Tag Archives: surgery

35 Months Later – Living with Cancer

Breast Cancer Logo
Raise breast sawareness

35 months ago my wife was diagnosed with breast cancer. It seemes so long ago but time really flew The care we received from the UCSF Breast Cancer Clinic was unparallelled. This week I came across an article covering the head of the clinic and thought I’d share it with all of you:

by Julian Guthrie for the San Francisco Chronicle:
Surgeon Laura Esserman, head of breast cancer research and treatment at UCSF, has favorite songs she sings to patients as they’re about to go under a general anesthetic. There’s “Don’t You Worry ‘Bout a Thing,” and her all-time favorite, “For Good.”

One of her greatest areas of impact may come through a statewide research project called Athena, which she has spearheaded and will involve the early screening and follow-up for breast cancer of 150,000 women statewide at five UC cancer centers. The University of California initiative has just begun to enroll patients at UCSF.

Q: What are you excited about right now in the cancer field?

A: We started enrolling patients at two of our five centers, with others starting to enroll in July. We have also started doing a comprehensive risk assessment for every woman who comes in for screenings. We are looking at prevention as part of primary care. We are at the beginning of the road in making breast cancer prevention like heart disease prevention. We want to build a new model.

Q: What is the latest recommendation in terms of mammography?

A: If you are under 50, you need to sit down with your provider and ask for your level of risk. What is my breast density? Should I get screened or not screened? If your risk is high, yes, get screened. But again, I think screening has the most significant benefit for women between the ages of 50 and 70.

Q: What are the most important lifestyle changes people can make for breast cancer prevention?

A: If you are postmenopausal and you are overweight, you will have higher levels of estrogen. Through diet and exercise, you can bring that down, which is good for everything, including a sense of well-being. We try to get women to stick to no more than three to four glasses of wine a week, as alcohol is an associated risk factor for breast cancer.

Q: Have you developed a thick skin in delivering the news to women and men that they have breast cancer?

A: I don’t have a thick skin. You can’t. The good news is that there are some people for whom cancer is not that significant, where you can really reassure the person. Of course, it’s very hard if you know someone is in a really bad situation. I face it with them. You can’t just sit back and say this is an academic exercise. This is something that affects their lives – that determines whether their children will grow up and know them.

Q: Where did you grow up, and what did you want to be?

A: I was born in Chicago, and when I was 9 my family moved to Miami. I always wanted either to be a cancer researcher or cancer doctor.

Q: What was your awakening to cancer?

A: Hmm. I read a biography of Madame Curie. I thought what she did was cool.

Q: Where do you live in the city and where are your favorite hangouts?

A: Ashbury Heights. I love to work my way through the Top 100 restaurant list. My son and I were working our way through the cheap eats list.

Q: Secret talents?

A: I love to barbecue anything.

Q: How does working in the midst of cancer, when life becomes more precious, affect you?

A: You never know what’s in store for you. You have to live life to the fullest. I have a great sense of urgency. We need more answers and solutions.

Q: If you weren’t working as a pioneer in the breast cancer field, what would you be doing?

A: Trying to improve the education system. When I cure cancer, I’ll start working on that.

Read more: http://www.sfgate.com/cgi-bin/article.cgi?f=/c/a/2011/06/22/DDS81JRVIS.DTL#ixzz1QpkKfK4H

Some Mondays Don’t Go as Planned – A Loving Fight

“It Ain’t Over til It’s Over” – Yogi Berra

Gifts from our UCSF Decision Services group
Gifts from our UCSF Decision Services group

As I start this entry we are waiting for the nurses as my wife waits on what we hope will be her final surgery, almost a year to the date of her original breast cancer surgery.

This summer has been a rough one with my father-in-law in the hospital on the opposite coast for 6 weeks fighting a staph infection that laid him up with severe back pains and a high fever which made him hallucinate.  Trying to entertain kids on their annul summer visit while juggling a couple hours in the hospital each day was not a fun chore for my wife.  On top of that her longtime neighbor and family friend died of lung cancer while we were visiting.  My wife loves going home to visit friends and family, but this time despite the pending birth of our new nephew, I think she was happy to get back home.  She hadn’t even gotten the chance to mention that she was about to undergo her 4th surgery in a year.

