Coping/survivorship - 1261309

I was diagnosed in April 2012 with stage 3B lung cancer and was given a 30% chance of a one year survival ; had six chemo treatments; and a lobectomy 10 months later. I worked thru the chemo treatments and was back to work two weeks after surgery. I never had the time to "touch base" or do a reality check. I just did day after day after day what I had to do chemo sick and painful post surgery. It will be one year this month with clear CT scans. I am a very grateful thankful me! But I seem to have way less coping skills now; less patience and tolerance; I overwhelm easily. I don't bounce back as quickly; am extremely forgetful; am more emotional; i often cry tears of thankfulness for my "disease free scans" I feel more vulnerable than ever and find myself more afraid of the future than I was at diagnosis. I have a wonderful Doctor but he shys away from emotional/mental health issues. I have very strong support system with family and friends. I don't believe I am at all depressed. I feel I struggle to cope daily. Prior to my cancer I was an independent hard working vibrant grandmother of 4 young grandchildren. I am not myself; I am not the same. Is this what they refer to as chemo brain? Is chemo brain real? I would love to hear from others on this subject. People talk of their cancer their treatments their surgery and radiation; their blood tests and symptoms. No one talks of surviving.

Forums

Dr West
Posts: 4735

I'm sorry you don't feel you're doing as well overall as you should be. Chemo-brain is a real problem, but it really refers much more to cognitive/memory deficits than it does to emotional resilience. That aspect is pretty far from the expertise of nearly all oncologists and surgeons. I think a psychiatrist would likely be the person who could provide the most insight here.

Good luck.

-Dr. West

wadvocator
Posts: 79

Cheryl,

I can totally relate to what you are sharing and I am a care taker. I came to the conclusion that our oncologist provides medical treatment for the cancer, but not all the things that comes along with having cancer and cancer side effects (e.g. chemo brain, emotional, psychological, etc.). All of the side effects of having cancer is better than cancer running wild, but it doesn't mean those side effects are not debilitating in its own way vs. before having cancer. Having people to talk to helps with creating a new normal (doesn't mean it is easy to accept).

I found exercising, just focusing on today and every day, constantly planning events so to have something exciting to look forward to continuously, and ask "what makes you happy" and just do those happy things are helpful in coping.

cheryldecker5953
Posts: 8

Thank you for your reply. I hope I in no way sounded ungrateful or flippant. I don't consider myself out of the woods but at the same time I am one extremely lucky lady!!!!!! And oh yes I would rather be struggling with the "fallout" of cancer than the cancer. I do plan and participate in things that make me happy, and overall I am happy. But Dr. West used the correct phrase (thank you!) emotional resilience - mine is not what it used to be. A new normal is maybe what I should be striving for - rather than the old. Cancer changes a person. I don't believe it defines a person but it certainly changes them. I mainly wondered how others cope and if they felt some of the same things.

laya d.
Posts: 714

Hi Cheryl:

First and foremost, I am so very happy to read of your NED status. YAY!

But, I also agree that the emotional side of cancer is a whole different animal that must be dealt with separate from the oncology part. This prior post/discussion by Leah de Roulett, one of the Social Workers on GRACE, may be helpful to you: http://cancergrace.org/coping-with-cancer/2008/01/17/roller-coaster-of-…

All my best,
Laya

cheryldecker5953
Posts: 8

Thank you Laya: I wonder too how long one may have the chemo brain . My last treatment was September 2012. I seem to be worse then ever. I used to crochet, now I cannot concentrate or focus on the task. I am forever starting over. It can be very frustrating.

costica
Posts: 99

I read an amazing book, really don't be put off by the commercial title. Anticancer, by David Servan Schreiber. The author was a professor of Psychiatry at a top medical school in US, and he lived with a brain cancer for 15 years. Yes, in the end the cancer won. Every statement in that book is backed up by previously published studies.

