Scanxiety

Since being diagnosed with cancer almost 18 months ago, I’ve learned a lot of words that I, a self-professed word nerd, would rather not have had to know. Words like neuroendocrine tumour (I have five of them lurking inside of me) and carcinoid syndrome (a group of symptoms linked to the excess hormones released by the type of neuroendocrine tumour that I have). I could bore you with several others but the word that best describes my life the past few weeks is scanxiety.

Scanxiety

Scan + Anxiety = Scanxiety

Though my cancer is incurable, I go for a treatment about once every ten to twelve weeks that is designed to keep it from growing and spreading. I am injected with Lutetium-177, a radioactive therapy that adheres to specific receptor cells in my tumours and destroys them. The morning after each treatment, I have a full body scan that shows us exactly what has been happening with the disease since the previous treatment. Fortunately, I don’t have to wait long for the results. I meet with a doctor immediately afterward to view the pictures and talk about what they show.

For the most part, I’ve been at peace and have approached each treatment and scan without a lot of anxiety but this time was different. Since my last treatment in mid November, I’ve been experiencing intermittent stomach pains. They’re short-lived, lasting only a few minutes. It’s easy to second guess every ache or twinge and wonder if it’s related to the cancer but this was more than that. Stomach pain is one of the most common symptoms of carcinoid syndrome and one I’d experienced prior to diagnosis. I began to wonder if this was a sign that the cancer was growing or spreading.

Worry often begins as a little thing but it seems to feed on itself. Soon I was carrying a heavy burden of anxiety. It continued to grow until I was quite sure that I would hear bad news when I went for this week’s treatment and scan.

Then, on Tuesday night as I was brushing my teeth and preparing for bed, I heard the Lord say, “It’s going to be okay!” Oh, it wasn’t a booming voice thundering through the ceiling of our tiny ensuite bathroom. It wasn’t an audible voice at all but it might as well have been. I knew without a doubt that it was God speaking to my heart. He even said it several times. “It’s going to be okay!” I walked out of the bathroom feeling like the world had been lifted off my shoulders, crawled into bed and had a great sleep. Then, the next morning, I climbed out of bed, picked up the heavy load of anxiety and put it squarely back on my shoulders!

As we drove to Edmonton for my treatment and throughout the hours that followed, I tried to tell myself that everything was going to be okay, but I kept hearing the other voice, the one that said, “Are you sure it was God that you heard? It wasn’t God, it was only your own wishful thinking! You were right in the first place; the news is going to be bad!” Foolishly, I listened and my anxiety grew.

I was thankful for the visits that kept me sane that evening. First, an acquaintance from years gone by that I’ve recently reconnected with. We could have talked for hours! Then, my dear hubby who has walked every step of this cancer journey with me. I was also thankful that the treatment had made me tired enough to sleep.

The next morning, I prayed for the entire half hour or so that I was being scanned and then it was time to find out which voice I should have listened to. I walked into the consultation room where Dr. Sandy McEwan, head of the neuroendocrine tumour clinic at the Cross Cancer Institute, and Dr. Dean Ruether, leader of the provincial endocrine tumour program, sat waiting with smiles on their faces and I heard the words I’d been longing to hear, “Everything’s okay! There’s been no change.”

My cancer is stable! I can relax until mid April when we go through the whole thing again, hopefully without as much scanxiety! Oh, there are still the stomach pains to deal with but I’m even wondering if they will subside now that the burden of anxiety has been lifted. I’m going to be monitoring their frequency and intensity for the next few weeks to see if they’re actually lessening, as I think they may have been. If not, the solution might be as simple as increasing my monthly dose of Sandostatin which controls the carcinoid symptoms or as complicated as surgery to remove the primary tumour from my colon.

For now, I’m simply going to relax and give thanks to the One whose voice I should have listened to!

World Cancer Day 2015

World Cancer Day

When I first learned that today is World Cancer Day, a day in which the world comes together in unity in support of the global fight against cancer, I wasn’t sure how I felt about that. Do we really need an awareness day for everything? After all, isn’t everyone already aware of the devastation brought about by this dreadful family of diseases? Surely everybody has been touched by it in some manner. And what good does a day do anyway?

