If my goal in writing about fighting cancer was to be transparent, I’ve done a poor job recently. The truth is that pulling the thoughts out of my head and putting them on paper is getting harder. The last time I wrote, I had just finished my 16th chemo treatment which had landed me in the hospital for a week with no immunity. As they predicted, the same thing happened three more times. I was hospitalised for a week after the next three AC chemos. Each time I had neutropenic fever. Almost zero white and red blood cell counts. Regularly, I got pumped with blood transfusions and round-the-clock IVs. By the last time, it felt almost routine.
Since the hospital is busy with flu season, I repeatedly spent the night in the ER before moving upstairs to a room. I have to say, spending the night in the ER with fever and no immunity is almost unbearable. The ER is built for triage- to assess what’s the matter and move you to the right place to heal. At one point, my oncologist came to check on me. I had been in a tiny ER room for more than 24 hours with IVs stuck in my port and arm, chaining me to the blood-stained gurney. Someone in the room next to me wailed awfully. I looked up at him, in his clean white coat and face mask so I wouldn’t catch any airborne bacteria. Me–hairless, almost 20 pounds lighter than I was 6 months before. I spoke first: “This is my definition of torture, just fyi.” He smiled, I think, his eyes crinkled behind the mask. He waited till the nurses left my cell and gave me a pep talk that I’ll never forget. My oncologist, Dr. Moasser, is outstanding. He’s busy trying to cure cancer but takes the time to tell me to not give up.
I finally got out of the hospital two weeks ago and I’m elated to say that the chemo is done! It’s a relief to witness the chemo-related symptoms dissipate now for good- not just enough to withstand another chemo-whammy a week later. A few days after the last chemo, I had an MRI to see what all that chemo had done to the 3.5cm tumor in the breast and 3cm cancerous area in my armpit. A couple hours later I got an e-mail from Dr. Moasser entitled “MRI Results.” I took a huge breath and opened it. He wrote: “The MRI cannot find any cancer, in the breast or in the axilla. The radiologist was shocked! This is great news! You have done absolutely terrific.” I read his note five times to be sure I hadn’t missed a key word and eventually a hush came over me.
A MRI is an image, but it doesn’t show what’s happening on a microscopic level. And by nature cancer cells are microscopic and I had a lot of them. So it’s amazing news, but I’ll know more about the cancer and its risk of recurrence after surgery and the pending pathology report. Over the last couple of days my thoughts wobble between thinking how relieved I am with the MRI to battling gloomier thoughts. Part of what’s fueling this is noticing just how surprised the doctors were with the positive MRI results. In Dr. Moasser’s note, I ask myself: Wait, why was the radiologist shocked? What was she expecting? I’ll start reading online and come across horror stories around triple negative and spiral downwards. The same thing happens when thinking about what’s next– while talking to doctors about surgery and radiation, they say things like: “The cancer responded incredibly well to chemo, but given how aggressive the cancer initially was, we recommend the Leaving No Stone Unturned Approach.” This means the most surgery (double mastectomy and axilla dissection) and the most radiation (every day for 5 weeks). My brain is in a ping-pong match: good news to bad news, again and again. In fact, I realize from the very beginning I had no idea what I was up against. I can’t even remember what I thought I was up against 6 months ago when I first learned I had cancer.
And here’s what I really don’t want to write about, because I wish it would just go away. I am terrified of surgery and it’s just 9 days from now. And each day I wake up, it’s one day less. And what’s odd is that surgery and radiation aren’t supposed to be anywhere near as hard as the amount of chemo I just withstood. Somehow being a swimmer gave me tools to approach the slog of getting my butt kicked by chemo time and again. But surgery? It feels like I’m hopping into a shark tank. Or there’s a rattlesnake in the middle of the road and I’m willingly stepping on it, knowing I’ll lose a body part. I know there’s no choice in the matter- I will do whatever it takes to beat this cancer. But please, I’d like to turn my brain off.
Some folks have asked me about what to say (or not to say) to people dealing with cancer. It’s a great question- one which I’m sure I’ve messed up with in the past. My feeling on a high-level is that you can say anything you want– it’s great just to know you’re pulling for me during this difficult time. And my bet is that something that might bug one person would slide off the back of another, especially since each case of cancer is as unique as the personalities of those fighting it. But now, I’ve officially got my least fave. Upon hearing about my upcoming surgery, someone remarked: “Well, it’s a good thing you were never attached to your boobs.” I blinked, unable to articulate the mourning I’m feeling. I’m not especially in love with my arm, but I don’t want to lose it! I’ve never thought about this until now, but I wonder: why do people think it’s commonplace that women wish for different breasts? I’ve always been happy with my body, sort of blasé about it. Now I wish I’d celebrated my small breasts with every iota during their 43 years– they nourished both my daughters for goodness sake!
