HOOFING IT Across Canada!

Screen Shot 2020-06-26 at 8.57.55 AM

Today I’m super excited to share something that’s very close to my heart and to give you an opportunity to participate!

It’s almost 7 years since I was diagnosed with neuroendocrine cancer (NETS). Once the shock of learning that I had a cancer that I’d never heard of and that I’d be living with it for the rest of my life wore off, it became important to me to do what I could to help raise awareness of this little known disease and to support fundraising efforts for research, better treatments, and patient support. That’s why I’m going to be HOOFING IT Across Canada with CNETS Canada!

Between July 1st and September 7th, the Canadian neuroendocrine cancer community will be working together in an effort to raise $100,000 for neuroendocrine cancer research! Participants will rack up as many kilometres as they can by walking, hiking, kayaking, swimming, cycling, roller-blading, or any other forward moving activity that they can think of and tracking their individual distances. Together, we aim to record 5,514 kilometres, the distance from Newfoundland and Labrador to the Yukon! In the days of Covid-19, the beauty of this is that we can each participate in our own community while practicing appropriate social distancing.

My goal during this campaign is to walk and/or hike 100 kilometres and to raise a minimum of $1500. That’s where you come in! I’m hoping that I can persuade you to visit my fundraising page here and make a donation. No amount is too small! Every cent that is received by CNETS will be directed to neuroendocrine cancer research. We need to know what causes this disease and we need to find a cure!

If you’re in Sedgewick, you’ll probably see me walking around town or out on the walking path wearing my zebra stripes and from time to time I’ll post updates here on the blog.

IMG_0060 - Version 3

Please make a donation!

Emerging

6b418a7e1c894727282ae55335b6bb1aLike butterflies coming out of cocoons, we’re gradually emerging from the Covid-19 shutdown and figuring out what living in this new world is going to look like. I don’t know about anyone else, but I’m finding it a little bit unnerving. My cocoon was comfortable. I knew exactly what to do and what not to do. I wasn’t worried about contracting  the virus because we easily kept our distance from other people and almost never left our county where there hasn’t been a single confirmed case. Thankfully, I was able to fit the local golf course into my cocoon!

Even though Alberta entered the first phase  of a three stage relaunch strategy back on May 14, nothing really changed for us. Now, with the introduction of Stage 2 on Friday, a week ahead of schedule, bigger changes are happening. In addition to those businesses that were deemed essential and never closed, as well as those that reopened in Stage 1, theatres, libraries, places of worship, casinos, bingo halls, arcades, and recreational facilities including gyms and pools, as well as many other similar facilities, can now be open. Personal services, including skin and body treatments, facials, manicures, pedicures, waxing, and tanning are also allowed now.

2560

Life at this stage is a bit like the newly emerged butterfly; somewhat fragile and facing many unknowns. As we step out of our cocoons, we need to decide which of the many available options we feel comfortable resuming right now and what precautions should be taken when we do.

Though we’re being reminded to remain diligent about social distancing and to wear masks when that’s not possible, I’m concerned that many people seem to think the crisis has passed and are becoming lax about following the recommendations. If that continues to happen, I foresee an upswing in Covid cases and possibly a need to shut things down again. Though my cocoon was comfortable and safe, I don’t want to have to hide away in it for any longer than necessary, so while we spread our wings, please let’s do it with care and caution!

Monarch_In_May

Celebrating survival!

2020-logo-color_New

Today, the first Sunday of June, is National Cancer Survivors Day, an annual, worldwide celebration of life set aside to honour the millions of people worldwide who are living with and beyond cancer and to raise awareness of the challenges that they face.

Major advances in cancer prevention, early detection, and treatment have resulted in longer survival, but a cancer diagnosis can leave a host of problems in its wake. Physical, financial, and emotional hardships often persist for years after diagnosis and treatment. Depending on where they live, survivors often contend with rapidly rising drug costs, inadequate insurance coverage, difficulty finding or keeping employment, and a lack of understanding from family and friends. Despite these difficulties, cancer survivors can live active, productive, inspiring lives.

So what is a survivor? To many, the term ‘cancer survivor’ suggests a person who has beaten their cancer; perhaps one who has been cancer free for several years, but I like the definition used by the National Cancer Survivors Day Foundation. “A ‘survivor’ is anyone living with a history of cancer – from the moment of diagnosis through the remainder of life.”

