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Avastin (bevacizumab) Cancers Chemotherapy Colorectal CRC FOLFIRI (folinic acid, fluorouracil, irinotecan) FOLFOX (folinic acid, fluorouracil, oxaliplatin) ileostomy Patient Stories Radiation Therapy Surgery Treatments

Michelle’s Relapsed Stage 4 Colorectal Cancer Story

Michelle’s Relapsed Stage 4 Colorectal Cancer Story

Michelle C. feature profile

Michelle was first diagnosed with stage 4 colorectal cancer in 2017.

For years, she had been experiencing chronic constipation and bloating, not knowing that these were already symptoms of cancer. An episode of severe pain took her to the emergency room and eventually to a  gastrointestinal doctor.

Though her symptoms were similar to Crohn’s disease, her colonoscopy proved otherwise and revealed that she had cancer.

After her initial appointment with an oncologist, she was told that she would have a permanent ostomy and was given 6 to 12 months to live. This prompted her to seek a second opinion.

After chemotherapy and a 12-hour surgery, she was in remission. She had no evidence of disease for two and a half years until she started feeling pain in her leg. A PET scan showed the tumor wrapped around her femoral nerve.

She shares her journey through treatment and recovery, how she was able to work through cancer treatment, the importance of knowing about your disease and advocating for yourself, and how she copes with survivor’s guilt and thoughts of death.

In addition to Michelle’s narrative, The Patient Story offers a diverse collection of colorectal cancer stories. These empowering stories provide real-life experiences, valuable insights, and perspectives on symptoms, diagnosis, and treatment options for cancer.


This interview has been edited for clarity. This is not medical advice. Please consult with your healthcare provider for treatment decisions.


  • Name: Michelle C.
  • Diagnosis:
    • Colorectal Cancer
  • Staging:
    • Stage 4
  • Initial Symptoms:
    • Chronic constipation
    • Bloating
  • Treatment:
    • Chemotherapy: FOLFOX (folinic acid, fluorouracil, and oxaliplatin)
    • Surgery
  • Relapse Symptom:
    • Pain in the leg
  • Treatment:
    • Chemotherapy: FOLFIRI (folinic acid, fluorouracil, and irinotecan hydrochloride) & Avastin
    • Radiation
    • Surgery
Michelle C. timeline


Introduction

Love big, live big, and do whatever you can in this space to help make other patients’ journeys just a little bit easier.

MIchelle C.

My name is Michelle Capell. I’m a stage 4 colorectal cancer patient and survivor.

I’m a teacher. I teach fifth grade and have taught fifth grade for 17 years so that is one of my passions. I take my job very, very seriously and really love what I do.

I like to work out a lot and spend time with my little doggy. I have a dog who is part toy poodle and part bichon. She has her own little personality. She’s a little bit aggressive, but she’s special.

I do not have my own family. My students are an extension of my family. They know that I love them. They know that they’re my family. I tell them that. Their families [have] become my family. I’m very close with all of my student’s families. Even though it’s summer, I spend time talking to them [and] meeting up with some of the families.

Michelle C.
Michelle C.

Pre-diagnosis

Initial symptoms

If anyone really listened to me years ago, maybe this would have been caught a lot sooner.

Michelle C. >>> Read More about Medical Gaslighting

For years, I had tons of symptoms but I didn’t know what to attribute them to. I always had chronic constipation. I was on antidepressants and was told that the antidepressants cause constipation.

The doctors give you a pill to make your stool softer and come out. If someone would have taken the time to figure out exactly why that was so bad for me, maybe it would have been caught sooner.

Looking back, you see all these little things that added up. At a conference once, I raised my hand when a doctor was speaking, and asked, “I dealt with this for years and years and years. Could this cause colorectal cancer?” He said, “We don’t know 100%, but absolutely. With that stool sitting in your colon, that’s bacteria that can form polyps, which can potentially cause cancer to form.”

If anyone really listened to me years ago, maybe this would have been caught a lot sooner. I went through that for years. I had hemorrhoids here and there and still, doctors said, “Oh, well, that’s normal, too. People get that because of constipation.” It’s a golf ball-sized hemorrhoid. It’s very staggering to me.

I was in the bathroom at my parents’ house and I said, “Mom, something’s wrong with me.” She said, “Oh, that’s hemorrhoid.” I said, “It’s the size of a golf ball though.” It’s not what you think a hemorrhoid is like. It was huge. Again, I was pushed off and they said this is another side effect [of] antidepressants.

This still is not sitting right with me, but I listened to what [the] doctors say. They’re the experts. They know what they’re talking about so I listened to it all. I took it all in. Increase your fiber, increase your water, watch my diet, all of those good things, but it never seemed to really get any better.

I was always very bloated as well and I worked out a lot. I went to doctors for that and they told me I was gluten sensitive, which runs in my family. They said, “You’re borderline celiac so that’s why you’re so bloated all the time.” I cut gluten out and still didn’t get any better.

I’m trying to do all these things, but something’s still not adding up. Then finally, it became [to] point [where] I could no longer work out. I had excruciating pain in my stomach. I was doing a lot of spinning classes. In the spinning classes, you bend forward a little bit so pressure was put onto that area. It hurts. I would get off the bike. I would walk around until it felt a little bit better then I would go back to class and finish. I really didn’t know what it was.

I had a friend in class who was a nurse and she also had Crohn’s disease. She said, “It really sounds like Crohn’s. Here’s the name of my doctor. He’s great.” I was going to make an appointment with him and then the pain got so bad, I could barely walk.

Michelle C.
Abdominal pain intensified

I lived in Houston by myself. I don’t have family here so I drove myself to the medical center. I walked around the streets of Houston literally bent over, trying to decide what E.R. I was supposed to take myself to.

I ended up in the E.R. They did a scan and told me I had multiple kidney stones in both kidneys, which was also something that I chronically dealt with my whole life. I said, “No, I’ve had kidney stones. I’ve had surgery for kidney stones. I’ve had lithotripsies done. This isn’t the same pain.” They brushed me off, too.

But in going there, I got another doctor. He was a referral. I only saw him for five minutes, but he said, “I want you to make an appointment. I’ll see you this week.”

He saw me and I brought all of my history. He said, “To be quite honest, I don’t know what’s wrong with you.” He was very matter-of-fact. He spoke to me like he was speaking to a friend. He was very nice. I got so blessed to get this amazing doctor.

I was in tears. I said, “I don’t have weeks to see a specialist because I’m in pain right now.” He handed me his phone and said, “Please put your name and number in my phone. I am going to contact my friends and tell them to get you in immediately. You’re not going to have to wait weeks.”

Initial appointment with a gastrointestinal doctor

I had all these doctors set up, but the first one I was a GI doctor because we thought that’s the direction we were headed first. He, too, said, “This really does sound like Crohn’s,” so he put me on Linzess to make me go to the bathroom and flush my system out. But he said, “I still have to schedule a colonoscopy just to confirm.” I was 40 at that time so I still wasn’t old enough to need a colonoscopy.

Getting a colonoscopy

I went for a colonoscopy. My friend who took me was my 34-year-old friend who already had lost both parents to cancer. It was unfortunate that it was her that took me.

I came out and they come and talk to you a little bit. He basically said, “What I saw in you, I wasn’t expecting to see. And when I see it that bad, it’s not just in your colon.” I was still digesting everything and still weaning off of the medication.

When we got to the car, my friend said, “Do you understand what he said to you?” I said, “Yeah, I think so. It’s that I have cancer and it’s bad.” She said, “Yeah, that’s what it sounds like.”

Diagnosis

Reaction to the cancer diagnosis

“She was giving me anywhere from 6 to 12 months at that point.”

Michelle C.

At that point, I was very hopeful and assumed that because I was healthy, worked out, and was young, this was going to be a small cancer that we were going to just cut out. I was going to move on, make sure I ate better, and do all the things I thought I should do. That’s not how it went at all.

They sent me to Texas Oncology and they did some scans themselves. I met with the oncologist there. She was recommending chemo first then surgery and I would have a permanent ostomy. She was giving me anywhere from 6 to 12 months at that point. I said, “No, I’m going to get a second opinion.”

When I looked at her business card, she had ten different cancers under her name and I said, “I don’t mean any disrespect, but you’re not a specialist and I’m going to see a specialist. I obviously need someone who deals [with] just colorectal cancer and someone who sees the toughest cases every day. I don’t want to go to the doctor that sees one tough case once a year. I want to go to someone who sees the toughest cases every single day.”

I was very freaked out. This was all going on right at the beginning of my school year. I was not there [during] the very first week of school. My principal was not happy. She thought I just needed a routine exam. I said, “Something tells me this isn’t routine. I have to go. I have to figure this out.” She felt guilty when she found out. She said, “Oh my gosh. I really tried to stop you from going and you really needed to go.”

Getting a second opinion

I went to MD Anderson. They do all of their own scans. They will not take any tests from any other hospital. They did the CT scan, PET scan, MRI, echocardiogram. and I had a biopsy scheduled as well. At that point, we weren’t sure exactly what stage. We didn’t know if there was lymph node involvement. We didn’t know if it had metastasized.

I was in an O.R. getting prepped for a biopsy of my kidney. While I was on the table, they called and said, “Nope, stop now. We can already tell radiologists read the report. It has metastasized to her ovary. She’s stage 4. It’s not going to matter. We need her out. We need her to start treatments immediately.”

Treatment

The surgeon that I saw was amazing. He pulled down a chart of the anatomy of the body. I was double-sided. I had a tumor on my right side and on my left side so technically, I was colorectal. I was colon and I was rectal.

They do tumor boards where they discuss the case. They wanted to know which one was the primary tumor. Was it colon cancer? Was it rectal cancer? The tumor board was split down the middle. They couldn’t make a decision and I said, “I don’t really care. Just get it out of me. It doesn’t matter to me.”

They were trying to figure out: with the metastasis, where did it come from? Did it come from the colon or did it come from the rectal? Where was my spreading going to be? Because it was just not the typical metastasis for a CRC (colorectal cancer) patient. It’s just not what you normally see.

I did the genetic testing and it’s not in my family. I don’t have FAP (familial adenomatous polyposis), I don’t have Lynch, I have none of those. The fellow who did all the tests said, “I don’t know what to tell you other than you have really bad luck. We can’t find any reason.”

The surgeon said, “I’m going to cut here, I’m going to cut here, we’re going to resect it. You’re going to have a bag, but don’t worry about it. I’m going to be able to reverse it. We’re going to do chemo. We’re going to shrink it. We’re going to do this, we’re going to do that.”

This is the guy I want. I want this guy because at least he’s giving me some hope. He’s not giving me a timeline of X amount of years to live. I felt so much better with my team there.

I met with my oncologist after that and my oncologist said, “You need to be in the chemo chair this week. We don’t have time for a port.”

I was still trying to process it all. It was so much to take in. I said, “I don’t even know what that means. What do you mean I don’t have time for a port?” A port is another surgery and it usually takes a week or two. He said, “You don’t have a week or two. We have to start immediately.”

Chemotherapy

Within two days, they put a PICC line in my arm and I was in the chemo chair that night. I would get chemo Friday nights then I would infuse Saturday and Sunday.

My chemo regimen was Friday, Saturday, [and] Sunday so that I could continue working. I would leave work a little bit early on Friday and get home at 11:00 and then I would have treatment Saturday, Sunday, and then drop the pump back off Sunday night.

I had six months of FOLFOX (folinic acid, fluorouracil, and oxaliplatin) at that time. I worked through all of that and I took every precaution I could.

Working during cancer treatment

My principal [and] the counselor talked to my students before I came back. They asked my permission. They told them, “She might lose all her hair. She’s going to be tired. She’s going to be this, she’s going to be that, but just watch for these things in class.”

They wrote a letter to the parents explaining what was going on with me. To be quite honest, I was blown away. I assumed the worst. I thought, I’m going to have all these parents that want to pull their kids out of my classroom because [they] don’t want [their] kid to have the teacher with stage 4 cancer all year. Who knows what’s going to happen? None of the parents did that. They were all completely supportive. The kids were wonderful.

I told my doctors, “You’ve got to get me through [the] testing season. After state testing season is done, I can do whatever needs to be done.”

They didn’t do radiation the first time because I was very responsive to FOLFOX. My CEA went down drastically so my body really responded really well. FOLFOX is very tough. It’s not an easy chemo, but it did its job for me.

Side effects of FOLFOX

Being a school teacher, I had 28 kids that depended on me all day long.

Michelle C.

Cold sensitivity is a huge thing. I wore gloves all the time because I would forget. You grab something from the fridge and if I forget, I would drop something and break it because it feels like shards of glass. It’s a horrible feeling.

I had a lot of nausea with FOLFOX. I lost a lot of weight. I got down to about 84 lbs so I looked sick for sure. They put me on prescription-strength weight gainer shakes at one point

I didn’t lose all of my hair. I have a ton of hair. I lost half of it so I had normal hair for once. I assumed I was going to lose it all. It started falling out.

People looked at me, and said, “You don’t really look sick.” When you say that to cancer patients, it’s really rough. I know people are trying to be nice when they say that, but it’s almost like a slap in the face. I would love to tell you I’m not sick, but I’m super sick, I might not even make it. I’m that sick. It’s frustrating.

I would get super tired. Being a school teacher, I had 28 kids that depended on me all day long. If I sit down and they see me about to literally close my eyes, they knew to go and get another teacher to come into the classroom.

The chemo has an accumulation effect. In the beginning, it doesn’t seem so bad. A little bit is left in your body so it keeps building on itself. By the end, it’s a lot. I could barely stay awake.

The other thing that my principal allowed me to do was when my kids went to PE or Music or wherever they went, teachers were told not to disturb me, not to go in my classroom. I turned the lights off. I had a pillow and a blanket, laid down in the back of the room, and I would pass out.

I would literally pass out for 45 minutes and I would have to set an alarm on my phone to go get my students or someone else would go pick them up for me. But that 45 minutes helped get me through the day. Had I not had that, I don’t know that I would have made it through work because you get that tired.

FOLFOX is rough and not everybody can make it through all of the oxaliplatin. That’s the one with the cold sensitivity. It causes neuropathy.

I had neuropathy in my hands and feet. The first time it happened, I was laying on an air mattress and I went to get up and completely fell. I couldn’t even use my feet. I wiped out completely. I wasn’t prepared for that at all.

One of the places [where] I first felt chemo enter my body was in my female parts. Everything felt like it was on fire. Either my mom or my best friend usually went to infusions with me. We joked about it and I didn’t think twice about mentioning it to my doctor or my PA.

It closes all of your parts down there. It just kind of shuts them all and I didn’t really know that. How would you know that? It got warm and hot.

When I finally mentioned it to my PA, she said, “Oh my gosh, why didn’t you tell me this? There were things that we should have done for you that we didn’t because we didn’t know this.”

Tell your doctor everything you’re feeling, every little side effect you’re experiencing. Speak up, even though it might seem little or insignificant to you.

I ended up having to go through pelvic floor therapy to help put those pieces back together the way they should be working and to make sure they were functioning.

A lot of people don’t know about pelvic floor therapy. It’s wonderful for colorectal cancer patients. They’re able to do wonders. I was able to do that for probably about eight months.

I was getting good results. They said, “Your CEA level is lowering. We know the tumor is shrinking. Your CT looks great.” I’m getting good news so I’m not thinking of these little things being of any significance. The more you know, the more you’ll speak up.

Now I tell people, “If you’re female and you experience this, tell your doctor. There are things that they can do to prevent something from happening.”

Getting a nerve block

All that stuff gets painful, too. Cancer is very painful. At one point, they put me in a wheelchair because I had a tumor that was pressing on a nerve in my spine. That was rough. Nothing they gave me touched the pain at all so they wanted to do a nerve block.

I went in twice for the nerve block and backed out twice because I could hear people screaming. I said, “No, this isn’t for me. I don’t know what’s going on here, but people are screaming and this doesn’t sound good.” Finally, the third time, I said, “Okay, in order for me to keep working, I have to do this.”

When they do a nerve block on you, you’re in what looks like a CT scan, but it’s a small circle. They do that so that they can see where they’re putting the needle in your spine and it guides them. What I didn’t know at the time was that they were letting a fellow do it.

You’re awake through the whole process. I can hear my doctor giving directions to someone. I can hear her telling him, “Pull up, pull up, pull up,” then all of a sudden, the entire right side of my body started convulsing. I was shaking on the table.

Now I know why people scream because they’ve hit a nerve. They got the wrong spot. Obviously, it must be something that happens because I heard other people yell and so it must happen.

I’m sure it’s somewhere in the fine print that you sign saying this is a teaching hospital. I told the doctor, “Don’t ever do that, letting a fellow do a procedure. You knew how worried I was about having this done. You knew it took me three times to even come in. You shouldn’t have done that to me. Please don’t do that again. That was horrible.”

But that in itself saved me. I got out of the wheelchair. I was able to walk [and] that got me all the way through to surgery. Chemo was shrinking everything, too, so I don’t know if it was just the nerve block or the chemo that was shrinking everything.

Those are some of the bad side effects of FOLFOX. I still have neuropathy. It’s a severe cold sensitivity.

I’ve had instances on airplanes where I’ve had what appears like a seizure and I end up kicking and hitting everything. I can’t control it because I get too cold. I had several blankets. I pack a bunch of blankets in my carry-on so I can put the blankets on top of me.

Getting information from support groups

I was active in different Facebook groups so I knew what other people experienced. Everybody experiences neuropathy a little bit differently. Some people get tingling in their hands and their feet. I had it a couple times in my feet, but mine is more of a full body thing.

The patient advocacy groups are what helped me navigate through treatment. If it weren’t for them, I don’t know how I would have gotten through that. The doctors don’t tell you everything you need to know nor do they probably understand and know them for themselves. They don’t understand.

Surgery

I went in for a 12-hour surgery. When the doctors came out to talk to my family and friends that were waiting, they did admit that they really thought they were going to open me up and not be able to help me.

They anticipated finding so much cancer inside of me that I was going to be an open-and-close case. They said it was nothing short of a miracle that they were able to perform the surgery and get clear margins.

MD Anderson doesn’t do maintenance chemo. They don’t believe in it unless you have residual cancer after surgery.

Preparing for surgery

After surgery, I had an ileostomy.

I put complete faith in my doctors. I really didn’t ask a ton of questions because I loved my team. I have a very strong faith as well. Between my faith and my team, it was out of my hands. Whatever was going to happen was going to happen.

I remember being in pre-op with my parents and I don’t remember crying or anything. They were, of course, but I was very at peace with what was happening. My surgeon and one other surgeon, another fantastic doctor at MD Anderson, had spoken to me at length about my surgery.

I wanted to do HIPEC (hyperthermic intraperitoneal chemotherapy) surgery. He was the guru at MD Anderson for HIPEC and he said, “You’re not a candidate.” He came in on his day off, in his golf attire, and talked with me for about an hour about why I wasn’t a candidate.

He said, “Listen, I’m talking to you like you’re my sister. If you were my sister, I would not be telling you to have HIPEC. It’s intense. You won’t be going back to work. Forget about work for at least a year. This is not something we take lightly. We don’t just pour hot chemo in someone if they don’t need it. You don’t need it.”

After talking with him, I said, “You’re still in on my surgery.” He said, “I am? Why? That’s not my thing.” I said, “I requested you and my surgeon is good with that.”

He ended up actually doing the hysterectomy part of my surgery, even though it’s not what he does. He was in there with the team as well. The number of people that were in there was incredible. It was a 12-hour surgery. I had no idea it was going to be 12 hours nor did they because they thought I was going to be open and close.

They were able to get everything. I had 14 positive lymph nodes as well as metastasis to the ovary. They could have just taken the one ovary, but we discussed it and said, “Since this seems to be like your progression and yours is going downward for whatever reason, we’re just going to take it all out.”

I was 40 years old. I said, “Okay, take it all out. I don’t care. Get rid of it. Get it all out of me. I don’t want to deal with this.” I was very, very lucky that they were my doctors for sure.

Reaction to the results of the surgery

The first people to get the news were family and friends. My mom is a stay-at-home mom. She didn’t go to college, but she probably should have been in the medical field because she wanted them to draw her pictures. They literally pulled out napkins and started drawing pictures for her of exactly what they did, where they cut the tumor out of, and they went through all of it with her, which she just loved.

When I was told that it was completely gone, that’s a relief. I made it through the six months of chemo and now this. Thank God I’m still here because my first opinion told me I wasn’t going to make it this far.

Recovering from surgery

There was no room for me on the colorectal floor. Their floor was completely full. That’s how much colon cancer is on the rise in younger adults. I ended up on a cardiac floor.

When I was in the hospital, I had my cordless flat iron with me. Every morning, I would iron my hair, put a sparkly headband on, put some makeup on, and I would go for walks. They would all laugh at me. I said, “I need this because I need to feel like me and this gives me a little bit of sense of getting back to who I am and it’s giving me strength to get up out of bed and walk.”

I would walk and walk and walk. The nurses thought it was hilarious that I took all this time to get ready and nobody’s there but me. I’m there walking and doing everything I can to get out of there because, at that point, I didn’t want to be in there.

No evidence of disease

No maintenance chemo

When they told me no maintenance chemo, that was a tough pill to swallow. You feel like chemo is your safety net. I felt like something was being pulled away from me. I knew that a lot of stage 4 patients get put on maintenance chemo. I said, “What do you mean I’m not getting put on something to prevent it from coming back? How am I supposed to prevent it from coming back if you’re taking this away?”

I pushed and I went to the head of colorectal oncology. I spoke with her and she said, “We just don’t do it. If it’s clear margins, that’s a successful surgery. We do not believe in giving patients poison in their bodies if they don’t need it.

“To be honest, you’re stage 4. You’re going to need chemo again at some point in your life, more than likely. We don’t want you to build up a tolerance to it and have it not be effective the next time you need it. It’s not something that we just take lightly. We don’t just give it to people like that.

“Now, had you had a surgery where they came out and said, ‘There’s still some residual cancer left,’ or it’s in your bloodstream or something, then you get put on maintenance chemo. For you, you had a curative surgery so we do not recommend that at all.”

It’s rough. When you know you’re stage 4, it’s different. We don’t have good stats as far as recurrences. I felt like I needed something to help protect me.

I researched every kind of holistic treatment there was. Anything I could do, I did. Any foods I could eat, any supplements I could take, I did it all because I felt like I’ve got to do something.

I’m getting the cooking for cancer book. I’m taking supplements. I’m working out. I’m making sure I’m doing all the things that are keeping me alive and healthy.

Keeping active was really important. I worked out all through treatment. I put my chemo pump in a backpack and go to the gym. I took a dance class so I would put the backpack on. A couple of the girls in the class were nurses. They said, “I can’t believe you’re doing this. You shouldn’t be doing this,” but they would make sure that they’re around me in case something happened.

Staying strong and staying active probably helped, too. Even though I got really, really thin, keeping up with trying to stay physically fit does help in recovery.

Reaction to being cancer-free

I moved to Houston to be closer to some friends who ended up moving away. I was really contemplating moving back to Chicago. It was a really hard time in my life because I didn’t understand. I said, “Okay, God, you brought me here and now I don’t know why I’m here because I don’t have these kids to love on in my life anymore so why am I here?”

Then when I got cancer, I said, “I’m at the best place possible. People travel from all over the world to come to this hospital and I have this opportunity to be blessed with these doctors that are miraculous.”

The doctors telling me and giving me these reports, “You’re still clean. You’re still no evidence of disease.” I can breathe easy for the next three months. I can live my life. I don’t have to think about it 24/7, even though it never leaves my mind. It just doesn’t. Stage 4 doesn’t. It’s just there.

Any little feeling, you think it was cancer. Even though it’s great, you’re NED, it’s still not easy. It’s wonderful, but it’s still not easy in any shape or manner at all.

It was great until it wasn’t.

Relapse

Symptoms manifest in the leg

It was about two and a half years, almost that three-year mark. At three years, you go from getting three-month scans to six-month scans. I was really looking forward to that. If I could make it to six months, that’s another win I’m going to take.

COVID hit so I wasn’t going to the gym. I started running more. I went from running all the time to, all of a sudden, barely walking a full lap. I was limping a little bit and had pain in my leg.

I went skiing that year and I couldn’t turn. The first day, I was okay. But the second day, I couldn’t turn my skis. I could only go in one direction. I kept going to the mountain and I can’t go back the other way. We got ski patrol to get me down the mountain because I couldn’t. We thought I was really tired. We weren’t thinking [of] cancer because it was my leg.

They didn’t see anything in my scans. I said, “There’s something there. I am telling you it’s there. You’re telling me you’re not seeing it in the CTs. I’m telling you it’s there. I don’t care what the CTs say.”

It depends on the radiologist who reads them. It depends on the person who does your scan and how they move you and how they position you. They’re looking everywhere, but they’re not really zeroing in on my leg.

I said, “No. Something else has to be done.” I think they just wanted to quiet me down. They said, “Okay, we’ll order a PET scan.” It lit up like a Christmas tree.

PET scan results

I got the report from my oncologist. Oncology and surgery are very different in how they talk to you.

Your oncologist is with you from the time you’re diagnosed all the way through, especially stage 4. They are going to be with you through your whole life. Your surgeon is only going to see you if and when you are surgical. If you are not surgical, you’re not getting into a surgeon’s office because they’re not going to waste their time.

My oncologist told me, “It’s in your femoral nerve. It was relatively small.” Again, I’m going down the road of, This isn’t that bad. We’re going to get it. We’re going to cut it out.

Stage 4 Colorectal Cancer Treatment

I didn’t want to be cut fully open again. I messaged my surgeon and said, “Can we go about this laparoscopically this time or robotic? Can we do something different besides cutting me all the way open?” I got a message back immediately and he said, “You need to come in tomorrow. We need to talk.” I thought, Oh, crap, that’s not good. That’s not good at all.

When I went in to see him, he said, “I know it’s small. I get it. I get where your head is. It is small, but it’s probably in one of the worst places it could be. It’s wrapped around your femoral nerve.

“If we have to do something to this nerve, you might possibly never walk again, need a walker, need a cane — we don’t know. But we have to be prepared for all of these things. This is bad. This is not good at all.”

I left there thinking, Oh, geez. Okay. At the time, I lived [in] a third-floor apartment. I quickly had to pivot and find a house that was handicap accessible because I wasn’t sure what was going to happen.

When I met with my oncologist, they put me on second-line treatment FOLFIRI (folinic acid, fluorouracil, and irinotecan hydrochloride) and Avastin for six months. That was a little bit easier to tolerate.

Side effects of FOLFIRI

My oncologist and I joked around about that one as well Irinotecan is part of that one and colorectal patients call that “I ran to the can” because it causes severe diarrhea.

I said, “Oh, so you’re putting me on I ran to the can?” He said, “No, no, no, it’s really not that bad.” I said, “Oh, have you had it? Because maybe if you’ve had it, then I would believe that from you. But the patients that I talk to are stuck in the bathroom for a really long time so I don’t know.”

There was some of that. It definitely wasn’t as bad though as what I thought it was going to be. Now, that’s not true for everybody though. Everybody responds differently.

I wasn’t as tired. I did gain a ton of weight. I gained about 40-some lbs, which was the complete opposite [of] the last time. This is crushing me, too, because now, I feel horrible about myself and what I look like and I feel disgusting.

That was a tougher pill to swallow because I’d always been so healthy. I’d always been so tiny and I’m very short. Extra weight is just hard.

I would say that chemo regimen wasn’t very effective. It didn’t shrink anything. The doctors told me that doesn’t mean that it wasn’t successful. They said it is successful because nothing grew. I get that. However, would I have been the same just jumping into surgery or jumping right into radiation without doing the six months?

To me, it would have been the same thing. Obviously, you don’t know until you go through it so there was no way for them to know. But after the first couple of scans, things weren’t changing drastically. They said, “Okay, this time, you’re going to have to have radiation.”

Radiation

I had radiation every day for a little bit over a month. They give you oral chemotherapy and they give you radiation.

I did not have targeted radiation. Even though it was on [the] lower part of my body, it still goes [to] other places because it spreads. Once it gets in there, it spreads. Radiation isn’t always good. You don’t really want radiation if you don’t have to have it.

It seemed that radiation was doing its job. Radiation was shrinking things. Even though I didn’t want to do it, it’s what worked for me at that time.

After, they give you about a month break to rebuild yourself, make sure you’ve got energy, you’re ready to fight again.

Surgery

We had all kinds of people in that surgery. There was a team [of] about six people ready to resect the nerve. My radiation oncologist had a team in there because she wanted to do internal radiation. We didn’t even discuss this. Then my normal surgical team again.

When they and opened up, they were surprised once again. Radiation moved it off of my femoral nerve. It was inside my muscle and my inner thigh. They ended up having to cut into the muscle to get it out.

I was very blessed because the head of ortho was two surgical rooms over. They called him in quickly and said, “Can you consult on this patient and tell us just how much we can cut out of the muscle in her leg [and] she’s still going to have function? Can we get all the cancer and still give her mobility?” They didn’t want to cut too much but they also didn’t want to not cut enough and not get all the cancer either.

He came in and said, “Cut here. You’ll get it all and she will have mobility back,” and that’s what happened. They were able to tell my family once again that I had a very good surgery, clear margins.

They didn’t need to resect the nerve like they originally thought. They didn’t have to do internal radiation, which they planned on doing. All of that was taken off the table. All they had to do was cut it out of the muscle in my leg.

Recovering from surgery

They put me on the rehab floor, which was the best because I had occupational therapy and physical therapy. I had physical therapy twice a day and occupational therapy once a day.

They get you up and moving. It’s not just walking. You walk on the balance beam. You take some stairs. You’re walking these stairs as slowly as you have to do it.

I was probably in there for almost two weeks and I didn’t want to leave. At that point, I had gotten so close to that team. They were just so wonderful that I said, “I don’t want to leave. You’re helping build up my strength. I’ve bonded with all [of] you people. I look forward to seeing you every day.” They laughed and said, “That happens a lot. People don’t want to leave, but we do need the bed so you are on your way to being healthy.”

They graduated me and put me into their rehab facility. I went through another six months of physical therapy. They weren’t sure if I was going to get feeling back on the inside of my leg; that never happened.

We tried several different things. My OT had me try different things — rubbing a brush on the inside of the leg, taking a massager and massaging that area, and trying to stimulate it anyway I can.

We did that for a while and it was not going to come back. I don’t have feeling on the inside of my leg. In the grand scheme of things, that’s okay. I can walk. I can still work out.

I’m working with a trainer to build up the muscle in my leg. At first, I could barely drive because my right leg couldn’t push on the pedal. Even though I can walk, we didn’t think about building up the calf and shin muscle to push the pedal down. I couldn’t drive at first.

Even though I went back to work, I had someone driving me because I could get in an accident. My foot could easily slip off the pedal and I’m going to hurt somebody else in the process because I think I’m strong enough and I’m not. I’m still building up that area. It’s a process. It takes time.

Follow-up protocol

Every three months, I get my CT scans, blood work, and I do Signatera. Signatera detects cancer in your blood. The hope is that they can detect cancer in your bloodstream before a tumor forms. That is relatively new. I think it’s a great tool to have, one more tool to add to my bag.

At first, my doctors weren’t on board with it and now they are. It’s taken them some time and some of their own research to validate this test.

They said you only need one. I said, “That’s not true. I talked to the company that makes the test. They told me your very first one is your baseline. You still have to do it every three months. It’s not a one-and-done.” I used to have to ask them to put it in my chart. Now I don’t even have to tell them.

People didn’t know what it was. The doctors weren’t pushing it and people didn’t know to ask for it. Now people are finally on board with this. People know what it is or the doctors are finally prescribing this for their patients along with their blood work.

My last scan, I thought something was wrong. I didn’t feel so well. I was getting sick a lot and [had] a lot of digestive issues. I told my doctor, “Something’s wrong. I feel like I have food poisoning. It’s not a blockage because it’s coming from both ends. Something’s not right at all.”

When everything came back clean, he said, “I know exactly what this is. You’re getting sick from your students,” which I never did before. “What’s happening is after COVID, people get sick and they can’t kick it as easily as they once did because our immune systems are not what they once were.

“We were masked. We were isolated from all germs for so long. Now that all of this is reintroduced to our bodies, our bodies can’t fight these off anymore the way that they used to.”

It went away, but it scared me for a couple of weeks. What happened with COVID, it makes sense.

Managing scanxiety

Scans aren’t fun. Leading up to them, that week going in, you don’t get a lot of sleep. It’s always in the back of your head. Even if you feel like things are okay, you just never know, especially being in the space that I’m in.

Thoughts of death

Dying from this disease is a very painful death. Death doesn’t scare me; it’s the pain that scares me.

Michelle C.

The more you do advocacy work, the more people you meet. The more patients you learn to love on, the more patients you lose.

I’m always upset when I lose someone I know. It freaks me out a little bit, too. I think, They were stage 4, too, and they were doing so well for so long. Look what happened to them.

I shouldn’t feel like that because, to me, that’s being selfish. I’m turning what happened to them onto me. But I can’t help myself. I lose someone and I mourn and grieve for that person, but then at the same time, I think about my own morbidity.

It’s still a very real thing for me. I’ve done very, very well. How long am I going to be able to defy the odds? Right now, I am one of the miracle stories of my doctor. But for how long, I don’t know. I would love to say forever, but at some point, I feel like I’ll die from this disease.

