My 9th cancerversary

It’s my 9th cancerversary today, 15 April. But I should really call it my 9th primary cancerversary, since I was diagnosed with secondary (terminal) breast cancer last July.

Not a happy event for sure, but I see it as a good milestone. I am still here, so I celebrate that.

I have a cake every year, because cake is good. And I am glad to be alive, especially since my latest diagnosis.

Hopefully, I will get to celebrate my 9th secondary cancerversary one day too, in July 2032.

I am grateful to be alive, and that my children and husband haven’t had to deal with another early death in our family and the never-ending grief from that.

So, am I full of joy and thankfulness, skipping along and singing  to the birds? No, not usually. I know that a (hopefully slow) decline awaits me, before a painful death. Although, the thought of being full of morphine and blissfully unaware does help.

What makes it harder is that my local hospice, Prospect Hospice, are really struggling with a lack of funding and donations. Like many hospices, they are fighting to keep going. When the time comes, I don’t want to die in a grim hospital room or at home (my poor family, having to deal with that!) So, I am extremely invested in Prospect Hospice thriving for many more years.

If you have the luxury of a few spare pounds, please do consider donating to them? It can be a one-off or regular donation, or you could enter their monthly lottery.

Many local people already know what a wonderful place it is.

Even though I am fairly well and able now, I have already benefited from their free massages and visits from their social worker. If I needed a spinal operation, even last minute, then they have promised to make a hospital-style bed available for me at home, or I could stay at their beautiful location in Wroughton while I recover.

Palliative care is so important, and means a lot more than dying with dignity and not in pain, although that is obviously vital.

https://www.facebook.com/profile.php?id=100064857995618

How long have I got?

The proofreader has died. May he rest in peas.

Joke

After my diagnosis in July, I did not Google the life expectancy for my type of cancer; stage 4 metastatic breast cancer spread to the spine; as I would rather not know. Anyway, everyone is different and I am praying and hoping for miraculous healing.

But, I have been told that some people live 10 years of good quality life after diagnosis. I have also heard that 3 years is the average life expectancy.

Macmillan’s website confirms that some people live for several years, while the average is only 2 years! Two years… my daughter will only be 12 then. Which teenage girl can succeed without a mother? My son will probably be at uni. Will he be able to finish his course? Will my husband Mike be isolated after the kids have left home?

But, my oncologist said that I should be able to survive for ‘several’ years; that is dependent on my being able to stick to my (previously horrific) initial treatment plan, which now includes a newly discovered ‘wonder’ drug that shows good outcomes.

However, if I get half the side effects that I had on the drugs after my primary diagnosis, then I will not be able to cope with the treatment for more than a few months.

I have always believed that quality of life (incl. peace, some joy and being able to make happy memories with my kids) is more important than dragging my years out in some shadowy existence where I try desperately to not be consumed by extreme anxiety, anger and all-encompasing misery. It’s not a lot of fun.

In a (rather pathetic) act of hope, I have bought myself a 5 year journal. If I write in it every day, then I need to live for at least 5 years, right?

Having struggled to write a journal since my son’s death 4 years ago, this is a big step for me. Before that, I was fairly prolific since childhood. But only having a tiny amount of space to write in each day is so freeing, and sometimes I wish there was more space. 🙂

It feels good to carry out this tiny act of faith. And also my kids will be able to read it after my death, and find out what a boring person I really am. I know that I should write them both letters and diary entries about memories with them too, but at the moment that feels like too much pressure.

Although I am not afraid of dying, I am worried about abandoning my kids when they are so young, and my husband, who is so disabled by long covid. Who will remember to buy the milk when we run out and send birthday cards and gifts when I am gone?

There is a long list of things that I want to do while I am still physically able. But having limited money and energy makes it hard. I am not sure what I want to prioritise. I want to be selfish and buy books and art supplies, but also spend time with my family and give the kids some treats and happy memories before they become bereaved for a second time.

I want to go back to work soon, partly for normality and because I love the job, and partly because we need the money. But I can imagine how exhausted I will be then, so art and fun will be pushed to the side while I fight to keep going with work, housework, parenting, caring, life admin, treatment side-effects and becoming more poorly over time. It’s like a complicated puzzle, trying to fit all of the pieces together.

