One woman's stories, adventures, observations and rants, lived through and beyond metastatic breast cancer.
Saturday, December 06, 2014
Monday, December 01, 2014
i've never liked rollercoasters
Are you sitting comfortably? This is
going to be a long one.
In late August, during a regular
appointment with my medical oncologist, I was informed that my latest
brain scan revealed a tiny spot on my cerebellum, exactly where mytumour was in 2012. I was going to write that I was blind-sided but I
really wasn't. There had been lots of little signs over the course of
the summer that my balance was compromised. At one point, while I was
with my family in New York City, I had stood up and almost fallen
over, catching myself against a wall. I'll never forget the very
quick glance I exchanged with Tim, before carrying on with my day. A
new tumour was something I didn't want to think about and I had
fairly successfully succeeded.
“I'm never going to lie to you,”
Dr. G. said during our regular phone appointment, before delivering
the news. He also reassured me that the spot was tiny and the
situation was “fixable.”
I told family via email, as well as
close friends that I had a new tumour. We told our kids at dinner
that night. I was outwardly calm but inside, I felt devastated.
Although I had been reassured that this tumour could be easily
disposed of, I felt like it was the begin of the end. If some stray
cells had escaped treatment and metastasized so quickly, then others
would surely follow. This new spot might be treatable but the next
could easily – even likely – be some place treatment couldn't
access. I'm so afraid of this possibility that I've never been able
to put it into words (I have notes for a blog post entitled “my
worst fear” that I've never been able to publish).
A week after this phone call, Tim and I
went to the cancer centre for a brief appointment with my medical
oncologist, followed by the radiation oncologist who'd treated mewith the Cyber Knife after conventional surgery (we refer to him as
the Gallic Shrugger because of his eloquent non-responses when we
were planning treatment in 2012). This time, Dr. GS dropped a
bombshell: It was possible that the new spot was not a tumour but
necrotic (dead) tissue caused by radiation. He told us that necrotic
tissue can grow and tends to appear 3-18 months after treatment. He
explained that even my wonky balance could be explained away by scar
tissue building on my cerebellum.
We were stunned.
And giddy.
I might have had a glass of wine with
lunch.
A week after that, we met with Dr. S.,
the neurosurgeon I liked and trusted so much in 2012. It was hisadvice that we eventually followed for treatment and he performed my
nine hour brain surgery. We always wait for hours to see him but it's
worth it. This time, he'd shown my scans to several other doctors. He
said that while my case was “perplexing” (not something you want
to hear from a medical professional), they were fairly confident that
the spot would turn out to be necrotic tissue or easily removed by
surgery. He suggested that we wait a few more weeks and do another,
more precise scan that would also measure activity (which might
identify a growing tumour, versus inactive, dead tissue).
Four weeks later, I had the brain MRI.
A week after that, I received the good news: my surgeon was prepared
to say that the new spot on my brain was very likely necrotic tissue.
No treatment is necessary at this point, unless I start to feel
unwell. We'll just make sure to monitor for any changes. I heard the
good news from all three doctors in separate appointments. Each,
endearingly, was practically jubilant.
Oddly, I was not. I was definitely
relieved but it all felt anti-climactic. We didn't even celebrate. I
felt embarrassed to have to go back and tell everyone that I didn't
in fact have a tumour (I know this is ridiculous. This news was
extremely well received). Surprisingly (or perhaps not), I mostly
felt tired and angry that we'd been put through this trauma.
I'm mostly over that now (but not
entirely) and I've trying to immerse myself in the things in my life
over which I have some control. Until today, I have not felt able to
share this story in this space. I haven't felt much like writing at
all. I've finally just decided to spew it all onto the page because
it feels somehow dishonest not to have blogged about it.
It's done now.
Time to exhale and move on to the next
thing.
Labels:
brain metastasis,
breast cancer,
cancer blog,
chronic illness,
community,
family,
fear,
good stuff,
health care,
metastatic,
my kids,
my love,
news,
pissed off,
remission,
show and tell,
surgery
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