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Living With Follicular Lymphoma: Tawanna and Barry on Watch & Wait, Marriage, and Faith

Living With (Not Under) Follicular Lymphoma: Tawanna and Barry on Watch & Wait, Marriage, and Faith

When Tawanna volunteered to donate a kidney to a little girl she loved, she never imagined the testing would uncover follicular lymphoma. Just as surprising, she did not think her treatment plan would be watch and wait, sometimes called active surveillance, to monitor her disease and not start treatment. A routine pre-donation scan found an unusual lymph node, which led to a biopsy and a MyChart message that quietly carried her life-changing diagnosis. In a span of a few days, Tawanna went from being told she was healthy enough to live with one kidney to learning she was living with blood cancer. She describes reading the result at work, turning to her husband Barry, and asking, “Does that mean I have cancer?”

Interviewed by: Taylor Scheib
Edited by: Chris Sanchez

Tawanna never had symptoms before that moment, and her first reaction was shock, fear, and a lot of late-night Googling. Her oncologist explained that her follicular lymphoma, a kind of non-Hodgkin lymphoma. He added that while it’s not considered curable, it is highly treatable and slow growing, which is why he recommended watch and wait for now. Because her disease is present in several lymph nodes but isn’t yet causing symptoms or affecting her bloodwork, immediate treatment could do more harm than good and also limit future options. Instead, she goes in for regular scans and blood tests while living as fully as possible between appointments.

Tawanna T. follicular lymphoma

Emotionally, watch and wait has been “a blessing and a curse” for Tawanna. She leans heavily on faith and on her close-knit support system — Barry, her daughters, grandchildren, friends, and church community — to help her manage the anxiety that flares up around scan time. She talks openly about taking a week to cry and grieve the life she thought she’d have, and then deciding it was time to get up and fight in her own way. In practical terms, watch and wait also gives her time to prepare: to exercise, put legal documents in order, and check off bucket list items in case treatment is needed later.​

Through it all, Tawanna and Barry say their marriage has only grown stronger. They plan small joys around each scan, like a Coke Zero waiting outside radiology and dinner at Cheesecake Factory afterward, to weave light into heavy days. Tawanna describes herself as more extroverted and open-hearted now, choosing to hug more, talk more, and support others facing cancer. For anyone newly told they’ll be on follicular lymphoma watch and wait, she wants them to know that life can still be rich, meaningful, and even more connected than before.

Watch Tawanna’s and Barry’s video and read their interview below for more about their story.

  • Barry’s prior experience with his first wife’s cancer makes this diagnosis uniquely painful, yet he describes watch and wait as “not a death sentence, a life sentence,” and shows how committed caregiving can deepen a relationship over time.​
  • Saying yes to kidney donation testing unexpectedly revealed Tawanna’s follicular lymphoma early, before she had symptoms, allowing her to start care with a strong health baseline.​
  • Her oncologist’s explanation of watch and wait, postponing treatments until the lymphoma is large enough to cause problems, helps her protect future options and avoid unnecessary side effects.
  • Having cancer often means grieving the life you thought you’d have while slowly building a different, still meaningful life around monitoring, scans, and uncertainty.
  • Community, faith, and intentional joy, like planning treats after scans, have helped Tawanna transform from a self-described introvert into someone who hugs, shares, and actively supports others with cancer.

  • Name: Tawanna T.
  • Age at Diagnosis:
    • 50
  • Diagnosis:
    • Follicular Lymphoma
  • Staging:
    • Stage 3
  • Symptoms:
    • Incidental finding during pre-kidney donation scan
  • Treatment:
    • Watch and wait/active surveillance
Tawanna T. follicular lymphoma

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Genmab

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


… every time we have something happen, many times it would drive families apart. It drove us closer.

Barry T., husband of Tawanna T., follicular lymphoma patient

How we met and fell in love 

Tawanna: I was divorced, and my daughter said that I needed to get a life. So she signed me up on PlentyOfFish.com. Barry reached out to me and said, “Let’s talk.” He stood me up the first night. So we talked for a couple of weeks, and then one night in January, it was snowing, and we met at a church parking lot. I had pepper spray in my hand, and five months later, we got married in that same church parking lot.  Seventeen years in June.

Two weeks after we met, we were married five months to the day after we met.

I don’t know, it just really clicked. We hit it off from the very beginning. He made me laugh a lot.

Barry: Don’t you know what quality you like about me?

Tawanna: Too many. Too many.

Building a life together in Kentucky

Barry: I had a daughter who was five when her mother passed. I couldn’t ask for a better mother than Tawanna.

Tawanna: I had a 16-year-old who did not like Barry. But we married, and he was starting a real estate career as an agent, and I was actually working at a real estate office. There was no connection between the two. He started selling real estate. I quit that job and started in medical billing. He came and said, “I think we can cover your income if you’ll quit and help me.” And so I quit my job. And we did. We made the income work. Then, a few years later, he decided we would start our own business. So here we are, ten years later, in our own real estate company. My daughter, my 16-year-old daughter, actually likes him better now than she does me. She calls him first. And of course, the five-year-old is now 22 with kids. We’ve been through a lot.

Barry: In 2011, I had an open-heart surgery, a quad bypass.

Tawanna: But we stuck it out. And so we — that’s why we have microphones and the cameras, because of the real estate business. And that’s kind of us in a nutshell.

Barry: And every time we have something happen, many times it would drive families apart. It drove us closer.

Tawanna T. follicular lymphoma
Tawanna T. follicular lymphoma

Trust and faith are the foundation of our marriage

Tawanna: He comes up with these crazy ideas, and he’ll say, “You gotta have faith. You just gotta have faith. It’s going to work.” And for the most part, it has. Not everything. Not everything. We’ve been through a lot with his daughter. She had a hard time as a teenager, and we went through a lot with that, many years of counseling. I think losing her mother probably played a big part in that. But if there’s anything that will strengthen your faith, it’s cancer.

His wife, his first wife, had actually stayed at Hope Lodge. I’m not sure if you all have that in your area. So when you’re going through treatment, you can go there and stay for free and be close to your treatment center. And so she stayed there. So we gave back for many years by cooking meals there. And we were there one night cooking, and his daughter went over and picked up an album and found her mother in that photo album.

So cancer has always been something that we’ve tried to give back to — you know, organizations we’ve tried to give back to and do things with — before I knew of my diagnosis.

Losing Barry’s first wife to cancer

Barry: She had lung and breast cancer. Breast cancer was the first one they found, and she had that surgery on a Friday before Thanksgiving, and they got all of that. And she never really came out of that recovery mode. She was still sick. So the Sunday following Thanksgiving, I took her to the University of Kentucky, and they found a ping-pong-ball-size mass on the base of her skull, and it was small-cell lung cancer. 

And for two days, Saturday and Sunday, she didn’t know anybody. And that Saturday night, she woke me up. We had hardwood floors and a plastic toy kitchen. She was sliding it back and forth on the hardwood floor. So I asked her what she was doing. She said, “I’m just trying to find the bathroom.” And she didn’t. She was obviously out of her mind, unknowingly. And then they did the craniotomy on Tuesday, and she woke up and was talking like we are right now. But it was a tough, tough road. And she passed away the following November.

… if there’s anything that will strengthen your faith, it’s cancer.

Tawanna T., follicular lymphoma patient

Tawanna’s experience of becoming a stepmom after loss

Tawanna: I actually joked that I fell in love with Barry’s daughter, and I married him to get her. I loved her from the first time I met her, and people thought we looked alike. We would go out, and they would say, “You look just like your mom.” And she’d say, “I feel like I’m lying, but I don’t want to tell them.” And it was just a very good relationship up until the teenage years, when things got very difficult.

But I mean, I wasn’t able to have more children than just the one, so I thought that was just God’s way of giving me something that I thought I couldn’t have. And we always really strived to make sure that she never forgot her mother. There were always pictures in her room of her mother, always reminding her of her mother and her mother’s birthday, so that she wouldn’t forget her mother, because I wasn’t the stepmother. We never went with those words. But I never wanted her to forget her mother. 