ssflxl
Posts: 204

Cheryl

all cancer survivors feel some degree of what you are talking about - some more than others. Cancer changes our lives and perspectives. I always think about how I would have led my life if I didn't have this cancer and how different it would have been. Yes, it's good to dream. It's hard to accept these changes. I think someone on this site once said, once you become peanut butter, you can't go back to become a peanut (or something like that). I think in many ways, we are frustrated with some of these "negative" changes and it's hard to come to terms with it. At least, that is my point of view. we all have our own ways to cope - being with friends, doing things you love ( or at least trying to do those things help) and if you don't feel really functional, get help with medicines!!!

ssflxl

wadvocator
Posts: 79

Costica,

I am in the same camp with you about the Anticancer book. With so many things changing (e.g. hard to focus or remember things compared to before), my wife and I were desperate for something we can control, beside going to the oncologist, CT scan, X-Ray, side effects of treatment, or learning from GRACE site. Many things in the book advocate things that our parents advocate us doing when we were growing up but somehow we got away from them because of being busy with hectic life. Doing many of those things (e.g. eating healthy, exercise, meditation, etc.) helped us regain a sense of control.

catdander
Posts:

Cheryl, I've never had cancer but I do understand it's much worse than having a husband with cancer so I too have wondered why that forum has been left without much written. I've just moved this thread into the "coping strategies" forum and want to share a thread with you. I started it but it was meant for those with cancer, especially for "certain spring" a member who is gone now but at the time who was looking for input just as you are now. I don't mean that you should write in that thread, I just wanted to share a coping thread that did take off and is full of amazing information and thoughts. http://cancergrace.org/topic/holding-your-nerve

I hope this thread may become a place for others to write about their thoughts on coping, as I'm desperately looking also.

All best,
Janine

pepperhead
Posts: 11

Cheryl,
Congrats on being NED. This disease changes your life in so many different ways. I was my wife's caregiver and had a front row seat to the cognitive/memory issues she experienced and her frustration(s). It helped us both to talk about it and strategize ways she could deal with it, and ways I could assist her. She to was a vibrant, relatively active grandmother, but this disease changed her life in so many ways. Take a look at the Winter 2013 Cure Magazine as it has an awesome article on "Chemo Brain". It discusses advancements in this area of treatment, and strategies for dealing with this very real issue. It may be helpful to seek out the social worker at your treatment facility both as a sounding board, and as someone that can point you towards professional resources to offer insight and assistance with the mental health aspect. Your mental/emotional health is just as important as your physical health. We lived for today, as yesterday is in the books and can't be changed, and tomorrow is not here yet so we will deal with tomorrow when it gets here.
This is just my perspective. Use what you find helpful, and discard the rest.

Oscar

cheryldecker5953
Posts: 8

Received CT results today of: there is a new subpleural nodule in the mid posterior portion of right upper lobe with slightly irregular anterior margins. A small metastatic deposit cannot be excluded with certainty. This after one year this month of clear CT scans after a lobectomy of right lower lobe. My Dr wants a repeat scan in six weeks. Nervous about this development. What are some of the approaches beyond the CT scan????? What are the chances it's non cancerous? This category of coping/survivorship probably isn't the right place for this question although this development has thrown a monkey wrench into my ongoing struggle with positive mental health. Please advise.

Dr West
Posts: 4735

I'm truly sorry to hear about this stressful monkey wrench. However, nobody here is in a position to tell you the chances that this nodule is or is not cancerous. That's a function of your specific situation and the appearance of the scan: any opinion offered by someone who doesn't have those details is probably of no value at all. Your doctor's perspective is about 1000x more helpful here than that of someone online who doesn't know your case or see your scans.

The standard approach here is to check if a questionable small nodule is growing or goes away over time. If it grows, a biopsy is the definitive way to establish the diagnosis.

-Dr. West

cheryldecker5953
Posts: 8

Thank you Dr. West for your reply and I guess I knew all that about my Dr.s perspective - I am just impatient for answers and feeling all the mental anguish that goes with the "stressful monkey wrench". I feel like I am back to April 2012 when I was initially diagnosed. I was just beginning to relax. Ugggggggg. Thank you agian for your prompt reply.