Friday, August 12, 2016

Late Summer Update



A long, hard year has come and gone since brain cancer returned last June. I’ve experienced plenty of good in that time period, along with plenty of challenges (just rereading my blog from 8/10/15 is a reminder of how far I’ve come). And yet, despite all the time that has passed, I’m still in the treatment phase. I’ve taken a daily chemo pill for 190 days and counting. It feels a little bit like the ritual of taking a daily vitamin, only this isn’t a Flintstone, this “vitamin” targets any possible cancer cells lurking about in my brain. In early February, my neuro oncologist laid out a plan for me to take eight 28-day cycles of this targeted chemotherapy pill. However, during my most recent visit to Duke in July (after learning the good news that MRI and PET scans were clean!), my doctor asked me, “How’s your quality of life?” I knew what that question implied: Do you think you could handle more cycles? Apparently, there was agreement across the clinic staff that not only are my MRIs, blood draws, and neurological test results evidence that I’m tolerating chemo well, but my physical appearance is encouraging. In other words, according to the numbers and how healthy I look, my doctor wanted to know how I felt about continuing on past the eight cycles he prescribed initially.

While all of the positive test results and my healthy physical appearance are good news, I can’t help but want and need a chemotherapy grand finale. This would be a date I can stick on the calendar, a date to look forward to—an end goal. Some of the more obvious reasons that this date is important to me is so that I can finally cleanse my body of toxins, regain my strength/endurance, and begin to grow back my hair. One not so obvious reason I’d like to see an end date to chemo sooner rather than later is so that I can begin the least scientific (and yet hardest) part of my cancer journey: processing everything I’ve been through. But despite all of these reasons I’d like to be rid of taking a daily chemo pill, I am committed to soldiering on and on and on. As Erin said to me about a possible extended chemo plan, “If four more months could mean forty more years, then by all means you’ll do it.” Of course we don’t have that kind of guarantee, but I am totally on board. Now is the time to hit any possible trace of cancer hard. If there’s one thing I’ve learned about myself over the last 40 years, it’s that I’m a strong and resilient person.

Happy 40th Bdays--Sareana and dear friend, Mary in Durham
One source of strength and resilience comes from inspiring stories of survival (not necessarily cancer related) who have overcome hardship or from those whose perspective on life has truly had an impact on my way of thinking. Interestingly, a recent thought-provoking comment came from a UPS delivery guy. I saw the brown truck outside, so when the doorbell rang, I raced to answer it. I flew the door open and greeted him with a friendly hello. He smiled back and asked me for a signature. While I was signing he asked if I had cancer. It wasn’t until that moment that I realized I had answered the door bald. For the record, I have never been offended by someone asking me that question, though it rarely happens because I’m typically wearing a wig and a hat in public. So, when the UPS guy asked if I had cancer, I admit I was surprised, but at the same time, I didn’t feel vulnerable or self-conscious. After all, I was at home where I feel most comfortable with my baldness. He could tell I was at ease and he began to share a story of a friend who had had cancer. His friend told him that after being diagnosed with cancer that his perspective on time had changed. He said, “Time is now much wider than it is long.” I thought about this concept of measuring time not by length, but by width, and it really resonated with me. In other words, I won’t complain about how long I have to take this chemo pill, rather I think about how today is a good day to be alive. It’s a perspective of someone whose mortality has been challenged by a serious illness. Another related deep thought is that a long life is something to hope for, but a wide one…to me that sounds even better (picture my arms outstretched in victory!).

There are so many people in this world that have been touched by cancer (as a reader of my blog, you are one of them) and sharing my story or another survivor’s story with someone can create inspiration for others. And so, my dear friends and family, thank you for sharing this journey with me and sharing my journey with others. With that thought in mind, I plan on setting my own end date for this blog next month in which I will update you with my MRI results and my end date for chemo. I have truly enjoying sharing my story over the past year. I hope it has meant as much to you as it has to me.

Love,
Sareana

P.S. This may be a fact already known to some of you, but I wanted to be clear that I am currently cancer free and have been since my operation last summer. I am careful to use that term “cancer free,” because I know that I stand on the precipice of bad news each time I have an MRI. However, thanks to two amazing neurosurgeons, both of my craniotomies in 2008 and 2015 respectively, removed the entire tumor. This is known as a total resection and is a very good thing in the world of cancer. Therefore, in my case, radiation and chemotherapy are used as tools to keep cancer from returning. After treatment is over, MRIs and PET scans are the primary tool that doctors use to detect if there is a sign of tumor regrowth. As one radiation oncologist told me last summer, “With this recurrence, you have signed up for a lifetime of MRIs.” 

A few pics from a fun-filled busy summer: