Tag: mastectomy

The Swollen Truth about Lymphedema

by Seaglass4Nicole, posted in Beachcombing My Way through Breast Cancer, Uncategorized

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Lymph–what?

Before I personally became affected by its dreadful presence post-cancer treatment, I simply joined the rest of society’s collective yawn in not really concerning myself or knowing much about lymphedema at all. In fact, here we are at the end of March and until a mere 24 hours ago, I had no clue that March was Lymphedema awareness month. Who knew?

So what exactly is it?

This seldom talked about, yet debilitating condition known as lymphedema, means that your lymph vessels are unable to adequately drain lymph fluid—typically from an arm or leg—causing edema or swelling to develop. This blockage of the lymphatic system can be either primary (occurring on its own) or secondary (caused by another disease or condition). Secondary is far more common than primary lymphedema. In fact, one in five individuals who receive conventional breast cancer treatment will be affected by Lymphedema at some point in their life post-treatment. That 20% statistic can sharply increase (even as high as 70%) if any of the following were part of the treatment:

  • Full axillary lymph node dissection (removal of lymph nodes above, below, and under the pectoralis minor muscle—known as levels I-III)
  • Radiation to the lymph node areas after lymph node surgery
  • Extensive cancer in the lymph nodes
  • Chemotherapy
  • Mastectomy rather than lumpectomy

So for me that would be:  check…check…check…check…and CHECK.

Now, if I’ve been consistent with anything on this journey, cancer has surely put me on the path of consistently landing in the bad side effects’ category breast cancer treatment can often induce and even the bad side effects to those side effects.

So lymphedema has joined my world. Permanently.

Now What?

When you’re in the warzone of cancer treatment, your sole focus is simply—getting through it. What happens on the other end of treatment is an entirely new battle, one with less direction.

About six weeks after my bilateral mastectomy, I noticed what appeared to be ropes forming under the skin, extending from the armpit where my lymph nodes were removed down my arm to the wrist. At my next surgical oncology appointment, I talked about the pain and reduction in movement in that arm, and after examining it she told me it was “cording.”

Cording? Apparently axillary web syndrome (AWS) or “cording” is a common sequelae of breast cancer surgeries, especially those involving axillary node dissection with mastectomy. The general school of thought is that trauma from surgery causes a hardening of the connective tissue, which causes those tight cords to form. While there is still a lot of mystery surrounding its occurrence, when you are affected by those thick rope-like strands visible under the skin—you painfully know it.

For me as with many others, post-mastectomy cording was the foreshadowing of lymphedema to come.

It wasn’t long after 35 rounds of radiation to my chest and remaining lymph nodes, that I began noticing pain and weakness in that arm. It was subtle at first, my arm feeling sore and tight, until it progressed to…me catching a football on the field, leaving an indent so deep on my small arm that you could practically see through to the other side. This is what doctors and nurses would refer to as a +4 on the pitting edema scale—very deep indentation lasting for over 15 minutes.

Throughout my entire course of active and hormonal cancer treatment, lymphedema was certainly not the first side effect to rear its ugly head. In fact, when all of my finger- and toe-nails began oozing with infection before lifting off from the poisonous chemo cocktails I was taking, I might have even prayed “anything but THIS side effect.” But the difference between that temporary side effect and lymphedema…is just that. Lymphedema stays for the long haul. Nails grow back and heal. Lymphedema lives on. And with that you must learn the most effective ways to live on with its ugly presence. So I found ways to help reduce the swelling and discomfort. How?

  • Physical therapy. Here I learned ways to help retrain the lymphatic system to recirculate waste to other lymph node areas in the body through self-massage;
  • Compression sleeve. I got fitted for a sleeve, and though it feels constricting, it helps ease the discomfort of pain while encouraging the lymph flow to not get blocked;
  • Exercise plan. Under the discretion of your lymphedema specialist, a regular regimen of stretching and range-of-motion exercises can help strengthen the lymphatic system; and,
  • Lifestyle changes. I’ve had to mindfully change the way I would once mindlessly use my affected arm. For instance, not carrying heavy items in that arm (groceries, handbags, etc.), trying to avoid trauma to the arm, and vigilance in keeping my hands gloved when cleaning to reduce infection/irritation.