Cynical? Yes. Grouchy? Yup, that too! Perhaps my reaction has more to do with the fact that I’m resting on a heating pad because I wrenched my back yesterday than it does with whether or not we need a Cancer Day. It might also be related to the fact that I have a treatment next week followed by a scan that will tell us whether or not there has been any change in my own cancer. The days leading up to these scans are always a bit nerve wracking so I’d just as soon avoid the topic of cancer altogether today.

I’ve decided not to do that, however. The Lord has given me a voice (or in this case, a keyboard) and the least I can do is lend it to such a worthy cause. There’s really nothing that I can say about cancer that hasn’t already been said, but let’s begin with some alarming statistics:

  • Cancer is a leading cause of death worldwide and the leading cause among Canadians.
  • An estimated 191,300 Canadians were diagnosed with cancer in 2014 – 97,700 men and 93,600 women.
  • About 76,600 Canadians are estimated to have died of cancer in 2014 – 40,000 men and 36,600 women.
  • 45% of men and 41% of women will develop some form of cancer in their lifetime.
  • On average, 524 Canadians are diagnosed with cancer every day.
  • On average, 210 Canadians die of cancer every day.
  • About 30% of all cancer deaths are due to five leading behavioral and dietary risks: obesity, low fruit and vegetable intake, lack of physical activity, tobacco use, and alcohol use.
  • More than 60% of all new cases each year occur in Africa, Asia and Central and South America which account for 70% of the world’s cancer deaths.
  • Deaths from cancer worldwide are projected to continue rising, with an estimated 13.1 million deaths in 2030. I suspect that this is, in part, related to the fact that life expectancies are also rising.

Despite these gloomy numbers, cancer survival rates have doubled in the last 40 years. Awareness is making a difference!

The theme for World Cancer Day 2015 is “Not Beyond Us”. This year, the campaign is focusing on four key areas: choosing healthy lives, delivering early detection, achieving treatment for all, and maximizing quality of life. It takes a positive approach to the fight against cancer by highlighting new treatments and solutions that are within reach.

Today is World Cancer Day but the fight against cancer takes place every day. It takes place in research labs around the world but it also takes place all around you. It takes place in that home where a mother, father or child is fighting for life. It takes place in the hospitals and clinics where they receive treatment. It takes place in classrooms where good health habits are being taught and it takes place in communities, large and small, where fundraisers are held to benefit everything from individual patients to global research.

What will you do to make a difference in the fight against cancer? Will you make a donation, offer to drive an acquaintance to an appointment, or drop off a meal for the family when you know that Mom has had a treatment? Whatever you choose to do, you can make a difference!

Tulum

One of the reasons that we chose a resort on the Riviera Maya for our Mexican getaway was its close proximity to the Mayan ruins at Tulum. Visiting this historic site was definitely one of the highlights of our vacation.

I was awed by its location high on a limestone cliff overlooking the beautiful turquoise waters of the Caribbean. The original Mayan name for the settlement was Zama meaning dawn, very apt considering it’s eastern exposure facing the rising sun. It was early explorers who gave the place it’s current name which simply means wall, referring to the stone barricade surrounding it on three sides. The ocean provides protection on the fourth. Tulum was the only Mayan city built on the coast and one of few that were walled.

Within those walls are found the imposing Castillo, or castle, Tulum’s tallest and most famous building. Standing atop the 12 metre bluff, it has a commanding view of the ocean and many miles of coastline. Other buildings that remain today formed the city’s centre where ceremonial and political activities took place. They include the king’s palace, a meeting hall and several temples. Stone outlines are all that remain of lesser buildings that were mostly built of wood.

Tulum was a seaport and a centre of trade. A grassy expanse in front of the palace was once a bustling marketplace. Below, an opening in the offshore reef leads directly into a small cove, its sandy beach a perfect parking lot for trading canoes.