In other words, I am a survivor! In fact, I’m a three times survivor.

hello-im-a-survivor

I live with cancer every day. Unless a cure is found for neuroendocrine cancer (NETS) within my lifetime or God performs a miracle on my behalf, I will never be cancer free. People have a hard time grasping the idea of a chronic cancer. The usual assumption is that patients either die of their disease or they are cured, thereby becoming cancer survivors, but I look at my situation differently. I may eventually die of my cancer or I may die with it, but either way, I am a survivor! Fortunately my NETS is stable at this point and it doesn’t significantly impact my day to day life. I’ve had all the PRRT treatments that I can have, but a monthly injection given here in my home by a visiting nurse seems to be keeping things under control. I had my 87th of these “butt darts” just over a week ago.

I’m also a cancer survivor in the more tradition sense, as in one who had the disease, but is now free of it. As many of you know, seven months after my NETS diagnosis, I was diagnosed with a second, completely unrelated cancer that was removed surgically. Six weeks of radiation followed and, since that time, there has been no recurrence.

Cancer number three, most likely caused by the radiation that I received for the other two, was discovered in my thyroid almost exactly a year ago. Though it’s not a particularly aggressive form of cancer, it’s the one that concerns me the most right now. I was supposed to see my specialist two months ago and have an ultrasound to determine whether or not the cancer is growing. Thanks to Covid-19, that didn’t happen and it’s been eight months since my thyroid was last looked at. Though my specialist still isn’t seeing patients except in emergency situations, I decided to do a bit of self-advocating and his office is now in the process of trying to arrange for me to have an ultrasound done in a hospital closer to home in a small city that has only had one Covid-19 patient.

Yes, in spite of all this, I am a survivor! Survivors are people from all walks of life, of all ethnicities and income levels. They’re children, moms, dads, and grandparents. They may be your coworkers, friends, and loved ones. Traditionally, National Cancer Survivors Day celebrations have included parades, carnivals, health fairs, awareness walks, candle-lighting ceremonies, and other community events. This year, due to Covid-19 restrictions, the celebrations may be somewhat more subdued, but life with and after cancer goes on and it ought to be about more than just surviving. It ought to be about living well and that’s always something to celebrate!

 

100 pounds!

I started lifting weights in the early 1990s. It was never my intention to become a body builder, but I had recently entered my 40s and I thought that it might be a good idea to do something to try to keep in shape. We already had the equipment in the basement and hubby, who was a phys ed teacher at the time, had been lifting for several years, so I had him set up a routine for me and my lifting days began. I would never have foreseen that I’d still be lifting all these years later!

Unlike many serious lifters who work out year round, we only lift from mid October until the end of April each year; the months that the golf course is closed. We have a short summer season here in Alberta and we want to spend as much of it as possible engaging in outdoor pursuits, not working out in the basement! Over the almost three decades that I’ve been lifting, I’ve had good seasons, bad seasons, and  even one when I didn’t lift at all. We spent that year teaching English in Japan and rather than seeking out a gym to join, we spent as much time as we could seeing the country and soaking up the culture. There were also a couple of partial seasons including the winter that we headed off to China to spend a semester teaching there.

My best year to date was the winter of 2005-2006. I was 53 years old and many years pre cancer. At the end of that season, I was bench pressing 97.5 pounds. Why I never pushed myself to add just 2.5 more pounds and press 100, I’ll never know! I suspect that the golf course opened and I probably thought that I’d be able to push that little bit further the following year. In ensuing years, however, I never made it past 90 pounds again. That is until this year!

Each of the past few years, I had a midwinter PRRT treatment that set me back strength-wise, but I kept on pushing myself and refused to quit completely. Am I ever glad I did! I guess I didn’t realize how much those treatments were actually taking out of me, but I haven’t had one since last June and I cannot believe how strong I’ve felt this year. Today I did something that I gave up hope of ever doing a long time ago. I bench pressed 100 pounds! That might not seem like a lot to many more serious lifters, but to me, at 67 years old with two cancers, it was huge!

IMG_0998

It was back in February that I first caught a glimpse of potentially reaching a new personal best. It was definitely on a distant horizon, but barring injury or sickness, it might just be possible. It was very shortly after that thought crossed my mind, however, that we got the call telling us that my father was dying. We had to drop everything and head for Vancouver. With that interruption, I thought the possibility was gone, but when we got home, I picked up where I’d left off and soon realized that it might still happen. I’ve continued lifting later into the spring than I normally do partially because, with the Covid-19 shutdown, there wasn’t a lot else to do, but mostly because I was so close to reaching my goal and I simply couldn’t let it slip through my fingers this time.