Four surgeries in a year is not a badge of honor and at the same time it is not even close to the amount of surgeries many people have gone through with breast cancer, but looking back on it I still wouldn’t wish it on anyone.  A total of 22 hours in surgeries so far and the 4th only expected to be 90 minutes and I can only imagine the toll all the anaesthesia takes on the brain.  Maybe its old age but I can already sense some memory issues with my wife.  She’s been through a lot and I have all the respect for her approach to this last one.

This morning our kids were cranky about having to get up early and were giving my wife a hard time.  It really didn’t make me feel good to have to pull each of them aside and remind them how lucky we are.  For two young kids who have had nothing but cancer and hospital visits all around them for the last two years, they instantly knew this was not the time to be acting up and realized how fortunate to have what they have.

(Move ahead 15 hours)

Well my wife had a bit of a temperature today and they didn’t want to operate on her for fear she might be getting sick and there could be a resulting infection.  They knew my wife and I would be disappointed when they broke the news.  We had waited 4 months for this date, but now have to wait more.  After such a hard morning  getting there it was a bit disheartening.  I could see my wife was bothered.  I was bothered too.  A little for me and a lot for her.  Tonight I just felt I had to apologize as I think she could tell I was not happy with the delay as well.  We just want to get all of this overwith.  One last surgery we hope.  Now the wait again.  A wait for another surgery date.

We can’t be angry though.  My wife and I tried to console each other and subtly reminded each other of how lucky we are to be where we are today.  It hasn’t been easy and this wasn’t going to end easy either.  We’d been patient this far and couldn’t take this personally.  It is so easy to lose your cool when you can taste that chance of moving to the next step.   What’s a few more months…heck we still have to wait a few more years to be considered cancer (and Tamoxifen) free.  The cancer clinic itself has been great.  Just a couple weeks ago during her pre-op appointment they gave her a framed article from the Wall St. Journal that she had helped with (she took photos with the physicians) as well as a huge bouquet of flowers.  They really care for her well-being and would rather err on the side of conservatism.  Getting to know people on a first name basis makes things so much easier on the patient.  I remember seeing them having to look at the charts to remember my wife’s diagnosis and name.  Unfortunately they know it real well now, but that sterile feeling of being “just another breast cancer statistic” is gone.  Being able to ask your sugreon about their kids and how they are liking their new school just helps to ease the tension.

On a side note, our son’s classmate’s father who was given only a few weeks at the beginning of the summer is still holding on.  He is weaker now, but he really wants to see his kids start the school year.  It will help them and I think he will make it to that goal.  It is really sad, but in a small way having their sons back in school with such a supporting community will make the eventual loss not as lonely.  Just last year this happened with another schoolmate when they lost their mother after her six year battle and the school rallied to make meals all year long.  I had a chance to see the father at the pool this summer and he said it had been a long year but it taught him about patience and forgiveness with his two young boys. They had lived with this cancer with their mother for 6 years and he said the highs and lows were rough.  This year was very numbing without her. Knowing that my wife was in a similar situation, he just put his hand on my back and let me know I could talk whenever I needed.

Yep.  Patience.  Practice before and after.  Take one step at a time. There is no rush when it comes to cancer because it is a long road.

