Weekly Update #48

Port replacement was no fun and I am glad that it is over. I am allergic to the most common skin cleanser for surgical procedures, and they elected to use it anyway and give me a big dose of benadryl. I was itchy all that day and the rash is still fading. The doctor told me to avoid all activities that produce sweat for a week, as well as not lifting my elbow above my shoulder on the port side. I got sore today shelving books in the library at my daughter’s school – just pushing the other books aside to make room was obviously irritating to the affected side. After the procedure the doctor told me that mine was the deepest port he has seen in over 1,000 procedures. That sure explains why it was so hard to access!

My birthday was this weekend, my fifth since my diagnosis. Each birthday I get to celebrate is a big deal, and I find I want to celebrate them quietly. My daughter planned a day of celebration for me, and it was delightful to follow her lovingly crafted plan. Rest and snuggling and family play was exactly how I dreamed of spending the day.

I have come off a medication I was originally put on when I started my new treatment, as it is supposed to help with the skin side effects. I was nervous about it, but my skin seems to be handling it fine. A big positive is that it is now easier to take all the vitamins I need to be taking – they have to be timed a certain number of hours away from that medicine and it was tough to fit them all in a day. I have been needing infusions of a couple vitamins during chemo because my levels have been low – I am hoping that taking the supplements more regularly means I can avoid that and shorten my infusion visits.

This week I get back to chemo. I am never excited to get chemo, but one positive side effect is that the steroids I get to help manage the associated nausea also help with my pain. The pain flares up pretty predictably when I have an extra week off of treatment. Getting back to my biweekly schedule will hopefully keep it at bay again. Now I’m off to knock out all the errands that need my attention before chemo takes me offline for a couple days.

Weekly Update #47

Last week was a rotten allergy week for me – I was congested and my throat hurt and I was worn down. And I had a hard time with that. Allergies seem like not that big a deal compared to the rest of my health history, so in my mind it seems like I should be able to blow right through them. Being slowed down by mucus was frustrating and humbling. It’s amazing how hard it is to listen to your body over your brain.

My port replacement procedure is scheduled for later this week. I am looking forward to getting that finished and moving on with port number three. Makes me very glad I don’t have treatment this week so I don’t have to get it through an IV again. It’s not comfortable to hold your arm straight for 4 hours. My next treatment I am looking forward to my regular chemo nurse being able to access my port without having to call in reinforcements.

I am looking forward to an extra week off from treatment this week. I am hoping to knock out some sewing and indulge in some reading. I have stacks of fabric and books waiting for some love, and this week I should have a chance to indulge.

Weekly Update #46

I’m not going to bury the lede here – my scan results came in last week and they were good! Yet again my tumors are stable or smaller in size and there’s no new cancer. I get to stay on this regimen that is working for my cancer and my life until our next reevaluation around Thanksgiving.

Yet again getting the results was such a starkly positive contrast to my previous experiences. My doctor said she could see that I was stressed when she walked in the room and could call me with scan results as soon as they have them. I decided to stick with what we do now, which is meet right after the big team of lots of specialists chats about my case. I’d rather know the results and the plan at once. I really appreciated that they want to minimize scanxiety as much as possible, though. My doctor also noticed that I was scheduled to get my next treatment the week before my birthday and offered to push it out a week. Those little details are the things that make me feel so taken care of as a patient.

The less fun news is a follow-up to my port. I had a dye study done and it confirmed what we suspected – the port is broken and will need to be replaced. I’m waiting on that procedure to be scheduled and am glad to have that extra week before we need to use it at my next chemo. I am also a little bummed about the port replacement because it means I can’t come off my blood thinner shots yet – I had gotten the go-ahead but now I have to wait until after the replacement to switch to an oral blood thinner. Soon my poor stomach will be free of bruises.

I’ve started my meditation course and as I feared/expected, it is going to be intense for me. I am doing the course because I want to confront the intense feelings I so deftly ignore, but looking hard stuff in the face is tough. My teacher and I talked about it in advance and I’m prepared for lots of self-care to get me through it, and using the skills I already have of knowing what is and isn’t safe for me to confront at any given point.

