Friday, August 25, 2023

Chapter 4 - A Small Flicker of Hope

(KW) August 21, 2023 - Leading up to my third chemo session, I received results back from some lab work.  Chemo definitely kills all types of cells - good and bad - which is why chemo patients normally have next-to-nil immunity levels. It also wrecks nail beds and hair follicles.  So, yes, I'm bummed that my hair has definitely been thinning, but from what I've heard (from both my oncologist and my Facebook support group) I probably won't lose it all due to my specific chemo cocktail. 

But there was one result from my lab work that actually did put me in a good mood. And that was my CEA level.  I won't attempt to explain what it is, but it's basically a cancer marker.  It was the first thing my primary doctor ordered that led to all the scans.  And it was astronomically high at the time of my diagnosis.  Therefore, I was delighted to see that after two chemo sessions, it had already gone down by 50% (54.9% to be exact). 
 
The oncologist and my medical team smiled and congratulated me on my reduced numbers as I walked in for session #3.  

As you have probably noticed, I haven't been able to really smile for any of these pictures - and I mean, it IS chemo so why would I, right?  But with this session, I got a little bit closer.  I decided to wear a jumpsuit I purchased for a resort vacation (that I didn’t get to go on due to being diagnosed with cancer that very week πŸ‘ŽπŸΌ).  Strapless jumpsuits...they're not just for vacays…they're also ideal for ports!  I used extra product in my hair this morning (to combat the thinning that is currently happening πŸ‘ŽπŸΌπŸ‘ŽπŸΌ) and in honor of Wonder Woman, I wore my bullet-repelling, cuff bracelet, because it never hurts to bring in the super heroes 😘.

I felt good heading into this session.  And I felt good the week prior.  I think the Lexapro (anti-depressant) is finally in my system and the reduced CEA levels definitely did the trick.  I am mentally willing the cancer tumors to shrink and my hope is that when I go to Memorial Sloan Kettering in mid-Sept for my scans, they will say “You’ve had an exceptional response to your first round of chemo, and they’ve shrunk enough to make you a surgical candidate…let’s put a date on the calendar, shall we?” 

That might be overly optimistic, but that’s the scenario I’m trying to breathe into existence.


Wonder Woman powers - please activate!



Chapter 3 - My New Normal

(KW) August 7, 2023 - My second chemo appointment came with a little less trepidation. I knew what to expect, and I even got the private chemo room. This time I brought compression socks, as well as a journal (tips from the Facebook cancer support group) and I made sure that I was representing WBENC certified, Women-Owned brands as I did so.

The side effects are weird - cold sensitivity in my fingers and I can't drink anything cold for about 5 days after each chemo session - as well as major fatigue. But in the grand scheme of things, I was expecting much worse.

I've been slowly informing various work colleagues and other friends about my diagnosis. It's been incredibly difficult for me. I'm an oversharer with most things, but this, I've wanted to keep private. I'm trying to compartmentalize it...have my normal life and relationships on one hand, and as a side-gig, go about my treatments on the other. But it's not playing out that way.



Monday, August 21, 2023

Chapter 2 - The Storm.

(KW) July 24, 2023 – Leading up to my first chemo appointment, I entered a phase to what I’ve heard a few cancer patients call, “the storm.”  It is a mixture of anxiety, depression and (in the words of the recent Barbie movie), “irrepressible thoughts of death.”  It was pretty much non-stop tears, and mentally preparing for my funeral.  I truly hope that no one who is reading this ever has to go through cancer, but more specifically, a period like this.  I started meeting with a therapist and also started on an anti-depressant.  And even though both helped, I will reiterate how much the Facebook group I had joined helped me.  I had many conversations - some text, some phone and a few video – with people, in my age bracket, who have had the same unlucky hand of cards dealt.  I remember posting one evening that I was “spinning out” and I asked for their collective advice as to how to navigate all of this when so much is unknown, and I got pages and pages of really amazing, supportive thoughts, tips and tricks from this unbelievable tribe.  So many told me that once my treatments started and I got on a schedule, I would be able to breathe.  They told me I would adjust to my new normal.

