So they got it all, right?
Do you notice people asking about your health seem to have the idea that the doctor pronounces you cured or not at some point in treatment? I have the same conversations over and over-- people ask how my health is, I say I'm doing fine, meaning day to day I'm feeling pretty good. They often push further, asking about my follow-up schedule, or say something like "so are you in remission?" or "so they got it all, right?" or the dreaded, "so they caught it early, right?"
I never know quite what to say. On the one hand I'm angry at people's naivete and want to contradict the false narrative of early detection and happy survivor-ship. On the other, I don't want to educate them about the long term prognosis and become the object of pity and fear again. Mostly I just don't like being reminded of the uncertainty of the outcome. It was such a bitter pill to swallow in the first place.
What do you all do in this situation? Do you get these questions?
Comments
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Early on in the process I did but not so much now Ann. The thing is they just don't know what to say and I think they are afraid of what we have. I felt like a leper a few times but I chalk that up to fear more than anything else. I don't think people are intentionally naïve and definitely not cruel but they just want us to confirm we are okay. My mother had BC and had a MX. She was in her late 60's; she died almost 10 years ago but not from BC so my sister and I were kind of prepped for what could happen to us.
My sister in law had BC too and I remember saying some of those same things to my brother. She had BCinsitu and is 5 years from the DX and doing fine. Now that my sister and I both have it I was kind of braced for phrases like are you cured? I think if I were you I would just say so far, so good...and nothing else. That's what I do. If they persist say the same thing over and over. They will get the message. Like you I was not going to go into all the specifics because they wouldn't understand the verbage anyway so why bother. I have mastered keeping my game face on for the sake of my husband and children and grandchildren so I keep my fears pretty much to myself. Not Pollyanna just don't want or need to elicit sympathy - just prayers and I already have those. Keep the faith...diane
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Yeah, what IS it about questions that dig into the clinical details? Even before my BC dx, I would never have dreamed of asking a cancer patient, "Did they get it all?" "When is your next scan?" Someone, early one, even asked me "What is your prognisis?"
And now, almost three years from my initial diagnosis, there are some who greet me with, "How are you feeling?" (Concerned look, soft hand pat.)
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I had a friend, 32 years old, I often asked her those kinds of questions. She always stayed positive. The thing is, it wasn't because I was being nosey, I was truly concerned, actually frightened for her. It was the first time I knew anyone personally who had breast cancer. I was so worried for her and her family. at times it consumed me and I would cry and beg God to spare her life. She never knew that was what I was going through. She stayed positive and I wanted to support her, but I was so scared for her.Her experience with breast cancer and less than a year later, ovarian cancer, has made me diligent about caring for myself too. I know as I am facing a bx. no matter what happens I can face it just like I witnessed my friend do almost 12 years ago.
Please understand some of these people do not want to pity you or are being nosy, they truly care and SO WANT FOR YOU TO BE OK! I hope you understand what I am trying to say.
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I too got this intrusive questioning. Someone I hadn't seen for years posted on FB enquiring about my prognosis WTF?. Also, many times the assumption and reassurance, followed by the concerned soft squeeze of hand/arm/ that it was 'caught early' (how do they know that??) is particularly irksome to me.
Here in Britain, perhaps our best known cancer organisation Macmillan, has given rise to what is known as 'the Macmillan nod' - that is the concerned individual puts their head to one side often whilst asking the above questions in a suitably hushed and sympathetic voice.
A woman I met who was ahead of me in her treatment asked 'Have you had the Macmillan nod yet? I was puzzled and replied 'no??' She said 'wait you will' and I did, often with a varying degree of caring (nosey) questions.
sellizabeth, like you I would not comprehend asking someone such questions.
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Thanks edwards750, "so far so good" is a good response to remember.
sbelizabeth, I don't understand the "how are you feeling?" questions that keep coming from people who know I finished treatment almost a year ago. Am I supposed to be permanently fragile? BTW I clicked over to your blog-- very nicely written article.