IMG_1002

Definitely feeling pretty proud of myself!

IMG_1005

Obstacle or opportunity?

Screen Shot 2020-03-21 at 7.17.10 PM

Before the onset of Covid-19, we had planned on leaving on a spring vacation this week. We were going to walk the historic streets of Boston, explore some family history, see the sights of New York City, and visit friends who live in the area. Instead, we continue to shelter at home waiting for our province to gradually begin lifting some of the restrictions that have been put in place to protect us and to keep our health care system from being overwhelmed. There’s absolutely no question that for most people on the planet, the Covid-19 pandemic has been an obstacle to living life as we knew it before the middle of March, but has it also been an opportunity?

Screen Shot 2020-05-03 at 5.15.56 PM

Screen Shot 2020-05-03 at 5.16.35 PM

“Even in the darkest experiences we can uncover creative options.” wrote Samuel R. Chand in Leadership Pain: The Classroom for Growth.

On March 18, the day after Alberta declared a state of emergency and started shutting down non essential services, I wrote that I didn’t want to look back on this as time wasted. That was seven weeks ago. Rather than lamenting over a vacation lost and other obstacles to normal living, I’d rather look at opportunities seized. I truly believe that a positive attitude is vital to maintaining good health and overall well-being. That’s proven to be true throughout my journey with cancer and I think it’s just as true in present circumstances.

So how have I been using the unexpected extra time that I’ve been given by the pandemic shutdown? Here are a few of the ways…

  • Cleaned and reorganized the kitchen cabinets and set aside a number of items to take to our local thrift store when it reopens.
  • When I could no longer find the mixes that I’ve been buying for years on the grocery store shelves, I reverted to making my own pancake mix and baking biscuits from scratch. I doubt that I’ll ever go back.
  • Experimented with adapting a bread recipe until it turned out just the way I wanted.
  • Read several books.
  • Wrote more than usual including 11 blog posts in April as opposed to the 6 or 7 that I usually post.
  • Used Duolingo to study Spanish every day learning more than 1000 words so far.
  • Enjoyed several Zoom chats with family and friends.
  • Walked over 80 km (50 miles) partially on the treadmill, but mostly outdoors.
  • Found 7 geocaches.
  • Played a lot of 7 Wonders Duel.
  • Completed some yard work that wouldn’t have gotten done if I’d been busy planning and packing for a trip.

Does all this mean that I’m happy to have been essentially shut in for the past seven weeks? Does feeling positive about how I’ve been using my time mean that I’m oblivious to the effects that this period of time has had on the economy, on businesses, on the lives of others? Of course not, but neither have I been anxiously straining at the bit for it to come to an end. I’m happy that the health authorities in our province feel that we’ve reached a point where we can cautiously and carefully begin reopening, but I also realize that it will be some time before things are back to “normal”. I sincerely hope that we’ll be able to reschedule our trip someday, but I know that it won’t be for quite awhile.

So, how have you been coping during these most unusual days? Have you been focusing on obstacles or looking for opportunities?

Essential or non-essential?

As the Covid-19 shutdown continues and spring finally comes to Alberta, I’m hearing more and more discussion about essential versus non-essential services particularly amongst my fellow golfers. I have a great deal of respect for Alberta’s Chief Medical Officer, Dr Deena Hinshaw, but there are many who are taking strong exception to her declaration that golf courses are non-essential and must remain closed. This has been made worse by the fact that courses in our neighbouring province of British Columbia are open.

I love golfing and I eagerly await the opening of our local course each spring, but I would have a difficult time arguing that it’s an essential service. On the other hand, it definitely contributes to physical and mental well-being and it’s an activity that could quite easily be done while still maintaining appropriate social distancing. Adaptations could be put in place to ensure that golfers are not touching surfaces such as flag sticks.

One of the greatest sources of frustration for many people is the inconsistency in what is being deemed essential and what is not. For me, the most obvious example is cannabis shops. How is it that a substance that was illegal less than two years ago is now essential? Grocery stores, yes. Pharmacies, of course. But, cannabis stores? I don’t think so! In fact, I was even a bit surprised to see liquor stores remain open.

