Categories
Chemotherapy Hodgkin Lymphoma Patient Stories Treatments

From Nursing Student to Hodgkin Lymphoma Patient

From Nursing Student to Hodgkin Lymphoma Patient: How Sarah Rebuilt Her Life

When Sarah first noticed a lump in her neck during nursing school, she had her suspicions it was cancer. She was 29, working night shifts, preparing for finals, and doing everything “right” — waking up at 4 a.m. to go to the gym, pouring herself into her accelerated nursing program, and building the life she’d envisioned for herself. The swelling in her neck, initially dismissed as a possible infection, slowly became impossible to ignore. As test results came back mentioning “abnormal lymph nodes” and her questions went unanswered, she pushed harder for clarity and learned firsthand how exhausting it can be to advocate for yourself in the health care system.

Interviewed by: Taylor Scheib
Edited by: Chris Sanchez

When a biopsy finally confirmed that she had Hodgkin lymphoma, Sarah read the word “malignant” in her patient portal before any phone call came. The diagnosis collided with her dreams: if it were lymphoma, she would have to leave nursing school because treatment would make her immunocompromised. She describes this season as a grieving process; mourning the life she thought she’d have, the graduation date she’d targeted, and the sense of control she realized she’d never truly held in the first place.

Sarah K Hodgkin lymphoma

Chemotherapy for her Hodgkin lymphoma brought on nausea, sleepless nights from steroids, and unexpected abdominal pain. Sarah had to take a harsh anti-nausea medication that made her feel worse than the chemo itself. Her treatment also came with deep emotional impacts: hair loss that felt like losing a shield and part of her femininity, weight gain that would not budge, and survivor’s guilt that still surfaces when she thinks about others facing terminal outcomes. Through it all, she leaned on online support groups, telehealth therapy, her parents, her “soul dog” Willow, and the stories she found on The Patient Story to feel less alone.

Today, Sarah is a registered nurse, a profession she has always believed she was meant for. Her Hodgkin lymphoma experience continues to shape how she shows up for patients: validating their feelings, rejecting toxic positivity, and reminding them it’s okay to say that something simply “sucks.” She lives by a simple but hard-earned motto: take it one day at a time.

Watch Sarah’s video and read the edited transcript of her interview to find out more:

  • It matters to listen to your body and continue to advocate for yourself
  • A cancer diagnosis can trigger real grief for the life you expected, including school plans, career timelines, and body image — and that grief deserves validation, not minimization
  • It’s not the patients’ fault that they’re sick; the disease and its treatments drive so much of what happens, and blame has no place in healing
  • Support from family, pets, peer communities, and mental health care can transform an isolating experience into one that still holds connection, perspective, and meaning
  • Sarah’s transformation from overwhelmed nursing student to registered nurse illustrates how lived experience with Hodgkin lymphoma can deepen empathy, advocacy, and a commitment to telling patients, “It’s okay to say this is hard.”

  • Name: Sarah K.
  • Age at Diagnosis:
    • 29
  • Diagnosis:
    • Hodgkin Lymphoma
  • Staging:
    • Stage 2
  • Symptom:
    • Swollen lymph node in the neck and collarbone
  • Treatment:
    • Chemotherapy
Sarah K Hodgkin lymphoma
Sarah K Hodgkin lymphoma
Sarah K Hodgkin lymphoma
Sarah K Hodgkin lymphoma
Sarah K Hodgkin lymphoma
Sarah K Hodgkin lymphoma
Sarah K Hodgkin lymphoma
Sarah K Hodgkin lymphoma

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

The views and opinions expressed in this interview do not necessarily reflect those of The Patient Story.



My name is Sarah

My name is Sarah. I’m from Michigan, born and raised. I was diagnosed in September 2020 with stage 2 Hodgkin’s lymphoma.

I’m very family-oriented. I’ve been in the healthcare field for more than ten years. I’m a registered nurse now. I love dogs. I’m obsessed with dogs. It’s an issue, but it’s also a coping mechanism. I love not taking life too seriously. I like to laugh.

I’ve always kind of said that I was an old soul, but cancer changes you in ways that you just take it a little bit more seriously, because you know how short life is. So I feel like it changed me in a lot of ways, but also I’ve kind of always been like that.

This probably sounds so stupid, but when I was young, I had my grandma. We called her Nanny, and she always told me that I had this very calming spirit to be around. So I always thought in the back of my mind, and I don’t think I’ve ever actually told anybody this, that a big reason why I’m part of the healthcare field is because of that calming spirit. Now, do I believe it in myself? Not necessarily, but I’ve been told that again and again since then, and it just kind of reaffirms that it’s a gift to be in the healthcare field. It’s a challenging gift, but it’s also a really big blessing. I get a lot from it.

My first symptoms

I was working night shift. It was just about to be finals for my second semester of nursing school. I woke up in the middle of the night, and I heard this sound. It sounded so disturbing, but it really was like a spring, like something bounced. I was so tired from working nights that I just went back to sleep.

Then I woke up the next morning, and I started feeling around, and I was like, “There’s a lump there.” I kind of blew it off. I had a little bug bite on my arm, and I took a thousand pictures because I’m so overdramatic that I was like, “It’s cancer.” But I thought maybe it was an infection, and that’s why that lymph node was swollen, even though it wasn’t even that lymph node that would have popped up. It would have been my armpit lymph node. So I kind of let it roll for a little bit, and then after finals, I went to the doctor for the first time.

Super dramatic. My heart rate was so high, my blood pressure was so high, because I just had a feeling. I remember at clinicals a couple of weeks prior, I was walking down the hallway, and I kind of felt odd, but I blew it off because I thought, “My body is not my own right now.” Then I sat down, and I was like, “Sarah, you’re so dramatic. Stop it.” And then two weeks later, that’s when it popped up.

That was my only real symptom. I didn’t have night sweats. I didn’t have unexplained fevers. I didn’t have unexplained weight loss, which I was dramatic about, not because that would have been a good one, but at the time, I was working really hard to lose weight, and there was nothing. I was still getting up at 4 a.m., going to the gym before clinicals. I had my energy. It just threw me for a loop for sure.