Renee51, I appreciate your point. I know people are acting out of a mix of things-- concern, fear for me, fear for themselves, morbid curiosity, or just an awkward attempt at making conversation. The comments still bother me. I guess I don't like being put in a position where I feel like I have to "stay positive" to make someone else comfortable. I'm stubborn that way!
wintersocks, "the Macmillan nod" is a funny expression. I can't remember getting the head-tilt though. Maybe it's a British thing
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Sometimes I try to educate them, which usually leads to, "Oh, but you HAVE to be positive, and you will be FINE, it is all behind you now!" Uhm, right, ok. This is the big b%$ch-f*23er, not the flu, and you ASKED, for crying out loud. My only point being that I also struggle with this.
You nailed what bothers me too:
"I guess I don't like being put in a position where I feel like I have to "stay positive" to make someone else comfortable."
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Well, what is it appropriate to ask/say? I had an acquaintance - not quite a friend - who in the past 2 years was dx with stage 4 colon cancer from the get-go. She did everything right, ate well, exercised, "failed" 3 different chemos - her cancer was inoperable. she was amazing until almost the very bitter end. So i talked with her, a bit, because I was the only other local person she knew who had had chemo (hers were quite different). Still, here is a person fighting for her life, You meet her on the street. she is thin, but she is walking. You cannot pretend or ignore that she has very serious cancer. You wish to communicate your empathy. Do you - smile? give her a hug? ask no questions? pretend it's not happening? risk seeming callous by not even mentioning it? perhaps giving her the notion that it's of no importance to you (like, you haven't given her a second thought, or mulled over the hell she's going through, or spent times feeling sad for her or sending her heart-vibes or wondering what on earth it's like)?
What is an acceptable greeting? just curious. since I've had cancer, and still found myself flayling and trying not to seem like a morbid, inquisitive ghoul. the whole thing, for her, just stank. Totally, utterly, unfair for someone who lived her life clean as a whistle.
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Momine, You are so right there girl. I literally hate that statement "Stay Positive", which is the mantra of those who talk to a cancer patient. As if that statement is come kind of cure all for every cancer statement. We, all will have our days when we just don't feel that way or even want to feel that way. I will never ever feel "cancer free" knowing I have gone thru this disease. Cancer never makes you feel free. I will always wonder if one tiny little cell is somewhere in my bloodstream or bone marrow or anywhere else just waiting to slowly grow again.
flannelette, Amidst all the dumb comments people say to you, and dealing with a time in my life when I was feeling really angry inside over it but keeping my chin up with my game face on, I got a card in the mail from a freind and neighbor that just let me know she was there for me and i could call her. I never did call her though, But one day she showed up at my door step to "check on me" and I burst out crying, and we hugged and I know she could see with my baldness that this was not a day to say to stay positive. Just knowing she was there meant so much, and sometimes there are just no words as you probably already know.
Oceana
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Momine, thanks for understanding.
Flanelette, that is a tough situation. I probably can't imagine what that person is going through. You can always greet someone and ask how they're doing, giving them a chance to talk about their health issues or not. That is what I would appreciate, but people are different. It feels intrusive to me when people who aren't close ask for details, and I haven't been good at gracefully side-stepping their questions.
Oceana, that's a sweet story. Your friend really had good timing.
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Oceana, it is also that I AM actually very positive. I am capable of discussing my recurrence risk and yet remain positive. It bugs me that people can't understand that.
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Hi Ann, I think people really struggle to know what to do with that uncertainty factor, socially - it doesn't quite fit the 'sympathy conversation' or the 'great everything's fine now conversation'. Personally I hate the false positivity. Most women here manage to be pretty positive overall, but sometimes we all need to vent or cry or shout about how CR#P the situation is before we feel like being philosophical or funny.
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Ann, I know just how you feel. I hope you don't mind I quoted your post (anonymously, of course) on my blog: alaskamamaruns.blogspot.com
I am pretty forthright about my needs and wants, and because I had the benefit (?!) of previous experience with a major life crisis, I knew what I wanted and didn't want when I was diagnosed with breast cancer last June. I was very careful in how I told people about it -- always in writing so I could control the dialog -- and I included something like, "Feel free to share this news with others but please pass on my request that people not ask questions -- I want to focus my energy on learning about my disease and taking care of myself and my kids." People got the message. I started a blog in part to deflect questions, and I have used my blog to explain things like why questions tend to be stressful rather than supportive.One of my posts is called, "'How are you?' and other stressors." Yes, even "how are you?" can be stressful, especially when said in that loaded, MEANINGFUL way.
