My attitude needs a tune-up.
Maybe it's because I am still new to this process, but I'm having a hard time dealing with the fear and looking forward. For instance, I've fallen into a terrible mind set. Whenever my husband and I talk about long term, meaning a year or more out, plans, I think to myself "IF I'm here." I'm early stage, with, I'm told, a good prognosis, yet this thought always goes through my traumatized mind when thinking about the future. Once or twice I have mentioned this to my husband and he corrected me with the facts about my excellent stats for being "cured." This helps short term, but the minute I once again think a year or more ahead, here we go again. So hoping that after my first year cancerversary I'll start truly believing I can have a long life. Sigh.
Comments
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yorkiemom - your diagnosis is still recent, so it is going to take a while to be able to have some perspective. It is important to come to terms with the fact that all any of us ever have is one day at a time. There are no guarantees for any of us with BC, or any person not diagnosed with BC, that we get more than today. I don't look too far forward, although that is not the same as not being optimistic. I think my husband (like many men) felt that we were presented with a problem, we took these specific steps, and now the problem is solved. I think in the last few months he has come to realize that we have no "cure" we just have NED, even with a good prognosis. I am beyond my first year cancerversary - but just finished with Herceptin and have not had exchange yet. That one year mark was no different for me. Give yourself some time, and hopefully you will come around to being able to think ahead to a time when this is not as heavy on your mind.
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I think many of us go through a time like this, or many times like this. I have come to allow myself to "sit on the pity pot" for a few hours, then drag myself back to fighting the good fight and so forth.
I have learned to express myself here, but not so much anymore to Friends and family, because I can only imagine how hard it is for them to hear.
In time, you get your "sea legs" somewhat with this, you get used to talking about cancer, treatment, and get yourself involved in a positive way. Even to help others.
You are new to this, it really does take time to start coping with it all, and as I said, I still have days that drop me to my knees. (20 months now). One thing I had to do for myself was begin taking an antidepressant, I was falling apart with every "test" i had to cope with, just crying too much to even think, and I feel it has helped me get through all of this.
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Thanks so much for your perspective, Special K. I always read your posts because they are so informed and caring. It's just weird, because I'm used to thinking 20 years ahead, no problem! Now, I have my doubts. My husband, as you mentioned, clings to this "we fixed it, now move on" mentality. I did mention to him that people can recur or progress many more than 5 years out. But he's new to this too and still needs his psychological security blanket.
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I remember one time we were talking about getting tickets to something that was a year ahead. I just stopped short and thought "Should I be planning this?" I then was talking to a fellow bc survivor and she said that the very same week, her girlfriends were planning a beach week together and asked her to go and she said "Yes, if I am still here." Of course they were horrified. But the fact is, the closer you are to diagnosis, the more real those thoughts are.
This month is my 3 year anniv from dx. I don't think that way anymore, and if the thought does flash through my mind, it is much much easier to shoo it away.
Be gentle with yourself. You have just been slapped in the face with your own mortality. It takes a while to stop stinging.
Amy
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Yorkie.. I agree that you are very new to this.. I have sort of the approach of one step at a time.. its a process.. I will get through this ... and I will be cured. My approach. As I was having surgery, chemo, more surgery, I felt each step was getting me closer to my goal... Do everyhting you can do, keep your head up and you will have more hope.
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yorkiemom- If it helps, everything you're feeling is very normal. I copied an article in which the author describes his unexpected depression after his treatment was over. He said after a cancer DX "mortality is no longer abstract and a certain innocence is lost". I thought that summed it up perfectly. On average it takes a cancer patient about 2 years to feel as though they are finally moving forward again but even after that things can remind us and bring it crashing down again. I find as time goes on, though, those times are farther and fewer behind. I asked my mom, who had uterine cancer, if it ever goes away completely- that fear of cancer returning. She said, "In all honesty, it never goes away, but it does get much better." There's a quote on one of the BCO home pages that I think describes this. Hope it helps! (BTW, I am a Yorkie(poo) mom, too!)
"Living with the fear of breast cancer is having a whale move into your living room. One day, it just appears and is always in the way. Over time, the whale can get smaller, but it never quite goes away. Maybe, sometimes, it gets down to the size of a magazine rack and once in a while you bump into it. Sometimes, it swells up in your face again, like when you have a mammogram and they call you back for extra views."—Barbara
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crystal, Amy, bdavis and Kate, thank you so much for the positive thoughts and stories! It truly is that for the first time in my life, cancer forced me to confront my mortality. In some ways, it is a positive experience. I have learned to appreciate many things I formerly took for granted. I also am focusing more on my spiritual development.
