Emotional health after cancer: How are you doing really?

Posted by azkidney57 @azkidney57, Oct 6, 2019

It struck me after my recent appointment with my oncologist how less focus is put on the emotional aspect of a cancer patient. I go to clinic I am checked in. I am asked in passing how I feel. Mostly I just say I am OK. It’s all routine. I saw my doctor he examined me we discussed the plan of action for my scans blood work. When a cancer patient is asked a how they feel often it’s “medical”. How do you “physically”feel.

Now that I am a “routine” patient at my cancer center no one stops to ask how I am “emotionally”. Don’t get me wrong there are people you can talk to. I feel things become so routine and some days I feel less emotionally “fit” than others. I never like going to the cancer center it stresses me. I am better about it but it is still a source of “depression “ and anxiety for me. When I feel this way I need routine. On my most recent visit I was given an “wrist band” to wear. I felt “branded”. Not only do I have to hold on to the appointment reminder “disc” now I am given an wrist band. It bothered me. So if you are a patient you can easily be identified by the disc and now and a wrist band. That my sound nit picky but I notice everything. If it bothers me it must bother other people as well. What would be good would be a place for patients, all patients, just patients to check in.

Ask us how we are today. Ask how we are coping. Ask care givers who bring in patients how they are coping. They should have “therapy” dogs on patrol. I love dogs and I know that would comfort me. It would take away some of the anxiety I feel each time I go to the cancer center. I am still “new” to my cancer. It’s been 6 months since my cancer diagnosis perhaps that is why I experience so much anxiety. I haven’t “accepted “ my cancer. It isn’t OK I have it. I am working through this.

Asking me how I am is a loaded question. Physically I am OK. Emotionally on some days I can be a bit of a “wreck”. The mortality aspect for me is a source of great distress at times. I realize I need to have perspective. Take one day at a time. Some days I could use a hug because even though I am adult it is scary to go to the cancer center and some days the child in me is more on the surface than the adult me. So I need to reel in the child and let the adult take hold.

Someone suggested mantras. I use one when I feel I need it. I tell myself it will be OK. It’s just a visit it’s just blood work it will be OK. That helps.

I believe all cancer patients have PTSD to some extent. I know I have it. This experience has traumatized me. Feeling sick, having symptoms, the diagnosis, the surgery, the recovery, the appointments, the blood work, the scans, the exams, the probing, going back to work, trying to regain “normalcy”, realizing there is a “new” normal, learning to live life the best you can. It is a bit much. It does get better and has gotten better. So when I am asked how I am doing it is a complex question and the answer on some days is convoluted.

At work people always ask how I am no one knows about my cancer because that is my busy but people know I was “sick”. I answer I am OK and move on because the question for me is complex. I would like to respond “ are you asking how I am physically or emotionally?”. No one has time for that. It takes too long.

My close friend asked me how I was and she and asked, “how are you really?”. In this “instant” and mostly impersonal world I am learning how the simple things, the unspoken words, the touch or hug, are often the most impacting. Cancer is teaching me to pay attention to what is around me, next to me, near by. Life is so precious don’t waste it.

How are you feeling today? How are you really? Do you need a hug? Are you feeling sad today? Is there something I can do for you right now?

Interested in more discussions like this? Go to the Cancer: Managing Symptoms Support Group.

@monique1

Oh yes, I need a hug daily, but I live alone. I have a boyfriend but I know he is struggling. He wont talk about it. My first battle was 4 years ago, then on a pet scan jan 2024 it metastasized to one lymph node area btwn lungs. Several mos of keytruda, now chemo. Carboplatin/taxol 6 cycles 1xwk, 3ks then rest week. A cycle is usu 4 wks. The side effects are brutal. Digestion issues, pain, some hair loss Temporary they say. Good new last scan after cycle #3 clear but doc wants to do all 6 cycles. Havent asked prognosis yet, too scared. Like some I'm jealous of people without cancer. Hate to admit that. Yet I do have a new perspective appreciation for life. I'm sad cuz I'm alone. I'm sure my bf will leave me. I have family but they have their own lives. This is my first time in a support group chat. I try to look at the bright side. I'm home and not hospitilized. one day at a time. I pray daily thanking God for each new day. Thank you for your input...I agree people need to realize we need emotional support and love more than supplements or rest ven, I think. Hang in there all of us...no one lives a life unscathed. Our cross is just a bit heavier. Love ourselves. Nurture each other....❤

