fire. I’m sure I looked like one of those cartoon characters whose head was close to spinning off and their eyes were the size of quarters as they bounced around on springs. I looked left, right, every direction trying to keep up with the questions as they were asked.
“Early October”
“Right”
“Um, yes”
“Sort of. I think he said 8 treatments of chemo.”
Then shaking my head as I couldn’t keep up anymore.
I couldn’t remember if it was ductal or lobular, I didn’t know the stage. I felt so unprepared for the peppering of questions. I had hoped to just sit and listen and not participate. Yet here I was trying to answer questions. Some of them I remember later thinking I don’t even know what they are asking.
Unsure where to turn or who was going to ask the next question that I didn’t know the answer to, I tried to look at the lady with the clipboard. But before I could catch her eye, one very brash lady looked directly into my eyes. She was waiting for the answer to her question about a second opinion.

Weakly, I said “No. I haven’t”

Well, that wasn’t good enough for her. As the experienced breast cancer patient in the room, she knew exactly what needed to happen and I was going about it completely wrong.

It felt as if she came and stood directly over me (that probably didn’t happen, but it was 21 years ago). She said “On Tuesday I’m driving you to Dallas to get a second opinion from my oncologist. It sounds like you don’t have all the information you need.”

And yet to me, it sounded like she was going to kidnap me and drag me kicking and screaming to Dallas whether I wanted it or not. She felt entitled to give her opinion without asking if I wanted it or not.

My eyes must have been bulging out of their sockets. The woman in charge finally got Ms In Your Face to sit down and she closed the meeting.

When I tell you I couldn’t get out of that room fast enough… I looked at my watch and told the ladies thank you for letting me sit in, but I need to get back to work. And I ran to my car. I made it back to work somehow, and when my husband asked me about it later, I assured him I had given it a shot, but I was NEVER going back.

If that is what a support group is, then I want no part of one.

I found out the next week the woman usually in charge was not there that day. She called me after hearing from several of the innocent bystanders at the meeting what happened and apologized profusely. It seems she was the only one in the group who could keep Ms In Your Face under control and she had to take care of a family emergency that day. She asked me to come back to another meeting when she would be there. I politely refused. We had a very nice long chat and she understood why I would not be returning.

I did NOT, in fact, go to Dallas with the lady who thought she had the only “right” opinion about me and what I should do with my body.

According to Mr. Shakespeare, that group was supposed to lift me and then support me afterward. Instead, it took me 14 years to ever step foot in an organized support group again.

Let me know what you think! Are there any words that you think would be fun to include? Don’t worry, I have a long list to work on if you don’t have any suggestions.

Keep charging ahead when you hear the Unexpected

What do you do when you get unexpected news?

I’ve lived through hearing the news I wasn’t expecting more than once. If you have followed me for any amount of time, you know that to be true.

This week I heard news again that was unexpected.

This time it was different.

This time it wasn’t bad news.

It wasn’t ” you have cancer.” It wasn’t “your husband has cancer.” It wasn’t your father, or your mother-in-law, or your father-in-law has cancer.

Pondering unexpected news

This time the news was good-ish.

I’m still processing the news, so forgive me if I seem confused.

First, let’s go back in time for just a minute. In May, I started Taxol. One of the main side effects we were concerned with was neuropathy.

As time progressed, the neuropathy in my feet was getting worse. Since walking is already challenging enough with a lift, the idea of the neuropathy getting worse, or even developing into drop-foot, was something we were anxious to prevent.

From May through September of this year, I had 19 Taxol treatments.

The last infusion was 9/26/23. Officially, the doctor and I decided together, on 10/18/23, that I would not continue with the Taxol due to the neuropathy.

This past Monday I had an appointment with my oncologist. I went into the appointment with the expectation of discussing “what’s next.”

I am starting my 14th year of riding this same roller coaster.

Sometimes there has been new construction, and new loops or twists have been added, but the roller coaster has had one constant: I was always on some kind of treatment.

Monday the conversation took a new turn.

After discussing the latest scans, which showed everything to be stable, the discussion turned to what’s next. We also recently had blood work done to determine if there are any genetic discrepancies that would suggest a “best option” treatment.

The report came back without any clear-cut suggestions for a new treatment.

Our conversation continued after discussing the results of the scans and the bloodwork. And while we both agreed the most ideal option would have been another pill, there are currently no new pill options available.

After some back and forth, my oncologist finally suggested we don’t do any treatment. For the next couple of months, I will go into the office monthly, get bloodwork, and see either the oncologist or the nurse practitioner.

If something feels off, I am supposed to call the oncologist. But at this point, I am officially off of treatment for the next few months.

I do not know how I feel about this. I have always said, “I will be on treatment until it doesn’t work and then we move to the next one.” This deliberate, no treatment break feels very odd.

While I am grateful. I am also very apprehensive.

The past year has been one of the hardest. Maybe because it is the most recent when I really think about some of the things I’ve gone through in 13 years.