Balancing school while trying to find answers

There’s this saying that busy hands make an absent mind, or something like that. I’m probably butchering it. I tried to throw myself into work and school and tried not to think about it. But of course, the more you try not to think about something, the second that you have a quiet moment, you’re spiraling.

I remember having that swollen lymph node and Googling and finding The Patient Story and just binging on it. By the time I was actually diagnosed, I knew what my treatment would be. I knew it all. When she was telling me about the chemotherapy that I would be on, I was already familiar with it because I was already binging and spiraling. I was spiraling a little bit.

At my first doctor’s appointment, they prescribed me an antibiotic just in case, because I had that weird bug bite. Nothing happened. It kept growing. Then I went back because we had gone on vacation up north in Michigan. I was putting ice on it because it was uncomfortable. It was uncomfortably swollen, and I don’t know if that was because I was aware of it at that point or if it was growing.

So I went back to my doctor, and she was like, “Oh, that is a little bit bigger,” but she was never concerned. I had to really push for it. She ordered an ultrasound. I think I got the ultrasound done on a Saturday. The results were posted, and it said abnormal lymph nodes. They didn’t scan my thyroid, and I wanted my thyroid scanned too because I didn’t know. I knew it was cancer; I had a feeling. I just didn’t know what kind.

I was being proactive. I went to my professors and said, “Hey, this is what’s going on.” They told me that if it were a thyroid cancer, I could stay in my nursing school program, but if it was anything else, if it was lymphoma, which it was, spoiler alert, I would have to drop out of the program because I would be immunocompromised.

I remember praying, and it sounds so disturbing, that it was thyroid cancer, so I could stay in the program. I was doing really well. I felt like I was finding my niche. I was getting really good grades. I was in such a good flow that it felt like I was going from 0 to 100. It was so heartbreaking even thinking about dropping out of the program.

That was the beginning. That was the first phase. I was in an accelerated nursing program, so that all happened in about a three‑week time span. After my abnormal lymph node ultrasound came back, they recommended either a fine needle aspiration or a surgical removal.

How I pushed for answers

I don’t recommend this, but I was the patient who was looking in her chart and seeing some of those messages you can clearly tell weren’t for the patient. I was freaking out, and I needed to know because I was either going to drop out of the program or stay in the program. They kind of took their sweet time getting back to me.

I sent a lot of messages, like, a lot, trying to get them to schedule something, because I wanted the lymph node removed. It was uncomfortable. I had to book an appointment, and of course, the surgeon is a week out. Everything is hurry up and wait.

I showed up, and my heart rate was so high. They were like, “Are you okay?” and I said, “Yeah, I’m just freaking out.” They were very gracious in that office. For a surgeon to tell me this (it meant a lot because she wouldn’t cut; she said, “I don’t know what it is.”

I remember the medical assistant who brought me back. He hugged me, and I’m going to tear up, and this is another thing that has carried me through as a nurse, too. He just said, “I’ve got you. We’ve got you.” That felt so good because I felt like I was spiraling and nobody would believe me, which I think is really common for women in healthcare, unfortunately.

She scheduled a thyroid ultrasound. I think it was the next day. I went after school because I just wanted it done. I ended up having nodules on my thyroid. Of course. I had like six. So I was like, okay, for sure, this is thyroid cancer. I can stay in the program.

I remember being so relieved. I remember where I was. I was at a lab at school and thinking, this sounds so disturbing: “Oh, thank God I can stay in the program.”

We did the excisional biopsy, fine needle aspiration, on a Friday. My mom took me, and we were getting everything ready because, of course, you’re scared. You’re having a needle in your neck. The radiologist scanned beforehand, and he just said, “Oh, yeah,” and I was like, “Okay, cancer for sure.”

I was trying not to freak out. The needle biopsy ended up not being as terrible as I thought it would be. It wasn’t painful. They numb it pretty well. But everyone just kind of looked at me with sympathy in their eyes, and I already kind of knew it was something malignant. I knew for sure after that.

The week after was completely agonizing, waiting for those pathology results. Everyone was like, “It’s probably nothing. Everything’s great. It’s going to be nothing. You’re going to be fine.” I remember where I was when I read it in my chart again. It’s a blessing and a curse. It’s a good thing and a bad thing. Anything you can take to the nth degree can be harmful in a way, but in another way, I’m…

It was hard reading that because it said malignant. Malignant in all caps. But I already kind of knew. Patient portals really give you power in your hands. My doctor didn’t call me until the following Monday, after I had already called to transfer my care to an oncologist. All she said was, “I know you know. I got a referral request. If you need anything in the future, let me know.” And what was she supposed to say? It is what it is. But it was hard getting “malignant” and not knowing anything about it at that time.

They got my samples from the fine needle and confirmed lymphoma: Hodgkin’s lymphoma.

The moment everything changed

That Monday, I called my oncologist, and the appointment wasn’t for another month. Hurry up and wait. I scheduled a PET scan and had all of my samples transferred so they could review them.

The day of my PET scan, I was getting ready, and my oncologist called. My phone was dead, charging in my room. She called me, nobody answered, and then she called my mom. My mom answered, and the oncologist said, “Hey, we have a cancellation. Do you want to come in today?” That was unheard of. She didn’t even have anybody else call; it was literally her calling. That was such a blessing.

We went that day before my PET scan, and she already knew everything we were dealing with. The first thing you go through, and it’s not talked about enough, is the guilt you feel about having cancer. Society doesn’t help that because there’s so much of “Oh, sugar causes this,” and the reality is that so much in our environment and culture has the potential to cause cancer. That’s an unfortunate truth. But you would never say that to a kid who got diagnosed with cancer, so why would you say that to yourself?

The first thing she said to me (she got down on eye level) was, “I just want you to know this is not your fault.” I was instantly tearing up. Another thing that has carried me through: “It’s just bad luck.” That’s what she said to me. It was really affirming to hear, and you need to hear that, especially at that time.