This Time’s A Charm Blog Book Tour

I have just finished a book by Donald Wilhelm called “This Time’s A Charm”.  Its about Donald’s fight to survive cancer 4 times and beat the odds.  To me this is more than a cancer book but a personal philosophy book that I think anyone should read whether you’ve had cancer or not.  I am part of Donald’s blog book tour  (the last stop) and hope you all can follow along:

“This Time’s a Charm” Cancer Blog Book Tour Schedule

2/16/09 www.fightpink.org 
2/17/09 www.cancerbookreview.blogspot.com
2/18/09 www.uniboobclub.blogspot.com
2/19/09 www.moutray.wordpress.com
2/20/09 www.makesomelemondae.com
2/21/09 www.awesomecancersurvivor.com
2/23/09 www.serendipityfactory.com 
2/24/09 www.everythingchangesbook.com
2/25/09 www.cancercornerlive.blogspot.com
2/27/09 www.appendix-cancer.blogspot.com 
2/28/09 www.imtooyoungforthis.org 
03/1/09 www.route53.wordpress.com

I will publish more on my thoughts and feelings as well as ask Donald some questions that will be published on 3/1 right here along with Donald’s answers.

My Wife and Her Breast Cancer Equal My Inspiration

My most brilliant achievement was my ability to be able to persuade my wife to marry me.
— Winston Churchill
The Santa Monica Boardwalk this evening
The Santa Monica Boardwalk this evening

I have always sought inspiration through true life stories.  I guess I never thought it would come from my life partner.

Those who know me and see me every day will tell you that over the past year I’ve lost over 10 pounds, ran over 1200 miles last year and can run a 5k faster than I did 20+ years ago when I was in highschool and college.  That might seem trivial to those who exercise daily,  but ever since I’ve graduated from high school I never had the drive for long periods of time to work out religiously and take care of myself.  Why now?  How do you find that kind of drive?

Last year when my wife was diagnosed with breast cancer I was down, but my wife told me to make sure I kept running.  The week after she was diagnosed I remember watching Forrest Gump with my children and there is this scene where his love, Jenny tells him,  “If you ever get in trouble, don’t try and be brave.  Just run.”  There is a scene where Forrest doesn’t know what to do and starts running.  I’ve been doing the same, although I ran with purpose.  My wife is my inspiration.

We all get inspired by bigger than life stories.  The pilot who saved 155 people by landing his plane in the Hudson, the new President who is breaking many barriers, the man who risked his life to save an unconscious mom and her two toddlers from a burning home, etc.  Sometimes we see movies like the first one I ever saw called “Brian’s Song” that had cancer involved and get inspired for the moment or for a period of time. 

 But when we live with someone who inspires you on a daily basis it changes you. My wife has to take pills every day, get shots once a month and every day think that there still might be a cancer in her body that might come back to haunt her.  Yet every day, she kisses me, makes breakfast, smiles and goes about her work.  All those pills, shots and everyday worries are not something she shares with me unless I ask.  I don’t ask because I want her to feel like life is as normal as can be as that is the way she wants to live it every once in a while.  She wants to put away that she is a Cancer Survivor.  She doesn’t want to be treated like she’s handicapped.  How can you not be inspired when the person who shares a bed with you every night does so with smile on her face.  She’s had two surgeries and is staring a third in the face, yet she is wanting to bring it on.  She’s had 14 hours of anaesthesia in less than 6 months.  I can’t imagine what it would be like to have those hours missing from my memory.

The other night she caught me staring at her sleeping before I went to bed.  I wanted to soak in her peacefulness, her beauty and my appreciation for her to still be with me and our children.  She asked me if anything was wrong and I just smiled and she gave me that knowing kiss that all wives will give when they know you appreciate them.  It’s the same kiss you get when you stand before all your friends and family the day you get married and state your love for each other.

Today I am off away on business again.  Away from my family.  It hurts to be away knowing my wife is still not 100% yet, but she’d not want it any other way.  Tonight I had a chance to visit the Santa Monica Boardwalk (see photo).  I told my business partner (no offense) that I wished it was my wife with me instead.  She deserved this sunset on this beautiful evening more than I did.

Listening to win – A Loving Fight

“The ear of the leader must ring with the voices of the people.” — Woodrow Wilson

I was recently asked if some of my earlier posts could be used on the site www.Fightpink.org.  Quite frankly I was surprised as I never intended for these postings to be used elsewhere.  The intent of this blog becomes clearer every day as it is more for me than anyone else.  My memory isn’t what it used to be, but more importantly I’ve always documented my thoughts and someday I’d like my children to know why I did what I did or know what I thought about particular incidents in our lives.