Barry: It’s hard to put into words. The life we built was different than the life I’d had in the past, for various reasons and various complications and stuff. We’ve built a much stronger life on faith and trust in God. That was, I think, our foundation now more than ever. 

Becoming grandparents

Tawanna: It’s kind of an unusual story. He actually has an older daughter. I think she was 19 when we married, so she had already moved out. Her name is actually the same as my daughter’s name, so we have two Ambers. So she has the boys, and they are living right now in New York, but they were in California, so we don’t see them very often. And then our daughter, whom I raised, is about an hour away, and she has the two little girls, and one is just a few months old.

Barry: There’s nothing like it.

Tawanna: It’s the most amazing thing in the world. I wish I could have done it all my life. They are just wonderful. And, actually, the boys, when we first got to meet them, they called me White Grandma. Most people think it’s because they are mixed race, but it’s because at the time, I had blond hair, and no one in their family had blond hair. So they still call me White Grandma.

Tawanna T. follicular lymphoma
Tawanna T. follicular lymphoma

How a kidney donation evaluation revealed follicular lymphoma

Tawanna: Many years ago, one of the agents here in our office brought her granddaughter, who was adopted, to the office to meet us. She had kidney disease. She only had one kidney functioning at the time, and it wasn’t functioning as it should. And of course, I fell in love with her. Her name was Sera, and we knew that at some point she would need a kidney transplant.

So at the time, I researched a little bit, and I thought that might be something I’d consider because I just fell in love with her. Well, fast-forward to 2023, and it was time. Sera needed a kidney, so they were taking applications, and I applied. After a lot of prayer and looking into it to see if I felt — I felt like God was saying, “You need to do this.” So I applied, thinking that they were never going to choose me. I was actually the last option because I wasn’t family or any relation. And it just so happened that no one qualified, and it came to me.

And so they called and said, “Do you still want to do this?” And I said, “Absolutely.”

So I went and started the testing, and I passed all the tests absolutely perfectly. It was just a God thing. I was elated. I had a purpose. I was going to exchange my kidney for a kidney for her because she was so young. So I started drinking tons of water. I wanted to give them the best kidney I could possibly give them.

We met with everyone. We met with the pharmacist, and I met with the psychologist and the surgeon. We were meeting with everyone. We were set. They were going to take my left kidney. It would be flown out as Sera’s was being flown in.

At the last meeting with the surgeon, she said, “You know, you have a lymph node that looks a little odd, and I would feel better if we checked it. You probably just had a little virus, but let’s check it.” So the donation lady called, and she said, “You know, you don’t have to go through with this.” It was in my stomach. She said, “You can back out now, or if you want to go forward…”

We’ve built a much stronger life on faith and trust in God. That was, I think, our foundation now more than ever.

Barry T., husband of Tawanna T., follicular lymphoma patient

So I said, “Let me talk to Barry.” And I said, “Do you think God is saying, ‘No, don’t do this’?” And he said, “I don’t think He closed the door. I think He caused a bump.” 

So I did the biopsy, fully thinking, “I’m good.” I told the ladies when they were putting me to sleep, “I’m going to give a kidney. This is what I’m doing.” So they came in after the biopsy, and they said, “You’re going to give a kidney. We don’t see a problem. We think you’re good, but we need to get results.”

About a week later, I got the results in my MyChart and in my email, which were that it was non-Hodgkin’s lymphoma (follicular lymphoma). So that knocked me out of the donation. I was no longer able to donate to Sera. I never had any symptoms. I never had any idea. I would have never known that it was there had I not gone for the donation testing.

So Sera, at the time, said, “You know, you were trying to save my life, but I’ve saved yours.” She did. So that’s how I found out that I had cancer.

Barry: She has always put everybody else first, and this was an ultimate gift. As I said, she loves Sera. They were as thick as thieves. Anytime she was here, they were pushing up and down the hall in cardboard boxes and playing. It was very special. Our Tanya, the grandmother, was the very first agent we hired when we opened our office. So it’s always been a close, close relationship, but Tawanna always puts everybody else first. Always has, since I met her. That’s just who she is. And that’s the ultimate gift — to give a part of you to somebody. And when she couldn’t do it, it was still saving her life. So God has a funny way of working things out. 

Tawanna: Sera did get a kidney. Once I couldn’t, they put out a call because she was running out of time. And a 19-year-old boy in her town was able to donate to her. She is a year and a half out, and she couldn’t be doing any better. She’s grown so much. She’s so beautiful. And she’s doing a lot now with the Children’s Miracle Network and the UK Hospital to promote kidney donation.

So He took care of her, because I was more devastated that I could not give her the kidney than I was that I had cancer. I wanted to do it so badly, but she got better than I was going to be able to provide for her.

Tawanna T. follicular lymphoma
Tawanna T. follicular lymphoma

Finding out Tawanna had cancer through MyChart

Tawanna: We had met with the oncologist, but I thought, “He’s just here to initiate the biopsy.” And actually, we were angry with him because he was certain that I was not going to give a kidney, and I was so angry with him. He knew it because he was wrong, you know?

He did not say the words “non-Hodgkin’s lymphoma.” He just said, “You know, I don’t think you’re going to be able to give a kidney, but we can take care of this. We can control this.” I thought, “He has no idea what he’s talking about.”

So when it came through MyChart, and I was sitting in this office, actually, and I read it, and I looked up at Barry — we were together — and I said, “Does that mean I have cancer?” And he said, “Yeah.”

So I started Googling. That’s just what you do. You just start Googling. And I was a wreck. I was a wreck until we got to get back to the oncologist, whom I had to apologize to. And I wouldn’t trade him for anyone. He’s the best.

And he said, “I knew you were mad, and I don’t blame you.” And he said, “I prayed that night — my wife and I prayed — that this would not be cancer. I wanted you to be able to give this kidney.” And so he’s my doctor. “I started Googling. That’s just what you do. You just start Googling.”

He went over things and explained things. Of course, I had to have a PET scan quickly after that. The one good thing about doing the kidney donation process was that it put me on the fast track to get into appointments with oncologists, and they took care of me and got the tests set up quickly. Then they turned me over to the other team.

But to read it on MyChart is not the way you want to find out. I actually had to meet my parents right after that, and I never said a word. I didn’t say anything. I didn’t know how to tell them. Later that afternoon, we let them know once it had kind of settled in. But it was — I was in shock.

Here I went from being told, “You’ll function with one kidney just as well as you function with two, because you’re so healthy,” to “You have cancer” within just a few days. 

Barry’s reaction to the diagnosis

Barry: It’s an ultimate high to an ultimate low. It’s just a bottom. I’d already been there. So that hit a little extra hard.

Tawanna: He knew a lot of the verbiage that was being used. That helped me. It probably did not help him. I’m sure it brought a lot of bad things back. But knowing that he had been through this with someone who had had chemo, who had had radiation, who had been through this process, he knew a lot about what was coming.

Barry: Potentially coming. We’ve not been there yet. Right. And we’ve been getting good reports since then.

I went from being told, “You’ll function with one kidney just as well as you function with two, because you’re so healthy,” to “You have cancer” within just a few days. 

Tawanna T., follicular lymphoma patient

Learning it’s treatable and starting watch and wait

Tawanna: I think by the time we got there — I had had the PET scan and I had seen the results of the PET scan — by that time I had really educated myself on what this cancer was. But I wanted to hear him say, “We can take care of this. While it’s not curable, it’s extremely treatable.” 

He went through a lot of what my future was going to look like. So when I left there, I remember we went to a Mexican restaurant, and we celebrated because it was such a weight lifted that they can treat it. Even though watch and wait is very scary and very mentally draining sometimes, he made me feel very comfortable. I think he answered both of our questions.

