Not being able to make future plans
Hi, recently diagnosed with stage IV, on top all the fears, sadness, more fears and sadness I find myself struggling with the feeling of \ not having any longer the ability to make plans for the future. Before this I was trying to save for a small condo, thinking about looking for a relationship, hoping to maybe one day fall in love again, developing my business, even planning for a vacation with my kids. I know that I can hopefully live many more years, but who knows, maybe not, or maybe I will feel too sick to work, or travel.. Looking forward to hear from you in this topic, how are you dealing with tis feeling of uncertainty, lack of any sense of control, inability to make future plans?
Comments
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Vilma, First forgive me for posting in a stage IV forum. While my breast cancer is not Stage IV . I have stage IV Blood cancer (Lymphoma) of which there is no cure. (I won the cancer lottery and got diagnosed with Breast Cancer and Lymphoma at the same time) So I feel qualified to answer your concerns What has helped me the most is NEVER WASTE A DAY ! Give yourself a defined timeframe (I gave myself 2 weeks) to cry, rant mourn whatever . After that just decide that you will "life your life" . No one knows how long any of us have . Please feel free to PM me if I can help you in any way !
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Hi Fiaranch, sorry about you lottery winnings ): and thank you for your reply. I'm relatively calm, maybe still in denial or just really good at comparmentalizing, I'm feeling better than expected with this new diagnosys both physically and emotionally. Is just that I realize how much planning was a part of who I'm, and yesterday my daughter asked me what are we going to do for the summer and i have no answers, more than that I'm afraid to plan. I try to live in the moment but it feels weird
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Hi, trying again to see if someone out there struggles with it an how you are approaching it. Not sure if there if I should post this under another topic, suggestions?
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Vilma,
Sorry you aren't getting the support you need here. It is a scary topic, and one we all struggle with, I am sure.
I am farther down the cancer road than you are, so my future planning is limited to three to six month chunks, and I go from scan to scan. It was a blow, when I was first diagnosed, to realize that some long term plans I'd had for when I was empty-nester were not going to come to fruition.
I have found that I stay saner when I focus on the near term stuff. But, there is nothing stopping you from continuing on as if you'd never gotten this diagnosis.
Seriously - plan and dream like anyone else. Especially if you are feeling physically well, get out there and do the things you've been dreaming of. Vacation with the kids? Do it. Save for a condo and start looking at some nice ones. Find love!
The only limitations you have at this point are mental. Get out there and have some fun. If this seems too much like tough love, it's not meant that way. I just want to encourage you not to let the cancer steal your joy. There may come a time (years from now), when your cancer will become more intrusive, but that's not today, so don't let it be a thief.
With much care and concern,
Jennifer
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Thank you so much Jennifer for your response, it moved me. I'll try to do it, leave this crippling fear of the future behind and try to continue planning, after all the worst that can happen is that I have to change my plans, isn't it?
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Vilma- The first few months post-diagnosis are a shock. You are coping with your whole world being turned upside down, trying to understand everything that is being thrown at you, and starting new treatments, seeing new doctors, and on a roller coaster of what ifs, and how do Is, and What nows?
I will hit my 4 year mark from my de novo diagnosis (stage 4 from the start) this May. It came the same week as my 33rd birthday, and my goal has always been just to make it to 40 and I am still here and I have learned how to manage everything that come my way and you will too. It takes time. In the almost 4 years, I have traveled to some amazing places (a week in Bermuda, 10 days in Hawaii, a week in Jamaica), watched my nephew be born (and now he will be 3 in April), see friends and family get married, work in a very supportive job that I love (and do a lot of volunteer work in the MBC community), and am happily single. After a long day, I like coming home to an empty apartment and not having to deal with anybody else's needs but my own!
I have also learned to take joy in the simple pleasures that most people take for granted; like meeting friends for coffee or brunch, laughing so hard it hurts at an inside joke, Face-timing with my nephew while he rambles on about his day...
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Vilma, sorry you have to join the stage 4 group. I had similar questions for myself in the beginning, but after giving it some thought, decided to keep planning (most things). If I am not here long, I want to do as much as I can before I leave. If I am here a long time, I would look back and regret the years of “leaving before I left”. I didn’t want to spend so much time and effort into living (ongoing treatment) if I was going to look back with regret. The only thing I stopped doing was funding my Roth IRA annually, which was additional retirement income on top of my employer’s 401k. I do find myself saying yes to more exotic travel that I would otherwise feel guilty about indulging in as often as I do. We live a twisted (yet still beautiful) life/adventure as metsters. I am on a board of directors of a nonprofit closely linked to my profession in which I am in a leadership role and very involved. I have gone through two reappointments of a multi-year term as a board member. Each time I am up for reappointment, I wonder if I will be around when my term is up. I find myself wondering if I will be around for a lot of things like that but do them anyway.