Reading those old posts was haunting.  I guess I’d forgotten already how I was feeling at that time.  That is pretty funny given that many say I have a photographic memory.  I laugh at that as I pretty much find myself to be so scattered in life that I just document my life meticulously so I won’t forget.  I listen and listen hard.  I listen to learn and listen  to comfort others.  I sometimes am asked why I don’t speak up on some conversations.  I guess that I’ve always believed that sometimes silence is golden.  And sometimes silence, pictures and images speak a thousand words.

Right now it’s all about listening to my wife’s questions.  I can see and hear her concerns about her surgical scars.  She doesn’t complain but tells me about the research and conversations she is having.  The skin-sparing matectomy has several kinds of scars, but the ones my wife had (over 18 only please) can be depicted through the attached photo links:

Areolar: http://www.justbreastimplants.com/gallery/incision_areola.htm

Crease: http://www.justbreastimplants.com/gallery/incision_crease.htm

The areolar was used for the original expander, but the crease was used to help reconfigure my wife so as to allow my wife to have a bit of a reduction.  Right now the ster-strips still cover the scars.  The black and blue are gone and now the healing once again becomes both physical and emotional.  While many would think this sounds more physical, I’m listening to my wife and her voice.  She wants to look normal.  Normal for me and for her.Pictures speak a thousand words for her.  Seeing things look almost normal will have an emotional healing that things are still the same for her.  Hearing her husband honestly telling her that he thinks she looks great is one thing, but she is going to have to believe it herself.  Any married couple knows that.

Tomorrow I think I’ll talk more about my own expectations and observations for 2009.

Courage and relief – Life is a highway.

” Life shrinks or expands in proportion to one’s courage.” – Anais Nin

Finally after five months my wife’s parents arrived to console their daughter.  I could see the relief in their eyes.  More importantly I could feel the relief in my that she felt her parents were finally concerned enough.  Their was never any doubt that they were concerned about their daughter, but their hesitation had started to wear on my wife.  Quite frankly it started to wear on me.  Her courage through all of this has been nothing less than a revelation for me.  How she was able to put so many feelings behind her as she went through this battle over the past 5 months has been amazing. 

It couldn’t come at a better time for them to arrive as my work is getting more busy with business integration coming on the heels of the holiday season.  I feel a great weight lifted off my shoulders as I can go to work knowing that someone else is around to care for my wife during the day.

Right now our only concern is that my wife is feeling uncomfortable with some redness around her stitches that is very itchy.  I am concerned there might be an infection, but we are not sure.  She’ll be able to go in with her mother to take a look again with the doctor to see if there is any relief they might be able to provide her.

I even noticed my change in my mindset as I ran tonight.  I ran an extra mile and for the first time in a long time, my wife’s cancer did not wander into my head during my 20-25 minute run.  That’s probably because I barely broke a sweat in the bitter 35 degree temperatures outside.   I’m really pleased to have broken the 1100 mile mark this year.  It feels real good and I can feel my stamina and speed to be improving each day.

Maybe now I can start to write about something new.  Hopefully it will allow me to really express some of my real passions in life.

Racing Down the Highway – Life is a Highway

I’m Driving like Hell, Racing Down the Highway – Blake Shelton

Although the lyrics above are from a song about a guy who realized he let his woman get away without telling her how much she means to him (which is not my case), those words seems to express my feelings these days about how my life is going.  I feel like I’m spending my days on those things which I shouldn’t and not on the people and things that matter.  Have I lost perspective?  It’s so easy to find your way in life one day and then lose it.  Yes, just like driving without a map, going 85 mph and not talking to the other people in the back seat.

