Good evening my friends!!
I hope you enjoy my quick update! 🙂
Good evening my friends!!
I hope you enjoy my quick update! 🙂
I was finally moved into my new place, and officially done traveling to and from every weekend. It was hard while I was attending school earlier in the year, but even harder, later down the line, while undergoing my radiation treatments. After a year of traveling, I was ready to finally ground myself again.
I spent most of the first month exploring the city with the infamous “YELP” app. It helped me find some good places to eat and people watch. I love watching people go about their day. I often wonder what it is they might be thinking about and what kinds of things they have planned. Observing body language can really tell you a lot about a person too. All in all, I was enjoying my time off. It was a time for me to think about what more I wanted to do with my life.
I’d say the biggest adjustment I had to make after moving to the city was coping with traffic and the aggressive nature of some of the people that live here. Being raised in Naples, people were far more relaxed and approachable. I felt like people in the city were always in a rush to get somewhere. Too busy to even smile. It’s such a foreign concept to me. Now, put these people in cars and you’ve got yourself a serious problem. I can’t tell you how many times I’ve had someone show me “the finger”.
I’ve learned to brush it off though and just move out of the way. Life is just too short, and to be honest with you, it’s a small price to pay for the opportunity to live in a place that offers so much adventure and new possibilities. That includes the possibility of building new friendships. Even though I’ve had some unpleasant experiences, I’ve also managed to find some really great individuals.
*** Note to Reader ***
The amazingly adorable dog in the picture with me is my cute little boy Chico. He’ll be six this year. 🙂
Once the high from the half marathon wore out, it was time to countdown the days before my last radiation treatment. It was a bitter sweet good bye but, on February 14th, I completed my last treatment and said goodbye to the group of technicians that within a short period of time, had become family. Looking back, I can’t believe how quickly the time passed. On my last follow up with the radiation oncologist, I was given the 2 thumbs up and a, “we’ll see you again in a few months”.
Next I had to follow up with my oncologist so that he could start me on my medication, and let’s not forget about the gynecologist. I still needed to get his opinion on the area in my pelvis that had raised a red flag before.
I went first to the gynecologist and after reviewing the results of the tests that were done, he was pretty convinced that there wasn’t anything I needed to worry about. He did however, recommend I establish with a gynecological oncologist once I moved so that I could have it monitored. I made note of the recommendation, and with great relief, crossed off “get a second opinion on pelvic results”, from my to-do list.
The last person I checked in with was my oncologist. After finishing my radiation treatments, he started me on a medication called Tomaxifen. Since my cancer cells had come up 100% positive for both progesterone and estrogen receptors, it was imperative that I take this medication to help reduce my hormone levels. I was warned of the possible side effects but lets face it, the pros out weighed the cons.
I was happy to report back to him that so far I had been handling the medication very well except for a small visit to the gynecologist. Unfortunately, the medication can increase your chances of an infection because it throws off you bodies natural flora. It didn’t take long before I got one, but luckily, the nurse practitioner at my gynecology office was able to recommend a few things that could prevent it from happening again.
So with future my appointments in hand, I said goodbye to my doctors. It was amazing to feel like I could finally focus on my move. It was however, sad to be leaving everyone behind. I loved my co-workers and was going to miss my friends and family more than I could ever imagine. I hadn’t mentioned it before, but for a small period of time I began seeing a therapist to help me through the emotional part of my journey. You didn’t think I was going to leave all up to the antidepressants did you? No way! I needed to reach out as well and find a comfortable place for me to share what I was going through. It is something I would recommend to anyone going through their own struggles, regardless of what your journey is.
Leaving her behind was hard too, because she had helped me get through some really tough times. I was beginning to wonder if I was ready to make such a big change until I reminded myself of the gift that came with a pink ribbon. I had already gone through such a difficult journey, and if I kept the same attitude, there was nothing I wouldn’t be able to accomplish in the future.
Want to find me on facebook? Click here http://www.facebook.com/giftwithapinkribbon
After sitting with my oncologist and deciding what steps we were going to take, I scheduled an appointment to see the radiation oncologist. Together, we went over what the next couple of months would look like. All in all, the plan was quite simple. I was to first undergo 33 radiation treatments then, follow up with my oncologist so that he could start me on a medication called Tomaxifen. This medication is designed to block the hormones our bodies make naturally. Since my cancer cells were 100% positive for both progesterone and estrogen receptors, my hormones needed to be blocked in order to prevent them from feeding any cancer cells that may have been left behind.