She went through everything to expect: hair loss. They can be kind of careless about hair loss, but it’s a big hit for women, especially. I was 29 when I was diagnosed, so at that time, it was devastating to lose my hair. I’m still dealing with it. That’s my biggest thing right now. Two years later, my hair is still not where I want it to be. I’m still not confident in it. And these are extensions. Spoiler alert.

She wrote down on a piece of paper: if I were stage 1 or stage 2, I would have X; if I were stage 3 or stage 4, I would have Y. I went to do my PET scan. I had that lovely drink, and they put a little umbrella in it for me, which I thought was really sweet.

I ended up having stage 2. It was like a cluster of grapes in my left neck, and then I had one spot in my chest, which made me stage 2. All of my labs were normal; well, normal‑ish. My sed rate, which is an inflammation marker, was high but not crazy high. It was just elevated.

I had to drop out of nursing school

I was immediately angry; angry that I would have to drop out, and I didn’t feel like I needed to at that time. I felt like I could have kept going, and that would have been good for me in a way, because it would have distracted me from chemo. Chemo was every other week. I would have chemo treatment day, then two weeks off. I did that for eight rounds.

Towards the very end, the last two months, it’s a cumulative effect. It really took me out. I look back at those pictures, and I looked and felt ill. It was really isolating because, of course, you’re immunocompromised, so you’re isolating from the world. I didn’t want my treatment delayed, so I took that to the nth degree. I didn’t want to risk it.

It was really hard, especially watching people move on and keep going with the program, because I had formed such a bond with those people. They had my back, and I didn’t want to lose that. But it was out of my hands, and I just had to trust God that it would, for whatever reason, make sense in some aspect. I’m never going to understand it this side of heaven, but I tried to trust in that.

I was in online therapy for most of my treatments. I would do telehealth visits on the off weeks when I felt not good, but decent. That helped me a lot, because it’s a grieving process. You’re grieving. I was 29 at the time, and I really wanted to have my degree by the time I was 30. Did a year make a difference? No. But I really wanted to. That was my goal. To have that taken away from me, out of my hands, because you’re just at everybody else’s whim and it’s completely out of your control; that’s hard.

So yeah, I was angry at first, but in the end, I was thankful. I lost my dad in January, very suddenly. I remember, I think it was Alexandra B.’s or something on YouTube. I was watching her videos, and she asked, “What about this time am I most thankful for?” Sort of checking your perspective.

I was with my parents at the time. I’m still living with my mom, but I’m so thankful I had that time with my dad. My mom and dad were there for me, just providers. I would watch sports with my dad to feel that life was still happening outside my little bubble. It was hard, but I’m thankful for it in the end because I got that time with my dad, and I don’t know what I would have done without that.

Dealing with chemotherapy & survivorship mode

I didn’t think treatment would be easy. In some ways, it was easier than I thought it would be, and in other ways, it was harder. When you’re going through treatment, you have this survivor mentality; you’re just in it. You’re in war mode. After treatment is when it all really hit me personally.

I joined a support group online on Facebook, and that really helped me. I know it’s a common trend: after treatment, you’re like, “What did I just go through?” In my first couple of rounds, I did decently physically. The first couple of days were nausea, no appetite, and no energy. I slept a lot.

After those first couple, when I started losing my hair, that was really hard. It was a slow trickle. I didn’t actually shave my head until a couple of weeks after I was done with treatment because I felt like I needed a new start.

The first couple of days of each cycle were hard physically: sleeping, nausea, discomfort. The steroids they give you mean you can’t sleep. You need sleep, but you can’t sleep, so you’re jittery. During treatments, they gave me Cinvanti, a long‑acting anti‑nausea medication. That made me so sick. It made me sicker than the chemo. It was like having cement poured in the back of your throat, that gross feeling.

I complained about it from the first infusion on. They tried tips like sucking on a mint, sucking on a Jolly Rancher, pushing it really slow, and diluting it a lot. Nothing worked. I was dry heaving every time they pushed it. It was horrible, and then I would be super nauseous the rest of the time. Infusions were three hours.

I made it through all of my infusions. I remember my second‑to‑last infusion was really bad. I was dry heaving the whole time. I had a nurse, an angel from heaven, who advocated heavily for me, saying, “She can barely tolerate her treatment. Can we do anything else?” They ended up switching my drugs to Emend, and my last infusion was better. I didn’t have that Cinvanti pushing. Cinvanti was not my friend, which is weird because that wasn’t even the chemo.

Then there was the chemotherapy. After the chemo, it was almost like a heat in your chest that progressed into nausea as time went on. My mom was always with me at my infusions — another angel from heaven. It was hard to watch her watch me. You try to be strong because it’s heartbreaking to watch your kid go through chemo.

I remember when I was diagnosed, my dad never cried, but he had tears in his eyes, and he said, “It should be me.” I said, “I’m thankful it’s me because I know I can handle it.” That memory has stuck with me, especially living with me; I knew it was hard for them to watch.

Treatment was tough. You go into survivor mode and tell yourself it’s not that bad when you’re going through it. Even now, I say, it was what it was. I’m not going to say it was impossible to get through, because you get through it. You lean on people, and you take it day by day. Even now, my motto is one day at a time.

I had a friend from the support group who also had Hodgkin’s and had just gone into remission. Her motto was “Faithful God, strong body, powerful mind,” and she would say, “You’re one day closer.” I had that posted on my mirror. It was my go‑to for everything, and I still find myself living day to day.

How my physical appearance impacted me

I’m an introvert, and I find myself — I didn’t know this at the time — hiding behind my hair. Losing my hair almost felt like losing a shield, losing my femininity. At the time it happened, I felt kind of numb because I was losing my hair anyway. It’s uncomfortable to lose your hair. Your scalp is sore. You can’t do anything with it. Even washing it, you lose heaps. I could put it in a half pony, and the next day, when I took out the pony, half my hair would be gone because it was dry and brittle and dead.

I felt like I was ready to shave it after treatment because I was still losing my hair, but I was supposed to be done with treatment. It felt like the next step to regrow from the start. I didn’t fully know how long it would take, and that really hits you. I still think, what if I had kept the dead hair and just let it grow — would I be better off now? Would I have longer hair?

