Paul's Heart

Life As A Dad, And A Survivor

Archive for the category “Education”

Finally, Someone Is Stepping Up For Us


I consider my life split in half in that my life went through a major change when I was diagnosed with Hodgkin’s Lymphoma back in 1988 at the age of 22.  Prior to my diagnosis, though I felt I was a considerate, well-mannered, nice guy, for the most part, I kept to myself, not necessarily go out of my way to help others unless I was approached.  This type of behavior is common amongst young people.

But the very first thing that I wanted to do, following the completion of my treatments, was to help others take on their cancers, to deal with the many emotions they would face, to help them locate help with the many issues that I had experienced alone, knowing that my help could make a difference in dealing with the stress associated with diagnosis, treatments, and of course, life after cancer.  I wanted to become an advocate for cancer patients.

Going through the cancer journey back in 1988, I did not have the internet.  There was no treatment suite with televisions, dozens of other patients, food being served, entertainment, therapy animals, etc.  There was no “bell” that I got to ring when treatment was done to celebrate.  Though I tried to find others like me, it was an impossible task.  And for those who are young enough to never know what life was like before the “selfie,” there are no pictures of me prior to treatment, during treatment, post treatment.  I have nothing to document what I experienced other than the medical records I now possess, for reasons I am about to get into.

Approximately eight years after my remission, and now fully involved in a cancer counseling program called “Cansurmount” through the American Cancer Society as a volunteer peer counselor for cancer patients, I discovered the internet.  I located a listserve of people who had only had Hodgkin’s Lymphoma (we called it disease originally, but it was unofficially changed because “disease” was felt to contribute to the stigma of having cancer as being bad).  From there, I was contacted by Linda Zame, a long term cancer survivor.  She had invited me to join her listserve, survivors not just of Hodgkin’s, but all cancers.  I did not really feel I fit in, because I did not recognize myself as a survivor, only being less than ten years post remission.  Again, she strongly encouraged me to join this list, and I did.

I was overwhelmed with what happened next.  Story after story from cancer survivors, not about the wonders of life after cancer, but dealing with horrific side effects from their treatments.  I immediately removed myself from this list, and explained to Linda, this was not a list I belonged to.  I was fine.  I was eight years out, and other than fertility issues and some permanent hair loss, I did not “fit in” on this list.  I did not have these kinds of issues.  Linda tried to convince me otherwise.  I would join and unjoin several times over the next few years just to see if things had changed.  But then in 2008, something did change, in a big way.

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I will not go into the full story here, you can read it on the page “CABG – More Than A Green Leafy Vegetable.”  I needed to have emergency heart surgery, caused by treatments from my cancer.  All of a sudden, I was like those 400 people on that listserve that I did not think I belonged.  Though I did not pay attention to her, Linda was trying to convince me, that although things might have been okay at that point, I needed to have the knowledge of what I had the potential to deal with.  Doctors and medicine did not have it.  It was a “few” patients that were advocating for everyone else with a new concept, caring for those who were given such barbaric treatments, that somehow lived past the magical “5 Year” mark.  Medicine never bothered to study the long term effects of treatments because we were not supposed to live that long, especially after 5 years.  But the truth is, there are over 12 million cancer survivors, and only a few hundred of us seemed aware of this problem.

Because of awareness, and that internet support group, I located one of the few clinics that handled patients with my particular issues, Memorial Sloan Kettering Cancer Center.  At that point, all of the issues that had developed in my body over the years since my treatments had been diagnosed, more than a dozen of them in fact.  I finally had answers why my body and mind, felt the way it did, when on the outside, I looked completely fine.  While my issues cannot be reversed or undone, my life now is about management, managing the pain, managing the symptoms, preventing the increased risk of injury or illness.

But now my decision to advocate changed to include not only cancer patients, but also cancer survivors.  As I got more involved, I would find myself getting frustrated with “fundraisers” claiming to help cancer patients.  And there was nothing to help survivors.  The only way someone was actually going to make a difference, was to personally make the difference.  Sure, there are major charities that raise tons of money, and will highlight a few success stories to show their organization’s value, but in my experience, when I needed the help, several times, they were NEVER there for me.  And I felt that there were too many in my shoes that needed help.  So yes, I do believe one person can make a difference.

I ramped up my internet involvement to include patients and survivors to do what I do best, get information out.  I wanted to help people find facilities that handled our unique cases, give people information on financial resources, to tell them that they were not alone.

Of course, one of the biggest resources for me was Facebook.  I now belong to more than 2 dozen pages/groups, and combined with “Paul’s Heart”, I am trying to get the message out about survivorship and the needs that we face.

I can no longer do the things at the level that I once used to.  There have been major changes in my life, and I have had to reduce my advocate activities.  But I am still involved on the internet.  Which brings me to my next point.

One of the groups that I belong to, has taken on a huge task, and I believe what I am witnessing will be a huge game changer, and yes, it will be because of social media, and advocates like me, trying to speak for those without a voice, guide people without a compass in the life of survivorship, to finally provide answers, to let them know that their issues are very real, and they are not alone.

I am not prepared to disclose this wonderful effort yet, because it is still in the planning stage.  But unlike other ideas that I have witnessed over the years, this project has a clear focus, and an initiative and drive like none I have ever seen before.  Even better, because of the attention it will get from Facebook, instead of reaching 400 on a listserve, the potential is to reach millions of other survivors who are made to feel like hypochondriacs because the shell of their bodies do not tell the same story as what is happening inside.  I am extremely excited for when this particular group is ready to go live.  To my knowledge, it will one of the only organizations to reach the millions and millions of cancer survivors.  Medicine is finally starting to catch up to us, but not quickly enough as new patients are being followed more closely because they know the long term risks associated with treatments.  But for the millions who are now lost, no longer followed up, have no idea what their bodies are going through.

