Tuesday, December 13, 2011

Coping With Cancer: RECALCULATING Your Life

(Guest blog by Judith Zamost Grossman)

In July 2011, my Garmin became my best friend. Visiting the Hudson River Valley for the first time, without a map or computer directions, my husband and I knew that our GPS system, affectionately known as Hope, was our only hope. Each day I typed in the addresses or names of places we planned to visit, and Hope came through every time.
  
Occasionally we would decide to go to a local restaurant or store, and when we swayed from Hope’s directions we would hear her say, “recalculating.” She would figure out where we were and set us on a new path. At one of those moments, I looked at my husband and said, “Recalculating – That’s how I’ve had to lead my life for almost two years.”

I am a cancer patient fighting a very rare form of cancer, known as liposarcoma, which is a soft tissue sarcoma. I fought and won battles against liposarcomas in my right thigh and groin in 1995 and 1999, and for ten years I lived a wonderful, normal life with my husband and two daughters.

In 2009, another liposarcoma was found in my groin, beginning a journey involving chemotherapy (with the requisite hair and weight loss, low blood counts, blood transfusions, mouth sores, hemorrhoids, sleeplessness…) followed by a 10-hour surgery, hospital stay, recuperation, physical therapy, weight gain, hair growth and entry back into the world. Would I have ever believed then that there could be a recurrence of the cancer? Well that’s what happened - this time with surface tumors on my thigh and one on my right lung. Back for more surgeries, 40 rounds of radiation of my thigh, and then a post-radiation MRI and CAT scan, which revealed a new tumor on my lung. On to more chemotherapy, which unfortunately still didn’t get rid of (or even shrink) the tumor. And then on to Cyberknife, which may be slowly working.  My journey continues…

So why do I say that recalculating is how I’ve had to lead my life? Because it’s the only way I’ve been able to remain sane through this nightmare I’ve been living. Let me explain.

Although I would say I am, regrettably, a pessimist at heart, I believed last year that I would be in remission following the months of chemo and difficult surgery I endured. I never thought otherwise. I expected to pick up with my life.

I was wrong and had to deal with the cancer returning just a few months later. This time I realized my life would not be the same, and I think I subconsciously started to recalculate my thoughts and the way I approached my life.

I want to share my philosophy on recalculating with other cancer patients and those living with serious disease. Maybe what I have learned will provide some help and solace to you.

RECALCULATING Treatment: It’s important to understand that certain treatments work better on some people than others. Forget about the numbers you’re given (“it works on 50%, so the odds are good”), because the odds aren’t often good enough. Cancer is an evil intruder that is often stubborn and difficult to beat. Be prepared to change treatments mid-stream and go with the flow. Maybe one of them will work.

RECALCUTING Expectations: So the doctor told you that your treatment will start in a week. The sooner the better, you think. Then you learn that your insurance company is questioning the treatment, asking for all kinds of documentation, and dragging its feet. Next week becomes three or four weeks later, while your tumors seize the opportunity to grow larger. Recalculate your expectations because things usually don’t go the way you imagined.

RECALCULATING Daily Routines:  I feel fortunate that I haven’t had to recalculate my daily routine much of the time.  For me, being able to continue working (except for the times when I feel sick from treatments or am post surgery), is a welcome relief.  Focusing on things other than my illness helps me get through the day, and work is a reason for me to get out of bed in the morning.  However if work isn’t for you, recalculate and try to find something you enjoy doing when you’re feeling well, whether reading a good book, watching old movies, seeing friends – maybe attending a support group – whatever is right for you.  

RECALCULATING Friendships and Relationships:  Having cancer affects your relationships with others. Normal conversation changes when you’re worried about your next treatment, another tumor, whether you’ll be here next year… It’s harder to talk with others about things that were once normal, because your life has changed so dramatically. It’s okay to tell friends and loved ones that you need your privacy and will be back in touch when the time feels right. Sending an occasional email update (always best to blind copy the recipients) can be an easier way to stay in touch. Or writing a blog if you’re up to it. Taking care of yourself and your emotions, and being less concerned about others, is paramount now.

RECALCULATING Plans:  Planning vacations, buying theater tickets, and making dinner reservations is a normal part of life for many. Looking ahead to good things keeps you going when work gets tough, kids are demanding, and the everyday stresses of life take over. It’s best, however, to forgo planning when dealing with cancer. With changes in treatments and schedules, unexpected side effects, and many doctor appointments (just to mention a few kinds of interruptions), it’s difficult to know your schedule a week in advance, no less months in advance. Recalculate your thinking and enjoy a last-minute getaway (good deals can often be found online) or take a trip by car. (It can be a relief not to have to go through airport security, and packing is so much easier when traveling by auto.) Want to go to the theater or a sporting event? It’s not necessary to always buy tickets in advance – see what’s available the day-of, and you may be nicely surprised.

When I first started writing this piece, I read some of it to a dear friend who had battled another rare type of sarcoma. Much of what I wrote resonated with her, and something she said particularly resonated with me. She said that to get through many of life’s challenges (not just illness), individuals need to recalculate their thinking – whether to cope with the death of a loved one, handle unemployment for a prolonged period of time, or get through a divorce. Without recalculating, we are more apt to get stuck in a myriad of emotions that could end up paralyzing us. Recalculating is a way to rebalance oneself to survive whatever the challenge.  

HOPE for the future is the only thing I will not recalculate. I need to keep this resolve for all of the battles I have yet to fight.

I hope you try recalculating in your life. It might just help you find your way.

If you wish to reach me, email judyzgrossman@gmail.com.
© 2011 Judith Zamost Grossman   All rights reserved.

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