 As I write this I’m sitting in the 3rd Floor waiting room of the CPMC Carol Franc Buck Cancer Clinic waiting for my wife who is undergoing her 3 hour reconstruction which includes a brief procedure from her cancer surgeon to clear margins that will help reduce her chance of cancer returning.  This surgery will be about half the time of her original surgery.  It is a weird feeling as I felt so prepared for her original surgery that today’s procedure both of us felt so unprepared.  The results maybe aren’t so much about mortality I guess, but I feel like I haven’t given today’s proceedings as much attention as they deserve.  The same goes with the time I’ve had to spend with our kids. 

Last night we each had a brain dump of thoughts.  When we communicate it is almost like a game of chess with a time clock.  First me for 1 minute, then her for a minute, then me, then her, etc.  We race through topics such as how she ran into her friend Jessica at the Starbucks (Jessica is also a breast cancer survivor and an inspiration to my wife), how our son was nominated for a summer Young Scholars program, holiday dinner plans, coordinating pick up of her parents from the airport, etc.  This type of communication might not work for many, but it works for us.  Twenty-four years together will do that to you.  In the end we finally smiled and did a sanity check (maybe it should be an insanity check).  How are we feeling?  Are we prepared for this next surgery?  Is she feeling side effects from the hormone therapy? Apologies to each other are also part of the conversation.  These are mostly from me for the guilt of not being there as much as I wish I could, but she understands the stress we are all going through.  Who says love is about never having to say you’re sorry?

Back to the present, I’m sitting here waiting with two other gentlemen and have about 90 more minutes to go of waiting.  The smile on her face as she chatted her way through the swinging surgical doors are so typical of her, and so atypical of the image of someone going in for a major surgery.  The looks of concern on their faces tell me that their cases seem more grave.  There is a certain somberness in this room that hits me and reminds me of sitting in this room three months ago.  There is a déjà vu with the smells and sounds all around me.  I hope we never have to be here again.  Once again the stress and anxiety of the week have caught up.  The sleepless nights have me and I need to rest.

The next 90 minutes are going to be spent napping and listening to an iPod mix of inspirational songs.

Hopefully the next couple of days will let me catch up, slow down and give everything its proper attention.

Now is the Time – A Loving Fight

Now is the Time When You Show How Much You Care – Ronnie Lott

I was driving to work today listening to talk radio and heard Hall of Fame defensive back Ronnie Lott talking about his foundation and giving.  I was thinking to myself about how hard it must be to give at this time of year and in this economy.  Doing some of my own fundraising for our kid’s school I was sensitive to his comments.  But he inspired me by saying how he didn’t get as much from everyone but got more people to participate.

I’m feeling that right now.  As I ran last night I was thinking about my “Secret Santa” exchange which our family set up and just remembered how fortunate I feel that my wife is still with me and that my kids still have their mother.  I’ve decided that I have all the gifts I need.  If someone wants to give me a gift, they can donate those dollars to my wife’s cancer clinic, the Carol Franc Buck Breast Care Center.  My family is pretty bitter that I’m ruining their Secret Santa because I don’t want anything, but that is truly how I feel.  Even if they gave me something I truly want or have wanted, I just can’t enjoy it this year.  Now is not the time for me to be greedy.  I know my family wants to give me something, but I’ve been a materialistic person my whole life and right now my wife is the only thing I want and am so glad to have her.  

Maybe it is the stress of the holiday season, work integration projects, the bad economy, and my wife’s upcoming surgery this Friday, but I just can’t sleep or feel like I can rest.  Now is not the time to be selfish.  No matter how bad life is, the only way to feel better right now is not to feel sorry for onesself, but to make yourself feel better through the gift of giving to others.

Maybe my wife’s energy level is what is driving me.  She seems to be so strong now while on OS, Tamoxifen and bisphosphonates while staring surgery in the face again.  I just don’t know how she does it, but maybe for her now is the time as well.  I can only gather strength from her this holiday season which will be the greatest gift of all.