I hate puzzles: no matter how much you struggle to solve them, the outcome has already decided by someone else. And you probably lose a vital piece along the way.

“It is not death that a man should fear, but rather he should fear never beginning to live.”

Marcus Aurelius

The cancer has spread

A few weeks ago, my GP said that a recent stomach CT scan that I had showed some odd changes in my right lung: the scan just happened to pick up the bottom of my lungs. This was a suspected lymph node infection. Problems with lymph nodes are a red flag in cancer survivors (I had stage 3 breast cancer in 2015.)

I am grateful to a radiologist who noticed this and suggested that I be referred for a chest CT for a better look at my lungs.

The chest CT showed the small change in my right lung, but also cancer in my T3 vertebrae (between my shoulders) in my spine.

The change in my lung may be just the infection, or another cancerous site. The area is not really big enough to biopsy. The do not want to do a spinal biopsy, because they are dangerous and painful.

An MRI scan confirmed the cancer in my spine. I had a full body PET scan yesterday, which will show if I have any other cancer in my body and if there is an easier site to biopsy.

As the original cancer has now moved to my spine, this is called stage 4, or metastatic cancer. This is not a curable disease, but they can treat it, possibly for many years, if my body tolerates it and the treatment keeps working. I will have cancer for the rest of my life.

My oncologist warned me years ago that someone with my age at primary diagnosis (early 30s) and the type of cancer that I had, as well as its speed of growth meant that my life expectancy was below 50 years of age.

So this is not a shock to me.

I do not feel afraid to die.

I feel worried for my kids possibly losing a mum so young. There is a chance that I will live for many more years though.

I feel sad for Mike who is very disabled by long covid, and so cut off from friends and many of his old sources of support. He can’t just meet up with a friend for a drink or go for a day out, or even get to church. Many people have moved on and forgotten about him.

My cancer is not pressing on my spinal cord, so I am not in need of immediate treatment.

Update:

Most of my friends and family already know about this, but thought that I should put it on my blog too. I know that many people who I don’t personally know, have followed my blog since my initial primary diagnosis in 2015.

The PET scan revealed that I have cancer in two vertebrae: one in the T3, between my shoulder blades, that I already knew about; and the C7, which is in my neck. Thankfully, both are stable and there is no spread to other organs yet.

I start treatment soon and am very worried about it. The side effects can be absolutely awful, but I need to stick to it as long as I can. I would like to see my daughter reach 18, even attend her graduation from university ceremony one day, if I can dare to hope to live that long. And one of my life goals since I was a kid has always been to meet my grandchildren. That seems a little unrealistic at the moment.

Miracles happen though.

When Samuel died

We knew that Samuel would not live for long. We found out at my ‘normal’ 20 week scan, which happened to be 3 days after Christmas 2018.

We knew that he would never talk, never take his first steps, never start nursery or school.

The cardiologist told us that the average life expectancy for a baby with his congenital heart defect was 2 days. I hoped for a few more, so that he could meet as much family and friends as possible. Of course, any baby can die during labour, so there was that awareness too.

We and other Christians prayed for a miracle,  but myself and Mike both felt that he was never destined for a long life. We would have gladly taken it, of course. Why didn’t God heal our Samuel? Only He knows. I do know that Samuel’s life is just as valuable as someone who has lived to 100, or climbed Mount Everest or became a millionaire. Every single person is loved by God, and that is not dependent on their looks, education or achievements. I do know that thousands of innocent babies and children die around the world every day, from disease, war, poverty, illness, accident, unknown causes and parental choice. So he is definitely not the only child currently chilling in Heaven. I miscarried before Bethany was born, so he has an older brother or sister with him.

When I was about 6 weeks pregnant, and then again at 17 weeks (after completely normal 9 and 12 week ultrasounds that didn’t show any problems); I did hear clearly a male voice in my head saying “There is something seriously wrong with your baby.” I hadn’t been thinking or worrying about my pregnancy at the time either. So I had some warning.

Thankfully we were in a lovely hospice for most of Samuel’s life, called Charlton Farm.

https://www.chsw.org.uk

We had as peaceful and enjoyable a time with him as we could. And it wasn’t just that Samuel’s every need was met. We were looked after as a family too. They were a real blessing, and we will be forever grateful to them.