They began preparing me for radiation by first “mapping” the area being treated with a non-diagnostic CT scan. This would ensure the radiation would only be exposed to the breast area in which the tumor had been removed, preventing any damage to my heart or other organs near by. It’s actually quite fascinating to know we have the ability to be so precise. In order to pin point the treatment area, an adhesive containing a tiny silver bead was placed in 3 different locations. One a couple inches below my left arm pit, the second, on the right side of my left breast and the third, a couple inches below my right armpit. These markings would later help them calculate the distance between the area being treated and the organs around it. Once the scans were finished, the tech tattooed the area where he had placed the tiny silver beads so that later, they would know where to focus the laser beams when positioning me on the treatment table. The tattoos are about the size of a small beauty mark so they are virtually invisible to anyone unless I point them out.
I got dressed and within a few minutes the tech returned to the room, handed me an appointment card, and with a big smile on his face, wished me the best of luck with my treatments. It was official! Each time I returned to the office, I would be one step closer to completing this part of my journey. Looking back however, I now realize how little I took into account the emotional ups and downs that could come from this. I became a pro at talking myself into positive thinking but deep down inside, there was still a sadness I couldn’t overcome. I couldn’t explain exactly why it was there so I kept reminding myself to think positively in hopes of one day no longer feeling that way. Sadly however, that’s not how the law of attraction works. You can’t just think positive thoughts and expect positive outcomes. You need to take action. Do things that promote feelings of positivity and love so that you get the same in return. Had I remembered this sooner, I would have later found myself in a much better place…
Today I’m hitting the rewind button and bringing you back to December 18th, the day I was scheduled to meet the Oncologist at Moffitt Cancer Centers in Tampa. I remember getting ready that morning and frantically trying to find the perfect outfit. I was looking for something cheery but still professional. It was important to me that I present myself as the knowledgeable and confident person I was. If you take yourself seriously, so will others and my health was definitely something to be taken seriously.
I finally put something together, packed up my medical records and off we went. It took us several hours to get there and during that time my nerves really started kicking in. What if I do need chemo? Not only was this going to take a toll on me physically, it was also going to postpone my plans to move. I again became frustrated with my current situation. I was so ready to take the leap and start a new life. Why was it all being placed on hold?
My thoughts were interrupted by the view outside the passenger window, we had finally arrived. “Wow, look at this place. It’s beautiful!” I felt as though I had arrived at a retreat, not a cancer facility. It was huge and the landscaping was beautifully done. We left the car with the valet and made our way into the buildings.
The nervousness I had felt in the car was slowly beginning to fade. I was in complete awe walking down the halls and through the lobbies as my eyes glanced at all of the beautiful pictures on the walls and the gorgeous scenery visible through the large glass windows. There were so many cozy sitting areas and cafés to relax in. It was in no way what I had imagined it to be. In fact, what I’m about to say may surprise you. I felt as if I belonged to this special and exclusive club. My soul was being nourished by so many loving and compassionate individuals who were there dedicating many hours of their lives to make mine better. I felt inspired and needless to say I was very emotional.
We finally reached the check in desk of the breast cancer wing. I remember feeling like I was checking into a day spa. Behind the reception area there was a wall with a large soothing waterfall and off to the side was a table with complimentary beverages. I gave the young woman behind the desk my name and after verifying a small bit of information and placing an ID bracelet on my wrist, she gave me a pager and a reusable Moffitt bag with a folder full of information, a pen and other goodies and showed me into the waiting room area.
My partner and I waited patiently and kept ourselves busy making small talk and looking at funny YouTube videos to keep the mood light. My name was called a few different times before they brought us back into the exam room. Once for insurance verification and important documents I needed to fill out and the other to get my vitals. It was a slow process but eventually moved faster once we were in the back. We met first with a physician doing her internship at Moffitt. Then we met with a counselor who provided us with information on programs available to cancer patients. I was on information overload by the time the doctor came in to give us his opinion.