Confidence is a Drug – Life is a Highway

“I am Superwoman, Put an S on my chest” – Alicia Keys

Continuing my theme of letting go, my wife is starting to do a lot of little things which are showing her confidence and need for independence from going grocery shopping alone to resuming her exercise.  It is a simple thing sometimes but I can trace this renewed energy just from a simple invite from some of the “popular moms” in our kids school who asked her to join them for an evening out.  It really made my wife feel good to still fit in.  I know her confidence wiill ebb over the next few months as she goes through her recontstruction and deal with both the emotional and physical scars.

Interestingly enough we had the same conversation about confidence with our own children.  We want to teach them humbleness.  While both are well liked by their classmates we want to teach them to be humble individuals and help them for the inevitable day when they receive rejection and teach them how to handle it.

Part of gaining confidence is providing exposure to as much as possible.  As a parent it is our job to show our children as much as we can while providing guidance.  As we go through our lives our parenting takes on many forms that are influenced by our own experiences.  We sometimes learn by giving our children things that our parents couldn’t give us or providing many of those same experiences.  For me, I miss those moments with my dad and this weekend I was able to take my son to his 1st  Big Game (Cal vs. Stanford football), but it is was more than just a game.  As I say, it is always the experience of getting there, and taking a 9 year old to Berkeley is always an eye-opening experience.  Blondies Pizza, Top Dog, the homeless, Rasputin’s Records, etc are all part of the mystique after taking Bart to Berkeley.  For our son (and some day our daughter) the experience started with listening to the Cal Band. 

After listening to the Cal Band we marched up to the stadium with them.  The smile and laughter that he had watching the band made me tear up.  30 years ago that was me with my dad.  I only hope my dad felt as satisfied with giving me that same experience and I showed him the same amount of gratitude.  The casual conversation about the history of the schools and the area were part of a great day of bonding that hopefully will create many pleasant memories for my son because they sure did for me.

My wife and I are still being cautious about the post-surgery experience and what it will mean to us.  I think we know how it will be physically but psychologically we’ve been talking about some of our concerns and issues each night.  We will have to work through it, but at the moment we aren’t sure what those exact issues will be.  What we do know is that we have to be observant of each other’s behavior and let each other know when we observe anything.

One thing we did agree upon though is that leading into this Thanksgiving, we will not be at a loss for things we will be thankful for.

Learning to Let Go – Life is a Highway

“Don’t worry, you just have to let go”

Every day we reach those milestones.  As parents we look for new ones every day. As caregivers we help people cross new paths.  Today was a simple one.  Just crossing the street. Yes, today our son crossed the street for the first time by himself.  As a parent I watched the whole thing and felt so proud.  Unfortunately my wife was not so happy.  I told her she was going to have to learn to let go and know that this was a great chance to learn especially under the watch of a parent.

Well this might seem trivial to some, but I think it is a learning experience for both me and my wife.  She has always been from a family that is very conservative and controlling.  It is a tendency she tries to avoid.  Although she admitted that what my son did was fine, she was still hyper-critical.  I reminded her of how her own parents invaded her life as she got into her 20s and how she hated it.  I told her she had better learn to let go before her children not tell her when they did something for fear of being nagged to death.  In  fact i reminded her that her our son is very similar to me and that I have been known to go my own way without telling my wife when I fear her overmanaging a situation.  I told her that I don’t want our children to be the same way.

I’ve been thinking about it and I myself have to learn to let go.  I have to stop treating my wife’s condition like she’s going to break.  Although I’m not blocking my wife from returning to normal.  I have been jumping to do things for her and need to let her get used to doing things on her own again.  I am preventing her healing process from accelerating.  Baby steps at first like crossing the street but I have to make sure she has that chance to spread her wings as wide as she feels comfortable.  I asked her if this was an issue and she said it wasn’t but understood how I was feeling and told me that she was okay and ready to get on with her recovery.

I GUESS LIFE GOES ON..at least for another couple weeks until her next surgery.  She did mention that she talked to another mom from the school who just found out that she has cancer too.  Turns out that she has the same surgeon that my wife and mother had.    Pretty small world and quite amazing.

Well that’s me.  Signing off and letting go.