These approaches are not the magic cure, but have certainly been beneficial in my case. Other, more advanced treatment options are also available for those with more severe cases of lymphedema.

Side Effects to Side Effects? Really?

russian-nesting-dolls

I’ve always loved Russian nesting dolls. As a child, I would line those beautifully painted little wooden figures up, mother matriarch all the way down to the itsy-bitsiest solid figure, sometimes seeming to go on endlessly. Breast cancer for me has been the mama matriarch in what seems to be an endless set of Russian nesting dolls. The big C has given birth to a multitude of so many other “surprises” on this unchartered journey—lymphedema being one.

Sadly, I would love to say it was that final itsy bitsy solid figure to add to this proverbial nesting-doll-lineup, but of course, that would be somewhat boring…and Lord knows this journey has been anything but dull.

Having lymphedema as a side effect to cancer treatment means as a result, you are likely to face new, more serious side effects and challenges. For me those challenges have come in the form of infections. Complications from these infections can ultimately result in amputation of the affected limb or even death.

Last fall, I woke to what appeared to be a very red, swollen, extremely sore arm and my index finger (where I had pulled a painful hangnail from the night before), was also swollen. My first thought was, maybe I slept on it funny. So I took some ibuprofen and started my morning routine. I remember brushing my teeth thinking, why do I feel so weak this morning? Even though the pain and redness continued to worsen and spread, I realized I had no time to be whining, because my workday schedule was jam-packed and I certainly couldn’t afford to stay home sick.

By the time I reached my office, I collapsed on the floor.

A colleague rushed me to the local emergency room. My heart was beating out of my chest, my teeth were chattering with the chills, and my breathing was extremely rapid. After blood tests confirmed I had sepsis (and clearly going downhill), they rushed me via ambulance to Boston. That became my home for some days, infection reaching my lungs, around-the-clock contemplation of amputating my arm and pretty much my life falling apart.

But here I am, praise God—alive and well.

Sepsis is a systemic extreme inflammatory response to an infection that has spread throughout the blood and tissues. The extremely low blood pressure that often comes with sepsis limits blood flow to the body and can often result in organ failure and death.

As a cancer patient and more significantly…a lymphedema patient, I am more susceptible to these infections because my body is immunocompromised, and because of the weakened lymphatics, my affected arm is considered immunodeficient.

Sidebar: I urge everyone who has lymphedema to be under the care of an infectious disease doctor. These physicians are specially-trained in the recognition, treatment and prevention of infections. Mine has literally kept me in the palm of his hand, and I would hate to not have him as an emergency contact in my phone.

By me pulling a hangnail the night before, not only caused trauma to my affected arm, but it was the very tiny opening that allowed strep bacteria to enter the skin. That’s all it took to put me on death’s doorstep.

Suffering in Silence

Overall, oncology as a medical profession has all too often instilled in patients the idea that there are worse things than some of these silly side effects, including lymphedema, and the only real noble approach to deal with it is to stop complaining and suffer as quietly as possible. Who wants to do that? Because remember, lymphedema has moved in permanently.

Be proactive. Much of my knowledge surrounding lymphedema has been through my own self-education and talking to others dealing with it.

Suffering in silence results in one thing and one thing only—continuing to bask in society’s collective yawn. Change only comes when we demand it. Change only comes when groups coalesce around a compelling cause and systematically advance their agenda in every forum imaginable.

Breast cancer–related lymphedema is a real concern in the breast cancer community and though it’s been difficult to quantify due to both the delayed onset of symptoms and the lack of standardized diagnostic criteria, there is a need for more awareness and education. Be the voice for demanding more support.

One encouraging message about lymphedema is that effective management and skilled experts are available to help you. However, until there’s a collective voice drawing much needed attention to this condition, it is our responsibility to educate ourselves and ask questions along the way. It is our responsibility to get informed and share that information to help others along their, often debilitating journey.

