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Saturday, October 25, 2014

Avon Walk - Harkin's trip to ER - Cancer is never really over

Last weekend Michelle and I did the 2014 #avonwalk for breast cancer.  We each raised $1800 to participate in the walk which is 39.3 miles spread over two days including camping in a tent overnight.  Oh boy!  I don't do tents and outdoor things.  I am proud to say we did the walk and raised the money.  Poor Michelle’s feet were wrecked with blisters but we met some awesome people along the way and it felt nice to do something for breast cancer after so many people have done so many great things for me.  I walked in honor of Meg Sager and the rest of the kick ass cancer mamas!  Cancer sucks and it does not discriminate.  I cannot stress the importance of self examinations (how I found mine!)
My sleeping arrangements for the night! Brrr it was cold!

1 year since right mastectomy


Tuesday was the one year anniversary of my first official day out of work on disability as well as my right mastectomy.  I had no reconstruction done at the time and we only removed the breast that had the cancer in it.  I had to wait until after I had Harkin, healed and completed chemo before I could have the prophylactic mastectomy in July with the double reconstruction.  I am still getting expanded every week with the plastic surgeon Dr. Cohen.  I will have two more surgeries one to swap out the expanders for the actual implants and another for nipple reconstruction and tattooing.  Yes when you have a mastectomy they take everything!  This is to ensure you get clear margins and remove all the cancer and hope to stop it from spreading.  It is amazing how many surgeries I have had in just 12 months.  It is amazing what a body can go through in this time.


Trip to the Pediatric ER
On Thursday when I was at the plastic surgeon I got a call from the daycare that poor Harkin had not kept any food down or in her with getting sick.  I ran down to pick her up and something seemed off.  I brought her to Hackensack University Medical Center and she was seen in the Pediatric ER.  She was suffering from low blood sugar and dehydration.  They had to do an iv provide her fluids, zofran for nausea and sugar.  They took blood and ran a panel and found nothing other then being dehydrated and low blood sugar.  Thankfully her sugar level came back up and she was re-hydrated by the fluids.  What a scary experience to have to bring your baby to.  She is finally on the mend poor baby!
A selfie of a baby starting to feel better.  Great distraction tactic for kids by the way!

Dr. Oz show
 This week on October 28th my picture along with a few other survivors of breast cancer will be shared during the show.  http://www.doctoroz.com/

Monday is the nephrologist 
I am so nervous as on Monday, October 27 I have an appointment at Columbia Presbyterian to meet with my nephrologist Dr. Appel.  I had seen him right after Harkin was born and everything seemed well but these days every time I go to the doctor I feel I am waiting for the other shoe to drop.  I have been seeing Dr. Appel for years now as I was diagnosed when I was seven with FSGS a chronic kidney disease.  I originally was treated through CHOPS Children's Hospital of Philadelphia by Dr. Kaplan.  Dr. Kaplan is still in practice but unfortunately when I turned 19 he advised I needed to see an adult nephrologist.  He hooked me up with Dr. Appel and he has been a wonderful and understanding doctor ever since.  Here is to hoping all is going well with my kidney's.

Survivors guilt is continuing...
Another Mom is my cancer mom’s group got really bad news that she has days left to live.  She went into the hospital for uncontrolled vomiting and the cancer spread to her spinal fluid and brain.  She has four small children and a loving husband.  Cancer is so unfair and it sucks so bad these beautiful people and mom's have to suffer so much and then leave their families behind.  I have a hard time every time I hear a story like this because I am doing okay and someone else is not.  It's just not fair and it makes my heart hurt.

I am still taking things on day at a time and I am starting to formulate what I have learned from this journey and I am going to be looking into starting a charity that will allow me to give back to Mom's that are pregnant with cancer.  Not just breast cancer because cancer does not discriminate and everyone needs help especially those who have been diagnosed while pregnant there is a battle going on for two! 

Sunday, October 12, 2014

Goodbyes, loss and letting go

To say the last seven days have been tough would be an understatement.  It started with October 4th my diagnosis day.  I thought I would be okay.  I though I would be happy.  I thought I am turning 30 this year is going to be different.  What I got instead I did not expect.  More loss and life lessons.

On Saturday October 4th my chemo buddy Andrea or as I affectionately called her Annie decided to go into hospice.  She had fought long and hard for 18 months with lung cancer and the battle was getting harder and the pain was mounting.  It was an honrable decision.  She fought as long and hard as she could beyond the measures of what others may have been willing to do.  She lived life to the fullest.  Annie passed on October 8th the day after my 30th birthday and is now resting peacefully in heaven.  I hope she is rocking those killer heels and dancing away up there!  She had such an infectiously happy spirit you could not help but smile in her presence.  She loved sunflowers so much and she was a beautiful sun flower in the lives of so many.  I will miss her deeply.