I remember the last full day of his life, Saturday 11 May 2019. It was the weekend, so Connor and Bethany were with us again, after a few days at school (staying with Mike’s parents.) Being a Saturday, more family were able to visit, which was great. My sister in law, Mary, came to visit us in the morning. My sister, Laura, who had visited from Scotland ‘for just a few days’, more than 2 weeks before, was living at Charlton Farm with us, mostly to look after me as I had had a c-section and was fairly immobile. She was an absolute angel to us all, and I can’t thank her enough for being there for us. My brother Vince, and his fiance Anna visited us that afternoon. So Samuel was blessed to have all of his aunties around him on his last well day.

We went for a walk up to see the horses on the farm at the top of the steep hill with Mary and Thalia (Samuel’s nurse for the day), that morning. It was a warm sunny day. The kids played on the very posh private school nearby’s outdoor play equipment. We noticed that Samuel was struggling to poo, which is a sigh that we had been warned about. It was because his heart was failing, and the digestive system is the first thing that struggles to work due to reduced oxygen. He could still breathe fine on his own and wasn’t in any pain.

That afternoon, Vince and Anna arrived. We had a lovely time sitting in the garden while Samuel slept in his pushchair or was held by everyone in turn, and Bethany played in the nearby sandpit. Everything felt so relaxed and happy. I thought at the time that this was going to be a happy memory to cherish. You don’t always know what you will remember, but I just knew this time. Samuel was ok, if sleepy and not hungry. The exact opposite of his brother at that age!

We knew that his time was probably coming to an end, but didn’t know how long it would take. And there is always hope that you will be given a few more hours and days.

That evening as Mike and I watched a film, strangely I can’t remember what it was, we could see that Samuel was starting to physically deteriorate. He was still comfortable and didn’t need any interventions, but one of the hospice’s regular doctors made the effort to came to check on him anyway at about 11pm, long after she had gone home for the day. A trick of his was to creak at you almost like he was trying to communicate. He was also a surprisingly alert baby who stared at people as though working you out. He got more creaky and more pale. We felt calm, but there was sadness as we knew that we would have to face his death soon.

We told the two nurses on night duty to wake us up if there was any concern about his health. I was downstairs in his room, as the trip to the bedrooms upstairs was too tiring and I wanted to be near to Samuel at night. My sister was in the next bedroom. At about 2am, nurse Sophie woke me up to say that they had tried a little medicine, but he was quite poorly. I had a cuddle, and after a while he picked up a bit. About an hour later, they asked if they should wake Mike and the kids, as Samuel was struggling. I agreed, and soon Mike, Connor, Bethany and Laura came into the room. He was very pale and we told the kids that he was going to die soon. The nurses had given him some medication to make him more comfortable. We had some cuddles, and all said goodbye to him. He was in my arms as I sat in bed when he died. It was all so calm and quiet. I think that he had the best death that anyone could hope for.

At about 4am, we had said our goodbyes and the nurses made us all a hot chocolate while we sat in the nurses’ station where Samuel had spent many nights in a nurse’s or my arms. There are sofas and a big window. We watched the sun come up.

Samuel had a happy life and a peaceful death. He was hardly ever in a cot or pushchair as everyone fought over cuddling him. He made such a big impact on our and many other people’s lives in his 11 days on Earth.

We are sad, and sometimes angry; and it is incredibly unfair. We will never stop grieving our son. But what happy memories we have with him. He has helped me to think about life differently: about what is really important.

Autumn returns

The leaves are turning yellow and orange again. The air feels cooler, and night falls more swiftly. I love Autumn because it is beautiful, but also because it reminds me about the briefness of life.

Summer seemed never-ending, and was it really that hot? But here we are at the start of a new season. And soon it will be winter, with its icy dark days and bleak trees. What could be good about winter, besides the first few hours of snow, and hot chocolate?

I think that without the reminder of our own mortality, life is all too easily taken for granted. Knowing that one day we will die, reminds us to enjoy what little time we have; to make the most of what we’ve been given; to hug our loved ones more tightly.

And after the emptiness of winter, we know that a new life awaits us. We look forward to it. Death and life are opposites, yet like two sides of the same coin. There is no need to fear winter, because one day spring will arrive.

For now, I will breathe in the scent of woodsmoke, delight in the colours, and be grateful that I am here to enjoy another Autumn.