Dying from this disease is a very painful death. Death doesn’t scare me; it’s the pain that scares me. I’m okay leaving this life. I’m not okay leaving in severe pain.

I want to be able to say goodbye to loved ones. I want to be able to spend time. Often, people are so drugged up because they’re in such excruciating pain that it’s hard for them to even get the opportunity to do that with their loved ones and their family.

You never know when that’s going to happen so you have to live your life in a different way. Make every moment count. Love everybody in your life. Love big, live big, and do whatever you can in this space to help make other patients’ journeys just a little bit easier.

Coping with survivor’s guilt

You just want to make sense of how other people not making it.

Michelle C.

I had a big discussion with some people about survivor skills. Those of us that survive that watch other people.

I, specifically, deal with it because I’m single. I don’t have a husband. I don’t have kids. I watch other people pass away that leave their husband and that leave their kids. I question that. It would be so much easier for me to be checked out versus you being checked out and you leaving your little child with no mom or no dad.

Somebody said, “The word guilt has a negative connotation and what you’re describing is not negative. It’s coming from a place of empathy. It’s coming from a place of compassion and caring. It’s not coming from a bad place.”

One of my friends said, “I’ve got it. It’s survivor’s compassion. It’s not survivor’s guilt. Let’s take that guilt word away, take that negativity away, and put a different word in there that makes it sound like you’re more caring.”

It’s still hard, but that was a very needed conversation. A lot of people feel guilty and go through all those stages and it’s hard. It’s very negative in thinking and you’re not being negative. You just want to make sense of how other people not making it.

Words of advice

Be your own best advocate. Speak up for yourself. If you can, get actively involved. Get to know your disease and educate yourself. Bring reason as to why it is you have this disease.

Michelle C.

I got involved in a lot of groups pretty early on. Even while I was still in treatment, I had people reaching out to me, “Hey, do you want to help out?” I said, “I’m still in treatment.” They said, “Yeah, but you’re so positive, you always know how to respond, and you ask very thought-provoking questions.”

I started helping out right away. I jumped in the water. Anything that I can do, especially with the younger population. We know what the research says. For whatever reason, it’s on the rise in the younger population. It’s on the decline in the older population because they’re getting screened more.

The younger patients are all told, “You’re too young.” You have to push your doctors.

I wish I would have known at a younger age to push more on some of those early symptoms. I can’t go back. I don’t know what would have happened. But they told me for it to be advanced as it was, I had to have had it for 10 years.

I eat well, go to the gym every day, didn’t eat a lot of red meat, and didn’t eat a lot of processed foods. All these things that people tell you cause cancer, I didn’t do those.

You have to know what you’re going through. Know the disease. Educate yourself. Yes, doctors are wonderful, but you are one patient out of many, many patients. They are there for you, to support you, but they’re there to support and guide all of their patients. They cannot look up every little thing that’s wrong with you because they don’t have the time.

Unfortunately, it’s growing. You think of colorectal cancer and you think the waiting room is going to be full of older men and it’s not anymore. It’s different races, it’s men, it’s women, it’s young, it’s old, it’s kids. It’s everyone now.

>>> More: Why is Colorectal Cancer Increasing in Young Adults?

They’re doing all the research they can, but nobody can pinpoint and say, “Don’t do this with your kids. Stay away from this.” I wish there was something that we had out there to tell people for the younger population out there.

For my younger friends, I tell them to ask their PCPs to screen them. I said, “Even if it’s a Cologuard test, it still will give you peace of mind.” Teachers at my school even said to me, “You’re one of the healthiest people we know. If you can get cancer, oh my gosh.” A bunch of them picked up cancer insurance because of my story.

Know what you’re talking about. Research and ask questions. When something’s not right, speak up. I didn’t speak up about some things; later down the road, I had some issues with them.

Be your own best advocate. Speak up for yourself. If you can, get actively involved. Get to know your disease and educate yourself. Bring reason as to why it is you have this disease.

I feel like I had to come up with a reason. My reason was to share my story and to help others. In helping others, that helps me give me a sense of peace as to why this has happened in my life. If I can help anybody in their journey, no matter what part of their journey it is, even if it’s just them getting a colonoscopy because of my story.

People don’t like to talk about colorectal cancer. It’s taboo. But no, we need to talk about poop. We need to talk about the symptoms.

Don’t be afraid to share your story. Don’t be afraid to tell people. Encourage people to get screened, especially if they have any symptoms or it’s in their family. Get screened.


Michelle C. feature profile
Thank you for sharing your story, Michelle!

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Categories
ABVD Adcetris (brentuximab) BEAM Cancers Chemotherapy Hodgkin Lymphoma ICE Patient Stories Stem cell transplant Treatments Uncategorized

Chelsey’s Stage 2 Hodgkin’s Lymphoma Story

Chelsey Gomez’s Stage 2 Hodgkin’s Lymphoma Story

At age 28 with no family history of cancer, Chelsey did not think much of her new symptoms like fatigue, vertigo, and itching. Shortly after starting a higher position at work, she had an episode of vertigo that caused her to nearly crash her car which led her to take a deeper look at her symptoms. A trip to the E.R. and chest x-ray revealed she had tumors in her chest. She was then diagnosed with stage 2 Hodgkin’s lymphoma.   

Chelsey was paired with an oncologist she believed was fated to be her doctor but after a series of red flags like gaslighting and withholding medical information, she sought out a second opinion at the Mayo Clinic after relapsing. She now champions being a patient advocate and trusting your gut when it comes to your medical care. 

Chelsey shares her cancer story with us, her experience with chemotherapy and a stem cell transplant, how she talked to her daughter about losing her hair, and what inspired her to share her artwork and create books about cancer.  

Chelsey shares. her stage 2 Hodgkin's lymphoma story
  • Name: Chelsey G.
  • Diagnosis (DX):
  • Staging: 2
  • Symptoms:
    • Fatigue
    • Itchy legs and feet
    • Swollen lymph node at the base of the neck that wouldn’t go down
    • Vertigo
    • Shortness of breath
    • Weight loss
  • Age at DX: 28
  • Treatment:
Chelsey's Hodgkin's lymphoma cancer timeline

Live for yourself. Life is too freaking short. There’s no other way to put it. Make yourself happy. Focus on your family. Do what you always wanted to do. 

Chelsey G.

Brought to you in partnership with The Leukemia & Lymphoma Society and Imerman Angels.


Table Of Contents
  1. Symptoms & Diagnosis
  2. Being A Patient Advocate
  3. Chemotherapy & Transplant
  4. Survivorship 
  5. Reflections

Symptoms & Diagnosis

Tell us about yourself 

My name is Chelsea Gomez. I am 32 years old and I’m from Florida. I am married to my husband, who I’ve been with for 19 years if you can believe it. And we have a 7-year-old daughter named Luna. 

My full-time job is I own my own business and it’s a non-traditional cancer-type brand where we use humor to cope with cancer rather than crying. We cry sometimes, but not all the time. 

My hobbies involve hanging out with my daughter and my husband, and art. I love all types of art from digital art to needle felting and all the above.

What were your first symptoms? 

I was first diagnosed with Hodgkin’s lymphoma when I was 28. It was in the latter part of the year. I had gotten a promotion in March, and it really took over my life. I was working a lot, so I was very tired. I thought it was because I’m working a lot just like any other young person.

I also started getting itchy legs and itchy feet to the point where I would scratch my feet so much that they would bleed. I went to the dermatologist, and they said it was nothing, here’s a cream. 

I started also getting vertigo and not being able to pay attention and I almost crashed my car one time. That’s when I went to another doctor and said, I don’t know what’s happening. Am I just stressed? They told me that it was stress and they put me on some attention medicine because I have a high-stress job. 

Chelsey's first Hodgkin's lymphoma symptoms were itching, vertigo, and fatigue

The thing that prompted me to look further after I went to several doctors that said everything was good, was I got a swollen lymph node on the base of my neck. I had never felt anything like that and it wasn’t going away. I ended up going to the urgent care for them to look at it and they told me it was okay, but then the doctor looked into my eyes and said, “You should follow up on this.” I feel like they were indirectly giving me a message. 

How were you diagnosed? 

She said, “I’m really sorry, but there are tumors all over your chest and we’re going to need to admit you.” 

When the lymph node didn’t go away, I was keen to ignore it because I was very busy working, but my family said, “No, you’re not doing this. We’ll watch your daughter. You and your husband go to the E.R.” I went to the E.R. to appease them and I was skipped over all the people waiting in the E.R. I was like, whoa. That never happens. 

They brought me back and a doctor said, “We’re just going to do a chest x-ray. You’re probably going to be out of here in 5 minutes, but let’s do it just to be sure.” They did it, she walked in the door holding a stuffed animal like a bear, handed it to me and I saw tears in her eyes. She said, “I’m really sorry, but there are tumors all over your chest and we’re going to need to admit you.” 

I went from being this very young, active, working person, mom, wife, everything, to suddenly…what is happening? I remember another doctor walked by and was like, “Yeah, it’s probably lymphoma. Good luck!” I was like, What? What is happening? It was quite the ordeal.

How much time passed between your first symptoms and getting diagnosed?
Chelsey sensed something was wrong before going to urgent care

It was several months. 

Also, another thing that I experienced around that time was I was losing weight. I was on Weight Watchers so I thought, “Oh, it’s finally starting to work. Great!” 

I have this picture of myself where I am in the first PET scan I’ve ever been in. I took a picture in the chair and then I took a picture of myself 3 months later after I had been on chemo. I realized how ill I had looked. I didn’t realize it at the time because I wore makeup. I had these big dark circles. I just didn’t look well. I could see that I was wasting away and I didn’t realize it because I was so focused on working.

I know we all Google, and when I had the lymph node and it wasn’t going away I went to CentraCare and they told me it was fine. They said it was an infection. They gave me high-dose antibiotics – extremely high doses. I took them consistently for 2 weeks and the lymph node was still there and it didn’t hurt. It was just there. For the most part, it felt fine so it was odd to me that I needed antibiotics. 

I know about lymph nodes. They do swell when you’re sick but I wasn’t sick, I took these antibiotics and I was Googling swollen lymph nodes. If you Google that, it comes up lymphoma. 

What did you suspect was behind your symptoms?

For some reason, when we sat in the parking lot of the CentraCare, I looked at my husband and I had tears in my eyes. I said, “I just feel like this isn’t right. I feel that there’s something more that’s going on. I don’t want to say the ‘C word.’” He’s an eternal optimist and I’m an eternal pessimist. He said, “It’s okay. It’s not cancer. Cancer is the least likely explanation for most things.” 

I appreciated that, but I just had this feeling that day in the parking lot that there was something bad going on. Even though I didn’t feel that bad in my own mind. Looking back at all the symptoms, I was sick but I didn’t realize it.

I got truly lucky in the E.R. because the doctor that was working was a younger doctor. She ended up telling me – which made sense why she had tears – her friend in high school had lymphoma so she knew some symptoms of it. She saw my age and I had some shortness of breath, but again, I had asthma, anxiety, all those things. Where another doctor may have just let me go, she ended up pushing them to do the chest x-ray just to make sure. I tried to track her down one time just to write her an email to say thank you. 

How did you react to your cancer diagnosis?
Chelsey felt a whirlwind of emotions after receiving her cancer diagnosis

went from never being hospitalized, other than having my daughter. I had to get my first-ever surgery, so it was a whirlwind. I had surgery within 48 hours. Now I have a huge scar on my neck. I was crying. I told my husband, “I don’t want to lose my hair!” Screaming. 

At that point, it wasn’t 100% I had cancer, but it wasn’t looking good. I was just overwhelmed. I was like, how is this my life? How anybody thinks, and also clinging to the hope that it wasn’t cancer. I was Googling everything like sarcoidosis, which mimics that. I was like, anything but cancer, anything but cancer, just very overwhelmed.

I never in a million years expected to have cancer. There’s no cancer in my family other than breast cancer on my grandmother’s side and her sisters. Never my grandma, never my mom, never anyone immediate. Hodgkin’s isn’t genetic cancer, it’s not typically spread down so I would have never heard of Hodgkin’s. I was like, Who is Hodgkin’s? Who are you? Why are you here?

»MORE: Dealing with a Cancer Diagnosis

Did you know what to expect when you started your cancer journey?

I often talk on my page about not liking a lot of the battle language or those types of things. But when you get diagnosed, you truly do not know what you’re in for. A lot of what you parrot back is what you’ve seen in media or on shows and I didn’t know what to expect. What is chemo other than what I’ve seen on Scrubs or whatever other show? 

It’s crazy how quickly these things become normal. It becomes your life. It becomes reality. But before that, you have no concept. Sometimes I get frustrated when people think that cancer is one way, but I don’t fault them because I was that person before. That’s why I’ve dedicated the rest of my second chance at life to informing people of what cancer really is. Especially as a young person. It’s a way different experience than if you’re quite older when you get cancer.

When you get diagnosed, you truly do not know what you’re in for.

Describe what happened after your visit to the E.R.

I entered the E.R., they did the chest x-ray, sent me for a CT scan, and saw that I had stage 2 and it was just in my chest and up. At that time we didn’t know it wasn’t in my bone marrow, so I was stage 2. They did the excisional biopsy, they discharged me. 

The next day, I went to go meet with an oncologist that was just walking by in the hospital – not the one that screamed I probably have lymphoma. It was another one. He ended up being my oncologist. I didn’t look into anything further. I just figured, okay, that’s where I’m going to go. Being a young person, I was like, maybe it’s fate he was walking by. 

Chelsey wasn't called and told she had cancer

They said, “Ms. Gomez, we were going to call you. Yes. Unfortunately, it came back that you have Hodgkin’s.” So I found out in the middle of a fast food restaurant with nobody even calling me.

The day that I met with him, there were no actual results yet. It was still being looked at. They kept bringing up sarcoidosis. Also, I’ve had chronic mono since I’ve been a teenager. So that was another thing. “Your mono markers are high. Maybe it’s something to do with that.” I think with sarcoid, it can have all of that. I was like, you’re telling me there’s a chance it’s not cancer. 

I was scheduled to come back in about 3 days and I wasn’t working at that time. I had gone on leave temporarily. I was every day Googling, scrolling, Googling, scrolling. This is not funny, but at the time it was like, is this really my life? I was getting lunch at a fast food restaurant in between Googling, refreshing, scrolling, and all of a sudden my screen popped up, “Bone marrow biopsy scheduled for tomorrow. PET scan scheduled for tomorrow.” And I thought, “What is this? What’s a bone marrow biopsy? What’s a PET scan?” And they didn’t call me. 

I put down the food and told my husband we have to leave. I went home. I got on the phone and said, “Hi, this is Chelsey Gomez. This appointment just popped up. Do I have cancer?” The person said, “Hold, please.” Then they put a nurse on the phone. They said, “Ms. Gomez, we were going to call you. Yes. Unfortunately, it came back that you have Hodgkin’s.” So I found out in the middle of a fast food restaurant with nobody even calling me. I had to call and ask myself. 

It was October 12th, because that’s the day I’ve been diagnosed 2 years in a row. My daughter was at a preschool at the time. I just laid on our carpet in the middle of the living room and I sobbed the worst sobbing that I’ve ever sobbed in my life, not knowing anything. I felt so hopeless and helpless because I had to call and ask, do I have cancer? There’s never a good way or a good time to have that conversation, but I feel like there are better ways than that.

Seeking out answers to cancer questions

Later, when I got off the floor, I started seeking people out there on Instagram who might have had this cancer so I could understand. There weren’t people sharing about their cancer around this time on social media. It’s been a new wave of that. 

I found a few people and I sent them messages and one girl replied to me. I’m always forever grateful to her because she described to me what a bone marrow biopsy felt like, what it really is, how it works, and how she’s doing. She didn’t have to do that, and I’m so grateful.  That’s why I’ve always, on my account, tried very hard to write back and be present because I’ve been that person. I’ve also been that person who didn’t get answered in a time of crisis and felt like, please help me. Because the doctors, the oncologist, weren’t explaining anything to me. They just said, “You got cancer. Come get chemo.” 

Being A Patient Advocate

Red flags in medical care

I just shared a post today about ways to advocate for yourself with the doctor. I sat down to write the caption and I was like, “Whoa, this stuff wasn’t good.” My first oncologist, it was not fate. He had a parade of red flags that I didn’t see because I didn’t know any better. When I asked questions, he would be very dismissive. He called me Dr. Google, but not in a funny way. In a way like, why are you asking me questions? 

He gaslit me about amounts of treatments. I would have my family with me all the time. That’s important. I’m not going to be able to focus [in doctor appointments] because I’m so stressed, so overwhelmed. My family would listen, would parrot back to me what was said, and it would change the next time. 

My treatments halfway through weren’t working like they should. Now that I know more about Hodgkin’s, nothing was ever escalated. I had chemo taken away because I ended up getting an emergency reaction to it, which I understand now. It was never explained to me what that could do to me, why the scan wasn’t clear. 

When I realized that I was relapsing, I had a scan and it was lighting up when I was relapsing. I asked about it and was told it was probably tuberculosis.

Chelsey's first oncologist had many red flags

My first oncologist, it was not fate. He had a parade of red flags that I didn’t see because I didn’t know any better. When I asked questions, he would be very dismissive.

Describe your bone marrow biopsy experience 

I think we did a PET scan and then a day later, I had a port placed in the morning and a bone marrow biopsy in the afternoon. Greatest day. 

I had asked about the bone marrow biopsy because the girl I spoke to told me it was very painful. I said, “Is there a way to do it when I’m under?” I was sedated for a port placement, so it could have easily been done at the same time and saved me a lot of heartache. The oncologist said, “It’s really not that big of a deal. I do them in the office all the time. I mean, if you really insist upon it.” So very dismissive like, if I do this I’m stupid. I said I guess I won’t do it. 

Also, as a woman, you try to shrink down and you’re young and you are the patient and this is the doctor, he’s been around forever, and you don’t know anything about Hodgkin’s. So I just shrunk down.

I left in a wheelchair out of that bone marrow biopsy. My mom is traumatized from that. She was with me. She said, “Chelsey, I could hear you screaming and when you came out, you were in a wheelchair. You walked in as my daughter.” I had a port placed, but I was still walking. I was still upright. She’s like, “And you left in a wheelchair. I’ll never be able to understand what was happening.” 

I know my mom was in the other room going, “Can I go in there?” And they said, “No, ma’am. You can’t”. It was awful. It was pain. It was worse than childbirth. 

Let me just side note for anybody that’s watching this. I’ve talked to people. Bone marrow biopsies aren’t supposed to be painful like this. There are ways to do them that are not painful and there are sedation options. So the fact that it was so painful and that I was made to feel stupid for wanting sedation is not okay.

Chelsey's doctor was dismissive of her asking for sedation or pain relief during her bone marrow biopsy
The importance of being a patient advocate

The time for being accommodating and overly nice isn’t when you have a cancer diagnosis and you’re facing all of these things. I’m not saying you have to go in being abrasive, but you should be direct. You should be confident and if you aren’t comfortable doing that, bring somebody who is. My dad came with me a few times. I wish I would have told my dad to say something. I was 28 but still, when you’re that age, you still need your parents a lot. So my dad was in there with me, and if I could go back, I would have him stand up for me when I didn’t have the strength to do it myself. 

Also, get a second opinion. It’s not fate that they walk by. It’s not. Maybe they are the best for you, but at the same time, this is your health. 

As a woman, he also made it feel like I had no time to preserve fertility. He told me that I had only 7 months to live. He literally said 7 months, and as a stage 2 Hodgkin’s patient, I don’t think that’s accurate. Now knowing what I know, I could see if it was stage 4, very advanced, but no. He made me feel that if I took these extra 2 or 3 weeks to preserve my fertility, I would be giving up being a mother to my existing daughter.

»MORE: Read more about preserving fertility

That’s why today when I was writing [a post about advocating for yourself], I was like, these things happen to us. I’m just so easily talking about it, but in the moment, I didn’t know. That’s why now I’m telling people you have to speak up for yourself. And if you can’t do it, bring someone. I don’t care what you have to do. Get a nurse that you can trust. Do something because this is not okay. 

I’m one of those people who very much trust my gut. It felt wrong. I didn’t trust my gut. I believe that the reason I had to get a transplant, later on, was because I was with this doctor. 

The only good thing he ever told me was that Hodgkin’s was the good cancer. Now, looking back, that is a red flag. Maybe it’s more treatable than other cancers, but it’s not always good. It kills people. My friend’s brother passed of Hodgkin’s and it’s so hurtful when you hear Hodgkin’s is the Cadillac of lymphoma, Hodgkin’s is so great. It’s not great. No cancer is great. No cancer is good.

Chelsey encourages people to be direct when you have cancer

The time for being accommodating and overly nice isn’t while you have a cancer diagnosis and you’re facing all of these things. I’m not saying you have to go in being abrasive, but you should be direct.

Did your oncologist allow you to make informed medical decisions? 

He explained preserving fertility, but that was in one breath and then the next was the 7 months. That was in 2018, we’re in 2023. I’m still here. I’m still talking to you, but that 7 months comment haunts me so much even though I know that it wasn’t true. It still is a psychological scar in my soul that I feel every day. Sometimes I’m just like 7 months, 7 months, 7 months, and I don’t feel like that was true. That’s not something you should say to people unless it’s absolutely true. 

My daughter’s birthday is on Halloween. I got diagnosed on the 12th. The week after the 12th, we had a Halloween cruise planned for her. We paid for over a year. We had it all set up. He told me I need to cancel it immediately. I could have gone on that and had one more nice time with my family and been able to do preservation of my fertility and still been absolutely fine to start treatment. But he made it seem like if I didn’t get in that chair in the next day or 2, that was it for me.

It’s awful because when you’re a parent of a small child or any age child when you get cancer, those moments are taken away from you. A lot of stuff I don’t even remember of her at that age. He took that away from me. He also took my ability away to have more children to have those experiences with.

Describe having an adverse reaction to chemo
Chelsey had an allergic reaction to bleomycin which led to a fever and hospital admittance

I had ABVD chemo regimen with Bleomycin, and that is what I ended up having an allergic reaction to 4 treatments in. We started ABVD maybe 2 cycles before I had another scan to see how it was going. The scan in December wasn’t completely clear. It was clearing, but it wasn’t clear. I had a bulky tumor, but that was never addressed. Now I know what it is from being in this space and researching. There are more considerations you need when you have a bulky tumor. 

We get to this appointment, [the chemo] is working but not all the way, but he said it was working. Now looking back, if your scan isn’t completely clear, you should definitely have a conversation about escalating your chemo to a different one that is more severe but could potentially get rid of the Hodgkin’s upfront. He never discussed that with me. 

After that appointment, it was New Year’s Eve. I had the next chemo after the scan because something weird happened with the insurance. I had to go to a different office because the one I was normally at wasn’t open. I left there, I went home, and I was really ill. I said, “I’m just going to go lay in bed.” I was always ill after chemo. 

I remember my husband waking me up and asking, “Are you okay? You don’t look okay.” I was like, “I’m not okay. I just had chemo.” He felt my head and took my temperature. It was 103 degrees. Once it’s 101 point something, you have to go to the doctor, to the E.R. He said, “Let’s go now.” 

I stood up and I was like, Oh, no. I felt so ill. He rushed me over to the E.R., and the E.R. didn’t take me in quickly. It wasn’t the same one that took me in front of everyone. I was laying on the floor waiting in the hospital to be seen as a cancer patient, immunocompromised. They put me in finally. 

What did the doctors think was causing your reaction? 

They thought I had sepsis. That’s very bad if you have sepsis as a cancer patient who’s immunocompromised. They brought me into ICU and they strapped me up to all of these things, gave me shots in my stomach, and they kept saying I had sepsis. I was like, “How am I talking to you if I am septic?” I was very coherent. 

I started Googling. My nickname Dr. Google is good. You should all be Dr. Google because it could tell you a lot. I ended up seeing that with Bleomycin, sometimes you can have a severe allergic reaction to it and every symptom I had was that. It wasn’t a big hospital and they didn’t know anything about it. I said, “Call my oncologist, please.” 

It took 3 days for any oncologist from the practice to come by and see me and I was being traumatized day by day. They realized it wasn’t sepsis. They thought it was an infection. They had me on all of these IV antibiotics 24/7. I didn’t know why I was on them. There are no tests coming back. There’s no nothing. 

Chelsey realized she had a severe allergic reaction to bleomycin before the doctors treating her

Finally, on the fourth day, my oncologist comes by and I said, “I think this is what it is. These are all my symptoms. I don’t have anything else. They can’t find anything in the cultures. They can’t find anything. Can I please get out of the hospital? I want to be discharged. My daughter is being taken care of by my mom. Her whole life’s being disrupted. My husband’s with me.” He said, “We’re just going to give it a little bit longer.” Not explaining anything. It felt like I was in prison. I feel like people who are stuck in the hospital like this can relate if they’ve ever been this person. 

I started refusing the antibiotics because I knew that it wasn’t true. I knew this was what was happening. They ended up saying, “You can get out if you will take these oral antibiotics when you leave.” I said, “But I’m allergic to those ones.” They said, “We can’t discharge you unless you say you’re going to take them.” I said, “Okay, I’ll take them.” I didn’t, but I had to say I was going to take something that I was allergic to. 

The doctor confirmed it was a bleomycin allergy

When I ended up seeing my oncologist after that, he said, “I’m pretty sure that was a bleomycin allergy. We’re going to take you off of bleomycin, but we really need to get your treatment going because it’s been delayed enough.”

It sounds like a Lifetime movie, but it is 100% true. It’s so insane to me, and that was the first time I said, “I don’t care what you have to put in my chart. Make me wear a red flag, put a scarlet letter on me, I don’t care. I’m not having these antibiotics anymore. You’re not listening to me.” Then to have it confirmed, the first appointment that it was a bleomycin allergy…

Chelsey's oncologist didn't explain why she had an allergic reaction to chemo or what could be done differently
What were the effects of your allergic reaction to bleomycin? 

Bleomycin is a very toxic chemo and it can cause lung damage. I already have asthma so [my doctor] said, “Let’s send you for a pulmonary function test.” I had one that’s part of what you do before chemo – pulmonary function and heart, MUGA scan. He had me go for a pulmonary function test after he determined that I was correct, that it was an allergic reaction. My pulmonary function had dropped 30 points. Thankfully, it has improved with time but that was so scary. I thought maybe I have fibrosis now. I didn’t know what the hell to think. 

He just said, “Let’s get you started back up on those 3 remaining drugs. Hopefully, it works.” No discussion about what could be done differently or if there are any other alternatives. Nothing. Just, “We’ll remove it. I really don’t want to remove it because we really need to get you back into remission. If I didn’t think that you’d end up in the ICU, I would just keep you on it.” I said, “Okay, but I’m never taking that again. I was in the ICU for 3 days.”

Were there delays in your treatments?

My treatments did get delayed quite often because my blood counts were very slow to recover, but there was never a conversation about Neulasta. Not that I would love to take Neulasta. I never would because it’s awful. But at the same time, if you felt there was a serious delay in my treatment, you should be having these conversations with me.

The oncologist withheld important health information

Also, I want to tell people, it’s not normal to wait in a room for your oncologist for upwards of 2 to 3 hours because I also did that.

There was one time I got the scan where it said it was not clear after all the treatments. I had the scan and then had to wait for the results. [My doctor] also deliberately wouldn’t release any results to my chart because he knew I was going to look at them and want to know about it, which is normal but was not acceptable to him. So he would withhold them. 

This time that I was waiting for my [results] to come, somebody released [the scan]. I saw it, called, and said, “I really need to come in. I’m freaking out. I’m trying to get back to my life, and here I see this scan.” He said, “Well, you have an appointment in a week.” I said, “I’m coming in. I don’t care what you have to do. I’ve waited up 3 hours for you one time. I’ll just wait in the waiting room.”

Chelsey's doctor withheld important information about her health

[My doctor] also deliberately wouldn’t release any results to my chart because he knew I was going to look at them and want to know about it, which is normal but was not acceptable to him. So he would withhold them. 

Is it legal for doctors to withhold your health information? 

There’s a law. It’s good and it’s bad. People sometimes get their results in the middle of a fast-food restaurant like me. At the same time, it is empowering to the patient because you can’t be manipulated in a way by not good health professionals, which is what he was doing.

How did you react to hearing you had cancer again?

To be honest, I never felt great about what he said to me that day about the scan. I’m one of those people that would try to put something bad that happened to me in the far reaches of my mind and just move on. That’s what I was trying to do, and that’s not a good way to deal with cancer. 

Six weeks after chemo ended, I went right back to work so I was working again. I went to a different position. I tried to scale down. I went closer to home. I tried to make these changes so I could have a more peaceful life after all the stuff I had been through and I was feeling fine. I wasn’t working a lot like I was before and now I was fine. 

I kept feeling untrusting about what he had said. When I got that scan 3 months later and it showed that it had grown, I was like, “Oh, crap. I knew it.” I think I actually said those exact words. I knew it. I went in to see him and he said the tuberculosis thing again but I don’t know why because I never had any symptoms.

Why did your doctor think you had tuberculosis? 

“I don’t get it. Why do you think [I have tuberculosis]?” I said. “I don’t have symptoms of tuberculosis. Where is this coming from?” He never really gave me any explanation about it. He got on his phone and said, “I’m going to call my friend, Dr. So-and-so. We’re probably gonna get a bronchoscopy and cut right here on your neck. It’s not good, but we’ll need to do that. He’s at the golf course right now.” I’m like, what is happening? 

I ended up going to this guy a day or 2 later when he was back from his golf vacation and the guy was so unprofessional, just like this guy. It was like some weird network of referrals. I just didn’t feel good about it at all. 

Getting a second opinion 
Chelsey sought out a second after her doctor believed she had tuberculosis

I got a second opinion from Mayo Clinic after I had the bad scan. The doctor at Mayo Clinic said, “Let’s give it a month and see if it grows anymore.” He wasn’t trying to take over everything. He was just a consultant and said, “You’ll be okay. If it still is cancer, you’ll be okay. Let’s pause on getting your neck cut open. Let’s just see.” I had another scan and it had grown more. 

Describe what it was like to switch doctors

I felt like I was leaving a weird relationship. I ended up leaving the original oncologist without really telling them. I told them I was leaving, but didn’t say a lot because I felt like I was going to get gaslit into staying there. I went to Mayo Clinic full-time and my oncologist saved my life. His name is Dr. Ayala

He looked me in the eyes, held my hand, and said, “You’re going to be okay. We’re going to get through this together. It’s okay.” Even at that point, he mentioned fertility before the transplant because I think I had gotten my menstrual cycle back, thankfully. He said, “If you want to take time to do this, I will wait for you. We will get through this together.” Just the kindest.

It was the most 2 worlds experience that I ever had in my life. Even now I tell them, though I probably could go to a different oncologist or go somewhere closer, I still drive 2 hours both ways to go see him. I always tell him, “I know you’re like the fanciest transplant guy here at Mayo Clinic, but please don’t ever get rid of me as a patient or move me to someone else because I just can’t tell you how much I love you and care for you and trust you.” 

Chelsey found caring doctors at the Mayo Clinic in Florida

I didn’t have that when I got sick the first time. Even when I got bad news from this doctor, it was never doom and gloom. It was, “Okay, Chelsey. This was not what we expected, but let’s go on.” He explained all my options and gave me the power to make decisions. My daughter saw him recently. We went for my 3-year post-transplant and she said, “You’re the one that saved my mom’s life.”

I got so lucky. This guy is so busy. He’s one of these people that did research studies at MD Anderson and Moffitt. He had a cancellation on the day I ended up getting an appointment with him – a cancellation on a day he never normally works. That was the fate I was looking for. I met with him, he never rushed me. I understand delays happen. I would never fault somebody for that, but 3 hours I fault. He was always on time. He listened. I would ask questions about things I read online like what about this one treatment or what about that? And he would say, “This is what this is.” Maybe it didn’t even apply to me, but he would explain it to me and he would never make me feel bad for asking.

Finding a caring medical team
Chelsey sought out a second opinion after red flags in her medical care

I’m not saying you have to go to Mayo Clinic. It just has to be somewhere that genuinely appreciates you as a person and understands that, just because your name is doctor and my name is patient, it doesn’t mean that my questions or opinions are any less. It should be a partnership.

I had to end up getting a chest biopsy to confirm that it was still Hodgkin’s through Mayo Clinic. The surgeon that I went to, compared to that guy who I just met with who tried to cut my neck off, told me all the things that I could expect. When he went in to do the biopsy, he recognized that it was cancer so he tried to take out as much as he could. 

He came out and told my mom personally, “I’m sorry. It does look like it probably is cancer, but I took out as much as I could to give her the best chance.” My doctor told me I had cancer again, but then the surgeon called me and he said, “I just want to make sure you’re doing okay and I want to let you know, you can always send me a message. I’m happy to answer anything for you.” It was a night and day difference in care that you receive there. 

I’m not saying you have to go to Mayo Clinic. It just has to be somewhere that genuinely appreciates you as a person and understands that, just because your name is doctor and my name is patient, it doesn’t mean that my questions or opinions are any less. It should be a partnership.

