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I was called into the Healing Garden at Dana-Farber today. Not literally, but something beckoned me to go through those doors, although I haven’t been since my very first visit to this facility last March. And the second I walked in and felt the peacefulness wash over me, between the lush garden, sweet scent of greenery, subtle lighting and bird musac in the background, the floodgates opened. Clearly I don’t mesh well with relaxing and peacefulness – another thing I need to work on.

I know it was – is, as I’m still sitting here amongst the flowers and the tears writing this blog entry on my iPhone – more than that, though. It is remembering that first time here, how scared and clueless I was about what really lay ahead. It is mourning the person I was before I stepped through these doors. It is the wondering about the different path my life could’ve taken if I hadn’t discovered that lump – and the people that may’ve still been in it – for better or worse. And sitting here, looking through the bamboo branches, out the window at the hospital across the street where we kept vigil for days and then lost my grandfather, in the midst of it all, just 8 months ago. It is the fact that this is the last time I will be here (barring any more lymphedema flair ups) for four whole months. And while that is something to celebrate – as is finally being ‘even’ again after today’s procedure (which really hurts but is worth it) – it is also hard. As change always is, even when it’s for the better.

But I will adjust. I am still struggling to figure out who this post-treatment me is. And I will get there. Maybe I just need a little more time in some healing gardens…

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As I sat down in my reconstructive surgeon’s waiting room at Brigham and Women’s this afternoon for the first time in months, I had this strange surge of emotion. My mind immediately jumped back to May when I was sitting in the very same seat, furiously texting with the guy I was seeing. I remember fighting back tears as I typed, so depressed because everyone else in the waiting room was holding the hand of a significant other except me – and part of me blamed him for not being there even though I didn’t even tell him I had the appointment that day. I knew that didn’t make sense, but not much made sense at that time.

Sitting there today, I thought of how far I’ve come. Today I breezed in there smiling, confidently bald (can I still call it that with the baby hair on my head?), rushing straight from work; in stark contrast to months ago when I slowly trudged down the hospital hall in sweats and no makeup, feeling like all the life had been sucked out of me – and unable to see beyond the devastating moment.

While I don’t love my current situation, I accept it. While I don’t like being bald, I can handle it. And while it would be great to have some incredible guy by my side, I would rather be alone than with the wrong one, or one who doesn’t want to be here.

I’ve even come to terms with radiation. Today was the first step: partially deflating my left breast so it doesn’t get in the way during radiation. I talked through things with Dr. H and he assured me that while this will be longer, it’s the right order and he will do everything he can when it’s his turn. I felt better when I left – although it’s hard getting used to one smooshy breast (like those squishy gel toys) and one that’s hard as a rock! February can’t come soon enough – that’s when I’ll visit Dr. H again and get reinflated. And hopefully I will be able to schedule the surgery then, too, depending how I did through radiation – which I am determined will go well.

For at least the moment, my overwhelmingly positive and determined attitude has returned. I started today practically giddy (I even warned several people). Why? Because today is Tuesday and for the first time in months, I got to go to work! (AKA – No more chemo!) And not only did I get to go to work, but I started the day welcoming people at New Hire Orientation, which I always find invigorating. So by the time I was back in my office, I was raring to go! If only I could bottle that feeling…

Giving Tuesday

I couldn’t let today go by without mentioning Giving Tuesday. Unlike Black Friday and Cyber Monday, this is a day to use your money to make a real difference. It doesn’t have to be today – I know, it is quite late – but can be any day of the year. In fact, I will once again be purchasing most of my Christmas gifts online here:

  • Dana-Farber – Our Giving Catalog is full of gifts that benefit adult and pediatric patients and advance Dana-Farber’s lifesaving mission. Gifts range from supporting clinical trials to stocking our toy closet.

After making your selection and donation, you can either send someone an e-card or print cards to give as gifts. I think people will appreciate it as much this year as they did last. I know it’s certainly more personal to me this year, and there’s no present I’d rather than this.

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I didn’t want to go. It’s a club I never wanted to join and while I do blog about it, I try to ignore it whenever I can and just pretend I’m normal – or at least as normal as I ever was. But because I think knowledge and connections are better than ignorance, I went to the Breast Cancer in Young Women Forum for Patients and Survivors hosted by Dr. Ann Partridge and The Program for Young Women with Breast Cancer at Dana-Farber. While on my way there I was thinking there are so many other ways I’d rather spend a vacation day from work, I have to agree with one of the survivor panel members who called the gathering a gift – because that’s exactly what it turned out to be.

The first thing that struck me as I walked through the door of Lucca, the fabulous Back Bay restaurant where yesterday’s event took place, was that among all the patients and survivors packed into the venue, I was the only one with a naked head. Tons of wigs, hats, scarves, and of course hair, but I was the only one completely bald. I didn’t have much time to dwell on it, though, as I was instantly drawn into conversation at a table by a friendly young woman who asked ‘Are you in our support group, too?’ who, when I shook my head no, replied with a shrug, ‘That’s ok, you can be now!’ And I immediately relaxed and felt accepted.

