Baby, it’s cold outside!

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That’s the weather report as I write and it’s 8ºC warmer than it was when we got up this morning! (-46ºC is equal to -50.8ºF) I’ve seen many comments on social media today asking how we live at these temperatures, so for those of you who can’t imagine surviving such extreme cold, here’s how we do it.

First of all, we stay indoors as much as possible. Many businesses closed this weekend and many churches cancelled their services. Though schools usually remain open, school buses, especially in rural areas, often don’t run. Central heating systems (forced air furnaces), often fuelled by natural gas, keep our houses warm regardless of what’s happening outside.

When we have to spend any time outdoors, we dress for the cold in layers that trap body heat and help keep us warm. In extreme cold, exposed skin will develop frostbite in a matter of minutes, so if we’re going to be outside for very long, we cover all but our eyes.

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Image: kawarthaNOW.com

Vehicles in this climate are equipped with block heaters. Most will start down to about -15ºC (5ºF), but below that, unless the vehicle is kept in a heated garage, the block heater needs to be plugged into a regular 110-volt outlet to warm the engine block and internal fluids like the oil and coolant. Wise drivers ensure that their vehicles are equipped with well-stocked emergency kits, extra clothes, blankets, and candles in case they’re stranded on the side of the road and have to wait for help.

This present cold snap seems especially harsh because, until now, thanks to El Niño, we’ve been enjoying an unusually mild winter. When I hear people saying that they’ve never experienced cold like this before, I’m reminded how old I am. While we haven’t seen daytime temperatures like these for 20 years, I distinctly remember waking up to -50ºC (-58ºF) one morning in late 1976 or early 1977. Hubby and I, both school teachers at the time, had only been married a for few months. After warming up the car, we attempted to leave for school. As soon as the vehicle moved, one of the tires, frozen solid, separated from the rim. We bundled up and walked to school! Thankfully, it was less than a kilometre away (about half a mile)!

One last thing that Albertans love to do to make winter more bearable is to get away to somewhere warm for a mid winter break. Hubby and I will be doing that soon, so more about that in future posts!

My 10 year cancerversary

Do you remember where you were and what you were doing exactly ten years ago today? I do. The day is etched in my memory in vivid detail. That was the day I was told that I had cancer in my colon and that it had already spread to my liver! There was no hope or expectation then that I’d be writing about that day ten years later!

It wasn’t until a couple of weeks later that we learned that what I actually had (and still have) is neuroendocrine cancer (NETS) which, though incurable, usually progresses slowly. That gave us a glimmer of hope, but on one of our earliest clinic visits, we read that the average life expectancy for a neuroendocrine cancer patient was five years following diagnosis. I now know that that information was probably already outdated. There are members of my online patient groups who have been living with this disease for 10, 15, even 20 years or more. Others, however, have not fared as well, so I’ve learned to consider every day a gift.

On a day like today, I could dwell on the fact that over the past ten years I’ve had two major surgeries, been exposed to an enormous amount of radiation, had dozens of tests and scans of various kinds, lived in 28 day increments between injections, had 128 of those “butt darts”, and on and on. Or, I could count my blessings; focusing instead on the things that I’ve been able to do and enjoy over the past ten years.

Since my initial diagnosis, we’ve seen our family grow by one daughter-in-law and four grandchildren! In spite of the worldwide pandemic that put a damper on travel for a time, we’ve holidayed in Nova Scotia, BC, and the Yukon, and traveled to Israel, Europe (Portugal, Italy, France, Belgium, and the Netherlands), and Mexico four times. We purchased a kayak and have spent many hours paddling quiet lakes and rivers. Over the past ten years, we’ve spent 240 nights in our trailer and I’ve played over 350 rounds of golf. We’ve tried new things like snowshoeing and joined a seniors’ bowling league. I’ve edited 1346 microloan descriptions for Kiva and joined a prison letter writing ministry. I’ve had the opportunity to teach two women to read and tutored an ESL student. And again, the list goes on!

Life is good! Yes, I have cancer. Yes, some of my tumours have grown a bit recently, but I still feel 100%. I don’t know what the future holds, but neither does anyone else. I have an army of people who pray for me and we know who holds my future. I’ll just focus on today!

So what am I doing to celebrate this momentous occasion? I suppose I could have planned something special, something big, but I’ve been so busy just living life that this one crept up on me! I have absolutely nothing planned, but that’s okay. I’m alive and living life to the fullest and that’s all that really matters!

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Walking in the rain

The past few days have been sunny and warm, just the way summer should be, but today has been mostly cool and cloudy again. I really didn’t feel like putting on my zebra stripes and going for a walk. Cancer’s a bit like that. I don’t only have it on days when I feel like it! I wake up with it every morning and I go to bed with it every night. These days, I’m not just walking because I want to. I’m walking to increase awareness of neuroendocrine cancer (NETS) and to raise funds for research.

