Monday, January 19, 2015

Confidence in Weakness

I’ve been wanting to write for days now and all of these ideas have been floating around in my head, but I just couldn’t put my fingers to keyboard. I had a feeling after Soul Cycle tonight with Sal I would have the urge, and what do ya know?! I think Sal is my muse. He was on a "breaking down walls" kick tonight, and realizing your own strength, which only comes with facing challenges.

I have always had a tough time being weak, I swear, since I came out of the womb. I have this thing where I feel like I need to put on a strong face for myself, and for everyone around me; but why? What I have realized is if I don’t break, fall, and even sometimes wallow, I can’t get to that strength on the other side of the wall that Sal talks about. There is SO much strength in weakness – it is actually beautiful. I am still working on accepting that and being confident about it. I will always be dealing with what I have, accepting it, fighting it, but I have to find confidence in my weakness. This (Aggressive Angiomyxoma) is what I have and who I am, like it or not! I am very good at having that attitude with other things in life, but not with my Sarcoma. If I am secure with my weakness, when I tell someone for the first time, their reaction will be so much better. It’s like when you make a big deal out of something, it naturally gets other people all worked up, right? Well, if I am confident when telling someone story, it will put them at ease, and I think, even elicit a different reaction. One of my GREATEST fears is telling my future husband (where is he?!) what I have. But heck, this is me and I need to own it. And, to be honest, I have faced much worse in life than having to tell someone what I have going on.

Tonight I want to share a little excerpt from something I wrote several months back when I thought I was going to write a book – ha! That got too daunting when I was five pages in and only on day two of the hospital stay of my first surgery. Here is a snippet, which is by no means complete and I keep editing. This is me being confident in my weakness – and all it’s glory!!

***

First surgery: October 26, 2010.


My mom drove me to the hospital that morning and my dad, brother and sister planned to meet us there. I will never, EVER, forget that morning, nor will my mom. I had to be there at 5:45 a.m. because I was first case. It was dark outside and I think I was crying as my mom held my hand the whole way there. To this day I get anxiety when I drive past the exit we got off for the hospital. 

We got to Admitting and I had to get undressed, put on a cap and gown, and this weird blanket. I was on a gurney with curtains to my right and left. It was weird and looked like the TV show Mash. A nice nurse came over to put in an IV and check my vitals. I think I was crying. My blood pressure was something outrageous like 160 over 90. I generally have textbook blood pressure. I was terrified – a fear a can't even describe. My mom kept holding my clammy hand. Next, the anesthesiologist came in and introduced herself and said she was going to give me some “cocktails” to calm me down. She gave me one into my IV and I instantly said, “It’s not working. It’s not working!” So they gave me another. After some questions and paper work, the nurse anesthetist came over and said, “Are you ready?” I was not ready. I felt like I wanted to scream, cry, jump out of my skin and escape all at the same time. I looked at my mom with tears streaming down my face and she gave me a huge hug and a kiss as they started to wheel me away. The last thing I remember is bright lights and seeing Dr. Albany (his nickname) come in with a Halloween surgical cap.

I was awake. I felt like I could barely move and my mouth was dry. There was a nurse there asking me things, so I realized I must be in recovery. My belly was sore and I was in and out. I would open my eyes for a little and then closed them for a bit.

My sister, mom, and dad came in to see me. I later found out they got special permission to come see me in recovery, thank God. I was so scared. My mom was talking to the nurse. “She has not output! She has no output!” I didn't know what that meant at the time, and I was too groggy and tired to care. My sister came over and held my hand and I turned my head slowly over to her barely getting the words out, “My nurse is a bitch.” Surgery or no surgery – feisty Becky was still in there! My family kissed me goodbye and said they would see me when I got to my room. What seemed like a few minutes later, someone wheeled me to a room. I got there and no one was in there…minutes passed…I think? I managed to feel around for the call button (even though my mom hadn't Cloroxed it yet) and pressed it. Some dude came in and said, “Oh, we didn't even know you were in here.” I didn't have the energy to say anything. Finally my family came in. They were talking about how they got my room mixed up or something.

My surgery was about three hours. Dr. Albany opened me up and what he found was even worse than he anticipated. The “cyst” was, as he later stated, “the size of a baby’s head.” We told him how Dr. Dick (a jerk doctor I had in Arizona) said the pressure I was feeling was “in my head” and he challenged us by saying, “no, no it was the size of your head.” While I was open on the table they did a frozen section to see if it was metastatic cancer. It came back negative, thank God. If it was positive he would have had to remove the tumor and all of the neighboring organs, which would have been the whole enchilada – uterus, ovaries, bladder, rectum, part of my colon?

Dr. Albany was completely perplexed by the consistency of what he found. He knew when he saw it that it was not a cyst and that it was some sort of tumor. He called in the pediatric surgeon to see if he knew what it was. No luck. The whole hospital was stumped. Since the frozen section did not come back positive for cancer, his goal was to get out as much of the beast as he could, without doing any permanent damage to me. I later learned the medical term for this is attempting to have a “low morbidity rate.”

They tried for over an hour to get it out and just couldn’t get it. I was opened up vertically down my abdomen from above my belly button to way down south (it is called an exploratory laparotomy). After surgery I was asking my mom (a nurse) if they had retractors in me to really open me up and she just said to stop asking those questions. They were about to prep me for a posterior approach (in addition to the front), which would have meant they would have flipped me, taken out my tailbone temporarily, and gone in my backside, when Dr. Albany said lets try one more time. It was in that moment that I think my Pop-Pop, who had just passed away a month before, was my angel in the room. Dr. Albany tried one more time and he got it. He got out what he could and closed me up. Thirty-two staples down my abdomen.

When my family finally got to my hospital room they all sat around me and my sister put something soft on my chest. It was a stuffed monkey that she named Henry. I was never much of a stuffed animal person, but this one was special. I held onto to that monkey so tight, and it did not leave my body for the next four days. He sat perfectly on my chest and was a nice little chin pillow.

When the nurse came in, I looked at the big bandage that went vertically up my stomach and started crying, asking if I had a belly button. I was also confused about how I would pee. They explained that I had a Foley, which meant they put a catheter in me while I was out and inserted a tube that then fed to a bag where my pee went. Lovely. I later learned that when my mom was saying I had no output she was referring to a lack of pee in my bag, which is BAD after surgery because it means your kidneys are not working.

The nurses came in every so often to check my vitals and listen for a pulse in my abdomen. I cannot even describe how sensitive my tummy was to the touch of the stethoscope. Every time anything touched it, I literally went through the roof with pain even though I was on a morphine drip (which my dad was worried I thought was a toy). I was still not allowed to eat because they wanted to make sure my colon was going to wake up. All I was allowed for the first day was a stick with a little sponge on the end that my mom could wet and put in my mouth. I was going on 72 hours of nothing but liquids (because I had a colonoscopy the day before surgery). And the incentive spirometer, oh the incentive spirometer. I had to breathe into it constantly to get the anesthesia out of my lungs. I would pass out and wake up to my mom holding it to my face! (Thanks, mom for the dedication because you know I wanted to throw that damn thing across the room.)

The nurses and my mom said that the best thing I could do was to get up walking. They told me the first day would be tough, but I had to work toward it. The afternoon of the surgery I worked with my mom and the nurse just to slide my legs over to the left, and dangle them off the bed. I was exhausted just after this and I did not move my own legs, they had to do it for me. They then both grabbed me from behind on both sides of my body and slowly tried to help me stand up. I was super dizzy and nauseous from the anesthesia. I barely stood up and then started panicking because I felt so sick and they said okay, okay that is enough and helped me back into bed. The nurse said I did a great job and that just standing was really impressive for the first day. You do not realize how much you use a part of your body until you are without it. I could not even clear my throat because it hurt my abdomen so much. The nurse showed me how to put a pillow on my belly when I had to cough or sneeze. After that, my cousin and one of my best friends came to visit me and I just remember talking and falling asleep mid sentence, then waking up, and then falling asleep again.

The first night was the worst. I had a 103-degree fever, which the doctors said was normal due to high trauma of the surgery. Little did I know, that a fever was also potentially indicative of an issue with my rectum. Dr. Albany had told my parents that my rectum might not be viable after surgery and we would know within the first 24 hours. Thank God they did not tell me that until later. My rectum survived. (Wahoo, you go boy!)

My mom was there with me the whole time. She never left my side while I was in the hospital and the rest of my family came to visit every day. She slept on the chair next to me and held my hand all night through the railing. I could not move at all, barely slept, and was sweating from the fever. People come in every hour or two to wake me up for vitals, blood draws, heparin shots, and I can’t even remember what else. Then at about 5:30 a.m. the doctors came in for rounds.

About seven people marched in and lined up in front of me. Two of them were residents I had already met and the rest I had never seen before. One of the residents was reading my case out loud, like on Grey's Anatomy, as the others listened. I was thinking to myself, I am not a fucking science experiment, is this really happening? Resident number two started to talk to me and I quickly put my hand up and said, “Woah, woah, woah.” Then one by one I went down the line, “Who are you? I know you. Who are you?” They each stepped up and stated their titles. When they were all done I said, “Well I’m Becky.” I needed them to know I was no science specimen. I was a 22-year-old girl named Becky.

Friday, January 2, 2015

Moments

Moments. Moments can last 1 second, 5 minutes, 1 day, 3 days, or more. Moments are those times when I get sad about what I have – a rare cancer I will be treating and managing for the rest of my life. Since being diagnosed at 22 years old and embarking on my emotional roller coaster, I have learned that moments are okay.