As soon as the first session started – a patient and survivor panel – I remembered why I really haven’t spoken to many people who have had breast cancer, why I’m not in any support groups and why I am not in counseling: because I hate being vulnerable. I don’t like to cry – especially not in front of other people. There are very, very few people I ever let myself break down in front of, and they see it as a novelty, and either laugh at me (in a most loving way – you know who you are – I have called her when I was crying just so she could smile and SOME good would come of it), or are horrified because they know it must mean something’s pretty bad because it doesn’t happen often.

Needless to say, as soon as the panel started, the tears started flowing. I was not alone, and the well-prepared folks from Dana-Farber had stocked every table with tissues. While each of the stories were heart-tugging in their own way, what it really did was make you think of your own story. How it felt when you first found the lump, had the biopsy, heard the words that you have cancer. It’s a time I try not to think about much for so many reasons. But in a room like that, you can’t help it.

What you also can’t help is feeling rather … normal. My story is just like thousands of women’s: I found a lump, had surgery, am getting through chemo. I’m not running five miles a day after every chemo session like Kristen, I was not about to get pregnant when I was diagnosed like Angela, I don’t have toddlers at home to take care of through chemo like Carie… I actually have it pretty easy. And for that I am thankful (although I wish I had the willpower to run every day).

After getting those initial tears out of the way – necessary as it broke down what few walls were in that room and connected us all; after all, you’re much more comfortable once someone’s seen you cry – it was on to the facts: presentations by Dana Farber doctors, nurse practitioners and social workers. Throughout those sessions featuring the latest research, statistics and Q&A, the little voice in my head kept chiming in:

  • Only 5% of breast cancer patients are 36-40 years old – ugh. Lucky me.
  • Breast cancer is still the leading cause of death for women age 40-49. This has to end. Reminds you why all the pink awareness around is a good thing. We still have so far to go to stop women from dying of this stupid a$$ disease!
  • Good news: research is breaking down breast cancer and the consensus is there will not be one single cure, but multiple targeted, individualized cures for each type in the not unforseeable future.
  • One whole section on why this could have happened – was it because I was overweight? Didn’t heat healthy enough? Didn’t exercise enough? Ate too much red meat? We know it wasn’t because I drank too much, and the fact that I got pregnant with Nick when I was 16 actually reduced my risk for getting breast cancer (although clearly not enough…).
  • Must: stop eating so much ’cause weight gain is a factor in reoccurrence. Must also exercise more because that helps decrease reoccurrence. Because that’s the biggest fear. The elephant in the room. Please make this go away and end my nightmare. I will do anything, including cut off my breasts, which I already did, and poison myself, which I’m doing every Tuesday. So then…
  • Everyone is talking about radiation – am I making the wrong decision, electing not to have it after chemo? Must reassess.
  • Oh crap, I forgot about lymphedema. I need to be somewhat careful. And I have to get a compression sleeve before flying…
  • So much talk about fertility – am I really done? Did I want another child, now or in the future? Should I consider other options? Would be a lot easier to consider if I had a significant other.
  • Am I the only person not married in this room? How is it most women are lucky enough to have a supportive spouse or significant other by their side through all this crap? Thank God for my fabulous family and friends so I am not completely alone. (And much better to be alone than to have a significant other who just makes it worse by giving the pretense of being there for you when he’s really not. Nothing hurts more.)
  • So some kids are embarrassed by their mother being bald. Not mine. He not only shaved my head, but encouraged me to forget wigs, hats and scarves and ‘rock the bald’. You rock, Nick.
  • Stress may not cause breast cancer but it can increase inflammation and other side effects, and make it harder to cope. Which explains my increasing pain as we get to Thursday and Friday each week…
  • And then a glimpse into my future and tamoxifen: the side effects I get to look forward to for five years. On this one, I will pull a Scarlett O’Hara and think about it tomorrow.

There was an upside to being the only bald girl in the room: I was chosen to be the model for the Look Good… Feel Better session put on by the American Cancer Society. Not only did Nicole from Dana-Farber do a fabulous job with my make-up, I got to keep the bag full of make-up that she used on me!

The best parts of the day, though, were definitely those times that you got to talk with those around you. To hear similar stories, to offer advice to those newly diagnosed, to share tips and good books (I’m ordering both the Lance Armstrong one and the one by Kelley Tuthill – thanks Erin!). And to learn more about others trying to help women with breast cancer, like the ladies from the Gloria Gemma Breast Cancer Research Foundation for women in Rhode Island and the Young Survival Coalition. There are so many ways to connect and make a difference. I am going to call this week and see if I can get into the support group that many of my tablemates are in, and if not, I am sure I will make friends with the women in the group that I do join. Because Carie was right: this day was a gift. And I am not going to waste it.

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