The earliest date found at the site is A.D. 564, inscribed on a stelae, but its heyday is thought to have been between 1000 and 1600 A.D. Looking at the heavy stone structures, the graceful columns and the intricate carvings that can still be seen on some of the walls, one can only wonder at the architectural achievements of the settlement’s early inhabitants and ponder what might have brought about the demise of such a civilization.

El Castillo

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King’s Palace

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‘Parking lot’ with lighthouse in the distance

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Other structures

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Present day inhabitants!

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We didn’t actually have to leave our resort to see ruins. Remains of a small temple to the Mayan goddess of fertility are located on the grounds and next to them, parts of a much larger Spanish chapel where some 120 bodies were found interred. Overlooking the ocean near the beach stands a Mayan lighthouse very similar to the one at Tulum.

Mayan Temple

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Remains of the Spanish chapel

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 The lighthouse

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She said yes!

During our ten days in Mexico, we intentionally cut ourselves off from the rest of the world. It was a time to unwind and forget about the pressures of life. We left our laptops at home and the cell phone was turned off. I wasn’t sure how well I’d handle being completely out of touch but it was great! I didn’t worry about anything. We’d left the phone number of our resort with our three grown children and with my sister so we knew that they could get in touch with us if they really needed to.

On Monday afternoon when we got back to our room after a long day of relaxing on the beach and doing a bit of snorkelling, we discovered that someone had slipped a tiny note under our door. My heart skipped a beat when I realized that we had a phone message!

Was it my father? At 91 years old and following a stroke in September, he’s quite frail. He’d been doing exceptionally well but had he taken a turn for the worse?

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It only took me a moment to unfold the message and learn that something else had happened, something very exciting, something that couldn’t wait for us to get home to be shared!

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The note needs a bit of interpretation but I knew in an instant that our youngest son, Nathan, had proposed to his girlfriend, Colleen, and she’d said yes!

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We are absolutely delighted!

Welcome to the family, Colleen!

A different way to travel

We arrived home a few days ago after spending Christmas with family on the BC coast but we aren’t here for long! It seems we dropped in just long enough to experience some of the coldest days this winter has had to offer. Is it any wonder that I’m happily digging out our summer wardrobe and exchanging the contents of our suitcase for beach wear?

Much of our international travel has been done by the seat of our pants with a Lonely Planet guide in hand. Before each trip, I did lots of research. We always had a general idea where we were going and what we wanted to do when we got there but the details unfolded as we went along. This has led to many adventures and unforgettable moments including traveling the length of Vietnam by overnight bus and arriving in Ho Chi Minh City (Saigon) late on New Years Eve without a hotel reservation, being caught up in local celebrations and even accepting a ride with a total stranger in China. I wouldn’t trade those memories for anything but this time I decided that I wanted something easier, a stress-free vacation that I didn’t have to plan myself. After the year we’ve just been through, all I want to do is kick back and relax in the sun!

In late November, we did something we’ve seldom done before. We sat down across the desk from a travel agent and told him that we didn’t really care where we ended up; we simply wanted to go somewhere warm with a beach! We also favoured an all-inclusive vacation; one where we didn’t have to find our own way around or wonder where our next meal was coming from. We gave him the window of time available between my various medical appointments and let him do the searching.

“Let’s find you a non-stop flight,” he suggested. Thinking back to the many hours we’ve spent in airports and our unplanned 24 hour layover in Houston on the way home from Costa Rica three years ago, I readily agreed. He gave us some options to think about and we settled on a resort on Mexico’s Caribbean coast near Playa del Carmen.

We won’t have internet and our cell phone will be turned off. We’ll have TV, of course, but I’m not sure that we’ll bother to turn it on. For a little while, the world will get along without us. I’ve told a few family members how to reach us in case of an emergency but I’m praying that there won’t be any crises while we’re gone.

I’m going to immerse myself in the moment, soak up some sunshine and enjoy time with my hubby who, by the way, officially became a senior citizen earlier this week! Hopefully I’ll have lots to blog about when we get back.