On Monday, October 6th Meg a beautiful mom of two, wife, teacher, friend and so much more from my cancer mom group lost her battle to cancer.  She had breast cancer while pregnant and had a beautiful daughter about a month after I had mine.  I am having a hard time wrapping my head around this because well it is not fair!  It sucks!  I am mad for her not getting to finish out her life.  She didn't get to see her girls grow up.  She has a wonderful loving husband who is left without his partner.  Why?  I don't get it? 

Smack in the middle of these two tragic events On October 7th I turned 30.  Needless to say I feel numb and not very celebratory.  I am so mad at cancer!  I hate everything about CANCER.  This stupid pink month is about to push me over the edge! 

I am tired of people telling me to be happy it's over.  It's not over!  I have to go to the doctor constantly.  I have to take a pill everyday for 5 years or more that will hopefully make sure it does not come back.  I am still doing reconstruction and every time I look at myself in the mirror my whole torso is marred with scars and visual reminders of what cancer has done to my body.  Forget the emotional scars and wounds that you cannot see.  Cancer hurts!  Cancer kills.  Cancer sucks the life out of you.  It is not just over one day! 

Not to mention I still have a kidney disease.  I still what in fear for the other shoe to drop.  To get the call my kidneys are declining and begin discussion for dialysis and a transplant.  I don't know if this day will come.  I pray it does not but it is a real possibility.  My life has always been full of crazy twists and turns and nothing really going very smoothly.  I am use to this by now but I am also very tired and I am only 30! 

I find it harder to connect with people these days.  Unless you have walked in shoes similar to mine it is hard for me to relate.  I don't understand where  you are coming from.  I know that sounds stuck up and terrible but it is true.  I am not sure how to bridge the gap with people any more. 

I am scared out of my mind!  What if the cancer comes back?  What if the doctors missed something?  What if I die and leave Ken and the girls?  What does my future look like?

I am usually very positive but this past week has hardened me a bit.  I hope I soften again but I am finding it harder and harder each time I get a new blow.  Today I am searching for the light and praying for a better tomorrow. 

A few links I would like to share:

Meg Sager's donation page to help her husband and the girls.  Please consider donating to this beautiful family.
http://www.gofundme.com/fj48pg

Tomorrow October 13th is metastatic Breast Cancer awareness day.  Know the facts and learn more about how breast cancer is not just a cute pink ribbon.
http://mbcn.org/developing-awareness/category/13-things-everyone-should-know-about-metastatic-breast-cancer

Just let go

Sunday, October 5, 2014

Diagnosis anniversary + chemo warrior friend in need = a side of survivors guilt

Turning 30 in 2 days and I just had my 1 year diagnosis date on October 4.  I also got some bad news that a fellow chemo buddy from my cancer center Andrea is not doing well and is being made more comfortable.  Annie as I and everyone else knows her as is the brightest spirit imaginable.  She helped lift my spirits during some tough chemo days.  While she does not have breast cancer she has lung cancer our chemo's were different but our bond, love for shoes and the laughter we shared was enough to forge a wonderful support system during chemo.

I am feeling survivor guilt.  I get to say I am free of disease.  I still have to take a pill every morning, see my breast surgeon every 6 months, see my oncologist every 3 months, maintain my weight, eat right and exercise but these are a small price to pay in order to be free of disease.  I know a lot of people who are not at the survivor stage just yet they are in the fighting stage and some may never get past the fighting stage.  This breaks my heart.  while I believe everything happens for a reason, there is a purpose in all actions and we meet people at specific points in our life because we each need each other, I am still struggling with the whys of this disease.  Why do some people get to live and others die?  Why do some people get cancer while pregnant and others don't?  Why is this a life lesson I had to learn?  The list of why's goes on and on and there will not be a clear answer ever.

 The other thing I am sick of is all this PINK WASHING crap!!!  This disease is not just about some cute pink ribbon.  Yes it is nice to have a symbol to represent this terrible disease but the more I read the fine print of the actual amount of pink products that are donated to breast cancer research and patient support the more I am utterly appalled.  Like sick to my stomach.  The other horrible thing is a ton of these companies who give basically no money to cancer research have ingredients in their products that are carcinogens that have been linked to causing cancer in some cases.  I ask you to PLEASE continue to think before you pink.




