Bravery

I was reminded this morning that not only is it blinking freezing in England in winter but also that not everyone is as fortunate as me.  For some people cancer is a horrifically scary journey and for those young diagnosed it must seem harder.  They have their life ahead of them, there is an eagerness to finish up at school, college, university and a rush to get on with life.  There are dreams of a future, a partnership, perhaps a family, pets, a property or career, a wedding, travel or a family Christmas.  Never in their mind would they have included cancer in their future and never in their mind would they think that they’re fighting to survive.  However this is a reality for so many people.  We hear of the great survivorship statistics and the improvements there have been in surgery and treatment.  We don’t hear about the concerns of recurrence or the statistics that don’t make it.  In the breast cancer world, I’m still hearing about girls who have been refused scans because ‘they’re too young’, only for them to discover months or even years later that they had cancer – usually the delay has meant a more aggressive stage too.

Let’s forget the myths.  Cancer DOES happen to the young and the beautiful.

I’ve spoken before about the lovely Jolene and once again, am asking that anyone reading this, spends a while thinking, praying, hoping (whatever you can) for her recovery.  She’s once again struggling and we need to support her.

A friend posted this song this morning for Jolene (ignore the video but the song and words are so poignant) click here

Brave by Jamie O’Neal

I been down about as low as anyone can get
The whole world was closin’ in
Couldn’t find a friend
No one else could help me
Had to walk through the fire alone
Life has brought me to my knees
And faith had led me home

Let the storm rage around me
I will stand, I will fight
And when the darkness surrounds me
I will make my own light
I may not win every battle
But I’ll get stronger with every fear I face
And I’ll be brave

I can be courageous and still be so afraid
I’ve discovered pain is the beginning to a change
Somewhere deep inside us
There’s a strength we don’t know we have
Just when you think you can’t go on
Suddenly there’s a path

Let the storm rage around me
I will stand, I will fight
And when the darkness surrounds me
I will make my own light
I may not win every battle
But I’ll get stronger with every fear I face
And I’ll be brave

Every time I get back up it gets harder to knock me down
‘Cause my soul’s on steady ground

Let the storm rage around me
I will stand, I will fight
And when the darkness surrounds me
I will make my own light
I may not win every battle
But I’ll get stronger with every fear I face
And I’ll be brave

I’ll be brave

No matter what age, no matter what diagnosis or wellness, being brave is difficult sometimes.

A realisation

This past weekend I’ve spent in Biarritz with some beautiful friends from Australia. I was reminded once again, how important good friends are and how with great friends even though you may not have seen each other for an age, there’s no full-stop between visits.

But I realised something else. For many years, I’ve been ‘doing the right thing’. I’ve bought property and spent the required hours, days and weeks renovating, decorating and ensuring my investment is a good and well planned one. I’ve moved house; to move away from a bad relationship (in itself which had caused enormous stress); to be nearer ailing parents; and also change jobs to one with the promise of greater things.

What I didn’t do during the whole time was remember what really makes me tick… a simple life exploring and travelling. Always the next ticket is booked, an adventure planned or a new location sought. It’s never meant a huge expense but always bought me so much joy when I see, taste, hear or discover something new. I love nothing more simple than jumping on a plane to a new location and that moment when you touch down, the doors open and you can smell a new land. Or as you wander through the airport terminal, the new languages, dialect or accent.

A freedom that comes with exploration.

An admiration for architecture and culture.

A taste for a new sensation.

I forgot to do this for the past few years and missed out on something that I realise now was a ‘stress relief’ that I loved.

So this last month, I’ve been to Spain (Mallorca) and I’ve been to France (Biarritz) and I’ve plodded around London and the English countryside and seen new things, heard new noises, tasted new things and felt free.

But where will my passport take me next… anyone need a guest or a partner in crime?

GP Film for Macmillan

I have been asked to take part in a film about my experience of primary care with regard to my cancer diagnosis. As you know from this blog, I have an exceptionally wonderful GP. If you read any media referencing primary care you might well think that every cancer patient has a bad rapp with their GPs… but I guess only the bad news stories get reported!

So I was happy to ‘put myself out there’ in the hope that there’s a good story too.

Dr Pawan Randev who is a wonderful GP with a speciality of cancer. He is an inspiration to listen to. His role as a GP having received extra training from Macmillan has meant that attends conferences, speaks to patients, doctors, clinicians and healthcare groups alike. Obviously he’s been aware of the media that puts GPs in a bad light with regard to delays diagnosing cancer. As part of this, he’s obtained funding to put some short videos together. He’s then proposing to use these videos in the training of new GPs and clinicians.

Today they were filmed. The easiest place to see them is within Macmillan Learn Zone “Cancer in Primary Care – a Toolkit – Resources“.