I realize that there are those who use cannabis medicinally, but like any other prescribed medication, they were able to access it legally long before it became available to the rest of us in October 2018. There’s no reason why it can’t still be accessible to patients who need it during the pandemic without the shops that cater to recreational use being open.

download

There would definitely be a lot less grumbling about following current public health orders if they were consistent. Golf or cannabis? Why one but not the other?

Fashion and cosmetic brands join the war against Covid-19

LogoFashion may seem frivolous, especially in times such as these, but many in the industry have shown their true colours and joined the fight against Covid-19 in some very practical ways.

Take fashion designer, Christian Siriano, for example. Siriano, who has dressed the likes of Michelle Obama, Taylor Swift and Whoopi Goldberg, initially closed his studio due to the pandemic. After receiving special permission from New York governor, Andrew Cuomo, to reopen as an “essential” business, however, he gathered his team together and set up an assembly line to produce surgical masks. Working six feet apart, of course, they turned out almost 2000 masks in the first week of production.

Balenciaga, Prada, Gucci, Yves Saint Laurent, Chanel, H&M, Zara, Hanes, and Uniqlo are amongst many other brands, both luxury and fast fashion, who have made the switch to producing masks. In addition, Prada has been financing the ICUs in three new hospitals in Milan and Gucci committed to producing 55 000 medical coveralls as well as more than one million masks. American department store chain, Nordstrom, has teamed up with Kaas Tailored to have their alterations teams in several US states sew more than 100 000 masks.

Joanna Griffiths, founder and CEO of Canadian intimate apparel brand, Knix, while exploring whether or not that company’s leakproof nursing bras could be transformed into masks, discovered that two of Knix’s main product vendors also own factories that produced PPE (Personal Protective Equipment such as masks and gowns). Deciding that the best way Knix could help would be to purchase finished PPE rather than reinventing their own product, Griffiths launched a GoFundMe campaign that surpassed its original goal of $50 000 in just 48 hours. Should you wish to contribute, the campaign continues and you can find it here.

Canadian winter coat manufacturer, Canada Goose, has pressed its factories in Winnipeg and Toronto into service producing patient gowns and scrubs for frontline healthcare workers. Jockey has been providing healthcare workers with Tier 3 isolation gowns and others using their resources to produce gowns, scrubs, and masks include Nieman Marcus working in conjunction with JOANN fabric and craft stores, and Gap Inc. which includes  the Gap, Old Navy, Athleta, Banana Republic, Intermix, Hill City, and Janie and Jack brands. Ralph Lauren is also producing masks and gowns  and the charitable arm of that company, the Ralph Lauren Corporate Foundation, is donating $10 million toward the global Covid-19 response.

You’ve probably heard about breweries producing antibacterial hand sanitizers, but they aren’t alone in that endeavour. Many cosmetic and fragrance brands have also turned their factories into production facilities for hand sanitizer. These include Estée Lauder, Guerlain, Parfums Christian Dior, LVMH, Givenchy, Coty, L’Oreal, and the Orly nail brand. Estée Lauder has also given a $2 million grant to Doctors Without Borders/Médecins Sans Frontières to support relief efforts in countries that lack the resources to combat the virus on their own.

Shoe companies are also getting involved. Crocs is donating a free pair of shoes (including shipping) to frontline health care workers. If you’re a healthcare professional, simply visit their website to request a pair. Allbirds began by donating $500 000 worth of shoes to healthcare workers and others on the frontlines. Now they’ve launched a “Buy a Pair, Give a Pair” campaign which allows customers who buy a pair of shoes for themselves to automatically provide a pair to a medical worker. If you aren’t interested in purchasing for yourself, you can simply donate a pair through the program. Find the information on this campaign here.

Numerous other fashion and cosmetic brands are finding unique ways to contribute to the worldwide fight against Covid-19. Fashion label, Michael Kors, pledged $1 million to New York based relief efforts with the designer himself personally pledging an additional $1 million. Saks Fifth Avenue is donating $600 000 to support patient care  and to address mental health needs in response to the pandemic. Kenneth Cole is donating 20% of sales to the World Health Organization’s Solidarity Response Fund. Body Shop is donating 30 000 units of cleansing products to shelters and senior centres across the United States and Canada. Finally, MAC Cosmetics is donating $10 million to 250 organizations worldwide that are committed to fighting Covid-19 as well as donating 100% of Viva Glam lipstick sales to vulnerable communities that have been impacted by the virus.