Lymphedema Resources

Books:

Lymphedema: Understanding and Managing Lymphedema after Cancer Treatment by the American Cancer Society (American Cancer Society, 2006)

100 Questions & Answers about Lymphedema by Saskia R. J. Thiadens, Paula J. Stewart, and Nicole L. Stout (Jones & Bartlett, 2009)

Websites:

National Lymphedema Network, lymphnet.org

National Cancer Institute, cancer.gov

The Doors In Between

by Seaglass4Nicole, posted in Beachcombing My Way through Breast Cancer, Home, Inspiring the Senses

Door to Nowhere

There are things known and things unknown and in between are the doors.

Jim Morrison

After visiting the Greek islands, not only did I walk away with a deeper appreciation for the architecture—amazingly beautiful structures that all spoke of bygone eras—but somewhere among the thousands of incredible little cobblestone alleyways and whitewashed streets, I got caught up obsessing over the doors.  The mystery and allure of the rustic and charmingly seductive doors in Santorini are in many ways akin to passageways within our own lives—some invitations to great, even sheltered opportunity, while others yet signifying isolated imprisonment, an escape, or even bitter closure. To me all doors seem to speak of the powerful knowns and unknowns encountered in life—perhaps the very reason why I’m so intrigued by them.

Recently, when asked why I haven’t written a post in some time, I realized I couldn’t really blame my hiatus on a lack of inspiration.  After all, I earnestly recognize the daily miracles all around me, including the abundant joy that my three amazing boys deliver—all opportunities to ignite a spark of inspiration to flow on paper.  Instead, I think the heaviness on my heart these last months has been the source of the ink drying in my pen.  As many of you within the breast cancer social media community know, we’ve recently seen several women reach new passageways in the realm of cancer.  While some have opened doors to the unknown dreaded territory of metastatic disease (stage IV), others in the community are at the end of treatment options and have entered the doors of hospice care in preparation.  Saddest still, are the beautiful young women who recently closed their final doors on cancer and are now journeying beyond this world, leaving loved ones gripped with grief behind.  As Jada so beautifully wrote one day before her untimely death at age 36:  “Y se me va la vida….and my life goes away….”

Every three seconds in the US, someone is diagnosed with breast cancer.  All of these people share at least one common thread that ties them together—they are a statistic.  Regardless of stage at diagnosis, we all walk through the unknown door of breast cancer with a 30% chance of going on to develop incurable metastatic disease.  Now I know statistics may seem mundane, but when you’ve been touched by cancer, those numbers are painfully real.  As a “statistic,” I have a vested interest in educating myself and others about this terminal disease and urging people to support research that helps those with advanced breast cancer live longer.  So though the town may be painted pink every October and beyond, and while some in the world perceive breast cancer to be the “good” one, the richly funded one, or even the easy one—the somber reality is that in the US alone this year, we will see an estimated 40,000 deaths from breast cancer.  Yes, that’s one woman every 13 seconds—gone.  So it’s safe to say that though I’m grateful for heightened breast cancer awareness that has come from pink campaigning, this disease is not good—in fact, just like every cancer, it sucks.  As the second leading cause of cancer death in women behind lung cancer, breast cancer is a fierce adversary on the cancer brigade.

Going through photos of my visit to the pearl of the Mediterranean—as Santorini is so deservedly known—awakened that odyssey of cherished memories that live in my heart … memories all scattered in between the doors-galore.  Everywhere stood phenomenal, colorful doors:  doors within doors, doors with seemingly no purpose at all, and my favorite by far, those charming and dreamy “doors to nowhere.”  I get goosebumps thinking about them.  My obsession with these doors was in large part because they were like an unlimited gateway into my imagination, allowing me to see what my mind’s eye envisioned to be on the other side.

My prayer is to find my door to nowhere on this walk, one where my eyes will be fixed on the Lord and my trust in His plan and purpose for my life regardless of what lies before me.  On December 26, 2012, I was evicted from life as I knew it and had to close the door to my pre-cancer existence.  You realize fairly quickly entering this brave new world that you’re forever changed, always wondering where this narrow passageway will lead, one where you feel like one inch in any direction—the walls on either side will come crashing down around you.   In fact, it’s often hard to talk about those feelings, because it’s easy to feel guilty while there are countless other women who have current goals—like seeing their children graduate from High School or even Kindergarten. These women with incurable metastatic disease are part of the 30% to enter Stage IV or advanced breast cancer, and though some will live in treatment for some time, the reality is when you are stage IV, you will die from or with breast cancer.