I’m so pleased I added my voice which I hope demonstrates the positive message that good primary care interaction can have on a patient.

I understand that Dr Randev has been working with the medical deanery to include these videos into the new GP training courses.

NB – I’m aware that when cancer symptoms are harder to identify i.e. not ‘lumps’, some patients are sent away from the GP often on more than one occasion. The difficulties in cancer diagnosis is in many cases that the symptoms can be very similar to other illnesses – flu like symptoms, upset tummy, sporadic bleeding, headaches etc etc. For GPs seeing so many patients in a day, these can often mean that the true diagnosis is hidden behind ‘ordinary’ symptoms. GPs do an amazing job but often a truly difficult one too.

September/October blur

I am pleased to report that I’ve been busy…. busy doing things not busy rushing back and forth with hospital appointments.

I’ve taken a holiday in the sun. I’ve relaxed. I’ve decorated. I’ve busied myself with planning and plotting of the conference. I’ve had meetings and discussions. I’ve been frustrated by beaurocracy and commercialism. I’ve taken part in projects for cancer charities and others for the NHS. I’ve signed up for more roles within both charity and NHS capacities. I’ve tried to get my voice heard and my face seen and to be an advocate for cancer survivors. I’ve been asked my opinion on my journey and where things could be improved and I’ve watched as eyebrows were raised when I spoke well of my GP and surgeon. I’ve tried to find the positive and offer advice or suggestions for improvement. I’ve taken part in films for GP training and I’ve written to MPs and signed petitions. I’ve supported and held hands with others going through this journey. This website still attracts new visitors looking for answers for Phyllodes and I’m pleased that I’m able to offer them some comfort and support. Sometimes it’s been hard – particularly when I’m tired or not feeling great.

I’m doing well but every now and then my boob still hurts – today’s been a bad day. I know there’s nothing wrong and I don’t feel like I’ve to worry but it still hurts. However that doesn’t and shouldn’t ever stop me from helping others, in a small way or through the event I’m putting together. I still feel so passionately that everything happens for a reason and I can make a difference.

I have a voice and (some may disagree) am intelligent and articulate… if my voice, writing, enthusiasm or ability will make a difference, then I’ve been of use.

Dates

As most of you know I’m rubbish at dates. Yes I could be referring to dates with the opposite sex but what I actually mean is dates on a calendar – thanks to all those of you who immediately worried about my continued single status 😉

I’ve always had to rely on a calender or diary. In the good old days I’d never survive without a diary in my handbag in which to jot down where and when I had to be somewhere or do something. Latterly it was via Outlook at my place of work and then smartphones or iPhone. If I didn’t put the entry into the diary, it would be forgotten moments later and I’d neglect to turn up or be running late as I’d only just remembered. Once a date had passed I’d have very little recollection of what day of the week we met, let alone a date or year. Yes, sometimes this may have been alcohol induced amnesia but more often just because once it’s done, it’s done.

Those of you for whom I should remember birthdays will know how utterly rubbish I am at that too – unless it’s in my diary or you remind me. There are children (neices, nephews or just my ‘extra’ children) who have ‘late’ or ‘early’ birthday presents and know that Auntie Anna extends birthdays so that she’s never actually late!

What’s been strange about this journey with cancer is that I remember all the dates. Not only do I remember them at the time, I know when they’re coming up, where I was, what was said, what time the appointment was and how I felt. Not because I have re-read this but just because all of a sudden these dates are significant. I find it eerie that the date of my doctors appointment when I was referred for scans is etched deeper than the year I went to college, started work or moved into my first flat. The date that I found the lump smacked me in the face a year on, out of nowhere. The date I was told I had cancer hurts and I’m sure the date that I was told that the cancer was in fact a malignant rare cancer known as Phyllodes will no doubt be an ‘odd’ day too.

For someone who truly has difficulty remembering her own birthday, I find it astonishing that every aspect of my cancer journey is etched deeply into my ‘internal’ calendar. Will I ever be able to live these dates without remembering?

Guest blogging – www.bahtocancer.com

From the murky world of social networking where I’m trying to build up a good network of people involved in the cancer world for my charity, I saw a request to become a guest blogger on www.bahtocancer.com. I sent in an entry and it was posted today (as below). Do take time to look at the Bah! to cancer site, as there’s some very interesting articles and links to organisations and services too.
Questions

As the cancer survivor we are, ourselves, always very concerned about what to say and what not to say. About how to tell people how we’re feeling but without being too self-absorbing or showing that we’re scared and frightened. We’re also, at times, worried that if we ask for too many favours now how will we ask for any when we need them more.

I was asked recently for some advice by a concerned father-in-law of a newly diagnosed breast cancer survivor. He was feeling lost and worried about what to ask or how to ask; about what to do and what not to do. He wanted to help but didn’t want to overstep the mark or interfere. He was even worried about asking me for my opinion as he didn’t want to worry me either! However I was so very pleased that he did ask and hope that what I told him.