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Yorkiemom, What you are feeling is perfectly normal. I think that you will find as time goes by and you are doing well, you will think about cancer less and less and if in the event it does come back (which it does not in many cases), you will find that it is something you can live with and you will again get so you think about it less and less. You and a few others hit the nail on the head saying you are still new to this..... any change takes awhile to get used to. I remember when I first found out I was Stage lV ( and it did hit me pretty hard and I immediately thought OK this is it, end of the road) I had planned on buying a new car and said to my onco, Well, I guess I better forget about buying a new car., and being the sensible matter of fact, non fuzzy type of person he is, he said to me, why worry about it? Get the car and if something happens, it won't be your worry. Not exactly what I wanted to hear, but that's just his way and I sort of think he was trying to tell me that I was worrying needlessly. Anyway, since then I have had four cars and now I no longer worry about" what if " very much at all.
I myself think it is good to plan ahead....at least for me it is.....gives me something to look forward to and something else to think about other than my health.
It WILL get better with each day, month and year that passes. Marybe
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Marybe, I so appreciate your positive support! I am by nature a worrier. Now it is even more useless than it was when I had small children to obsess about!
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Yorkiemom - I agree with all the other posters. You're new to this so it's certainly understandable that you're scared about the future….totally normal. The quote from Kate is bang on. A cancer diagnosis kicks you right in the gut and scares the shit out of you. But as you said, you're early stage with a good prognosis, so there's no reason not to think that BC is behind you. Yes there is always a chance of recurrence/spread, but the odds are in your favour that you'll never deal with BC again. One year post diagnosis, you'll be in a much better frame of mind, and in 2 years, that much better. I'm just over 2 years post diagnosis, and the 'bad thoughts' are few and far in between and I'm definitely making plans long term.
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I have been there!!!! I can honestly tell you after a year, you feel different. I too was early stage. Jan 27th was one year since my BMX. I am in a better place now. It also helps to take medication (for me personally). I started lexapro a few months ago and my anxiety over BC has gotten so much less. I was the kind of person that never took aspirin for a headache before my diagnosis...now I take anything I need to feel better. Just take things day by day. Also know you are not alone in what you feel. Hugs!!!
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Hi Mich, I'm starting to realize that this is as much a psychological as a physical process of adjustment/healing. I really believe that once I have a couple more good scans behind me I will be able to step back and feel "safe." But of course, we're all terminal, whether diagnosed with bc or not. BC just puts that mindset on fast-forward.
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yorkiemom - you are judging yourself harshly. Give yourself a break and don't criticize your own fear. Getting one's mind around this is a process and takes time. I am three years out and still working through it. We could all be gone "tomorrow." It's not a "good" or "bad" attitude. It's *you*, now.
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Thank you Maria! Hugs back at ya!!
I've got a bottle of antidepressents on my counter. Been sitting there for a month. Looked at them today and said to self, maybe tomorrow I take my first one.
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Athena, I so agree with you! I see many wonderful women here who are incredibly brave and helpful to others. You are all inspirations to me!
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Yorkie-I'm coming up on the 1 year mark. I'm pretty sure I'll be here a year from now. What I'm having trouble with is "planning for retirement". I'm 53 & know it's wise but the uncertainty is too strong in my mind. Both of my parents died in their seventies of non-cancer causes, so maybe between genetics & BC, I won't have much of a retirement(perhap not at all). Yep, BC did a number on my attitude.
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It's discussions like these that help me realize I'm not alone. I'm not crazy and I'm probably going to be ok. Thank you for starting it. I feel like I have good weeks and bad weeks. My dx was in Aug, surgery in Oct, revision coming up in March. I'm just now starting to have my follow up appts with the various doctors and about a week before the appt I start to get the worries all over again. It's tough. I keep hoping that it will get better. Right now, today, I'm having a hard time dealing with my "monkey brain" and it's thoughts. Maybe it's because I'm waiting for the results from a mole removal. So of course my mind has gone there...
I hope you start to feel better too.