Occasionally in my circle of close friends and family, I’ll get the question:  “Why you, Nicole?”  Without thought, my answer has always been “Why not me?”  I am no different than the other 10 million cancer “survivors” in this country all going about our lives with a slight pause in our walks, wondering if the cancer is only hiding behind the next door.   As a woman of Faith, however I try—instead of pausing to stop and thank God for being there, for holding my hand on the journey and seeing me through every step of the way.  It’s easier to rest in hope under the umbrella of prayer and thankfulness.  As I once read:  “Those blessings are sweetest that are won with prayer and worn with thanks.”

In love … and hope …

Nicole

I am the door. If anyone enters by me, he will be saved and will go in and out and find pasture.

John 10:9

Taking Flight

by Seaglass4Nicole, posted in Beachcombing My Way through Breast Cancer

Red Balloon

Some of us think holding on makes us strong; but sometimes it is letting go.

Hermann Hesse

Nostalgia.  The very real sense of “homesickness” for things or situations of the past can appear when you least expect it.  It can come in the form of a scent … a sunset … a book … or even a song.  Often, I wonder if the chemo “fog” that so magically formed in my brain has instead given rise to a deeper level of nostalgia—more vivid recall of long ago, forgotten memories.  I find it laughable that mid-sentence during a conversation, my brain can lose focus; yet during a morning “solo” jam session in the shower, the lyrics of a song can send my mind reeling down memory lane on a fast track to childhood.  This particular morning in the shower, lyrics from a song brought to mind a recurring dream I had as a child.  It came to me with such clarity, I could actually recall the emotions I felt as a child … awe coupled with fear.  There I stood, holding a big red balloon.  The very balloon I was enamored by in the dream was also the very object that brought me indescribable fear.  Fear of flight.  There was the fear that as I held tight to the balloon—it  would carry me away … while an equally fearful sense that at any given moment my hand could let go of the balloon and it would take off without me.

Life takes us by surprise and orders us to move toward the unknown—even when we don’t want to or when we think we don’t need to.

During my recent trip to Dana-Farber, I was confronted boldly with the ugly face of fear.  Fear of the unknown … fear of new beginnings … fear of letting go.   

Nine plus months have passed since I was plunged into this unknown, unexpected realm of a stage III cancer diagnosis.  My nonstop mission to do whatever necessary to put this thing in my rear view has sent me on a journey filled with lifejackets in a sea of doubt and confusion.   The lifejackets of chemo, bilateral mastectomy and radiation therapy have kept me afloat, making hope an easier vision.  Now I am left to tread these unchartered waters with Tamoxifen, or as some refer to it:  the little poisonous pill—one I will (hopefully) be swallowing daily for the next ten years.  Needless to say, I left my oncologist that day with little comfort as her simple advice spoke angst in my heart.  She advised me from this point forward I need to be mindful of pain that appears suddenly or lasts longer than usual, any shortness of breath or recurring headaches … etc.  Basically, I left the exam room that day feeling powerless, lonely and filled with a new fear—the uneasiness of fear itself.  Will it carry me away like that big red balloon in my dream so many moons ago?

I once read that love is what we were born with, while fear is what we learned here.  When you begin an unknown pilgrimage … you must not be afraid.  You need to have ample courage to make mistakes.  God uses the tools of disappointment, defeat, and despair to show us the way.

Though I feel as though somewhere along the way, I’ve lost myself a bit, I’m growing and learning to accept suffering as a vital life force flowing through me.  I refuse to consume my present and future moments with the fear of the unknown.  Yes—I’m certainly a work in progress, making many mistakes along the way, but I need to let go … sending my red balloon of fear aloft, knowing that letting go will give me victory moment by moment.

I’m beyond grateful for the outpouring of love and support so many have showered on me.  Now more than ever, I welcome and yearn for your prayers and words of encouragement.

Loads of Love … in hope,

Nicole

For God did not give us a Spirit of fear but of power and love and self-control. 

2 Timothy 1:7

Sponge Diving Our Way to Authenticity

by Seaglass4Nicole, posted in Beachcombing My Way through Breast Cancer, Inspiring the Senses

The Sponge Diver

Every artist dips his brush in his own soul, and paints his own nature into his pictures.