Barry: A lot of questions. He broke it down very simply and was in no rush. He talked to us as long as we wanted to talk, and it was very comfortable, just like we’re talking now. He was very personable. And he takes it personally. He has a lot of empathy for what he does. He’s great.

Tawanna: He made me very comfortable with the fact that he wanted me to live my life. “I’ll worry about it. I don’t want you to worry about it. You go on, live your life. I’ll take care of this.” And I felt very good when I left. That doesn’t mean that there are days when I don’t fall apart or get nervous. When it’s time for a scan, I struggle, but I have a very good team. 

Learning about follicular lymphoma

Barry: I’d heard of it, yes, but didn’t understand what it was. The kinds of cancer we typically hear about are breast cancer, lung cancer, and colorectal cancer. That’s the three biggest ones that you typically hear around here, I think. Is that right? Non-Hodgkin’s — you hear it, but it doesn’t register because you’ve not been there. You know, people now have had it for 15, 20 years.

Some people that we know had it, which we didn’t know about. A friend of mine from Northern Kentucky, who is also in the real estate business, saw our post, and he called. We’d been to class together, through training together. I didn’t know he’d had cancer, and I think he’s a 14- or 15-year survivor now.

Tawanna: There were actually two people in our church who, when I was diagnosed, came to me and said, “I have that too.” I had no idea. I had heard the word, but I didn’t know what it was, and I did not know that it didn’t always require treatment. So it’s been a lot of learning. 

Tawanna T. follicular lymphoma
Tawanna T. follicular lymphoma

Why watch and wait makes sense for Tawanna’s follicular lymphoma

Barry: I think for me, the way he described it was that the cancer was so small that the chemo they’re using now is like Velcro, and it was so small the Velcro would not stick to it. It wouldn’t be any benefit. It would just make her sick, and she’d go through all those symptoms and side effects that it wouldn’t be of any benefit until later on, when it grew — if it did grow — to the size it got big enough to treat. And he makes us very comfortable, for the most part, with what he’s doing. 

Tawanna: I know a lot of people don’t understand it. They’ll say, “Why are you waiting? Why are you waiting for it to grow?” I only have so many treatment options. If I use up my treatment options now, I’ll run out of treatment options. I’ve got to wait, as he explained it, till it gets to the size that it’s causing a problem.

Right now, I have no symptoms. It doesn’t show up in my bloodwork, even though I have multiple lymph nodes affected. I even have one that I can see, which is a large lump in my collarbone. It still is not enough that I need treatment. I can save those treatments. I’m going to possibly have to have more than one treatment over the course of my lifetime, because I started so young.

And the advancements they’re making right now with blood cancer are amazing, how they’re catching up with it.

I’m really pleased. I have a lot of options, but I can only do so many. You can only do one treatment one time.

When it’s time for a scan, I struggle, but I have a very good team.

Tawanna T., follicular lymphoma patient

Living with the mental side of watch and wait

Tawanna: I pray a lot. I lean on God a lot, because I can get a stomach virus, and I think it’s spread to my stomach. That’s where my mind starts going. Or if my hip hurts, “What if it’s getting in my bone marrow? What if it’s growing?”

But I have to take myself back to, you know, if God hadn’t laid it on my heart to donate that kidney, I wouldn’t even know I had it. He’s taken care of me this far. He’s going to take care of me. He’s given me the best support group that, if I had to choose to give up that support group or be cancer-free, I don’t want to be cancer-free if I have to give up this support group because they are amazing. 

My church family and friends have knocked stuff off my bucket list for me in case I do have to start treatment, because at one point, I was going to have to start treatment. He said, “When you come back, if it’s growing, we’re going to have to start treatment.” I went through the whole process of finding wigs and preparing, and my scan showed that it actually shrank a little bit, which is possible. It can come up and down, and I didn’t have to have treatment.

But it’s a roller coaster. Some days are hard. Some days I struggle with it in my head, and I’ve got to try to get out of my head and think, “You’re okay. They’re watching this, and you’re okay.”

I’ve actually been bumped out now that I can go a year without a scan, as long as my bloodwork is good. I know that one day it’s possible that I could have to have treatment, but I try not to think about that. I just try to put it in the back of my mind, because he did tell me that he has lost more patients to other things than he has lost to non-Hodgkin’s lymphoma, such as COVID or those types of things.

I try to just live my life as normally as I can. My immune system is compromised. My lymph nodes — my body is fighting the cancer to keep it from growing, so I don’t want it to fight a sinus infection right now. So there are times I wear a mask. If we travel, I’ll wear a mask and try to keep from catching anything. But I try not to think about it every day.

Of course, in the beginning, it was hard. I tried to be strong and say, “I’m okay,” until I decided, you know, I’m not okay. I took about a week, and I cried. I cried, I slept, I cried. And at the end of that week, I said, “You’ve got to pick yourself up now. You’ve felt sorry for yourself. Now it’s time to get up and fight.” But there’s a grieving process. I’m sure you know. You have to grieve what life you thought you had, because my life was never going to look the same.

But it doesn’t mean I can’t have a good life. I’ve had more fun since I’ve had my cancer diagnosis than I had the entire first part of my life because — you’ve only got a short time to go, so you may as well fit everything in now. So it’s not all bad. There are blessings in that. You can find a silver lining in there.

Tawanna T. follicular lymphoma
Tawanna T. follicular lymphoma

Barry’s caregiver perspective: Pushing scans to one year and managing anxiety

Barry: I don’t miss an appointment. I don’t have to. The last appointment was pretty tough. The watch and wait part — he wanted to go, we’d been going every six months, and he pushed it off to a year. That made me really anxious.

I didn’t say anything. She knew I wanted to stay on the six-month schedule, but it’s not my body. So I support her. Whatever she decides to do, I’ll support it. He was very positive about it, but it makes me nervous, knowing how fast it can change sometimes. It makes me very nervous.

Talking about future treatment options 

Tawanna: I think it will come down to, when it comes time, that decision will be made. But when I thought I was going to have treatment, it would be chemotherapy. It would be very strong. I was going to lose my hair. But then when I went back, I wasn’t going to have to have treatment.

It’s looking more like I will do an immunotherapy, which is long-term, I think, two years. But I would not lose my hair, and it’s not as harsh. Not easy by no means, I don’t think, but it’s not as harsh as the chemo would be. We’ve talked about different things. Some new treatments; there was a trial at one time that he said he thought I would be good for. So when that time comes, I’m sure that decision will be made then.

But I trust him. I trust the decisions he’s making. I do advocate for myself, but this is what he does, and this is the only cancer that he does. So it’s very specialized. So I’m comfortable. 

I know Barry wasn’t comfortable with going a year, but when you’re having scans every six months, it’s almost like every six months you’ve got to go through that anxiety. It’s so hard leading up to it. I’m not a very nice person leading up to it because I’m very stressed. I get a little depressed. I don’t like doing the scans. They’re hard.

I know they don’t take long, but it hits you that it’s real. “How did I get here?” Every time you show up for a scan, I’m thinking, “How did I end up here?” So being able to put it off for a year mentally was really good for me.

I’m very careful. I try to watch for signs. I’ll have bloodwork, but there are signs, and there are symptoms, and I try to make sure that I’m being cognizant of “Am I having any symptoms?” But so far, so good.

I try to have a good sense of humor about it, and I think it helps a lot to lighten a very serious thing. 

Tawanna T., follicular lymphoma patient

How we communicate about the hard days

Tawanna: Most of the time, I try to handle it and not tell him. But we work together. We’re always together, and he’ll always call when I’m crying — always. And I’ll just say, “I’m having a bad day. I’m just having a bad day.” There are fewer bad days than there used to be. But sometimes I just need to feel it. Sometimes you just gotta feel it. Feel the scare. Because I don’t want to ignore that, because then it’s going to build up.

He’ll just say, “What can I do?” I think he’s pretty good at picking up on when I’m having a bad day. But I think I’m pretty good at telling him.