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yorkie - just wanted to add about the husbands/partners - sometimes they don't want to acknowledge problems that may occur in the future because it highlights their fear. While I was doing chemo my DH stopped coming into the room to meet with the doc prior to the infusion. I didn't really question it too much at the time because I was pretty distracted. I realized later that it made it too real for him. He needed to deal with the situation in his own way. He was there for every chemo, but he was watching a movie on his ipad. I knew he was there if I needed him, but he needed to separate things a bit in order to cope.
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I think it is good to allow yourself time to deal with all your feelings. Most of us go up and down I think at different points. I'm 2 years from my mastecomy but I can't say I still don't have fears from time to time. I can tell you after time, you will start to feel a "new normal" again. Life won't ever be the same, but you really won't be consumed every minute of the day and night with these thoughts. Hang in there.
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I think husbands get just as freaked out as we do. They just don't want to admit it. I think once all the surgeries/treatments are over they just want things to go back to normal and to get their wife back. It's hard for them to realize we're not quite there, yet. And to realize that this has changed us permanently. This whole thing is a process, though, much like grieving. And it helps to know we all go through the same thing. Another member posted this on a different thread and I thought it really helped.
Stages of Grief After Losing A Breast
by Becky Zuckweiler
Anticipatory Grief
Grief is an unfolding process that consists of five basic stages. We start the grieving process as soon as we learn that a mastectomy is a possibility and continue grieving long after the surgery is over. Grief for an impending loss is referred to as anticipatory grief
Stage 1
Denial
When we first experience loss we go into the denial stage, during which we may feel shock, disbelief, and numbness. The denial stage is nature's way of cushioning us from the bluntness of reality. Denial allows us to gradually absorb the painful truth. Many women who have grieved the loss of a breast describe their response in the denial stage as hearing the information the doctor is telling them as though the physician is talking about someone else. They find themselves thinking that cancer and mastectomies happen to other people, not them. This response can give you time to intellectually attend to the details, such as making appointments with the surgeon and oncologist, before emotion floods in.Stage 2
Protest
As our initial shock wears off we move into the protest stage, a phase of intense emotion, including anger, sadness, and confusion. As the facts start to sink in, our thoughts set off an emotional reaction. Our fear of surgery and of cancer is probably foremost in our minds. Before we are even sure we have cancer, we often start to think about dying and leaving our loved ones behind. We feel sad for our kids, our partner, and ourselves. We often feel betrayed and angry with our body. My clients consistently ask me what they did to deserve breast cancer. This is the time during which we tend to blame ourselves or others as we try to make sense of the loss. Anger at God, our doctors, or the relatives who passed on the bad genes is very common during the protest stage. Besides feeling the need to direct our anger at someone; it is also common to engage in unrealistic mental bargaining, such as promising to go to church every Sunday if our breast is spared. This bargaining is a combination of denial and our need to feel that we have some control over the situation. During this time, it is also common to experience physical symptoms from stress, such as diarrhea, constipation, neck and shoulder pain, rest-less sleep, and fatigue. Your stomach may ache or you may find yourself with a splitting headache that makes it hard to think. Your body may seem to be screaming out a message of emotional painStage 3
Disorientation
The third stage of grief is the disorientation stage. This stage is often accompanied by restlessness, confusion, and depression, as we have to change our routines and adjust to the changes the mastectomy has brought. We may also continue to experience the physical symptoms of stress during this stage. Disorientation is very natural after your chest has healed enough to begin to wear more normal clothes and you are feeling strong enough to go out in public. You can't just go to your closet and pick out an outfit like before. Throwing on a bra and a T-shirt is not an option at this point. Now, selecting an outfit means finding a top that your tender chest and restricted arm can tolerate, plus finding a way to fill in the missing breast. You have lost a breast, the freedom to wear a variety of clothes, the movement in your arm, trust in your body, some of your sexuality, restful sleep, and physical comfort, to name a few of your many losses. And even though most of these losses are temporary or become easier with time, making the adjustment to them is likely to cause you to feel confused and disoriented.Stage 4
Detachment
Following the disorientation stage we move into the detachment stage. During this stage we tend to isolate and withdraw ourselves, and possibly feel resigned and apathetic. It is as though we have to go off quietly by ourselves and sit with our loss. Too much contact with other people at this time often feels like an intrusion and a lot of work. We often feel we need to be left alone in our misery to fully absorb our loss and get used to the fact that a mastectomy has forever changed our life.Stage 5
Resolution
