Paul's Heart

Life As A Dad, And A Survivor

Archive for the month “January, 2013”

If You’re Going To Get A Cancer…


The following story suggestion was made by a fellow Paul’s Heart blog reader and fellow Hodgkin’s Disease Survivor.   Thank you Cathy. 

Imagine that you have been just told that you have cancer.  The very first thought that came to my mind was, “I’m going to die.”  That is all I knew about cancer.  I would be subjected to horrible chemotherapy that would make me vomit, was painful, go bald, and would eventually cause me to lose so much weight that it would look like I was starving.  No one survived.

Not even knowing what an oncologist-hematologist was, I was sitting in a waiting room of one.  My name had been called, and I was escorted back to an office, not an exam room.  This had never happened before.  In walked Dr. G, who resembled Jeff Goldblum in The Fly.  He walked around his desk and sat down.  There was not even an introduction.  He just went right into this speech:

“Hodgkin’s Disease is a cancer of the lymph system.  It is very treatable either with radiation or chemotherapy.  It has a cure rate of 85%.  It is one of the more curable forms of cancer.  In fact, if you were going to get cancer, this would be the cancer you would want to get.” 

I do not know which was harder to comprehend, the fact that he was telling me that I had cancer, or that if I wanted to get cancer, I got the good one.  I was twenty-two, healthy, somewhat physically fit, engaged, and happy.  Cancer was for other people who were not… happy-ish with other things going for them.  I had never even heard of Hodgkin’s Disease.  But now I had to embrace it with the confidence of getting over a common cold.

I was still going to have to deal with the chemotherapy and/or radiation therapy.  I was going to puke.  I was going to go bald.  I was going to die.  I did not want to die.

Three months later, following months of testing and biopsies, I began my treatments.  It did not take long to confirm, that I did not want any cancer.  Treatments were not easy though I put on the brave face for each one.  It took four weeks for my hair to fall out, I puked in less than an hour from treatment, and I gained sixty pounds.  But in the end, I did beat it.  I was hopefully not only going to be one of the 85% to be cured of Hodgkin’s Disease, but perhaps help move the stat up to 86%.

I get it.  From a survivorship standpoint, Hodgkin’s Disease is a very curable form of cancer when caught early enough.  On March 10, I will recognize my 23rd year having beaten HD.  I very rarely celebrate it just out of respect for those who still battle the disease, or worse, have lost their lives.  It does not feel right for me to celebrate this.  But as I come across so many other people who have beaten cancer, and look for something, hope, inspiration, perhaps celebrating at least the milestones,   Because there are millions today now looking to find people who have beaten cancer.  If you know someone who beat cancer but wants to know someone who has lived longer, send them to “Paul’s Heart”.

I feel that I want to finally celebrate my longevity now.  With so many offering such nice compliments, support, and comments and suggestions, the cancer that I beat has given me an oppotunity to reach so many more.  I am hoping in time, we will see even more progress made in other cancers such a lung, colon, breast, and leukemia just to name a few.

I would make a safe bet, that of my readers at Paul’s Heart and beyond, there would probably be a minimum 15 people, usually younger in age, who have Hodkgin’s and were told it was “the cancer to have.”  But I think as we meet other survivors with similar cancers or different, the message is getting out.  We are winning the battle against cancer.  We are still far away, but we are getting there.  Soon, another cancer may take the place as the one to have.

Learning To Relax


I have three main sources of my visible stress, only one of which I make public, though the other two are known by select few.  The other sources of my stress end up internalized.  Given a scale of 1-10 with 10 being the worst, my stress level is easily at 10 nearly 85% of the time.  The other 15% of the time, if I can get to sleep, there is a reduction in my stress.  I am not sure, because it probably depends on how long I sleep, if I get into a deep enough sleep, and what I am waking up to.

My doctors are more than concerned with this, because stress is not good.  There are any number of maladies that I could be facing from stroke to heart attack.  I am on several prescriptions all meant to help keep my stress down.  I see a therapist regularly for my stress (as well as survivor guilt issues).  Medically I do what I can to relax, but it is not enough.  And since I am not willing to give up my living, a job that I actually enjoy doing, I must find other ways to decompress.

There are common ways to relax such as meditation, yoga, and even jogging.  For me, I get through my work day with music.  I plug in the old ear buds, turn my Ipod up as loud as it will go, and I am off.  Yes, it is very loud.  But you know what?  I do not hear anything.  I do not hear gossip.  I do not hear complaining.  I do not hear bad news.  I am able to place myself in another totally different situation mentally.  This was huge during chemotherapy, during convalescing from my heart surgery, and many other medical times.  But at work, I need it to get through my day.

Norman Vincent Peale wrote about “positive imaging”.  This was a concept where you simply took your mind to the place that you hoped to be in the future.  In terms of a cancer patient, for me, I was done with chemo, hair had grown back, weight lost, and life had been back to normal.  I think that any time you take your mind away from your present stress, it can be relaxing. 

Deep breathing.  You want to talk about feeling differently without even moving?  I have seen the directions written differently, but the concept is to change your pattern of breathing which I believe would change your brain’s thinking.  Some exercises have you inhaling through your nose for a count of five, holding for five, then exhaling from the mouth for a count of five.  You could do 5-4-4 or 4-5-5, I would imagine any formula would work.  I do around ten sets of this breathing  technique which often helps to calm me down.

Exercising can do wonders.  Any movement with your legs, walking even with a quick gait, breathing in through the nose, and out from the mouth, will provide immediate results of relaxation. 

I recently did a post on how much my golden retriever means to me.  Simply all pets are capable of providing stress relief.  And with cats, even comic relief when a laser pen is involved.