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Hi
I totally relate to emotional support being needed daily.It's like you're finished treatment and people think it's over , but it's just starting and this is the hardest part and people just leave and go about their lives , and they don't really ask anymore or give you support. These groups are amazing and I'm going to share with you A group i belong .It is called breastcancer.org. They have groups for in treatment different stages of cancer and completed treatment.You can sign up for whichever one you're at and they meet online once a week and you get to see people.They have a fantastic moderator. I suggest You try and check the site. Love and hugs to you. 💗

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I deal with having sarcoma alone it easier that way for me

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I appreciate the post and comments. I was recently diagnosed with stage IV kidney cancer (had my right kidney removed but unfortunately not before it spread to my left lower lung). The standard “how are you” has gotten more difficult to answer. I usually say “ok,” but I know I am not “ok.” I am typing this at 3:00 am because sleep has become more challenging. I constantly have to fight off negative thoughts. The day after my most recent diagnosis I had an appointment with my general physician for a routine check up. I told him about my diagnosis and asked if I should see a therapist (I am 64 years old and have never seen a therapist). He asked if I had thoughts of hurting myself and I said “no.” He then asked if I was so depressed or anxious that I could not function and I said “no.” He said that given that, he didn’t think I needed to see a therapist. My gut tells me that anyone dealing with stage IV cancer would benefit from seeing a therapist. For now, I am getting comfort from my Golden Retrievers and new grandson. Completely agree that my diagnosis had given me perspective on what matters in life. Keep exercising and fight! Know that there are others who understand and respect how you feel.

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@fight

I appreciate the post and comments. I was recently diagnosed with stage IV kidney cancer (had my right kidney removed but unfortunately not before it spread to my left lower lung). The standard “how are you” has gotten more difficult to answer. I usually say “ok,” but I know I am not “ok.” I am typing this at 3:00 am because sleep has become more challenging. I constantly have to fight off negative thoughts. The day after my most recent diagnosis I had an appointment with my general physician for a routine check up. I told him about my diagnosis and asked if I should see a therapist (I am 64 years old and have never seen a therapist). He asked if I had thoughts of hurting myself and I said “no.” He then asked if I was so depressed or anxious that I could not function and I said “no.” He said that given that, he didn’t think I needed to see a therapist. My gut tells me that anyone dealing with stage IV cancer would benefit from seeing a therapist. For now, I am getting comfort from my Golden Retrievers and new grandson. Completely agree that my diagnosis had given me perspective on what matters in life. Keep exercising and fight! Know that there are others who understand and respect how you feel.

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@fight
You are right on about mental health being just as important as physical health.

I had same type complaint when I was in hospital after 5 shocks of my pacemaker happened over a 24 hour period. It was first time it had happened. I was scared to death and even though the medication and changes to my ICD/Pacemaker rectified the problem I was still scared to go home and face the fear. I could not sleep nor had any resemblance to a quality of life.

After a lot of complaining I saw a Psychatric PA who did PTSD test on me. Diagnosed me with PTSD and anxiety/panic disorder. I was given counseling and medications to help me and it did.

I am a avid supporter that medical doctors have got to be just as concerned with mental health as physical health. Both have significant affects on each other so need to be treated.

Please reach out to your doctors again (all of them) and asked for a referral to psychiatric consuling. You did not mentioned your age. If you are on Medicare it pays for counseling and you can also get information on providers in your area.