Chemotherapy & Transplant

Describe your experience with Adriamycin chemotherapy
Chelsey had side effects on Adriamycin like anxiety, nausea and mouth sores

Adriamycin – or we call it ‘Red Devil,’ the ‘A drug’ – that one had a high incidence of mouth sores and mucositis. There was one nurse that worked there that got me through everything. I wouldn’t have been able to do it because I got anticipatory nausea, anxiety, everything. She held my hand and would say, “Look away.” She told me to always eat ice pops or ice during it so my mouth wouldn’t get like that. That really did help me with that portion of it. Also, I started hating water because I had to drink it to flush this out. I ended up getting sparkling water. That’s a good tip for somebody who does get tired of drinking water – get sparkling water. It was a different mouth feel. 

Adriamycin, when you get it as a Hodgkin’s patient, it’s pushed to you. It’s another psychological thing. We’re seeing this person having all these gloves on, this suit on pushing this into you, and you’re like, “Yes, okay, hook me up to it.” [My nurse] was the only one that had to push it. She would say, “Look over here. What’s your daughter doing today?” And talk to me, which was wonderful. 

Chelsey's mom accompanied her to her chemo treatments and they tried to make the best of it

My mom went with me to most of the appointments. It’s never a great time, but we tried to be silly or eat snacks or do whatever we could do to get through it. Also, this chemo was in a big room with everyone that could see everyone. That was a lot for me. When I first walked in there, I was like, “Whoa.” When you’re getting chemo, you’re ill a lot of times during it so that was crazy to me, seeing everyone. It became like a little community, talking to all the people. Of course, there were no other young people but I made friends with the people. 

Two treatments in, I was in the room and a lady started having a severe allergic reaction where she coded in front of us and had to get resuscitated. I found out later on that it was because they didn’t give her the pre-meds that they were supposed to. She ended up bringing her husband, who was like a CT person to every appointment and they would write down everything like, you didn’t give me these meds.

And this is the top brand of cancer center in Florida. They’re like a monopoly around here, so that tells you something.

When did you receive your first and second cancer diagnoses?

October 12th of 2018, I got the first one. October 12th of 2019, I got the second official diagnosis. So that day is just not a good day for me.

What was your experience with brentuximab?

There’s an immunotherapy that probably a lot of people with Hodgkin’s are familiar with called brentuximab. I heard about it, and it’s a way less harsh treatment than the normal ICE chemo that is offered. I asked about it and [my doctor] said, “That is a newer drug. It seems to have really good outcomes. If you want to try it, we can definitely try it.” I knew that the transplant was going to be really hard and really difficult. I said, “I’d really love to keep my hair a little longer and not have so many side effects.” Also with ICE, you have to be inpatient. Brentuximab, you can go for 2 hours, be done, and go back home. 

We drove the 2 hours each way each time. We did 3 brentuximab treatments and we had a scan. I think it was a PET scan. It was early January of 2020 and it had progressed my cancer. I don’t know if it was the drug or it wasn’t working at all, but my cancer had progressed a lot at that time and that was the second time I felt like, I’m not going to make it. Like, this is really scaring me right now because although my scans have never been magical, clear unicorn scans, they’ve never been like this.

I expected them to say in this meeting, “We’re ready to go to transplant.” You have to get in remission before you can harvest your stem cells. I remember I sat in the parking lot and my mom had my daughter. I called my mom with my husband and I was crying. I said, “I just don’t think I’m going to make it, Mom. I’m sorry.” 

Chelsey's cancer progressed on brentuximab
Attempting to get into remission with ICE chemotherapy

I ended up speaking with [my doctor], and he never gave up. He was always like, “Chelsey, it’s okay. We have other options. We have ICE. It’s been given for decades now. We’re going to get you in the hospital at the end of this week.” I was like, what? He said, “We’re going to need to get you in the hospital this week to start the treatments.” It was serious. 

My husband was learning to play guitar during this time. He brought his guitar into the hospital and we were in there for 3 days straight getting chemo and he was playing the guitar for the nurses. I remember that as a really sad time, but also a fond memory because we were in a place that we were being cared for. 

I had 2 cycles of ICE. I remember the day after I got out, my friend was really wanting me to go to their wedding so I went to their wedding. Why? I don’t know. I could barely stand. I was completely bald. I had a wig on. 

Chelsey attended a wedding after finishing chemo
Preparing for a stem cell transplant

I had a scan after. It was a 2-week delay at the end of the last cycle and it showed that it was pretty clear. Not all the way clear, which I was scared of because I read if you harvest your stem cells when it’s not clear, it’s not going to work. [My doctor] said, “I’m pretty sure your scan is clear for the most part. It’s just that there are a couple of things lining up. We think we should go now.” I said, “Okay, let’s go now.” So we started. 

I had to get a central line placed, and then I went for stem cell collection. At the time, my mom went up with me because my husband was still trying to work and had our small daughter.

Chelsey's mom went with her to get a central line placed
COVID caused unexpected issues 

My mom and I were at the Hope Lodge through the American Cancer Society near Mayo Clinic getting my stem cells taken. We got the stem cells harvested and went home for the weekend in anticipation for the following week to get admitted to the hospital to start the transplant. Then Florida shut down completely for COVID and it was over the weekend. The Hope Lodge called and said, “Sorry, we have to shut down everything. We don’t want to be like Wuhan, China.” It was so abrupt. There were no resources, and there was nothing offered. 

My plan was to stay there because I didn’t live nearby, and to live there to recover from the transplant. My husband and I found a kind lady on Airbnb who I had to end up paying like $5,000 out of money we didn’t have. Thank God I had a Go-Fund-Me that had some money. We had to rent her house for a month and a half. 

They were shutting down Airbnb. They didn’t want anybody renting anything. I couldn’t get the transplant if I couldn’t stay close by, so I had to have something. She found out why I needed it and said, “I’m not canceling this. You can stay there.” She actually ended up giving me some money back because she felt so awful and she was the kindest sweetheart. I’ve never met her. I only talked to her through there. 

[The hospital] kept calling me and saying, “We’re still trying to see if we can get your husband to come in with you.” Normally the caretaker can stay with you in the hospital. I said, “If he can’t stay with me, there’s no way I can do this. I’m not strong enough on my own.” He was the last one they allowed to come in, which I thank the universe for. 

Chelsey's husband was the last person the hospital admitted entrance to after COVID restrictions

I know there’s people who have gone through their entire transplant alone, and I can’t even imagine how they did it. But it wasn’t easy. Things were shut down. He was arguing with security. The nurses at one point came down to the security to say he can come. They were arguing with him, but that was my reality.

I went to a wedding in March before corona was a big thing. I just got out of the hospital with no immune system on ICE chemo at a wedding. Those are super spreading events, now we know that. Nobody knew that and didn’t wear masks. Nobody was wearing masks. When you wore a mask around that time, people were staring at you like, what’s wrong with you?

Describe what a stem cell transplant is

There are 2 types of transplants. Stem cell transplants or they’re called bone marrow transplants. There’s autologous and allogenic. One is using your own stem cells. That’s the one that they try most often and that’s what I had. They took my stem cells out. It was in this big machine that looks like a tape player but is ginormous, and you sit there and it cycles. I don’t know how it works, but it takes out your stem cells that are good in the time you’re in remission and it freezes them and then you have to be in the hospital. 

They give you a week-long of high-intensity chemo that kills everything in your body. It kills it to the point where your immunizations as a kid get deleted out of your body and you have to re-inoculate it later on. You do that for a week and they give you your cells back to say, here’s a restart. Like if you put a new software or update your computer, that’s what this was. 

Chelsey's own cells were used in her stem cell transplant

Then your body has to engraft with the stem cells. When it’s your own, it’s a lot easier. When it’s a donor, even if they’re a match to you, you can have major graft versus host disease. Think about getting a liver transplant. Your body can reject it. That’s essentially what it is. 

Then it remakes your immune system and your bone marrow to healthy bone marrow, hopefully without the cancer being anywhere in your blood. Because with blood cancer, you can’t just cut it out. It’s your blood. So it’s a very strange cancer in a lot of ways.

I was so confused when I first started researching Hodgkin’s. When I was first getting it, I was like, what is this? I don’t ever want to get it.

How stem cell donors can save lives

If anybody’s watching this, especially people of color, if you have it in your heart, you can – through Be the Match – swab the inside of your mouth and send it in. It’s very easy and if you do match with people anywhere around the world, you can be a stem cell donor. It’s not a major procedure for you, but you could truly save someone’s life. 

I know so many people who have done that. They’ve gotten donors from Germany. You can also check your family members. Sometimes people don’t have siblings or people that are willing to do it, so lovely strangers in the world can easily save someone’s life and especially people of color. There are not enough donors who match with people of color. 

What was the outcome of your stem cell transplant?

I got to go home about 6 weeks after I had my transplant. It was still in the middle of a pandemic, so I had no immune system. I just was at home and my daughter couldn’t go to school. My oncologist said it wasn’t a good idea. She was in preschool, but still, she couldn’t go. So I was just at home with her and my husband trying to recover from this major thing. 

Chelsey's stem cell transplant was successful and led to her being in remission

The outcome of the stem cell transplant is that I did go into remission and I have remained in remission for 3 years – knock on wood. I don’t get scans anymore. I graduated from scans about a year ago, which is really scary to me, but also exciting. 

I should mention that if you do get a transplant, most often you can get maintenance chemo which is the brentuximab immunotherapy. They want to give it to you for a year afterward like a little insurance policy. Since it didn’t work for me, I couldn’t get anything. It was a blessing and I’m glad that I remained in remission, but also it was scary because I was like, most people have this extra little something to make sure that they’re okay but I didn’t. But I’m so grateful that I was able to even get the transplant in the middle of all of that.

Survivorship 

Describe finishing cancer treatments
After finishing chemo, Chelsey's scans showed residual swelling

I did 12 total treatments, so 6 cycles. 3 or 4 were with the full ABVD. It must have been 5 treatments in total. On the sixth one, they took me off of it so I ended up finishing. It was as fine as chemo could be. I rang the bell. I had a unicorn onesie on and a purple wig, like that’s gonna be behind me. 

I had a follow-up scan a month post-chemo to let everything settle down and on my scan, there were still things lining up. [My doctor] said, “I think that’s just residual swelling, not residual active disease but there could be necrotic things there.” I was like, okay. I just didn’t want to be a cancer patient anymore. I wanted to be healthy and go on with my life so I believed. Although, I always had this thing in my head that was like, is it a little sus? 

He said, “See you in 3 months.” Then I had another scan that showed that it was growing. He came up with a tuberculosis theory somehow, although I had no symptoms of that. It was really difficult. 

How did you react to finding out your cancer returned? 

It was a weird time for me. I was working, but I had taken a step back. A lot of my identity has been tied to working and my career. I think a lot of this generation is like that. I felt less than that I had to take a lesser job when I had worked so hard to get the other job. 

Right around the time that I realized I was sick again, I was about to apply to the higher job that was very stressful, so it was really weird. I had to call the [staffing agent] and say, “Either I have cancer or I don’t. If I don’t, I’ll be there. If I do, I don’t know.” When I actually got the diagnosis, it was like reality slapped me in the face. Holy cow. I’m not just packing it back in the recesses of my head – I got cancer again. 

I’ll never forget having to tell my daughter that I had cancer again. I didn’t know how to do that because so much of my family’s life had been disrupted because of my cancer. I know that this is not my fault, I didn’t ask for cancer, but you can’t help but feel like, “Oh my God, I have to put this on my husband again, put this on my mom, put this on my daughter, put this on everyone.” This is the first time I thought, maybe I’m not going to make it.

Chelsey felt alone when she learned she had relapsed

I just felt alone. Really lonely. I didn’t have any cancer friends. I’d never seen another young person at the cancer center. I didn’t have anyone to talk to about the way that it felt to relapse. 

How did you start sharing your cancer story?

I tell people that this is a normal way to feel when you relapse. When you have cancer and you get in remission, there’s always a little cancer monster watching you like, “I can come back anytime. I might come back,” in your head. When I relapsed, it was a weird feeling of “Okay, I can stop watching my back now. The monster already caught me.” That’s how I started sharing online. 

I had a YouTube channel a long time ago. It was nothing to do with cancer, but I remember I parked in the TJ Maxx parking lot near my house and I turned on the camera and said, “Hey, it’s been 5 years since I’ve posted anything on here, but I have cancer” and I started sharing my story of the things that have happened. 

I started documenting. When my hair started falling out, I pulled it out on camera and I showed people what it looked like because I couldn’t find those things. I thought, at least there could be something for somebody else to help them not feel like I’ve felt this whole time.

Chelsey started sharing her cancer story online to help others with cancer
What has helped you overcome the pressure of fulfilling people’s idea of cancer patients?

I want to tell people that no matter what age you are, the feelings that you have are valid. They are authentic.

Finding a community that can validate the way that I feel. I feel very pressured to be the cancer patient that you see in the media. A Walk to Remember or whatever other cancer movie [depicts] a very put-together, brave, strong person. That’s what everyone says. 

I’ve had people tell me when I was just going through chemo, “You’re such an inspiration.” I always wanted to say, “What am I inspiring you to do? Not die? Because that’s what I’m trying to do.” I know people mean well, but I think that it’s important to say, even if people mean well, you still can be saying the wrong thing. When you put pressure on people, especially younger people who are very goal-oriented, type A, career-driven…It’s like I’m driven to be all these things and you’re saying there’s no space for me to be authentic. I didn’t feel like I could say this really sucks. 

There was a Facebook group that was set up with my coworkers and some friends to give updates about me, and it was done with genuine love and positive intent to say here’s a place you can update people. But it felt less like it was to update and more like it was to report on the 5:00 news and a traffic jam. There were grief tourists watching and people I’ve never talked to and people who didn’t talk to me before.

I think one time I put “This sucks,” or something and somebody said, “You can’t say that. Other people have it worse. Everything happens for a reason.” Now I would just scream at them, “What was the reason?” like Cardi B. There’s no reason for this. 

I want to tell people that no matter what age you are, the feelings that you have are valid. They are authentic. People stop being your friend just because you have cancer and it’s not because of you. This happens a lot across almost the whole cancer community, but nobody ever wants to talk about it because it feels shameful. You wonder, what did I do? All I did was get sick and you guys just walked away from me. 

Chelsey shares her feelings about friends who walked away after she was diagnosed with cancer

Especially when I relapsed. I felt like everyone was sick of hearing about me being sick. Who do you think is the most sick of me being sick? It’s me. It’s important too, as a caregiver or as a loved one of somebody, to leave space for authenticity and for hard things. Even if you don’t know what to say, you can listen. You don’t need to say, “You got this” or “Everything happens for a reason.” It doesn’t help anything. Say, “This sucks. I love you and this really sucks.” I wish I could have heard that at some point because I would have felt so validated.

What did it feel like to overcome cancer?

Survivorship I felt in 2 phases. There was one where it was very temporary when I was in that limbo. I went back to work and tried to forget about it. There were no discussions about mental health during my oncology appointments with the first doctor, no surprise, other than here’s an Ativan prescription. See you in 3 months. There was no discussion about, what does my life look like long term. What do I need to follow up on? Nothing. I took the approach of, I guess I’m just moving on. 

I remember driving home from work one day and I got hit over the head with, “You had cancer.” I had a little bit of a breakdown during that time. I remember telling my husband I’m not doing well. The fact that I had cancer, I’m coming out of fight or flight and I’m realizing everything that I’ve gone through. Especially all the things with the doctor and the hospitalizations and all of the gaslighting. It started hitting me. 

And where did I have to go? I didn’t have anywhere to go other than calling there. So I called and said I need help. I filled out depression questionnaires and I marked off all of the things that said I was depressed and they didn’t say anything about it. They ended up calling in a prescription for an antidepressant and saying, ”You should really follow up with your PCP.” Nothing more than that. 

Chelsey's first oncologist didn't discuss mental health with he
What inspired you to use artwork to express your cancer journey?

I definitely think that anybody listening, you need to be actively taking care of your mental health during treatment and after. It’s not a one-time thing. It’s a constant struggle. What helped me start to heal was being honest about everything that I was feeling. That’s when I turned to doing artwork. I was home with my daughter, not really doing much other than trying to heal. I’ve always been a creative person, but I worked at an insurance company. We all fall into these careers sometimes where we’re like, “How did we get here? But it makes money, so I’m going to stay.” You’re kind of stuck. 

I bought an Apple pencil and started drawing. The first thing I ever drew was a lymph node – my characterization of one – and I put, “My lymph nodes are A-holes” because that’s how I felt about it. They’re not cool nice little guys that help you ward off infections, they’re A-holes. They tried to kill me 2 times. I put it out there. I also put out a graphic about lymphoma symptoms because I thought, if I show this little guy and I make it colorful and cute, maybe it will catch people’s attention and a young person might see it.

I started sharing on the Internet and oversharing like I always do. I always say oversharing is caring. That’s my brand now. I’m like, here’s everything about me. Here’s all the ugly things that have happened to me. Here’s how I feel. People stopped being my friend because I had cancer. Just being very vulnerable because I felt like that was the only way I could be. I couldn’t be the brave, strong person on the billboard ringing the bell. I just wasn’t that.

Chelsey advocates for taking care of your mental health during treatment and after

You need to be actively taking care of your mental health during treatment and after. It’s not a one-time thing. It’s a constant struggle. What helped me start to heal was being honest about everything that I was feeling.

Building a cancer community through social media

My Instagram, what it is now, @ohyouresotough was just my Instagram. It had nothing to do with anything I have now. I just started posting there and I was like, I don’t know if anybody will see it ever, but I’m gonna put it out there. Quickly people started responding, “What, you feel like this? I feel like this.” And I’m like, you do? 

I started finding friends in the cancer community, not just who have Hodgkin’s but have all sorts of cancer who are like, “Thank you for saying this.” I realized there was a lot that cancer patients want to say but were afraid of the consequences in their own families or whatever it might be, or uncomfortable conversations. I said, “I think there’s a way for me to heal and also heal others.” 

I always say, post what I say and if somebody gets mad, just blame it on me. You don’t have to take responsibility or accountability for what you’re posting because it came from me. That’s how my little art series started with anonymous confessions about all sorts of things about cancer. Sometimes people don’t need a whole lot. They just need somewhere safe to say what’s happened to them and a way to put it out there, so that’s what I started doing, drawing little funny cartoons about things that had happened. They’re serious too and hard. 

Chelsey began sharing her cancer story through artwork on her Instagram page @ohyouresotough

One time I said, “I don’t know, God. Should I keep doing this? A lot of submissions are really hard. They’re really tough to read. They’re really sad sometimes.” And so many people said, “No, you need to keep doing this because although it might be hard or difficult or sad or uncomfortable to read sometimes, it’s the reality and it’s made people feel not alone.” That’s the main theme of my cancer was I was alone. I have my husband, my daughter, and my mom, but I was alone in the cancer reality. 

It’s amazing to me and it always brings tears to my eyes whenever I hear somebody say, “Reading your page validated me so much. Thank you for seeing me.” I always say to my community, “Thank you for seeing me because nobody ever saw me.”

What was the inspiration behind your first book?

The first time I lost my hair, it was very short. I buzzed it off because it was all coming out, but I was never starkly bald. The second time when I had ICE, your hair just comes out completely. I knew that my daughter was probably going to be like, whoa! She was so young. 

Chelsey is the author of "Stickers On Her Bald Head"
Chelsey shaved her hair after losing her due to chemo
Chelsey let her daughter decorate her bald head with stickers to help her daughter adjust

It was really hard for her to understand what was going on so I told her that she could put stickers all over my head and decorate it and give me new hair so it wasn’t so scary for her when I lost my hair. She’s like, “Oh, let’s decorate your head!” That was the first book I ever wrote, “Stickers On Her Bald Head.” It was the story of my daughter and I and how I told her about it. I didn’t know anything about making books. I just drew it and I thought it was a nice story and I thought it would be really cool if I could share the story.

»MORE: How to Talk to Kids About Cancer

I went to publishers and nobody ever gives you the time of day unless you have somebody advocating for you like a publicist. Everybody telling you it sucks. It’s a horrible idea. Good luck. Bye. I felt like it was going to help somebody out there so I was going to try to figure out something. Even if all these people told me I suck, I don’t care.

I found out how to self-publish on Amazon and I ended up self-publishing. That book’s definitely not as polished as my later books. It’s not as fancy, but the story and the authenticity, and the love – it comes through in that book. 

Have you seen the impact that book has made on people?
Chelsey partnered with Bright Spot Network to give her book away to families dealing with cancer

I ended up partnering with Bright Spot Network. They help parents who are going through cancer, and I got connected with them and said, “I have this book if you ever want to read it, it would be really cool.” 

The girl ordered it. Her name is Haley, the owner of the nonprofit. Haley, a couple of weeks later said, “Hey, Chelsey. I just want to let you know I bought your book. I absolutely love it. I think it’d help a lot of people. I’m going to give it away for free to people who have cancer if they request it.” I just bawled, I said, “You’ve made my dream come true, the fact that this is going to be given out.” 

I try not to read the reviews on Amazon because sometimes the reviews are special. But I saw this review from somebody who was in the Netherlands or something. It was a beautiful picture of their child putting stickers on their bald head and they said, “Thank you for this book.” So that book means everything to me. I’ve done other books, but that one – it’s my heart, it’s my story, it’s my life with my daughter. To see that little picture, I cried. I was like, “Look at the stickers on her head!”

Reflections

Did you end up preserving fertility?
Chelsey didn't preserve fertility due to misinformation given by her first oncologist and the expense

No, I didn’t. The cost was really prohibitive. On my page, I have a thing pinned to it that has resources. There are fertility resources to help you pay for it, but I felt priced out of that. Also, we had just gone through a whole year of me not working and I wasn’t on disability. I had very small amounts of disability through my work. 

Nobody really talks to you about the price of trying to live so I had a high deductible plan when I first went into treatment. This is no exaggeration – in 2 months from October to December, I think we ended up spending $7,000 in copays. I went back to work for only 3 months and I had to step down so I got paid less. 

»MORE: Financial Toxicity of Cancer Treatment

I’m a very proud person, I like to do everything on my own. I’m very independent. That’s just how I am. So having to make a Go-Fund-Me and ask for help just to live, I felt like I didn’t have the luxury to do that. It’s sad and I wish that wasn’t the case for anyone. People should have the ability to do that if they want to. 

A lot of people don’t talk about secondary infertility, which is what I’m facing. I have a daughter and yes, she means the world to me, but I had names for other kids. I had these things and it’s okay to say that that’s painful.

What effect has your diagnosis had on your daughter? 
Chelsey encourages parents to talk to their children about cancer in a way they will understand

That’s one thing I want to convey. Even if your child is young, you should talk to them about what is happening in the best way you can for their age.

It’s long-lasting, the effects of cancer. You think your child is very young, they’re not going to really remember a lot of what has happened. The reality is, although they might not remember the days that happened or the exact events, they remember the feeling. 

I have always been the primary attachment parent with my daughter. I breastfed my daughter so maybe that was why we were very attached. When I had to be gone for over a month, she was with my mom. She was well cared for. She was seeing me on the camera. I sent presents. I did everything. I had a special stuffie she had, but I wasn’t there. Mom wasn’t there. 

We are very big believers in therapy for all sorts of things in my family. I realized that the trauma of everything that we had been through as a family really started to surface for her. In these years, she could look back more and see what had happened and understand more of what cancer is so she’s always very afraid. If I go to any doctor’s appointment, she wants to know what it is, what am I doing there, and what is happening. That’s one thing I want to convey. Even if your child is young, you should talk to them about what is happening in the best way you can for their age. 

As Chelsey's daughter got older, she understood more about the effects of her mom's cancer
How have you talked to your daughter about cancer? 

I did write a book about chemotherapy. It’s very basic, but it’s a way that kids can understand and it’s very bright and fun. Books are powerful. I think that the first time I had cancer, I didn’t tell her enough so she was left to fill in the blanks as best she could. I don’t even know what she thought. When I relapsed, I was a lot more transparent in a way that she could understand. I bought books. I talked to her. 

Even now, I was talking to my therapist about it and she said, “Have you ever asked her if she thinks about Mom getting sick again or anything?” We talk about cancer because cancer’s a big part of my life with my job. I talked to her about other people, but I don’t think I’d ever asked that. I remember picking her up and I asked her, “Do you ever worry about mom getting sick again?” And she just started crying.

She said, “I think about it a lot and I hope you don’t go anywhere.” It broke my heart, but I knew that was a necessary thing to talk about. I think that parents are afraid to have these conversations sometimes, and I was too. I didn’t want to have that conversation. But the more you talk about it and reassure them mom’s coming back, the better it can be. 

Also, there are people who aren’t going to be done with treatment. They have metastatic cancer. That’s another conversation. But just meeting them where they are, then giving them information that they can understand, and not making it feel like they’re not part of the plan or solution. 

Chelsey wrote a book about chemotherapy to help her daughter understand her cancer treatments
Chelsey asked her daughter if she thought about her getting sick again
Chelsey involved her daughter in her cancer journey and made it feel fun for her

She was involved. I talked to her and I said, “Hey, mom’s going to this.” I even brought her last time to the appointment and I had her see who my oncologist is, what goes on there. She thinks Mayo Clinic is a fun place to go to Starbucks because they have that there. She doesn’t think it’s scary anymore. So much of what’s scary in life is what’s not known and I think in a kid’s world, it’s even worse.

What final advice do you have for someone on their cancer journey?

There are a couple of things. Number one, I tell people to protect your information. You don’t owe everyone in the world a news report about your cancer. You don’t owe anyone anything. It’s very overwhelming when you get diagnosed. You have people like Sally from first grade who you haven’t talked to in 10 years coming by to say, what’s going on? I thought because somebody asked me, I had to reply because that’s the polite thing to do. It’s not really the time to be worrying about everyone else. It’s the time to be worrying about you and how you’re going to get through this and how you and your family are going to get through this. 

Chelsey encourages people to protect their information

Also, not always having to put on a brave face. I’m hopeful that people in your life will give you space to be happy or sad. 

Advocating for yourself, trusting your gut. If something doesn’t feel right – I don’t care if this guy has a thousand accolades or this woman – you are allowed to go ask for a second opinion. It’s not offensive, it shouldn’t be hurting their feelings, and if they have a problem with that, that was number one right there. Get out of there. 

Don’t forget that you’re still you. I think a lot of our identity can become cancer. Don’t get me wrong, you do change. I’m a completely different person than I was before cancer. I always framed it this way. The person who I was died the day I had cancer. I found out I had cancer and this new person came. I like to reframe it that, yes, that person isn’t there anymore, but that person isn’t gone forever. There are pieces of that person you can go back to and pick them up off the shelf. 

Once you’re through all of this sort through it and ask, what did I like about my life before? Did I like working 80 hours a week? Nah, get rid of that one. Did I like drawing and painting? Yeah, let’s look at that more. 

Live for yourself. Life is too freaking short. There’s no other way to put it. Make yourself happy. Focus on your family. Do what you always wanted to do. 

Chelsey encourages people to live for themselves and find happiness

Also, even if you have cancer and it’s never going to go away and everything is doom and gloom, you can still dream, be, do, make. Write the next great novel from your hospital bed. Do whatever you want. If you just want to lay there and watch Price Is Right every single day, do it because the way you cope with cancer is the way you cope with cancer and that’s valid.


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Categories
Cancers Carboplatin Chemotherapy Endometrial Cancer Hysterectomy Patient Stories Radiation Therapy Surgery Taxol (paclitaxel) Treatments Uterine

Ellen’s Stage 3C, Grade 3 Endometrial Cancer Story

Ellen’s Stage 3C, Grade 3 Endometrial Cancer Story

Ellen P. feature profile

Ellen was diagnosed with stage 3C grade 3 endometrial cancer.

She started noticing symptoms similar to a urinary tract infection or a yeast infection. After being diagnosed and treated for recurrent UTIs, her symptoms got worse.

A transvaginal ultrasound revealed that her uterine lining was thick, so her gynecologist recommended doing a D&C. After the procedure, they found out she had endometrial cancer.

She shares how she experienced medical gaslighting, going back and forth with different doctors before getting to the root of her symptoms, and the importance of listening to your body and advocating for yourself.

In addition to Ellen’s narrative, The Patient Story offers a diverse collection of patient stories. These empowering stories provide real-life experiences, valuable insights, and perspectives on symptoms, diagnosis, and treatment options for cancer.


This interview has been edited for clarity. This is not medical advice. Please consult with your healthcare provider for treatment decisions.


  • Name: Ellen P.
  • Diagnosis:
    • Endometrial Cancer
  • Staging:
    • Stage 3C, Grade 3
  • Initial Symptoms:
    • Felt like either a UTI or yeast infection
  • Treatment:
    • Chemotherapy: Carboplatin and Taxol (paclitaxel)
    • Surgery: Hysterectomy
    • Radiation
Ellen P. timeline
Ellen P. timeline


Introduction

I’m first and foremost a Christian. I’m a wife, a mom, and a Nana. Being a Nana is my favorite. I have five grandchildren.

I love to read. I love to do things with my family. We all live really close together so it seems like my grandchildren are always at my house.

Pre-diagnosis

Initial symptoms

In late July 2020, I started feeling like I had a UTI or a yeast infection. I called the doctor and said, “I’ve got something going on.” They tested me for both and said, “No, you don’t have it. You’re good.” That was August.

Then [on] September 1st, I had my yearly physical. When my blood work came back a couple of weeks later, they called and said, “You’ve got a UTI. We’re going to start you on some antibiotics,” but I [didn’t have] any major symptoms then.

Through the end of 2020, I had a couple of UTIs so I decided to make an appointment [with] my gynecologist instead of my family practitioner.

Ellen P. family
Ellen P. family
Seeing a gynecologist

They said I had an infection and gave me some medicine. Then they said I had a yeast infection and gave me medicine for that.

I saw him a few times and I said, “That’s not helping me get any better so obviously that’s not it.” I started feeling maybe it was urine and not vaginal discharge. I thought, That’s probably what it is. I’m having all these UTIs.

Through 2021, UTIs and discharge got worse. Through all of this, I never saw blood. It was a clear discharge so it didn’t connect with me that it might be vaginal. I was post-menopausal for 13 years already. I thought all of that was behind me. I didn’t even think about that.

At that time, my mother was sick and she moved in with me. She was in her late 80s. She was incontinent. I thought, This is what’s happening to me. What I thought was UTI didn’t turn out to be. It turned out to be the cancer getting worse.

My family practitioner said, “It’s time we go to a urologist.”

Seeing a urologist

I went to see the urologist and he said, “This really worries me. Let’s schedule a cystoscope.” It ended up getting put off until March because my mother passed away.

He did it, came back in, and said, “You don’t have anything wrong with your bladder. If you would just lose weight, you wouldn’t have to worry about incontinence.”

I said, “I’ve been overweight all of my adult life and this has never happened to me before. But I can assure you I’m not going back here.”

Ellen P.
Ellen P.
Follow-up appointment with the gynecologist

I went straight to the car, called the gynecologist, and said, “I need another appointment. This is vaginal. We got to do something.” I saw him within two weeks.

He scheduled a transvaginal ultrasound and said, “Your lining is really thick. Let’s put you on some progesterone.” I said, “No, I’m not taking progesterone. I told you many years ago I was not taking that anymore.” He said, “Let’s do a D&C then put in a Mirena IUD,” which we had done in 2008 and had worked great.

We did that the [following] week. When the D&C was over, he came out and told my husband and then told me later, “We’ll talk when the pathology report comes back. I don’t like the looks of it.”

Diagnosis

Getting the official diagnosis

He called me and said, “I’m sorry to have to tell you this, but you have endometrial cancer. Don’t worry. We probably got it early. It’s not a big thing when you catch it early.”

He said slow-growing. I asked, “How slow is slow? Because I know that I’ve been having symptoms that I can feel for almost two years.”

That was Friday afternoon. Charlotte has Levine Cancer Institute and I got in to see the head of the department on Wednesday and scheduled a hysterectomy. My sister was with me.

I had a big tumor and she used her fist as [the] way she describes it. I told my gynecologist, “That tumor is on my left side, isn’t it?” He said, “Oh, no, it’s not a tumor that you can see.” The lymph node that the cancer had spread to was on the left side and it was where it hurt. It had spread to my cervix and to that one lymph node.

When the pathology report came back, it was grade 3. I’m stage 3C and it’s grade 3, which is a more aggressive cancer.

We were coming home from the meeting after the pathology report came in. My daughter-in-law said, “If you hadn’t been proactive, if you hadn’t pushed, they would have let you die.”

Ellen P.
Ellen P. family
Reaction to the diagnosis

[When] my gynecologist said we’re going to do a D&C, it was a frozen-in-time moment. I said, “Thank you because I’m telling you something is very wrong with me.”

I don’t need negativity in my life. I tried to let that go because I can’t fight the fight being bitter or upset about the past.

I know that doctors are in a big hurry and they have a whole lot to deal with. I wish all medical people would not look at someone’s size and assume that if they lose weight, their problems would go away and not assume that you don’t know what’s going on in your body.

I knew something was wrong. I don’t know how to make people listen to your concerns. Even if you go through a whole bunch of tests and it comes back that it’s nothing, then great.

Had somebody listened to me a little bit earlier, we could have gotten this cancer while I was still in stage 1. Now, I’m in stage 3. Maybe I haven’t processed it yet.