I’m certain that my research hasn’t turned up every fashion and cosmetic brand that is contributing in a meaningful way to the Covid-19 response. If you’re aware of others, please include them in the comment section and let’s all do our part by supporting these businesses both now and in the days to come!

Screen Shot 2020-03-21 at 7.17.10 PM

 

Coping with the new normal

I was supposed to be in the city this afternoon for an appointment with Dr W concerning cancer #3 which is located in my thyroid. Unfortunately, due to the ongoing Covid-19 pandemic, that didn’t happen. Clinic visits are being restricted to only the most urgent cases while people like myself are required to make do with a phone call from the doctor. Had I been in the office, Dr W would have done an ultrasound to determine whether or not there has been any change to my thyroid since I last saw him six months ago. We both agreed that that would have been the best scenario. If I was able to have an ultrasound done in the community where I live, we might have gone with that option, but the closest place that I could do that would be the hospital located an hour away. Since we both know that a hospital is a higher risk location than his clinic would be, we agreed that that wouldn’t be a good choice. Instead, we wait. We wait until the Covid-19 threat passes and I’m able to see him in his office again. He’s predicting June or July, but no one knows for sure. We wait and we pray that the cancer doesn’t grow or spread; that the additional two or three months doesn’t make a difference.

I was also planning to stop into the University Hospital dental clinic this afternoon to pick up a supply of the fluoride gel that I use once a day to protect my teeth from harmful effects of the radiation that I received after cancer #2 was surgically removed.  Thankfully, though, that can be sent to me by mail.

As we enter the fourth week since our province declared a state of emergency and services began to shut down, we’ve all experienced many changes. Most, like accessing my fluoride, have been fairly simple to deal with, while others, like not being able to see Dr W and have my scheduled ultrasound, are more challenging and may have serious long term effects.

Thankfully, for retirees like hubby and I, the impact of Covid-19 has thus far been easier to bear than it has been for many others. We don’t have a business to close, jobs to lose, or children to teach at home. Nevertheless, the novelty of staying home 24/7 wears pretty thin and many of the frustrations that go along with the current situation affect us all. In light of this, I thought I’d share a few things that are helping me deal with our new normal.

Routine.  I like routine at the best of times, but it’s even more important in times of uncertainty. This doesn’t mean that I can’t be flexible or spontaneous, but having some structure to my day really helps keep me on an even keel.

Adequate sleep.  I try to go to bed at night and get up in the morning at about the same time each day. That takes a bit of self-discipline. I tend to be a night owl and I could easily stay up way too late, but I know that I function best if I get about 8 hours of sleep a night. Thankfully, in spite of the fact that I’ve had a couple of nights where odd dreams that probably indicate an elevated stress level have kept me from sleeping well, most nights have not been like that and I feel well rested.

Exercise.  I’m very fortunate that, unlike many people who are finding it difficult to exercise because their gyms have closed, I have everything I need here at home. Monday to Friday my day begins with a 25 minute exercise routine that focuses on core strength, flexibility, and balance. Our basement gym consists of a treadmill, two weight benches, and a large assortment of free weights. Three afternoons a week find me down there lifting weights and on the alternate days, I either walk on the treadmill or outdoors. Sunday is usually a day of rest.

Healthy diet.  If anything, we’ve been eating better than ever since the beginning of this pandemic because I’ve been a little more intentional about meal planning. That started three weeks ago when we visited five grocery stores in one afternoon and found their meat departments almost empty! Thankfully, the shortage didn’t last and I’ve since been able to add enough to the freezer to last us quite awhile. We keep very little unhealthy snack food in the house, so even with many more hours at home, we haven’t been tempted to fill up on junk food.

Spiritual nourishment.  Prayer and Bible reading are regular parts of my daily routine that help keep me balanced. We’ve been missing the opportunity to meet in person on Sunday mornings, but we’ve been enjoying church online.

News, but not too much!  I don’t want to live with my head buried in the sand, but at the same time, I don’t want to become obsessed with every detail of what’s going on. I’ve continued my habit of reading the news after breakfast every morning. We subscribe to one newspaper online. I check the world, national, and local news each day, but I very seldom read editorials. For the past couple of weeks, I’ve been watching our provincial Chief Medical Officer of Health give her daily Covid-19 update each afternoon online, but I don’t watch TV news.