Henry Ward Beecher

We all have a narrative, a unique story to tell.  As individual collections of life experience unfold, we see before us a dramatic self-portrait form, a picture based on the very peaks and valleys that make up life achievements as well as life challenges.   Often times we sit back and view the painting through a foggy lens, one cluttered with learned behavior, tradition, societal expectations we feel compelled to align with, and so on.  The question surfaces:  Is there really such a thing as an authentic self, a bona fide me?

Pure art.  I once read that every good painter paints what he is.  Every so often one is blessed to experience something that leaves you spellbound.  I honestly didn’t expect a trip to the Museum of Fine Arts with the boys over the summer to  render such a state, but this particular visit was so pure, so meaningful … I’ll never forget it.  While exploring the unique handprint illustrated on every piece that day at the museum, I felt an intimate connection, a momentous view into the heart and soul of each artist.  I envisioned their hands at work, powerfully expressing their life narrative, with the purposeful strokes of a paintbrush.  Taking in the world around us, we often find relatable links to our own lives through the canvas of creation’s powerful pull.  For me, words are my art medium …writing my paintbrush.   Though not nearly as beautiful as a masterpiece hanging on a wall, my words become an artistic expression of my heart.  When I’m silent, I’ve usually failed to claim the peace that comes from tapping into creation’s “voice” all around me.  Recently, my silence has stemmed from allowing exhaustion to dominate my narrative.

I just completed the next “installment” of cancer treatment—30 rounds of radiation therapy.   Similar to chemotherapy’s bittersweet end, my emotions took me off guard.  Suddenly my head began to buzz in a sea of rhetorical questions:   What now?  Will I have the strength to not let fear dominate my existence?  Will I fail at keeping hope close?   I guess you could say treatment in some ways becomes supplemental courage. The poisons of chemo, the removal of body parts via mastectomies, and the cancer-causing beams that make up radiation—all contribute to a (false) sense of security.  The truest test of faith comes when you have nothing else to rely on … but the very faith you entered this ride with.  The past couple of weeks I’ve had a weighty question tugging on my heart:  Who am I?  Have I allowed this “life circumstance” to take over the pre-cancer me?  Coco Chanel said it best:  Hard times arouse an instinctive desire for authenticity.   

When I encountered The Sponge Diver by Winslow Homer that day in the museum, I became instantly gripped by its beauty and authenticity.  I envisioned myself there in the Bahamas, watching from a distance as a sponge diver emerged from a “naked dive” to the ocean floor, surfacing with his prize.  I thought of the rich history attached to sponge diving and the remarkable courage of early divers—always equipped with a readiness for sacrifice and a willingness to take risks.  In the old days when the skin diving method was used, divers went out to sea in a small boat, often using a glass bottomed object to search the ocean floor for sponges.   These authentic divers used simple methods … relying solely on their God-given bodies and their own natural breath-hold ability—historically performing at levels rarely attained by contemporary divers.   As time progressed, greed took over sponge diving and divers began using large, hard-hat diving gear to take on longer dives at deeper levels.  What resulted was a great deal of death and paralysis among divers.  The history of sponge divers shows us two faces of an empirical approach to life:  allowing the want for more to influence you, compromising everything; or staying focused on your God-given unique qualities that will not only get you the prize but without the compromise.  Fortunately, the beautiful centuries-old tradition Winslow Homer captured in his watercolor personified the original glory of sponge diving in its naked form.  Homer once said “You will see, in the future I will live by my watercolors.”  I’d like to think he pondered the authenticity of the scene set before him while painting this masterpiece.

Thursday, I have my next visit with my medical oncologist and the plan is to begin Tamoxifen, an anti-estrogen hormone therapy designed to stop the growth of cancer cells that may be present in the body, while blocking the effect of estrogen on these cells.  The plan is to have me on this for the next 10 years.

Isn’t it funny … as a child, we just want to be like everyone else.  As we get older, we desire to beat to our own rhythmic drum.  As we further mature, the connecting events of life further complicate our sense of self.  A diagnosis of cancer has made one thing crystal clear in my life:  I desire to be defined by nothing more than God created me to be.  My “now” plan is to be satisfied with my Creator’s design … the authentic, unique me.  It is only after taking off the dangerous diving gear of the world’s pull on us that we can find freedom like no other.