It’s awkward growing out. The hair grows at the same rate, but it shows up differently on your head, so it’s a bunch of choppy layers. I’m never getting layers after this.

It took a lot, and I still feel like part of my confidence and femininity was stripped from me, and I still struggle to get that back. I also gained weight during and after treatment, and it’s been really hard to get off. In fact, it’s not coming off.

When I was younger, I lost 60 pounds and kept it off for almost six or seven years. Then I got diagnosed and gained 20 back during treatment, and then 10 after. I didn’t fully understand why, and I still don’t. I don’t know if it was steroids or my body being in shock, but it will not come off. I’m really struggling with that.

Two parts of my confidence were taken away from me against my will. When I spiral about it now, which still happens, I get really mad because it was completely out of my hands. It still feels out of my hands. I’m just at the whim of time. I try not to dwell on it. I tell myself, you can be angry for a minute or two, but it is what it is, and you’re just going to move forward. But it’s hard, especially as a young female.

I decided to go back to nursing school

I always knew I was going to go back. I had to reapply to get back into the program, wait for a spot, and then restart from there. Even going through treatment, I kept saying, “This is going to make me a better nurse. This is going to change my mentality. I’m going to learn from this. It’s all going to be great.”

It did change me in a lot of ways. I had nurses advocate heavily for me. I didn’t start with a port. I have really crappy veins. I don’t understand why more people don’t go straight for the port because a lot of those chemotherapy drugs are heavy-duty. If they leak into your skin, it’s not a fun time. I saw nurses advocate. I saw how they handled things, and I thought, “Okay, I’m going to use this and move forward in how I care for my patients.” Advocating is something I really learned going through it.

I went back to school after reapplying to the program. I also had my dog. Her name was Willow. She actually got diagnosed with osteosarcoma right before I got diagnosed with Hodgkin’s lymphoma. She was my what I call my soul dog. Ruthie’s okay, but she’s still learning. I love Ruthie too, but Willow was my soul dog.

That was really hard. Willow was limping on one leg. She was only supposed to make it a couple of months, and she made it another year before we went in. The day we went to the vet to put her down, because it was time and she was clearly in too much pain, I got back into the program with her snuggled into my lap. That was hard, but it almost felt like she was an angel in another way. She carried me through. She got me through that year, and then it was her time.

It was difficult to reset because I had dropped out halfway through the program, so all those friendships were already formed. I’m an introvert and take a while to warm up to people. It was hard to start in the middle of someone else’s program.

Starting my life again

Restarting was hard, but everyone I started with was super nice. They kind of gravitated toward me and got me through. They were really there for me when my dad died, too. I got to meet people I would have never met in another world, and I try to keep that perspective.

When I was supposed to graduate, which was May of that year, my best friend from nursing school asked me to pin her. I went and did that. It was so hard. I remember getting through it and then going home and sobbing. I felt like I was grieving the life I should have had.

I remember hugging my dad, and he gave me a big hug and wouldn’t let go. I let myself be sad and then reminded myself, it is what it is. You can’t change it. Being sad or mad doesn’t change the outcome. Then I tried to move forward.

That was the peak of it. I started angry, then I got sad. You get through the program, and in a lot of ways, my treatment helped me through the program. The cancer units were a breeze for me.

Now that I’m out of it, I don’t really feel any emotion toward it, because I’m done with it. It’s over. But going through it is hard. You hype it up in your mind, like most things.

The survivor’s guilt I feel

It feels almost surreal. I talk about it all the time, but it almost feels like it happened to someone else because I’m so disconnected from it. I remember reading that in my support group while I was going through treatment and thinking, “That’s never going to happen to me,” because when you’re so in it, you don’t see anything outside of it.

Now that I’m two years out and life has happened — I lost my dad; someone close to me was diagnosed with melanoma — that was harder for me to watch than going through it myself. I wanted to be the one to take it. Survivor’s guilt is very real. I still struggle with that: why am I okay now, and someone else is terminal?

Even with nursing, being exposed to it so often and having to check yourself, you really have to get good at compartmentalizing while trying to be gracious. That’s been hard. Two years out, it feels like it happened to someone else. I try not to dwell on it. It always creeps up when I’m trying to get dressed or dress up and feel pretty again. I haven’t felt pretty in three years. That’s when the anger creeps up.

I spin out about it, and then I’m okay. That’s when it hits. Other than that, I try to think about how I felt in all those phases, especially during the diagnostic phase, which is grueling. Of all phases, that’s the one I would never relive. The anxiety ate me alive, not knowing what was wrong and having to really fight, which you shouldn’t have to do, but it is what it is.

That carries through to how I handle my patients. I try to keep that in mind. I never take anything too personally because I know what that was like. It’s not personal; it’s people coping however they cope, and there’s no right or wrong way.

I was reading on a cancer site about how to empathize with patients through hard stuff. One line I screenshotted and wanted to keep in my back pocket was: this isn’t an easy thing, you’re handling it with grace, but it’s okay if you don’t. I try to tell that to my patients when they say, “I’m sorry for complaining.” I tell them, this isn’t complaining. You can complain to me all you want. I’m not going to tell you that you have to be positive. Toxic positivity is a real thing. You can say something sucks. You don’t have to dwell on it, but if something sucks, say it sucks.

It’s changed me in a lot of ways; mostly good, some bad, but mostly good.

How The Patient Story helped me feel less alone

I found The Patient Story right after everything started happening. Google is your friend, but also your foe. I found The Patient Story and started binging videos. I remember I was still in school at that point, and our first unit, ironically, was on cancer, so I felt like in a way I was still kind of studying.

I was reading about it, watching a lot of videos, not reading my book at all, just watching videos. Seeing everybody go through it and knowing they were okay made me think, okay, maybe it’s not the end of the world. You do feel less alone because it’s so isolating. People can’t really understand it until they go through it themselves, and it’s not something you’d wish on someone.

That’s another thing with survivorship. You feel alone because no one truly understands you, other than other survivors. I found The Patient Story for that, and even going through treatment, I watched videos because I feel less alone. The steroids kept me up doomscrolling. I also had abdominal pain a lot through chemo, and I wasn’t prepared for that. It would creep up at night, so I was up a lot, watching videos and feeling less alone.