Good luck and thanks for sharing your post.
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Hi, all!... and Ann, thanks for creating the post. I thought this is a very interesting read. And if I may just share-- When I was first diagnosed with DCIS September of last year, I really didn't feel like telling anybody, except for my supervisor and boss at work, my best friend from way back yet thousands of miles away, friends who I have become closest with here in the US when I migrated more than 10 years ago, my family (though we are all across the globe now that only viber, skype, and email can best connect us), and my husband of course and kids of my own. Such that if others outside of this primary circle would know, it would be up to my primary select people to share; and that includes even my step children who would be up to my husband to speak to about my condition and up to what extent he wants them to participate in. But, strictly, I said, no posting on Face Book. I can accept PMs on FB, but not wall postings of sort.
Then I began to get queries from friends, and even my boss, like "Is it okay for me to tell____ as she was also diagnosed with your condition... OR she is a breast cancer survivor..." At first I didn't feel right about it, but later I somehow felt they are doing this because they care. They wanted somebody more knowledgeable and understanding of my situation to talk to me. Perhaps, for my own learning, too; but, also, I thought, more for my own sanity. Because, really, nobody else can better understand us except those who have been, or are currently, in a similar situation. And, in fact, I must say that those who had the best things to say were the new acquaintances I've made. To begin with, I did not know about this site if it were not for the friend of an acquaintance in my Zumba class. Little by little, I have learned to appreciate people getting in touch. Some even sent in flowers, food, cards, and just simple texts of prayers and well-wishes when I had my surgery.
Like you, Ann, I also did not like too many questions. I felt they were unwarranted, anyway, as those asking will never understand how we feel-- our aches and pains, frustrations, and mood swings. But now, that I have recovered and am trying to get on my normal activities, I have started to participate in social gatherings. And surprisingly, now, I felt much weirder when people who I know knew of my condition and what I had gone through don't even budge to ask how I am. Not that I want them to corner me and ask litigious questions; but, it just feels more awkward that they see me and act as if nothing happened at all.
It sure is nice to have someone notice us and just say a few words of affection or even just a nod or smile of recognition that we are now here present with them in the room or on the phone. As Renee51 said, some (and may I would even say most) really have genuine care, anyway. And as Flannelette said, "what is an appropriate greeting, anyway?" I think I'd rather be greeted in some way, than ignored. We would know anyway which one is a sincere greeting or not, and we can simply brush off those empty greetings or choose to answer them the smartest way we can; not to show being offended, but be straight forward in discussing our condition and recurrences in a very positive note.
Truth is, now I am sure that, after all we have gone through, for me, for people to ignore us would be a gravely inappropriate gesture. I believe that's just awfully worse than just an inappropriate greeting.
Happy Monday, everyone!
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Ugh, I feel your pain. I feel exactly the same way you do. It's tapered off over time, and mostly people treat me like they used to. There was this one man, however, at work that would always come up to me each time he saw me and ask me, "so how ARE you? Are you doing OK?" I know he meant well but it was the WAY he said it. Last time he did it I said in a polite but firm way "until they tell me otherwise, I'm doing good." Grrrrrr, they just don't get it!
Take care,
Sharon
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alaskamama, I don't mind the quoting at all and I enjoyed your post and the prior ones on "How are you" and "Look good feel better?" Wish I'd been following your blog earlier :-) Your approach to managing questions is really assertive. If I face something like this again I hope I can do it differently.
lettie, I agree that being ignored would not feel good. I don't want that either. I dread certain questions and have not found a way to answer without sounding socially awkward, offended, or both. Answering questions at face value doesn't always feel right to me.