Treatment

Discussing the treatment plan with the medical team

I had carboplatin and Taxol (paclitaxel). I had six cycles every three weeks.

Then I had 25 radiation treatments.

I have a wonderful gynecologist-oncologist. She came in and said, “Ellen, you are going to lose your hair, but we’ve got medicine for everything else. We will work through it and we will treat your symptoms.”

Preparing for treatment

My family and friends gave me a surprise chemo party on [the] Sunday before my chemo started. Everybody who is somebody to me was there. It was a big, wonderful party. One of the things they had as decoration was a bald Barbie and all of my granddaughters loved it.

When we were talking to the pharmacist and nurse navigators, getting ready for the chemo, they gave me enough bald Barbies for all of my granddaughters to have their own bald Barbie. They all really loved them and played with them. That helped prepare them for the fact that Nana was going to look different for a while so that was a really good thing.

I know that’s been this way for every cancer patient since COVID, but it was really sad to have to go in there by yourself. Treatment lasted for six hours. It was so hard.

Ellen P. family
Ellen P.
Side effects from chemotherapy

I didn’t even know chemo dread was a thing. You have such a bad feeling the day of chemo or when you even would think about a chemo treatment coming up.

I got really nauseous, but there is good nausea medicine.

My hair fell out. I got proactive about that a little bit. I started cutting it shorter and then as it started coming out, I shaved it off because I could not stand my hair being on everything.

The first one made me really sick. The steroid made me feel bad. But for the last five cycles, the steroid kept me feeling good for the three days that I took the steroid. The fourth and fifth days were really bad. Then I started feeling a little bit better.

Before the third or fourth cycle, I told the nurse navigator, “I’m so tired.” She said, “Usually the people who stay as close to their regular schedule do the best.” I said, “I stay ‘til I work all day, get home, and get supper. I’m worn out.”

I missed a few work days every cycle. As the cycles progressed, the harder it was to work. I would be so tired.

I’d be asleep early and sleep for a long time. I remember telling my doctor, “Sometimes I go to bed at 6 o’clock at night and I sleep ‘til 6 o’clock in the morning.” She said, “You’re tired. That’s not strange. It’s not abnormal to need that much sleep.”

Managing the side effects of chemotherapy

I took Claritin every day and that really helped with the bone pain. As the treatments progressed, my nausea lessened.

The hardest thing was the fatigue. It was bone-deep weariness. Getting up and getting to my chair was an effort. Going to the bathroom and back to the chair was an effort. Being able to get in the shower was a no-go for a couple of days. I don’t even have a word to describe how that felt.

No evidence of disease

I had a scan at the end of the six cycles and I have had no evidence of disease. I still have no evidence of disease so that is really great.

Honestly, I was so sick and felt so bad that all of the people in my life were much more excited about it than me. I felt so bad that it was hard to be totally excited. That still seems a little unreal to me.

I had that at the end of December then I started my 25 radiation treatments in January. The first week, I was so tired. I could not function. I thought, There’s no way I’ll be able to do 25 of these treatments. After those first couple of days, I had bad diarrhea, but the diarrhea [was] not much after the chemo tiredness.

Ellen P.
Ellen P.

Words of advice

See a gynecologist

If you’re a woman, you need a gynecologist. Ten years post-menopause, I thought, I don’t need a gynecologist anymore. I’m not having a period. I have had zero issues. I can just let my family doctor do that. I made that decision and that was a bad, bad decision. I will have to [deal with] the repercussions of it for the rest of my life because I let it go.

You can’t rewrite history. It may not have made any difference because they may have just let that go. Women should not ignore their feminine health, whether that’s a mammogram or a pap smear. If something’s just not right, we need to have a doctor who we’re seeing regularly, who knows us.

Listen to your body

I never really thought it wasn’t a UTI until the urologist said, “You have not been having any UTIs. Your bladder does not show that.”

Every time, the culture grew something different. I think a gynecologist would have put all of the pieces together.

They removed my cervix. I still need a gynecologist because things can happen in your vagina. You can have cancer there. You still need somebody checking all these places. Everybody does.

Have faith

It’s very important to have faith when you’re facing such a big diagnosis. I’m not really sure how people face it without faith.

Panic was such a major thing for me. I would feel it rising inside of me. If I let that take over, there is still so much to be panicked about.

More women die of endometrial cancer now than ovarian cancer. Endometrial cancer does not have the same press as breast cancer or ovarian cancer, but it is something that we need to put as much emphasis [on] as the other three. It is still very scary.

I know everybody handles it differently, but my faith gave me that peace. The Bible says it’s a peace that surpasses all understanding. I can’t explain it, but that did give me peace in the middle of this journey.

Ellen P. church family
Ellen P.
Advocate for yourself

The main thing is to be an advocate for yourself. Doctors have a lot of patients. You have to be able to say, “No, wait a minute. This is wrong. Something is not right here. You’ve got to look at me.”

One time long ago, I had an allergic reaction to medicine. I made an appointment because I was itching and they messed up my appointment time. I lost it in the doctor’s office. I said, “No, I can’t stand this itching one more day. You’ve got to do something.” They got me straight into the doctor.

If you push enough, you’re going to get in and get somebody to listen to you. You just have to keep pushing. Stand up for yourself.


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Breast Cancer Chemotherapy Invasive Ductal Carcinoma Mastectomy Patient Stories Surgery Taxotere (docetaxel) Treatments

Nikki’s Stage 3 HER2+ Inflammatory Breast Cancer Story

Nikki’s Stage 3 HER2+ Inflammatory Breast Cancer Story

Trouble breastfeeding her newborn son led Nikki’s doctor to investigate previous health concerns, where she discovered a stage 3 tumor in her lymph nodes and bowel

Years passed after overcoming bowel cancer and new symptoms arose that Nikki assumed were symptoms of menopause until she awoke one morning with an inverted nipple. This led to a secondary diagnosis of HER2+ inflammatory breast cancer.

Nikki shares her double cancer story shortly before undergoing single mastectomy surgery and reveals her side effects from chemo, how she advocates for herself as a patient, the effects cancer has had on her marriage, and how she explained her diagnosis to her 7-year-old.

Nikki shares her stage 3 HER2+ inflammatory breast cancer story
  • Name: Nikki M.
  • Diagnosis (DX):
  • Staging: 3
  • Symptoms:
    • Centralized pain around the nipple
    • Inverted nipple
    • Swollen breast
    • Differences in nipple color
    • Warm-feeling breast
  • Age at DX: 47
  • Treatment:
    • Chemotherapy
      • Red Devil for 3 rounds
      • Docetaxel for 4 rounds
      • Epirubicin and Cyclophosphamide
    • Surgery
      • Single mastectomy 
    • Radiotherapy
Nikki's cancer timeline

Try and find joy, as daft as it sounds, because it’s not going to harm you and it might help…When it comes to laughter and joy, I try to find a little bit every day.

Nikki M.

This interview has been edited for clarity and length. This is not medical advice. Please consult with your healthcare provider for treatment decisions.


Symptoms & Diagnosis

Tell us about yourself

I’m Nikki and I’m a mum of 2. I’ve got a little boy who’s 7 and a daughter who’s in her 20s, so massive age gap. I’m also a teacher, which is a job that I love. My hobbies tend to revolve around the outdoors, so lots of walking and exploring the countryside. I live in Norfolk, which is beautiful. I also love to garden, cook, and read as well.

What led to your cancer diagnosis? 

In a way, this treasured son actually saved my life because if I hadn’t been trying to breastfeed him, the doctor wouldn’t have done the investigations.

The very beginning was 2016. I was breastfeeding my son and he was a son that I’d waited a decade for. We were told we couldn’t have children. When he arrived, he was a miracle baby. My daughter used to joke, it was like the coming of John the Baptist. He was a much-treasured, wanted baby and I wanted to do everything right.

Nikki was diagnosed with cancer after being seen by a doctor due to breastfeeding issues

I was trying to breastfeed him and he wasn’t putting on weight. I went to the doctor and asked her if I could have some help to increase my supply. She looked at my medical records and said to me, “I’m willing to help you, Nikki, but I’ve looked at your medical records and there are lots of bowel complaints, IBS, and stomach issues. Will you let me investigate further?” 

I’d been going to the doctor for years and was told I had IBS, to improve my diet and it would solve itself and it never had. That GP saved my life because she uncovered that I had a stage 3 tumor that was in my lymph nodes and my small bowel. It was a neuroendocrine tumor, which is incredibly rare. I think it’s 1 to 2% of cancers and it’s often mistaken for IBS. Although it’s very slow growing – my tumor was the laziest tumor in the world – they think that it had been there for years and we just ignored it or had been told it was something else. 

In a way, this treasured son actually saved my life because if I hadn’t been trying to breastfeed him, the doctor wouldn’t have done the investigations.

I look at that now and think it was a baby cancer because all I needed was keyhole surgery. 

How did you react to your cancer diagnosis?

It was scary, particularly in those first few weeks after you get your initial diagnosis where you don’t know how far the cancer has spread. It was scary and it was emotional, particularly because I was diagnosed on my son’s first birthday, which was heartbreaking. I was really angry at the world for a very long time in terms of what I’ve gone through.

Since it was a baby cancer, because of keyhole surgery, it was gone and I’ve been free of that cancer now since 2017 and I have yearly checks. 

Years later, new symptoms arose

You would think that would make me more likely to go to the doctor. But in August of 2022, I started to develop a pain in my right breast that went around mainly the nipple. You’re always told cancer doesn’t hurt so I ignored it. I feel really silly that I ignored it, particularly because in my family there was a lot of breast cancer. If you go back 2 generations, that’s how most of the women in my family sadly have passed away or they’ve had it, and it’s been a factor later in life.

What did you think was causing your symptoms? 
Nikki began experiencing pain around her nipple

I spent that summer holiday moaning about the fact that my boob hurt and my husband, probably to shut me up, Googled and said to me, “It’s just a menopause symptom.” That’s what I wrote it off as because I had it in my head, there’s no lump and there’s pain. That can’t be cancer. 

Nikki assumed her breast pain was caused by menopause

This pain continued through the holiday and got really sharp. Again, I thought maybe it was an ill-fitting bra. Your boobs do hurt when it’s coming up to your period or just after. I found lots of excuses to ignore it and I feel really silly. 

What made you see a doctor?

I woke up and my nipple was completely inverted and I had a panic.

Towards the end of November, that’s how long I left it, I woke up and my nipple was completely inverted and I had a panic. I was supposed to be doing something big at work and I emailed work this morning and said, “This has happened. I’m not coming to work. I’m going to the doctor.” 

I went to the doctor and she said the same as me, there’s no lump. She said, “All I can see is the nipple inversion and that could be a cyst or something. I really don’t think this is cancer, but I can see how worried you are so I’m going to do an urgent referral.” I went home and felt a little bit silly, but I was also convinced that it was cancer. 

Getting a secondary cancer diagnosis

Within 2 weeks into mid-December, I had a whole-day appointment at the hospital. The type of cancer I have is inflammatory breast cancer, so it does come with pain. It often comes without a lump. Usually, you also have lots of red rash on your boob and I didn’t have any of that. My only symptom to this day has been the inverted nipple and the pain. 

I had a mammogram, but that doesn’t pick up my sort of cancer which is why the risk is so high with my sort of cancer. I had to have a CT contrast scan and I had a biopsy as well. The doctor who did the biopsy said, “Do you want to know? I don’t like knowing things that you don’t know because it’s your body. It’s cancer.” 

We didn’t know it was inflammatory, although I think he did know because another symptom is that you get almost what looks like cellulite, that kind of texture on your boob. I’m a plus-size woman of 47. I have cellulite in other places on my body, so I didn’t think anything of it but he pointed that out to me. He said to me, “I can’t be 100% certain, but looking at what we’re taking out of the biopsy I want you to know that I think it’s cancer.” 

The doctor who did the biopsy said, “Do you want to know? I don’t like knowing things that you don’t know because it’s your body. It’s cancer.” 

Early scans showed that Nikki may have breast cancer
Experiencing guilt for not going to the doctor sooner

My whole world fell apart because I was scared, but also haunted by guilt. After your initial diagnosis, you have a few weeks where you don’t know how far it spread. I had read enough and thought that it was inflammatory breast cancer before anybody told me and I knew that it was super aggressive. I knew that most women who had it had cancer somewhere else. I knew that the survival rates were scary. You shouldn’t Google them, but of course, I had. 

The guilt that by ignoring something, I could possibly leave my children and husband without a mother and a wife. I was also thinking to myself, “How stupid are you that you’ve had cancer? You should be better at this. You should have followed it up.” 

I have been incredibly lucky in that it has not spread anywhere else. Whenever I’ve shared these feelings with the cancer team, they have said to me that my symptoms were so slight that I did really well to get it picked up because I was so insistent. But my whole world just fell apart that day.

Did you get yearly mammograms? 
In the UK, Nikki is considered too young to get a yearly mammogram

I’m too young in the UK to get a yearly mammogram. So no, I hadn’t. I will now. But I’m too young, which again, is something that annoys me.

We know our bodies and I knew back in August that there was something wrong and I should have pursued that straight away. 

Expanding what we know about breast cancer

Although looking for lumps is important, we need to get rid of that narrative of lumps and no pain [means cancer], and then going to our doctors and being quite insistent because again, it’s my second rare cancer. 

When I looked up inflammatory breast cancer and saw it was 1% or 2% of people, I thought to myself, “I can’t have another rare cancer.” It’s like I’m winning the cancer lottery. Cancers that are rare, someone has to get them. I have checked and they’re saying that there’s no link between the 2 [cancers I’ve had]. I’m just incredibly lucky. 

Although looking for lumps is important, we need to get rid of that narrative of lumps and no pain [means cancer].

Nikki didn't believe she had cancer because her symptoms were atypical for common types of breast cancer
Advocating for inflammatory breast cancer

Unfortunately, we have to educate ourselves because when we meet a GP or even an oncologist who doesn’t specialize in inflammatory cancer, we have to advocate for ourselves more than we should. I do that in my appointments where you have to act really fast with this cancer because it’s aggressive. 

When I’ve had to wait longer for chemo than I wanted, I did question that. When I worried that my gap between surgery and radiotherapy is going to be longer than it should be, I questioned that and raised it as a concern. We, unfortunately, have to educate ourselves. 

There is an Inflammatory Breast Cancer Network that has really good information. That’s really helped me understand my treatment journey because sometimes oncologists talk in jargon and I come away thinking I’m quite intelligent. But sometimes I come away and I say to my husband, “Not quite sure what she said,” so I check and then I understand.

We have to educate ourselves because when we meet a GP or even an oncologist who doesn’t specialize in inflammatory cancer, we have to advocate for ourselves more than we should.

Describe being told about your secondary cancer diagnosis

I was with my husband when they told me. There was the surgeon who was doing the biopsy and a nurse. I think the nurse picked up that I’m not really into physical affection from strangers. If people hug me, I’m like, “Oh, God, get off me.” As the doctor told me that it was cancer, she said to me, “Do you mind if I hold your hand?” She gently stroked my hand and I had tears rolling down my face, but she knew that I wouldn’t want her to wipe the tears away. 

That was me processing it in the room and my mind just went to really dark places. I told my husband immediately because he was in the hospital with me. 

Quality of Life

Sharing a cancer diagnosis with family and children

[My husband] let immediate family know because telling people was the thing that I found hardest. As selfish as it sounds, I don’t want to have to deal with your reaction because I’ve got it all going on in my head. When you tell someone, you have to deal with their reaction, and I totally understand that. But for the first few months, I couldn’t tell people. At work, I just sent a very flat email. 

Nikki explained to her young son that she had breast cancer with the help of a book
Nikki chose not to use the word cancer with her son
It was difficult for Nikki to share her diagnosis with others

With my son, we took some advice because I didn’t know how to tell him. He’s 7. He was 6 back then and he’s not a particularly mature age 6. My nurse gave me a book that’s called “Mommy Has a Bubble in Her Boob,” and that’s how we explained it to him. We said that Mommy’s got a bubble in her boob and it’s making her very tired. It’s going to make her hair fall out because that’s the thing they notice. I was going to be tired for a while, but then I’ll be okay. 

We let his school know that it was aggressive, that it was unsettling the family, that we were going to be struggling with homework and that just us functioning as a family was enough. We couldn’t do all the other stuff. But he seems to have handled that quite well. 

We haven’t used the “cancer” word in front of him because he doesn’t understand the word. He could go into his school and say it to an older child and they would say – not being unpleasant – “Is your mummy going to die?” I’m not going to die, so he doesn’t need to hear that.

»MORE: How to Talk to Kids About Cancer

How has your husband adjusted to your cancer diagnosis?

We need to get better at supporting the partners of people who have cancer.

Nikki shares the importance of asking after one's spouse when dealing with a cancer diagnosis

He’s been wonderful, but he’s found it really hard. He had quite a formidable wife who had a very full life, lots of hobbies, and was very into her career. He’s watched a lot of that spirit drain out of me. I was also very independent and I’ve become dependent and I don’t like that. 

He doesn’t begrudge helping me, but I think he doesn’t like that because that wasn’t the kind of wife that he married. So we found it hard. I think there’s this sort of fairy tale that illness brings couples closer together. I’m not quite sure that’s true. It’s tested our marriage and we will survive because we love each other a lot, but we’ve had to renegotiate our relationship like lots of couples had to in COVID. 

We also found COVID difficult because we had to renegotiate how we lived our lives. We’re probably a little bit stuck in the mud. So it’s been really hard. 

Also, nobody asks after the partner. They do ask after my children. They do ask after me. Nobody asks how he’s doing. He’s working full-time. On my bad days, he’s cooking all my meals, tidying up, and doing more for our son. He’s stuck with me if I’m crying in the night and then getting up in the morning and doing a full day’s work. It’s been really hard. We need to get better at supporting the partners of people who have cancer.

»MORE: 3 Things To Remember If Your Spouse Is Diagnosed With Cancer

What happened after you were diagnosed with breast cancer?

I was sent to another specialist who was really guarded and he wouldn’t answer many questions. I said to him straight away, “I’ve Googled. This is inflammatory breast cancer, isn’t it?” He said, “We can’t say that until we have all the information.” I respect that, but at the time I found that really frustrating. 

Then they collect information from all the scans, and I had a letter within a few days that confirmed that it was inflammatory, hormone positive, in my lymph nodes, grade 2, and they laid out what my treatment plan would be. 

I was told that because it’s aggressive they have to get it as small as they can before they do surgery. So I don’t have a single lump. The cancer is diffused through my breast. That makes it harder to treat when it’s harder to see. It can be really tiny. 

What cancer treatments were you on?
Nikki was on the Red Devil and docetaxel chemotherapy

Initially, they said 6 rounds of chemotherapy. I had what is known as the Red Devil for 3 rounds. I didn’t find that that bad. Then I’ve had 4 rounds of docetaxel, which I found really hard. Then I will have roughly about 3 to 4 weeks off to recover from chemo. I’ve got a surgery date of the 9th of June and I’m going because I’ve had such a good reaction to chemo.

They gave me a seventh dose because, although I’m currently no evidence of disease, the cancer is so tiny that it is likely to be there. They said because we know it’s battling the cancer, we might as well do it again. So I’ve had 7 rounds of chemo and then I have recovery time. Then I’ll have a single mastectomy.

I won’t have a reconstruction for at least a year because the surgery can make the cancer angry. They want to make sure before they do anything else that it’s cancer free. You don’t want to rebuild the breast and then find the cancer is in there. 

After surgery, I’ll have recovery time. Hopefully, within about a month I will then have radiotherapy, which will be every day for 3 weeks and then I will be on hormone therapy for years after. 

What’s your doctor’s outlook on the surgery?

They’ve said to me they’re really confident that the cancer is going to go, so a lot of what we’re doing now is making sure it doesn’t come back because it’s got a high remission rate. I am incredibly lucky because, as I said, for most women, it’s gone somewhere else. I’ve had 2, maybe 3 PET scans, and there’s no sign of cancer anywhere else in my body. It can spread in weeks and go elsewhere in the body. That’s how aggressive it is.

Nikki after her single mastectomy surgery
How did doctors respond to you feeling guilty about not being seen sooner?

They were very careful with me because they knew that I had all these feelings about not going to the doctor when I should have. Once they knew that [cancer hadn’t spread], then they said how lucky I was.

Chemotherapy & Side Effects

Describe hair loss after chemo

With EC, I completely lost my hair after the second treatment. I think it started to go within 2 weeks of me having the first chemo. 

I’m quite vain. I had silvery gray hair that I was incredibly proud of because I thought it was a bit of a feminist statement. I stopped brushing my hair and my husband used to laugh. Everywhere I went, I left hair behind me. I said, “Look, I’m keeping a hold of my hair.” I wasn’t. I just wasn’t brushing my hair so none of it was coming out. 

I went to the hairdresser for a chemo cut and she cried. I didn’t cry. She did because so much came out in the sink. I then took control and shaved it and that made a massive difference because my head was sore. 

Nikki's chemo haircut
Nikki after shaving her head due to chemo
Nikki trying on a new wig

It’s really distressing to lose your [hair]. I’d have a bath and it would all be in the sink. It was just horrible. So that would be a recommendation from me, to shave it. Even if you do what I did, where you get a really short chemo cut and then you shave it 2 weeks later. I don’t think I could have gone from quite long hair to shaved. 

In terms of my eyebrows, I didn’t lose them until I started docetaxel and I thought I was going to keep them, but docetaxel saw the back of those. 

How did you feel after chemo?

With EC, it was mostly nausea and tiredness but not much else. Docetaxel, that’s a completely other beast. 

I’ve had what they call hand and foot syndrome. I’m on top of it now because I’m taking a steroid cream, but basically, your hands peel and blister as well as your feet and get really sore. There was a time when my feet were covered in blood blisters. It made me not want to walk and then you walk funny. You walk on the side of your feet and then that blisters the side of your feet. I wish I’d told the oncologist about that sooner because they gave me hydrocortisone cream which sorted my hands. 

Nikki was able to help heal hand and foot syndrome thanks to her doctor giving her hydrocortisone cream

My feet haven’t been too bad this round. I kept on top of that though. My husband bought me a foot spa so I would ease the pain in my feet. I had foot creams and balms that softened my feet. If I did that every day, I could just about keep on top of it. But when you’re tired, it’s quite hard to keep up that sort of routine. 

Do you still have your nails after chemo?
Nikki's doctor recommended she paint her nails a dark color

I haven’t lost my nails. I’ve still got them. My top tip that my oncologist told me was to paint my nails a dark color, so I haven’t lost any. I’ve done the same with my toenails. as well. It makes you look and feel better when they look nice. My nails are very sore at the moment. I’m hoping I’m going to keep them, but I am a little bit worried. 

How do you cope with pain?

I have really bad pain in my bones and part of that is to do with the injections I have to boost my neutrophils because your immune system takes a real dive after chemo. I take an antihistamine, which is Claritin every day. That helps. 

I also take codeine. I try only to take it in the evening because it makes me sleepy and drowsy and it also makes me feel a bit nauseous and the chemo makes me nauseous. I have learned that there will be 3 or 4 days where I have to be ahead of the pain and I take the codeine 4 times a day. For the rest of the difficult bit of the cycle, I try to take it before bed because it helps me sleep. 

Describe how chemo changed your sense of taste 

I have the most awful taste in my mouth all the time. I brush my teeth obsessively because my teeth feel odd. You can get Difflam, a special mouthwash that prevents mouth ulcers, but the corners of my mouth crack. If I have a sandwich, I have to make the sandwich really flat because I can’t open my mouth very wide to eat it. 

I have lots of boiled sweets just to take. It’s like a metallic taste, a bit like morning sickness, but I’m not going to get a nice baby. Sometimes I have mint ones, but any kind of boiled, fruity, sweet, or mint sweet – it doesn’t really matter. You just want something that takes the taste away. 

Nikki with her daughter
Nikki eats boiled hard candy to get rid of a bad taste in her mouth caused by chemo

You probably want to avoid things like lemon sherbet or anything that could be a bit abrasive in your mouth. I made that mistake once. I’ve been told that pineapple can be quite good for your mouth as well. We have a drawer full of ice lollies for when my mouth feels a bit sore or to get rid of the taste.

What other side effects did you experience from chemo?

My sleep patterns have been ruined by steroids and pain at night…I have such a long list…I also have, constant pins and needles in my hands and feet. I think that’s to do with the hand and foot syndrome. When your feet are really cold and they hurt, that’s what it feels like. I have an electric blanket that I put at the bottom of my bed. I think that helps a little bit. 

I’m losing my fingerprints. My mum Googled today and apparently, they will come back. But the tips of my fingers are really smooth and I can see that my fingerprints are going and then a pain in the joints of my fingers as well. 

Nikki's sleep has been negatively affected by medications

My energy levels are really low. There were days I struggle to get out of bed and get dressed. There are days when I can’t walk more than 100 yards. 

»MORE: Cancer Treatment Side Effects

My temperature is all over the place. I think that’s menopause. Because my cancer’s hormonal, they were worried about it jumping to my ovaries so I’ve been plunged into early menopause. I’ve got really bad hot flashes. If I do anything, my temperature goes up and I’m supposed to go into hospital if my temperature goes up. I’ve learned to just wait before I take the temperature. That keeps me awake at night and adds to that tiredness…It’s a long list.

Another one is my eyes water constantly. I can see them doing it now. People are always saying to me, “Are you crying?” I’m like, “No, it’s just my eyes water.” I think that’s because my eyelashes have gone and so things get in your eyes. I don’t think my eyesight has been affected, but my eyesight looks quite blurred because it’s always a little watery. 

Being A Patient Advocate

Nikki shares the importance of speaking up

Speaking up means that, you’ve done all that you can…I learned from not going to the doctor when I should have that I regretted not speaking up. That inspired me to speak up and ask questions.

Describe how self-research helped you advocate for yourself

I like to read and research, so I did lots of research. I write things down before I go in because I’m likely to forget them. I try to take my husband to my appointments with me because he will remind me, or if I’m not feeling very brave, he will say, “Nikki, there was a question you wanted to ask. Why don’t you ask it?” Because sometimes you do feel overawed by doctors. 

On Facebook, there’s an Inflammatory Breast Cancer Network that I think is mostly women in the UK. They have representatives from the inflammatory breast cancer charity, so being able to ask them questions has been useful. 

Also if something worries me, I go on there and search for what it is. Sometimes just seeing that other women are having the same symptoms as me makes me feel a bit braver to then say, “Actually, I’m really struggling with this. Can I have some help?” 

Nikki shares the importance of advocating for yourself as a patient

For example, when there was a delay with my chemo, I said, “Is there an unreasonable delay?” They said, “Yes, there is” and linked me to research papers or articles. I could then go back to the oncologist and say, “I’ve looked this up and I’ve read this. This isn’t just a quick Google, and I think I should be having chemo quicker.” I’ve done the same with radiotherapy as well – I’ve let them know that I have researched this. 

»MORE: How To Be A Self-Advocate As A Cancer Patient

I do want to say that no one’s deliberately delaying treatment, but because my cancer is very different from other breast cancers, I think you do have to keep reminding people of that.

Why did doctors delay your chemo treatments? 

Partly because of the time of year. I had my proper diagnosis in mid-December, and then we went into Christmas. I was unlucky at the time of year. People were going on holiday and the NHS in England is struggling so that has been an issue. The care I’ve had I can’t criticize at all, but I have had to wait for that initial chemo longer than I would have wished.

The importance of advocating for yourself 
Nikki says that speaking up means that you've done all you can to advocate for yourself

It did make me feel like I’ve spoken up. I wouldn’t have liked to have waited and then be at home thinking, “You haven’t spoken up again, Nikki.” Speaking up means that, you’ve done all that you can. I learned from not going to the doctor when I should have that I regretted not speaking up. That inspired me to speak up and ask questions. Having a little notebook and writing the questions down is a good thing to do when you go to the doctor anyway, particularly for this.

Reflections

How has humor helped you?

I have a small group of female friends that I’m more open with than my husband because we can do dark humor. My husband struggles a little bit with the dark humor. That has been really valuable, being able to make “cancer’s getting on my tits” kind of jokes or, laughing at “something else has fallen off my body.” That kind of humor has been really good. Female friends, close friends, are really important.

Nikki finds dark humor helpful
Continuing to work through cancer
Nikki continued to work from home during her cancer treatments

Listen to your body and do what works for you, not what you’re told to do. For example, I’ve kept working through most of my treatment which my husband hasn’t really agreed with, but that helps me remain mentally strong. I think we know ourselves and we can, within reason, navigate a path that works for us. 

What works for one person doesn’t work for another person because their cancer will be different or their job, or their lifestyle. I’ve possibly done things in quite an unorthodox way, but I wanted to prioritize my mental health as well as my physical health. I think now that I’m almost at the end of my chemo journey, I made the right decision.

Checking breasts more thoroughly

We need to take pain seriously…If our body hurts, there’s a reason for it.

Even looking for a lump, I don’t think we really know how to do it. My oncologist said to me, “Did you check your breasts, Nikki?” I said yes because I did. She showed me how to do it and said, “Was that what you did?” I said yes, thinking no. It’s a lot more of a thorough process than we’re [told to] do. 

She said to me, do it both lying down and sitting up, whereas often we’re told to do it in the shower. We don’t lie down in the shower, so I think we need to be more relaxed around our bodies and look at our bodies. Then you will notice the changes. Even my change, which was little, I did notice it. 

Nikki encourages people to check their breasts more thoroughly

Also, we need to take pain seriously. I think women because we give birth and it hurts underplay pain and we just take a painkiller and say, “Oh, it’ll go away.” If our body hurts, there’s a reason for it. Not just feeling for lumps, but properly looking at your boobs. 

The other thing that can happen is your boob can swell. It can also feel quite heavy and warm. Looking back, mine did. Again, I just thought that was a period or menopause [symptom] but that was happening as well. [We need] more education about non-typical breast cancers because they’re more deadly at the moment.

What did your breast pain feel like? 

Anything that doesn’t look quite right we need to take seriously.

Sharp, piercing pain. A little bit like when you’re breastfeeding wrong is exactly what it felt like.

It was very focused around the nipple. I had times when my whole boob felt a little bit achy and that might be the menopause, period kind of feeling. If it’s a pain that’s focused on the nipple, that is one that I would take very seriously. 

The other thing that can happen is your nipple can change color and mine had slightly. Because I didn’t pay much attention, I hadn’t noticed that. Again, when the oncologist did a physical exam, she said to me, “Can you see that one is a slightly different color, Nikki?” Anything that doesn’t look quite right we need to take seriously.

Difference in nipple color was a sign of breast cancer in Nikki's case
Swollen, warm, heavy-feeling breast was a sign of breast cancer
Centralized pain around the nipple was a sign of breast cancer
How do you deal with scanxiety?

Scanxiety is awful. I know you’re told not to Google, but we’re human and you do. Remember that the advancements in cancer over the past 3 to 5 years have been huge, particularly with inflammatory breast cancer. If you’re looking at something that’s more than 3 to 5 years old, close it. 

Go to reputable sites like Macmillan or the Inflammatory Breast Cancer Network, because we are going to look for that information. That’s how I cope with scanxiety and I try to plan some nice things. 

Remember that the advancements in cancer over the past 3 to 5 years have been huge, particularly with inflammatory breast cancer. If you’re looking at something that’s more than 3 to 5 years old, close it. 

Surgery worries me. It’s a big surgery that I’m having and also I’m having a bit of my body removed that I’m quite attached to, and I don’t think I’ve quite dealt with that yet. I have booked some counseling because I think I’m in denial about how hard that’s going to be. Having someone to talk to who is someone I don’t know that I can be really honest with, I think is going to help me process that a little bit.

What is your top advice to someone on a cancer journey?

Try and find joy, as daft as it sounds, because it’s not going to harm you and it might help. I’m not a woo-woo person at all, but when it comes to laughter and joy, I try to find a little bit every day. 

I often sleep in the hammock, in my garden, in the sunshine, and that’s better than sleeping in my bed because I can hear the birdsong and I get some fresh air. 

I try every day to save a little bit of energy to do something nice with my son. We do lots of arts and crafts and baking. Baking with a 7-year-old, something is going to go wrong and it’s funny. Or making time to chat with friends and laugh and do inappropriate humor. Doing fun stuff so you’re not just an ill person I think is really, important.

Nikki recommends everyone find joy in their cancer journey
Nikki enjoying the sunshine

Try and find joy, as daft as it sounds, because it’s not going to harm you and it might help…When it comes to laughter and joy, I try to find a little bit every day.