Psychotherapy.  Unfortunately, seeing a “shrink” has such a negative connotation or stigma attached to it.  But I can admit that I see one.  I have a major issues with Survivor’s Guilt (from many incidents in my life), but she is also crucial for stress management.  I am not crazy.  I am not depressed.  But I am thankful to have her as part of my survival care.

Prescription drugs.  For me personally, this will be a last resort.  I have had the ocassional anxiety attack prior to a medical procedure, where I was encouraged to take something, but refused.  In general, I do not believe taking prescription drugs accomplish anything with eliminating the stress, as I say, “only hiding from it”.

Finally, I have found a new form of relaxation, martial arts.  I have certain limitations due to my physical survivor issues, so I believe that I am only going at half speed.  But the relaxtion comes as I am on the floor, concentrating one hundred percent on the techniques and forms.  If I do not pay attention, I will get waffled in the face.  My partners tell me that I do not seem as limited as I believe, and am fairly accurate with my moves.  But for at least that hour, I accomplish something that I have not been able to do to this point, relax.  I have totally eliminated the stress for that our, without medication, and hopefully enough that when the next day comes, my stress is at a lower level than when I left it the prior day.

I must reduce my stress.  If you doubt what stress can do, stay tuned.  I am going to show you what stress actually looks like and what it does to the body.

Working While Going Through Treatments Or Not Recovered Enough


It is amazing.  From the moment I was diagnosed with my cancer, I could feel the resentment from my co-workers.  Think about it.  When we hear of someone having cancer we think, “aw, poor guy” or “why her” and most likely some other stereotypical responses.  But for some reason, from co-workers, unless there has been some sort of life-time bond,  will most likely feel resentment.  My co-workers in 1988 were not different.  I did my best to minimize my time lost from work for diagnostics and treatments.  In fact, in nine months of chemo, I missed a total of eighteen hours of work.  That’s right.  I missed the last hour of work, two days a month.  And my co-workers were jealous of me for it.

If I need to be fair, because I really did not talk about what I was going through.  I did not want anyone to know what it felt like that I was going through.  When I had good days, no one would know any different, and if it was a bad day, I did all I could to hide it.  I did not want to be any more of a burden to them, than what I was.  But that was not good enough.  The jealous attacks were relentless and would eventually cost me any shot of promotability, because I “could not get along with my co-workers.”

As I underwent all of my treatments, I risked exposing myself to everything that these people brought into work with my immune system being run down from the chemotherapy.  Simple colds would carry extra danger to me the least of which delaying my treatments if I got sick.  The stress from the fractured relationships also were difficult to tolerate.  Given the choice, I do not think I would work while undergoing treatments again.  It was not worth it to me, and it made no difference to them if I was there or not.

Over the next many years, I had been fortunate not to have any other major events to require any kind of lengthy absence.

But nearly twenty years later, that same ugly behavior would show up.  After the initial shock that I had emergency heart surgery, a little over a week later, co-workers had been babbling about me at work.  It seems that I was spotted walking in public.  Imagine the gaul that I had, walking around my block, getting the exercise that I was ordered to do.  Forget the fact that I had to stop at the end of each street as I went around the block.  Word got back to work that I looked totally okay and healthy.  I was spotted in the drive-thru of a Dunkin Donuts by a supervisor after dropping my wife off at work and kids off at school.  It did not matter that we only had one car at the time, and I had follow-up doctor appointments and cardiac rehab to get to, but I was reported to be out joyriding. 

When I returned back to work following the heart surgery, which I had been threatened by my employer with termination, because even though the doctor wanted me out six months, my employer decided I could go back in three, I convinced my doctor to release me.  And she did so, with some stipulations.  With the ADA (Americans With Disability Act) to support me, there would be some restrictions on what I would be able to do, which because of the size of my employer, they would have to accomodate.  Also, because we do not park on plant site, my doctor had given me a temporary handicap placard for parking.  I was still getting short of breath, and with the warmer more humid weather coming, this was going to be an issue.  The first day back at work, someone complained to management that I had been parking in the handicap stall, and if I was not better, then what was I doing back at work.  Now realize, this is the same person complaining about me being out of work.

Four years later, I am still dodging these horrible jabs from my co-workers.  I have had a couple more issues pop up, and then of course there are the many doctor appointments that I have.  But hey, I am not on social security or unemployment right?  That should be an admirable thing right?  HELL NO!  Each day I go into work, risking my health being exposed to who knows what just because someone will not call in sick.  And really, I have had no real absentee issues except for a couple of bouts with pneumonia and sepsis, other than my appointments.  I still am a fairly reliable employee to show up for work.

But my co-workers know something is wrong with me.  I do not discuss anything at work anymore.  But they sense it.  And for that reason, I appear to be a threat to them.  I have wathced them chase several people from my department and into retirement.  One co-worker who had MS was forced out because he could no longer handle the harrassment and sabotage from my co-workers.  I am a little more thick-headed, but I definitely allow my stress and blood pressure go to heights that no one should endure, especiallyl when they are on medication for blood pressure and have cardiac issues.

Would I work through treatments or rush back to work, just to make my co-workers happy (which I know would not)?  Or would I be better off staying at home?  Taking the time to heal and recover?  I would have to sacrifice everything I have worked for, but my job is coming at the risk of my daughters losing their dad, and my wife her husband.  My last bout with pneumonia, was double pneumonia.  And more than a month later, I am still dealing with its effects.  But tomorrow will be my eighth straight day working, with another five to go before the possibility of a day off.  And for what?  To shut my co-workers up?

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