Barry: She thinks she is. Yes, I have to agree with that. She thinks she is. She probably doesn’t tell me nearly as much as it happens, if I were guessing. And probably when I do call, it’s been a bad day. I pick up on it, obviously, because she’s been crying. But there are probably times that she doesn’t mention it, if she’s being truthful.

Tawanna: I think for the most part I do pretty well. Close to scans — PET scans are the worst. The first PET scan was the absolute worst because I had that fear. I had not met with the doctor yet, and I literally — my body shook — for two days. I just sat and shook. I couldn’t eat. I was just an absolute mess.

The second PET scan, I was very nervous and tried not to cry. I got in the machine, and you’re there, it seems like, for so long. I just said, “Lord, please ease my anxiety and calm my nerves.” About that time, the machine kicked off, and I had fallen asleep, and I had slept through the entire thing.

They said, “You’re done.” And I said, “I just got in there.” And they said, “No, you’ve been asleep.” Oh.

So I do very well most days. I have the most trouble closest to scans. There are days I look in the mirror, and I see this lump, and I think, “Oh, it’s bigger,” and I’ll have to come to Barry and say, “Do you think it looks bigger?” And he’ll say, “Let’s look at the picture,” because we took a picture of it in the beginning. He’ll say, “I don’t think it’s any bigger,” and talk me down. But the longer I go, the easier it gets.

Barry: The toughest times are the two weeks leading up to the scan and the week following till it shows up in MyChart, which I think should be against the law. Until you talk to your physician, results should not be in there because it creates so much anxiety each time.

Tawanna: I mean, if it’s not in simple terms, you can read it wrong. The first time I had diagnosed myself on the very first one. I really diagnosed myself completely wrong, and it wasn’t nearly as bad as I thought it was. But you know, when it comes in MyChart, who’s not going to look, you know?

But I think I do pretty well until the scan times. I try not to think about it, and I try to laugh about it a lot. I joke about it a lot. I’ll tell Barry sometimes at night that, “My lymph nodes are wanting some ice cream,” or if I want something, I’ll say, “But Barry, I have cancer,” or I’ll use it. I asked the psychologist if I could use it to get out of a speeding ticket. Which has worked.

This morning in our meeting, I told them, “You need to learn to do some of these things for yourself, because we all know I’m a ticking time bomb.” I try to have a good sense of humor about it, and I think it helps a lot to lighten a very serious thing. 

Tawanna T. follicular lymphoma
Tawanna T. follicular lymphoma

How Tawanna describes watch and wait in her own words

Tawanna: It’s a blessing and a curse. It’s a blessing that you can wait, and you can put it off, and you may never have to have treatment. But the mental side of it, knowing it’s sitting in you — every day you wake up with cancer, you’re never going to be in remission — it’s always going to be there. It’s hard.

So I would say it is a blessing and a curse at the same time. There are days when I have said, “I just want to get it out of me. I just want to be done. I don’t want to think about it anymore. I just want it to be over.” But that’s not realistic with this type of cancer because it is not curable. So it’s just something I have to learn. Some days I’m happy that I don’t have to have treatment, and some days I’m like, “I just want to have treatment and get it over with and be done.”

Barry’s caregiver definition of watch and wait

Barry: To me, it’s not a death sentence. It’s a life sentence.

Tawanna: It has not grown to the size that would require treatment. It’s not affecting anything. I’m not having any symptoms. I’m living just like I don’t have cancer. So until it gets to the size that — there is a certain size, that so many of them have to be — there is no reason for treatment. It’s not affecting anything. It’s not hurting anything. It’s not spreading. It’s just hanging out with me, and until it decides to wake up, there’s no reason for treatment.

I will say that with watch and wait, one of the good things is that you can prepare yourself. When I thought I was going to go through treatment, I made sure I was exercising, and I was preparing things at home, and I prepared a living will. You have time with watch and wait to get yourself ready and to get yourself in the best condition that you can be, so that when I go into it, I can be as healthy as possible.

As I was going through the donation process, I lost a lot of weight, and the oncologist said, “Don’t gain it back. Just don’t gain the weight back. That’ll be great for when you start treatment.” So you get to plan and get your body as healthy as possible to go into it, when other people who have been sick while waiting for a diagnosis don’t have that opportunity. Their bodies are already tired when they start treatment. I have the opportunity to make myself as strong and healthy as possible and be ready when it gets here. So that is also a plus of watch and wait. 

… with watch and wait, one of the good things is that you can prepare yourself.

Tawanna T., follicular lymphoma patient

Feeling prepared for future watch and wait phases

Tawanna: I have accepted it. I think he’s accepted it. It’s different from the experience he’s had in the past, and that was something that really bothered me: he’s been through this already, and here I am going to put him through it again. But it is different.

Life is just as normal as it can be. I’m not thinking about it every day. I’m not having to deal with it every day. I try not to. We do have the opportunity to do things — as my bucket list — to get things done, to do all those things I wanted to do, in case in the future I do have to go through treatment, or if, God forbid, it doesn’t go as planned. I can have all that taken care of. I can plan, and I think we have a very good understanding of it.

How this experience differs from Barry’s first wife’s cancer journey

Barry: There’s no comparison. When we found out, after she had the craniotomy, we went from having a normal life to where we, for the most part, lived in Hope Lodge for seven or eight months. We’d come home for a couple of days, then go right back. She was having chemo and radiation at the same time, so the quality of life — there wasn’t any.

We stayed at Hope Lodge. We’d drive to the treatment, we’d do chemo, go downstairs, and do radiation. Some days it was both of them. Some days it was one or the other. But we didn’t really have a life once we got that diagnosis. We lived out of a suitcase.

Hope Lodge is a great place if you need it. But it takes a toll, because everyone around you — it’s a support system, but at the same time, everybody there is fighting the same fight from various levels. There’s really no comparison because this is just totally different.

The part that helped me was the verbiage. What to look for. What to be ready for. The questions to kind of ask. And preparation that way.

Tawanna T. follicular lymphoma
Tawanna T. follicular lymphoma

Supporting Tawanna emotionally

Barry: I just want to be there. Do my best to be present. It’s hard with the business. We have to be as present as that demands I be, but when she needs me, I think she knows that when the flag goes up, I’m there. Sometimes it takes her waving it twice. But when she needs me, I think I’m always ready to be there, and everyone knows that when she needs me, that’s top priority. 

Tawanna: I also have my parents, who are elderly, and I don’t want to worry them, but I can always call my parents. My oldest daughter will go to appointments with us, and she’s very involved in it, and she’s been really great through this. As scared as she’s been. I don’t know what I would have done without her.

Then our group of friends that we both can lean on — several of them have been through their own cancer battles, some are going through them right now. Our church family, I’ve got so many people that I could just call. Barry’s always my first, but he’ll always cry with me or say, “We’ve got this. We’ve got this.” He listens to me whine or takes me out to eat.

Self-care for caregivers and patients

Barry: Find a couple of good friends that you can call and talk to, that’s the first tip. And talk to your preacher — find yourself a good pastor. We’ve got, I’ve got two that’s a phone call away, day or night. That’s the important thing.

Tawanna: I’m a little more bougie than he is, so I do take time. I’ve cut my hours back at the office just to enjoy hobbies. Yoga has really helped me. I can go in really down, and I can come out and I feel so much better. That’s been one thing I’ve done. Prayer is really important too.

Spending time with my friends has been great. We’ve gone to the zoo, we’ve gone on weekend trips, we’ve been on a cruise — all of us together. I do a lot more. I think Barry’s self-care, if he would admit it, is work.

I have dogs. I love the dogs, and we just hang out. I’m not opposed to taking a day off. Sometimes I’ll tell Barry, “I just need a break. I’m going to take off.” But I take off a lot, because I can.