More Breast Cancer Stories

Amelia

Amelia L., IDC, Stage 1, ER/PR+, HER2-



Symptom: Lump found during self breast exam

Treatments: TC chemotherapy; lumpectomy, double mastectomy, reconstruction; Tamoxifen

Rachel Y., IDC, Stage 1B



Symptoms: None; caught by delayed mammogram

Treatments: Double mastectomy, neoadjuvant chemotherapy, hormone therapy Tamoxifen
Rach smiling against fall leaves

Rach D., IDC, Stage 2, Triple Positive



Symptom: Lump in right breast

Treatments: Neoadjuvant chemotherapy, double mastectomy, targeted therapy, hormone therapy
Caitlin

Caitlin J., IDC, Stage 2B, ER/PR+



Symptom: Lump found on breast

Treatments: Lumpectomy, AC/T chemotherapy, radiation, hormone therapy (Lupron & Anastrozole)

Joy R., IDC, Stage 2, Triple Negative



Symptom: Lump in breast

Treatments: Chemotherapy, double mastectomy, hysterectomy
Categories
Active Myeloma Cancers Chemotherapy Darzalex (daratumumab) dexamethasone Monoclonal antibody drug Multiple Myeloma Patient Stories Stem cell transplant Steroids Treatments Velcade

Gregory’s IgA kappa Multiple Myeloma Story

Gregory’s IgA kappa Multiple Myeloma Story

Gregory P. feature profile

Gregory was diagnosed with high-risk multiple myeloma a few months after experiencing lower back pain. What started as a nagging pain that felt like he had pulled a muscle continued to persist until the pain got so severe that his movement was limited.

After initially seeing his primary care physician, he reached out to his spine management doctor. He was in excruciating pain by then, prompting the doctor to order an MRI, which revealed a mass.

Within a matter of days, he had to find an oncologist. After running a series of tests, his doctor told him that he had multiple myeloma and that he had to get his affairs in order.

He shares how he and his wife teamed together, how the cost of cancer treatment led to financial toxicity, and how he almost had to stop treatment.

He describes the frustrating ordeal of having to follow up with insurance while going through cancer treatment, experiencing engraftment syndrome after his stem cell transplant, and how he relied on his faith. To chronicle his powerful journey, Gregory wrote a book titled, “Faith, Strength, and Courage: A Memoir of Overcoming Adversity and Embracing Life’s Journey.

In addition to Gregory’s narrative, The Patient Story offers a diverse collection of multiple myeloma stories. These empowering stories provide real-life experiences, valuable insights, and perspectives on symptoms, diagnosis, and treatment options for cancer.


This interview has been edited for clarity. This is not medical advice. Please consult with your healthcare provider for treatment decisions.


  • Name: Gregory P.
  • Diagnosis:
    • Multiple myeloma, IgA kappa, 17p deletion, with two sub-mutated genes
  • Initial Symptoms:
    • Lower back pain
  • Treatment:
    • DVd: daratumumab, bortezomib, dexamethasone
    • Stem cell transplant
Gregory P. and wife
Gregory P. timeline
Gregory P. timeline


Introduction

I’m very passionate, motivated, and inspired by being able to help others, uplift others, and offer my value and my voice.

One of my hobbies is being out in nature and walking.

Most people know me from my podcast, Kut2ThaChase, [where] friends, family, [and] professional colleagues talk about things that impact their ability to thrive. We’ve been known worldwide [for] bringing forth inspirational stories of hope, motivation, and triumph over challenges and adversity.

Other people know me [from] my project management consultancy firm where we’ve supported a lot of Fortune 500 companies all over the world.

My application company called Tru-Spot is an augmented reality program developed for fans to view concerts, movies, or television programs worldwide without having to travel.

Gregory P.
Gregory P.

Pre-diagnosis

Initial symptoms

I started having lower back pain around April or May 2021. It started as a nagging pain, as if I had over-exercised or pulled a muscle. The pain continued to persist day after day, week after week before I finally threw my hands up and said, “I need to go and get something done about this.”

At the time, I was home alone recording podcasts, going through a capital raise with my business partner regarding Tru-Spot, and spending a lot of time not moving around or exercising as much as I would.

I saw my primary care physician and he said, “We may be dealing with a pulled muscle, a slipped disc, or something along those lines. Let me give you a steroid shot and some pain medication. Let’s do X-rays and take blood work.”

I came home that weekend and realized that this pain was way more severe than anything I could ever imagine. The steroid shot [and] the medication they gave me [were] not reducing the intensity of the pain. I realized that I needed to take this to the next level and see a specialist.

I reached out to my spine management doctor. He realized that the case was pretty severe. He poked and prodded and a couple of times, I said, “Please don’t touch me there again,” because I was in such excruciating pain. He said, “I need to get you over for an MRI.”

They ran the MRI [with] no contrast. They identified a mass. They didn’t know if it was cancerous or not so they wanted to schedule me for a second MRI, which would be done with contrast.

At that point, I started hearing terms like multiple myeloma and lymphoma, not wrapping my head around that this could be cancer. I just figured, I can have surgery, have whatever removed, and go on with my life.

As we went through the next series of tests, we quickly realized that this was beyond the control [of the] two doctors I had previously seen.

My back pain started in [the] lower right back where my back connects to my hip area. The tumor, that was about the size of a grape and as long as an egg, already protruded through my bone. It was cutting across my sciatic nerve, [which] inhibited me from being able to walk. On top of that, having such a huge amount of pain radiating throughout my entire body made it difficult for any type of mobility.

I saw my primary care physician [and] my spine management specialist within 48 hours. I had the first MRI done within 96 hours. The second MRI took me about two and a half to three weeks.

Once we had the second MRI, it was a matter of trying to find an oncologist that would be able to see me right away, which took a little bit of time as well.

Gregory P.
Gregory P.
Finding an oncologist

The first MRI was inconclusive, but the spine management doctor concluded that this was going to be very severe, as if he had seen cases like this before.

Once we ran the MRI with contrast, he pulled us back into the office and said, “Mr. Proctor, I can’t go into a lot of detail, but you guys need to find an oncologist right away.”

We’re trying to find an oncologist [when] we still don’t know what’s going on. We’re in the dark because we’re not getting a lot of information from my spine management doctor or my PCP. We were fish out of [the] water, trying to navigate this uncertainty, hoping and praying that it’s not what the conclusions are based on the various reports that we were able to dissect and somewhat understand.

You hear certain things. It puts you in shock. What do I do next? You’re almost hopeless to a certain extent. Every patient is outside of their comfort zone. For me, it was no different.

One of the things that my wife and I processed during that time was the fact that whatever it was, we wanted to deal with it head-on. We thought we could overcome it.

My spine management doctor had a friend that he went to college with that was an oncologist. We said, “Okay, this is great. Let’s see if you can help us get an appointment with your friend.”

Having to find a new oncologist

As we went down that path, his friend decided that they were not going to accept my insurance, which was a national healthcare plan. For lack of a better term, it was a bunch of bollocks that we had to go through.

We were very frustrated. We’re back trying to call around, see who can expeditiously see us, and get over the hurdle of our insurance.

We found an oncologist in San Antonio on the third or fourth try. It took about 72 hours.

Once we had that first consultation, everything that they needed to run again was run within the next 48 hours — bone marrow biopsy, extensive blood work, PET scans, you name it. 

I was always a healthy individual — never really had a lot of health issues, maintain very good physical fitness, never had a broken bone. I’m put into the throes of the medical industry, not really truly knowing how to navigate besides paying [my] insurance premium and things that we normally do just as a sense of comfort. Now I’m faced with this head-on. It was very, very scary at the time.

Gregory P.
Gregory P. and doctor

Diagnosis

Getting the official diagnosis

After we secured a local oncologist, she brought us in and based on the scans and blood work, she listed off different cancer types on the report. She said, “I hope we’re not dealing with one of these. I’m uncertain until we have more blood work, more scans, and a bone marrow biopsy.”

We had the consultation [on] a Wednesday. [On] Thursday, I [had] a lot of scans and blood work. On Friday morning, I end up having a bone marrow biopsy, the worst procedure that anyone can go through unless you’re completely sedated.

I went through it on local anesthesia and realized that I needed to be put to sleep because the pain was something that I’d never experienced in my life. It was completely off the threshold scale for me and I could not tolerate it.

My bones were very dense so they didn’t [know] if they had enough bone marrow material. They thought I was going to have to come back for a second procedure. They ended up having enough material. After they ran it through, I was diagnosed with multiple myeloma.

Knowing about myeloma

At the time, my knowledge [of] the disease was very, very low. I was not familiar. I’ve heard lymphoma and things like that but not really paid attention to the severity and what people go through.

Things were being thrown at us at an accelerated pace, like being on a roller coaster and feeling like you’re free-falling indefinitely. We knew that the first thing we need to do is get ourselves educated and get ourselves up to speed.

Reaction to the cancer diagnosis

Initially, [when it came] from my spine management doctor, we took it with a grain of salt. July is when I was officially diagnosed [with] multiple myeloma, IgA kappa, 17p deletion, [and] two sub-mutated genes, which put me at high risk.

My oncologist said, “Mr. and Mrs. Proctor, you need to get your affairs in order.” That broke the camel’s back for us because no one had ever said that.

We had limited time to process everything because, in the second breath, she said, “We need to start you on chemo treatment right away.” This was on a Friday. We were told the diagnosis right after my bone marrow biopsy and I started chemo the following week.

Gregory P.
Gregory P. and doctor
Not having time for a second opinion

My wife and I were very naive to the situation. We knew that I was extremely ill. It was very hard for me to walk and my mobility was limited. I needed assistance back then more than I had ever needed assistance before.

Everyone else we called was unable to provide us with any type of service nor did they even want to see us. We were pretty much going with this oncologist based on faith.

She consoled us, hugged us, and said, “I need you guys to trust me. We’re going to get you through this. It’s going to be an arduous process. Mr. Proctor, as long as you can handle this and as long as your organs continue to function the way that they’re supposed to, we believe that we can get you into remission within probably 3 to 4 months.”

We stepped out on blind faith because it was so overwhelming. We were feeling hopeless at that point that we had nothing else we could fall upon.

We didn’t have an opportunity to get a second opinion. I wasn’t going to get on a plane or drive from San Antonio to MD Anderson in Houston, which is three hours, or even another cancer institute. The pain was so severe that I could not take it much longer. I needed for something to happen and I needed for something to happen right away.

Breaking the news to the family

My wife and I were trying to maintain a strong persona, trying to maintain the support and love that we have for each other. But it was hard. It was really, really hard.

We started trying to think about what do we do next. Do we have enough financial means to get us through this? Do we have the family support? We hadn’t even really told our family at that point. We were still in shock and trying to digest and understand how we would move forward with everything that was going on.

I don’t think it was until the day before I had treatment [when] we reached out to all of our family and decided to let them know what was going on.

Gregory P.
Gregory P. treatment

Treatment

The beginning of my treatment started within 48 hours. After the diagnosis on a Friday, on Monday, I was sitting in the chemo chair for the very first time. That was very surreal.

Walking into the treatment center and seeing multiple people in different chairs, under blankets, and [having] these units hooked up to them, I was scared out of my mind. Are we being killed? Are we setting ourselves up for me to go to the morgue here? It’s the first thought I had when I first walked in there.

The nurses came over, sat me down, and said, “Greg, we will be administering Darzalex and dexamethasone. We’re going to start with these two drugs. Sometimes people have an allergic reaction, sometimes they don’t so we want to see [how] your body’s going to react.”

The very first time that they administered Darzalex, I did have a reaction. I felt like my ears were beginning to tingle. My nose felt like there was some major reaction going on. They said, “Okay, we’re going to stop your treatment. We’re going to upload you with a lot of Benadryl. Then we would restart your treatment.”

My first treatment was five days a week for two and a half months. The only time I came out of a brain fog from dealing with all the chemo was late Saturday night, maybe early Sunday morning, and having to start this treatment all over again.

We ran that regimen for about two and a half months before we started to see the numbers begin to come down. My M spike was greater than 6,000 and there were a lot of other variables out of range, which were very, very concerning. The 17p deletion and the two sub-mutated genes didn’t add a lot to my overall diagnosis as well.

The mental anguish of cancer

You get caught up in this turbulent cycle, trying to figure out what’s next. For us, getting the cancer abated was the very first step.

I was going to be hooked up to an IV for two and a half months, trying to get my numbers down, and ensuring that everything was back within range before we could move on to the next step.

We were spending a lot of time researching, reaching out to Facebook groups, and having different types of discussions with folks. At the very beginning, we were not thinking about the stem cell transplant or any of those things downstream because it was just too hard without getting through this first cycle.

How quickly can we get the cancer abated? How quickly can we get the pain diminished? How quickly could I get back on my feet and be able to function again? How quickly could I get a good night’s rest and be able to sleep horizontally and not vertically because of the way the pain radiated through my body? How do we survive financially?

There was a plethora of things that we were trying to process within the first three months, well before we got to the second phase of the stem cell transplant.

Gregory P. treatment
Gregory P. treatment
Financial toxicity of cancer treatment

What a lot of people don’t realize is that you still have to live even though you’re tied up in a medical facility every single day. You still have bills that you have to pay.

We were trying to think about what we could relinquish and get rid of. How could we streamline our lifestyle a little bit?

Even though we had gone through all the different processes, making sure our deductibles were paid, and tapping into various grants that I should qualify for, my insurance company was very slow to pay.

I had racked up a quarter of a million dollars because I was burning $22,500 per week on my treatment, which consisted of Darzalex, dexamethasone, and Velcade. My insurance company said, “We’re still waiting to go through our audit process. We’re still waiting for this paperwork. We’re still waiting for this. We’re still waiting for that.”

Roughly early September, my doctor said, “Mr. Proctor, we’re going to have to stop your treatment because I haven’t received any money from your insurance company.”

Think about how hard that is to hear. I’m trying to fight for my life. Of all the things we’ve already heard, now I’ve got to put forth the energy to be on the phone with the insurance company to say, “Why haven’t you guys paid my oncologist? This is unacceptable.”

These are the harsh realities that are not talked about enough.

You think, I’m paying my insurance so I should be covered. You think that everything’s going to be handled based on the fact of you doing what you’re supposed to do as a customer, which is making sure your premiums are paid.

What you don’t realize is that they’re going to take their sweet time. You’ve never been this ill before. They see your bills coming in so they’re going to do an excruciating, deep-dive audit. Eventually, you hit your ceiling.

My insurance was based on a 70/30 split. Even though I met my deductible of $15,000, I was still responsible for 30% of my medical bills. When you start adding up 30% of $22,500 a week, it becomes a financially toxic situation.

I had a mid-average coverage with my provider and certainly thought that was going to be enough. But three and a half months in, they said, “You’re very close to hitting your ceiling.” It was very discouraging.

You start throwing your hands up. What do I do now? If I’m going to go through a stem cell transplant, what do I do? On top of all of the medical costs that I’m already dealing with, that’s going to be extremely expensive. My insurance company covered their portion, but there were a lot of out-of-pocket expenses.

Gregory P. treatment
Gregory P.
Educating other people about multiple myeloma

Since we didn’t know a lot about this disease, we wanted to coach, educate, and help mentor others and make them aware. Our family was reaching out to us, saying, “Greg’s going to be resilient. He’s going to get through this. They can just go in and cut it out.”

I kept telling my family, “You can’t cut out blood cancer. If I don’t have blood going through my body, it’s going to be very difficult for me to live.” It became an educational process. So many people were reaching out, calling, and contacting me. I told my wife, “We just can’t deal with all of the phone calls and text messages.”

At the time, we disagreed about putting my story out online and being very transparent, but that was the only way for me to communicate with people that knew me. They were all concerned and want to wrap their arms around us and figure out what could they do to help.

Dealing with insurance while undergoing cancer treatment

Don’t give up. Don’t ever give up. For me, it was about getting locked in. It was about transforming my mind beyond the pain. It was about utilizing all of the professional skills that I have and bring those into the fold as a patient.

My background has been in project management. I had to take those skills and apply those to my wife. There was only a limited capacity that I had for brain power and energy that I could stay focused on. I helped her become the project manager and I was the project.

We divided up roles and responsibilities. It was up to her to talk with the doctors, look at the labs, run the trend analysis, and chart out symptoms, discomforts, ailments, and pains that I was telling her about so these would be discussions that we could have with our doctors.

For me, it was all about trying to survive six hours per day every single day of the two and a half months, and just getting through the harsh treatment. Then making those arduous follow-up phone calls to the insurance companies.

In the beginning, that was very instrumental in helping us not have so much burden on each other. We knew our roles and responsibilities.

It was just as hard on her being the caregiver, seeing her husband suffer and have this disease, and watching that on a day-by-day basis.

A few friends said, “You’re in a dark place right now. You guys need to sit down, come up with your strategy, and you guys are going to come out better. It’s going to take you guys getting over this dark place because it’s all overwhelming.” It was like a tsunami had taken over and we were still swimming, trying to figure out if we were going to be able to make it to the surface for air.

Gregory P. and wife
Gregory P. and doctor
Working on a plan to keep treatment going

There was no way I could stop. We hadn’t even gotten to the point where the numbers were starting to trend downward.

I call my doctor up along with her billing department and said, “What will it take for me to be in a position to continue my treatment?” She said, “We need some type of good faith payment. We need something that, in earnest, is going to allow us to continue your treatment. If not, we’re going to have to stop.”

I said, “What number are we talking about?” Her office manager said, “Is there a way for you to come up with $10,000?” I can’t just pull that out of a safe or out of my bank account and make that happen to prevent my treatment from stopping.

With the multiple businesses that I own, I took one of my business credit cards and said, “You know what? This is not a business expense, but I need this to continue.”

I broke down the payments into $5,000 increments. We managed to keep the ship afloat for a couple more weeks so I could continue to be on the phone, try to get money out of our insurance company so they would pay the claims that were already submitted.

It did happen eventually. We went from July to almost October before my doctor saw a large portion of the claims paid. Very scary time.

Side effects of treatment

Early on, because of the dexamethasone, I was dealing with a lot of insomnia [and] not able to rest very comfortably. I was only on 8 mg per day but that was probably way more than I ever wanted to take in a single shot.

I was dealing with all types of ailments [from] the bone lesions that I had throughout my body. My rib cage, my chest, and down the right side of my leg felt excruciating bone pain from where the disease had just really attacked my body. Those were extremely discomforting.

Besides those, just dealing with chemo going through your body. Nausea, vomiting, [and] various things that your body cycles through. Psychologically, you’re freaking out because you just don’t know if this is normal.

My doctor said, “These things are going to occur, but they shouldn’t persist. They should clear up. Things should start to get back to normal once they flush through your body.”

I didn’t deal with a lot of neuropathy. My wife and I spent a lot of time researching the disease and looking at natural things that my body needed to have to recover from the chemo as quickly as possible. We started instituting a lot of those regimens and those things were able to help.

I was in pretty bad shape until I achieved remission. My body was going through a lot of physical transformation that I had never experienced ever before, primarily getting rid of the disease and eradicating it from my body.

Gregory P.
Gregory P.

Stem cell transplant

Once we got to remission, the first thing that came to mind was having to prepare for a stem cell transplant.

We did blood work. They look at your M spike along with other characteristics, like LDH, creatinine, and protein levels in urine.

Those numbers were drastically low compared to what they were from the onset of my diagnosis. At that point, everybody was with a sigh of relief but, of course, I had to go through another bone marrow biopsy.

The bone marrow biopsy was conclusive. The disease had pretty much been eradicated from my body. But considering I was high risk, there was no getting around the stem cell transplant if I wanted to have long-term survivorship. It was all a matter of timing.

Getting the stem cell transplant covered

We were still in the throes of dealing with the financial components. If we reached our ceiling, what was our insurance company going to cover with regard to our stem cell transplant?

We received that letter that said they will cover the transplant, but if there are any complications after discharge, then I’m on my own. It’s going to be out of pocket. I was appalled when I got that letter.

Because I’m a veteran, we were trying to get the VA hospital to step in. We were trying to get approval. We had two parallel paths going simultaneously.

The VA stepped in and said they will cover all transplant costs and post-maintenance costs for up to two years. That was probably one of the best days, knowing that we were not going to have that financial burden.

Gregory P. and wife
Gregory P.
Preparing for the stem cell transplant

I spent the first two and a half months in this fog. We said to ourselves, “We’ve got to get a multiple myeloma specialist.” Our insurance company said, “You can utilize within the network and it wouldn’t cost us very much.”

We ended up at the Dana-Farber Cancer Institute. We were in Boston the time that I received news that I was in remission. We were inquiring about the stem cell transplant. We knew that I needed to be in remission for the transplant to be successful.

Dana-Farber started getting us into the system and running through all of their processes. We were still very apprehensive. I wasn’t feeling back to my old self, but the pain had subsided. I still was dealing with a lot of ailments because of how much damage the disease had already done to my skeletal structure.

Do I have the strength, mentally and physically, to get through this process? We all knew this was very arduous. We didn’t know much about it at the time, but we knew it was very harsh on the body.

We did the same thing that we did with trying to understand the disease. We poured our energy and time into finding out everything that we possibly could with the stem cell transplant and where the best location would be for us to get this done.

Stem cell transplant process

The transplant got delayed until February 2022, which pushed me into another calendar year, which also pushed me into another deductible. Luckily, with the VA being there, it was a blessing for us to move forward.

I checked into the hospital on February 8th where I was administered the melphalan. February 9th is when my transplant occurred. I stayed in the hospital for approximately 11 days.

We talked with the doctor, “You collected 8 million stem cells. How many stem cells are we going to put back into me?” My doctors said, “We think we’re going to go with two, two and a half, no more than 3 million stem cells.”

We started trying to wrap our heads around it, not understanding all of the science but knowing that if I had a re-occurrence, I would have X number of stem cells in the bank.

They came in with my stem cells. The nurse practitioner said, “Mr. Proctor, we’re going to put 4 million stem cells back into you.” My wife and I looked at each other and said, “Is that too much? We were told no more than three and you’re putting in another million. What is that going to do to me?”

After going through it, it helped me recover, but the roller coaster ride that I had to deal with was just horrible.

Gregory P. treatment
Gregory P.
Side effects of the stem cell transplant

I came home for 14 hours, spiked a tremendously high fever, which my wife could not even read on a thermometer, rushed back to the hospital, and ran through an excruciating series of tests to look at all different types of infections.

On the 8th day, the conclusion was engraftment syndrome. That in itself was very scary.

Initially, you hear a lot of bad things with regard to stem cell transplants. Your doctors are prepping you and ensuring that not only do you have the mental fortitude but also the physicality to get through it.

I had gone from 185 lbs to 225 lbs, which was very concerning because I’d never been that heavy before. Once I was admitted into the hospital and started the melphalan then the stem cells, I didn’t want to eat. I had no appetite. No strength.

I was very, very weak. I felt like my mind was still intact, but my body was doing something of its own. That was very scary. You feel as if you’re in control but you’re not.

I went through the first 3 or 4 days very lethargic, tired, sleepy, and just somewhat coherent. Then I hit the point where your body is at its lowest point of immunity and you start to rebuild. I went through a cycle of vomiting and nausea. They had me on a lot of medications so I didn’t have much fever.

It was an experience that I can only describe as riding a roller coaster at full speed, coming off the steepest fall that you could imagine, and then having your head thrown back as if you’re catching a tremendous amount of g-force and trying to hold on for dear life.

You’re praying to the good Lord above every single day saying, “Please don’t let me die,” because no one’s bringing you any answers.

When no one’s bringing you any answers that you can wrap your mind around, all logical premises or notions go out the door. What do I have to rely upon if I can’t trust modern medicine? You only can rely on faith.

Every time, they came into my room and said, “We’re going to take you down. We’re going to run this test. We’re doing this. We’re doing that. We’re taking your blood. We’re checking for this. We’re checking for that. Sorry, Mr. Proctor, we don’t have an answer for you.”

If I wasn’t with fever, I think I would have said, “You know what? Let me out of here.” It was so frustrating dealing with inconclusive information.

I had so many doctors checking on me all the time because everybody was puzzled as to what was happening.

My private transplant doctor and the hospital doctor were at odds with each other. You could see the friction and intensity building up between them. One’s saying, “We may have to give him a blood transfusion if we can’t get his fever down,” and all these other things.

My wife and I said, “We don’t want a blood transfusion if my counts are where they need to be.” At the time, we didn’t know anything that can resolve this. They kept me on a slow drip to keep my fever under control.

Finally, around the seventh day, they came in and said, “We believe this is engraftment syndrome and we’re hoping that this will run its course,” considering that we were now approaching day 21 in the whole process. If my fever was kept under control without the drugs they were giving me, then they would release me.

Gregory P. and doctor
Gregory P. and wife
Managing the side effects of the stem cell transplant

They give you something that’s going to harm you in one aspect and then they give you something to offset that. For me, it was a constant battle of dealing with this back and forth.

Psychologically, it wreaked havoc on me because I’ve never had to deal with an excruciating amount of medication so I was having a hard time trying to cope with it.

Very early on, my doctor said, “You won’t get a medal for how much pain you can tolerate. Take the tramadol if you’re in pain.”

The least amount of this stuff going through my body, the better because I didn’t want to get addicted. I was trying to put myself in a situation where I could think to some extent and not be completely in a brain fog all the time.

Post-stem cell transplant

I get home and the only thing I want to do is sleep. I’m forcing myself to eat, drink, and rest. I only walked 15 miles throughout March. That’s how much energy I had.

As April began to roll around, my wife said, “Let’s see if we can get you out of the house. Let’s walk around the neighborhood and see how far you can walk.”

My doctors were calling and checking in on me. “Mr. Proctor, the more you can exercise, [the more] that’s going to help your stem cells rebuild and help the process move forward.”

We went from walking 15 miles in one month to averaging 10 to 12 miles per week in April. By May, we were up to about 25 to 30 miles a week.

I can only thank my wife and all of my family for helping us. The fruits, vegetables, and everything that was going on helped me rebuild as fast as I did and regain strength not only through medicine but through nourishment. Those were instrumental aspects of my expedient recovery.

Gregory P.
Gregory P. and wife

Follow-up protocol

At the 100-day mark, they wanted to do another bone marrow biopsy. From the time I was diagnosed, it was going to be bone marrow biopsy number four.

We did the biopsy, the MRD test, PET scans, bone density scans, blood work, and everything across the board so we can have solid affirmation.

I’m MRD negative.

I thank not only my team of doctors but the good Lord above that these things have continued the way that they have. There’s been a lot of my work as well — eating healthy, exercising, and the regimen that I stay tried and true to from the time that I was diagnosed.

Words of advice

Do bone marrow biopsy under sedation, even if you have a very high threshold for pain. I did two with local anesthesia only and I would not recommend that to anyone. The last two were under sedation in a hospital. The recovery was so much better.

Once you’re diagnosed with blood cancer, understand that you’re not alone. There are thousands of other patients. Their experience can help you prepare for what is yet to come.

Appreciate every moment. Life is extremely precious. Even though you’ve been diagnosed with cancer, it’s not the end of your journey. We’re known for being warriors. In dealing with cancer, you have to have the fortitude and the mental capacity to see the other side.

Prioritize your health. Before the diagnosis, I was a person that had a sweet tooth. Those are no good for individuals diagnosed with cancer so you have to take it to heart.

Follow the rules. A lot of times, people say, “I don’t want to follow rules. Maybe I want to have a beer, I want to have this, or I want to have that.” The more you follow the rules, the better the outcome will be.

Gregory P.
Gregory P.

I used to drink. I used to enjoy having a candy bar. I don’t do any of that anymore. Everything I do now is based on what I know.

Whatever I consume, whether I made it myself or my wife made it herself or it’s from the restaurant we frequently go to, we know that things are made from a natural standpoint. I can’t emphasize that enough. Your body needs those nutritional elements.

Spend time with loved ones. You’re dealing with a circumstance, which is overwhelming psychologically, mentally, and physically. Have that affirmation of positivity around you all the time.

You’re dealing with so many things that are coming at you at once, whether financial toxicity, insurance, treatment routines, medications, or scans. You don’t control your life very much so when you have that time, embrace that to the fullest.

Don’t take anything for granted. Ensure that you live life to the fullest. They call me G 2.0. Put your attention to what makes you happy. Don’t let anybody steal your joy.

I was in the Navy and stationed overseas when I found out that my cousin had passed away from leukemia. He was a few years older than me — in his late 20s, maybe early 30s. He was on the list waiting for a donor for him to get a stem cell transplant. His body was unable to hang on.

I never knew about anyone in my family having any type of illness. As I grew up, even in the generations preceding me, we don’t talk enough about what’s going on in people’s lives. What we don’t realize is the impact and the implications of being able to share that information go a long way.

It’s really important to open up when you’re dealing with adverse situations, particularly with health or illness. There’s so much information out there. When you’re trying to find out genetics, you want to know if it’s in your family or the likelihood of it striking someone in your family.

Very early on, I wanted to share my journey, bring forth awareness, help people understand what I’ve gone through, and what they should look for. If I could do that and help one person, it would be of significant value to me.

I have thousands of people reaching out to me from all over the world. I do realize the aspect of being able to be vulnerable, to be transparent, to enrich others, and to provide that sense of empathy and compassion. Those go a long way.

Gregory P. and wife
Gregory P. and wife

Gregory P. feature profile
Thank you for sharing your story, Gregory!

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Categories
Breast Cancer Cancers Invasive Ductal Carcinoma Mastectomy Patient Stories Radiation Therapy Surgery Treatments Uncategorized

Cynthia’s Stage 2B IDC Breast Cancer Story

Cynthia’s Stage IDC Breast Cancer Story

Cynthia was someone who never missed an annual mammogram. Then in 2018, her mammogram revealed possible distortion. She was later diagnosed with stage 2B invasive ductal carcinoma breast cancer.

Her doctors revealed that the tumor may have been growing for 5 years, but was missed in previous mammograms due to dense breasts. 

Out of feeling alone and uneducated about her diagnosis, Cynthia began Learn Look Locate, a growing global community for those with breast cancer that champions cancer education and support.

Cynthia shares her cancer story with us, the importance of being a patient advocate, and her hopes of educating people on breast cancer in a world where it is becoming increasingly common.

Cynthia is the founder of Learn Look Locate, a breast cancer community
  • Name: Cynthia J. 
  • Diagnosis (DX):
  • Staging: 2B
  • Symptoms:
    • Architectural distortion on mammogram
  • Age at DX: 52
  • Treatment:
Cynthia's cancer timeline from diagnosis to her present work at Learn Look Locate

I was never educated on the risk factors of dense breasts, so I decided to start a global movement myself because I feel like this is a piece of the puzzle that is definitely missing.

Cynthia J.

This interview has been edited for clarity and length. This is not medical advice. Please consult with your healthcare provider for treatment decisions.


Diagnosis

Tell us about yourself

I am Cynthia Jordan and I am a breast cancer survivor, stage 2B. I am passionate about hiking and educating women about their breast health. I love Goldendoodles, biking, and tennis. And I’d say I’m a pretty positive person despite it all.

Did you have any symptoms?

Never. I got normal mammograms for 13 years and had no sign or symptom that I was walking around with a walnut-sized tumor. I was never informed that I needed additional screening. I was never educated on the risk factors of dense breasts, so I decided to start a global movement myself because I feel like this is a piece of the puzzle that is definitely missing. 

I had done numerous breast cancer campaigns in my lifetime and felt completely uneducated and unaware of how complex this disease is. I started Learn Look Locate and it’s become a global movement because it needs to be done. Breast cancer, in many ways, can be silent, painless, and misdiagnosed. It’s on the rise so much. I don’t think people are aware of how many people are getting hit with this.

Cynthia received annual mammograms but doctors believe her tumor had been growing for 5 years

I was never educated on the risk factors of dense breasts, so I decided to start a global movement myself because I feel like this is a piece of the puzzle that is definitely missing.

What did you think when your mammograms revealed you had dense breasts?

Nobody sat down and educated me and said, “You have dense breasts. You need supplemental screening.” So I had a walnut-sized tumor that was missed for possibly 5 years.

I got letters that said I had a normal mammogram with dense breasts. This is how uneducated and stupid I felt – I was like, at least they’re not fat, and I went on my merry way. I had no idea that I was walking around with some sort of a ticking time bomb because of the lack of education. 

What’s happening nowadays is even women like myself who are getting normal mammograms – and there are so many that aren’t – are not educated to turn to their gynecologist and say, “I got this note. It says ‘dense breasts.’ What does this mean?” Nobody sat down and educated me and said, “You have dense breasts. You need supplemental screening.” So I had a walnut-sized tumor that was missed for possibly 5 years. 

A lack of education on breast health

I’m not special. I will tell you my story. I’m only [telling] my story for more education, but in a way that resonates. Because if we don’t do this in a way that women are going to really pay attention, they’re going to walk around with late-stage breast cancer with dense breasts and not be aware that they need to advocate for themselves. 

I honestly don’t care how busy a doctor is. If they can’t give a patient like myself the time to really educate me, something’s wrong. Education, in my opinion, is so lacking – from prevention to genetic testing, to understanding the depth of what mammography is and what it’s becoming. Artificial intelligence is now helping radiologists detect cancers more accurately and helping with reducing callbacks, which is very stressful for women. I could go on for hours about the journey of [what happens] once you get hit with this.

The rise in breast cancer cases

Many of us, including myself, are walking around thinking this is not going to happen to us. But not only is it happening, it’s happening to more women in their 20s and 30s who have no access to screening whatsoever.

I never knew. I had no idea it was walnut-sized, 3.7cm. I was not aware that while I was hiking and biking and living my life so normally, I had a tumor. That is the scary part about this disease. For many of us, it can be very silent and very painless. 

It wasn’t until I got that letter that said, “We see something suspicious, you need to come back.” I have no family history of breast cancer whatsoever. 80 to 85% of women who get diagnosed have no family history of breast cancer. That is a very high percentage. 

