The Most Important Pieces of My Cancer Coping Plan

“Health is the greatest possession. Contentment is the greatest treasure. Confidence is the greatest friend.” ~Lao Tzu

When dealing with a serious health issue or life challenge, we can choose to navigate through it to the light or bury ourselves in its darkness. While it’s not always easy to find the light, it’s a much easier place to survive in and, in the long run, is much healthier. This way of being has helped me on my recent health journeys.

Twice in the past twenty-three years, I have received the news of a breast cancer diagnosis. Both incidences were completely different and unrelated. This is my story, and how looking for the light is so important in the face of adversity.

My first cancer diagnosis was in 2001 when I was forty-seven, received days before the horrific events of 9/11.

DCIS, an early form of breast cancer, was discovered through my annual mammogram. I was given the choice to have a lumpectomy and radiation or a mastectomy and reconstruction. I opted for the latter because I didn’t want to spend subsequent days, months, and years worrying about a possible recurrence. Plus, back then, radiation was more dangerous and not as refined and focused as it is today.

At the time, I was living in a small town in Florida and decided to travel to California for the best doctor to treat this type of cancer. It wasn’t easy being separated from my three children under the age of eighteen. In the end, it was the right choice and eventually led to a subsequent move to California, the place of my dreams. So sometimes going through difficult challenges can lead to better things.

After I had surgery, my husband Simon and I stayed in California for two weeks before returning home to Florida. I slowly got used to my new body’s landscape since my diagnosis and diligently continued to go for my annual mammograms, watching my only breast being squished between those two sheets of glass.

Tears would trickle down my face, triggered by the loss of the breast that fed my three children. During my meditations, I expressed gratitude for my life and remaining breast.

I tried to bring the light into my life whenever possible by engaging in self-care activities. I surrounded myself with loving and thoughtful people and tried to disconnect from those who had less hopeful attitudes.

Five years later, during a routine blood test, I found out that I had multiple myeloma, a rare type of blood cancer affecting the plasma cells. In short, it turns healthy cells into unhealthy ones.

I had no symptoms at the time, but was told that I’d need bloodwork every three months to make sure that the disease did not progress, and that down the road there was a chance I would need to undergo treatment for this incurable type of blood cancer.

The fear of enduring another cancer overcame me, and I researched the best integrative physicians in Los Angeles to help me navigate this new terrain. For eighteen years my myeloma was what was called “smoldering” because I had no symptoms, but my blood test continued to show high protein levels—a sign that the disease was present.

Each day I swallowed handfuls of vitamins to ward off any further disease progression. I met and consulted with the best doctors and researchers at the Mayo Clinic and Cedar Sinai Hospital in Los Angeles. I was told that everybody’s case was different, but at one point treatment would be unavoidable.

My second breast cancer diagnosis came in 2024, not long before celebrating my seventieth birthday. I was feeling fine, and it was still a few months before my scheduled annual mammogram when I noticed that my right nipple had inverted.

A mammogram, biopsy, and MRI revealed lobular breast cancer, which is more aggressive than DCIS. I ended up having another mastectomy and reconstruction. Much to my chagrin, I also needed radiation. Thankfully, because my Onco Type DX Score—a score given from 0 to 100 indicating the likelihood of breast cancer returning—was low at only 9, I did not need chemotherapy.

I am not generally a fearful person, although I am prone to depression and holding feelings in. I continued to try to keep clear of those who were living more in the light than in the dark because it triggered feelings of depression. The entire experience triggered reminders of my first breast cancer experience, coupled with increasing fear and sadness.

Once again, I had to get used to my new personal physical landscape of implants taking the place of my real breasts. Much had evolved surgically in the twenty-three years since my last surgery, and the recovery seemed easier.

The radiation, however, took a lot out of me. In addition to shrink-wrapping my newly constructed breast, I encountered sheer exhaustion during the six weeks of radiation five days a week.

Unfortunately, during my hospitalization for this second mastectomy and reconstruction, my hemoglobin dropped significantly. This signaled to my doctors that my myeloma might be becoming active.

They scheduled a bone marrow biopsy and found that 90% of my marrow had cancer cells. This was shocking news. My oncologist had been suggesting treatment to ward off progression, but I declined and said that I would rather wait until I was symptomatic.