Nicole

 

Swinger of Birches

by Seaglass4Nicole, posted in Uncategorized

birches

. . . So was I once myself a swinger of birches.  And so I dream of going back to be. It’s when I’m weary of considerations, and life is too much like a pathless wood where your face burns and tickles with the cobwebs broken across it, and one eye is weeping from a twig’s having lashed across it open. I’d like to get away from earth awhile and then come back to it and begin over.  May no fate willfully misunderstand me and half grant what I wish and snatch me away not to return. Earth’s the right place for love …

–Robert Frost

I love birch trees … I always have.   The beautiful bark and graceful branches and shape have long been sought after landscape choices for many seeking beauty and exquisite charm in a simple, artistic way.

Some months back I remember traveling and as the passenger looking dreamily out the window, I saw what seemed to be a good mile of nothing but clusters of birch trees.  I was mesmerized by the beauty and remember commenting to John how I’d love to be lost there in the woods amidst the birches.  Fortunately, John’s known me long enough to know how “unique” my imagination is . . . but also how crazy I am; therefore sped up a bit, most likely afraid I would ask him to pull over and drop me off—me all too eager to be lost in the “forest of birches”.

Surgery happened.

My surgical oncologist is a rock star and knowing a bit about my music interests and the frame of mind I was in, I let her choose what music would be played in the OR.  So after praying and being wheeled down the hall, I entered the bright OR with the very unique and melodious Dido—calming my nerves incredibly.  My surgeon and anesthesiologist held my hands until I slipped away to Dido’s beautiful voice, remaining in never-never land for the next 7 hours.

I don’t actually recall awakening per se, but I do remember in my dreamy, morphine fog, seeing John for a moment, next my mom, and then my sister.  My eyes couldn’t stay open for long, but what I later realized was that I had to be alone that night, which killed me.  My family was told they were only allowed about two minutes to see me as we learned the hospital was over-capacity, meaning  there were no rooms to send me to—so I would be spending at least one night alone in the PACU, no visitors allowed. The pre/post anesthesia care unit (PACU), consisted of a lovely 2×4 curtained-space where I was surrounded by sick people going in or coming out of surgery.   Not to whine, but I honestly felt helpless and alone, knowing that my ONE expectation and comfort pre-surgery was that I would have my family around me when I awoke.  In my mind, I needed this more than ever, because though this necessary “thing” needed to happen, this surgery (that I still don’t vocalize all that much), the thing that was vainly and intensely dreaded—yet eagerly anxious to get over with, hoping to remove this thing called cancer out of my body (with the goal:  for good)—I felt more vulnerable and weary than ever and desperately needed people who loved me around me when I awoke.

Now let’s face it— typically, any type of amputation is a day surgery these days with insurance or at best an overnight stay.  Staying 4 nights was over the top for my little “Angie Jolie” procedure.   The result of my surgery was apparently “beautiful” …. odd choice of wording, but okay, whatever.   By the middle of day two in PACU-ville (still no room available) I was told I would have a private room by dinner time.  Yay.  What I didn’t know was that in all the unseemly unfairness in my “lonely Nicole land”, the staff, some very special angels in my midst who really understood my emotional struggle really hooked me up—BIGTIME.  My room was in the “celebrity hotel quarters” of the hospital, or the place where those who choose to spend a month’s salary per night out of pocket after insurance go to heal—private chef and all.  Honestly, God is good, because this is NOTHING I would ever choose even if I were celebrity-status, but after my disenchantment post-surgery, it was indeed a lavish treat, though not exactly one of my “bucket list” return spots of interest.

In and out of sleep the last two weeks, I’ve thought and dreamt about birch trees … I don’t know why, but they’ve visited me in my dreams.   What does the birch tree symbolize?  I guess from what I’ve gathered, the birch tree symbolizes a fresh start and can bring courage and determination especially to those of us who are treading the path of spiritual growth and weariness.   Although the birch does appear fragile, in all its “romantic” carving ability . . . (y’know , the way lovers can permanently make a mark on its writeable bark), instead, the birch tree is extremely hardy—teaching us that in apparent weakness there is often to be found great strength.