<<side note:  my husband doesn’t like that I spend so much time on this Facebook group, and my mother says that they are made up people trying to peddle erroneous medical advice. >>

My husband and I arrived to the local oncology center and they issued us back into “the treatment room.”  It’s a large room (about the size of two corporate conference rooms) with 12 chairs in it.  There was even a private room (I was told it’s reserved for patients with special circumstances, but on days where it’s not already booked, it’s up for grabs).  You better believe I asked for it, right there on the spot.  Not because I was being a prima donna, but because I didn’t want to disturb the other patients as I sobbed.  I did not get to nab the private suite, but I did not sob either.  I felt like a deer in headlights as they hooked me up to the IVs.  They were very kind and took extra special care of me since I was a “newbie.”  My husband sat next to me and silently worked on his laptop as I instantly conked out once some of the pre-meds hit my system.

At the end of my 4-hour session, they unhooked me and began the least fun part of the process.  Not only do I have to sit in this chair every other Monday, but they hook me up to another apparatus that I have to take home in an oh-so-fashionable fanny pack.  It runs for 46 hours.  It doesn’t leave my side.  I even have to sleep with it.  It sucks.

The first week of chemo went exactly as my new “friends” in my Facebook group told me it would.  The afternoon following my morning “in the chair” was fine…I felt “normal.”  My appetite was fine and I actually finished working that afternoon.  Tuesday was the same, but I didn’t eat much.  Wednesday, nothing really sounded good to eat, but overall, I was ok.  I got the pump disconnected that day.  Thursday is when things started to hit.  So tired.  A little queasy.  By Friday, I was zapped and didn’t really eat.  The last time I was that tired was when I had mono in high school.  Saturday, I think I slept the day away and again, had no appetite.  That first week, I lost 10 lbs.

However, the following week (my non-chemo week), my appetite and energy rebounded (and I gained 11 lbs.).  My Facebook group friends were right.  Once I had been through one session, I felt a little bit more in control.  I knew what to expect, and I knew how to prepare. 

The outpouring of support (emails, texts, cards and gifts) from the very limited amount of people I had shared the news with was very touching and made me feel loved, yet uncomfortable, at the same time.  The messages that a few people wrote in the cards made me feel like people were saying their goodbyes to me.  Telling me about how wonderful it had been knowing me and what a special place I held in their hearts.  I 100% know they were just putting their thoughts – and hearts – on paper, and really we should all tell everyone we love how much they mean to us – often, but it was also very depressing for me.  Every card I get, still, makes me a little ill.  I don’t want to have cancer.  I don’t want pity.  I don’t want friends to treat me like I am dying.  But I can’t keep it private forever.  Which is why this blog came to life (much love and appreciation for Lisa). 

So, for anyone who is reading this blog, I would ask that if our paths have ever crossed – be it in school, work, Zumba, or even on LinkedIn – I will humbly request prayers, good vibes, positive juju and any other positive energy that you can send my way.  Thank you.

A peek inside my first chemo treatment.


Sunday, August 20, 2023

Chapter 1 - How We Got Here.

(KW)   Picture this:  May, 2023 – I was going about my business of being a Corporate Supplier Diversity Manager by day, and a part-time Group Fitness Instructor by night. 2022 had been a big transition year for me.  I had been on a fitness journey and had gotten in a lot better shape. I was almost a year into a great, new job at GE Appliances. I had visited their Louisville campus several times, each time, having a blast, and had great travel plans, both personal and business, planned for the remainder of 2023.  Well, you know what they say… ‘If you want to make God laugh, make plans.’

I started having a couple of pains in my side.  My first thought was that my dog had pulled me too hard as I was walking him, but after a few nights of it not subsiding, I decided to schedule a doctor’s appointment.  I had researched it on WebMD and I was *pretty* sure they were going to admit me for an emergency appendectomy.  While I wasn’t in searing pain, when I went to my normal family practice doctor for my 9AM appointment, I took a bag with my deodorant, toothbrush, iPad and charger.  I told my husband to be prepared to come to the ER later that evening.