Even now, I still watch the videos. There’s such a community behind it, and you really don’t get it until you’ve gone through it, especially as a young adult. It is what it is.

I have a friend who was diagnosed a year before me. We went to high school together. She had Hodgkin’s, too, stage 2, so we were like twinsies. We message each other all the time, usually going off about our hair. It’s curly, different than what we’re used to, so we complain about our hair. It’s nice to have someone who understands, instead of someone trying to say, “Oh, it’s okay, it’s not that bad.” You can acknowledge it sucks. You don’t have to dwell on it.

That’s my mentality a lot with cancer: you don’t have to say “yay,” but you can be honest. It took a while for us to reach out after I was diagnosed and build that camaraderie, but in the meantime, The Patient Story was like having a friend.

What I want others to know

My biggest advice is to take it one day at a time. It seems so cliché, and I probably rolled my eyes at it in a past life, but when you’re in it, it really is one day at a time. Don’t skip ahead. So much of it is out of your control.

It deepened my faith a lot — leaning into others, leaning into God, knowing it’s out of my hands. Part of the grief you feel is that you think you’re losing control of your life, and realistically, you never had control. That was big for me: one day at a time, leaning into my faith and others.

Another thing: acknowledge it sucks. Don’t dwell on it. I’ve said that a thousand times, but I really harp on it. People can take that and only think about it — “My life sucks” — but then you’re doing yourself a disservice by dwelling. If you dig deep, there are lessons, perspective shifts, a lot in it.

I remember reading that people moved on from cancer and thinking in my support group, “That’s never going to be me,” because when you’re in it, you’re so in it. But it really does start to drift off, which is beautiful.

I still go for blood work every six months now that I’m almost at the two‑year mark, and I go for visits. It’s never gone; it’s always in the back of my head, but it’s less prominent, which is awesome. Right after treatment, I remember being at a family wedding. I started having a panic attack because I had a rash on my hand. When I got diagnosed, I had a rash and unexplained itching with Hodgkin’s, so I spiraled. The rash came back; it turns out I just had psoriasis, and it was irritated, but I spiraled. There’s a picture of me mid‑cry. It could be a meme. It’s objectively funny now. It wasn’t funny at the moment.

Those emotions creep up. Acknowledge that it’s okay. Cancer is always going to be in the back of your mind, but it doesn’t have to take over. Compartmentalizing is a big thing, and that’s something I learned in therapy. I recommend telehealth. It helped me say, “Okay, this is what I’m thinking, these are the facts, and what else might be true?” That framework, especially with cancer, has helped me a lot.


Sarah K Hodgkin lymphoma
Thank you for sharing your story, Sarah!

Inspired by Sarah's story?

Share your story, too!


More Hodgkin Lymphoma Stories

Jessica H. feature profile

Jessica H., Hodgkin’s Lymphoma, Stage 2



Symptom: Recurring red lump on the leg (painful, swollen, hot to touch)

Treatment: Chemotherapy
Rylie G. feature profile

Riley G., Hodgkin’s Lymphoma, Stage 4



Symptoms: • Severe back pain, night sweats, difficulty breathing after alcohol consumption, low energy, intense itching

Treatment: Chemotherapy (ABVD)

Amanda P. Hodgkin lymphoma

Amanda P., Hodgkin’s Lymphoma, Stage 4



Symptoms: Intense itching (no rash), bruising from scratching, fever, swollen lymph node near the hip, severe fatigue, back pain, pallor
Treatments: Chemotherapy (A+AVD), Neulasta


Brescia D., Hodgkin's Lymphoma



Symptom: Swelling in the side of her neck

Treatment: Chemotherapy: 6 rounds of ABVD

Stepheni shares her Hodgkin lymphoma cancer story
Stephenie P., Classical Hodgkin's Lymphoma Diagnosis: Classical Hodgkin's Lymphoma Symptoms: Bumps along the neck, Night sweats, 25-pound weight lossTreatment: Chemo, ABVD, ICE, Brentuximab, Radiation, Stem Cell Transplants
Danielle shares her stage 1 Hodgkin lymphoma story
Danielle D., Classical Hodgkin's Lymphoma, Stage 1 Diagnosis: Stage 1 Classical Hodgkin's Lymphoma Symptoms: NoneTreatment: Chemo, ABVD, Immunotherapy, Nivolumab, Brentuximab, Bone Marrow Transplant

Categories
Brachytherapy Chemotherapy Endometrial Cancer Hysterectomy (full) Immunotherapy Patient Stories Radiation Therapy Surgery Treatments Uterine

“You Are Not Your Cancer”: Colleen’s Stage 4 Endometrial Cancer Message

“You Are Not Your Cancer”: Colleen’s Stage 4 Endometrial Cancer Message

Colleen discovered she had stage 4 endometrial cancer in 2022, when she was 54. Her story began with severe, unusual menstrual bleeding, which she humorously calls “crime scene periods,” and episodes of extreme weakness. Doctors told her she was just experiencing perimenopause. Her symptoms persisted until she and her husband moved to Germany, where she had a car accident. She was lucky enough to escape injury from the accident — but during her ER check-up, doctors unexpectedly found a mass in her abdomen. This twist of fate ultimately led to her diagnosis.

Interviewed by: Taylor Scheib
Edited by: Chris Sanchez

After she was diagnosed, Colleen leaned heavily on credible medical resources focusing on endometrial cancer, rather than simply searching online. She underwent a multitude of treatments: a full hysterectomy, radiation, brachytherapy, and chemotherapy. She was initially declared “no evidence of disease,” but later on her doctors discovered that the cancer had spread to her leg and lung. Her voice, once her signature as a singer, was deeply affected, challenging her sense of identity and plunging her into emotional lows. But Colleen ultimately managed to shake off these challenges.

Colleen J. stage 4 endometrial cancer

Mental health became a pivotal part of her healing. Colleen found solace in community support, friendships, and maintaining a semblance of independence. Her message is clear: “You are not your cancer.” She urges others to find their support systems, relentlessly communicate with healthcare providers, and cling to personal beliefs that provide comfort.