Worldwide, birches also promise new life and love, and are great symbols of purification and renewal, helping to focus our attention on our potential for change and on the consideration of new directions and goals to be experienced in our lives.

When I think of Robert Frost’s masterpiece—“Birches” I’m reminded of the swinging motion—the substance of the poem and the deep force that comes with such a motion.  My life is filled with the contrary pulls of truth and imagination.  Tangible and spiritual.  Control and abandon. Flight and return.   The upward “swinging” substance of the poem brings me to imagination and escape—away from the ultra-heavy truth of cancer and all the changes and uncertainties it has brought to my life and those I love.  The downward “swing” and truth of Frost’s brilliance, brings me back to earth, to face the challenges set before me and to look with fresh eyes at the many areas of my life that need clearer focus, new direction, deeper love.

I’ll be honest—Truth with a capital T for me is that I often desire to get away from the earth awhile these days, becoming a swinger of birches.  The thought and attraction of climbing a beautiful birch, leaving the difficulties and weariness of this journey behind is in many ways a no brainer.  Who wouldn’t want to escape?  Life is so much like the “pathless wood” Frost speaks of.  One easy way to navigate would be to climb a tree, high above every obstacle below.

God, however is Love and has intricately put each of us here for a plan and purpose bigger than ourselves.  When I think of that, it motivates me to pursue all He has planned for me regardless of how much time that may mean here on Earth.  I love how Frost says in his poem:  “Earth’s the right place for love.”   For now, he couldn’t be more right.  In my deeply imperfect state, constantly craving escape, I must return from my upward swing and come back again … to keep going where He wants me.   I’ll always want to push toward Heaven, where difficulties and heartache don’t exist, but as His plans have me here, I need to know the limits and limitless abilities my Father has chosen for me, and pursue them now with passion.

Yes . . . I love birch trees.  They are the perfect vehicle.  A thrill to climb, yet firmly rooted in the ground—never allowing one to sever the ties God has with His plans for us here on Earth.  Swinging down takes experience, skill and courage . . . leaving that higher place.  It means that you take risks and you explore the mysteries of life. Being a swinger of birches means I can look back on life and be proud of the accomplishments and challenges.

I’d like to go by climbing a birch tree, and climb black branches up a snow-white trunk toward heaven, till the tree could bear no more, but dipped its top and set me down again.  That would be good both going and coming back.  One could do worse than be a swinger of birches.     

Tomorrow’s a new day, and actually the day I will learn of my pathology results and hopefully have these dreaded drains removed … (for all you who’ve had them, you know EXACTLY what I’m talking about).  I will keep you updated on the news of my results.

Therefore we do not lose heart. Though outwardly we are wasting away, yet inwardly we are being renewed day by day.      

2 Corinthians 4:16

Nicole

 

 

When Life gives You Lemons … Indulge

by Seaglass4Nicole, posted in Beachcombing My Way through Breast Cancer, Inspiring the Senses, Looking and Feeling Your Best

Lemon

Let me embrace thee, sour adversity, for wise men say it is the wisest course.

~ William Shakespeare

“Easy-Peasy-Lemon-Squeezy” is a tune each of my three boys has declared on more occasions than I can count.  The expression was mastered by the boys in Kindergarten, and has since become a jingle of choice, my little mantra in times of difficulty.   What I never realized, however, was the amazing truth behind the cutesy rhyme—in its very literal sense.   Lemons are truly an easy solution to a multitude of problems.

Many people have asked where I’ve been these days.  The normal “zest” I try to tap into every day in some ways turned sour this past month or so.  I think I’ve been in survival mode since Christmas, and as deep fatigue and malaise set in with the last phase of chemo, I guess the reality of the “big C” has really weighed on my mind much heavier.   I have found it difficult to find inspiration in the things around me that usually bring clarity and joy to my daily life.  Instead, I’ve been “puckering” up to the sour circumstances of this thing called cancer and all the un-pleasantries that come with it.

Chemotherapy is now done.  Finito.