Linda, thank you for convincing me I needed ACOR.  And to my friends creating this upcoming organization, thank you, and keep pushing, you have the momentum and the support.  I cannot wait to spread the word on this one.

Respecting Memorial Day


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I was taught at a very young age, the meaning of Memorial Day and the weekend that we celebrate every year.  From the earliest I can remember, my grandmother and aunt would gather my sister and I, to watch a small parade of veterans, march to a triangular intersection around 4th and North Streets in a small town of Emmaus, Pa.  A decent sized group would gather around a memorial, a service would be held honoring our fallen vets, and the service would conclude with a 21-gun salute.  Vets belonging to our local VFW would hand out hand made flowers with wire stems, recognizing Memorial Day.  And as many Pennsylvanians would agree, especially this year, this time of year, the weather was often gray, damp, just plain miserable.  Quite fitting actually for such a sad day really.

For me, like many others, Memorial Day has morphed into something that it was totally not intended to be, like Christmas and Easter holidays for Christians (Santa and chocolate bunnies).  And admittedly, I fell into this trap.  Memorial Day is the unofficial kickoff to the Summer (which officially does not start for a few more weeks).  This weekend is the reminder for many, that it is time to start thinking vacations.  We have barbeques, picnics, and for some of us, beach time.

I cannot speak for others, but even as we were having our fun times this weekend, I did continue to recognize our men and women who served, and lost their lives.

In my mid-20’s, a different outlook towards Memorial Day was given to me.  In my church one particular year on Memorial Day weekend, the minister made his traditional recognition of those who served, but he also mentioned that on this day, we should also take this day to memorialize those we have lost, even if not having served.  We may realize the special date of a loved one who has passed, or their birthday, or some other day.  But we really may not take time to truly memorialize someone on those days as they pass.  And it seemed like a wonderful thing to do, that my pastor had us give names of loved ones who had passed, and remember them, along with our fallen heroes.

Recently, my youngest daughter posed the question to me, “I thought we honored our vets on Veterans Day?”  As a cancer survivor, this was a question that I knew I could easily handle, the difference between “honor” and “memorialize.”  And there is the difference.  On Veterans Day, we “honor” our servicemen and servicewomen who are serving in our military.  We “honor” the living.  On Memorial Day, we “remember” those who died fighting for our country while in the military.  We memorialize those who have passed.

Regardless of what your plans are for the weekend, picnics, parties, beach, fireworks, please be safe, and have a nice weekend.  But also, please take some time to remember those who gave their lives so that we can have the freedom which allows us to celebrate the coming summer months.

I am now of age where I have lived through several wars, and like my parents and grandparents, I now have my share of friends and family who unfortunately lost their lives in battle.  They will always be in my thoughts.

Sometimes, The Best Advocate Is Yourself


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Advocate ad as defined in the image, “one who pleads the cause of another.”

In my life, I have taken on many advocacy roles, and the list almost grows daily.  From health, I advocate for patients with their care, and their rights in the work place and in the rest of the world.  This started around the time that I was diagnosed with Hodgkin’s Lymphoma, and the first hurdle that I had to jump in my care.  I considered it unacceptable, and knew that if it was happening to me, it was happening to others.  Buy my advocacy in health did not stop with the world of cancer, but has expanded to cardiac, long term survivors of cancer, geriatric care, and simply, the right to receive medical care when it is needed.

With having two daughters adopted from China, I became an advocate for families seeking and dealing with adoption issues, not just internationally, but domestically as well.  Because of having children, I took an interest in public education and fighting to make sure my daughters got the best education possible and supporting those trusted to educate my daughters.  Which of course led to my first and only political run, for local office, school board.  And of course I began paying more attention to politics on the larger level.  But to be honest, the lessons I learned at the local level leave me feeling hopeless at the higher levels.

Getting back to children, well, not just children, I have always been an advocate fighting bullying in any environment.  Sadly, society still does not recognize by ignoring the bullying in schools, those bullies grow up to be adult bullies.  There are plenty of programs to deal with this, but unless they are used or enforced, they are paper tigers.

And then there is Parental Alienation.  This is the blatant act of causing mental and emotional harm to a child, by interfering with the relationship between a child and another parent, usually through divorce.  Talking negatively in front of a child or even as “matter of fact”, causing the child to miss opportunities to spend time with a parent, manipulating the child to develop a negative concept of the other parent, are just some of the examples of Parental Alienation.  And I will not beat around the bush with this, PA is child abuse.  Children have the right to love their parents.

But there is more to being an advocate than just having a cause to fight for.  There is more than just defending someone who just does not know where to start to find the answers to start their fight.  Perhaps, they just do not have the strength to express their needs.  Sometimes we have to be that voice.  And in many cases, it is as easy as just showing someone “where” to begin, or even guide them along their course.

There are also times, when even the slightest effort, without realizing it, you can become an advocate.  Just being there for someone, as an “ear”, makes you an advocate because you are showing someone, who may feel alone, that you care.  And that act alone makes more of a difference than doing nothing at all.

No matter the cause I advocate for, it has made me who I am.  And it helps me to deal with the many things that I face.  I have no quit in me when I know that something, or someone is completely wrong.  And I have paid a price over the years with employers, friends, and family because of my decision not to pick battles.  Even the smallest issue to me, if you let enough of them go, it leads to a big issue.  And I have learned, if you are dealing with the smaller issues alone, when you face the bigger ones, you will still be alone, and that fight is even more difficult, because the other side is not alone.

You will never be taken more serious, when you, yourself, advocate for yourself.  After all, you know more about your particular situation than anyone else.  Sure, the help of another advocate is great, but your own words will be the loudest and get your heard.

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