Letting it go… with thanksgiving and hope

In just a few hours, 2014 will be forever behind us. For me, it was a year filled with challenges and loss. At the beginning of the year, my smile looked like this

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but now, it looks like this.

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Like the rest of me, it’s a little worse for wear, but thankfully I still have much to smile about. As I reflect on the struggles of the past year, I’m ready to sing the refrain from Frozen that I, like most parents and grandparents, have heard a bazillion times this year.

Let it go, let it go!

 
Yes, I’m ready to let go of the negatives of 2014. Instead of dwelling on those things, I choose to hang on to the things that I have to be thankful for.

First and foremost, I’m thankful for a personal relationship with a God who never lets go of me! At the beginning of my cancer journey, He promised to take care of me and he has done just that. I’m thankful for the amazing team of medical people that He’s placed in my life and for the expertise He’s given each one of them.

I’m thankful beyond measure for the love and support of my amazing husband who has walked every step of the journey with me and who helps me hang on when I reach the end of my rope.

I’m thankful for my children, now young adults who make me very proud, and for my darling grandchildren. Being present for Simon’s birth in mid March was definitely one of the highlights of 2014!

Drew & Simon     Jami-Lee
Drew and Simon                                        Jami-Lee

Nate     Sam
Nate                                                             Sam

I’m thankful that my father didn’t give up on life when Mom died in June and for the fact that he’s made a remarkable recovery from the stroke that he suffered in September. I’m thankful that we’ve been able to spend time with him this Christmas season.

I’m thankful for the fact that 2014 was the year that I finally reconnected with a cousin who lived with us for awhile when she was a toddler and I was a teen. Though she lives about 4000 km away, it’s been great having ‘little sis’ back in my life!

I’m thankful for amazing friends both near and far including those of you I’ve only met through blogging. I’m especially thankful for the other three-quarters of the Rav 4 and the fact that they convinced me to go to Vegas with them in November!

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          photo credit:  Sheryl Culbert

 
Yes, even in a year like 2014, I’ve had much to be thankful for. Now’s a good time to let go of all the rest and to look forward to a brand new year. I choose to step into 2015 with hope.

I hope that my treatments continue to be successful and that they become less frequent. That alone would make 2015 a less crazy year! I hope that we can get through an entire year without a family crisis of any kind. I hope that I can enjoy each moment not worrying about the things over which I have no control and I hope that a year from now, I can once more look back with thanksgiving.

What do you have to be thankful for this year? What do you need to let go of? What are some of your hopes for the New Year?
 

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The gift of relaxation

We received our first Christmas gift a bit early this year and what a wonderful one it was! After a two day drive through the mountains, we arrived at our son Matt’s home in Vancouver in time for supper on Dec. 20th. After a quick meal, the three of us headed for Whistler where his in-laws have a ‘cabin’. Not the rustic sort of shelter that I grew up calling a cabin, but a lovely 4 bedroom, 2 bathroom fully equipped house. Robin, her parents and our two young grandson’s were already there. That evening, Matt and Robin presented us with our present… gift cards to Whistler’s Scandinave Spa to enjoy while they hit the ski hills the following day.

 

Spa

photo credit

 

Nestled into a snowy forested hillside, Scandinave Spa is a haven of peace and tranquility, definitely a little piece of heaven on earth! After walking through the spruce and cedar forest, we entered the reception area where we were issued towels, bathrobes and locker keys. There, the relaxation sequence was also explained: warm your body for 10 to 15 minutes, rinse in cold water for 20 to 30 seconds, then relax for 15 minutes. Repeat the sequence 3 or 4 times.

Our first stop was the eucalyptus steam bath where I could feel tension melting away as my body temperature rose. Ahh… what a wonderful sensation! I felt as though I could stay there forever but soon it was time to move on. Moving outdoors, we strolled down the heated walkway in the crisp mountain air and plunged into the 18ºC cold pool! Wow! That was definitely invigorating!

