Breast cancer lesson 134: Get ready to graduate. Chemo is one test you will pass

August 8 will forever be known as the day I officially finished chemo.

Unlike most other milestones on this cancer journey, this day comes with no medical-related strings attached. No needles, no toxic cocktail being pumped into my veins, no boob job. Just me at the end of a three-week cycle NOT sitting in a chemo chair. That makes it pretty special.

How did I celebrate this momentous occasion you ask? I went to the hospital of course! This time, however, it was for an arm measurement as part of the Lymphoedema clinical trial and the last of my wonderful aromatherapy treatments courtesy of Dimbleby Cancer Care. I baked some flapjack because I was visiting the Cancer Day Unit for my massage. But, that is where the similarities end. 

As the end of a three-week cycle, you could be forgiven for thinking that I might now be symptom free. Sadly, the cumulative effect of chemo means that bits are still falling off – and may continue to do so for quite some time. It feels a little cruel that at the time you’re recovering, you can actually start to look a little worse. But then, I don’t think chemo likes playing by the rules – hence the fact we all have a different experience going through it.

With a break in the cycles at last, I thought it would be fitting to take stock and look at the aftermath. Basically, what’s left and what’s a little bit wonky. Here’s the damage (so far):

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  • Head: arguably still bald, but now sprouting what I call ‘chicken fluff’. It’s soft like baby hair (another reason why I liken chemo to being reborn). Not sure on the colour yet, but I’m hoping it isn’t grey. These pictures hopefully give you a glimpse of the fluff – although I do appreciate the lighting makes me look a little like an alien! 
  • Eyebrows and eyelashes: clinging on for dear life still, but fading fast I fear. People do say the eyebrows are the last to go and it looks like that may be the case. I do feel lucky though because the combination of lighter hair and glasses does make it hard to tell if they are there or not. I am sad I can’t wear mascara (my one or two lashes would look a little weird if I highlighted them)! 
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  • Other hair: why is it that the leg hair is the first to reappear? As if anyone wants that back! I have heard that if you wax it early on, it may forget to grow back. If you can vouch for this do let me know before I rush off to get them waxed! The arm hair, on the other hand, is now falling off (having thinned throughout). Everything else is still pretty much absent (oh, nose hair, my runny nose misses you). I am watching my big toes carefully as I have heard they can become a bit Frodo-like in the post-chemo days.
  • Nails: Sore nails are really not pleasant. If you tap them on a hard surface (I did this once and now try to avoid at all costs) if feels as if they are coming off. They remain painted in blue and pink, but the last time I reapplied the colour, there was a lot of discolouration and my big toes were black. Thank you nail varnish is all I can say. At least this is something that can be masked.
  • Hands and feet: I have separated this out from nails because the key side effect I have been left to enjoy is peripheral neuropathy. This means I get a tingling in my hands and feet and the numbness/reduced sensation in both is very odd indeed. I can live with it, but I really hope I don’t have to.
  • Weight: A 2kg increase over seven months is a result in my book. Now just got to get rid of the steroid hamster cheeks and lovingly protect my flat-but-bulging-a-bit stomach.
  • Tastebuds: back in the game and currently devouring some homemade bread. Bread has such a subtle flavour, it really isn’t worth eating when the tastebuds disappear. I am certainly making up for it now (although ever mindful of the point before).
  • Mouth: ulcer free and no white tongue. Whoop! 
  • Liver: survived! Thank you liver. I need you.
  • Hot flushes: controlled slightly by the Clonidine (I can increase the dosage, but am not at the moment), but still a pain at night. I do love the sunshine and the summer, but think the autumn weather may help.
  • Skin: silky smooth and slightly tanned (for the first time in about a decade). It does feel as if I have been regenerated. Still on the factor 50 and think I may be for the rest of my days.
  • Fatigue: I am not sure whether this is due to the drugs or the general lack of sleep caused by the Zoladex.
  • Brain: in tact, just. I have been known to put the plates in the fridge (along with the cereal). But, I think I may have done that in the pre-chemo days, so I don’t really have any excuses.
  • Positivity level: still smiling!

Everything else is still in tact (or yet to be investigated)! I certainly won’t be scratching the surface to find out.

Am I happy to have survived four months of toxic drugs without being hopsitalised and spending even one day in bed. Absolutely! Would I go through it again? Not this month – and hopefully never again! I was reading only the other day that scientists are predicting that chemo will be obsolete within 20 years (due to a project looking at the genes responsible for cancer). To think that people may one day be cured without these drugs is a wonderful thought.

When things stop falling off me, I will be uploading my cancer kit list (along with my top tips and reflections on chemo) to help all those facing sessions in the chemo chair. One thing I will say now though is that chemotherapy doesn’t come with a textbook. If it did, we’d all be reading it. There are things we can all do to prepare, but it is far better to wake up each day and meet each challenge head on than worry about the challenges you may never have to face. Easier said than done, but it can be done!

There’s no mortarboard, gown and certificate waiting for this graduate – just the satisfaction of knowing I am out the other side (and I have good skin)!

I got there – and so will you.

Breast cancer lesson 129: Chemo may eat your eyebrows, but don’t let it steal your smile

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Chemo week one – by which I mean the first week in a three-weekly cycle usually reserved for grimacing, steroids and a general feeling of emptiness – has actually been unexpectedly lovely. I think this has a lot to do with the fact that it is my last ‘chemo week one’, meaning that every day I get one step further away from poison and one step closer to being able to taste something that doesn’t have the words ‘ice lolly’ in the description. But, I started out last Friday determined to enjoy even the darker days. And, that’s exactly what I’ve done.