I read a lot. I try to learn a lot. And I think one of the best things for me to take my mind off of it is to do things for other people, or just be a blessing to someone else. It makes me feel so good. That’s my favorite thing, to take care of other people. And that’s why he’s spoiled, because that’s what I love to do.

I think that makes me feel better than anything, and can take my mind off of it.

The most important thing is I know I’ll be okay. If this doesn’t work out and it doesn’t go the way that we hope it does, I’ll still be okay. I know where I’m going. I know where I’ll be, and I know who I’ll be with, and I’ll be okay. 

… one of the best things for me to take my mind off of it is to do things for other people, or just be a blessing to someone else. It makes me feel so good.

Tawanna T., follicular lymphoma patient

The hardest part for Barry: Hearing “cancer” again

Barry: Hearing it for the first time. That was by far the hardest for me. But once we heard it, we knew what the plan was, and we bounced back pretty quickly.

Tawanna: There has been some guilt. I do feel guilty. I do worry that I’ll be a burden, which I never want to be. I do feel guilty that he has to go through it. But I hope the good outweighs the bad. He doesn’t have a choice now.

I don’t want to be a burden. That’s probably my biggest fear. I really did feel a lot of guilt for him having to go through it again. But this time is different.

There’s no reason to feel guilty. It’s all part of the master plan. We don’t know what the next chapter is. We just take one chapter at a time. This is the chapter we’re in now.

How cancer changed Tawanna 

Tawanna: I was very introverted. I did not like to get out around people. I did not hug people. I was not going to hug anyone. I hug a lot now. I try to share more. I’m a lot more extroverted now than I’ve ever been, I think.

And my faith has really grown because I need that. I was devastated that I couldn’t donate the kidney. I was upset because I thought that was the plan. But then I came to realize that His plan was for me to find out that I have cancer, and He took care of Sera anyway.

It’s made me more open to talking to people about things and more empathetic. I used to, at church, when they would say, “Welcome and greet your neighbor,” if I could go to the bathroom while they were doing that, that’s what I would do. But now I am hugging and talking to people. It’s important to connect with people now, because I needed people when I found out. I needed people; I needed them to surround me, and I want to do that for others.

Tawanna T. follicular lymphoma
Tawanna T. follicular lymphoma

How cancer changed Barry

Barry: I don’t know that it has changed me.

Tawanna: Yes, it has. He puts the phone down a lot more now. There was actually a cruise I went on a few years ago that I went by myself because he chose to work. But now we’ve been on two together. He takes more time, so it has changed him — to see that time is short. We don’t have a lot of time, so he takes time now.

We go to restaurants, and he’ll leave his Apple Watch and his phone in the car, and we actually have dinner, and he doesn’t work. So it has changed.

How cancer strengthened our relationship 

I think this is just another one of the ways that it’s made us much closer. Most couples, when they have the situations we’ve been through — numerous ones — they would be divorced ten times over. Each time we’ve had a situation, whatever it was, it’s always made us closer. And this has definitely done that too.

We laugh our way through. We don’t argue. We’re not arguers. I can go for scans, and I’m nervous, but we always have fun. Even doing a scan, we have fun. We will plan something for afterwards to make it fun.

I am totally addicted to Coke Zero. I love Coke Zero. When you have a scan, you can’t have Coke Zero, and they always have my scans at 2:00 in the afternoon. He’ll walk across a very busy highway to have a Coke Zero waiting for me when I walk out of that scan because that makes me very happy. We always try to have something fun mixed in with the bad.

We always do Cheesecake Factory after a scan.

… if it doesn’t work out, I have peace with that too. At first I didn’t, but I can see now I have peace with whichever way this goes. I’ll be okay

Tawanna T., follicular lymphoma patient

What motivates Tawanna most: Children, grandchildren, and Barry

Tawanna: My girls, my daughters, and my grandchildren. And Barry. I want to be here for them. I want to see my children and my grandchildren have the faith that I have. I want to see where their lives take them.

I have a 16-year-old grandson who is actually in college in New York right now. I think he’s going to do something great. He’s so smart. I want to see who they become.

And I don’t want to leave Barry by himself, because he is not going to give my shoes to another woman. So I’m going to stick around.

But as I said before, if it doesn’t work out, I have peace with that too. At first I didn’t, but I can see now I have peace with whichever way this goes. I’ll be okay. 

Tawanna T. follicular lymphoma

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More Follicular Lymphoma Stories

Tawanna T. follicular lymphoma

Tawanna T., Follicular Lymphoma, Stage 3



Symptoms: Incidental finding during pre-kidney donation scan

Treatment: Watch and wait/active surveillance
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Laura C., Follicular Lymphoma, Stage 4 (Metastatic), Grade 1 to 2; Papillary Thyroid Carcinoma



Symptoms: Incidental finding after hysterectomy (follicular lymphoma), thyroid nodule detected on imaging (papillary thyroid carcinoma)

Treatments: Immunotherapy (rituximab and lenalidomide or R² regimen), surgery (thyroidectomy)

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Symptoms: Intermittent feeling of pressure above clavicle, appearance of lumps on the neck, mild wheeze when breathing and seated in a certain position
Treatments: Surgery, chemotherapy

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Symptoms: Frequent sinus infections, dry right eye, fatigue, lump in abdomen

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Categories
Chemotherapy Multiple Myeloma Patient Stories Radiation Therapy Smoldering Myeloma Targeted Therapy Treatments

Yolanda’s Multiple Myeloma Story

Why Listening to Your Body Matters: Yolanda’s Multiple Myeloma Story

Yolanda has been navigating life with multiple myeloma since 2008. Before her diagnosis, she was immersed in the fast-paced fashion industry. Back then, she began noticing some odd symptoms, like a constant craving for starchy foods and her knee joints clicking when she moved. Cancer wasn’t even on her radar.

Interviewed by: Taylor Scheib
Edited by: Chris Sanchez

It wasn’t until routine bloodwork revealed unusually high protein levels that Yolanda consulted a hematologist. This eventually led her to the Mayo Clinic where she received a diagnosis of smoldering myeloma, a stage that comes before active multiple myeloma. This was a pivotal moment, as it highlighted just how crucial it is to have a specialist who truly understands the disease. Thanks to an oncologist focusing on multiple myeloma, Yolanda’s knowledge about her condition grew significantly.

Yolanda then entered what’s called a “watch and wait” period. While it’s typically a year-long phase, for her, it stretched to five years before her myeloma became active and needed treatment. This phase brought its share of emotional ups and downs, along with the challenge of grasping all the medical details.

When it was time for treatment, Yolanda started with radiation and later moved on to chemotherapy and targeted therapy. The road wasn’t easy. Managing medication side effects was tough, but she eventually reached remission. Along the way, she became a strong advocate for herself, learning the importance of open communication with her doctors. She also discovered how beneficial regular exercise and staying active are in managing multiple myeloma.

Yolanda’s advice to others? Take a deep breath, stay engaged in your healthcare decisions, and focus on living well. She believes in speaking up during doctor’s appointments and stresses the value of having a supportive, knowledgeable medical team.

For Yolanda, multiple myeloma doesn’t define her life; it’s just one part of her story, and she’s determined to live it fully. Watch her video to learn more from her about:

  • The unexpected symptoms that led her to her multiple myeloma diagnosis.
  • How Yolanda’s stressful career masked signs of a serious condition.
  • Why having the right doctor made all the difference.
  • How Yolanda turned exercise into a powerful tool for managing her health.
  • Self-advocacy from someone who’s been through the ups and downs of multiple myeloma.

  • Name:
    • Yolanda B.
  • Age at Diagnosis:
    • 38
  • Diagnosis:
    • Multiple Myeloma
  • Symptoms:
    • Anemia
    • Unusual craving for starchy food
    • ‘Clicking’ sound produced by knees under certain circumstances (such as when walking up stairs)
  • Treatments:
    • Radiation
    • Chemotherapy
    • Targeted therapy

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.


Thank you for sharing your story, Yolanda!