Many of us, including myself, are walking around thinking this is not going to happen to us. But not only is it happening, it’s happening to more women in their 20s and 30s who have no access to screening whatsoever. So I never felt it and I never once did a self-breast check. I blew it. I’d never thought I needed to. It just wasn’t talked about.

When did you discover something was wrong?
Doctors told Cynthia they saw an architectural distortion on her mammogram

In 2018, when I got diagnosed, that’s when I got a letter saying, “We see an architectural distortion.”

They called me back and I got the ultrasound. The ultrasound technician can’t tell you what they’re seeing. All I knew was she looked at me and I looked at her and she gave me a Kleenex, and I knew I was on my way to a very difficult time. That’s how I knew, and then I got the biopsy.

How did you react to your diagnosis?

I got diagnosed on 9/11, which was really hard to process because that day is incredibly important. Because they showed me on the screen, I was in shock. I did not want to believe it. I think it’s all the uncertainty of not knowing what stage is it, do I need chemo, and the anxiety around the word cancer. 

I was hysterical. I was screaming, “Take me to Moffitt!” The cancer center in my area. You can’t process the sounds of those words. I still to this day can’t believe it. My father did have lung cancer, so it’s not like the word cancer wasn’t part of my world. 

It’s just too many young women getting this. I have no sympathy for myself because the young women don’t deserve this. We’ve got to find a way to stop it, get ahead of it.

»MORE: Patients share how they processed a cancer diagnosis

They pulled up on a black screen and blew up the imagery. They said, “It’s 95% [likely] that it’s breast cancer.”

What were the next steps?

My gynecologist was leaving the practice and she said, “Good luck.” Another one bites the dust, is how I felt. Then I went to get the biopsy within the gynecologist group and they did the biopsy. 

I actually knew I had breast cancer before I had the biopsy because I was so adamant to ask them. So they pulled up on a black screen and blew up the imagery. They said, “It’s 95% [likely] that it’s breast cancer.” I sat there getting a needle, which is very painful, and they said, “You’re doing great.” I said, “You just told me I have breast cancer.” 

Treatments

What treatments did you undergo for breast cancer?

I had small boobs so nobody was going to miss them. They thought a lumpectomy would be silly and we might as well just get them off, and I wanted it off.

A couple of days later, I called and said, “Take them both off.” The breast surgeon had said, “You shouldn’t take off healthy breast tissue.” Ironically, after the surgery, I had atypical hyperplasia which means precancerous cells in the healthy breast. So this might have happened again. She said, “Good call.”

I wound up getting radiation because I did have cancer in my sentinel node, which was a surprise to the doctor as well. It was very small. I had 25 rounds of radiation. The stiffness is very painful. 

»MORE: Read more patient experiences with surgery

Did you have any other side effects from cancer treatments?

I did develop a severe skin allergy. I am now severely allergic to anything that has fragrance and this has never happened to me in my lifetime. If perfume gets on my skin or Lysol disinfectant wipes, my body will break out into severe sores that are so painful that I have to scratch them almost until they bleed. I’m very fortunate that I did not need chemo, but for a lifetime now I have to be extremely careful. My whole system got whacked out. 

“The body and the nerves are cut, so they don’t know what to do. Nobody talked about this. It’s like, ‘Oh my God, what’s happening to me?'”

I want anyone who’s listening to this to recognize that radiation does upset the immune system. I asked, “How does this happen?” [My] dermatologist said that our bodies develop allergies at any point in time. Then they’re there forever, which is really sad.

»MORE: Cancer patients share their treatment side effects

Describe your mastectomy 

Basically, they removed them. You go to sleep and they call it “Batwing.” They strap you in, then you wake up and you’re in a really tight corset. Then you have these – I’m not going to candy-coat it – really disgusting drains that are inside you to drain out any excess fluid. 

Through my work at Learn Look Locate, I understand now, what that means. The body doesn’t know what to do so this is very foreign. You wake up in this tight corset and you’ve got the drains for a couple of weeks and you’ve got to have somebody help you drain them out. To me, it was so gross. 

Then there’s the pain. The body is healing and trying to figure out what’s going on. Why I do what I do with Learn Look Locate is to educate women, because I felt like there were bugs all over my body. Nobody explained that that is called phantom nerve pain. The body and the nerves are cut, so they don’t know what to do. Nobody talked about this. It’s like, “Oh my God, what’s happening to me?” 

Over time, I now feel somewhat normal. I still feel, even right now, duct tape. I don’t have duct tape on me, but I feel like there’s duct tape on my body because the scars are tight and you can’t feel. If you have an itch, many women will agree with me that you can’t feel anything. 

Options available to breast cancer patients

Thank God, with the work that I’m doing with doctors like Dr. Anne Peled, who developed sensation-preserving mastectomies, she is a survivor herself. So, women who are listening, I want you to know that there are a lot of advances being made. 

They’re taking nerves from other places and being able to put them into your breast area. I didn’t know anything about this, so a lot of great stuff. A lot of that is on my website at Learn Look Locate, the cutting-edge treatments and advances going on. It’s really important that we are aware. We didn’t know about restorative tattooing. I didn’t know about DIEP flap reconstruction. Again, all of this I have at the ready because I want women to know there are options, there are choices.

Women who are listening, I want you to know that there are a lot of advances being made.

Did you get scans after radiation? 

I don’t think I got a scan afterward. I had the surgery on October 16th, radiation ended at the end of January, then they checked me a couple of times. That’s the part most survivors would tell you, then you’re on your way and you’re supposed to be normal. It’s not so easy. I’m trying to figure out how to navigate the new normal and your identity. 

So it’s just normal follow-ups. You see the breast surgeon and I’m about 4 years out. My goal is to help inspire people that they can get through this, that it’s not easy, and that we reach out and try to share our stories so that we feel connected and understood.

Mammograms & Screenings

What’s the difference between 2D and 3D mammograms? 

2D only looks in two-dimension when they’re looking at the breast and 3D is lots of slices of imagery and then layer artificial intelligence on top of that. They can detect cancers so much more accurately having the 3D. I don’t know for sure because I didn’t have it, so I don’t know, but why wasn’t I even offered it? 

The mindset of “I don’t have family history” is unbelievably strong. I should make a post about this because I am that person. So many of us feel that if we don’t change that mindset, women will not ask for 3D, understand the power of artificial intelligence and get ahead of this in a way that you’re advocating for yourself so that you can be detected early.

How often did you get a mammogram? 

Every year I did. I’m not one of those women that missed. 

A woman that I met at Kohl’s the other day said, “I haven’t gone in 4 years. It’s too expensive.” This is what’s going on out there.

I don’t want to scare people, but I want to educate them and I want them to realize that I never felt sick. In some cancers, people see symptoms. I had no symptoms and I had no way of truly knowing.

A ribbon is not awareness. It’s just not and I love that we have them, but it’s not doing the job. It’s time we wake up and realize that when you break down this disease, the layers and the levels of what is going on are never-ending on the good and the bad.

Understanding cancer grading and staging

I asked the cancer center, “How long was the tumor growing?” Possibly 5 years. Don’t quote me on this, but I want to make sure I say it correctly. I have learned that it takes up to 1 to 2 months for a breast cancer cell to divide and it takes a long time for a tumor to be detected. For it to be where you can feel it could take a long time. 

People need to understand that just because the size of the tumor – mine was quite large – that doesn’t mean that it’s aggressive. A small tumor could be very aggressive, so there’s a lot of misconception. 

I want to help people understand the difference between staging and grading. Staging is, did it leave the body I was staged to be? Yeah, it left. However, if your grade is 1, looks more like normal cells, but still cancer cells. But if you’re grade 3, that’s much more aggressive. Nobody sits down and really explains that to you, really understanding your pathology report. 

I did read my mammogram and I can’t believe that in 2017 I had a normal mammogram, yet there was a tumor there

On my website, I have a pathologist and I interview her. If I had had this when I was diagnosed, all the questions that went in my head, I didn’t understand any of this. What is invasive ductal carcinoma mean? DCIS needs more awareness. I have a whole page on types of breast cancer with faces behind it. Survivors were telling their story with triple negative, triple positive, and lobular. Were people behind these statistics? That’s also part of my work.

Did you ever ask your doctors how they missed the tumor previously?

The gynecologist left and I didn’t start this till maybe 7 months afterward. I didn’t really go back. I did read my mammogram and I can’t believe that in 2017 I had a normal mammogram, yet there was a tumor there. Think about that for a second. It’s pretty mind-blowing. 2018 is when I got diagnosed. In this, this tumor was hidden. I never did a self-breast check. Even if I did, what am I looking for?

The importance of advocating for yourself as a patient

Speak up for yourself and ask for the supplemental screening, especially for those that have dense breasts. I did a post on TikTok about this. It has 200,000 views. It was about, if you get this little letter that says you have dense breasts, it’s a red flag. Please ask for supplemental screening. Look what happened to me. Don’t walk away and think you’re okay. If people say it costs money, that’s where you talk about charities and stuff like that. 

Somebody should help women get that supplemental screening. If companies are going to get behind the ribbon and donate, get behind another screening for the woman who has the dense breasts letter. That’s a great idea. 

»MORE: How to be a self-advocate as a patient

Reflections

I’m trying, in my survivorship, to educate so that we are empowered with the knowledge of understanding this very complex disease.

Cynthia has made it her mission to educate people on breast health
How did you cope with your diagnosis? 

I don’t think people really understand that this is forever. And because of the work I do, I really live it. You need to try to move on. You need to try to not think that reoccurrence could happen. You need to really thank yourself. 

Also, look at some of the positives that have happened. I wouldn’t be sitting here talking to you. The impact that I’m having on women globally and men and doctors working together to help change this. It’s very much like what you guys are doing. 

We’re people and this has been hard. If we don’t make it real and we don’t share the emotional side, then this is a wash. You can’t expect to have body parts removed and see yourself in the mirror every day and think, “I’m okay.” No, it’s not always the case. 

Survivorship is a mental game in some ways. I have a lot of gratitude for being alive because there are so many young people dying. I don’t know why this is happening, but I have survivor’s guilt. I feel it’s important that every day we are thankful that we’re cancer free. 

There are so many people getting hit with this and it’s not our fault. Our bodies just made genes that we didn’t know what to do with, and they kept copying them. I’m trying, in my survivorship, to educate so that we are empowered with the knowledge of understanding this very complex disease.

What inspired you to start Learn Look Locate? 

I think my biggest aha moment was [learning] what does a tumor feels like. How are we supposed to know? We have no idea. I was a fortunate woman to get mammograms. However, I was only getting 2D. I should have gotten 3D. So forget the education, what about young women who don’t have a concept of what a tumor could feel like? 

I started this because I couldn’t sleep at night saying, “Wait a second. If I didn’t know this, then I bet there are a lot of people that don’t know this.” So I reached out to many doctors and one of them actually said she carries a small, jagged rock, smaller than a dime, to show women to feel what a breast cancer tumor could feel like. And that is my aha moment. 

I developed a post that shows a dime and a little stone in bright colors that says, “What could a tumor feel like?” I post this often. Then I started connecting with patients and sharing stories. If we don’t share our stories, other women aren’t going to understand breast cancer shows up in many different symptoms. 

According to Cynthia's doctor, a tumor could feel like a jagged rock that's smaller than a dime

Paget’s disease needs so much more awareness, inflammatory breast cancer, and lobular breast cancer. It’s ridiculous. Then, working globally to bring people’s voices forward and creating a platform and a community for people all over the world to come to, to feel inspired and educated and connected, because I felt very alone. I felt very uneducated, overwhelmed, and scared, so I started this. 

Where did you turn when you learned you had breast cancer?

I have a very strong affiliation with Imerman Angels. They provide 1 to 1 mentor support and they are unbelievable. I was educated through them, through my angel. [I asked them questions]. How do I know if I need chemo? There’s a test for that. How do I know if I need to stay on endocrine therapy? There’s a test for that. 

I am obsessed with the fact that there are a lot of companies and some amazing physicians doing incredible cutting-edge work, especially with brain metastases. It is a very difficult topic. However, I work with my radiation oncologist for Learn Look Locate, Dr. Ramji Rajendran in Chicago, and there are treatments like RapidArc® and Gamma Knife. These are types of radiation that are only offered at certain centers. But if we don’t get this information out there, some woman who’s living in a rural area might not know and it could be life-saving, so I want to bring this type of information to the forefront in a way that people can understand and relate not only to survivors but to the doctors. 

Dr. Ron Israeli, the plastic surgeon who is part of my mission and is so kind and educating women on breast implant illness, helping with flat advocacy, which needs so much more work. I could go on and on because every day between genetic testing and screening, education is lacking. I’m trying to bring it all in one place – by myself, which is really hard – to make it easier on people to understand and get ahead of this and be comforted with guidance along the way if you are diagnosed.

Building a cancer community

I just want people to know I started Learn Look Locate because I know for myself that I Googled like crazy and there’s a lot of information out there. That is why I’m working with top physicians to help me bring this information to the forefront. 

I myself have an online community that is moderated by a medical oncologist. I just launched this. It’s associated with Dana-Farber and other cancer centers so people can come, patients being treated throughout the country so you can connect and relate. Just take a deep breath and know that there’s a lot of us that have gone through this. 

The importance of sharing your cancer story

Your work is incredible on all levels and I’m very touched by the work that The Patient Story is doing. I think it’s lovely. My father had lung cancer. I believe that every cancer should have a place that is warm and welcoming and connecting and inspiring and take one day at a time I wish I had someone say that to me because I never thought I’d be in the place where I am now. 

Whoever is watching this, I’m going to give you a big hug because that’s what I needed, and say you’re not alone.

I never thought I’d get out of this very dark place, and it was dark and scary. I guess fear goes like this over time, but knowledge is power. And for me, the more I gained information about my disease and my journey, it put me at peace. 

That’s why I like Learn Look Locate. Because if you learn, you can feel a little bit more empowered. Don’t let someone tell you you’re ER-positive and you need this, that, and the other. Get in there and understand it so that you can know what your treatment is and then connect with people who’ve been there because they can help you too. 

Whoever is watching this, I’m going to give you a big hug because that’s what I needed, and say you’re not alone.

Where can people find you and the work you’re doing?

Anyone can follow me. Pinterest, Instagram, TikTok, and LinkedIn. The website is my legacy. That’s my closing word. It’s my legacy, so that nobody goes through this scared and alone and uneducated and not connected.

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Categories
Caregivers Spouse

Carley’s Caregiver Story

Carley’s Caregiver Story

Carley G. feature profile

Carley’s husband, Josh, was diagnosed with stage 4B Hodgkin’s lymphoma at 26. After experiencing subtle symptoms that eventually escalated, a trip to the emergency room, a lymph node biopsy, and a PET scan determined he had cancer.

Overnight, Carley took on the role of caregiver, navigating through cancer and providing Josh the support and care that he needed — not a typical life for a young, newlywed couple in their 20s.

She shares how she processed the diagnosis, how she coped with the ups and downs of being a family caregiver, and how she readjusted to life after cancer. She highlights the importance of finding support as a caregiver and trying to take care of yourself.

In addition to Carley’s narrative, The Patient Story offers a diverse collection of caregiver stories. Spouses and partners of former cancer patients share their own experiences from processing a diagnosis to undergoing treatment and side effects.


This interview has been edited for clarity. This is not medical advice. Please consult with your healthcare provider for treatment decisions.



Introduction

My name is Carley and my husband Josh was diagnosed with stage 4B Hodgkin’s lymphoma in May 2022. Luckily now, he’s in full remission and doing well.

I was his primary caregiver at the time. I took on the role almost immediately.

We were actually boyfriend and girlfriend. We had been together for seven years or so. My birthday is April 29th and he was planning to propose on April 30th. We had a day trip planned. His sister was going to take pictures. We had the engagement ring hiding in our basement.

The day that we went to the emergency room, we came home and after we made some phone calls, we went down to the basement. He pulled out the ring and told me he doesn’t want to go through this with anyone else. We were engaged for a few days.

To benefit us and protect us through this entire journey, we decided it would be best to go into this as husband and wife. We got married in a very small ceremony with just our parents.

Read Josh’s stage 4B Hodgkin’s lymphoma story here »

Carley G. with husband Josh
Carley G. Josh on the couch

Noticing the initial symptoms of Hodgkin’s

In April, a few people brought up that he didn’t look very well. He was having a lot of symptoms of [what] we now know was Hodgkin’s lymphoma. We decided to go to the emergency room to get things checked out.

The ER doctor essentially told us it was very likely that he has Hodgkin’s. He was officially diagnosed in May.

He did 12 rounds of chemo. He’s had a few PET scans since his treatments ended and he’s doing really well.

We tried to backtrack: when did this start? I don’t think we’ll ever actually figure it out. 

He was experiencing a fever [and] not feeling well. We both remember St. Patrick’s Day 2022 was the first time where he had some sort of symptom happening.

Some of his other symptoms were itchy skin and we chalked that up to wintertime and dry skin. He also was anemic so he was really cold all of the time and not able to regulate his temperature.

He lost about 10 pounds, which we didn’t think much of. He had a pretty large lymph node in his clavicle that popped up overnight. He ended up having a lymph node pressing against his trachea, which was causing shortness of breath.

Once we figured out that he had Hodgkin’s lymphoma, it made so much sense because he had every single symptom. If you were to Google all the symptoms, you could check off every single one.

We were with friends on Easter weekend. I was actually pulled aside by some of my friends and they told me that he looked yellow. At that point, his symptoms started coming together and we knew something was going on.

He had a doctor’s appointment scheduled. He bumped it up sooner. When they told me that he looked yellow, that definitely sent off some red flags in my head. I don’t think I noticed it because I live with him and see him every day.

On Easter Sunday, I went to my mom’s and he went to his parent’s house and they all identified that he didn’t look right. His dad saw his lymph node and said, “Something’s definitely going on.” His sister is an emergency room nurse so she suggested, “Come up to my hospital and we’ll take a look. We’ll run some labs and see what’s going on.”

All of it was a hard reality. I still don’t know if we fully have wrapped our heads around what’s happened. Everything happened so fast.

Carley G. with husband Josh
Carley G. with husband Josh

My family works in the medical field as well and I was telling them all of the symptoms that he was experiencing. We called the lymph node “the lump” at the time. My stepdad said, “It’s one of three things. It’s a lipoma, a lymph node, or a tumor — and you really want it to be a lipoma.”

I mentioned to my mom, “I might take some time off work.” She said, “Maybe save that time. You might need it.” I don’t know if they knew, but I think they knew something was going on.

The day after, I woke up out of my sleep and got on my phone, which I never do. I got on TikTok and the first video that popped up was someone standing in a hospital gown and it had all of his symptoms, which were the same things that Josh was experiencing. Then it cut to the next picture and it said he had stage 4 Hodgkin’s lymphoma, which turned out to be exactly what Josh had.

This is definitely not good. I realized this might be worse than we thought, but I still had a lot of hope driving to the hospital, sitting there, and waiting for the results.

I even told Josh, “We’re going to leave there, feel silly that we even went, and have a big medical bill that we have to deal with.” But, unfortunately, it was cancer.

I don’t think I really wrapped my head around that or thought that was a possibility. I just kept thinking, It’s going to be okay. Everything’s going to be fine.

Coping with a cancer diagnosis

It was definitely hard. On his first day of chemotherapy, we were supposed to be going to Florida for a vacation and he ended up in the chemo chair.

All of it was a hard reality. I still don’t know if we fully have wrapped our heads around what’s happened. Everything happened so fast. So much happened in less than a year.

When we found out that he had cancer, we didn’t Google anything. We weren’t looking anything up because we didn’t want to scare ourselves.

As we got to know the oncologist and some of the doctors in the office, they all assured us. They say it’s the best kind to have because it’s curable so that stuck in my mind at least and I think in his, too.

The fight’s not easy. The treatment is definitely not easy, but the cancer is one that is curable. The ER doctor actually said to us, “If you get cancer, this is the one you want.” I don’t think anyone wants cancer, but I guess that’s their way of trying to help [you] realize that it isn’t the worst type and it’s curable. But it was hard to hear.

Learn more about dealing with a cancer diagnosis »

Carley G. with husband Josh
Carley G. painting Easter eggs

Seeing a therapist for mental health support

I go to therapy a lot. My therapist definitely helped with navigating a lot of my feelings and emotions around Josh’s treatment and his cancer. 

I was actually going to therapy before his diagnosis. I started in January and we knew something was going on in April so I was established with my therapist. She already knew about my background, about Josh, and a lot of things in my life so that was definitely so beneficial.

I would recommend [getting] a therapist, especially going through something like this, whether you’re a caregiver, a patient, [or] a parent. There are so many feelings that you have and you have to keep them in check.

Most of the time, I would work in the room where he was so he could have someone with him because it was isolating and lonely.

Shifting to the caregiver role

Caregiving was definitely an adjustment. Josh and I lived together, but we were both very independent. We had our own roles in our house. He does a lot of the cooking and grocery shopping; I didn’t really handle any of that. Overnight, I took on everything.

I know not everyone’s in this position [but] I made it very clear, “Your job is to get better. That’s your full-time job. You take care of yourself and show up for yourself. That’s all you have to do. I’ll do everything else.”

Luckily, he didn’t have to work so he was home every day from the day that he was preliminarily diagnosed at the ER to a little bit after his last treatment.

I took care of pretty much everything with a lot of help. I couldn’t have done it without family and friends that surrounded us, lifted us up, and helped us.

I worked the entire time. My work was very supportive. Josh’s work was very supportive. We also couldn’t have done this without them, for sure.

I worked from home Monday through Friday so I was able to be here giving him his medicine and making sure he was eating breakfast and drinking water. If he needed anything, whether it was needing something physically [or] emotionally, I was available.

Becoming a caregiver overnight was hard. You’re in survival mode from the time you hear what’s going on until treatment ends and living in survival mode for so long was definitely a challenge.

Carley G. with husband Josh
Carley G. with husband Josh

Most of the time, I would work in the room where he was so he could have someone with him because it was isolating and lonely.

There were times [when] I would have to go into the office. I’m very lucky to have the family and friends that we have. Family would come over and hang out with him if I had to go somewhere or do something.

I did all of the grocery shopping and cooking even if it wasn’t very good. We utilized a lot of resources. I would do grocery pickup orders so I wasn’t spending time walking around the grocery store. We use things like a meal kit delivery service, which were just helpful.

A lot of [our] family would bring over meals so we wouldn’t have to worry about making something every day. The grocery pickups were definitely helpful and even our families would pick up things for us when needed.

We were at the house majority of the time. [With] COVID, we wanted to be really careful so we didn’t go out and do much. I didn’t want to get something and bring it home to him.

When I did leave and go to a store, I would always wear a mask and really try to protect myself. My parents got us really nice air purifiers to keep the air in our house clean and to keep Josh as safe as possible during everything.

What to remember when your partner is diagnosed with cancer »

Ups & downs of being a caregiver

Becoming a caregiver overnight was hard. You’re in survival mode from the time you hear what’s going on until treatment ends and living in survival mode for so long was definitely a challenge.

It was a lot. I feel like I probably didn’t take care of myself as much as I should have and I don’t think many caregivers do.

Josh would encourage me to do things, especially in the beginning. He paid for me to get a massage and a facial, which I will forever appreciate.

But as treatment went on, it got a little bit harder to care for myself and make sure I was doing things that I needed to.

I wasn’t leaving the house, which can be a challenge. I didn’t want to leave him alone. I wanted to support him in any way possible so we were together a lot. We have a dog and two cats. I would walk the dog around the block.

I met with my therapist once a week for an hour to talk about me, Josh, and what was going on. She always gave me great advice on how to care for myself and what I need to work on until we meet again so that was always helpful.

Carley G. with husband Josh
Carley G. with husband Josh

When I did leave the house, I tried to take advantage of it. I had a caregiver card for medical marijuana, which was legal in our state and a big help for Josh. I would go to the dispensary once a week. I would drive with the windows down, listen to some music, and try to enjoy a few minutes out of the house.

I’ve never cared for a parent [or] a grandparent. No one in my family and Josh’s immediate family has been sick to the point that [we] needed to help out in any way. Cancer was so new to us.

I learned a lot about the medical field, health insurance, Hodgkin’s lymphoma, and chemotherapy. I call it knowledge that I never, ever wanted but now I have so much of it. It was definitely a hard transition. I found myself Googling all the time.

Luckily, the hospital where Josh went gave us this big binder that has a lot of questions and answers. We were able to utilize that a lot. We had to utilize a lot of resources like calling the doctors on the weekends or asking a lot of questions when he was going to treatment.

I even found some challenges after treatment. I found myself feeling protective. We would go out to a bar and I’m looking around to make sure everything’s okay. It was hard for me to realize he was going to be okay.

Reaction to no evidence of disease

We got that phone call after his sixth treatment. I was in the room with him and I heard them say, “No evidence of disease.” I just fell to the floor and cried.

You see someone go through all these awful side effects from chemotherapy. You hope it’s working. I’ve never been so happy and thankful to know that it was working.

He was actually feeling better. His lymph node was going down. The symptoms from the cancer were going away, but the side effects from the chemotherapy were increasing.

In the back of our minds, we thought, This is going to be good, but we never expected it to be that good only halfway through. Once his treatment ended, he got another PET scan; that one was also no evidence of disease.

It’s such a great feeling to know that all of the work that he put in and everything that he went through, as unfortunate as it is, actually worked and that he is able to live such a good life after treatment.

Carley G. with husband Josh
Carley G. with husband Josh

Readjusting to life after cancer

With things being more normal and him being healthy, it’s like, what just happened?

I’m very thankful and so happy that he’s able to get back to normal life, but it was hard. We were together basically 24/7 for months.

He went back to work and he’s able to drive his car now. We have some days where we don’t really see each other until the evenings.

At first, that was really hard for me because I’d miss him. You would think after spending so much time with someone, you would need time away.

As bad as this whole situation was, it brought us so close and we have this bond that we’ll never have with anyone else. I don’t wish this experience on anyone, but a positive that came from this is that we are so bonded and so close.

Regaining independence from each other

When they gain their independence back, you’re kind of lost. You’ve dedicated 24/7 to this person, making sure they’re getting where they need to be, doing what they need to do, and then, one day, they don’t need that anymore. Again, it’s amazing but hard. What do I do now?

I joined a gym, do workout classes, and try to walk the dog more. I try to embrace the independence that I’ve gained.

Even though for most of my life I wasn’t a caregiver, you just get so involved in that role. It becomes your life essentially. It’s hard to transition back, but I’m happy to be back where we are now.

When you don’t have to do that anymore, it’s like finding yourself again, finding your own independence, and doing things that you enjoy and that bring you joy.

I wasn’t able to leave the house for too long [while] he was going through treatment. Now that I’m able to come and go as I please, it’s a newfound sense of independence.

Carley G. bridal shower
Carley G. and Josh engaged

In sickness & in health

When we found out that he had cancer — girlfriend, fiancee, wife, I didn’t care what it was — I was going to be by his side and take care of him.

It’s actually ironic. A month or so before he was preliminarily diagnosed, I was putting lotion on his legs because he had been so itchy. I told him, “If you ever got sick, I would be such a good caregiver.” Weeks later, I became the caregiver.

It wasn’t all rainbows and butterflies. When people get engaged, they have time to plan a wedding, go wedding dress shopping, go to a bachelor and bachelorette party, and have this giant party. We didn’t get any of that and it wasn’t by choice so that definitely was hard.

They always say your first year of marriage is the hardest and that proved to be very true with us. Our first year of marriage was unlike a lot of people’s, I’m sure, especially being so young. We were going into this journey as husband and wife and as patient and caregiver. They were all new territories for us so there were definitely some challenges.

But we have a bond like no other and I know that we can get through anything. When we said our vows, “in sickness and in health” definitely stuck out to me. Marriage or not, I would have been there and done everything I could.

I would do it again if needed. I’m honored to have been able to help him get through such a hard time.

Keeping watch

When the PET scans and blood work come up, I do worry about those. When we go to appointments, it’s always a potential that something could happen. But he’s had great scans and appointments so far. Hopefully, it stays that way.

When we go places, he does his thing. I don’t worry anymore about where he is and what he’s doing. We’re not as dependent on one another, which I think is a good thing.

Carley G. Josh during treatment
Carley G. anxiety queen

Dealing with scanxiety as a caregiver

For a caregiver, at least for myself, and for Josh also, when you initially get that scan, things are good for a little bit. You don’t really have to worry. You know everything’s the way it should be. As it gets closer to your next scan, that’s when I feel like the anxiety starts to heighten a little bit.

My way of managing my anxiety is helping manage his. We have a lot of discussions about when the scan comes around. I take him to a scan, we ride in the car together, and we ride home together. We’re a duo.

He uses Ativan, which helps calm his nerves. We had a bad experience with one of his scans. He was pretty anxious and he forgot to take Ativan. We tried everything.

We were at the hospital where he got his treatment. We tried to get him some Ativan so he could relax for his scan. [With] PET scans, you have to stay really still and that can be hard when you’re anxious. It didn’t work out so it ended up being a really rough day for him.

I found a travel medication container that fits in my purse. I labeled the little holders with the medication, what it’s for, and how often you can take it. I put Ativan, Queasy Drops, Tylenol, and a few others like Compazine [and] Zofran.

If he had a headache, I could give him some Tylenol. I try my best to help him manage his anxiety, which helps me in a way.

For me, therapy is such a big help, being able to bounce ideas off of an outsider.

Learn how you can cope with scanxiety »

Carley G. Josh's medicine kit
Carley G. with husband Josh

Finding a caregiver support group

We did a local, in-person support group, which was amazing. We found an online Hodgkin’s support group; that was a little triggering for Josh and I didn’t stay in it very long.

I did meet someone through that who was also a caregiver around my age. Her boyfriend is around Josh’s age and he had the same cancer, just stage 3. She has been such a grace in my life. She and I talk frequently. She validates so many of my feelings and I think I do the same for her.

I have a lot of friends here [and] we have a lot of family here, but talking to her is different because she is going through the same thing. She understands all of the emotions, mood swings, and everything that comes with life before, during, and after cancer.

I really appreciate everything that she’s helped me get through. Support groups definitely are something that I would recommend to anyone, in person or online.

Finding someone who can relate to you and you can relate to is really helpful. I joined some caregiver support groups virtually and reached out looking for a young caregiver caring for someone young. I actually got some backlash because people said, “Well, I’m not young, but I care for someone.”

My experience is so much different than someone who is 70. Navigating through all of that is not a typical life for people in their 20s. Finding someone around your age that you can relate to is so beneficial.

Discussing fertility options before cancer treatment

Josh and I had to talk about family planning and we haven’t lived a lot of our life yet. We started our marriage going to chemotherapy.

The doctors suggested freezing sperm before chemotherapy. We got the results that it was stage 4 [on] a Tuesday night and he was scheduled to get chemotherapy Thursday morning. It would be a day in between that he would be able to do this.

We want to have children, but treating the cancer was our top priority. We’ll worry about this later. We’ll hope for the best and see where it goes.

The doctor said he could push the treatment a few more days, but we weren’t comfortable with that. We wanted to get him into treatment as soon as possible to fight the cancer and move forward with that.

When we got married, I was able to pick an insurance plan that covers IVF. If we ever had to go down that road, it’s an option for us.

With the type of treatment that Josh got, it’s very likely that he will be okay. We can get his sperm tested to see what the levels are for fertility.

After treatment, you can’t try for at least a year. We’re just enjoying life now. We’ll see where that takes us and just hope for the best.

Learn about personal experiences with fertility options before & after cancer treatment »

Carley G. with husband Josh
Carley G. with husband Josh

Words of advice to family caregivers

If you’re a caregiver, please ask for help. If anyone offers to help you, take it. People don’t know how to help you so you have to guide them and tell them what you need. Take help from anyone.

If you have the resources and are able to make your life easier, go for it. Things like a meal kit delivery service and grocery pickups.

We actually hired someone to clean our house on days [when] Josh was getting chemotherapy so we would come home to a clean house. It was one less thing for us to worry about. I would recommend that to anyone.

Try to remember that your loved one going through treatment is not themself. They’re getting a lot of medications put into their body. They’re angry, they’re sad, they’re depressed. Try your best to not take things to heart. They’re doing their best. You’re doing your best.

Journal. Do some self-care. Go to therapy. Any of those things would really benefit anyone, but especially someone going through such a hard time.

Try to take care of yourself. If your glass is empty, you can’t fill anyone else’s and that’s something that I wish I would have done more of.

Getting ahead of the mental health game is something that I would also recommend. If you’re going through treatment or just got a diagnosis and you’re receiving no mental health support, reach out about that. The social workers at cancer centers and hospitals are great. They will help you connect to any resources that you might need.

It’s also great to connect [with] someone who has been through what you’ve been through. Josh met someone through the support group. He was a patient of the nurse who led the support group. They talked a lot and could relate to each other and validate each other’s feelings. I think that was really helpful for him.

Something that really helped Josh was having a schedule. He basically had the same routine every day. He would shower at the same time every evening, watch a baseball game every evening, and go to bed at the same time. Having a routine, even though it’s something everyone does every day, really did help him manage in some way.

Brain games were good. I bought some crossword puzzles so he would do those. Helps with the boredom, too, because in between feeling like crap, you’re also bored. It also helps with the chemo brain fog.