Prior to my visit at Moffitt I had met with the genetics counselor and received the results of my BRCA 1 & BRCA 2 testing. Thankfully, after only a few weeks of waiting, the results were in and they came up negative. This was great news because it meant I wasn’t going to have to go in for a second surgery.
The doctor reviewed all of my records and expressed he was in agreement with my oncologist back home. There was no need for me to have chemotherapy. I would only have to undergo radiation and later be treated with hormone blockers. The doctor questioned my desire to have children as he stressed the importance of my being aware of the inability to have children during the 5 years I’d be on the hormone blocker, as well as the possibility of it decreasing my chances of being able to conceive a child in the future. It had been an emotional topic for me recently but, I reassured him that I had thought about it and was okay with the possible outcome. He also suggested going for further genetic counseling but left that part up to me. It wasn’t necessary but, I qualified to participate in a research study they were doing so he wanted to make me aware of it.
Then came the answer to a question I had been asking my physicians but wasn’t able to get a straight response to, “what stage was my cancer”? He told me I could safely call it “stage 0” cancer. Really?! I felt on top of the world, blessed, lucky and proud of myself for having caught the cancer long before it had grown into something far more severe. I was excited now knowing I could meet with my oncologist back home and officially start preparing my treatment plan. It was a very long and exhausting day but so worth it after the great news I had just received…
Today I was scheduled to meet with the radiation oncologist. This time, since it was so close to work, I booked the appointment late in the afternoon. When I walked in, the office was very quiet and there were two very cheerful young ladies sitting behind the front desk. After signing in, I was given a stack of forms to complete. “There goes another tree with my name on it”, I thought to myself. I quickly filled them out and returned them to one of the girls behind the desk.
I don’t recall waiting very long before the nurse called my name and lead me into an exam room. This office was very different from the last. There were no windows in the exam room I was in and it was lightly decorated. It didn’t feel as cozy or welcoming but, I later found out that it was due to them relocating to a much nicer facility. In any event, I wasn’t aware of that at the time so I became a little nervous, not knowing what to expect. Was the lack of decor suppose to resemble my new doctors personality? I knew she was a female based on the name but I hadn’t heard anything more about her. Was she going to be cold and dry? Well, I was about to find out.
As my brain was trying to connect the pieces of the puzzle, I heard a gentle knock on the door and in came the doctor with a huge smile on her face. She instantly lit up the room and gave it the makeover it needed. She introduced herself and with just a few words I felt an instant connection. I could sense that she was a very kind and compassionate person.
After a little game of “let’s get to know each other” she asked me to change into a gown so that she could take a look at my incision. I was still healing well which was great news because I was ready to start treatment as soon as I was cleared to do so. I wanted to make sure that there wasn’t even one cell that could do me harm left behind.
She explained I needed to give my wound a little more time to heal and since I was also going to Moffitt for a second opinion, she recommended I wait to see what form of treatment they suggested before going any further. If chemotherapy was needed, I would have to wait till I finished the chemo before I could move forward with radiation.
She also wanted me to schedule an appointment to see a genetics counselor so that they could test me for the BRCA 1 and BRCA 2 gene. The fact that I was so young and with no known family history of breast cancer was starting to raise suspicion. If indeed I was positive for either gene, I wanted to do anything I could to prevent someone else in my family from going through the same thing I was. I had a younger sister and two nieces to think about. With a positive gene, the recommendation is to have a double mastectomy and hysterectomy as your risk of breast and cervical cancer are much higher. This was important information to pass on and it would be selfish of me to keep it to myself.
My doctor asked me how I felt about the possibility of not having my own children, should that be the case in the future, and I remember thinking, “with all of the kids in the world that need a good home, why on earth would I want to risk passing on a faulty gene to my offspring”? I had always been happy with the idea of adoption. In fact on a more recent note, prior to my diagnoses, I had decided that it was the best option because I didn’t want to be pressed for time by my “biological clock”. It was hard enough with society wondering why at 31 I wasn’t already married with children.
The truth is, I wanted to experience life more without the responsibility of having a child. I didn’t want to conform to societies belief that at my age I should already have children when I knew I wasn’t ready to give up certain freedoms that came with not having them. Who made up that silly rule anyway and when did it become so taboo to decide not to have children? I don’t think my doctor was to convinced but, she listen to my reasoning, gave me a smile and reassured me I was going to get through this. I was very happy to have her on my team.