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Treatments: To be started at the time of interview
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Yolanda B. multiple myeloma

Yolanda B., Multiple Myeloma



Symptoms: Anemia, unusual craving for starchy food, ‘clicking’ sound produced by knees under certain circumstances (such as when walking up stairs)

Treatments: Radiation, chemotherapy, targeted therapy
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Melissa V., Multiple Myeloma, Stage 3



Symptom: Frequent infections

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Marti P., Multiple Myeloma, Stage 3



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Categories
Chemotherapy Hysterectomy mTOR inhibitor Patient Stories PEComa (Perivascular Epithelioid Cell tumor) Radiation Therapy Sarcoma Soft Tissue Sarcoma Surgery Targeted Therapy Treatments

Living with a Rare Malignant PEComa Cancer

How Michelle and Jolene Each Live with Malignant PEComa, an Incredibly Rare Type of Cancer

Michelle and Jolene’s stories are about resilience, advocacy, and the power of awareness. Both women were initially diagnosed with other conditions with overlapping symptoms to their cancer diagnosis. Michelle had excessive bleeding that was attributed to fibroids, while Jolene attributed her symptoms to menopause.

With the COVID-19 pandemic adding to medical delays, neither of them received an immediate diagnosis. They both went through hysterectomies to treat their suspected diagnoses, leading to the shocking revelation that they each had malignant PEComa cancer (perivascular epithelioid cell tumor), a rare and incurable form of cancer.

Interviewed by: Taylor Scheib
Edited by: Katrina Villareal

For both women, the diagnosis came as a gut-wrenching surprise. Jolene recalls waking up from surgery, groggy from anesthesia, only to learn that things didn’t look right. Michelle, a researcher by nature, turned to Google for answers, even though her doctors warned against it. The fear of the unknown weighed heavily on them, but they knew they had to press forward.

Michelle C. feature profile

The reality of treatment set in quickly. There is only one FDA-approved therapy for malignant PEComa cancer, a drug that became available just in time for Jolene to start in 2022. Michelle initially had a strong response to it and she remains stable today. Still, both women live with uncertainty. Jolene, a mother, made it her mission to be present for her daughters’ milestones, focusing on each day rather than an unknown future. Michelle, on the other hand, has embraced self-advocacy, meticulously documenting her medical journey so others can learn from it.

Michelle and Jolene are determined to raise awareness of malignant PEComa cancer. Unlike breast cancer or leukemia, PEComa is virtually unknown, even among medical professionals. To note, PEComas are usually benign (noncancerous) and localized, but some are malignant (cancer), which is what both Michelle and Jolene were diagnosed with. They believe that through advocacy and exposure, more people will recognize the symptoms early and push for proper diagnoses.

Their advice is simple yet powerful: never lose hope. Every case is different, and statistics don’t define a person’s future. They emphasize trusting one’s medical team, staying informed, and, most importantly, finding a support system.

Watch the video to find out more from Michelle and Jolene about:

  • How a selfless act of love led to an unexpected diagnosis.
  • The one FDA-approved drug that stands between them and an uncertain future.
  • Why raising awareness for rare cancers like malignant PEComa is more important than ever.
  • The advice they have for everyone who’s facing a tough diagnosis.
Jolene S. feature profile

Michelle C.
  • Name: Michelle C.
  • Diagnosis:
    • Malignant PEComa cancer (perivascular epithelioid cell tumor)
  • Staging:
    • Stage 4
  • Symptoms:
    • Heavy bleeding
    • Asymptomatic lung masses discovered through kidney donor evaluation
  • Treatments:
    • Surgery: hysterectomy
    • Targeted therapy: mTOR inhibitor
  • Name: Jolene S.
  • Age at Diagnosis:
    • 51
  • Diagnosis:
    • Malignant PEComa (perivascular epithelioid cell tumor)
  • Staging:
    • Stage 4
  • Symptoms:
    • Inability to urinate
    • Bleeding from uterus
  • Treatments:
    • Surgery: hysterectomy
    • Radiation
    • Chemotherapy
    • Targeted therapy: mTOR inhibitor
Jolene S.


Michelle and Jolene were both diagnosed with an incredibly rare type of cancer. Michelle was diagnosed in 2023, while Jolene was diagnosed two years prior. They received a diagnosis so rare that it affects less than one out of 1 million people each year: malignant PEComa (perivascular epithelioid cell tumor). According to the National Organization for Rare Disorders, this diagnosis is “most likely to occur in middle-aged females, with some studies reporting PEComas are five to seven times more likely in females than males.”

I was experiencing some bleeding… it continued to get worse to the point where I was sent to the emergency room because I was bleeding so much.

Jolene

The Red Flags for Michelle and Jolene

Michelle: Originally, I had fibroids, so I experienced excess bleeding during my menstrual cycle. At that time, I thought it wasn’t typical, so I called the doctor and they said that irregular menstrual cycles are normal sometimes.

Jolene: I was experiencing some bleeding and I thought it was possibly related to starting menopause. It was also during COVID, so I wasn’t going to the doctor a lot. I didn’t worry about it and it continued to get worse to the point where I was sent to the emergency room because I was bleeding so much. They did some scans, thought it was a fibroid, and proceeded from there.

Michelle C.

To treat each of their other diagnoses, both Michelle and Jolene opted for hysterectomies, a surgical procedure that removes the uterus. The procedure would uncover cancer for both of them.

Jolene S.

Hysterectomy Uncovering Their Cancer

Jolene: I had an early morning surgery and they told me how long it would possibly take. I remember coming out of the anesthesia and seeing the clock in the recovery room — it was three hours later than I’d thought. My surgeon told me that when they started the surgery, things didn’t look right, so she sent a sample off for biopsy. They didn’t know what kind of cancer it was, but they knew it was cancer. I was so out of it that I just accepted it.

Michelle: I was scared. I’m the type of person who when I don’t know what something is, I have to Google it and look it up, which my doctors don’t recommend. They told me that Google is not my friend. But I always want to learn. I love reading and doing my research. I did Google it and it was scary. My main concern was the life expectancy.

Michelle and Jolene received the news no one ever wants to hear: the cancer is back and now it’s Stage 4.

I was shocked because I wasn’t feeling short of breath or noticing anything strange. I didn’t have any symptoms.

Michelle

Finding Out They Have Stage 4 Cancer

Jolene: I can’t even describe how excruciating the pain was. Internal bleeding is one of the worst pains that you can feel. I wasn’t at the main hospital because I went to the hospital where I thought I would be able to get in faster and they performed a procedure to slow down the bleeding.

I was in shock. I was diagnosed in May. That happened in January and in February, I had another surgery. The tumor was fairly large. Recovery was difficult. It was painful and took quite a while, but the margins were clear. No lymph node involvement. At that time, the doctor told me that I was now stage 4 and it wasn’t curable.

Jolene S.
Michelle C.

Michelle: My brother was suffering from renal failure. He didn’t want to talk about it, but I went behind his back and got tested to see if I was a potential match. I went through the donor evaluation, which is a pretty rigorous testing process to make sure that the donor is healthy enough to donate. At the end of the evaluation, they did a chest X-ray and found multiple masses in my lungs. I was shocked because I wasn’t feeling short of breath or noticing anything strange. I didn’t have any symptoms.

Jolene: You’re always living in fear, just knowing how quickly it came back and how severely the first time. So I can give you an example. Three weeks ago, I felt a lump kind of in my upper leg, and then a week later I that was very tender. I felt another one in like my armpit area. And those areas aren’t really covered by the CT scans I get every three months.

So to say that I was a mess is putting it nicely. This past week, they scheduled a PET scan for me right away. I don’t have the final report, but the nurse practitioner called me and said it looks good.

It’s really hard not to react to any little lump [or] bump, because you know that catching it more quickly is probably to your benefit.