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Now that I have belonged to this club for a couple of years, I have a little more perspective than I had in the beginning. I still bristle when people put on a pity face and do the hand-pat thing while asking "how ARE you?" but I've learned to relax a little. Laugh, even. In this situation, I find a pity face of my own and pat back. "I'm fine, thanks, but how are you?" Once, a friend looked startled and said, "well, my back's feeling better but I was in bed all last week."
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I do not mind any reaction or question, even if it seems inappropriate, as long as it is apparent that there is genuine concern for me in there some where. We are not taught how to deal with these situations and many others. Everyone here has also said something at some time that has been seen as offensive by another. Communication is far from a perfect tool and I prefer to find the positive message in there no matter how hidden it may be. Keeps my days a lot more positive and far less frustrating. If someone is intending to be offensive, then I have no issue communicating my very honest reaction.
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sbelizabeth, thanks, I'll try to remember that one.
TB90, good for you, life must be easier that way. So what would you say to someone who asked if you got the all-clear from your doctors?
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To first of all ensure I understood what they were asking me, I would respond with, "The all clear for what?" Having to say the words out loud may help them to realize how inappropriate their comment or question is. I do find that it helps to prepare a good response to "dumb" questions as it is often the fact that we are caught off guard that really pisses us off. Afterwards, I can come up with all kinds of wonderful responses. I remember running into a relative after I had gained some weight and he immediately blurted out, "are you ever fat". I had gained 20 lbs over the past 5 years, but had always been very thin. To this day I wish that I could repeat that experience because boy do I have a great response to him now!
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TB90, I like that technique. Asking a question like that would give people a chance to hear themself and most likely re-phrase or back off. Plus it gives me a second to think about how or whether to answer.
That's an outrageous comment from your relative. How about "did you actually just call me fat?" or "are you ever rude!" or a deadpan "not really, no."
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I know that it is mostly fear and concern when people ask questions like, "Did they get it all" and They caught it early, right". At first I would answer yes even though I had no idea if that was the truth. As time went on I got tired of those questions and began answering with, "No, actually, it was caught way later than the doctors originally thought and we hope that treatment works." I figured that if people were going to ask a question they needed to hear the truth. Additionally, it is exhausting to pretend everything is fine when you are not really sure that's the truth. I had people ask me and my husband if I "was going to make it", "how long does she have" and the best was the person who said, "We thought you were a goner."
I laugh at it now because I am over 8 years out but it was hard knowing what to say or how to act.
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Thanks again, Ann, for your wonderful synopsis of this dilemma and for the great commentary it's sparked.
The fact is, in most cases people's questions come from genuine caring. It's good for us to think about and share strategies for
avoiding the burden their questions create while honoring their good intentions.I respond differently depending on who's asking, my mood, etc. but one of my top techniques is to say, "I'm tired of talking about myself; how are YOU?" I am thinking I should print some cards with my blog and just say, "I prefer writing to talking about it -- here's my blog if you're interested." Obviously this isn't an option for those of you who don't have a blog, but if you're inclined to write, I recommend it as a way to keep people's in-person questions at bay, control misinformation, and communicate your needs thoughtfully and respectfully. It may also prove therapeutic.
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Good idea, Alaskamama. My own blog was enormously therapeutic, and in the beginning, it was not my intention to pass around the news that I was blogging. But then someone suggested I open an account on Caring Bridge. I had a look at the site--and I know many of us here have used Caring Bridge with great success and thankfulness that they can keep family and friends updated easily--but it just wasn't for me. It was like, "this is where people go who have cancer." LOL...
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caaclark, that's straightforward. To "So they caught it early right?" I think I could say "Well it was stage 3, but I hope that treatment worked". I have said "Not really, it was stage 3" or "Not as early as I'd like" which probably showed my irritation and just left an awkward feeling.
alaskamama, I also like the "let's talk about YOU" tactic.
I did not do a blog through this but I benefited from reading others'. I just wasn't comfortable disclosing that much detail to a wide audience.
