December
Great Big Sigh...Becky's doctors are not clearly defining her options, to her. She is feeling positive, which is great, miracles happen. She is not asking questions, and her doctors are not telling her the seriousness of her situation. I have been researching since Day 1. She is a very smart woman, addicted to her phone, with free wifi, and won't conduct a single search. Why are the doctors skirting the hard facts? Why? Why? Why? She ignored a breast lump for 2 years. She shattered her 38 year old hip in a 4 foot fall. Cancerous lesions, innumerable at this time, all over her bones, and her breast lump is, in fact, adenocarcinoma, metastacized to bone, as distal to the point of origin as her leg. Stage 4.
Until yesterday even my sister would not allow me to tell her what I had learned, and refused to look up reputable websites. She finally asked...and I was able to quote statistics, name hormone receptors, list treatment options...I have read and read and read and read...always hoping to find a source with different information, but they all repeat the same things and I had unintentionally memorized them, simply from obsessively searching. One of them needed to know. Plans need to be made, preparations...it's horrific. But ignoring a breast lump for 2 years will not make it go away, and refusing to face reality now will not change that reality. And there is an innocent, happy little boy whose life is soon to change. My wish is to prepare as much as possible, learn how to tell him first of all, then learn how to help him adjust to the reality of having a sick mom. With very aggressive treatment, we want to extend her life as long as possible, but she will be sick. We need to know how to transition Jack into his new reality, we need to seek professional help.
One difference I have found in different sites is that some say there is no cure for Stage 4 metastatic breast cancer, some give it a 5 year survival rate of 20%. I don't know which is right, I suppose both, depending on the patient. The 20% that live 5 years are referred to as living with chronic cancer. The goal shoud be to extend life as long as possible with the best quality of life as possible. But first, we have to take the first step and be made aware of the reality of the situation, which her doctors refuse to do. Very, very hard to get a direct answer from them. I understand they don't have a crystal ball and also that they want to keep the patient as positive as possible...and it probably isn't easy to tell them.
I guess I am just a different personality type...when faced with a situation, I want to know the who, what, when, where, and why. I want to prepare, I want to research alternative treatments...I just want to work. It is killing me, killing me that the cancer is still cooking as we speak...and Becky just doesn't want to know.
She was also diagnosed with pneumonia from her first scan and has been undergoing treatment, yet her lungs were filling with water and they inserted a tube today to drain it. I have heard it's an incredibly painful procedure. I have not spoken to Becky myself in 2 days because I am so angry and she will sense it. I KNOW she is suffering, she knows this could have been handled 2 years ago, when it was probably at Stage 0 or Stage 1, and is 100% curable. She HAS to be overcome with guilt, I would be.
I did get slightly scolded from my sister today. I am emotional, and a worrier and she is working hard to keep it together. She told me I was putting pressure on her. She was gentle, but she was serious...so I am backing off and not texting and calling. I wait for her to reach out to me for whatever she needs...and continue learning all I can.
Jack. He's perfect. It's going to change him...maybe it will make him more patient (he has NO patience), maybe more compassionate, maybe more loving (though he is an incredibly affectionate and loving little fellow). It doesn't make sense, but the moment Steve told me about Cassi, I was so angry at him for saying it, as if saying it made it true. The longer we can put off telling Jack, in his mind, in his world, it's not true. He is having a ball right now. Having his Aunt Gina for a week, visiting the hospital and leaving when he is tired of it, extra attention from us all...he's so happy. When I think about him being told, I hit a brick wall. I just can't bear it, but I know at some point it will have to be done, and he won't be quite so innocent anymore. At best, we can keep Becky around for 5 years, or longer even??? With very aggressive treatment, but she won't be the Mom he knows, she will be sick, not capable of being the Becky she was. He loves her so much, of course...and I snap back immediately from my sadness to rage that this has happened, when it didn't have to.
I am sick with the worry, nauseous constantly...no sleeping...obsessively searching for answers on-line.
I know this is an extremely sensitive topic. I have only heard bits and pieces. I have to ask, can someone tell me Barbera's story?
Replies
What I feel when reading your journal is a sister and aunt who cares deeply. I don't understand a medical community that does not say straight up what her options are. I have never experienced this because the two hospitals that I worked in had to disclose immediately what the findings were and the options that were available to the patient so that they could make an informed treatment plan. Once the information was provided they allowed time for the patient and family to process and then brought in the entire team: the surgeons, doctors, social work, chaplains, etc., to help assist in making the best choice for now. I can understand your frustration around this and hope sooner rather than later that both Becky and your sister will have the facts as they know them.
Dear Jack... So many emotions swirling around for this little guy and it takes a village to raise our children and I have no doubt it will be a day by day process. I walked beside many of my little charges as a teacher who were going through some very traumatic events and his teacher is key because children spend the majority of their day with their teachers. I used to tease my students that during the school year I almost had them longer than their parents did.