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Vilma- Carpe Diem....Make the most of the present time and give little thought to the future. That's all we can do as our future is uncertain. When I got my bone mets diagnoses last year, I was in sooo much pain, they wanted to start my radiation the next day. We had plans to take the grandkids to Disneyland. I said no, it has to wait until we're back. The nurse looked at me like I was crazy. I said I'll be damned if I'm letting this cancer ruin our trip. I have a bottle of pain pills. We went and had a blast. So far this month, we've been to Laughlin, camping, and Las Vegas this coming weekend. I just don't make plans too far in the future. Is this all scary? Hell yes. Do I have the occasional breakdown? Yep. If you want to buy a condo, then buy it. If you want a relationship, go for it. Plan that vacation with the kids. You're still alive. You might be alive for quite some time. You can't stop living today because of this damn cancer. Go out there and enjoy your life! As we know, everyday is precious. Don't let this disease rob you of today
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Vilma, When I was Dx'd 2 1/2 years ago people thought I was crazy when we downsized and bought a new house instead of "renting until I died". It made great sense to me. I wanted to recreate another comfy cozy home for my DH and children to visit. I also bought a nice new car! I can say I am enjoying both immensely! I have my days of grief and dark clouds but most days I try and do whatever makes me happy for the time. Dwelling on what can happen just ruins the rest.
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Hi Vilma, I echo what the others say! Like JFL, I no longer contribute above my employers match for retirement and I do find myself saying yes to things I’ve wanted to do but put off before (which is a good thing!), but otherwise try to live the same as before. One book that helps guide me is Lean In by Sheryl Sandberg. I know there is some controvery around it and she is primarily talking about the workplace, but the takeaway that really spoke to me (even if I have modified her message for my life!) is to lean into life. That you have no idea what your circumstances will be in a day, week, month, or year. So try not to play “what ifs” or make decisions on what you think your situation may be - because it may play out totally different than what you expect. You can make decisions when you come to them, based on your life at that time. So that helps me when I Find myself hesitating wondering “will I be well enough?” I’ll cross those bridges when i get to them!
Jamie
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Vilma, first of all it looks like you've got a lot going for you. You're young enough that you're still working, mets to bone only, and ER+/HR-. There are so many treatment options open to you. Know that all of us here were where you are, and when you read what people are doing you'll be amazed. Trips to Europe, family vacations, new grandbabies, weddings, all of it.
I'm a planner like you, and while I had a job I loved, I decided the best thing for my health and family was to retire, which a stage IV diagnosis made me eligible for. I'm not sure what the rules are in Canada.
There are so many unknowns at diagnosis, it's overwhelming, like spinning plates that at any time will come crashing down. Not to mention the heartbreak of having to tell friends and family and living their grief as well. But things do settle down and especially when you develop a treatment plan with your medical team.
Please use us as a resource and know that we've got your back.
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Hi, thank you so much for all your responses, it's so comforting reading them after a specially hard day. Today I got the results from my first ct scan since the stage 4 diagnosis and it turns out that I have multiple mets in my liver as well. Not sure how liver mets changes my outlook, in any case I love all the ways that you deal with this crappy disease and will try to do them as well, maybe I'll start with some summer vacation planing or a weekend away with my kids that are no so much kids anymore (Jaleya I'm 53 and they are 17, 20 and 24)
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I’ve had quite a few trips, including France this summer. My one piece of advice is to take out trip insurance. It may cost up to100$ but 100% refndaable if you find you don’t feel like going. I’ve been on cruises too. I’m no te life of the party anymore, but I’m there. Napa every spring for all 5 years of diagnosis.
Flying Southwest is easy because you can change tickets w/o a big change . Also, if you are flying frequently get the TSA 85$ “fast pass”.it will cut down your time standing in line which helps fatigue.
Went so much in August and September, had to put myself on house arrest. Just over did.
When you are in the middle of chemo you will probably not feel like big trips and you to watch your white count. My white count never faltered onTaxotere...lucky
Do whatever you feel up to doing. Have as much family time as you can and rest when needed.