Watch Colleen’s video and read her story. You’ll find out more about:

  • How a car accident led to her life-changing diagnosis
  • “You are not your cancer” — Colleen’s heartening mantra
  • How losing her singing voice affected her identity
  • The emotional toll of stage 4 endometrial cancer and finding light in community
  • The crucial role of self-advocacy in Colleen’s health journey

  • Name: Colleen J.
  • Age at Diagnosis:
    • 54
  • Diagnosis:
    • Endometrial Cancer
  • Staging:
    • Stage 4
  • Symptoms:
    • Very large blood clots during menstruation
    • Anemia
  • Treatments:
    • Chemotherapy
    • Radiation therapy: brachytherapy
    • Surgery: full hysterectomy
    • Immunotherapy
Colleen J. stage 4 endometrial cancer

Karyopharm Therapeutics

Thank you to Karyopharm Therapeutics for supporting our patient education program. The Patient Story retains full editorial control over all content.

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



… whatever you believe in, hang on to it. If it’s a religious belief, if it’s a way to lead your life, hang on to those things.

About Me

Hi, my name is Colleen.

I was diagnosed with endometrial cancer in 2022, when I was 54. 

Colleen J. stage 4 endometrial cancer
Colleen J. stage 4 endometrial cancer

When I First Noticed That Something was Wrong

The first time that I wasn’t feeling right, I was living on the island of Guam. It was before COVID, probably in 2019. I was at a volunteering event for the United Service Organizations. 

I had to tell the woman that I was working with that I needed to leave, which was very unusual for me, but I was just feeling very unwell. I couldn’t catch my breath and felt very weak. I thought this probably was the onset of a big anemic episode, because then, when I got home, I had what I like to call a “crime scene period” — a menstrual period with very large blood clots.

I couldn’t find a doctor who would take my insurance in Guam. I went back to the States to visit my husband and saw a doctor there. And that doctor said, “Oh, you know, it’s probably just perimenopause. You’re at that age where this can start coming on, so I wouldn’t take it too seriously.”

Then we moved to Germany, and one of the first times I was driving in Germany, I got in a car accident. 

They took me to the emergency room. I was totally fine after the accident. No issues. I walked away from it.

But the ER doctor came and said, “You know, we found something unusual in your abdominal area, so we’d like you to refer to our OB-GYN? Are you interested in doing that?” And I said, “Sure.”

Before the accident, I had actually been experiencing more “crime scene” menstrual periods, and they even seemed to be getting worse.

My Symptoms Had Progressed Even Before the Car Accident

Before the accident, I had actually been experiencing more “crime scene” menstrual periods, and they even seemed to be getting worse. 

In hindsight, looking back, I was actually having a hemorrhage. I was going through multiple pads in 20 minutes. I would be doubling up on tampons and going through them in 20 minutes or half an hour, which would be described as hemorrhaging if it were any other type of issue. Something that you would need to go to the emergency room for. 

But because this one doctor had told me, “Oh, you know, you’re perimenopausal, this just is par for the course,” I thought, “I guess this is normal,” even though it didn’t seem very normal.

The Tests the Doctor Did

He did an ultrasound in his office and went, “Oh, yeah, I’m going to keep you in the hospital.” So, this is still from the hospital stay from the car accident. “We’re going to do a DNC so that I can get enough tissue to send for a biopsy.” Because that’s the other thing with endometrial cancer. If they don’t get it in the right part of your uterus, then you can also have a misdiagnosis, because they’re not getting enough tissue, or they didn’t go to the right area. 

Luckily, he was an oncologist before. He got his OB-GYN certification. So he knew a little something about what was going on.

Colleen J. stage 4 endometrial cancer
Colleen J. stage 4 endometrial cancer

The Moment Everything Changed

I don’t know when I heard the word ‘cancer.’ Well, nobody ever wants to hear that word, but my OB-GYN was really a positive person.

He went, “Listen, we’re going to schedule you for a full hysterectomy. We’re going to take a look around at the other organs in the area, see what’s going on. But if this is in the early stage, this could have a really good outcome for you. So, no need to worry right now about it. Even though I’m telling you ‘cancer,’ and nobody likes to hear that, let’s take each thing as it comes. Instead of trying to see into the future.”

I took it to heart. Generally, I felt okay; I wasn’t hurting and didn’t have a lot of pain at the time. 

I actually knew nothing about stage 4 endometrial cancer, let alone endometrial cancer. The education was from what my doctors were giving me here and from going to reputable cancer sites. So, not just using Doctor Google and picking the first article that came up, but from the Cleveland Clinic, Mayo Clinic, MD Anderson, and other leading cancer centers in the US. 

I was trying to back up what I needed to do and what the typical treatment would look like. 

The Cancer Spread

After that point, I had my treatment. 

I did radiation for 28 days. I did brachytherapy, which is an internal radiation in the vagina. Three sessions of that. That’s all standard. I didn’t start with chemotherapy, so they did my hysterectomy in April 2022. I didn’t start my chemo until October, and so then my chemo finished up in around March of 2023. Well, maybe a little earlier than that. 

At that point, they considered me “no evidence of disease.”

Nine months afterward, though, right before Christmas 2023, we found out that the cancer had spread to my leg. My leg broke while I was putting on my pants.

Oh, that was a big emotional time. I mean, anytime you hear about bone metastasis, it’s not good news. Cancer is practically impossible to get out of the bone. It’s very hard to treat. Pretty much all you can do is slow it down. 

Colleen J. stage 4 endometrial cancer

… anytime you hear about bone metastasis, it’s not good news. Cancer is practically impossible to get out of the bone.

Colleen J. stage 4 endometrial cancer

How My Care Team Shifted When My Cancer Spread

As my disease was progressing, the doctor said, “Okay, it’s time to move on. We have some other teaching hospitals in the area.” 

So he moved me over to get most of my care through those hospitals and through my infusion clinic that I go to now. So he knew when it was time to release me as well. I felt like he was watching out for me and was trying to offer me the best choices that were available. 