Moments often take me by surprise and are really unpredictable. I had a moment Wednesday night while at my friend’s house for a New Year’s party. I was with my best friends – people I grew up with – and was having a blast. I went to the bathroom, I think around 11 p.m., and was hit with a moment. I went pee, readjusted my new sparkly dress, and then looked in the mirror. Granted I had had a few drinks which we all know amplifies emotions, but I normally only have moments if I go into the night upset. I looked in the mirror, pulled up my dress and ran my hand down my ugly scar on my belly. It goes from above my belly button all the way down town – probably about 6-7 inches (32 staples worth after the first surgery). Tears began to stream down my face (and my great make up I might add) and I thought, I’m damaged goods. I wiped my tears, reapplied my red sparkly lip gloss and rejoined the group with a smile on my face. Here is what I have learned about moments over the years…

Allow them:
I used to feel ridiculous or guilty when I had moments because they are often irrational thoughts, and I know there are so many other people out there that have it worse than me. Deep down do I know that I’m not damaged goods and someone will love me even more for what I have endured and will continue to endure, and my scars make me even more special? YES, I know that. But, in that moment that is how I felt and I needed to allow it.

Feel them:
It is one thing to allow moments, but it is another thing to feel them. Feeling them means screaming, crying, hyperventilating, sitting and starting at the wall and not moving for an hour…being weak. The big ‘ol “w” word. All my life I have struggled with being weak. I always thought that weakness was a sign of weakness. What I have learned that weakness is a sign of strength. The oh, so very strong are often oh, so very weak. In those moments of weakness, we are really feeling…I mean feeling. Emotional pain so strong that it aches in every part of your body. But my yoga teacher always says, “You have to feel to heal.” This statement is so true. I have felt the hell out of what I am going through, but letting myself feel it is a still something I continue to work on. I was talking to my friend Tara one day and told her that I have a “I don’t cry in the Dana Farber building rule” (except when my tumor was back and huge I lost it) and she said, “That rule is just dumb. You need to throw that one out.” She is so right. I just always felt like I had to be so strong while there and then I could get home and let it out. Why, though? For what? So I don’t look weak or vulnerable? Dude, I have cancer – it’s ok.

Their duration can vary:
This New Year’s moment was literally just a moment, but sometimes they last a few days. When I get bad news from the doctor like having to decide on bone loss medications, or having to go on Lipitor for high cholesterol caused by the Lupron and Letrozole, moments can last longer. I once red in Kris Carr’s book, Crazy, Sexy Cancer, that she gives herself a “3 day rule” when she gets in a slump – or has moments. I have always tried to follow that rule. The first day you are just an emotional mess, the second day you are in recovery, and the third day you are just meh. Well a month or so ago my moment turned into about a week. This was when I had to decide about going on bone loss medications, and I went to a doctor who really wasn’t helping me. I disliked her so much… She basically explained I could go on bone loss medication now but there are no studies about what that does to people who ultimately have kids. I likely can’t have kids, but don’t want to close that door. She said they have no one else like me faced with the decision. What?! She said I could go on the drugs if I wanted or wait another year, if I wanted. I looked at her and said, “Look I don’t want to go on any other medicines if I don’t have to, but you are the doctor and if you think this is necessary I will.” Still, no good answer from her. She also mentioned that I would have to try the pill form of the medication first, but it could cause acid reflux. If I couldn’t tolerate it they would give me the one-time infusion. I told her I have terrible acid reflux (have a hiatal hernia) and have been on Nexium for years. She said sorry, insurance won’t cover the infusion if you don’t try the pill. BULL SHIT. With all I was dealing with you won’t just give me the damn infusion. Well guess what – she was fired.

Long story short I went to a different endocrinologist at Dana Farber who really explained everything to me and why it was such a hard decision, she also said she could write to insurance so I could bypass the pill form of the medication. WHY, THANK YOU, it will take two minutes of her day, jeez, I finally got a nice one. I also left there with a plan, I would go see a fertility specialist to run the plan by her, then I would get the infusion. All cancer patients know that plans are sacred ground. When you don’t have a plan…well it is just impossible to describe how unsettling that is. This huge tangent to say, when all this was going down my “moment” or “funk” lasted a whole week. I started beating myself up for it because it was more than three days. Then I talked to one of my friends and she said, “Becky, you gotta cut yourself some slack, you are dealing with a lot.” I guess she was right. I also always have something in the back of my mind that my Aunt once said to me when I was having a moment. She said, “I know. I know it’s terrible and you think, how did I get back here? But, it is just going to happen and it’s okay.”

I will end with a couple of my favorite quotes. For those of you that don’t know me I am a huge quote person. They are hanging all over my cube, condo and really inspire me.

“Out of suffering have emerged the strongest souls; the most massive characters are seared with scars.”
-Khalil Gibran

“Strength does not come from physical capacity. It comes from an indomitable will.”
-Mahatma Gandhi

“It doesn't take a lot of strength to hang on. It takes a lot of strength to let go.”
-J. C. Watts

“We gain strength, and courage, and confidence by each experience in which we really stop to look fear in the face... we must do that which we think we cannot.”
-Eleanor Roosevelt