Connection.  Staying in touch with friends and family by phone and online has been a vital part of staying sane. I enjoyed a lovely visit with a group of girlfriends via Zoom one evening last week and we’ve also enjoyed chats with several of our grandchildren.

Purpose.  It think one of the key ingredients to coping throughout the ups and downs of life and perhaps more than ever right now is having a sense of purpose. In addition to the usual day to day activities like meal preparation and exercising, I’ve been cleaning and reorganizing the kitchen cabinets and I’ve been using Duolingo to learn Spanish! Of course, there’s also the blog! Writing it and connecting with all of you gives me so much pleasure!

The one thing that I’d like to be doing more of these days is getting outdoors, but we seem to trapped in a never ending winter. Our snow is usually gone by the end of March, but not so this year. There’s lots of sunshine in the forecast though and our daytime temperatures are beginning to inch up over 0ºC (32ºF), so perhaps this too shall pass just as we know the pandemic will.

IMG_0911

So, my friends, how are you coping? What are some things that are helping you get through these most unusual times?

 

What’s my risk factor?

Before I even begin this post, especially for those who haven’t been here before, let me emphasize that I have absolutely no medical training. I am simply a neuroendocrine cancer (NETS) patient seeking answers and doing the best I can to weather the very unusual days that we all find ourselves in.

Screen Shot 2020-03-21 at 7.17.10 PM

Does my cancer and the PRRT treatments that I’ve received mean that I’m at higher risk of contracting COVID-19 than the general population? Not as far as I know. The reality, as I understand it, is that no one has immunity to this virus. It’s a brand new disease that our bodies have never encountered before; never had an opportunity to develop antibodies to. That’s why I’m doing what I think everyone should be doing. I’m not hiding out in fear, but I’m hunkering down at home and only going out for necessities such as food and medications.

When we hear about those people who are most vulnerable to COVID-19, this refers to those who may be at higher risk for more serious complications IF they contract the disease. That’s why it’s so important for all of us to do our part in helping prevent these populations from getting the COVID-19 virus in the first place. Am I one of the vulnerable ones? Certainly, my age puts me at higher risk than those who are younger, but I haven’t been able to find any information regarding NETS and COVID-19. In reality, such information probably doesn’t exist. At least, not yet.

So, what are those risk factors? 

  • An older adult  –  Recent figures show that more than 50% of the patients who have been admitted to an ICU with the disease and 80% of those who have died were over the age of 65. At 67, I’m at the low end of that population, but still within the high risk category.
  • People who have serious underlying medical conditions such as:
    • Heart disease  –  Not me!
    • Diabetes  –  I have been diagnosed as pre diabetic, but maintaining a careful, well disciplined diet has kept my blood sugar well regulated, so I doubt that this would put me at high risk.
    • High blood pressure  –  Experts indicate that if a person’s blood pressure is under control and they don’t have other risk factors, they probably aren’t at any greater peril than the general population. I’ve been on hypertension medication for several years and it’s been keeping my blood pressure under control but, of course, I do have other risk factors.
    • Chronic respiratory diseases  –  No again!
    • Cancer  –  This one raises lots of questions for me. Cancer is such a broad category. The word actually refers to any of the 200 different diseases, affecting many parts of the body, that are characterized by the uncontrolled growth of cells that invade and damage the body’s normal tissues. Do all of them put a person at higher risk for COVID-19 complications? I doubt it, but what about the 3 completely unrelated cancers that I’ve been diagnosed with since August 2013? That’s right, 3! As I mentioned above, I haven’t been able to find any information about NETS and COVID-19, but what about my untreated thyroid cancer? At present, there has been no indication that thyroid conditions place a person at jeopardy.
  • People who have a compromised immune system from a medical condition or treatment (e.g. chemotherapy)  –  In spite of having or having had 3 different cancers over the past 6 1/2 years, I’ve never had chemotherapy, but I haven’t been able to find any information on how PRRT affects the immune system, so once again, I’m left with questions.