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hi all, I think perhaps we put too much stock into what other people think and say. When people are awkward and don't know what to say, they are just showing their human frailties; when people ask innocent inappropriate questions they are lost when faced with other's misfortunes; when people are deliberately mean it just means they are mean. You can't stop other people from saying or doing whatever they want..... It is our reaction to it that forms and guides our feelings.
I would hate to think that people could influence my state of mind and happiness
Just my 2 cents worth
Have a peaceful and fun Easter
LIL
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When I was diagnosed, I contemplated how to handle discussing my situation when people asked. I live in a very small town and once a story is out, unfortunately by the time it has been repeated several times, it has went way beyond its original stance. I decided to put it out there to all my friends on Facebook, etc. I posted during my chemos and how I felt afterwards. My main reason for doing this was for everyone to hear from me how I was doing and not get skewed versions from others. I actually found it to be very therapeutic. I didn't have a lot of questions. I've been very open about my diagnosis, treatment, and the effects post treatment. I've always said, "my doctor seems to think I've done very well and that I will be fine. They say they expect me to live a long life and die of something else. Of course with cancer, there is no guarantee, but for now, I believe them and I'm going to hold them to it!" ha. God did not spare me breast cancer but I have been spared a lot of SE's others have had. My BMX was a breeze, I got through treatments relatively ok and the SE's of Arimidex have so far not been too bad. I am almost a year post treatment and 4 mo post Herceptin. My hair is not coming back in as it should so I still have the chemo look if I go without a wig and Im sure that makes people question my health. Don't get me wrong, I did have a few issues throughout but nothing compared to some and I didn't have to look very far to see someone who had it worse than me. Other than feeling like I'm 72 some days rather than 52, I'm alive. There's a new diagnosis every day and if I can inspire anyone through being positive, I would love to do that. This disease is scary and I've had those moments but hey, what choice do I have? I really feel the majority of people that ask questions, really are concerned or want you to know they are. Some, well they're just nosey and we all know those. Everyone reacts differently to stressful situations. My advice is to do what makes you feel the best.
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Amen, Diamond
We do create our own happiness.... and otherwise.
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Thank you Diamond LIL. It may help to remember to have empathy for people who say awkward and inappropriate things.
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"Totally, utterly, unfair for someone who lived her life clean as a whistle."
I'm not sure how I feel about this earlier post from flannelette. Perhaps I'm being too sensitive, but the flip side seems to be that if you don't live your life "clean as a whistle" you may deserve your cancer. I've seen this from other people who have extreme notions about health. I'm sure they look at me, somewhat overweight, and pass judgement. They don't know that cancer runs in my family and I was thought to have a BRCA gene that has not been identified yet. My aunt had two bouts of breast cancer and ovarian cancer despite staying very slim her entire life and leading a healthy lifestyle. Maybe it was inhaling diesel smoke throughout my childhood while commercial fishing that tipped me over the edge or perhaps exposure to a high level of environmental toxins. I certainly believe that exercising and eating good foods is beneficial to anyone.
Whenever I hear how someone didn't deserve cancer because they lead a "clean" lifestyle it stirs up my emotions. How do others feel?
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Clarice: You cannot always flip over to the other side of what someone is saying. For example, "have a safe trip". What, is it dangerous where I am going??! "You look great with your new haircut." What, I looked awful before???? It is more likely our own worries and insecurities and yes, we ALL have them. This is more about us than what others are actually saying. I do not want to sound harsh at all, but I teach communication and people actually feel empowered once they realize that others can have much less of a negative impact on our well-being when we take control of our own feelings. It is more what we say to ourselves than what others say to us.
For example, many, many people still say, "she gave her child up for adoption". That is considered terrible in the adoption world. But did the person mean to imply that the mother "gave up" her child. Probably not. Now we are supposed to say, "she made an adoption plan for her child". Think about the horrific implications of the word retarded. The word itself is not to blame, it is the association we have placed on that word. Someone learning English could quite innocently misuse that word. Search for the heart in the speaker. A very wise Elder gave me some of the best advice of my life when I was struggling to use politically correct terminology in a First Nation world. She said that any descriptor is acceptable when the speaker is sincere and caring. That has freed me up to make a mistake and to allow others to make mistakes also.
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