Cancer survivors take different courses of action in telling people. Some don’t say anything. Some only tell their immediate family/friends. Some write blogs. Some post updates on Facebook or twitter. Some write letters. Some write books. Some say it like it is and others only ever provide an edited version. I wrote a blog. For me, letting others know what was going on and how I felt via a blog saved me from the many calls and retelling the news. Getting it down on ‘paper’ also was cathartic in that I pouring out my inner most feelings, often verbalising something that I’d not yet thought through – some remained, some were deleted. The truth is everyone is different and, as in life, we handle our response to cancer differently too.

My advice to him was to ask his daughter-in-law what she’d like but a few things that I found comfort in:

  • Help with the little jobs.
  • Turning up with a refill of milk/bread/eggs/butter without being asked and without it being a ‘big shop’.
  • Little texts/emails just to say ‘hi’.
  • Don’t expect my reaction to be the same today as it was yesterday… each day is different on a cancer journey and the way we deal with it is different also.
  • Understand when I blow you out at the last minute for no particular excuse.
  • Let me know that you’re free for a lift to the hospital or any appointments and that it’s not ‘out of your way’.
  • Know that I know I look like I’ve been crying but don’t mention it directly, just give me a little hug.
  • Offer to help with the big stuff but don’t stop me doing the bits I can.
  • Don’t be offended if I tell you to bugga off and leave me alone – it’s not personal!

Just knowing that you’re there and can be relied upon is sometimes just enough too.

Blogging and all that it is

My world of blogging began for a reason that I’d never wish on anyone.  I gave cancer a try for you all.  I gave it a go.  Felt it’s pain.  Learned to deal with the emotions.  Cried about it.  Had it cut from me (twice).  And so much more… And I decided that it was rubbish and I didn’t want it.  So, I put it all back in the box, neatly packed it with those squigy polystyrene questionmarks and stuck a whole roll of packing tape around the box, so that nothing can escape… I then popped it into the letterbox marked ‘return to sender’!   (with no return address for me!).

So just so you know, noone else needs to try it out, it’s rubbish, don’t bother.

Part of the journey for me was finding a way to communicate with friends and family about how I felt or what was happening that day or how an appointment or a surgery went.  As much as I love you all, receiving call after call and recounting the story wasn’t going to help me look forward and beyond whatever the issue was that day.  Some people do this via facebook, some set up phone call trees so that everyone calls someone with an update but the person at the top only has to make a few calls.  And some blog.  What has been fantastic about this is that sometime when you didn’t know what to say or how to ask, you could just check in on the site and every now and then let me know you were doing so.  For me, it allowed me to tell you a lot more than I would face to face.  To perhaps put on ‘paper’ something that I wouldn’t know how to say.  I’ve also bumbled away, typing endless pages as a sort of ‘download’ mechanism for me, only to delete it before the page goes live.  It was cathartic for me but also allowed me to have a history/diary of events and somewhere to which I can refer and for newly diagnosed to reference.  I have been heartened that my site continues to support people looking for information about phyllodes but also saddened that it’s required.  I’ve had 3 people contact me from the UK in the past 4 days – hmmm me thinks it’s not as rare as they’d have us believe!

However at this point in my journey, I realise that you won’t be checking in so often to see how I am – because I’m OK, in fact I’m feeling really good about cancer knowing that I don’t have any more checks, scans or hospital appointments until January… somehow it’s released a little burden from my shoulders – but I would like to keep the blog up.  Perhaps not daily or weekly even but with updates regarding my journey but also with information and ‘life after cancer’ entries.  You see even though physically I feel OK, there are still the oddest of things and emotions that smack me in the face at random times.  Or I’m asked for help or advise that I think should be shared as a different perspective is always refreshing.

I would also like to keep you up to date with my new exciting charity venture –Living Beyond Diagnosis.  I truly hope that through this charity, I will be able to help thousands of people affected by cancer in the coming years.  My aim is to work with charities, hospitals and support organisations so that these events are firmly placed on the calender and complement the surgical and medical aspects of managing cancer in the UK.  I’ll keep you posted.

If you learn something from me…

I can’t believe that a year ago, I got up early and prepared myself for the day ahead – Mum’s funeral. How incredibly lucky was it that I couldn’t sleep. How incredibly lucky was it that I had two outfits and couldn’t decide between them. How incredibly lucky that the first didn’t quite cut the mustard. WHY? Because it meant I swapped back and forth between the outfits, adjusting the look and (sorry boys) adjusting my boobs into each bra. It was then, mid-change number 3 or 4, that I found the lump. Had I not done that, how long would it have been until I found it and then what would the delay have meant?