I was told the last chemo would feel different. You’re not preparing your body for another round in the unit. The PICC line is out. There are no blood tests booked. The pill packets are emptying and don’t need replenishing. You’re doing things for the last time. Until you experience it, however, it’s hard to know whether that will be the case. After all, the dose is the same, the injections are still prickly and the medication still makes your cheeks puff up!

Seven days in and, touching all wood available, I am feeling good. Yes, I have pain. Yes, I have tingling hands and feet and cramps overnight. Yes, my tongue is a fluffy white colour, which makes me want to swig Difflam with every meal. Yes, the tastebuds have gone. Yes, the dizziness is here. And, yes, I still haven’t a clue what a good night sleep is. But, I feel good and that’s all that matters. I know low immunity week comes next and I also know things do have a habit of falling off (the final eyebrows and the nails being top of the list) when it’s all over. I am not out of the woods, but I can certainly see a clearing ahead!

Of course, I am putting a lot of this good feeling down to the fact the end is not just a distant dream, but a nice chunk of reality (8 August is the official chemo end date, which is now just two weeks away). But, I did also try a new tactic this time. I left London, and spent a few days at my family home. And, I have to say, it was truly magical.

Magical moments for me aren’t once-in-a-lifetime events. They are little moments that remind me just how lucky I am to be alive. It’s laughing with a friend after 14 years apart. It’s holding hands with a great aunt who nearly lost her life just two years ago. It’s sitting in the garden eating home-grown potatoes, carrots and beans. It’s lying on my parents’ bed watching TV. It’s a walk in the long grass on local parkland. This weekend taught me that I have my past to thank for the strength it has given me to move forward.

I have actually turned myself into a self-styled ‘student of happiness’ of late in an attempt to see whether there is a way I can ‘be happier’ when the business of life resumes. I was reading something only the other day about the importance of applying the airplane safety announcement ‘put your oxygen mask on first’ to daily life. Those who first look after themselves are best placed to look after others. While I hope never to see an oxygen mask again, I fully intend to make the most of the cancer’s thorough overhaul. Cancer hasn’t made me happy, but I know it has given me the time to reflect, focus on me and work out that I have been happy all along (I just didn’t always see it)!

If you have any reading recommendations to help me as I explore everything happiness has to offer, do shout.

Back in London now, I am still smiling (just a bit hotter). This has something to do with the sunshine and a lot to do with the ‘end-of-active-treatment’ date that is now penned in the diary. MONDAY 15 SEPTEMBER is less than two months away! I can almost touch it.

Whatever you are doing today, I hope you find time for a little happiness!

Breast cancer lesson number 80: How to make the ordinary feel extraordinary

It started with Friday night wine. As a tradition to mark the beginning of a weekend together, it has a special place in my heart. That is, until chemo wrestled in on the action and stole away my tastebuds. Chemo has a skill of turning even a beautiful Cotes du Rhone into the most vinegary plonk imaginable. Trust me, it is not a party trick of which I am particularly fond and it certainly doesn’t do much to give you that Friday feeling.

I am, however, thankful to chemo the comfort-stealer for one thing. By targeting and eliminating life’s pleasures, it has provided me with the opportunity to enjoy them all again as if for the first time. Chemo turned a normal night into one of the best Friday nights ever because it decided to hand back my tastebuds (albeit temporarily) and with them my love of red wine. Every sip of that full-bodied beauty is now wonderful wine memory tucked away for me to draw on whenever the palette goes wonky again.

In lesson number 47 (click here for more), I wrote about the joys of rediscovering your ‘normal’ and the way in which something you’ve taken for granted for years can suddenly become exciting and beautiful once more. I hope that everyone gets the chance to do this (without the chemo drugs in tow), because it really is a source of great happiness.

Yesterday I took a day away from blogging and from cancer to soak up every moment of a typical bank holiday Saturday. And, you know what? It felt wonderful. The contents of my Saturday are not particularly blogworthy, but that’s the point. A breakfast of eggs in purgatory (if you haven’t had this amazing recipe, click here to head to my lovely friend Rachel’s blog for inspiration). A trip to the garden centre. Three hours of sorting and clearing in the garden. A glass of wine in the evening sunshine. A walk in the park and a lovely curry at home. Each one an ordinary moment that made me feel extraordinary. When digging out the composter with a trowel makes you smile, you know that you’ve started to see the world through different eyes.

As proof of our hard work, here’s Duncan in the garden trying out his top for our 10k run (it arrived yesterday). Quite why he felt the need to raise awareness for breast cancer in our garden was beyond me, but it was really nice to be able to spend some quality time together in the mud! (As an aside thank you so much to everyone who has given so generously so far in sponsorship for the run. I will thank you all individually over the next few months.)

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Duncan used a lovely gardening analogy when talking about the year so far over a very normal drink in Greenwich.  He likened cancer treatment to pruning a rose. Pruning is often brutal and can make a flower look messy and sad for a while. But, when pruned, a flower can come back stronger and more beautiful than ever before. He said there is no time to feel sad. Just time to take action and grow stronger. For a maths graduate, I thought that was pretty special. Will certainly make me remember that drink!

I know this feeling won’t last forever. But it is a feeling I want you to experience too. I want you to linger longer over those bluebells in the park. I want you to drink in the scent of spring on freshly-laundered clothes. I want you to read the back of a label of wine and try and find the delicate spices and vanilla (or have fun trying) in every sip. I want you to rediscover every normal aspect of your life and give it centre stage for just a moment. If the normal bits of life can bring you more happiness, just imagine what the surprises and special moments will bring?

May today be an ordinary day that makes you feel extraordinary.