Not all cancers are equal.  I am not saying that they are not all equal but unfortunately society norms dictate they cannot all be equal.  For example many cancers including childhood cancers which is represented by a gold ribbon and is educated about during the month of September cannot get the Empire state building or the GWB to turn their lights yellow in support of their cause but the second we hit October 1st EVERYTHING IS PINK!!!!  Who is to say breast cancer would be more popular and get more attention and awareness vs. childhood cancer.  Those kids deserve attention and funding too.  They are warriors just like every other cancer fighter and survivor is! I would love for us all to get to the point of cancer equality.  Stand up for cancer is a great org that works to educate and fund all cancer research. 


Good article on PINK WASHING:
http://www.huffingtonpost.com/karuna-jaggar/we-cant-waste-another-oct_b_4152051.html

Stand up to cancer link:
http://www.standup2cancer.org/

Saturday, September 27, 2014

A year in review 1 year since my diagnosis

Tomorrow is a year from the day I found the lump in my right breast.  I was 17 weeks pregnant and feeling fine until I felt that lump.  I tried to tell myself it would be okay.  I would simply go and get it checked out and it would be nothing.  Waiting to call my OB seemed like a whole week packed into one night.  I called at 9:02 am on a Monday morning and blurted everything out to the receptionist and she was like I am sure everything is fine but we will have you come in. 

I went in he felt the lump and said it feels too big to be cancer but we should always check out lumps so I will send you for an ultrasound.  I got the prescription written for an ultrasound with the right to biopsy if anything suspicious was found.  The same receptionist was so kind and called the breast center pulled some strings and made me an appointment.  I got scheduled for 2 days later on October 2.  I remember going to that appointment feeling like I was walking in a thick fog.  I think in my heart I already knew I had cancer and my stomach and my brain where not on board with the concept yet.

Since it was October the breast center was decked out in pink and promoting breast cancer awareness.  There were so many women in for their yearly mammograms and check-ups there was no where to sit.  Ken came with me and when I got called back to change into a robe and wait in the next waiting area he stayed in the main waiting area.  There I was with women young, old and somewhere in between sitting in a white robe waiting to be called.  I remember the look on the face of the woman sitting next to me.  We briefly struck up a conversation and she was nervous and I assured her it would be okay.  It is always good to get out yearly exams.  She got called and my phone rang.  I answered it was the daycare Bridget had bitten again.  Bridget was going through a tough phase because she could not express herself she would bite.  I assured them we would address this again with her when we got home and set up another meeting to speak with the daycare director.  I almost forgot why I was where I was and then my name was called.

Again when I stood up it felt like a thick fog entered my head and my feet became so heavy.  My heart was in my throat and it was the longest walk ever.  I went into the room met the radiologist.  She explained everything and asked if I had any questions which I did not because at this point it was pretty straightforward we were going to pour some cold goo on my breast and run an ultrasound wand back and forth.  We started and my eyes were glued to the screen.  Not is a good way like when you go for an ultrasound to see your baby and your are filled with anticipation and excitement.  No this was different.  This was cold and uninviting.  We she finally got a clear shot on the screen I could see this big black mass.  I knew right there this was not good.  She put the wand down and called the nurse assistances back in the room and announced she wanted to exercise the biopsy.  She left and the nurses came in to explain what was going to happen.  I burst into hysterical crying.  The ugly cry!  The kind where the mascara all over your face is the least of your concerns because you also have snot coming out of your nose and you can barely breath.

I finally got myself under control and they performed the biopsy which because I was pregnant they really did not numb me or no anything to make it feel better.  So there I am getting stuck with this giant ass needle 3 times in order to get a good enough sampling.  I left with no answers, scared and with more questions and fear than ever before.  I remember trying to be positive repeating it can't be cancer I am pregnant and only 28 how does this happen.

Two days October 4th later at my post physical follow up from my general practitioner I had the Friday before I found the lump.  I went in for my blood work results.  Everything was great and then I told her about the lump I found and she looked at it and felt it and said wow that is big but most likely not cancer.  She is connected to the hospital system called (epic) and said she would check the results as she was sure they were fine.  I was then left to wait for a really long time because little did I know they were trying to find Ken because I did have cancer.  Instead I continued to answer work emails on my blackberry and surf the internet on my phone.  I was 3 days shy of my 29th birthday and also feeling sentimental missing my Dad and irritated I was waiting so long (thanks pregnancy hormones) when Ken opened the door to the exam room.  It was like someone punched me in the gut.  I could not breath.  I could not get words out.  I felt immediately sick to my stomach and started that ugly crying again.  I had cancer!  How could this be.  The rest of that afternoon was a haze.  I cried so hard I ran out of tears.  I almost puked in the office but held it together.  I remember calling my boss to say I have cancer I am not coming back to work today. 