But the doctor’s appointment did not go how I thought it would.  I give credit to my family doctor.  She quickly dismissed my theory about needing my appendix removed.  She asked a battery of qualifying questions, each one more serious-sounding than the previous one.  And to my surprise, I found myself saying “yes” to most of them.  She typed, rapid-fire, on her keyboard and started ordering tests.  I said to her, “You think this is cancer, don’t you?”  And she said, “We need to rule it out.”

A blood test led to a CT scan.  The CT scan led to a PET scan.  The PET scan led to a biopsy.  And the biopsy led to the conclusive findings that I have cancer.  When they called me to schedule my first appointment at the oncologist’s office, I, of course, knew.  I angrily said to both my mother and husband, “I wouldn’t be seeing an oncologist if it wasn’t cancer!” 

The 9 days leading up to that June appointment were a blur…surprisingly, I wasn’t an emotional wreck.  I was more in research mode.  I read everything I could find on the internet – ranging from the Journal of American Medicine to blog sites.  One of the best things I did, however, was join a particular Facebook group of people who have my exact type of cancer.  It is amazing 1) how many people are a part of it, 2) how many are my age or younger, and; 3) how many stories are just.like.mine.  Like, eerily similar.  More on this Facebook group, later….

We drove about 45 minutes from our home to Danville, PA, where my medical system has their main hospital and campus.  We met first with a Fellow, and then the doctor that was actually the Chair of their Cancer program.  Their message was dire.  They both advised that I needed to start chemo immediately and the goal was to prolong my life.  I asked about surgery (because, as you can image, I want it out of me) and was told that I was not a surgical candidate.  I rephrased my question and asked what needed to happen in order to become a surgical candidate.  To which the doctor responded, “that is highly unlikely.”  We left in a daze, but at least had the sense enough to walk across the medical campus to the records office.  We asked for my scans and all my test results and in 5 minutes, they handed over a disc.  When we got in the car, I posted on that Facebook group what had just happened.  Before we pulled in our driveway, I had no less than 40 other people saying that their local oncologists had told them the same thing when they had their first meeting.  And they shared that they had gotten a much different message and treatment plan when they ventured out of their home towns and went to either a large cancer institute, or had simply requested to meet with a surgical oncologist.

Thus began the largest “sourcing RFP” I’ve ever run.  The month of June consisted of a routine like this:  I would call a major cancer center and talk to their scheduling desk.  I would request an appointment as a new patient. They would request my scans to be sent to them before they would agree to even a consult.  My husband would burn a copy.  I would FedEx them off.  I would get a call back telling me yes, they had received them and yes, they would schedule me for a consult. 

Through both the Facebook group, and a woman at GE Appliances who has become a dear friend, the name “Memorial Sloan Kettering” kept popping up.  Since we’re in Central PA, we figured it wasn’t too far of a drive and that became the front-runner as I searched for a new treatment “home.”

In mid-July, we made the drive to Manhattan.   We met with a team of doctors (not just one, which was really great) and they laid out a plan.  Or at least a path to a plan, if that makes sense.  They became the “captain” of my medical team and started communicating with a local oncology center (15 minutes away from our house) on the exact “chemo cocktail” that I should receive, moving forward.

As we were driving back to PA that evening, I said to my husband that I was worried that they had really said the same thing as the first oncologist that we met with….but they had just said it nicer, and in a much classier, snazzier building.  He disagreed, and said they said I wasn’t a surgical candidate yet and they had laid out a path to get there.   

And that, folks, is the first chapter in my cancer story. 

More posts/updates to come….

P.S.  For privacy reasons, I’ve decided that I don’t want to publicly share what type of cancer I have or what stage it is.  But, as most of you will be able to gather from reading this blog moving forward, it’s not an easy or simple cancer (not that any cancers are).  A simple Google search tells me how dire the statistics are, but I try to not doom scroll too much.  I’m trying to focus my energy on 1) my chemotherapy treatments, 2) my mental health, 3) my work – which fuels me and give me purpose in life (not to mention, the most wonderful health insurance, which I feel incredibly grateful and blessed), and; 4) my friends and family.




Chapter 41: Timing is NOT Always Everything

An update from Kate in the video below.  Also, a reminder about the meal train for Kate and Kevin can be found here :  https://mealtrain.com...