Learn what chemo brain is and how you can cope with it »

Carley G. brain games
Carley G. with husband Josh

I would look up and send him videos of slower-paced [exercises], like elderly yoga and stretching. I don’t know if he ever did them. You’re sore, you don’t feel great, but it’s just light movement and they’re available on YouTube.

I found rubber hand stretching tools. It’s like a thick rubber band. You squeeze it and it helps with the strength of your hands. For the type of treatment that Josh was going through, neuropathy is pretty common. Keeping things moving I think could be helpful for some people.

When you find out that your loved one is going to go through this, your brain’s all over the place and theirs is, too, so thinking clearly isn’t always there. One way you can help is to try and prepare ahead of time.

Make sure you have a railing going up your steps because sometimes it’s hard to walk. We didn’t have a railing going up our steps. We didn’t know that we would need that so we were able to get that.

Josh wasn’t comfortable. I don’t think anyone who’s going through this is so buying things that bring comfort — new pillows, comfortable blankets, comfy clothes — would be a big help going into this.

A friend gave Josh a blanket and we still use it. My cousin actually knitted him this beautiful blanket and he took it with him to every treatment.

I want to find ways that I can stay involved and help. Josh and I had very different journeys through this. He doesn’t ever want to step into a medical facility again and I totally support that. But for me to try and wrap my head around this and to heal, I want to help other people.

I volunteered to make blankets for new patients where Josh got treatment. It was a fulfilling way that I could give back to people who helped us so much, cared about us, and treated us with such kindness.

If caregivers ever reach out and need someone to talk to, I would love to volunteer. I would love to pay it forward and help anyone that needs it.

Carley G. with husband Josh

Carley G. feature profile
Thank you for sharing your story, Carley!

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Categories
Bowel Cancers Chemotherapy Colon Colorectal FOLFOX (folinic acid, fluorouracil, oxaliplatin) Patient Stories Rectal Surgery Treatments

Angelica’s Stage 3 Bowel Cancer Story

Angelica’s Stage 3 Bowel Cancer Story

As a working wife and mother of 2 young children, Angelica chalked up her constant exhaustion to her busy lifestyle and anemia. 

New symptoms such as irregular bowel movements arose, which led her to make a doctor’s appointment. But a sudden loss of appetite prompted Angelica to visit the ER where doctors discovered she had stage 3 bowel cancer.

After recently learning she was all-clear after a 5-year cancer journey, Angelica shares her story with us, how a plant-based diet and exercise routine helped her overcome chemo, and how cancer led to her reconnecting with herself.

In addition to Angelica’s narrative, The Patient Story offers a diverse collection of colorectal cancer stories. These empowering stories provide real-life experiences valuable insights and perspectives on symptoms, diagnosis, and treatment options for cancer.

Angelica's first cancer symptoms were fatigue and anemia
  • Name: Angelica A.
  • Diagnosis (DX):
  • Staging: 3
  • Symptoms:
    • Fatigue
    • Anemia
    • Irregular bowel movements
    • Loss of appetite
    • Heavy periods
  • Age at DX: 38
  • Treatment:

I went from doing nothing for me to doing everything for me, and I was having the best time of my life

Angelica A.

This interview has been edited for clarity. This is not medical advice. Please consult with your healthcare provider for treatment decisions.


First Symptoms & Diagnosis

Tell us about yourself

I am Angelica Allen. I’m a stage 3 bowel cancer survivor and thriver. Yesterday I got my all-clear after 5 years, which is incredible! I’m really happy, pleased, and blessed. 

I love yoga, walking in nature, connecting to nature, going to the beach with my kids, surfing, being outside, spending time with my family, and my dog.

What were your first symptoms?
Doctors gave Angelica iron tablets to assuming her fatigue was caused by anemia

Another symptom that I had was I was really bloated. It’s hard, as a woman, to connect that to cancer because the doctors say, “Well your periods are really heavy. This is why you’re bloated.” 

I had been iron deficient. I was exhausted. I was on iron tablets and I was told to eat red meat 3 times a week. The exhaustion never went away. For 7 or 8 months, I was on this iron tablet and nothing changed. Then I started feeling some bowel movements change. 

I have always been a regular person. That meant that sometimes I would have a little bit of soft poo, sometimes a lot. I didn’t know why that was happening. Sometimes I would go to the toilet, sometimes I wouldn’t. And for somebody who was regular, that was odd. 

When I went to my doctor, we were trying to fix my iron deficiency. And my periods were really heavy. Another symptom that I had was I was really bloated. It’s hard, as a woman, to connect that to cancer because the doctors say, “Well your periods are really heavy. This is why you’re bloated.” 

I was so bloated that when I was working in corporate, I went to meetings and they would congratulate me like I was pregnant. I’d say, “No, I’m not.” That bad. I wasn’t overweight anywhere else. It was in the belly area, that bloatedness. 

What did you think was causing your symptoms?
Doctors assumed Angelica's severe bloating was caused by her heavy periods

I thought it was the iron tablets that were causing the bowel movements. I stopped the iron tablets but the anemia came back straight away and that’s when the doctor said, “We need to check you to see if we can stop your periods from being so heavy, and we need to send you to the gastroenterologist to see if everything is okay with your bowel.” 

Whilst I was waiting for that, the bowel movement changes increasingly got worse. Then I had my first bleeding which was probably 3 or 4 months before my diagnosis. I have spoken to so many people that have bleeding. It doesn’t necessarily need to be bowel cancer, it could be so many other things. And if you go to the doctors, that doesn’t mean that they’re going to do anything about it. It’s like [they say], “Go home and wait for the colonoscopy. Let’s see what happens.”

The crazy thing about cancer is people ask, “Were you in pain?” No, I wasn’t. I had no pain anywhere. Even with the bloatedness, I didn’t have any pain. It was discomfort. Nobody likes being bloated, but it wasn’t pain. Apart from the exhaustion, I can’t say I had anything else. 

At an emotional and mental level, I had this inner voice telling me something is terribly wrong. But I did not want to hear it. I never Googled symptoms of cancer. I thought I am not going to be that person. This is not going to be me. I am strong. I’ve always been strong. I’ve never been sick. I’m invincible. I’m only 38 years old. Nothing like that’s going to happen to me. 

I diagnosed myself. [I thought] maybe I just have IBS because IBS has the same kind of symptoms. I looked on Google but I never allowed myself to look on Google for cancer. Everything that I looked at, I thought, “I’ve got IBS. That’s it.”

Angelica stayed away from Googling information that might indicate her symptoms were a result of cancer

At an emotional and mental level, I had this inner voice telling me something is terribly wrong. But I did not want to hear it.

What did your doctors say about your symptoms?

I did have bleeding. It wasn’t every day and it was 3 months before my diagnosis. I was already waiting for the colonoscopy. That was when my doctor said, “Now that you have this bleeding, let’s refer you to the gastroenterologist.” It was the December and January holidays here. When I came back from the holidays, I said, “Now the movements in the bowel are all over the place.” She said, “Okay, let’s just get on with this.” 

Describe the fatigue you experienced
Angelica's fatigue would cause her to fall asleep in the day and wake not knowing where she was

The exhaustion that I felt, I don’t even know how I went to work every day. How I functioned. I know a lot of people might be listening to this, maybe because they feel they have symptoms like exhaustion. 

We are very concerned and very ashamed to go to the doctor and say, “I’m exhausted.” Because we think, who is not? Everybody’s exhausted, right? I was a mom working full-time with 2 young kids. Who’s going to go to the doctor and say, “I’m exhausted”? 

On a Saturday, I would watch a movie with my kids in the afternoon. I would pass out on the sofa, I would go to another world, and I would get up and think where am I? That sort of exhaustion. And I kept pushing through. So many people that I have spoken to with cancer, the exhaustion is always there and people keep pushing through.

How did you handle the fatigue? 

I was going to work every day, I never had a sick day, I was still pushing through all of it. But at home, I was a grumpy mother and a grumpy wife. I was very stressed because my body was in survival mode. I used to cycle to work for 8 kilometers. Not every day and I wasn’t doing exercise all the time, but sometimes I would feel like I’m breathless. And I’d say, “Why am I feeling breathless? I’m so young.” 

The signs that our bodies give us are so subtle that it’s easy to ignore. It’s so easy to think, that’s nothing. I think we’re very good at pushing through despite the exhaustion, the symptoms, and all of that because our bodies are so resilient. If anybody has gone through anything like chemo, they know what that is like. For anybody to survive that is incredible. 

I think that it’s really acknowledging, this is not right. I would wake up tired and say, “Oh my God, here we go again. How am I going to survive another day?”

The signs that our bodies give us are so subtle that it’s easy to ignore. It’s so easy to think, that’s nothing. I think we’re very good at pushing through despite the exhaustion, the symptoms, and all of that because our bodies are so resilient.

What led you to the emergency room?

I did not have the colonoscopy. I woke up one day while we were still waiting for the colonoscopy and I didn’t feel like eating. I was so exhausted. It was Easter and I thought, I’m tired because yesterday I was preparing for my daughter’s party. Tomorrow is going to be a better day. 

When I woke up, I was still exhausted to the point that I did not feel like eating, which is really rare for me because I’m always hungry and I always eat a lot. I could not face eating. I braved the party, and then I said to my husband, “You need to drop me at the emergency.” I had this moment of God speaking to me and saying, “This is it. You need to go to emergency.” 

I went to the emergency, they saw my paperwork, and there was nothing wrong with my blood. No tumor markers, and no elevated white cells. They look at me, I’m 38 years old and I look like this with no pre-condition, no family history of cancer. My grandmother had stomach cancer, but that’s it. 

They said, “What are you doing here? There is nothing wrong with you. I know you’re waiting for the colonoscopy. You just have to wait.” I said, “I just don’t feel hungry.” They were doing their jobs. I understand they can’t put everybody through the CT machines. CT is radiation, there is a cost involved. There are so many dynamics around this. I really think that doctors are doing the best they can and they need to assess the situation as a whole. 

How did you advocate for yourself?
Angelica had to be a patient advocate to get a CT scan

When he put me through the CT scan, he said, “Oh my God. No wonder you’re so bloated. I can’t believe you’re still standing.”

They look at me and think, “I know that you might be waiting for a colonoscopy and to see the gynecologist, but right now, there is nothing wrong with your blood. There’s nothing wrong with you.” But I kept saying to them, “I just really don’t feel like eating. This is not normal and I can’t go on like this. Something is not right.” 

They need to understand if the person doesn’t just have anxiety. The doctor was open to me and said, “I’ve got to make a real assessment here because I can’t put everybody through the CT scan.” When he put me through the CT scan, he said, “Oh my God. No wonder you’re so bloated. I can’t believe you’re still standing.”

»MORE: How to be a self-advocate as a patient

What did the CT scan show?

The scan was showing that, on my right side, my bowel was packed with poo. And closer to the rectum, the bowel had gone inside itself. At that point, they said, “We’re not jumping to any conclusion that this is anything sinister. Because the bowel is almost moving, that could have happened. It could be a polyp.” There were no other pieces in the puzzle. The bloodwork was still showing I was a healthy person.

They said, “We need to get rid of this. You’re constipated. There is an issue there, but we need to see what it is going to be.” Then they asked, “Do you want to go home?” I said, “No, I’m not going home. I still feel sick.”

How did you get the CT scan?
Angelica shares her

When we started talking, he realized that I wasn’t just anxious. I was mentally sound. I understood that I was waiting to have a colonoscopy. But at the same time, he understood that it wasn’t normal for me not to feel hungry. By that time, I hadn’t eaten anything from the night before.

I kept feeling queasy like I didn’t want to eat. I didn’t feel well. They gave me medication for nausea to see if that could help and it wasn’t helping. By then, I was on a drip and they said, “Let’s see what happens. We might get you to an urgent colonoscopy tomorrow.” I stayed there for one night. The next day [they asked], “How are you feeling?” I said, “The same.” Then they said, “This is more serious than we think.”

Surgery

What was your doctor’s next course of action?

They couldn’t really go in and get rid of this poo, because closer to the rectum, my bowel had gone inside itself. One of the gastroenterologists suggested, “I can give you something to loosen your poo.” If she had done that, I would have died because it would have just exploded with the pressure because that was where the cancer was. I was blessed, God was looking out for me. 

A senior consultant looked at my paperwork from home, and he said, “It is cancer, stage 3, and I think I can come in tomorrow and do a laparoscopy surgery instead of opening her up in half.” Which, they were already entertaining the idea of. I could see that the surgeons were scared. I could see in their faces they thought, “This is not going to be good. You have all this poo backed up there, and if that goes everywhere, you can just die.”

One of the gastroenterologists suggested, “I can give you something to loosen your poo.” If she had done that, I would have died because it would have just exploded with the pressure because that was where the cancer was.

Which doctor oversaw your surgery?

He was a senior consultant, the boss of everybody. He came in and did an emergency surgery. I didn’t even see him. When he came out at night to tell me about the surgery, you could see he was at a totally different level than everybody else that I had seen. A completely different level of competency. He said, “The operation went really well.”

How did your husband react to your emergency surgery?
Angelica shares how her husband reacted to her emergency surgery

It was really scary because when I went in, my poor husband had to say goodbye, not knowing if he was going to see me on the other side. When it’s emergency surgery, it’s always really dangerous because you have all this poo there. 

They said, “We’re going to try to do a laparoscopy, but if we can’t, we’re going to have to open you up and you might end up with an ileostomy bag. We are going to try, but it’s not guaranteed, and it is a very complicated surgery.” My husband asked, “Should I wait around?” They said, “Sorry, mate. You just have to go home. It’s going to be a long one.” Like hours on end. 

»MORE: 3 Things To Remember If Your Spouse Is Diagnosed With Cancer

How did your surgery go?

I hadn’t eaten for 4 days by then so I was incredibly weak. In the limbo of, if we need you to do surgery, you can’t eat. 

When [the surgeon] came out, he said to me, “The surgery went really well. I had a very good look around all your organs and your liver looks good. Everything looks well. But has anybody told you what we found?” I said, no and he said, “We definitely found a tumor.” The word cancer is such a charged word. Because he said tumor, it was a little lighter before you move on to the word cancer. I asked him, “Is there any chance it is benign?” And he said, “I’m sorry, it’s not. It’s stage 3 and you’re going to need 6 months of chemotherapy.”

How soon after your CT scan did you have surgery?

Four days. That poo wasn’t coming out. The tumor was right there at the end of the passage so there was nothing they could do. And with me feeling unwell and queasy, they said we just need to do something about this.

Chemotherapy

How did you react to your cancer diagnosis?
Angelica's surgery went well

When I had this feeling deep inside there was something terribly wrong, I had moments that I thought, maybe I do have cancer. But I did not want to accept it. I just did not want to be that person. I said, “I’m not sick. I can’t have cancer.”

I think that in society, there is a massive stigma around cancer. When people are diagnosed with cancer, I feel that people see them as a failure. People see them with pity, and that was one of the hardest things to overcome, especially at the beginning. They look at you with such pity and you’re like, “Why are you doing that?” When you start telling people, it’s almost like you’re ashamed of it because you caused it yourself. 

[I have] no family history, [so my doctor] said, “I’m sorry. It’s just bad luck.” So I feel that there is a lot of stigma, but it wasn’t bad luck. I do think that I contributed a lot to it. A big part of a cancer diagnosis is a wake-up call and it’s an opportunity for anybody to change their lives completely. Nobody gets to the point of having such a serious disease like that out of bad luck. I really don’t think that.

»MORE: Reacting to a Cancer Diagnosis

Describe how you felt after surgery

I was told that I had to start chemotherapy a month later. I said, “Oh my God, how is my body going to recover in one month”? They said, “You’ll be fine. Don’t worry.” 

The surgeon left all the poo there. He was incredible. He took the tumor out and rejoined my bowel so he didn’t have to touch any of the poo, which was dangerous. It’s incredible what he’s done. So I had to pass all of that afterward, which wasn’t fun. And I was told, in a month’s time I would need to start chemotherapy.

It was rough. It was laparoscopy, which is much better than if they had opened me up. But it was a major surgery. I rested as much as I could. 

They sent my tumor to do a biopsy and they had taken some lymph nodes. At that time I only knew it was stage 3, but I did not know if it had spread to the lymph nodes. I was in limbo thinking, “Oh my God, what if they say stage 4?” Your mind is going crazy straight after surgery. 

They did an ultrasound on my liver. I did not know about it at that time. They were looking at my liver for an hour. I had a little cyst on my liver, which I’m pretty sure was the cancer spreading. But because it was so small, they said, “We can’t see anything. It’s a very small cyst.” 

I was coming out of the emergency, 4 days later [I’m told] I have cancer and in a month’s time, I have to have chemo. Your life goes like, what is going on?

Describe your experience with chemotherapy
Angelica dealt with hair loss during chemo
Angelica was on FOLFOX, a combination chemo drug
For 2 weeks, Angelica was hooked up to chemo for 48 hours at a time

Chemotherapy was supposed to be 12 sessions of FOLFOX which is a combination of 2 drugs. I would go in on a Friday, take 1 of the drugs, and I would come home with a little bottle that would be slowly releasing the other drug until Sunday. So I would be hooked up for 48 hours to chemo, and I was supposed to have that every 2 weeks. I don’t think anybody can actually take that. It is very strong. 

I was told by my oncologist, “Because you’re very young and you don’t have any family history, I’m going to give you the strongest chemo your body can take. I need to make sure I zap everything inside your body to increase your chances of survival.” 

My body at the beginning was rough. It wasn’t only because of the cancer, it was because I had been burning myself out from both ends for so long. I think that’s important to highlight. The cancer is just the consequence of what has been happening for many years. 

After my first session, the nurse came to disconnect me, she looked at me and said, “Oh my God, you don’t look good.” I couldn’t get out of bed for 5 days. I couldn’t watch TV. I couldn’t listen to music. I was burned out. I realized it wasn’t only because of the chemo. It was because of how I was living my life to that point.

How did you process your cancer diagnosis? 

I believe in God, and I asked God, “Are you serious? I’ve got 2 kids to raise. Don’t you see that? They’re only 6 and 4. I’m only 38. Any chance that you could have given me something a little easier?” And I got an answer. People ask, “How did you get an answer?” I said I was open to getting an answer, and the answer was, you need to forgive your parents. 

I had a lot of issues with my parents. I hadn’t spoken to them for 12 years and I held on to a lot of anger and resentment. I know that not everybody believes in the natural world, complementary medicine, and things that are not only physical, but the bowel is the organ that you let go of your things. When you don’t let go of your things and you keep them, that’s how it affected me.

»MORE: Processing a cancer diagnosis

What was life like before your cancer diagnosis?
Angelica believes her animal-heavy diet led to poor health

I had been angry and stressed, I had been resenting my family, and I was stubborn about it. All my jobs were very stressful because it was an addiction – to seek that stress and that vicious cycle. I didn’t look after myself. By the time I was a mom, I was all for my kids. There was nothing around self-care. 

I thought I ate a good diet because I cooked from scratch at home, but I ate an enormous amount of animal products. Meat, dairy, and very little fruits, vegetables, legumes, and things that come straight from nature. 

I drank alcohol. I binge-drank for 16 years. By the time I had the kids, I drank less but I still drank 8 units a week. You think that’s not too bad, but when you keep doing that over and over again, your body says, I can’t take this anymore. Enough is enough, and that’s what my body did.

How did your body react to chemo?

I was really tired and nauseous 24/7. [The doctors] said people that have had morning sickness most likely are going to be very nauseous the whole time. Because I had morning sickness with my daughter for 9 months, I thought I’m a pro at this. I’m going to nail this. I’m going to be fine. I just dealt with it. I used to take the medication that they gave me for the first 3 days while I was on chemo, which was very strong. After that, I thought there was no point because the nausea was always there. 

I was exhausted, but I started to change my diet during chemo and I also started exercising and meditating. I did not wait until the end of the chemo. [My] diet changed slowly from an animal product-heavy, Western diet to a plant-based diet. I did it slowly because I needed my kids and husband to come on the journey with me so we could all be eating the same thing. On top of that, I started exercising. A lot of people feel like [they] need rest. I focused a lot on rest and I think rest is a massive part of the recovery.

Lifestyle Changes

Stopping work to focus on health

I stopped working during chemo. I thought I really needed to focus on myself. I was getting sick with coughs and colds at the beginning so I self-quarantined. I stopped seeing people. I had all my energy to myself. The kids would go to school, my husband would go to work, and I would just fully focus on my healing. 

I spent a lot of time in bed, but I started going for walks for 5 minutes, 10 minutes, and 15 minutes. I started doing yoga for 5 minutes, 10 minutes, and 15 minutes. Before I knew it, I was doing half an hour, 45 minutes, and an hour. On my first days, it was really slow and I would exercise as much as I could – 5, 10, 15, 20 minutes. 

»MORE: Read about the benefits of yoga and meditation for cancer patients

On my best days, I would go for it. I would be running my bike. I had my bike on a wind trainer at home. I would have my pump on and I’d be cycling as hard as I could because I would crash after the pump would disconnect so I would just go for it. I started getting stronger from one session after another. I started having less days in bed and more days doing more things.

Exercise and a healthy diet helped Angelica overcome chemo
What led you to choose a plant-based diet and exercise?

The doctors did not say anything. They said, “You’re going to feel sick. Do what you can. Rest as much as you can.” I started my journey by getting books from the library about recipes that people ate during chemotherapy. As I started reading about nutrition, I said, “Oh my God. All of the food that comes from nature is like medicine. Where have I been? Which world have I been living in?” 

I started devouring books on nutrition, healing, and on everything that I could to take complete control of the things that I could control. Somebody sent me a thing from a lady who had stage 4 bowel cancer and exercised, and I thought I should introduce exercise. 

I started with very small steps. I went from 0 to 100 working and doing everything to not being able to get out of bed, so I had to take small steps. It was like I was forced to do that, but it was a blessing because I learned how to be patient. I learned to connect to myself again. I was so disconnected from my body and from myself. Yoga helped me so much with that and sitting and breathing.

Angelica became stronger as she did chemo through yoga and exercise
Angelica believes food is medicine
Yoga helped Angelica build strength during chemo
Using food as medicine 

For example, the doctor would ask, “Have you got any constipation or diarrhea after the chemotherapy?” I’d say, “I have constipation.” [He’d say], “Okay, here’s another medication.” And I’d say I’m not going to take any more medication, so I started juicing. I’d say, my platelets are low. What should I eat for that? My white cells are low. What should I eat for that? And I started just researching. 

I spent my whole chemotherapy, 7.5 months reading about nutrition. The driver was understanding why I got to that place. When they told me it was bad luck, I thought, no. I’m not accepting that. I need to find my own answers. I need to understand what led me to this. 

When I looked at my life, I was 38 years old. I had lived 20 years in Brazil and in Brazil, I ate an enormous amount of sugar, salamis, pork meat, and red meat. Vegetables – yes. Fruit – yes, but the Western diet is very heavy on animal products. There is little space and opportunity for you to eat veggies, so it’s about changing that balance. After everything that I read, I was not only focused on conquering cancer, I was focused on creating long-term health.

What are some examples of foods you used as medicine?

Platelets, for example, you can eat papayas. For constipation, I started juicing 2 days before and eating kiwis, before the chemo started and I never got constipated again. Carrot juice, orange juice, and kiwis, I would binge on it. I said that’s it. I am not going to get constipated. 

How beneficial were diet and exercise for you?
Angelica found exercise hugely beneficial during cancer treatment

My diet is a completely plant-based diet. I had to do it slowly because of the kids, so we all eat a plant-based diet now. I exercise every single day without fail. I meditate, I sleep 8 hours a day, I prioritize my health above all, and my health only got better and better. 

I cannot believe what my body has done for me. I was in awe when I finished the 12 sessions. One of the oncologist’s nurses said to me, “Well done for finishing the 12 sessions.” I said, “Not everybody does?” And he said, “No. I’ve seen 4 people in 8 years of oncology finishing the 12 sessions.” I was like, “Oh, my God.”

Two weeks later, I was running. I was so fit. For people that are going through chemo, [I suggest] focusing on diet and exercising. If I had let my body go – 7.5 months is a long time for you to let your body go – my body would have been a wreck.

Reflections

Describe reconnecting with yourself

I went from doing nothing for me to doing everything for me, and I was having the best time of my life. Yes, it was rough. I’m not going to say it was easy, but I had been a mom for 6 years. I had 2 children, 6 and 4 years old. I hadn’t looked after myself for so many years. It was so refreshing to spend that opportunity to get to know who I was. 

I remember one of the first yoga sessions that I was doing on YouTube, and the teacher said, “Ask your body something.” And I said, “Who is this?” I was so disconnected, I didn’t know that I had a body. We live thinking that the body has to work for us and we resent it when our bodies are not so energetic, but it’s because you’re not giving anything to your body.

Angelica was able to reconnect with herself after her cancer diagnosis

I hadn’t looked after myself for so many years. It was so refreshing to spend that opportunity to get to know who I was. 

Focusing on the positive

It’s so important for you to protect your energy during cancer treatment because the physical battle is hard, but the mental battle is much harder.

I was focusing on all the positives that I was going through. I’m in a first-world country. I’m receiving the best treatment. The nurses were incredible. I kept focusing on everything that was good in my life. I’ve got my kids, I’ve got my husband. [I was] changing everything into gratitude. 

I didn’t spend any time watching the news and watching other people’s cancer stories that were not positive. I would spend all my time watching stories like, this person has stage 4 cancer and they survived and they’re thriving. I’m watching that and spending all of my time in that space. It’s so important for you to protect your energy during cancer treatment because the physical battle is hard, but the mental battle is much harder.

Did you have follow-up procedures after chemo?
Angelica had 6 months follow-up scans after chemo

I had scans every 6 months. I had my first colonoscopy after treatment and they found 3 polyps. I said, “I’ve just gone through 12 sessions of chemo. Didn’t the chemo kill the polyps?” No, the chemo only kills fast-growing cells. Because I had polyps, I had to have colonoscopies every year. I had my last one in 2021 and they found no polyps for the first time. At the area of the surgery as well, which was really good. For the first time in 5 years, which was incredible. I did not expect that, and it was the surgeon that did my emergency surgery that did it. When he told me that, I was stoked. I was hoping for 2 years, but 5 years was incredible. 

That cyst that I had in the liver is gone. They never really worried about it, but I did and I wanted that cyst to be gone. After my treatment, because I had so many issues with heavy periods, I did decide to have a partial hysterectomy. During chemotherapy, I was the only patient who had bleeding. They told me that I was going to go into menopause and I didn’t. I had bleeding that almost killed me. I ended up in the hospital and they couldn’t stop the bleeding. I had to push for that. I said, “What are the chances that I’m not going back to having heavy periods and anemia?” 

I believe that taking iron tablets is really harmful to the gut because I did that for a whole year. Plus, I was told to eat steak 3 times a week. That really accelerated my cancer. I am absolutely sure about that.

So I did not want to go back to taking iron tablets. I had a partial hysterectomy, they’ve taken my womb and cervix and they left my ovary. I had that 3 months after chemo. Two weeks later, I was totally fine. Actually, for 6 weeks I couldn’t do any exercise but I was so fit that I bounced back completely from that surgery which was a pretty major surgery.

How has cancer changed your life?

Cancer is an opportunity for you to rewrite your story. Let go of the things that don’t serve you. It’s a pretty big wake-up call. You can’t keep doing what you’ve been doing because clearly, it hasn’t worked. It’s like, I’ve got to rewrite the whole thing. It’s almost like you need to learn how to walk again, how to talk again, and it is in every area of your life. It’s not only about looking after your body, but it’s looking after your thoughts, your mind. Like I said about the stress, the resentment, the anger – is this serving me? 

It’s important to highlight, you might not be able to do that for you at the beginning. I couldn’t do it for me because I didn’t have a connection with myself. I didn’t love myself. I didn’t know who I was, but I did it for my kids. I wanted them to know, if I died, that I tried everything I could every single day to survive. I wanted to leave that message for them.

Angelica was motivated by the love of her kids to overcome cancer
Angelica's stage 3 colorectal cancer story
Angelica's love for her children motivated her throughout her cancer journey
The importance of sharing your cancer story

I think this is a beautiful initiative. I wish I had found your channel when I was diagnosed with cancer because it’s a time when you feel so scared. Listening to other people’s stories is so important. Especially when, like myself, I didn’t have anybody close to me who had gone through it. I was so fearful and in such a dark place because I thought that cancer equals death, and it doesn’t have to be like that. So this initiative is important. Thank you so much for having me. 

More Colon Cancer Stories

 

Shannon M., Colon Cancer, Stage 1



Symptoms: Routine colonoscopy found polyp; found the cancer as a result of Lynch Syndrome
Treatment: Partial colectomy

Hugo T., Colon Cancer, Stage 1



Symptoms: Inflamed bowel; diagnosed 2 weeks after 5-year remission from testicular cancer
Treatments: Subtotal colectomy, immunotherapy

Rachel B., Sigmoid Colon Cancer, Stage 1



Symptoms: Stomach discomfort, nausea, bloating, blood in stool
Treatment: Colectomy

Chris T., Colon Cancer, Stage 2



Symptoms: Found the cancer as a result of family history & early colonoscopy; discovered Lynch Syndrome after genetic testing
Treatment: Partial colectomy

Shannon C., Colon Cancer, Stage 2A



Symptoms: Severe pains after eating; tested positive for Lynch Syndrome
Treatment: Partial colectomy
Categories
Active Myeloma Cancers Chemotherapy Darzalex (daratumumab) dexamethasone Immunotherapy Monoclonal antibody drug Multiple Myeloma Patient Stories Revlimid (lenalidomide) Stem cell transplant Steroids

Erin’s Multiple Myeloma Story

Erin’s Stage 3 Multiple Myeloma Story

Erin H. feature profile

Erin was diagnosed with multiple myeloma after experiencing back pains that got progressively worse.

Initially dismissing the pain and thinking it was related to aging, he didn’t let it stop him from doing anything. Several months later, it got so bad that he collapsed to the floor after a sneeze.

When an X-ray didn’t show anything notable, he was given muscle relaxers and when those didn’t work, he was then sent to a physical therapist and a chiropractor.

Already in too much pain, he was urged by his chiropractor to ask his doctor for an MRI. They found six compression fractures in his spine and learned he probably had multiple myeloma.

He shares how he did everything he was told to do, avoided using Google, how much support he got from his family and employers, and the connection he shared with his multiple myeloma specialist.

In addition to Erin’s narrative, The Patient Story offers a diverse collection of multiple myeloma stories. These empowering stories provide real-life experiences, valuable insights, and perspectives on symptoms, diagnosis, and treatment options for cancer.


This interview has been edited for clarity. This is not medical advice. Please consult with your healthcare provider for treatment decisions.


  • Name: Erin H.
  • Diagnosis:
    • Multiple Myeloma
  • Staging: 3
  • Initial Symptoms:
    • Lower back pain
    • Weakness
  • Treatment:
    • Chemotherapy
    • Stem cell transplant
Erin H. family
Erin H. timeline
Erin H. timeline


Introduction

I live in David City, Nebraska, a small town [of] about 2,900 people.

I have a beautiful wife, Melissa, [who] works with me. We have two daughters. Ainsley got a full ride to the University of Nebraska. She wants to be a scientist. Addison constantly keeps us laughing and having fun.

I’ve been a big vinyl record collector for about 30 years. I probably have a thousand or so records in my collection. It’s overtaken our house a little bit, but it’s what I like.

I work a lot. I run an Ace Hardware store. I love my work. Before I had cancer, I was involved in a lot of committees and boards. My mindset really changed afterward. Now, if it doesn’t involve my family or work, I don’t really have time for it. I pretty much just spend time with my wife and kids.

Erin H. and wife Melissa
Erin H.

Pre-diagnosis

Initial symptoms

My back hurt. I thought, I’m getting old. Then it got progressively worse to the point [where] I was walking around bent over with a cane. I’m stubborn [so] it didn’t stop me from doing anything, but I was moving really slow and in a lot of pain. My wife said, “You need to go to the doctor.”

I put up with it for several months. I was taking handfuls of Aleve for it. I would later find out that was the worst thing for my failing kidneys. You can’t take it with kidney problems so I was not doing myself any favors there, but I didn’t know there was anything wrong with my kidneys.

One morning, [as] I was getting dressed for work, I sneezed and collapsed to the floor. My back gave out completely [and] I couldn’t get up.

Melissa helped me get on the bed. I lay there for a while and tried standing up again. It felt like I had my strength back. I felt like I was okay.

I went to work, sat down in my chair, and started doing work. I tried to get out of the chair and I couldn’t. I couldn’t put anything on my feet. I had nothing.

Melissa picked me up. They wheeled me out to her car in my office chair because I couldn’t walk.

We went to the doctor. My primary care physician wasn’t available so we saw the first guy we could. He did an X-ray of my back, didn’t see anything, looked at me, said nothing was wrong, gave me some muscle relaxers, and sent me on my way.

Trying to alleviate the back pain

The pain didn’t go away. Nothing helped. A week or two went by and I made an appointment with my primary doctor, Dr. Daro. He sent me to physical therapy. I kept going [back] because physical therapy did nothing. We tried dry needling; that didn’t do anything.

He sent me to a chiropractor. The third time I went in, I could hardly walk. The chiropractor, God bless him, said, “I’m not going to touch you. You are in too much pain. I’m afraid I’m going to hurt you. You should tell your doctor you need an MRI and have them really push for an MRI.”