As I walked, I thought about how fortunate I am to be able to do this. I don’t live where I’m able to attend support group meetings nor do I really feel that I need them, but I am part of several online groups for patients and caregivers. Every day I hear from people whose NETS stories are so much worse than mine. I walk for them as well as for myself. I walk in memory of those we’ve lost and I walk for those who will be diagnosed with this increasingly common type of cancer in the future. I walk in hope that money for research will eventually result in a cure.

I was walking in the exact opposite corner of our small town when it started to rain! (I think I need to find a zebra striped umbrella.) There was no way that I could suddenly transport myself back to the comfort of my warm, dry house. I had to keep walking. Cancer’s like that too. When you’re diagnosed, you suddenly find yourself a long way outside your comfort zone and there’s no going back. I treat my life with cancer a lot like a walk. I just keep putting one foot in front of the other and moving forward. I refuse to stand around in the rain feeling sorry for myself!

When I walk through the corridors of the cancer clinic as I’ll do again later this month, I can’t help feeling like I don’t really belong there. I look and feel so well compared to most of the people around me. It’s called “survivor’s guilt” and it’s common to those of us who have or are surviving cancer. We can’t help asking “why them?” and “why not me?” I only know that when all this started, God promised to take care of me and, while it hasn’t always been smooth sailing, He’s been doing a great job of it ever since. So here I am, feeling strong and able to HOOF IT Across Canada!

Since the campaign started on July 1, I’ve logged 12.96 kilometres. Reaching my goal of 100 km by September 7 should be no problem, but far more important is the money that I raise for NETS cancer research. As a Canada-wide community, we hope to raise $100,000. I set my personal goal at $1500 and at $550, I’m 36% of the way! Thank you so very much to those of you who have already donated. I’ll try not to bore you with too many updates! For those who haven’t donated yet and who would like to, you can find my personal fundraising page here.

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Celebrating survival!

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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.

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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!

 

Five years and still very much alive!

Five years ago today I embarked on a new journey. That was the day that I sat on the grass beside a nature trail overlooking a beautiful lake while my doctor reluctantly told me that I had cancer! No, he wasn’t hiking with me. Richard and I were camping with our daughter and her children about three hours from home when Dr H phoned with the results of tests that I’d had done before leaving home the day before. We were planning to drop Melaina and the kids off in Calgary the following morning and continue on to Vancouver, but when I was told “this can’t wait” those plans suddenly changed. It would be another two weeks before I found out exactly what kind of cancer I had and even longer before I learned that it was incurable.

Five years is usually considered an important benchmark in cancer survival. Five years cancer-free or in complete remission has traditionally been seen as a milestone when a patient could say that their chances of having that cancer return was no longer likely. It’s a point at which they can, at the very least, be cautiously optimistic. But what of those of us who, barring a miracle, will never be cancer-free?

Sometime shortly after learning that I had cancer, we read that the average life expectancy for a neuroendocrine (NETS) cancer patient was five years following diagnosis. Well here I am five years later and still very much alive! Not only that, but as far as we know, the cancer has not grown or spread since that time. In fact, thanks to the PRRT treatments that I’ve been receiving, some of the tumours appear to have shrunk and one might even be gone altogether. I say “as far as we know” because I had CT scans last Tuesday and I won’t get the results until I meet with the doctor on September 19th.

As I reflect on those early days of uncertainty when I had no real expectation that I’d still be here today, I realize how very much I have to be thankful for. Immediately after diagnosis, I prayed for two very specific things: that I would live to see Melaina’s unborn baby (she was 10 or 11 weeks pregnant when I was diagnosed) and that I would see our youngest son married. I was definitely going out on a limb with that one as there was no young lady in his life at that time! Not only was I in the delivery room for Simon’s birth, but he’s now four and a half years old. I call him my “velcro” boy because whenever we’re together, he practically attaches himself to me. In addition, Nate has been married to our beautiful daughter-in-law, Colleen, for over three years.

So how does one celebrate five years of living with an incurable cancer? After all, it’s my cancerversary! I thought about planning a trip, something really momentous, but that didn’t happen. In fact, I’m not actually doing anything very special at all. The more I thought about it, the more I realized that whether you have cancer or not, every day is a gift. Every day is worth celebrating! The nurse was just here to give me my monthly injection. In awhile we’ll go out for lunch at The Wooden Spoon and then if the weather warms up a bit and the wind doesn’t blow too fiercely, we’ll take the kayak out on one of the lakes not too far from here.

I’m a survivor!

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Today is National Cancer Survivors Day, a day set aside to celebrate the more than 32 million people around the world who have battled the disease and to raise awareness of the challenges that many of them face.

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!

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 die of my cancer or I may die with it, but either way, I am a survivor! Fortunately my disease is stable at this point and it doesn’t significantly impact my day to day life. A schedule of monthly injections and biannual treatments restricts my previous worldwide wanderings a bit, but I recognize that every day is a gift.

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. That possibility still exists, of course, but in the meantime I will continue to live life to the fullest.

I am, after all, a survivor!