One of the first questions my oncologist asks each visit is When is your next trip? He is very encouraging to get out and about.
Good luck with all you are facing.
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I've had quite a few trips, including France this summer. My one piece of advice is to take out trip insurance. It may cost up to100$ but 100% refndaable if you find you don't feel like going. I've been on cruises too. I'm no the life of the party anymore, but I'm there. Napa every spring for all 5 years of diagnosis.
Flying Southwest is easy because you can change tickets w/o a big charge. . Also, if you are flying frequently get the TSA 85$ “fast pass".it will cut down your time standing in line which helps fatigue.
Went so much in August and September, had to put myself on house arrest. Just over did.
When you are in the middle of chemo you will probably not feel like big trips and you to watch your white count. My white count never faltered onTaxotere...lucky
Do whatever you feel up to doing. Have as much family time as you can and rest when needed.
One of the first questions my oncologist asks each visit is When is your next trip? He is very encouraging to get out and about.
Good luck with all you are facing.
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Vilma, you're still in the 'sock and awe' period of a Stage IV diagnosis. Or course you're scared and sad. You're grieving!! Don't be hard on yourself. We've all been there.
It WILL get better. Once you realize the treatment is working and you are still feeling OK you'll start to plan longer out. Life will go back to normal.
In the meantime you have to ride the wave. Try to find things to keep you busy. Yes you'll still think about cancer 16 hours of every day, but eventually that will be 12 hours, then 6. Keep working on your business. Save your money. You'll know whether and when to buy a condo.
You know what they tell widows and widowers? Don't make any major decisions for at least six months. Get used to where you are, That's you.
In the meantime I can offer virtual hugs. Many of them. I hope you've got in-person hugs coming too.
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Vilma. You mentioned that liver mets showed up on your recent scan. I know you have bone mets, too. What meds are you on?
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Lung, chest and liver mets and I've been on Ibrance and femara for one year. I also had local treatment for liver mets called y 90. It worked really well.
There is so much information on other threads. The bone Mets thread will be good for you. The How are people doing with liver mets? Is full of so much useful information. The Ibrance thread is helpful, depending on what medicine you are on.
For me, the first few months were the worst. Since then I've learned how to live in the land of MBC
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Vilma,
Liver mets used to be scary, so stay away from Dr. Google. Treatment protocols have improved so much in the past three years, that the old stats need to be discarded. PM a member named Bestbird, and get her comprehensive guide to MBC. It's a great resource. She should publish it for some $$, but she keeps it free for us.
The first rule of Cancer Club is not to compare your response profile to anybody else's. You, and you alone, have your individual cancer. If someone else does worse, it has no impact on you. If you do well, share the joy - but it doesn't change others' treatments. Well, the aggregate data does, but you get my point

Depending on the volume of cancer in your liver, your MO may decide to go with a chemo at first, rather than a hormonal treatment. Don't panic. I honestly believe that I am still here because my MO declared that Taxol was the way to go, after it seemed that Tamoxifen was fertilizer for my obnoxious cancer cells. I just passed my 6 year cancer-day, and if it weren't for my stupid hip (which will be getting radiated) , I'd have a pretty good quality of life.
Cyber hugs. Let us know how things are going!
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Hi Vilma,
I'm in Victoria, so just across the pond and am a similar age (55). I understand how you are feeling completely. I'm also a planner (spent years as a project manager) and have always leaned towards taking a long term view for my life. I recall really struggling with this issue when I was first diagnosed in 2001. It was very challenging to go from someone who had a clear sense of where they were going to suddenly no longer being able to imagine my future. It took a long time before I began to "plan" again... saving for retirement etc. Then, just over a year ago, the rug was pulled out from under me again.
Having said that I would echo what the others have said. One day at a time. It does get easier and you can continue to plan for the future (perhaps in smaller chunks). I have mets to my lungs, bones and peritoneum. I've had a few hiccups with treatments but overall have been feeling well. I certainly have no intention of giving up. I'm currently renovating my house, working full time and planning a trip to Europe in May. And I'm confident that when this treatment fails there will be another that will allow me to continue living life to it's fullest.
You've found an amazing support group on this site. Don't hesitate to reach out to us when you need a shoulder. For now, sending a virtual hug your way.
Pat
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Vilma, lots of good advice here. I echo Pajim's post, she makes many good points.
I found antianxiety meds to help with the crippling fear.