Now that the school year has started I am putting a lot of my extra energy into my daughter’s school and I am really enjoying it. I’m volunteering at the library a couple times a week and am going to do some tasks for her teacher when she needs an extra hand. Being sick means I cannot always show up for my daughter in the ways she wants, and it feels like the time at her school is helping her feel better about me being there when I can.

Weekly Update #45

I’m back at the updates and my chemo – I write this from my infusion suite recliner. It is turning out to be kind of a bummer here. My port isn’t functioning correctly, so I have to get today’s infusion via an IV in my arm. Not super comfy for 4 hours. And also I will need to follow up and do a dye test to see if the port is broken like we suspect. If so, that means removing and replacing it. The silver lining is that this port has caused problems almost the entire two years I have had it, so maybe a new one would work better.

Last week I got to take a week off from chemo and visit Scotland to see friends get married. It was incredible to get to go on a trip like that. When we booked it we didn’t know what kind of shape I would be in when travel came, and it was a delight that my energy levels weren’t the limiting factor in our adventures. I was bummed, though, on day 6 when I was really tired out. We walked up about 13 flights of stairs and my husband and daughter were find by the end, while I was worried that I might throw up or have an unhealthy heart rhythm. And later that day we had to run for a bus and I simply couldn’t do it. I was really upset in the moment – it felt like a punch in the kidney reminding me that I have been working out and am feeling better, but I am still a sick, disabled person. I can look at the evidence and see that we were incredibly active the whole trip and I did things I couldn’t have done 6 months ago, but I still feel the disappointment in my heart. I was lucky that the next day was our train ride from Scotland to England. Looking at the sea out one window and fields of sheep out the other filled up my soul so much.

Friday was scan day for me. I am still so appreciating how much easier to have them in town. It was just a part of my day and I felt much less stressed about it than the ones at MD Anderson. The tech really went out of her way to make it so I didn’t have to go get a second needle stick for my blood work that day. I have heard that my blood marker numbers look good, and I’ll get the official scan results and plan for the next couple months on Thursday.

Now it’s time for my benadryl-induced nap. I’m hoping all the sleeping I’ll do the next few days will help me get over the last of my jet lag.

Weekly Update #44

One of the things that is hard about continuous chemo is that even though I get the same treatment every 14 days, my body responds a little differently every time. I feel like I should be a professional at this regimen after 9 doses, but there are new challenges to address nearly every time. This round brought with it new levels of skin dryness – no matter what I did my entire face had the ghostly glow of dead skin sitting above the surface. My appendages have started to be hit, too, with little red patches on my arms and legs as well as continuing foot damage. I have been leaning hard on my lanolin creams and it seems to finally be getting better.

I am mildly allergic to both the cleanser they use to prep my skin for accessing my port and the adhesive they use to hold the port needle in place. I normally expose myself to the allergens rather than remembering to stop the nurse in time, but this time around my skin really reacted poorly. The nurse wrote it in big letters in my chart to avoid these next time and go with the supplies I’m not allergic to.

The other way this cycle was rough was overdoing the carbonated drinks. Plain water is tough to drink in the first couple of days post-treatment, so I mix it up with sparkling water. It was too much for my digestive system and I made myself sick. I felt so foolish for messing this up, I should have known that chemo makes my intestines more sensitive, I should have been able to drink more still water. I am trying to chalk it up as a lesson learned and be gentle with myself for not predicting this outcome.

We’re already talking about my next scan, which will hopefully be at the end of next week. Talking about scheduling the scan made me realize part of why exercising has been so important to me lately. When I work out I feel like cancer is not the entirety of my life. I have other things beyond it to focus my time and energy on. Putting a scan on the calendar feels like it reduces me to just a cancer patient. I am enjoying having cancer be a smaller part of my time and am going to work hard to maintain this balance.

Weekly Update #43

My days have been full since school started last week. I’m spending a lot of time on self-care things: exercise, cooking, journaling my morning pages, meditation. I feel so incredible and am happy this is where a big chunk of my time is going lately. I’m also adding in some volunteering at my daughter’s school, catching up with friends, and taking on more around the house.

I had forgotten how different a kind of tired it is to be worn out from being busy, as compared to from being sick. Busy-tired has a kind of invigoration to it because my brain is always buzzing with the next thing to cross off the list. Sick-tired is much more physical, it’s weighing whether it’s worth it to get up to address your needs like thirst or hunger.