The immune system is the body’s natural defence system. Unfortunately, there isn’t a simple questionnaire that will tell you how strong yours is. There are, however, several signs that you might have a weakened immune system:

  • Stress  –  Stress decreases the body’s lymphocytes, the white blood cells that help fight off infection. Thankfully, my life is relatively free of stress these days. For the most part, I think I can say with the apostle Paul, “I have learned to be content whatever the circumstances.”  Philippians 4:11b
  • Frequent colds or infections  –  I’ve had two colds this winter; one mild and one nasty. That’s more than I usually get, but I recovered from both in a reasonable length of time and I don’t remember the last time I’ve needed an antibiotic for an infection.
  • Frequent diarrhea or constipation  –  Diarrhea was one of the most obvious symptoms of my NETS cancer before it was diagnosed. Now medications tend to cause the opposite problem, but I can’t blame that on my immune system.
  • Wounds are slow to heal  –  I don’t think so. I haven’t had any serious wounds in recent years, but minor ones heal just fine.
  • Fatigue  –  When your immune system struggles, so does your energy level, but for the most part mine is good. My father passed away in the wee hours of March 1. I got almost no sleep that night and I definitely discovered that pulling an all-nighter in my 60s isn’t as easy as it was in my 20s! The week that followed was pretty exhausting too, but three weeks later, I’ve bounced back and feel completely rested. That seems to speak well of my immune system.

I do know, however, from regular blood tests, that my hemoglobin tends to be slightly on the low side which would make me somewhat vulnerable to infection and disease. On the other hand, I do all the right things to keep my immune system as healthy as I can. I don’t smoke, I eat a healthy diet, I maintain a healthy weight, I exercise regularly, I drink alcohol only in moderation, I get adequate sleep, I try to minimize stress, and I even wash my hands frequently!

So, what is my risk factor? I can only give a somewhat educated guess. Since I live in a sparsely populated area and I’m staying home most of the time, I’d say that my risk of getting COVID-19 is quite low. On the other hand, IF I do get it, my risk of suffering complications is probably moderately high.

Am I worried? No, but I’m definitely taking all the recommended precautions. I hope you are too!

Living in unusual times

We are definitely living in unusual times. We’ve watched as COVID-19 swept across the globe and now it’s reached our shores. I’m tempted to sit at my laptop hour after hour watching and reading updates. Things are happening so fast! Late Sunday, it was announced that schools across our province were closing. Yesterday, the province declared a state of emergency and non essential services began to shut down. Recreational facilities, museums, libraries, art galleries, community centres, children’s play centres, casinos… all closed until further notice. Gatherings of more than 50 people are prohibited. Even churches are closing their doors. I’m sure it’s much the same where you are.

So what do we do in such unprecedented and uncertain times? How do we cope when the calendar is suddenly blank? Self-isolate and social distancing are new additions to most people’s vocabulary, but I have a little more experience than most with these concepts. Over the past six and a half years, I’ve had 14 PRRT treatments and I was required to self-isolate for one to two weeks after each one. The present COVID-19 crisis will likely last significantly longer than that, but this too shall pass and when it does, I don’t want to look back on this as time wasted.

We’ve just been handed a lot of extra uninterrupted time, something most of us never seem to have enough of. What will you do with yours?

Here are a few suggestions:

  • Declutter. Clean out a closet, a drawer, the kitchen cupboards. Start your spring cleaning early.
  • Try some new recipes. This one might become a necessity. We visited five grocery stores today only to find the meat departments almost empty. I’m definitely going to have to be somewhat creative with meal planning over the next while!
  • Prepare and freeze some meals for when life gets busy again.
  • If you’re able, get outside. Self-isolating doesn’t mean you have to stay inside. Go for a walk or, depending on where you live, do some yard work, ride a bike, go snowshoeing, paddle a canoe. Fresh air and exercise are essential to maintaining a positive outlook in trying times.
  • Check out Duolingo and start learning a new language.
  • Keep up social connections via phone or video chat.
  • Play board games.
  • Do jigsaw or crossword puzzles.
  • Finish the craft that you started some time ago and never completed.
  • Start a journal or a blog.
  • Read all those books that you never had time for.
  • Enjoy virtual tours of 12 famous museums from around the world.
  • Attend the opera online.

Whatever you do, don’t panic and don’t just sit around waiting for this to pass. Take wise precautions, be safe, but also seize the moment. Choose to do something worthwhile in the midst of these difficult and uncertain times. Make it a time worth remembering!

And one final bit of advice… assuming that you don’t live alone and that no one in your household is sick, remember that hugs are healthy! The thing that I missed most during my periods of post treatment isolation was the comfort of physical touch.