It took me all of 24 hours to get myself back together.  We headed off to my cousin Amanda's wedding.  I decided I was having my baby girl who I had already named Harkin and whom I could feel kicking right along in my tummy.  I knew it was not going to be an easy battle but I do not give up.  You can either fold or play the hand and in life I choose to play the hand even if it sucks!  What happened in the end is nothing short of a miracle and positive attitude.  I will not give up.

Before I touch on the topic of pinkwashing, I cannot implore enough that self examples, testing, yearly mammograms, genetic testing if it is in your family history are all important steps to saving your life.  This includes when you are pregnant!  CANCER DOES NOT DISCRIMINATE!!!!!!  Please get checked and take care of yourself!



I had always supported breast cancer in the past.  I donated to those walking, donated to Avon and bought pink products thinking I was making a difference and in reality it is very sad the amount that actually gets donated if anything at all from pink item sales.  The advertising during this month is referred to as "Pinkwashing" in the breast cancer communities.  We are the people who unfortunately get to know breast cancer on an intimate level and know it is more then just one month out of the year.  In my case I have even less of a right to complain as my cancer was contained and I am considered No evidence of disease where as others like with (mets) other wise known as metastasised breast cancer.  

http://thinkbeforeyoupink.org/?page_id=13

http://www.huffingtonpost.com/lara-huffman/my-disease-isnt-a-cutesy-slogan_b_5853184.html


Monday, September 15, 2014

Back in the saddle...

So I am back to work 9 days now and in some aspects it is like I never left and stepped into a time machine and went back 11 months and then there are moments I feel completely out of place like the world completely passed me by and I am grasping for straws.  It is a really weird place to be.  I am still tired and trying to get my energy back, I have difficultly concentrating and grasping everything coming at me.  I am happy to have a job, luck to work where I do and I am glad there is such a welcoming environment but things are just different.  I am different and nothing is going to change this.  I got back on the saddle and while it feels comfortable and familiar I am noticing new things I never saw before and my horse changed speeds without my consent.

Everyone else is doing really well Bridget is in the middle of potty training and it is going well except the whole #2 thing.  She holds it in an constipates herself so I told her it is okay to put a diaper on when she wants to go and she doesn't even want to do that.  We just bought a minnie mouse potty seat, minnie mouse underwear and a whole slew of potty training books.  We even started watching potty videos on youtube.  What is my life coming to?  lol its all about the potty!

Harkin is happy as a clam!  She is over 19 pounds and growing strong.  She crawled this weekend and her first two bottom teeth broke through.  She is doing great at daycare and loves her sister.  Harkin is just a happy baby.  No matter what she is happy and I need this! 

This week I see the breast surgeon for an 8 week post mastectomy op appointment.  I also continue with my weekly plastic surgeon appointments to get my fill.  I have these scheduled through October and from there we will see where we are and when my next surgery is.

I have to say I am soooo tired of seeing doctors that I am dragging my feet and have yet to scheduled my nephrologist appointment to check on the good old kidneys.  I know I need to do this and check on my FSGS and well I just have not had the time or energy to make the call.  His schedule is a very specific one and you basically come when they tell you.  This is like most of my doctors because of their expertise you bend your schedule to fit their schedule.


I have had a few people ask me how I am doing and when I start going into details I can tell by their face they did not really mean how are you doing and just expected me to reply with a nice easy answer of good, fine, etc.  Just for the record don't ask someone how they are doing/feeling especially if they have been through something big and expect the answer fine, good or something short and sweet.  I understand we are all busy but it is important to me to answer the question.


I received two meaningful gifts recently the first was these beautiful bows made by an elementary school friend.  Bridget, Harkin and myself each have one to where to the Avon breast cancer walk now and another friend and co-worker bought me a beautiful plaque to remind me what Cancer cannot do.  Sometimes you just need the reminder so thank you!




Saturday, September 6, 2014

First day of school and First day of work


Tuesday September 2 was the girls first day of the 2014 preschool year.  Harkin had just started Ms. Martha's class two weeks earlier.  Bridget was so excited to go back to school that she woke up at 3:05 am on Tuesday morning exclaiming "Mommy come dress me I need to go to Ms. Ryan's class!"  Needless to say she woke up her sister and the dogs.  pretty much it was me vs four.  I landed up sleeping on the floor in the girls room to get them to go back to sleep.  Which thankfully they eventually did but then everyone was not quite ready to wake up when the alarm went off.