I didn’t check myself regularly. I didn’t know what my ‘normal me’ was. I always nodded sagely when I heard, saw or read that we should check regularly and if asked, I’d probably say ‘yes’ and not want to show myself up in that I didn’t know how to check them properly. Why don’t we include this in our school curriculum? We discuss contraceptives, sex, HIV, and a whole host of other things, but well being tips? Perhaps if I had really known how or perhaps not embarrassed to ask my GP, I might have known that this lump was irregular.

So, if you learn nothing from me, please check yourself regularly (men and women!) and here’s a guide how to… Click here for a video and instruction
Do this regularly so that you notice any differences.

Results

To say I’m relieved would be an understatement. For all my joking around about plastercast boobs and ‘feeling a right tit’, I was a tad worried about having to have the extra test and biopsies and what it all means. It was never far from my mind and although you’ve all tried hard to distract me (and some of you have done very well) my mind has kept coming back to the ‘what if’s’. I still however agree with my consultant’s view of preparing or the worst but hoping for the best (despite restless nights as I hit ‘play’ on the future scenarios ahead) – but it has meant that the euphoric high of being told that it is scar tissue and I’m OK has been even more surprising and therefore more exciting – I can’t stop grinning (Black Eyed Peas “…Today’s gonna be a good day” was playing as we drove into the hospital car park – NLPers will understand why that was a good omen).

I might however still have to do the plastercast thing! 😉

So, I don’t need to go back until January 2011 for a ‘regular’ ultrasound scan – YAY!

I can really start getting on with my life, getting my fitness back, losing weight, plotting and planning for a future and, importantly, putting heart and soul into getting the UK conference for people affected by breast cancer onto the annual agenda. I’ve been a little distracted this past few weeks and now have no blinking excuse! Pull your finger out Wallace! This time it really does feel like I’m OK. It really does feel that I have ‘done with’ cancer. It really does feel like I’ve been given another chance.

Huge thank you to Millie, Mark, Ed ad Abi for their continued support and… I did promise you I’d stop ‘growing’ stuff and I have… do I get a prize? Oh yes, champagne anyone?

Oh to sleep…

It sounds so ridiculous to not be able to sleep when I’m sooo damn tired. Maybe it is the lazy gene but in my defence your honour, I get to the point that I actually feel nauseous with tiredness. I can’t remember getting that exhausted since I misbehaved a lot in my 20s (and 30s) and stayed up for whole weekends…. that total burnout on a Sunday afternoon 😉 (hmmm maybe I should reintroduce it in my life on the basis that I can’t feel any more sick – party volunteers? ) BUT I’m not doing that any more. I’m sleeping for at least 10 hours a night (albeit perhaps restlessly). This morning I woke with 3 pillows at different corners of the room, me across the bed and my duvet upsidedown? Hmmm me thinks I wasn’t totally dreamless. And thank heavens the bed’s too high for my teddybears to run off to the spare room!

I mean, OK, maybe I’m a little nervous about the ‘results’ on Wednesday and my ‘awake me’ has been doing a great job at pretending that I can deal with it. I mean there’s nothing I can do but prepare for the worse and hope for the best. So preparation I have been doing. Hahaha – blinking haha, preparation in true AnnaGoAnna styley. They suggested that if it returned I’d have to be ready to have a mastectomy… well I’m not sure I’m totally ready to get rid of my boob… I’m sort of attached to it… it’s sort of balanced at the front… it fits neatly into some cool lingerie (OK so I’ve got a shoe and lingerie obsession)… my clothes fit with a pair of boobies… it’s been admired by a fair few in it’s time… it’s been fought over for use as a cushion… it’s been fought over for other reasons… it’s been… (oh actually I’d better stop thinking of previous uses, in case there’s a reli or two reading this… but I think you get the idea!).

Anyway, my preparation… I’ve done the reading up of stories. I’ve done the looking at pictures and reading medical info. I’ve done the options re reconstruction or surgeries. I’ve done the medical stuff. I’ve tried to prepare mentally but, can someone really prepare for that moment when they look down and there’s a space where once there was boob? I’m not sure I’m ready for that… or ever will be.

So AnnaGoAnna styley… if a mastectomy is required, I shall be doing a plastercast of my boobs, bronzing it and hanging it above my bed… that way, should there be any interest, I can point to my boobs and mention that if they’d been here earlier that’s what they would have seen! Not to mention the fun I can have making the plastercast! Ooh and I could sell minatures to raise money for the charity.. hmm maybe not eh! And yes, it would still mean that I could feel a ‘right tit’!

So preparation is complete.. I’m ready for the worst. However, Dear World, I’d prefer to hear that it’s just a little incy wincy bit of scar tissue. Or I’d be happy even with a radiographer’s joke.. Love Miss A GoAnna