Once I left the office I immediately called the genetics counselor to schedule my appointment. I would soon be on my way to Moffitt and I wanted to get as much as I could done before arriving. Little by little I was checking off items on my to do list and slowly I was able to see the light at the end of the tunnel…
I was excited to finally be meeting the team of oncologists that would be overseeing my health. To me, it was a symbol of moving forward. Now, more questions would be answered and with that came a better idea of what my future would be like. My first appointment was with the oncologist. I remember walking into the office that morning and feeling overwhelmed with emotions.
Even though I had already completed my surgery, it wasn’t till I was in a room full a patients all being treated for cancer related issues, that it really hit me. We were all cancer patients. I recall being handed the stack of paperwork to fill out regarding my demographics, insurance, personal and family history. Somewhere in the world there must be one less tree that would have had my name on it as I’m convinced it must have taken the whole tree to make my packet alone.
I began filling out the paperwork and within minutes was called back into a small office. “Already?”, I thought to myself. The young lady asked me to sit in a chair located next to her desk and she began to verify my insurance and demographic information. She also asked me what pharmacy I preferred and made sure to save it in my file. Once we finished the verification process, I was asked to pay my portion of the consultation with the physician. I felt a little strange already paying for a service I hadn’t received but, I did so anyway and after receiving my receipt, I was directed back into the waiting room.
It didn’t take to long before a young man called me into the back room. At this point, the entire waiting room was full and the phones were ringing nonstop. I followed the young man down the hall where we made our way into a room with several recliner like chairs lined up next to each other. I was asked to sit in the very first chair. This room was designated as their laboratory/draw station.
The phlebotomist drew some blood which thankfully was painless. I watched as he processed my lab order and placed a label with my name on each tube. He worked so quickly and gracefully. Once he finished, he turned to me, smiled, and asked me to follow him again. Still with the stack of paperwork in my hands, I followed him into an exam room just down the hall. Here, he asked me to wait patiently for the doctor.
As I waited I finished filling out my paper work. The office was cold but well lit and surprisingly felt full of life. A gentleman knocked on the door, came in, and introduced himself as the physician assistant. He reviewed the records that had been sent to the office as well as provided me with his thoughts on my recovery and treatment plan. He explained himself very well and asked if I had any questions for him at that time. My mind was still processing some thoughts in that moment so I said no. After acknowledging my response he excused himself and returned with my physician.
My new oncologist was a complete joy. I was impressed with his attention to detail, patience while explaining my condition to me, and his ability to talk to me as a real person. When he spoke to me, he genuinely took the time to get to know Elizabeth, the athlete, and not just Elizabeth, the cancer patient. In our conversation I learned that he too was a triathlete and instantly we had formed a bond. He understood my need to get back into my athletic routine which for so long had been very important to me.
This was already an amazing start to our doctor/patient relationship. I remember him taking off the wristband he was wearing and handing it to me. He joked, expressing the wristband hadn’t helped him win any races and that maybe it would bring me better luck. I was touched by the gesture and accepted the gift. The wristband read, ” The power of positive thinking”. It couldn’t have been a more appropriate reminder.
After a small physical examination of the surgical site, he reviewed my records. In summary, his recommendation was for me to establish with the radiation oncologist to discuss radiation treatments, schedule an appointment with my gynecologist to further evaluate the area of concern in my pelvis, and to schedule an appointment with Moffitt for a second opinion on the 1 lymph node positive for a single cluster of individual tumor cells.
I immediately asked if he thought this meant I would need chemotherapy but, he assured me that his recommendation for me to go to Moffitt for a second opinion was not because he thought my condition was worse than I had imagined. Instead, it was him wanting to cross all his “t’s” and dot all of his “i’s” before starting any form of treatment I may or may not have needed.
This was comforting and once again I was filled with peace. All in all, this appointment was full of good news and I was extremely pleased with the doctor and other healthcare professionals that were now involved with my care. I felt safe and understood, two of the most important things a cancer patient could ever feel…
*** Note to reader ***
You can view the wristband given to me during the appointment in my photos tab. 🙂