The last few visits to Dana-Farber had me physically ill before arrival.  I guess you’d call it a psychosomatic response to the dreaded poison that was about to make its way into my veins.  Ironically, the last infusion of AC was bittersweet—a real sense of relief that chemo was over coupled with the real fear that chemo is over …. surgery looming on the horizon.  There were tears, hugs, well-wishes and love poured out on me and my heart ached a bit knowing that the very poison I dreaded every week , the very thing that made me so sick and tired was no longer going to be beating me up to make me well.  It sounds sort of warped, but there was a sense of trauma that accompanied me out the door that day.

Lemons.  A while back, my sister, Michelle lured me into a lemon love-fest, leading me on an exploration of this citrus gem and all the wonderful medicinal properties it delivers.  I won’t lie, as a woman, I love learning about hidden beauty secrets that…well, help me look and feel 20 again.  Who doesn’t?  So learning that this citrus fruit full of Vitamin C is also a great source of protection from free radicals, y’know those pesky little things that, theoretically speaking—“age” us … led me to begin my love affair with the savant of the citrus family—limones.

Cancer treatment does a number on your body.  For many, that number is called something like whopper-doozie or as I like to call it:  “le destructeur” to the enth degree.   Chemo is cumulative.  In short, different symptoms present at different times, many worsening as you go.  Completing 20 weeks of chemo—my “le destructeur” wreaked havoc on a few different areas of my body, some worse than others.

First up—Anemia.  This past month, my red blood cells were at a relatively speaking all-time low.  For me that equated to difficulty walking up a flight of stairs without looking like that annoyingly under-exercised person gasping for air at the top of mere 10 steps (no judgment here).  Yup.  I was that chick.  Only as I was gasping for air, chest pain and often severe headaches accompanied it.  It was frustrating.  I’m usually the one racing up six flights of stairs in 4 inch stilettos, with a resting pulse rate at the finish line.  Seriously—BEYOND frustrating.  On the bright side:  I could walk up a flight of stairs.  After all, some struggling with severe anemia can barely get out of bed because they’re just too exhausted to even put their feet on the floor.  Little by little, I am gaining back strength and stamina, but adding the bitter-tasting, yet miraculous power of lemon juice has the added benefit of aiding the body to produce red blood cells, thus speeding along the process.

The beauty of this little yellow fruit knows no bounds as it also helps ease anxiety.  Lemon balm has a calming effect and therefore may be able to help remove fatigue and exhaustion, anxiety, nervousness, and tension—pretty much the very things that sour my spirit.  I’m not saying Valium can be completely tossed to the curb, but hey…I’ll pucker up.   Ironically, I also earned that though I’ve been in a state of brain fog from the chemo, apparently inhaling lemon oil helps to increase concentration and alertness.   (I wish I had remembered this fact during all of my forgetful chemo-brained moments … that still plague me).

In many ways my lemon in life has been the source of much sweetness.  Cancer’s sour taste has become the old adage:  “when life gives you lemons, make lemonade.”   My lemonade has been tasted in the sweetness of new relationships and the beauty that comes with having people to love and be loved by….so many bringing light and joy to my life.

Last Wednesday I had an MRI to see how the cancer responded to the chemo.  I won’t learn results until this Thursday, but ultimately know the full picture won’t be revealed until I’m opened up.  My prayer is that chemo did its thing … which will help guide the surgeon to a goal of a better outcome.  My surgery date has been set:  June 14.  I felt a pit in my stomach when I got the call confirming the date… but I know it’s time.  The date however does bring special significance—Logan’s birthday (also Flag Day).  I was further inspired by my friend and colleague, Sarah—her Grandmother also sharing that birthday, a precious soul who lived to be 101.

Nothing in life is a coincidence.  His timing is perfect.

My son, Logan recently placed a scripture on my bathroom mirror.  His note brought tears to my eyes as he wrote:  Mom, Isaiah 43:1-4 says it perfect— “Do not fear, for I have redeemed you; I have called you by name; you are Mine!”

Thank God, I am His.

Little by little, I’m shaking off my sour to make room for the sweetness and zest that comes from indulging in the lemon that has been sent my way for a season … for a reason … for a greater purpose than I may not be able to grasp just yet.  Though I feel changed, I know that my Father has not changed and will forever be in the business of unfolding His plan and purpose for my life.  That fact alone brings me peace that passes all understanding.

All my love . . . Nicole