Getting an MRI of the back

I called the clinic and said, “I’m coming in right now. I want to see my primary. I need an MRI.” I saw him and he agreed at this point.

It took a day or two to get the MRI approved by the insurance company. We had to drive about an hour away.

The next day, my doctor called and said, “There’s something here. I want you to come in tomorrow and we’ll talk about it.”

Erin H.
Erin H.
Learning about the possibility of cancer

I thought I had a slipped disc or ruptured something. In my brain, I’m headed for back surgery. I was joking with Melissa at one point and said, “It’s cancer. I know it’s cancer,” but I was screwing around.

He said, “I don’t know what to tell you. You’ve got cancer. It’s probably multiple myeloma or lymphoma.” That was a shock.

I had six compression fractures in my spine; that’s what I was walking around with. Melissa and I collapsed into each other in this big teary hug. She took me by my face, said, “We’re going to beat this,” and we cried some more.

They suspected I’d had it for quite a while. About a year prior to having back problems, I either broke or cracked a rib. When I went in, my doctor said, “There’s no point [in doing an] X-ray because there’s no treatment for it. You just got to heal.” I broke it just coughing and they suspect that was probably the myeloma also.

There was no incident. I never fell. I never lifted something I shouldn’t. There was nothing that should have caused them so it was quite shocking.

Diagnosis

Getting the official diagnosis

My oncologist, Dr. Renno, confirmed it was multiple myeloma. He talked to us for quite a while. He’s a very nice guy, very down to earth, and explained everything to us. He said, “The end of this journey is going to be a stem cell transplant.”

Breaking the news to the family

We had to tell my parents and that was very difficult for them. They had a very close friend lose a battle with cancer about six months earlier so it was very emotional for them.

A day or two later, I had my first oncology appointment and we were off and running.

Going to a concert after finding out about the cancer

Our oldest, Ainsley, turned 13 and I had gotten her concert tickets for her birthday. We were going to go and stay in a hotel and all that. Two days before, I get diagnosed with cancer but I’m not ruining her 13th birthday.

I drove. It’s about five hours away. I’ve got my cane, just stumbling along. We went to the concert, went to the hotel, had pizza afterward, and came out of it unscathed. I was freaking out the whole way that I’m going to be with my kid in Kansas City and my back was going to go out or I’m going to get sick.

My kids are everything. I couldn’t let her down and I wasn’t going to tell her I was sick. I wasn’t going to make her 13th birthday be about Dad having cancer.

Erin H. and daughter Ainsley
Erin H. and wife Melissa
Getting a bone marrow biopsy

I had to get a bone marrow biopsy, which I’m sure anybody will know is painful. He had to do a manual one. I was bent over the table. My poor wife had to watch it from behind. She can handle anything, but she got about green watching it.

He said, “It’s going to hurt. I’m just going to tell you.” When they did it, I screamed out, “Oh, fudge!” They all bust out laughing and said, “We’ve heard the other word so many times. You’re the first person that’s ever said ‘fudge.’” I said, “There are people outside this door. I didn’t want to be screaming the F word.”

We were at the oncologist all afternoon then we had to rush home. I was the president of the Chamber of Commerce and we had our annual banquet that night. I’m sure I could have canceled, but I was going to be there.

Only two people there know I’m dying. I can’t walk so I’m moving from table to table, just using whatever to hold myself up. We somehow got through that night.

The next couple of days, we started letting people know what was going on.

Knowing about multiple myeloma

I’d never heard of it. Nobody had heard of it. All I knew about it was what they told me.

A distant cousin of my dad had it [at the] same time as me. He’s passed on, God rest his soul. I didn’t know him. I found out later.

To handle the whole process [of] having cancer, one thing I did [was] did as little research as possible. I didn’t go on the Internet. I didn’t want to know.

I did everything my doctors and nurses told me. Everything my wife told me to do. I thought, My doctors know best. I’m going to do what they say.

The more I read, the more freaked out I’m going to get. Why did I get this? How did this happen? It’s scary, especially when you see how rare it is.

Erin H.
Erin H. oral chemo

Treatment

Oral chemotherapy

Oral chemo was first. It was 13 chemo pills at a time. I would sit them on the table and stare at them. Even though they’re my ally, they’re my weapon, I hated that.

I would be up late and watch the late-night West Coast NBA game. I became a big NBA fan because I watched a lot of basketball.

Then it led to infusions several weeks down the line.

Side effects of chemotherapy

I did not tolerate the oral chemo well. A lot of throwing up.

Very quickly, maybe after two weeks, I got double pneumonia. I was sitting on the couch, Melissa was working that day, and Addison, our youngest, was at my mom and dad’s. She was two at the time. They were watching her because I couldn’t.

Right about the time Melissa was going to get off work, I was having trouble breathing. We were texting back and forth and she said, “I’m going to go get Addison.” I texted her and said, “Can you please come home first?” She did and I could hardly breathe at that point. She said, “I’m gonna take you to the emergency room.”

I got up, started walking, and collapsed. She called 911. We live in a small enough town that everybody knows where everybody lives and everybody knows me. I think the entire volunteer fire department showed up at our house to wheel me off.

They took me to the hospital. I was out of it. They said, “We can’t do anything for you. We’re shipping you off to Omaha.” I was later told they didn’t think they were going to see me again, which is quite a thing to hear.

I was in Omaha for 5 or 6 days. I was in ICU for 3 or 4 of them, which was miserable because they were full. They didn’t have a real room to move me to. But I got over the pneumonia.

We found out my kidneys were failing so they started treating that. Kidney issues are a big part of multiple myeloma. I was stage 3, which with multiple myeloma is the worst. Eighty percent of my bone marrow was affected so I was in bad shape.

They sent me home after 5 or 6 days, thank God. My mindset had been, I’m not going to let this stop me from doing anything. Then I learned, I got to take this seriously. I can get sick and die real easy so I do need to pay attention to what I’m doing.

Erin H.
Erin H. chemo
Chemotherapy infusions

I tolerated the infusions pretty well, but the chemo they were giving me caused allergic reactions so they gave me a script for some anti-allergy medicine. They said, “You have to take this before your first chemo and then [each] one after that.”

I forgot to take but I didn’t want to tell him that because I wanted to get the chemo rolling and didn’t want to delay it even just a day.

The first infusion takes 8 or 9 hours. They do it really slowly because they want to see how you tolerate it. At least halfway through, I had [an] allergic reaction.

I could breathe, but it was bad. I never told them because I didn’t want them to stop. I wanted to get through chemo and get this moving, which is reckless and dumb, but I made it through.

I’d miss a day of work and come back the next day. A lot of times, I’d go home early because it would really wipe me out, but I never had stomach problems or anything with it.

It was boring more than anything else because you sit in the chair for 4 or 5 hours. You can only read so much. You can only play on your phone so much. You can only nap so much.

I had about six months of infusions.

Side effects of chemotherapy

As far as the infusions, it made me tired, but otherwise, I didn’t really have a problem tolerating it.

Dexamethasone is a nightmare. I would be bouncing off the walls and be very irritable and agitated. I couldn’t sleep at night. I’d be up ’til 3 or 4 in the morning, and then I would crash the next day and a half later. I would be dead to the world. It’s a big part of fighting multiple myeloma, but it sucks.

It made me extremely productive at work, but it sucks.

Erin H. double pneumonia
Erin H. stem cell transplant

Stem cell transplant

I did a bone marrow biopsy in May because we were originally hoping for a May transplant. The number hadn’t gone down enough. It had gone from 80 to 25, but you have to be below five to do the transplant. That was a bummer because we were ready for this.

I met my myeloma specialist Dr. Baljević in April. He was a saint. We were very blessed to have a specialist just an hour away.

Because of insurance reasons, I had to get the transplant at a different hospital system than my oncologist so I got handed off midstream.

They gave me the binder for the transplant. They sent me a bunch of YouTube links and said, “Watch this. This is exactly how it goes, what you go through.” I sat and watched and I was in tears.

It was traumatic. They talk about melphalan, [which] wipes out all your white blood cells, takes you back to zero, and how dangerous that is. The idea of harvesting really freaked me out. It just seems so scary.

I thought, I can’t do this. It’s going to be too hard. I sent it to my folks and my mom was devastated watching what I was going to go through. My wife would tell you I was adamant, but I picked myself up and realized this is the best way to keep living so we got to it eventually.

You’ll be in the hospital for three weeks or more and be isolated. This was pre-pandemic so we weren’t wearing masks. I’m going to be essentially alone. It was very overwhelming. My psyche was pretty fragile at that point so it really broke me.

Having a supportive medical team

Thankfully, my myeloma specialist was awesome and his assistant, Jennifer, was a saint. She answered every phone call, every email, [and] everything my parents wanted to know. She was amazing, incredible. We still exchange Christmas cards with her. I had really good support from the medical end.

The first time I met Dr. Baljević, I asked him [about] percentages. He was being very honest with me and said, “You’re in good shape. You should get through this and, hopefully, we’ll defeat the myeloma.”

I told him, “I’ve got two girls. I can’t go now. I have to get through this.” He put his hand on my shoulder and said, “You will. We will get you through this.”

That first appointment was very emotional because I was just so frightened to leave my girls without a dad and my wife alone, too.

He’s somebody that knew that cancer inside and out, knew what the best path was. It was very reassuring, very comforting.

He was a man of God, too, [a] big man of faith. I remember afterward thanking him for saving my life and he said, “I didn’t do anything. God did it. I’m just His hands here, making it happen.” He was terrific.

Unfortunately for people around here, he’s moved to Nashville now. He’s at Vanderbilt and good for them. He was a real blessing. I don’t know what we would have done without him.

Erin H. stem cell transplant nurses
Erin H. family
Navigating the emotional path to a stem cell transplan

My family was my big driving force. I was mostly thinking about my kids and Melissa. The kids were 13 and two. They need a dad. I can’t leave them now. God bless my wife, I didn’t want to leave her alone to have to do that.

They were incredibly supportive. Ainsley, our 18-year-old, was 13 at the time. She had a really hard time with it. She had some breakdowns, but she talked to somebody, had some help, and got through it.

I remember telling her, “All I need from you is to keep doing well in school, keep doing your homework, keep going to class. The last thing I need is to have to worry about you failing school or having problems,” and she kept her end up. She’s an honor student. She’s amazing.

We were blessed by our youngest, Addison. It took a long time for us to get pregnant with her. We’re convinced God sent her at the right time. She was two so she didn’t know what was going on. She was such a light. She was so much fun. Watching her learn and grow was so inspiring. I know she kept her mom sane.

My wife’s a five-alarm fire. I’m the lucky guy.

God bless my dad. My dad took me to every single chemo, every doctor’s appointment, everything. My wife was working full time. We were on her health insurance. My dad’s a retired farmer. He was amazing. I have periodic check-ups and to this day, he asks if I want a ride.

My mom watched our kids. She was so helpful with Addison. It was unbelievable. I can’t say enough.

My family was what made me say, “You got to do this. We’re going to do this.” God blessed me a lot.

Erin H. and wife Melissa
Erin H. and daughter Addison
Preparing for the stem cell transplant

A week or so before the transplant, they harvest your stem cells. I had to go in the day before and get a shot that’s supposed to jumpstart their productivity.

I had to be there early in the morning. My dad took me to Omaha. We had to be there two days in a row.

I had a port in and they hook you up to this washing machine-looking thing. You sit in the chair for several hours while they harvest your stem cells. Then they put them back in after they cleaned the bad stuff out. I’d do that twice.

It didn’t hurt. It was just very daunting. They were able to harvest enough for two transplants. You know how this disease is. I may face that again down the road so that’s there, which is nice to know.

We went to the Buffett Cancer Center in Omaha, which is an amazing facility. Checked in the day before the transplant.

[They] hook you up to melphalan, the hair-falls-out, makes-you-really-sick, kills-everything-inside chemo. It took 45 minutes or an hour. Melissa and I were alone in the room the whole time so we just talked.

We had a nice, big, clean, beautiful room. Everything’s sanitized. They said, “Bring whatever you want from home because you’re going to be here,” so I brought a bunch of pictures, little good luck charms, tchotchkes, and this quilt people made for me.

It’s constant blood draws and checking this and that. [On the] second day, they do the transplant. They bring in your frozen stem cells. They point out to us, “See those little flecks in there? That’s your stem cells.”

We did that. It was maybe 45 minutes then it was back to laying down.

Erin H. prayer quilt
Erin H. post-stem cell transplant
Side effects of the stem cell transplant

They told us ahead of time, “You’ll smell cream corn.” It’s the weirdest thing. Everything smells like cream corn. Even weeks later, once in a while, it would smell like cream corn.

Within 24 hours, I got really sick. I was in really rough shape. I got really sick, couldn’t eat anything, couldn’t hold anything down, and couldn’t get out of bed. As weak as weak can be. They tried everything to make you not as sick.

They would say, “Go walk. Walk all you can walk.” A lap around that floor and I’m practically being carried by Melissa by the time we get back to the room because I was so weak.

They were discussing putting a feeding tube in. Finally, they said, “There’s one more thing we can try. It’s called Marinol, a synthetic THC.” They gave me that.

[After an] hour [or] two, I was on the upswing. It worked so fast and so effectively that by the next day, I was over the sickness. I was able to keep things down finally.

I said, “I have to do this again. I’m going to tell him to start with that.”

Probably the second or third day, all the hair started coming out. I got a buzz cut going in. I should’ve had it all shaved though because, with the buzz cut, all I was getting was a bed full of tiny little hairs. Your hair falls out everywhere. My entire body was bald as a baby’s butt. It was crazy.

Towards the end, I’m eating and feeling better. I’m still the weakest I’ve ever felt in my life but better. [My] vitals are good and [my] white blood count is starting to regenerate slowly to where they felt like they could release me. God bless everybody at the Buffett Cancer Center. They’re unbelievable.

They let us out and we had to stay close. They want you to stay close for five days afterward to keep an eye on you. I had to go in [on] each of those days. We stayed at the Hope Lodge in Omaha, an incredible facility. They’re amazing. We were there for five days then they let us go home. Then a little while longer of laying on the couch and not doing a whole lot.

Erin H. hair falling out
Erin H. and wife Melissa

My wife was working through all this and, God bless her, she’d drive to Omaha after work every day and stay with me. Sometimes she’d stay the night. Otherwise, she’d drive back and come back the next day. She was with me every single step of the way. We had a few other visitors, too, which was nice.

About the third day I was home, I’m bored to death because I’d been alone for three weeks in a hospital and then another five days in the Hope Lodge. I’m not talking to any human beings so I went to work.

I got dressed, put a mask on, got in the car, [and] went to work. This is pre-pandemic, but they said, “You have no immune system right now.” I walked in the back door. A couple of my staff were right there and they looked like they’d seen a ghost. I must have looked terrible.

I only stayed for an hour, said hi to people, caught up with what I’d been missing, and went home. I didn’t tell my wife ’til way, way, way, way later because I knew I was going to be in big trouble. I did that a couple more times in the next two weeks.

About the third week, I decided I’m going to go back to work. It was a few hours at first and then the workdays got a little longer as time went on.

Finding out if the stem cell transplant worked

Come December, we had a 100-day follow-up following the transplant. That’s when you find out: did all this trouble work? I’d never been so anxious and scared.

We went in and Melissa and I were sitting there for what felt like an eternity. It’s December 20th, five days before Christmas, so this is going to make or break Christmas.

Jennifer came in and said, “Listen. It’s good news.” Then Dr. Baljević came in and went over it. It was pretty much [in] complete remission. There was a little bit of something in my urine they were seeing. He said, “A year from now, we’re not going to see that. You’re basically 98% and you’re going to be 100%.”

We left that room, stopped in the hall, and my wife and I kissed for the longest time. We were both crying and holding each other. It was so emotional. We went out [and] had a celebration

It was a magical Christmas for everybody. Everybody had been stressed for a year. A miracle happened. It was incredible.

Erin H. and daughter Ainsley
Erin H. and wife Melissa at Ace show in San Antonio 2023

Getting full support from work

I have the best employer in the world.

When I first got sick, I get a phone call from my boss. I’m already thinking, What am I going to do? I got cancer. I’m going to miss all this work. I’m screwed. We need the money. I’m gonna have all these bills. My boss says, “How are you doing?” I said, “Oh, my back, I’m in ICU, I’m dying.”

He said, “Listen, I don’t want you to worry about money. Whatever time you have to miss, whatever goes on, we’re going to pay your full salary the whole time.” I was in tears. Who does that? He’s a man of his word.

I missed so much work between weekly chemo, doctor’s appointments, and the stem cell transplant. Never missed a dime so I had a real desire to get back to work, honestly.

I love my work. My wife will tell you if I’m not at home, I’m here. I wanted to get back to work to show him that this was important to me and that I appreciate it. Short days got longer and longer ’til they were back to full days. 

Being a different person

I feel like I’m a completely different person. If it doesn’t involve my family or work, I just don’t really care. I don’t have time for it.

We like to travel. We’ve been doing things and watching our kids grow up and that’s what’s important to me now. My brain is so far less distracted than it used to be.

Our marriage got so much stronger through all this. You get married and you say, “In sickness and in health,” and you don’t know what that means until something like this happens.

My life is great now. My wife is incredible. My kids are incredible. My work is incredible. I have nothing to complain about. I can, but it’s so good.

Erin H. family
Erin H. and wife Melissa

Some maturity happened through this. You get a different sense of what’s important. You realize the things that you’re going to miss if you go, the things you’re going to leave behind. That’s all that matters to me now.

Multiple myeloma is a lifetime thing. I’m lucky. I’m four and a half years in remission. I have an [upcoming] appointment and that could be the end of it for all I know. We’re going to live while things are in remission.

My wife worked in health care, which was a blessing when I got sick. When my back broke, she dressed me, showered me, put my socks on, and put my shoes on. It humbles you when somebody has to do that stuff for you.

I can never repay everything my wife’s done for me. There just isn’t a way so I try to make our life as good as we can because she deserves it and we deserve it.

Erin H. family

Erin H. feature profile
Thank you for sharing your story, Erin!

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Categories
ABVD Cancers Chemotherapy Classical Hodgkin Lymphoma Patient Stories

Patrick’s Stage 2B Hodgkin’s Lymphoma Story

Patrick’s Stage 2B Hodgkin’s Lymphoma Story

Patrick C. feature profile

Patrick was diagnosed with Hodgkin’s lymphoma after experiencing trouble breathing and a dry cough.

Having always been athletic, his breathing started to get heavy while training for a marathon and he couldn’t continue to run. After an anniversary trip with his wife, his symptoms got worse. Something in his chest didn’t allow him to take a full breath.

After initially being diagnosed with asthma, an X-ray showed something in his chest that prompted a CT scan and then a PET scan, which eventually revealed a 3 cm lymph node.

Patrick underwent 12 sessions of ABVD chemotherapy over six months, experiencing side effects such as burning gums, nausea, and brain fog. Despite the challenges, staying physically active during treatment helped him stay positive and maintain hope. He shares how pandemic protocols affected his experience and how he manages scanxiety.

In addition to Patrick’s narrative, The Patient Story offers a diverse collection of Hodgkin’s lymphoma stories. These empowering stories provide real-life experiences, valuable insights, and perspectives on symptoms, diagnosis, and treatment options for cancer.


This interview has been edited for clarity. This is not medical advice. Please consult with your healthcare provider for treatment decisions.


  • Name: Patrick C.
  • Diagnosis:
    • Hodgkin’s Lymphoma
  • Staging: 2B
  • Initial Symptoms:
    • Dry cough
    • Trouble breathing
  • Treatment:
    • Chemotherapy: ABVD (doxorubicin, bleomycin, vinblastine, dacarbazine)

Just because you’ve gone through something traumatic doesn’t mean your life is over. Do your best and the rest will come.

Patrick C. with mom and wife
Patrick C. timeline


Introduction

I’m 43 and I’m married.

I’m a runner, marathoner, trail runner, weightlifter, and cyclist. Not really a cyclist anymore, but those are my hobbies.

Patrick C. and wife
Patrick C.

Pre-diagnosis

Initial symptoms

I was training for a marathon and I was out running. My breathing was starting to get heavy and I couldn’t continue my run.

As someone that’s always been athletic, a cold or cough has never knocked me down before. I always trained through it. I always pushed through it.

But this was different. I had to stop and that’s never happened to me before. I didn’t know what was going on with me so it drew awareness. 

I felt something in my chest, but I thought it was a cold or allergies. After just two miles, I have to stop.

It was [a] dry cough. Nothing was coming out. I’ve never had a dry cough in my life. When I was sick, there was always something there.

Reaction to feeling symptoms

I thought, I’m going to take a break and come back tomorrow. This is very, very strange to make me stop. This was February 2020, the day before my one-year anniversary.

The next day, I tried to run and just didn’t have it in me, which is rare. I hopped on my bike trainer and still felt breathing issues, but it wasn’t as bad so I said, “Maybe it’s just a bad cold or something.”

We celebrated our anniversary, went out to dinner, and caught a flight the next morning to Santa Fe, New Mexico, which has [a] really high altitude.

It got way, way worse. It felt like there was something in my chest that wouldn’t allow a full breath. It was scary in [that] this isn’t normal. But my stubbornness was putting in my head that it was a cold that needs to go away added on to altitude.

We came back to Houston. It’s not allergies because we went to a different part of the country that doesn’t have many trees so I thought it was our trees. It got a little better but it still never went away.

Patrick C. and wife
Patrick C.
Being diagnosed with asthma

I finally caught the ENT doctor and he said I developed asthma. I just said, “Okay, I have asthma,” and went on to the next step.

My mom had asthma when I was a kid so I figured it’s asthma, let’s get it taken care of, give me the medicine. I need to get back to my life.

This was during COVID. The pandemic started as we were getting on the plane from New Mexico back to Houston.

The appointment was over Zoom. He said, “I’m going to give you asthma medicine. It sounds like it’s asthma.” He prescribed asthma medicine and it never did anything. I actually think it made it worse. I started getting gradually worse.

I called him again. He said, “I’m going to give you more medicine,” and it kept getting worse. By this time, he said, “They’re allowing us to see patients now. Can you come in? I’m going to give you an asthma test and an allergy test.”

He made me blow through a machine. He said, “I don’t think you have asthma.” Then he gave me an allergy test and said, “I’ll have these results to you in a couple of days, but I want you to go take an X-ray.”

He sent me to get an X-ray. I went home and got a phone call saying, “There’s something in your chest. It could be cancer. It might not be cancer, but I want you to take a CT scan.”

Hearing the possibility of cancer

I’m a very optimistic person. I thought, This is the ENT. He doesn’t know what he’s talking about. There’s something in my lungs. They’ll figure out what it is. I’ll be back on my feet in no time.

I didn’t think much of it at all. I was very positive. I called to make an appointment for a CT scan. Everything was backed up because of COVID so it took weeks to get in.

I went to get my CT and went to work. The doctor called and said, “This is serious. You either have lung cancer [or] a slight possibility of lymphoma. If it’s lung cancer, it could be stage 4.”

I used to smoke and I grew up in a smoky house. Everybody smoked in their houses back then. I said, “There’s no way I can have lung cancer. I run so much. I’m very active. It’s been 10 years since I smoked.” He said, “You’ll be surprised. It can affect you later on.”

I called my wife and said, “You need to come home. I’m on my way and we need to talk.” I told her and [said] we need to take further steps to figure out what’s wrong with me.

Breaking the news

It was the hardest thing I’ve ever done. When she walked through the door, she knew something was wrong. It was pretty bad.

Patrick C. and wife
Patrick C.
Getting a bronchoscopy

He connected me to a lung doctor at Houston Methodist Hospital to do a bronchoscopy. It took two weeks to get that bronchoscopy.

He called me the next day and said, “I don’t think it’s lung cancer, but we can’t count it out. I do not find any trace of lung cancer in your lungs. But I’m pretty sure it’s lymphoma.”

Hearing the possibility of lymphoma

I heard of lymphoma. I just never knew what it was.

I started doing research. My grandmother passed away after battling leukemia 10 days before I started feeling my cough and my shortness of breath.

He didn’t tell me what kind of lymphoma it was. I was 39. They said Hodgkin’s lymphoma usually affects people 35 and under. I thought, Oh, so I might have non-Hodgkin’s lymphoma. The chance of living is a lot less than Hodgkin’s lymphoma. That was going through my head.

Meeting with an oncologist & cancer surgeon

He set me up with an oncologist and a cancer surgeon at Methodist in case they have to do biopsies and whatnot. I met up with the surgeon and the oncologist at the same time. It took about two weeks again for that.

The whole process was pretty long. They did a PET scan. When I met with my oncologist and the surgeon, the surgeon said, “Do you feel this? That’s your lymph node. I’m pretty sure you have lymphoma.”

It was on my right side, 3 cm. You could see a little bit, but I was so lean that I thought it was part of my muscle. After looking at it, I thought it was my traps (trapezius muscle). I really didn’t think much of it.

My oncologist said, “We can’t cancel out lung cancer or even testicular cancer because, statistically, cancer can come up and raise lymph nodes in your lung area.” They set me up to do a biopsy. I never had a swollen lymph node in my life so I didn’t think anything of it.

I went down the Google wormhole. This was on a Friday and he said, “I want to have this surgery on Monday morning, Tuesday morning at the latest. You’ve been getting the run around with this for too long now. We need to get you in.”

Patrick C. and wife
Patrick C.
Having your doctor advocate for you

I knew COVID was an issue then, but I was a little bitter. They’re pushing back cancer patients for COVID.

I really like what the surgeon did. COVID tests were taking two weeks. They didn’t have [the] rapid COVID test yet. This was [the] end of May 2020.

They said, “He needs a COVID test, but it can take a week for the results.” He said, “I don’t want it. I need him in.” They said, “We need to have a COVID test.” He said, “I don’t want him to have a COVID test and wait that long.” He got me in. That would be my third test within a month they made me take.

Getting a biopsy

He did the biopsy. I was already out, but he told my wife, “I think it’s Hodgkin’s lymphoma,” just by the biopsy, which is a good thing. That was some relief that it was Hodgkin’s lymphoma, very curable.

The appointment was at 8 o’clock and they made me get there at 5:30 for check-in. They put me in a room and gave me drugs. I actually had an allergic reaction to the anesthesia so they gave me Benadryl to calm that down. Then they put me into a surgery room and I was out.

It took about 2.5 hours. I woke up in this room and said, “What’s going on here?” Then they pushed me back and that’s that. For three days, it hurt pretty bad. I had a big scar.

Diagnosis

Getting the official diagnosis

He knew instantly that it was Hodgkin’s lymphoma but they couldn’t officially diagnose me. I had a follow-up appointment with my oncologist four days later.

My wife and I were a nervous wreck. My oncologist is a very young, very smart, and very positive doctor. We were sitting there and she opens the door really fast with a big smile on her face.

She said, “It’s really good news it’s Hodgkin’s lymphoma not non-Hodgkin’s lymphoma, lung cancer, or testicular cancer. It’s stage 2B Hodgkin’s lymphoma. We’re going to start you on chemo the following Monday.”

Discussing the treatment plan with the oncologist

She said [with] stage 2B, you usually go through 12 [sessions] within six months, every two weeks. ABVD for the first four and they take out the B, the bleomycin. She was really adamant to get me off bleomycin because I run a lot and I was a smoker in my 20s.

Patrick C. treatment
Patrick C.
Shared treatment decision-making

I told her, “I need to run the Houston Marathon. If I finish chemo, it would put me at the end of November. Would I still be able to run?” She said, “Yes.” I said, “Yes!” And then my wife said, “No, you’re not.” She knows how I am. It was canceled anyway because of COVID.

I told her, “It’s very important that I stay active and still work. I want my life as normal as possible.” Running, cycling, and lifting weights is my therapy. She said, “Then we need to try to get you off the bleomycin after number four.”

Treatment

I’m not going to lie and say I wasn’t scared. Your whole life, you’re taught chemo patients are high risk. I was nervous, but I was very positive. I said, “I’m going to crush this thing. My life is going back to normal. I’m going to do my best to do what I do daily and not let this put me down.”

I walked in with a positive attitude. The nurses love me. They said, “You are the happiest person here.”

ABVD chemotherapy

They let my wife come with me because COVID cases just dropped a little bit, which was great. She sat with me [for] the whole five hours.

They took my lab work. They gave me the pre-meds. As soon as they hooked the chemo up, I felt it instantly. “Oh, this is not fun.”

I got there at 7 o’clock and I was there till 11:30. They would come in every hour and replace the chemo bag with something new.

Every two weeks for six months. The second treatment was pushed back a week because my lab work was off. They wanted to make sure the chemo wasn’t messing up my liver. My liver enzymes were really high because I was taking valerian root, a sleep herb. That was the only one that got pushed back.

Patrick C. treatment
Patrick C.
Side effects of ABVD chemotherapy

My gums were burning. Nausea and my gums were my first side effects.

The steroids would keep me up at night. The first two nights, I would be wide awake with full energy because of the steroids, which they gave before the chemo.

I had brain fog.

Managing the side effects of chemotherapy

I tried to take the nausea medicine and it didn’t work. It made me feel a little worse. I took them one time and never took them again.

I stayed active the whole time. If I couldn’t lift weights or ride my bike, I would go for walks. My wife would go with me a lot of times.

The week of treatment, I felt bad. Then starting Friday afternoon, I will start coming back to life. My brain fog and nausea will start going away and I would start getting a lot of energy.

By Sunday, I usually felt back to normal. My life would be normal for a week. Chemo [on] Monday morning, a week of feeling bad, then a week of feeling good. It was a big cycle. Every treatment week got worse and worse and worse.

How being physically active helped

The day after my first treatment, my wife and I went for a four-mile walk. I don’t want to sit on the couch and feel miserable. I want to go and I felt it helped me.

It gave me more positivity [and] more hope. It put in my head, “I’m beating this.” I felt it was better for my mental being more than my physical being.

I stayed pretty positive. I did get upset a lot easier. I wouldn’t say lose my temper, but I was a lot more sensitive. My wife and I didn’t fight, but there [were] episodes where I would be snappy at her, [at] coworkers.

I think I had more episodes of depression before cancer than while I was going through chemo. In a way, it made me less depressed because it made me realize that I can still do almost everything I could have done before. I’m stronger than I think I am.

I decided to take the week off my last chemo and not be active. I wanted to take a break from everything and just relax. That last week was the worst I’ve ever felt.

I was sick the whole time. I was worse on everything and I think it’s because I sat on the couch and did nothing. I felt bad for myself.

Patrick C. and wife
Patrick C. treatment

Post-treatment

I had a PET scan after number four to see if I can get taken off the bleomycin. The doctor said no more bleomycin.

Then I had a CT scan after eight. There [were] no signs of cancer in me. They were going to determine if I needed radiation and I didn’t.

My insurance wanted to wait six weeks before I had my next scan. I had my PET scan six weeks [after] my last chemo and it was all clear.

No evidence of disease

We were in my car on a Zoom appointment with my doctor because they were back in COVID protocol. I was happy because my wife was able to be with me. She couldn’t go with me to doctor’s appointments before so it was a great moment.

I was in my truck outside of work, on my lunch break, with my wife, and it was such a great feeling. It was one of the best things I’ve heard in my life.

She teared up. She was really happy, of course. It was a journey.

Follow-up protocol

I got a scan after one year. Everything was good.

My oncologist said I just need blood work. Every oncologist has different opinions. Some want every year for the first five years. She said I don’t have to. I can if I want.

I opted out [of] my two-year scan because my blood work came back good and I feel great. I’ve heard [to] try to minimize scans because they’re not the best for you.

Managing scanxiety while waiting for test results

I would just go throughout my day. Go to work. There are moments I would forget about it then I would constantly check my chart after the scan. It gave me scanxiety but not where I couldn’t focus or knock me on my knees, which I’ve heard it does to some people.

[With] my first CT scan, I just wanted to get to the bottom of what was wrong with me so I ignored it. I wasn’t even nervous. I was three months in on this and wanted to find out what was wrong. My second scan before I was officially diagnosed [was the] same.

After chemo started, it started to get a little scarier [thinking] that, I hope I’m doing good. But the actual scans never really affected me.

Patrick C.
Patrick C.

Running the Houston Marathon after chemo treatment

After my last chemo, I started getting really, really active. The day she told me I had no signs of cancer, I went all out. I signed up for the next marathon. I completed the Houston Marathon one year and one day after she told me I was cancer-free.

It was a great feeling. I was mad at myself because I didn’t hit my goal. I’m very competitive, but deep down, it was one of my proudest moments. Besides marrying my wife, it was probably my proudest moment.

People think that their life is over after cancer and it’s not. I was 40 years old, got through chemo, and completed a marathon afterward.

I trained so hard that I knew I had it. It was more emotional for my wife. She posted Instagram stories and said, “I’m so proud of him. He went through a lot and he’s doing stuff that a lot of people are scared to do.”

Words of advice

Listen to your body. If your body tells you [to] get up and move, even if it’s a little bit, do it. It will bring up your spirits.

Just because you’ve gone through something traumatic doesn’t mean your life is over. Do your best and the rest will come.

When I push really hard, I feel my lungs are not as strong as before, but I ignore it.

I refuse to let it beat me down.

Patrick C. and wife

Patrick C. feature profile
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