The girls did great on their first day.  Harkin celebrated a birthday in the infant class and Bridget got right back into the swing of wanting to use the potty.  I used the day to run errands and tie up loose ends.


On Wednesday I had my first day back to work.  I had the knots in my stomach.  It felt like a combination of homecoming and being a freshman all over again.  Homecoming because I know everyone for the most part and freshman because the culture and focus and company have changed so much.  I was very happy to see everyone and start to catch up. At then end of the first day I was dead exhausted and went to bed pretty early for my standards.

I have also established a plastic surgeon standing appointment every week that started this week and will run through then end of October.  I am hoping I will have good progress and be able to continue to move through my goal and get my next surgery without any issues.

I also started the back with the personal trainer again this week.  I am soooo happy because I lost so much muscle tone and got pretty weak with all the surgeries, cancer, chemo and not to forget the FSGS.  I also have the Avon walk coming up in about a month and I am NOT really physically prepared for this. 

Ken and I went to the Avon Pavillion in Avon by the Sea for our anniversary dinner last night.  It is a tradition of sort for us.  They rebuilt the place beautifully since hurricane Sandy.  I felt bad because I was so tired I made it through dinner and then fell asleep on him on the way home.

This weekend we have a lot planned with the girls and I am trying to get back into the swing of all things mom and household related that still need to get done despite working.  One step at a time and easy does it.  I just need to keep reminding myself Rome was not built in a day ;)

I love this picture and all it represents.  Which one are you the monkey or the elephant?




Thursday, August 28, 2014

Ursula's tentacles are a lot like cancer

Back to work:
I am medically cleared to go back to work by my oncologist with the limitation of allowing my mind and body to readjust to re-entry into the work place.  Meaning to make a schedule that will allow me to rest and stay healthy.  My body is still recovering big time from everything it has been through the past 11 months.  Even though I am medically cleared by my oncologist Dr. Graham I need the long term disability doctor to speak directly with her in order for my start date of September 3rd to be approved.  If they cannot connect I will have to wait until they do in order to head back into the office.  I am excited and nervous.  I still get really tired and while I look healthy I am still going through the effects physically and mentally of recovering from having cancer.  Cancer has these ever reaching tentacles, just when you through it was over something else pops up.  Reminds me of Ursula from the little mermaid.

The staycation:
9 days off with the kiddos since daycare is closed is really wearing me out!  They have boundless energy!  So far we have been to the beach, the Turtle back Zoo, went out to lunch and shopping, World of Wings and we still have Liberty Science Center tomorrow, a BBQ and the Scandinavian Festival.  Wow did I mention I am exhausted and wiped out!  I am not sure how you stay at home mom's do it!  I am reminded how much I love my children and how much I am not cut out for staying home day in and day out.


Plastic surgeon update:
My reaction to the needle size face LOL
Today I got to see Dr. Cohen my plastic surgeon.  She had been out of the office as she had an issue with her back and she herself required surgery.  She had surgery 3 days ago and was back in the office!  She is one tough lady.  Good news is my hematoma has healed nicely along with the blood supply returning to the skin on the left side.  It had been a concern when it blistered over that the skin may die and need to be cut off and the expander removed.  Thankfully this has not happened.  She was concerned with my port scar which has gotten really tough, pink and painful.  She said the port scar has become a hypertrophic scar http://dermnetnz.org/dermal-infiltrative/keloids.html and I need to start using mederma and vitamin e oil daily and applying pressure and massaging into the scar to break up the collagen and fibroid bonds that are forming.  This is not anything that is going to effect my health per-say it is a cosmetic concern she advised.  She expanded both sides today with the saline fill.  I am now scheduled for a saline fill once a week for the next two months (so through the end of October).  We will see where we are and re-evaluate from there. 

Hair and appearance:
Still struggling with the hair.  I know it is just hair or so I have been told but it was a part of my identity previously and I spent a long time growing it to that length it was last year.  I am also struggling with this new body.  It is not the body I am use to.  I am not post two kiddos and multiple surgeries and no REAL exercise regimen in 11 months and well the results are a lumpy, bumpy, scar filled body.  Yes I am still here and yes the scars are a sign of everything I have been through but I still miss the old me.  I will never get that me back and I realize this but some days I have a pity party of one because I need to.  Then I rally and gather myself and march right back into the real world because life is meant for living not for sitting.  I will need to keep working at this every day! 


An art tree of life sculpture and quotes at the plastic surgeons office
Keep a green tree in your heart the singing bird will surely come. ~Chinese proverb