Teri, Ann M are who knows the walk with Barbara and her breast cancer the best. I will let her weigh in on that. I met Barbara when her cancer was no longer in remission and she was back having chemo and what I remember the most about her is even when she did not have an ounce of energy or was feeling like sh*t she was up in the wee hours reaching out to other women. Her "baby" FMO gave her purpose and kept her going and as usual she was more worried about everyone else than herself. She was very intentional about her cancer and let us know when she knew she would not survive it and kept living to the fullest right up until the very end. Always with her focus on her family, friends and her sisters of the heart on FMO. She would get ideas in the middle of the night about FMO and want to share them with us as soon as she could because she was determined that we would see her "baby" through "toddlerhood" and beyond. It is a promise that we made to her and I still feel guided by her often when I'm unsure about things. She was never one to feel sorry for herself and if she thought for a moment that any of us were in that mode for too long out would come the "big girl panty" comments or she'd call you a "twit." One of her favorites! Oh, Lord, her sense of humor and compassion was beyond words. I MISS Barbara beyond words and her ability to KNOW each of us in such a short amount of time. One of the most welcoming women on the planet and would give you the shirt off her back if needed.
Gina, please take care of yourself as best as you are able and my prayers continue for each of you. What a terrifying, out of body, sad, chaotic, praying for a miracle, hopeful time this feels like. This is the paradox of living in these earth suits that I'm sure each of you are cycling through each of these emotions at rapid speed.
Keep sharing and stay as grounded as you can. Imagine a blue or golden tether going down through the layers of the earth hooking yourself into the life force energy that is there. Remain in that deeply rooted state for as long as you can through your deep inhales, exhales and pauses. This for me is one of the most powerful healing tools that I can tap into whenever needed.
Hand in hand, Heart to heart to Cassi's mom from Douglas and me,
XO Joanie
Gina, such a profoundly sad situation. As a retired social worker I would encourage you to, as you mentioned, get some professional help for Jack. A safe person he can see & let it all out with & who will give him some coping skills for what is ahead.
Sending you love and praying for all of you, Linda
Joanie, the only reason I can think of that the oncologist has not had the hard talk with Becky is because they are still conducting tests. Some cancer cells react to different hormones, and they are testing the cells with the different hormones, I believe there are 3, estrogen, progesterone and another...I can't think of it right now. If the cancer cells are reactive to one or more of the hormones, then hormone therapy can be used in conjunction with the other treatments. It really is amazing how detailed they can tailor treatment these days...they are even studying the cells to determine their aggressiveness. So all the information isn't in yet...I am hoping the doctors have some hope and are waiting for all the results before preparing her treatment plan. But before the cancer treatment even begins, she has to make peace with her new hip, fight through the pain and walk, and will probably be in an in-patient therapy center for a week...meanwhile...those f***ing cancer cells are reproducing as we speak. She's 38 years old!!! 38!!! With an 8 year old child!!! It should be me!!! Her baby is here and needs her here. My baby is there and I want to be with her. It just doesn't make sense.
I do not have any input for your sisters cancer, I can try to help. I lost my mom at age 15 I lived with her disease since I was 11. I will try to help you help your nephew to cope. Yes someone for him to talk will be good. As things progress he will need to know what is going to happen. Don't leave him out that will be worse. I may need to be toned down to his level, professional help may help with that part. Keep him under your wing.
Best of luck, with tight hugs
Penny
Yes, Gina, this makes sense that the doctors are trying to get all their information in place. I'm just used to rapid speed with this kind of prognosis in the hospitals that I've been in, yet each case is so very individual as is each diagnosis and some far more complicated indeed. Prayerful and hopeful for some options to be presented soon for them to ponder.
I was thinking about Jack and you know children are so highly intuitive and understand on their level that something is not right. Just as Penny said he does need protecting and just needs the facts stated to him on his level as they are learned. He needs to feel that he is a part of the process and is in this with everyone. I remember when I was doing my work in the hospitals and parents asked me for my advise with their children on matters I always deferred to the child and asked them to ask the child what they wanted and needed and truly they were amazed at how their children knew. A counselor who deals with children is key and one who will incorporate art/play therapy is vital. I learned more about what was going on at home with my little charges through their art creations and hearing them play with their friends.
Please know that you have a sisterhood here who cares deeply and YOU each know best and all we are doing is weighing in with what we have experienced and if anything helps great and if not it is all said with the most loving care possible.
With you and caring~
Big heartfelt (((hugs)))
XO Joanie
I'm so very sorry, Gina - this is just a miserable situation for all concerned. As is this disease. I want to just throw something out here - I do think doctors for the most part are compassionate and care about what they do and they might well be waiting for more results before deciding treatment. Also, perhaps are giving her as much information as they think she can handle or even want right now? I'm pretty sure David's doctors knew he was dying before I could admit it - and even though I had read all the info out there and could have probably written the book, I still thought " but not him". As someone who has watched a child die from cancer and also personally battled it, perhaps you have to follow her lead in how she wants to deal with this? Which might not be the same way you or others would - or think you would. As in all life journeys, our paths are personal to us and we all handle things differently. Sometimes there is no right or wrong way. I do hope you are taking care of yourself, too - I'm sure you will be a wonderful support to Jack and he will need every bit of you.
Keeping you in my thoughts ~ Joanna x
Sending love energy~
Gina, there are no words just sending you a hug and hoping you all have some peace. Fighting the medical system is so exhausting. Jack is so very young and it will be hard for him wrap his head around all that will be happening. Our girls health was always something that we dealt with in an everyday manner, by that I mean we didn't let us stop living each day and doing what was normal. Life as we know it, is truly enjoying what ever we have to deal with even all the crap of medical interventions. Love, Kathy