When I broke my leg, I wasn’t under his care. I was under the care of the orthopedist at the same hospital where he worked. Although he always asked that when I come to that hospital that I stay in his ward. Because he knows my whole history, he can keep an eye out for me. 

Breaking my leg was pretty traumatic. I’m kind of a get-up-and-go type of person. I don’t want to be limited in what I can do. I was fighting with everything to get back to driving, get back to being more independent. 

I really liked my care team in the bigger facilities, like my radiological oncologist, and I liked that I actually ended up having to see a pulmonologist, because they discovered while I was healing from the femur break that I also had metastasis in my lung. 

It was freaky. You can see the damage to my vocal cords. They were extremely swollen from having tubes stuck down so many times during the surgery for my leg. I had a failed bronchoscopy, a successful bronchoscopy, and then the surgery. The pulmonologist at the bigger hospital was really trying to take care of it, but he said, “The damage was done even before I got a chance to get the tubes down your throat.”

I took a good six months, maybe even a little longer, to get any type of singing sound out of my voice, and to have my voice not sound scratchy when I was speaking.

I’ve been known for having a beautiful singing voice. It’s been such a big part of my identity since I was tiny. I started singing when I was three.

My voice is such a big part of my identity that when cancer affected it, it sent me spiraling into a depression of sorts.

Colleen J. stage 4 endometrial cancer
Colleen J. stage 4 endometrial cancer

Where I’m At in My Diagnosis

I had an episode during which I coughed up blood. What with that and my metastases, they said, “Let’s try something other than chemo.” They put me on immunotherapy for about six months.

That was miserable, pretty much because I was eating that soft food diet, kind of the same diet as when I was having the radiation therapy in my abdomen. But I would get sores in my mouth, and I couldn’t eat anything. I went from being 200 pounds down to 126 pounds. Then that stopped working because I had another episode.

They decided, “Okay, let’s go back with the traditional chemo, but we’re going to see you every week. It’ll be a lower dose.” That’s what I just finished in July. And then I had a few spot radiation treatments on my leg where it had broken on my knee and on my hip.

And then they found another potential area of concern in my hip. So they did a biopsy of that. It had to be sent to the Molecular Tumor Board. 

I haven’t heard back about what molecular markers might be available for other treatments for me. 

I had an episode during which I coughed up blood. What with that and my metastases, they said, “Let’s try something other than chemo.” They put me on immunotherapy for about six months.

My Knowledge of Clinical Trials

The doctors haven’t referred to clinical trials. The area that I am in is so rural that I don’t think there are a lot of clinical trials that happen here. And they have used the term ‘palliative care,’ which freaked me out the first time. Because I have stage 4 endometrial cancer, they’re considering everything that they’re doing.

I’ve been on palliative care for a year and a half. They consider it an extra level of care for patients who might need some help doing things.

My infusion doctor said, “We have these teams of doctors and nurses that will come into your house and help you. So, we would call that home health care. Except for your getting a doctor and a nurse coming in.” So he set me up with them.

He added, “The great thing about them is that they can help you manage your pain a lot better than I can.”

Colleen J. stage 4 endometrial cancer
Colleen J. stage 4 endometrial cancer

How I’m Managing my Mental Health

Unknowns are hard. I like to be in control. So that’s what my stage 4 endometrial cancer experience has been about. Sometimes you just have to release it. Release it and keep pressing. Like with the pain. Keep telling your doctors over and over about it. 

It’s also been important to stay connected with my friends and stay involved in the community. 

I should also add that maintaining my independence is also really important. Continuing to be able to get myself around if I want to go for a drive, although I’m doing that less and less, because my right leg is the one that has the cancer. So, it’s not great for driving sometimes. I just stay home if I need to stay home.

It’s also been important to stay connected with my friends and stay involved in the community. 

What I Want Others to Know

You are not your cancer. You can do what you want to do with it.

Although stage 4 endometrial cancer does have something of my identity. It’s a new identity that I have besides being a singer, a wife, and a singing teacher who is now raising awareness about cancer.

It’s really easy to go inward and reduce your social circle. But I would urge people to find your compatriots, like through some of the groups on Facebook. There are a lot of really great groups on Facebook for a lot of different types of cancer. 

It’s interesting how some friends react. Some will become more distant, but others will set up your meal trains and sign up geniuses for you. 

I think the biggest thing for me has been a chance to reflect on cancer, and whatever you believe in, hang on to it. If it’s a religious belief, if it’s a way to lead your life, hang on to those things.

Just keep looking up, whatever your diagnosis is.

Colleen J. stage 4 endometrial cancer

You are not your cancer. You can do what you want to do with it.

Colleen J. stage 4 endometrial cancer

Karyopharm Therapeutics

Special thanks again to Karyopharm Therapeutics for its support of our independent patient education content. The Patient Story retains full editorial control.


Colleen J. stage 4 endometrial cancer
Thank you for sharing your story, Colleen!

Inspired by Colleen's story?

Share your story, too!


More Endometrial Cancer Stories

Willow B.

Willow B., Pelvic Cancer, Grade 1, Stage 2.5



Symptoms: Persistent fever-like chills, scratchy throat, fatigue, post-orgasm pain, heavy bleeding, severe cramping
Treatments: Surgery (radical hysterectomy), radiation, chemotherapy, hormone replacement therapy (HRT)
...
Mary M. stage 4B endometrial cancer

Mary M., Endometrial Cancer, Stage 4B, Grade 2



Symptoms: Unusual fatigue, urinary tract infections, extreme pain on the right side of the abdominal area

Treatments: Surgery (hysterectomy), chemotherapy, immunotherapy
...
Margie W. feature profile

Margie W., Endometrial Cancer, Stage 1B, Grade 3



Symptoms: Persistent irregular bleeding

Treatments: Surgery, chemotherapy, brachytherapy
...
Lexie W. feature profile

Lexie W., High-Grade Endometrial Stromal Sarcoma



Symptoms: Prolonged period, severe cramps, difficulty breathing
Treatments: Surgery, chemotherapy, proton beam therapy
...
Kandie D. endometrial cancer