After Michelle and Jolene found out about the malignant PEComa, they learned what their future looked like. The FDA had only approved one therapy for malignant PEComa, approving nab-sirolimus in 2021 for patients with “locally advanced unresectable or malignant PEComa.” (FDA)

Discussing The Only Treatment Option for Malignant PEComa Cancer

Michelle: I asked, “What’s going to happen? Is my hair going to fall out?” When you think about chemotherapy, you think of the worst. Am I going to be having extreme sickness? Am I going to lose my hair? Am I going to be able to function? Those were my main concerns. I was okay until that appointment. I was apprehensive, but I was okay until we started discussing it because then it was real. I cried at that appointment.

Michelle C.
Jolene S.

Jolene: It was approved by the FDA a month before I started it, so I couldn’t be more thankful that they were able to develop that when they did. I started in April 2022 and told my daughters that it isn’t curable, that I’ll be on this medication, and that I will be with them for as long as I can. That’s what I continue to tell them, that I will be here as long as I can be. I honestly didn’t think I would be here because based on the clinical trials, it typically works for a year and a half to two years.

Because this is a rare and incurable cancer, the goal is to maintain quality of life and stability.

Michelle

Michelle: That was an, “Oh, s***,” moment. I thought, “One drug. Great.” My mind always goes far, so I thought, “What happens if it doesn’t work? What do I do?”

I’m grateful that there is a drug because that drug wasn’t available in 2015 when I received my initial diagnosis. If my disease was malignant from the beginning, I don’t know if they would have been able to treat it. Initially, I had an amazing response to the drug. I had rapid and significant shrinkage of tumors, and now I’m stable. Because this is a rare and incurable cancer, the goal is to maintain quality of life and stability.

Michelle C.
Michelle C.

Looking at the Future Living with Malignant PEComa Cancer

Michelle: In the beginning, I felt doomed. Am I going to live to see retirement? Am I going to be able to do some of the things I want to do? That was concerning. The unknown was scary. Nobody knows when their time is up, but that’s always in the back of your mind with cancer. I don’t necessarily dwell on it, but every once in a while, it’ll pop up. What do I do? Do I retire now or do I make sure that I have something for later? I’m still working part-time because I need some kind of normalcy in my life. I need structure and a purpose.

My daughters drive me to keep going… I want to be here and get my girls in as good of a place as they can be.

Jolene

Jolene: My daughters drive me to keep going and the fact that there isn’t another option. I will take what I have right now with the limitations that I have, which are the side effects. But given the alternatives, I want to be here and get my girls in as good of a place as they can be. I can’t imagine losing a parent as a teen or early 20s because my parents are still alive and doing well, and they’re a big part of my support system.

Jolene S.
Michelle C.

What Michelle Has Learned

Michelle: The one good thing out of this is I learned to advocate more for myself. I learned how to ask more questions and how to push a little bit more. In the beginning, I said if this was going to kill me, I want everybody to know about it. Not that I want to donate my body to science, but I want people to see my records and learn something. I take meticulous notes. It sounds morbid, but when I go, I’m going to have someone hand over my binder with all of my notes and paperwork.  

Jolene’s Biggest Advice

Jolene: Never give up hope. Don’t look at other people who might have the same diagnosis and assume that you will follow the same path. I have sisters who are nurses, and they told me not to Google and to look at what has happened to other people. Your care team knows you the best and they’re focused on you. You don’t know what’s going to happen. I feel like right now at least, I’m proof of that.

When it came back in my liver, my goal was to be around for my youngest daughter’s high school graduation and my middle daughter’s college graduation, and those were in May and June 2024. I’m still hanging on. I hope and pray that I will be around for a long time to come but at the same time, facing the reality that we don’t know.

Jolene S.

People don’t know what PEComa is… Hopefully, people will become curious and talk about it more.

Michelle
Michelle C.

Raising Awareness for PEComa Cancer

Michelle: I want people to be aware of PEComa. I want people to know what it is. When somebody says breast cancer or leukemia, people know what it is, but people don’t know what [malignant] PEComa is.

There are a decent amount of people who I’ve run into that say they know what a sarcoma is, which is rare also, but the subtype is ultra-rare. I want people to know what it is and to become curious. If they know what it is and people talk about it, there’s more exposure. Awareness is very important to me. Hopefully, people will become curious and talk about it more.


Michelle C. and Jolene S. feature profile
Thank you for sharing your stories, Michelle and Jolene!

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Other Rare Cancer Stories


Ashley S., Adrenal Cancer, Stage 4



Symptoms: Swollen ankles, very low potassium levels

Treatments: Surgery (removal of tumor, open-heart surgery), chemotherapy, immunotherapy, radiation
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Ashley P. feature profile

Ashley P., Adrenal Cancer, Stage 4



Symptom: Mild back pain on her left side that escalated in severity
Treatments: Chemotherapy (etoposide, doxorubicin, and cisplatin), mitotane, surgery, lenvatinib
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Cassandra R. stage 4 adrenal cancer

Cassandra R., Adrenal Cancer (Adrenocortical Carcinoma), Stage 4



Symptoms: None; inconclusive bloodwork during a blood test to determine her baby’s gender

Treatments: Surgery (adrenalectomy), radiation therapy, chemotherapy, immunotherapy
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Hope L., Adrenal Cancer, Stage 2



Symptoms: High blood pressure, butterfly rash, joint pain and swelling, rapid heart rate

Treatments: Surgery (adrenalectomy), chemotherapy
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Janelle C. stage 4 adrenal cancer

Janelle C., Adrenal Cancer (Adrenocortical Carcinoma), Stage 4



Symptoms: Excessive thirst and water intake, interrupted sleep due to waking to drink and urinate, suspicious weight gain despite working out

Treatments: Surgeries (adrenalectomy, nephrectomy), chemotherapy

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Regina J. lung neuroendocrine tumor

Regina J., Lung Neuroendocrine Tumor



Symptoms: Wheezing, back pain, coughing that sometimes produced blood

Treatment: Surgery (partial lung resection)
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Tabbie V. neuroendocrine pancreatic cancer

Tabbie V., Pancreatic Neuroendocrine Tumor (pNET)



Symptoms: Abdominal pain, unusual organ "inflammation" feeling when walking, fatigue
Treatments: Chemotherapy (oral and IV), surgeries (Whipple procedure or pancreaticoduodenectomy, liver resection or partial hepatectomy)
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Hayley O. neuroendocrine pancreatic cancer

Hayley O., Pancreatic Neuroendocrine Tumor (pNET)



Symptoms: Severe right-sided pelvic pain, nausea, diarrhea
Treatment: Surgery (pancreaticoduodenectomy or Whipple procedure)
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Drea E. stage 3 neuroendocrine tumor

Drea E., Gastric Neuroendocrine Tumor (gNET), Stage 3, Grade 1



Symptoms: Fainting spells, fatigue, dizziness, anemia, shortness of breath, absence of menstruation, unexplained weight loss, night sweats
Treatment: Surgery (total gastrectomy with a Roux-en-Y reconstruction)
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Hunter D. desmoplastic small round cell tumors

Hunter D., Desmoplastic Small Round Cell Tumors (DSRCT)



Symptoms: Abdominal pain, nausea, vomiting, fatigue

Treatments: Surgeries (debulking surgeries), chemotherapy, radiation therapy (radioimmunotherapy, under a clinical trial)
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Gianna C., Desmoplastic Small Round Cell Tumors (DSRCT)



Initial Symptoms: Urinary tract infection (UTI), consistent pressure in stomach, stomach pains, passing out

Treatment: Chemotherapy, surgery
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Hamish S. feature profile

Hamish S., Desmoplastic Small Round Cell Tumors (DSRCT)



Symptoms: Persistent fatigue, nausea, weight loss, hard abdominal lump

Treatments: Interval-compressed chemotherapy, surgeries (cytoreductive surgery, peritonectomy, HIPEC, right hemicolectomy, low anterior resection)
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Joe F., Desmoplastic Small Round Cell Tumors (DSRCT)



Symptoms: Mild abdominal pain, fatigue

Treatment: Surgery, chemotherapy, radiation
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Caroline C., Gestational Trophoblastic Neoplasia & Placental Cancer, Stage 3



Symptoms: Morning sickness & an unusually high beta hCG

Treatment: EMACO chemotherapy
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Shannon W. choriocarcinoma

Shannon W., Choriocarcinoma



Symptoms: Molar pregnancy, vaginal bleeding, overall feeling of unwell, cramping, weight loss, elevated HCG level, feeling bloated
Treatments: Chemotherapy, surgeries (D&C, total hysterectomy)
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Categories
Chronic Lymphocytic Leukemia (CLL) Leukemia Patient Stories Targeted Therapy Treatments

How I Learned to Live with CLL—And Stop Letting It Control Me

How I Learned to Live with CLL—And Stop Letting It Control Me

Margie was diagnosed with a type of blood cancer that affects the bone marrow and blood. One day, she noticed a swollen lymph node she had never seen before. Doctors ordered a scan and biopsy of the lump. That’s when she got the news no one wanted to hear: she had a rare blood cancer called chronic lymphocytic leukemia, or CLL.