As for "the future". Most of us had plans stretching out over the years ahead of us, too. The mbc diagnosis meant we had to adjust our sails, so to speak. Here is what I read once that makes so much sense:
I heard a talk at one of the MBC conferences that really resonated with me. A gentleman was talking about grief and coping. In particular why it affects different people differently. He said that we all have a view of what our future looks like. . .work, kids, grandkids, you name it. When we get a diagnosis like metastatic breast cancer, that entire future-vision disappears in an instant. It takes time to build a new vision of the future.
I had to learn to live more in the here and now. I made plans to do things in a week, in a month , and maybe three months out. Trying new things is essential. Go to a new restaurant, movie theater, a day trip to somewhere you haven't been, buy new ingredients to make a new recipe, ect. It makes your mind work on other things besides mbc.
As for your daughter, tell her you're not quite sure what summer plans are. You don't have to go all out for a big shebang. A weekend trip to an amusement and/or waterpark would probably make her happy. That is probably very doable for you. You could even select two different places and aske her which she thinks she'd like best.
Since mbc, I've taken some bigger trips but I love local trips, too, within several hours drive from where I live. I love botanical gardens so I visted many. Dh and I toured the reformatory where Shawshank redemption was filmed. We got summer passes for the local pool. We walked across the New River Gorge Bridge in WV. Tried a segway tour with my son. All of these were within an hour or so from me.
I take it one step at a time. Over time, I can see the adventures I've still had, despite an mbc diagnosis.
My best wishes to you.
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Good Evening:
I just finished up my treatment and I remember when I was newly diagnosed that I felt like I could just plan my life in short increments. That was a reality because I did not know what would happen from appointment to appointment. I was angry and frustrated.
I worked full time, also while taking care of my grandson after school 3 days a week and on Saturdays.
You take one day at a time, one appointment at a time. In between you make plans and enjoy those activities. It is what gets you through the next step, then the next one. Your times of planning will lengthened as you go through this process. You will make friends in waiting rooms. People will be kind and caring. You lean on your "team" You allow yourself to feel everything. Don't hold back. Ask for help. That is still a hard one for me.
I pray for you. Have faith !!
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Pat, I can totally hear you , after my first diagnosis in 2010 I started to be afraid of planning in the long term I couldn't picture a future, around the middle of last year I started to plan long term, started saving thinking about my life in retirement (many years away) and then this happens, maybe that's a learning of how to live in the present and the near future, a learning on how to live in uncertainty. In a way this also helped me to appreciate the way I was living my life because when the doctor said that I could go on disability if I had plans for the retirement years that I could enjoy them now. I realized that I'm living the life that I want and the things that make me happy now. I only hope that health allows me to continue doing it.
Pajim, looking forward for the time that I won't be thinking cancer 24 hours a day !!
Grannax2, I'm still only on femara and some bone strengthening stuff I can't remember at the moment, I'm waiting for British Columbia to include Ibrance in the provincial funding, my MO says that it supposed to be happening not too far in the future, hopefully soon.
Blainejennifer, I know that I have several spots in the liver and one bigger one of 4 cm, for now is only hormonal but I will have another scan in two months. femara has been really helpful so far for the bone pain that went drastically down.
DivineMsM, I think that long weekends or short day trips maybe nice. I just had yesterday a bad moment with my sister that wants to plan to come and visit me in the summer and honestly it felt like the last thing that was in my mind yesterday after the ct scan results was the summer and on top of that having visits over. I think that I'm going to stick with enjoying the small new or exciting things and address the summer on a latter date.
I really appreciate all of you so much and in awe of your kindness and willingness to support others when you are going through all this!
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Vilma, relatives and loved ones mean well, but they don't always realize that their efforts can get intrusive. They often don't grasp how unsettled life becomes for us after a diagnosis of mbc.
When I need to assert myself and create boundaries for those times I need space,I found it best to preface my wishes by telling "relative" or "friend" how much I appreciate their well wishes, positive thoughts, prayers, cards and acts of kindness towards me, how loved and cared for it makes me feel and how thankful I am to have them in my life. I am not usually one to go overboard with these kinds of remarks, but I learned that it cushions what I have to say when I turn down requests or invitations to do what I don't feel I want to do.
One thing for sure, since mbc, I stopped doing a lot of what I felt obligated to do. I learned to ask myself "is this what I really feel like I want to do, or am i worried someone won't like me if i say no, or am I doing this out of guilt, ect." I try to do a lot more of what i really want, not live someone else's agenda for my life.
