For those of us who have neuroendocrine cancer, every day is NET Cancer Day, but November 10 is the one day each year that is set aside to increase awareness of our disease and to promote improved diagnostics, treatments, care, and research. Unlike most cancers, neuroendocrine cancer (NETS) is often overlooked or misdiagnosed. Some patients, myself included, endure symptoms for 5 to 10 years before receiving an accurate diagnosis. All that time, the unseen disease is quietly growing and spreading which is why at least 50% of us, again myself included, have stage 4 cancer by the time we are diagnosed. At that point, it’s treatable, but not curable.
Why is this sneaky disease so easily missed? Why does it take so long to get a correct diagnosis? NETS starts in the cells of the neuroendocrine system which are found throughout the body. Neuroendocrine tumours can hide in many locations, but most commonly originate in the lungs, pancreas, gastrointestinal tract (specifically the large intestine, small intestine, or appendix), the adrenal glands or in rare cases, the brain, breast, or prostate. Without early detection, it spreads to other locations throughout the body including the lymph nodes, liver, peritoneal cavity, and bones.
Not only can the cancer be found in so many different parts of the body, but the symptoms vary and are often non-specific. They might include abdominal pain, diarrhea, nausea and vomiting, heightened anxiety, fatigue, weight loss, skin flushing, chest pain, coughing, wheezing, shortness of breath, and/or back pain. All of these are also symptoms of more common conditions, so it’s completely understandable that doctors don’t immediately consider a little-known cancer like NETS. Many have never encountered a case and know little or nothing about it. As a result, neuroendocrine cancer is often mistaken for other conditions including gastritis, IBS, generalized anxiety disorder, or even menopause. That’s why we need an annual NET Cancer Day and why we need to advocate for increased awareness amongst doctors and patients every day of the year.

Last year, on NET Cancer Day, I was happy to be able to report that my disease was stable. Unfortunately, this year, that’s no longer the case. Over the past year, my tumours (or at least one of them), which had essentially been dormant for several years, have been waking up and producing excess hormones again. One of the lesions on my liver has also started to grow again. Thankfully, however, NETS is usually a slow-growing cancer and we still have a number of treatment options available. The neuroendocrine cancer team at the Cross Cancer Institute meets on Tuesdays (I absolutely love the fact that they take a team approach), so they’ll be discussing my case next week and deciding where we go from here.
In the meantime, other than an ongoing headache that is probably stress-related, I have no symptoms and I’m able to live a fairly normal life. Considering that fact that I’ve had stage 4 cancer for over ten years, I feel pretty blessed. I consider every day a gift and I continue to trust that I’m not dying of NETs, but living with it!
There will be no Fashion Friday post today, but stay tuned for a new one next week.
I fell in love with Uniqlo on our first visit to Japan in 2005. The popular Japanese fashion retailer is known for innovative yet functional apparel as well as high-quality, reasonably priced, easy-to-wear basics for men, women, and children. When we lived in Japan in 2008-2009, it was a short bicycle ride from our apartment to the closest Uniqlo store and later, in 2013, when we spent a semester in Dalian, China we were delighted to find Uniqlo a short bus ride from home!


19-year-old, Ruby, driven by her difficult relationship with her mother, runs away from her home in England and seeks refuge with the grandmother she hasn’t seen for many years. Her unexpected arrival on Dr. Iris Black’s doorstep in Cairo brings life and disorder into the elderly woman’s house.
This week I’m featuring a garment that has been in my wardrobe since my teaching days. Far from new when I retired in 2007, it’s over 20 years old and now qualifies as vintage in the fashion world. Although I don’t wear it very often, I keep it because I love it and on those occasions when I do pull it out, as I did for church last Sunday, it feels like I’m wearing something new. 











The subtitle of this short, but intriguing memoir, My Life as a Woman Living as a Man in Afghanistan, tells much about the content of the book, but it could also be misleading to those of us living in western cultures. This is not a book about living a trans experience.