Here’s some photos from the past few weeks. And love love love this video!
- Emily flew from Barcelona in time for me to end up in the hospital for a week.
- I was released from the hospital with just a few hours before her departure. I wanted her to see a store, so we went “as is” directly from the hospital. I apologized to the salesperson, saying I don’t normally walk around in my PJ’s and she nicely replied: “You’re in SF, you can wear whatever you want!”
- Last day of chemo- 20 down and 0 to go. Michelle brought champagne to the hospital.
- Toasting the end of chemo- so thankful for friends and family close and faraway who pulled me through the past few months.
- Dear friends from Barcelona sent me home-made lipgloss! #PinkPeony
- My hero, Rafa Nadal! My friend and amazing swimmer Damian Blaum asked him for this photo. He said he remembered “Swim4Good” and sends muchos animos. I LOVE HIM!
- My daughters went skiiing with their oldest friends from Barcelona. The timing was perfect as it coincided with another week of their mom in the hospital.
- I’ve always thought the name was oddly appropriate.
- Mauricio caught me contemplating everything I plan on doing once I’m better.
Related Articles:
Crossing Cancer (Chapter 1)
Crossing Cancer (Chapter 2)
Crossing Cancer (Chapter 3)
Crossing Cancer (Chapter 4)
Crossing Cancer (Chapter 5)
Crossing Cancer (Chapter 6)
Crossing Cancer (Chapter 7)
Crossing Cancer (Chapter 8)
Crossing Cancer (Chapter 9)
Categories: cancer
Oh Susan I loved your post!! You really bring it all to life and I feel like I am sitting with you talking! You are a talented writer. The pictures are wonderful and the video is amazing! Brought tears to my eyes. You are very loved indeed and all are pulling for you, including me! You rock and I am sorry you still have so much to go through too! Hang in there girl! xoxo
Hi Susan,
I have been keeping up with all your diary entries and I can only take my hat off to your resilience and at the same time congratulate you to all the amazing friends and family members that have stood by your side. Good luck with the hopefully final part of the treatment coming up and I wish you smooth ceiling and blue skies until you are ninety plus and wistfully looking at your great grand kids! Lots and lots of forza and hugs.
Hi Susan, I started following your diaries when I came across your crazy swimming adventures through Worldreaders’ website or twitter (don’t remember) and I was 😦 when you first wrote about having breast cancer. I sincerely happy about your good news (they are in fact good) and I wish you the best of luck with surgery. About your breasts, they nourished your lovely daughters and did a great job I’m sure you will approach this with the positive energy I can feel in every word you write and I’m sure you will be welcoming and putting to test in water your new (and healthy) body in no time.
Lots of hugs from London.
For me you are a TOP10 woman; beautiful like always and incredibly brave!
Muaaaaaa
So happy for you that chemo is over. I’ll be thinking about you next week and hoping your surgery goes well. Stay strong! Loved the video – you clearly have a great team of friends helping you through this. Love you!
Susan, you’ve triumphed over this cancer with your positive attitude, your unbreakable spirit and determination. I am so grateful that you’re sharing your journey with all of us — I meditate every day and think of you and two other friends that are in a battle with cancer as well. Our bodies have been our soul’s companion on Earth — I’d be terribly rattled too at the thought of losing any part of mine! But know that many of us are rooting for you every day. Continued wishes of health and serenity for you.xo
Susan, Leaving No Stone Unturned Approach sounds so familiar. With Sebastian bewildered and frightened parents.More???????? Why?????? Necessary?????? Same answer. Trusting and confident on his wonderful team of doctors, my son finished the last lap. And there he is after 20 years : no recurrence and father of four children.
Go for it Susan, the finish line is near. Our prayers as always with you.
Stay strong Susan! Really impressive fortitude and powerful commentary. All the best and love from the Howlett family.
We’re so happy to hear that chemo is done! WooHoo! A few more steps forward…. Força, Susan! Sending you big hugs from Barcelona, Jenn & Lluís
Hey Susan!!!! te mando un abrazo MUY grande!!! eres una campeona!!! muchos muchos besos con todo mi cariño!!!!
Hi Susan,
Congratulations getting past the chemotherapy. Heavy days ahead with the surgery and we’re always wishing you the very best. Your posts are always very moving and inspiring. And you rocked the bathrobe.
XO Beth
Thank you for sharing Susan.
I appreciate health 1 million times better every time I read your blog and understand what you go through and cancer patients go through. Not only cancer patients but all diseases.
Richard