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Vilma -- The first few months are so hard, and at first I only thought in short time spans. For me, I began to focus on a "living" list which included travel and seeing things or spending time with people that I hadn't seen in a while. I'm single with no kids which makes the travel a good goal for me. At first, I only planned those trips 3-6 months out, but when I got to NEAD, I began to plan a little further out. After 4 years, my cancer did reactivate, but I continue to plan those trips. I've actually got a trip planned for May 2019, but I always buy travel insurance. I know that things may change, but planning gives me something to look forward to. Thankfully, my oncologist thinks doing this is good for me and she supports me fully with this.
Allow yourself time to adjust to the new normal, that no one wants to have. Then when you're ready, you can find what works for you to help you get through. I still work full-time, and that is the right thing for me. It is different for everyone though. Sometimes that thing to look forward to such as your own new condo makes all the difference.
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Divine, thank you for reminding me that, at the moment I only felt the intrusion and "and what's going on in her head?!!" but I know that came from me being very sensitive at the moment, even if we are not too close I know that she cares and is scared, I did set a boundry but not in such a nice way, i will adopt your suggestions, I like it.
Yesterday was another hard moment, my older son is studying in the US fr his phd and after hearing the liver news he wanted to come back home to study from here (possible since he does most in computers) and although that there is nothing that will make me happier than having him with me, it made me sad to see the impact that this is having on him. In no way I want him to miss his opportunity at this amazing experience of studying abroad with the bests in his field and I used all the wisdom from all of you amazing women and told him that I still have a long time ahead and suggested that we travel more to see each other etc. I also let him know that if things go downhill I will let him know so e can come, but I'm not expecting this to happen anytime soon. Cancer experiences and pain you never wanted your kids to have to go through... But so seeing my son's love and his huge heart and willingness to make sacrifices for others makes me feel proud and loved.
Nbnotes, so happy for you that you are doing all this travelling and great that you had 4 NED years , hopefully you have losts of fun in your May 2019 trip!
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Vilma65. There are other treatments for liver mets that are not chemotherapy. I wonder if you could ask your MO about local treatments for the liver that might be available to you? If you could have a consultation with an interventional radiologist that would be great. It seems to me that waiting two months for a scan, while only taking femora, is concerning. I'm not a doctor but I did have liver mets. The y90 procedures were relatively easy and made a huge difference in those stubborn liver mets.
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Hi Grannax, thank you for your comment, I posted the question to the liver mets forum to see if others were treated only with hormone blockers and how did this work. I'm completely new to this and will love to think that I can trust my MO that so far I really like. Also in Canada it is not easy to be referred to another specialist since the MO or the family doctor have to order it.
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Yes, I just saw your post. I had about eight liver mets at DX December 2016, I started Femara/Ibrance January 2017. In March PET scan the liver mets had not responded much and one was actively growing. My other mets in lung and chest were not taking more uptake. When did you start Femara? I know it's very good for bone Mets. I wish Ibrance was available to you. What type of scans do you have?
When my MO saw the March scan, she recommended the y90. I had never heard of it. So she referred me. It has t be done when your liver numbers/function are good. Maybe your MO is planning to mention it after your next scan. Bone mets are usually very manageable, liver mets can be more difficult. I know nothing about your health plan in BC.
I just wanted to share with you my experience. I now have no uptake in liver mets, they are not active at all. Big relief for me.
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Grannax, I do thank you for sharing your experience, everything is very confusing at the moment and I want to hear and learn all I can. I started the femara a little over a month ago but we got he results of my ct scan only this Wednesday (took some time to get an appointment for the ct since the cancer agency was getting a new one and we couldn't access the old one) I hope Ibrance will be available soon, my MO told me that they are finalizing the negotiations regarding funding, price from Pfizer etc. It is encouraging to hear that your liver mets are not active
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Becks511, you bring me hope, i was 34 when i was diagnosed and now have mets to my bones. I am hopeful!
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Vilma, I am not sure if this will help you plan your "new" life, but I just bought a home and now planning a 2 month camping trip in August.
After being diagnosed with Stage IV liver mets, the Palliative care nurse suggested that I make small goals, ie, daily walk, weekly dinner out,..then work up to 3 month, then 6 month goals.
I did go through my clothes, made jewelry repairs, cleared out closets, donated books, gave up some volunteer commitments, updated financial documents. Now I am rebuying all that..too funny.
Find your priorities and don't feel guilty about protecting your time.
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