The last stage of grief is resolution and it is during this stage that we enter a renewed state of reorganization and acceptance. We are not happy about the loss or our breast, but we see that we can live without it. The resolution stage often brings us insight into our life and ourselves that builds character and produce wisdom. During the resolution stage our mood lifts and we find we are able to experience joy again. This is also a time when we become grateful for what we have and want to give back. Volunteerism, such as in breast cancer support organizations, frequently accompanies this last stage of grief. If you give yourself the room to go through the emotions, you will move forward into the resolution stage of grief where you begin to feel acceptance. You will want to take back control of your life by becoming pro-active again. Priorities become redefined and life goals are reestablished. Your overall reaction may actually be a blend of loss and gain. Initially it may have felt like a horrible loss but, as you move through the process, you discover some advantages that come along with your body changes.Automatic Behavior
There is also something called automatic behavior that often accompanies the grief process. This is what is happening when we don't get our routine behaviors quite right and we start to feel like we are going crazy. As we process our loss we become distracted from life's little details, and this natural preoccupation results in poor concentration while attending to daily tasks. As a result of automatic behavior you may find yourself putting the cereal into the refrigerator and the milk into the cupboard, squeezing a tube of skin cream instead of toothpaste onto your toothbrush, or seeing that the traffic light has turned red but not really registering it, and driving right through. Your short-term memory will also be affected because good concentration is required for the memory to work well. Do not panic over these lapses. They are temporary. However, it is helpful to remember that automatic behavior can occur during the grief process, so you can safeguard yourself. When you set out to drive, remind yourself that you are prone to poor concentration and constantly remind yourself to tune into the "here and now." During this time you should stay away from dangerous machinery until you feel your focus and concentration return.
Each of you will go through the grief process in your own way. The stages of grief are meant to give a general description of the grief process, but in reality they are not as clean-cut as I have described. You will move back and forth through the various stages and can experience more than one stage at a time.
The significance you attach to your loss will determine how long your grieving process will last and how intensely you will feel it. Grief from losing a small purchase you just made may last only minutes, whereas a significant loss such as the death of a close friend, a divorce, or a house burning down may take years. Significant losses are often brought to mind by special events and seasons associated with the loss and these triggers can create new emotional pain. Most women take about two years before they report feeling fairly resolved about the loss of a breast. Your most intense grieving will probably happen close to the time of your surgery but you will likely continue to experience some grief from your mastectomy for the rest of your life. You may feel that you have just started to accept your loss just when something else seems to set it off again. It may be three years later, when you are faced with having to find an evening dress for an elegant wedding that you suddenly feel the tears bubbling up again. You may want to scream and stamp your feet at the unfairness of only being able to consider a quarter of the dresses because of the changes to your body. Twenty years after your surgery your best friend or daughter may be diagnosed with breast cancer and you may find yourself reliving some of your own pain as you walk through the process with her. All of these feelings are normal. Every woman grieves in her own way and in her own time.
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Yorkie, I endorse what the other ladies have said.
Just to add: Regardless of the long term future, it is highly likely that you will still be here a year from now and also most likely feeling well enough for any adventures that your hubby is planning. (Apart from that your stats look favourable for a good long term prognosis.)
Have you considered counselling to help you deal with your worries? I recommend psychological therapy with someone experienced in cancer.
And try the antidepressant. You will feel better. -
Exercise, stay busy with work, volunteer activities etc., make fun plans, do fun things, buy tickets even though it is scary (which it is!). It takes a long time to process the whole experience. Knowing that what you are feeling is entirely normal makes it a little easier and less lonely to deal with. It will never go away entirely, but it will get better. Hang in there! Ruth
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I'm two years and a half from dx and I still do have those thoughts. With my boyfriend, we have a tacit understanding - we both hate talking about these things, but we know that at one point we NEED to talk about them (him being a military and being deployed makes the ball be in his court too). So we decided that we would avoid this subject for longer times, and talk about it only when it comes to paperwork that needs to be done or legal things - i.e. wills, and what should the other do if something happens.
In my situation, what I found to help was exactly making plans. Even if there was the big "if" in the way. Especially making plans about the landscaping of my garden. Probably because it's the miracle of life that comes from your hands? I don't know why. But you might want to give it a try.
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