Perhaps this unexpected news is a great opportunity for my body to recover. Perhaps the Taxol will continue to work for months to come.

Shine and Sparkle, as a Unicorn

Hopefully, I can shine and sparkle while I try to hold onto my unicorn status.

For now, I will charge forward. For only time will tell how this plays out.

Invisible or Visible – the Realities of living with MBC

In 2010 when I was diagnosed with Metastatic Breast Cancer, I was shocked, dismayed, annoyed, angry, stunned, and overwhelmed. Even though in the back of my head I already knew when the oncologist’s office called and said the words “Your cancer has metastasized.” I sat outside of the office building where I was working, called my husband, and cried while I sat and waited for him to drive the 20 minutes to pick me up. I knew the statistics of people (not just women get breast cancer) living beyond five years with metastatic breast cancer was not great. As I sat there crying, I was scared I would not see my kids graduate from high school, much less college.

Youngest graduating from High School
Oldest graduating from College #GoFrogs

As many of you know who have followed me on this blog, or who know me in person, after several tests and scans, my doctor told me that it was good news (in the cancer sense) that the metastasis was only in my bones. In other words, since it was not in any organs I was fortunate. There was a chance I would see my kids graduate.

For the record, breast cancer most often spreads, or metastasizes, to the bones, liver, lungs, and brain- you can learn more about metastatic breast cancer here.

Since October 2010, I have been on six different medications:

  • Arimidex (10/10 – 12/11)
  • Faslodex (1/12-4/12)
  • Xeolda (5/12 -11/19)
  • Verzenio with a shot of Faslodex (12/19 – 2/23)
  • Enhertu (3/23 – 4/23)
  • Taxol (began 5/23 and currently still receiving weekly infusions).
  • In addition, I also received an infusion of Aredia monthly from 1/11 – 3/13 and then every 6 months for 10 doses. Aredia was used to treat bone damage and reduce excess calcium levels in the blood.

The thing that Arimedex, Xeloda, and Verzenio have in common is they are pils. Other than having to go into the clinic monthly (or sometimes every six weeks) to receive the Faslodex shots when that was part of the regimen, get blood work, and see the doctor, my cancer treatment was a once or twice daily pill(s). There were no outward visible signs that I was receiving treatment for MBC. The side effects of the drugs, while different, were not visible to the general observer.

Each change in medication was a result of progression to my bones, meaning there was more bone that the cancer was attacking. Radiation helps stop the cancer from growing and reduce the pain. Over the years, I have received radiation on my hip, ribs, and spine (more than once, different vertebrae). These drugs have helped keep the metastasis in my bones and I have not had any metastasis to organs, which remains good news.

Why am I recounting all of this?

In all of those years, my cancer has not been what many would consider Visible.

What do I mean by that?

Cancer that has metastasized to the bones is hidden from the outside observer. Unless you know me in person and know my story, the only outward, visible sign of my cancer was that I walked with a limp from my first hip surgery, Then, after my second hip surgery, I used a shoe with a lift and walked with a cane. These outward signs could have (and have been numerous times over the years) been attributed by others to many things besides cancer.

Again, you may ask, why are you recounting all of this?

2023, as Miley Cyrus sings “Came in like a wrecking ball.” Actually, it started in November of 2022, when my scans once again showed there was progression in my spine. Unfortunately, I’m all too familiar with what that means. If you haven’t kept up with the blog (and that’s ok) but want to read more about all that transpired in March/April/May/June you can read more about March, April, May, and May/June

First, radiation. Second, we discuss options for treatment. Since I had been on Verzenio for three years somewhat successfully, my doctor wanted to extend the use after radiation by increasing the dosage. Within the first week, my body was unable to tolerate the higher dosage. This meant another change in medication.

As I mentioned above, for 12 years, my treatment has mostly been in the form of a pill of some kind. Unfortunately, that is no longer an option for me. We have run out of pill options. The options for me now are infusions. Depending on the drug it could be weekly, as it is currently, or every three weeks is another typical time frame. It all depends upon the drug.

Suddenly, to those not aware of the fact that I have been on some kind of treatment for 12 years, my cancer is Visible.

Kim wearing a maroon jumpsuit while attending her niece's wedding. Walker in background.
At my niece’s wedding this August.

I look more like a cancer patient now as the Taxol has made me lose my hair. The fall I took in late May has caused me to use a walker which (maybe just to me) makes me look more frail.

I didn’t really understand this until my oldest daughter pointed it out. She reminded me that most people do not/have not understood that I have been in treatment for 12 years as there were not any outward Visible signs of cancer. I have a few people in my life who understand this. But, honestly, most do not.

The truth is I am continually explaining to people that Metastatic Breast Cancer is never cured. Just because I didn’t look sick, doesn’t mean I wasn’t still battling the MBC beast that has chosen to attack my body.

October is on the horizon, which has a lot of triggers for me. Both of my diagnoses came on October 8th, 7 years apart.