Interviewed by: Taylor Scheib
Edited by: Katrina Villareal

Margie H.

Margie’s diagnosis was a rare blood cancer, chronic lymphocytic leukemia (CLL). There’s no official cure but there are a lot of treatment options.


  • Name: Margie H.
  • Diagnosis:
    • Chronic lymphocytic leukemia (CLL)
  • Symptoms:
    • Large lymph node in her neck
    • Fatigue as the disease progressed
  • Treatment:
    • Targeted therapy
Margie H.


It’s hard to tell your kids that you have cancer…

Introduction

I live in Southern California. I had a lymph node in my neck that was enlarged. I was diagnosed with chronic lymphocytic leukemia (CLL) in 2019. They gave it a little positive spin and told me that if I had to have cancer, it was the best kind to have.

How She Found Out She Had Cancer

I noticed a lump in my neck, so I went to my primary doctor. She didn’t know what it was, so she sent me for a CAT scan. I had a biopsy and that’s how it was diagnosed.

I didn’t have any other symptoms, so it was quite a shock. I’m relatively healthy, so to have someone say that I had cancer, I thought, “That can’t be,” but it was.

It’s very scary. One of the hardest things for me was telling my kids. It’s hard to tell your kids that you have cancer, but they were very supportive. I noticed the lump in September and was diagnosed in November, so it was very quick.

Margie H.
Margie H.

Finding the Right Doctor

Kaiser was willing to send my information for a second opinion. I ended up with the head of the department of chronic lymphocytic leukemia (CLL) at Dana-Farber Cancer Institute in Boston and I thought that was God’s doing. He was even involved in the research of the medication that I eventually took. Before he looked at my information, he said, “What’s your plan? What’s your goal? Do you want to have more life in your life or do you want to have a longer life?”

My daughter got a list of all the treatments and medications from a niece who’s a doctor. When I was with my family, we went through everything. We had a couple of nurses in the family, so we had some medical knowhow. Because I had high blood pressure and was taking blood thinners, we found all the ones that I was eligible for and talked about the side effects.

The specialist said, “I looked at everything. You need one more test and if you don’t have a mutation, then this is exactly what you should take. If you come out mutated, this is what you should take.” I took his report to my oncologist and that’s the way we went.

Because the side effects of the medication can be bad, they don’t want to start treatment until your symptoms are much more severe

Learning She Wouldn’t Get Treatment Right Away

I was on watch and wait. Some people call it watch and worry. Because the side effects of the medication can be bad, they don’t want to start treatment until your symptoms are much more severe, so I wasn’t treated until June 2021.

I came up with an idea during watch and wait. Think of it as boot camp. When you go to boot camp, they get you physically strong and when you’re physically strong, you do exercises to keep it that way. If you’re not, then you start.

Next, they teach you what you need to do if you have to go into battle, which is what you need to learn about chronic lymphocytic leukemia. The next thing they do is build a community around you. I didn’t recognize it at the time, but those were the steps I took. If a person would use watch and wait as a boot camp rather than as a time to worry, it would make a difference.

Margie H.
Margie H.

Noticing More Symptoms from the Cancer

After a year and a half, I developed more lymph nodes. A lot of them were on my stomach, so they were concerned about crowding the main organs. Other than that, they wouldn’t have started treatment.

You’re supposed to watch out for fatigue and night sweats. I didn’t have night sweats, but I experienced fatigue by early spring of 2021. I measured how I was doing by how I fared when I hiked. If I could still hike as far as I could or as fast as I could, if I could get up the hill, then I was still okay. However, I noticed a difference in late spring that year.

We had a family meeting after my grandson’s wedding and we decided that I should do the targeted, time-limited medication.

Fatigue was the only thing that I felt that made a difference. Eventually, I told a couple of my hiking friends. I also put in a prayer request at church, so my church family knew.

I see myself as a strong person. When something happens to you, you think that will diminish your strength and people will start looking at you differently because you aren’t as strong as you thought you were.

There are several types of treatments. I didn’t qualify for some because I’m taking blood pressure medication and blood thinners. There’s time-limited therapy and medication that you’re on for life or until it quits working and then they put you on a different one. We had a family meeting after my grandson’s wedding and we decided that I should do the targeted, time-limited medication.

Margie H.
Margie H.

Her Treatment Experience

I was a textbook case. It was fantastic. I had no side effects. I had six infusions in the beginning. One month after I started my infusions, I started my oral medication.

There are serious side effects to the oral medication. Tumor lysis syndrome is very dangerous. It can affect your kidneys. They put you in the hospital for the oral medication. I was in the hospital for three days as they put me on step-up dosing. It couldn’t have gone more perfect, so I’m very blessed.

Why worry about the things that we can’t change? If it comes back, I’ll be treated again.

Being Off-Treatment

I have blood tests every three months and see the oncologist every six months. I have no symptoms. Everything’s good. I couldn’t ask for anything better.

I don’t even think about it anymore. Before treatment, it used to be like having a time bomb that you’re waiting to go off. But since I’ve had treatment, I rarely even think about it — only when I have my blood test or oncologist appointment. I’m a very positive person.

I listen to a Christian radio station in my car and I heard something that said, “Change the things you can and adjust your attitude to the things you can’t.” Why worry about the things that we can’t change? If my chronic lymphocytic leukemia comes back, I’ll be treated again. It’s likely to come back. I’m not cured. I’m in remission or what they call undetectable minimal residual disease (uMRD).

Margie H.
Margie H.

Words of Advice

CLL isn’t a death sentence. Be your own advocate. Go and find the information. I know there are other sources, but HealthUnlocked was so fantastic for me. Build a good support system.

I want people to be encouraged and not discouraged. There are so many diseases out there that are so much worse than what I have and what I went through. We have to count our blessings when we can.


Margie H.
Thank you for sharing your story, Margie!

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More Chronic Lymphocytic Leukemia (CLL) Stories

Lynn S. chronic lymphocytic leukemia

Lynn S., Chronic Lymphocytic Leukemia (CLL)



Symptom: Elevated white blood cell count

Treatments: Chemotherapy, targeted therapy (BTK inhibitor)
Serena V.

Serena V., Chronic Lymphocytic Leukemia (CLL)



Symptoms: Night sweats, extreme fatigue, severe leg cramps, ovarian cramps, appearance of knots on body, hormonal acne

Treatment: Surgery (lymphadenectomy)

Margie H.

Margie H., Chronic Lymphocytic Leukemia



Symptoms: Large lymph node in her neck, fatigue as the disease progressed

Treatment: Targeted therapy

Nicole B., Chronic Lymphocytic Leukemia



Symptoms: Extreme fatigue, night sweats, lumps on neck, rash, shortness of breath


Treatments: BCL-2 inhibitor, monoclonal antibody