I was very excited to hear from my team that after an upcoming trip we can reevaluate my blood thinner shots. I’ve been doing them for 6 months and my belly and I are ready to be done. Lately I’ve been doing them next to my husband while he reads me a mini-mystery (like the grown-up version of Encyclopedia Brown). It’s an intimate moment in our day for him to make a painful task more pleasant and flex our brains together.

I’ve had this weird thing crop up this summer where about once a month in the morning I will go from feeling fine to ravenous to nauseous to throwing up in about 5 minutes. I mentioned it last time I saw my team and they asked if there was any way I was pregnant. My husband and I are both infertile thanks to medicine (him a vasectomy and me cancer treatment), but I took a pregnancy test just in case. It’s funny how you still kind of hope it’s positive, even when you very much do not want to be pregnant. It was negative, of course, so my symptoms remain a mystery. A lot of little things like that crop up and I always mention them all to my team because I don’t know what’s serious. It’s always a surprise to me what has an explanation (the bumps on my tongue) and what doesn’t (the numb section of my left butt cheek). At this point anything that doesn’t cause pain or impede my mobility I am happy to put up with.

Happy week to y’all. Tomorrow is chemo number 4 since my last scan, here’s hoping it’s another smooth one.

Weekly Update #42

It was nice to reflect a bit last week surrounding my cancer-versary. It has continued to be on my mind since because I’ve been able to continue ramping up my exercise to include regular running and heavy weightlifting. At the time I was diagnosed I was working out with a similar schedule, and I thought the tailbone pain I was feeling was due to overtraining. Once we found out it was actually from a tumor pressing on the area I pretty quickly lost the ability to exercise like I used to. It feels so good to be back in my running shoes and at the gym, progressing and getting stronger.

I’ve had to add an unexpected tool to my side effect-mitigating arsenal recently – superglue. One of my drugs dries out my skin a ton and I keep getting little cuts on my fingers that are really hard to heal. After watching one cut get larger and larger over a couple days I finally poured superglue on it and amazingly, it finally got better. It’s really important I not have open cuts due to infection risk, so I now have a tube of glue on my desk and I apply somewhere every couple of days. I’ve gotten very good at applying just 2 drops so it doesn’t spread all over my hand.

School started back up this week for my daughter and I am ready for us to hit our stride with our routine. The only worry I’m going to have to carry is whether I’ll finish my infusion on time to pick her up from school on chemo days. I have the earliest appointment available and it’s still tight whether I’ll make it to her school by 3pm. We generally know pretty early on in my infusion when I’ll be done, so at least I’ll have time to text friends to see if someone can hang with Marlowe for a few or even take her home if things are running really long.

Four Year Cancer-versary

Today marks four years since my cancer diagnosis. I was diagnosed in recovery from a colonoscopy. I remember waking up and asking my husband if we had any news and him saying we should wait for the doctor. I later found out that he had already heard the news, and I will be forever in awe of his strength in those moments between when he heard and when I did. I was still groggy when the doctor came in and explained that he’d found a tumor. My husband and I came home and watched one of the new seasons of Wet Hot American Summer, sweating because our AC wasn’t working. I kept getting phone calls from doctor’s offices to set up appointments. I didn’t know who they were or what the appointments were for or whether the order mattered. I was on the cancer assembly line at that point.

I have felt different ways on each anniversary. This year the overwhelming feeling is pride. Living four years with stage 4 colorectal cancer is a big deal. I’m still here, and my last scan showed things getting smaller. I am proud of what I have weathered. I like that I have chosen to respond by becoming softer and kinder. Cancer is so hard, but I think I handle it with grace.

I have not done this alone. I am grateful to my medical team and my non-medical community for their help and support getting through this journey. My family is incredible. They are going through cancer just as much as I am and they bring humor and love and empathy with us on each step. Thank you to everyone who is reading this for caring about me and my illness.