I ask that if you are still reading this post, first Thank You, and second if you plan to donate to breast cancer research please look at Metavivor.org. 100% of donations go to fund research for metastatic breast cancer, which helps me continue to fight this devastating disease.

If after reading this you have any questions, I am an open book. Please ask. I will do my best to answer any questions you have.

A Box of Chocolates, Morton Salt, or an Unrelenting Roller Coaster

I’ve been trying to figure out the correct analogy to start this post.

Feel free to choose from the following:

  • “Life is like a box of chocolates, you never know what you’re gonna get” – Forrest Gump
  • “When it rains, it pours” – Morton Salt
  • I used to really like roller coasters until I was riding one that never stopped. – ME

My last update was more good news than bad, at least in my opinion. We changed drugs since the last one put me in the hospital with pneumonitis. I posted the update on May 15th, and three days later I fell and broke my tibia.

I have been using a full leg brace for the past five weeks. Next week I will get more X-rays done and see how the healing is progressing. Hopefully, my leg has healed well and I will be able to kick the brace to the curb.

What caused me to fall, you might ask.

Well, during the hectic March/April/May time frame I began experiencing some lightheadedness/dizziness. Apparently, I had a dizzy spell, and when I opened my eyes, I was on the floor with bruises and a broken tibia.

Between the weekly taxol treatments, we have been trying to figure out what could be causing the dizziness. I have gotten everything checked out:

  • Brain MRI – check – the one time you want to hear “unremarkable” when it comes to your brain (IYKYK)
  • Cardiologist – check – echocardiogram – strong heart, no problems
  • Doppler Ultrasound of port – check – no blood clots or issues with port

The good news is none of these showed any cause for my lightheadedness. The bad news is none of these showed any cause for my lightheadedness.

I have had fewer “episodes” of the lightheadedness, so I’m hoping that it is a remnant of the Enhertu and the morphine and it is just taking a while for my system to reset.

In the meantime, I’m back to using the walker for my broken leg and for the extra support during times of lightheadedness.

As for the Taxol, I have had to skip treatments twice due to my counts being too low. This means, this past week, they lowered the dosage. Every drug I have been on we have had to lower the dosage, so this was not a huge shock to me.

Fingers crossed

  • the lower dosage will not knock my counts too low and I will be able to continue the weekly schedule.
  • The lightheadedness continues to dissipate and I become more steady on my own
  • My tibia has healed enough to remove the brace and start building strength back (AGAIN!)

Oh, and last but not least, I have a cool summer haircut, thanks to Taxol.

Finally a (somewhat) Positive Update

Update. In case you were wondering, I’m still here. I know it has been about a month since the last update. The good news is I am doing better than in March and April.

As I wrote in my last update, the Enhertu was not a good fit. So now I have moved on to a new treatment, weekly Taxol infusions. I had my first infusion last week.

I am happy to report I had no noticeable side effects from the first infusion. From what I understand, the lower dosage of weekly infusions may even mean I get to keep (what is left of) my hair. But only time will tell. And if that is the worst of it, then so be it. Could you send me all your hats to wear, just in case?

And in case you were wondering did the Enhertu at least do something helpful?

Last week, I had my 3-month scans. The doctor said “Well, if we had still been planning on Enhertu, we probably would change course” or at least something along those lines.

Honestly, they weren’t bad/ But they also didn’t show any improvement. The CT was still clear for any progression in the organs. The doctor even commented how he liked to share with other patients about how he had one patient that has been living with bone mets for 12 plus years (don’t worry, he doesn’t use my name or share any HIPPA information, just tries to be encouraging which is one reason I have trusted this man for 20 years). My lungs must have looked better, too, since he dialed back the steroids I’ve been taking for the paracentesis (caused by the Enhertu).

The bone scan, however, showed 2 more lesions in my spine (I feel like the incredible shrinking woman these days – gone are my days of saying I’m 5’6″). So this new May scan will become the baseline for the new treatment. The good news, I’m not feeling any pain with the new spots, so that is a win in my book right now.

How is my mental health?

I will be honest, March really took a toll. April I started to feel a little better. Now, while I feel like I am on the right path, it is hard to jump right back to where I was. I’m still a little anxious that another bone may spontaneously break. I’m definitely more cautious in my walking and I’m still building my strength back from the full month of not being able to do anything.

I have started back to Physical Therapy and am happy that the PTA I’ve been working with since 2017 has now moved to a location much closer to me and I don’t have to explain all of my history to someone new. She has been amazing to work with over the years and we work well together with “Can you do this?” and my response “I don’t know but let’s try!” Sometimes it works and sometimes it doesn’t. And then we try something else.

In a nutshell. I am back to driving (which if you know me is one of the best things for my mental health). I am no longer using a back brace. Pain medication is back in the medicine cabinet, not on the kitchen counter. Working on building my walking confidence back, slowly but surely. Getting weekly infusions, hopefully with minimal side effects as we move forward. And ready to get back to enjoying life again.

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