After relaxing in one of the comfortable solariums, we moved on to one of the outdoor hot pools where we enjoyed sitting under the thermal waterfall and letting the water pummel our shoulders, neck and back. Continuing the hot, cold, relax sequence, we visited both hot pools and the wood burning sauna, plunging into the cold pool or standing under the nordic shower after each hot session and relaxing in the solariums in between. We tried sitting by the outdoor fireplace but it was beginning to drizzle and we found it a bit too chilly. The spa is open year round though so a summer visit would likely include relaxing on the outdoor terraces.

I enjoyed every part of the experience but I knew almost from the beginning that my visit wouldn’t be complete without another session in the steam bath so our last sequence was identical to our first.

In addition to the therapeutic value of hydrotherapy, silence is also an essential component of the Scandinavian bath experience. Though there were a few people who didn’t seem to think that rules applied to them, most of the patrons honoured the no speaking rule making our three hours a soothing, serene experience, one I’d love to repeat someday!

Thank you, Matt and Robin!

Writer’s block

Yikes! It’s been almost a month since I posted anything here. I’m pretty sure this has been the longest dry spell since I started blogging seven years ago. Yes, my blog had a birthday earlier this month and I didn’t even acknowledge it with a post.

Lest any of my faithful readers begin to worry that something is seriously wrong, let me assure you that I’m fine. I did come down with a nasty cold immediately following my last treatment and I was under the weather for a little while but I blame the blog’s silence on a combination of the busyness of the season and writer’s block. It seems I simply ran out of things to say!

As I’ve mentioned before, I think the secret to Following Augustine’s longevity is its eclectic nature. Though I’ve loved sharing our experiences in faraway places, it’s been more than a travel blog. Family often shows up but it isn’t a mommy blog and while I occasionally focus on clothing, shoes or accessories, it definitely isn’t a fashion blog. Over the past fifteen and a half months, I’ve used the blog to share my cancer journey but it’s always been about more than that. My faith permeates every part of my life, including what I write, but this isn’t a religion blog either. Occasionally, I climb up on my soapbox and write about a cause that I feel strongly about but it’s definitely not a political or an activist blog. It really is a bit of many things and as a result, I can usually think of something to write about!

Lately, however, my writing brain has been blank! I have a feeling that that isn’t going to last though and I’m certainly not ready to call it quits! I’m in the middle of packing suitcases again and we’ll soon be off to Vancouver to spend Christmas with family there. If that doesn’t provide me with inspiration, I’m pretty sure our trip to Mexico in January will!

In the meantime, let me leave you with a cute conversation that our six-year-old grandson had with his parents lately.

Drew: I wonder how old Mickey Mouse is.
Mommy: Mickey Mouse is very old.
Daddy: Like older than Grammas and Grandpas.
Drew: Wow! Like 21?

Here’s my slightly older than 21 hubby with Drew and his two younger siblings on our recent pre-Christmas visit to Calgary.

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Days of praise!

I have much to praise God for this week!

Under normal circumstances, I wouldn’t consider a visit to the dentist a big deal. There was a time, after a traumatic experience in a dentist’s chair when I was eleven or twelve, that going to the dentist was frightening but that’s in the distant past and hasn’t been an issue for a long time. No, the reason for Tuesday’s apprehension was different. For the past several months, I’ve been experiencing severe jaw pain when I eat. It appears to have been brought on by a combination of last spring and summer’s surgery and radiation treatments and accumulated stress. I’d been warned that radiation, in particular, would likely cause stiffening of the muscles in my jaw. When I started seeing a physiotherapist in early October, I could only open my mouth 26 mm (average is 50) and the pain when I ate was, at times, almost unbearable. Over the next few weeks of regular exercise, I regained quite a bit of flexibility and can now open my mouth about 35 mm. The pain has lessened but it hasn’t gone away. I was very concerned about whether or not I’d be able to keep my mouth open wide enough and long enough to have my teeth cleaned and checked and how much that would hurt. Unfortunately, however, I couldn’t postpone the appointment.

Until I had my parotid gland removed and my other saliva glands were compromised by radiation, I had no idea what an important role saliva plays in tooth protection. Now that my saliva production has been permanently reduced, I’m especially vulnerable to tooth decay and for at least the first year following radiation, in addition to brushing my teeth after every meal and giving myself daily fluoride treatments, I’ve been advised to see my dentist every four months. Tuesday’s was the first of these check-ups and I feared what the results might be.