Weekly Update #41

As someone who has blood drawn fortnightly at a minimum, I appreciate that I have good veins and am an easy stick. Unfortunately, the same cannot be said for my port – due to a combination of weight gain and (bad) luck of positioning it is difficult to access. This past week it behaved particularly badly and had a clot in it that we had to wait to dissolve before I could start my infusion. The nurses gave me the choice to get my infusion sooner through my arm, but I get 4+ hours of meds, and that is a long time to be stuck with my arm straight. The nurse said that clots like these tend to crop up every 6-9 months and while I can’t find any evidence of it in the archives of this blog, I am pretty sure I had one about 9 months ago. So, hopefully I am all set until May of next year.

I’ve been thinking about compliance this week because I have been skipping some of my meds recently. Some because they’re unpleasant and some because they have a small window when I can take them and I haven’t put in the energy to remember. I am trying to do better this week; I know my doctors don’t put me on drugs for the fun of it. But I also have so much more compassion at this point for non-compliance than I did earlier on in this journey. I get how exhausting it is to always be tracking so you have your meds, to reinforce your sickness multiple times a day, to have to do painful procedures. I get how non-compliance comes from barriers rather than people not wanting to take care of themselves. I appreciate medical professionals that see non-compliance as a patient need that’s not being met rather than a personal failure.

It’s time over here for back to school and it has me itching to plan the family calendar. I have my daughter’s extracurriculars planned and wish I could feel as settled myself. At my new clinic I don’t plan my scans months in advance, we book them more like a couple weeks out. That flexibility is wonderful, but also means I don’t know what my chemo schedule looks like after the next couple infusions. Why do I need to know now if I’ll have chemo on October 9 or October 16? I don’t, but my whole body would feel more relaxed if I did. I’m also pondering changing the day of the week I get my infusion once school starts up and am (over)thinking the best day given our commitments. The last piece of the fall planning puzzle is I am torn about undertaking my own extracurricular activity. A survivor I met recently recommended a meditation class to me and I am tentatively enrolled to take a similar one. I like the idea of increasing my mindfulness tools, but am also terrified of delving into the pain that causes me to seek them out in the first place. The class is a serious commitment of time and energy and I am feeling nervous about the investment. Fingers crossed it all becomes a bit easier to decide over the coming weeks.

Weekly Update #40

It has already been a remarkably productive week for me already by the time I’m writing this at midday on Tuesday. I’ve needed less rest time this week and have been able to knock out a bunch of really satisfying little tasks. It feels like energy like this only pops up right before treatment (I go in for chemo tomorrow) and it always makes me mourn the things I could be getting done if I were healthy. And every time I feel torn because I am working on accepting that my value doesn’t come from my productivity, but also I like getting things done because it feels good to accomplish things. I don’t know how to reconcile those ideas or if they are reconcilable?

This week is my last one with my personal trainer. It has been awesome, and has really helped me feel ready to be in charge of my workouts. I used to be a runner and have really been missing it, so I’m getting back to that. Today I went out for 30 minutes doing run/walk intervals and it was literally nauseatingly hard. But it was also amazing that my body can still run. I can breathe deep and use so many muscles and push myself for half an hour. Earlier this year I found it challenging to stand for that long. Yesterday I went to a great yoga class and focused on connecting with my body, something I find increasingly hard as I spend more time as a patient. It’s really thrilling to be able to work my body and I want to take advantage of this opportunity as much as I can.

I have taken enough doses of this new regimen that I have a pretty good idea of the range of side effects. Right now as I am going into treatment (cycle days 12 and 13) my skin gets really dry. The skin on my eyelids often flakes off, and I get areas of redness and sensitivity on the tops of my cheeks that look like I got too much sun. My neck gets the ugliest rash – it’s red and feels scaly and is spread in slashes up and down. The tips of my fingers flake off and feel extra sensitive. My heels crack and bleed. If I have to remove a bandage in this time period I’ll get a skin reaction. After I get my treatment I will be nauseous and tired. On day 3 the gas will hit and be uncomfortable for several days; this is also when my skin will clear up. Days 7-11 are the only ones without any noticeable side effects. It’s helpful for me to have these written down, and maybe they’ll be helpful for someone else on the same regimen – Irinotecan and Cetuximab (aka Erbitux).

Not really looking forward to the worst-feeling days of the cycle, but am glad for the opportunity to kill some more cancer.