He had been very patient with me wanting to do it my way, combining Eastern and Western medicine, mainly because he knew that each case was different, and he honored my intuition about my body. However, he did tell me that there would be a time when he would say that I had no choice but to begin treatment, and unfortunately, it had arrived. He suggested I heal from my surgery before beginning.

The hemoglobin drop made me feel very uncharacteristically tired. I had been an active person, hiking and working out with a trainer, so having no energy was very difficult for me, plus being active is also a way to fend off depression.

I’d always been an advocate of listening to my body, and now I felt that my body was telling me that it was time for treatment that involved weekly injections at the hospital and taking a handful of medications at home to fend off any side effects.

I never really understood the concept of “chemo brain” until now, but I truly feel I cannot think clearly. It challenges my lifelong passion for writing and creating.

I’ve decided to continue to listen to my body—to rest when it asks to rest and move when it’s time to move.

During the course of my three cancers, I went from being mad at my body for putting me through all of this to respecting the temple that has kept me alive. I’ve accepted that I cannot be as productive, and that spending a day with one or all of my six grandchildren was more healing than writing any article or a book.

All in all, my healing had many layers—emotional, psychological, and physical. Compounding that with the fact that I was to live with an incurable cancer that would probably need treatment for the rest of my life, I was left feeling quite depressed.

I decided I could not manage alone without the assistance of an antidepressant, which would just keep my head above water. I wanted to thrive and just needed that little bit of support.

I maintained my sanity by deferring to self-care modalities, many of which I used in my younger years and during challenging times in my life, such as writing, meditation, listening to music, exercising, and connecting with friends.

There’s one song that inspired my way of being, and that was Gloria Gaynor’s song, “I Will Survive.” The lyrics became my mantra.

Cancer survivors can wear many faces. We might have a public face, and we might have a private face. True healing and recovery depend on the support of loved ones and trusted medical professionals.

My physicians were very caring and kind, and I’ll never forget the words of my first oncologist when he gave me my diagnosis: “If this experience doesn’t rivet you, nothing will. You’ll never look at life in the same way.” He was right.

My oncologist’s words continue to echo in my mind. From a physical standpoint, I can acknowledge and accept that my body will never look and feel the same. My daily glances in the mirror are a constant reminder of my journey. In spite of looking a little better when I’m dressed, when I’m unclothed, there’s no escaping the fact that I’ve had breast cancer—I have the scars to prove it.

I can hide under my clothing, my covers, or in my closet, but in the shower and during lovemaking, I cannot hide, so I’ve taught myself to accept my newly transformed body.

People say that scars give us character, and I’ve worked hard to convince myself of this supposed truth. I tell myself that the scars don’t really matter because the important thing is that I’ve survived, even though the moment I heard my doctor’s words, all I wanted to do was hide.

As survivors, we go through many mood changes, but in the end, I believe in the old adage, “From all bad comes good.” I’m cognizant of the importance of being mindful of life’s priorities.

As mentioned earlier, I’ve come to realize that my writing grounds me, makes me happy, and helps me survive. I also know that I need to surround myself with people who make me feel good about myself and who provide healing energy.

I suppose this is what intuitively happens when you come face-to-face with your own mortality—you try not to allow people into your life who drain you of the vital life force that is essential for your own healing. For me, doing so made me feel that I was shoring up my spirit’s natural defense mechanisms.

I’d always been a productive person, and my first cancer diagnosis brought with it a new sense of urgency to continue my writing practice and to share my words and passions with the universe.

While working on my latest memoir, I made a point of trying to relax and remind myself not to overdo it. I made sure to meditate and work out every day and get a massage and/or acupuncture when I was able to fit these forms of healing into my schedule.

I decided to express gratitude for my life and all the things I’d taken for granted, such as my family, friends, home, and the time I was able to spend in nature. Given my lifelong commitment to the care of others (I was trained as a registered nurse), I decided to turn that compassion inward and indulge in more self-care. For years I’d put everyone else’s needs first, so it felt good to offer gratitude and kindness to myself.

Of course, when we’re diagnosed with something like cancer, the possibility of a recurrence is always in the back of our minds—but we have no way to predict the future, so we can only do our best and be compassionate with ourselves and others.

I have repeatedly told myself that cancer was no longer welcome in my life. I realized that I would thrive as long as I continued to love and, like what psychic Sonia Choquette says, “When you name it, you claim it.” And I am naming to be in the light. That’s my choice.

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