As it turns out, I had nothing to worry about. Under the gentle care of my hygienist and dentist, the appointment went amazingly well. No pain and no cavities! As I said, I have much to be thankful for this week but that’s just the beginning!

The following morning, long before daylight, we set out on the two and a half hour drive to the city for my second Lutetium treatment at the Cross Cancer Institute. There were a few snowflakes in the air but the roads were clear and the drive uneventful; definitely another thing to be thankful for at this time of year in Alberta! I was admitted for an overnight stay and the treatment went ahead resulting in nothing more than a slightly queasy stomach that didn’t last very long.

After a reasonably decent sleep considering the fact that I was in a narrow hospital bed, I was up early on Thursday morning for my follow-up scan, the one that would tell us what’s been happening to my neuroendocrine tumours since September’s treatment. One of the things that I appreciate most about this process is that, unlike most medical procedures, I’m given the results immediately afterward. No anxious waiting for 2 or 3 weeks to hear back from the doctors.

And the news? That’s the biggest thing I have to be thankful for! There has been absolutely no change! The cancer has not grown or spread! It continues to be stable. I may have pain when I’m eating but in the overall scheme of things, that seems pretty insignificant. I have much to praise God for and I sincerely thank those of you who have been praying for me!

My next treatment will be on Feb. 11.

No laughing matter!

Every once in awhile, we need to be reminded how very lucky we are!

If you’ve been reading my blog for very long, you’ll probably recall that I’m an avid Kiva lender. Kiva is a non-profit organization that allows a person to lend as little as $25 to a specific low-income entrepreneur in one of 83 countries around the world. Though Kiva provides loans to both men and women, I choose to lend to women who are borrowing money to purchase specific items that they will use to generate income that will help them support their families and educate their children. As each of these women makes a monthly payment on her loan, my share of that payment is deposited in my Kiva account and I receive an email notifying me of my updated balance. I could withdraw the money at any time but instead, as soon as my balance reaches $25, I search the Kiva database and choose another woman to lend to. Today, I made my 30th loan!

Sokhem is a garment factory worker and mother of 5 who lives in a rural area of Cambodia. Together, she, her husband and their oldest child earn a combined income of approximately $13 a day. Sokhem requested a Kiva loan to purchase some cows and start a breeding program, but it was actually one of her long term goals that caught my eye and prompted me to help her today. She hopes eventually to be able to build a bathroom with a toilet in her home.

Can you begin to wrap your head around the idea of raising 5 children in a home without a toilet? I can’t.

Did you know that this Wednesday, November 19th is World Toilet Day, a day set aside to draw attention to the one-third of humanity who, like Sokhem, lack basic toilet and sanitation facilities? I didn’t either until I read this morning’s Edmonton Journal article just before checking my email and discovering that I had the necessary funds to make another Kiva loan.

World Toilet Day! It’s hard not to laugh, isn’t it? Sadly, when you read the statistics, it’s not a laughing matter.

  • One billion people – a sixth of the world’s population – defecate in the open because they simply have nowhere else to go.
  • In India alone, 600 million people – about half the country’s population – lack toilets in their homes.
  • 1.5 million children die annually from diarrhea that could be prevented by simply having clean toilet facilities.
  • People living in many towns and villages in Africa and elsewhere run the risk of being bitten by scorpions and venomous snakes every time they relieve themselves in fields and woods.
  • One billion people get their water from sources contaminated by human and animal feces.
Over the course of our travels, we’ve seen the best and the worst of the world’s toilets from “squatty potties” in many parts of Asia to high tech toilets with heated seats and built in bidets in higher end Japanese establishments, but wherever we’ve been, we’ve always been able to find a toilet to use. Here in Canada, where it’s not uncommon for a home to have 2 or 3 of them, we take so much for granted. On World Toilet Day, let’s not forget how very fortunate we are!

 

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