Kandie D., Mismatch Repair Deficient (dMMR) Endometrial Cancer (Endometrial Adenocarcinoma), Stage 3c1 Grade 3



Symptom: Daily vaginal bleeding for over one year

Treatments: Surgery (laparoscopic hysterectomy), chemotherapy, immunotherapy
...
Gigi D. feature profile

Gigi D., High-Grade Serous Carcinoma, Stage 1A, HER2+, PR+, ER-



Symptoms: Hiccup-like sensations behind the sternum, gastrointestinal issues, spotting

Treatment: Chemotherapy (carboplatin & paclitaxel)
...
Ellen P. feature profile

Ellen P., Endometrial Cancer, Stage 3C, Grade 3



Symptoms: Felt like either a UTI or yeast infection
Treatments: Chemotherapy (carboplatin and paclitaxel), surgery (hysterectomy), radiation
...
Colleen J. stage 4 endometrial cancer

Colleen J., Endometrial Cancer, Stage 4 (Metastatic)



Symptoms: Very large blood clots during menstruation, anemia

Treatments: Chemotherapy, radiation therapy (brachytherapy), surgery (full hysterectomy), immunotherapy
...

Categories
Appendix Cancer Chemotherapy Cytoreductive surgery (CRS) Patient Stories Surgery Treatments

How Stage 4 Appendix Cancer Transformed Erica’s Life

How Stage 4B Appendix Cancer Transformed Erica’s Life

Erica’s story is one of resilience, self-discovery, and perspective shifts. When she was diagnosed with stage 4B appendix cancer in 2021, her life took a turn she never anticipated. Having moved to a different state during the peak of COVID-19 as a new single mom, she channeled her energy into rigorous workouts, juggling a new job she loved, and raising her two kids. Despite leading what appeared to be a healthy and active lifestyle, subtle signs, like fatigue, sharp pain in her side, and unusual early fullness while eating, were easy to dismiss.

Interviewed by: Taylor Scheib
Edited by: Chris Sanchez

Erica’s stage 4B appendix cancer diagnosis came unexpectedly, during what was supposed to be a routine hysterectomy. Waking up from anesthesia to hear the stunning statement, “We think you have cancer,” was surreal, a moment etched in her memory. Despite being asymptomatic for the most part, Erica’s intuition had nudged her toward surgery — an inner voice that, in hindsight, was a lifesaver.

Erica R. stage 4B appendix cancer

Navigating stage 4B appendix cancer hasn’t been easy. Erica underwent extensive treatments, including various surgeries, hyperthermic intraperitoneal chemotherapy (HIPEC), which involved administering chemotherapy directly into the abdominal cavity, and additional grueling rounds of chemotherapy. The side effects were intense; the fatigue was unlike anything she’d ever known — not just physical exhaustion but a deep, pervasive weariness. Yet, she persisted, returning to work after treatments, determined to reclaim normalcy. However, the cancer’s return was a harsh reminder that survivorship is complex.

Mental health has been a cornerstone of Erica’s experience. She’s transparent about the emotional toll: grappling with the fear of limited time, making tough decisions about her children’s future, and balancing hope with reality. Despite moments of feeling robbed of her spirit, she embraces the blessings cancer has brought, namely, the courage to say yes to new experiences, deeper self-reflection, and meaningful connections with loved ones.

Erica’s message is powerful: choices exist, even when it feels like they don’t. Changing her perspective has been transformative, finding joy in small victories and peace in acceptance. She encourages others to live fully, embrace vulnerability, and rest when needed. Her story isn’t just about battling stage 4B appendix cancer; it’s about living authentically, finding strength in unexpected places, and advocating for mental health awareness alongside rare cancer understanding.

Watch Erica’s video and learn more about:

  • How her intuition uncovered a rare cancer diagnosis.
  • How subtle and easily brushed-off signs led to a life-changing discovery.
  • The unexpected blessings Erica found through stage 4B appendix cancer.
  • What survivorship really looks like beyond the diagnosis.
  • Choosing joy: Erica’s journey of resilience and rare cancer awareness.

  • Name:
    • Erica R.
  • Age at Diagnosis:
    • 48
  • Diagnosis:
    • Appendix Cancer
  • Staging:
    • Stage 4B
  • Symptoms:
    • Bloating
    • Sharp pain in the side
    • Fatigue
    • Vomiting after one alcoholic drink
    • Early satiety (feeling full)
  • Treatments:
    • Surgeries: cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC)
    • Chemotherapy
Erica R. stage 4b appendix cancer
Erica R. stage 4b appendix cancer
Erica R. stage 4b appendix cancer
Erica R. stage 4b appendix cancer
Erica R. stage 4b appendix cancer

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

The views and opinions expressed in this interview do not necessarily reflect those of The Patient Story.


Erica R. stage 4B appendix cancer
Thank you for sharing your story, Erica!

Inspired by Erica's story?

Share your story, too!


More Appendix Cancer Stories

Lindsay B. feature profile

Lindsay B., LAMN Appendix Cancer



Symptom: Increasing urge to urinate

Treatments: Cytoreductive surgery (CRS), Hyperthermic Intraperitoneal Chemotherapy (HIPEC)

Faye L., Pseudomyxoma Peritonei (Rare Appendix Cancer)



Symptoms: Severe bloating, bad stomachache, elevated CA 125 and tumor markers

Treatments: Chemotherapy, surgery

Alli M., Appendix Cancer, Stage 4



Symptom: Severe abdominal pain

Treatments: Surgeries (right hemisphere colectomy, appendectomy, HIPEC), chemotherapy

Ariel M., Appendix Cancer, Stage 4, High-Grade



Symptom: Sharp pain with gas & bowel movements

Treatments: Surgery (radical hysterectomy), chemotherapy, PIPAC clinical trial (pressurized intraperitoneal aerosol chemotherapy)

Hannah R., Appendix Cancer, Stage 4



Symptoms: Bloating, fullness, UTIs, blood in urine, pain during intercourse, high blood pressure, spotting

Treatments: Surgery (appendectomy, cytoreductive surgery), chemotherapy, radiation (to treat recurrence)