You mentioned trouble sleeping. I too had that and was really affecting my quality of life. My PA Psychiatric medcation specialist put me on Escitiopram, Xanac, and a sleep medication called Trazodone. The Trazodone makes (at least for me) not able to dwell on anything and keeps your mind clear and sleep comes. It made all the difference for me and sleep really changed my mental outlook, I have moved from taking every night to about 2 years ago to a as needed basis only. The escilopram (spell) I must stay on for my life time.

Caveat here, what may work for me may not work for you. Your medical and physicatric specialist have to prescribed what is best for you based on your medical history and other medications you are taking. Help is out there just have to keep banging on the door.

I actually had my Psychiatric PA get mad when I told her the inattention to my mental health complaint I was expressing to my doctors and it was ignored. I did have a anxity/panic attack when I was released form hospital.

My Psychiatric PA along with a primary care doctor did patient relationship training where I get my medical service. She says sounds like we need to do another round of patient relationship training you should not have been ignored and this should have been addressed.

If you are on Medicare you can even get them to give you a approved local physiatrist to see. I would asked your primary care to referr you and if not reach out on your own. It is your life and we need help from time to time.

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I want to share that I finally made it through an entire day without thinking about prostate cancer. Friday was a gorgeous spring day and I took my dog for a hike, went on a 15 mile bike ride, cooked some chicken and played some board games with my nephews. It sounds like a normal nice day and that's the point--this was the first time in almost a year this has happened. I hope my "new normal" includes more days like Friday.

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@fight

I appreciate the post and comments. I was recently diagnosed with stage IV kidney cancer (had my right kidney removed but unfortunately not before it spread to my left lower lung). The standard “how are you” has gotten more difficult to answer. I usually say “ok,” but I know I am not “ok.” I am typing this at 3:00 am because sleep has become more challenging. I constantly have to fight off negative thoughts. The day after my most recent diagnosis I had an appointment with my general physician for a routine check up. I told him about my diagnosis and asked if I should see a therapist (I am 64 years old and have never seen a therapist). He asked if I had thoughts of hurting myself and I said “no.” He then asked if I was so depressed or anxious that I could not function and I said “no.” He said that given that, he didn’t think I needed to see a therapist. My gut tells me that anyone dealing with stage IV cancer would benefit from seeing a therapist. For now, I am getting comfort from my Golden Retrievers and new grandson. Completely agree that my diagnosis had given me perspective on what matters in life. Keep exercising and fight! Know that there are others who understand and respect how you feel.

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I am sorry to hear this. Your cancer center should have palliative care, and your oncologist should be able to refer you. They can provide counseling, chaplains in some cases, possibly adjunctive therapies like acupuncture. A social worker in oncology might be a good choice. I'm quite surprised by your PCP. He was checking for an extreme mental health crisis and yet therapy is very supportive even in ordinary situations, let alone Stage IV cancer. Please do try and get some therapy--speaking personally it has helped me a great deal. Since my diagnosis almost 3 years ago of a rare and aggressive cancer I've been in therapy and as a result feel much calmer and life affirming. I was even able to make up with a difficult family member. Keep in touch and tell us if you can find some support. Thinking of you.

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@fight

I appreciate the post and comments. I was recently diagnosed with stage IV kidney cancer (had my right kidney removed but unfortunately not before it spread to my left lower lung). The standard “how are you” has gotten more difficult to answer. I usually say “ok,” but I know I am not “ok.” I am typing this at 3:00 am because sleep has become more challenging. I constantly have to fight off negative thoughts. The day after my most recent diagnosis I had an appointment with my general physician for a routine check up. I told him about my diagnosis and asked if I should see a therapist (I am 64 years old and have never seen a therapist). He asked if I had thoughts of hurting myself and I said “no.” He then asked if I was so depressed or anxious that I could not function and I said “no.” He said that given that, he didn’t think I needed to see a therapist. My gut tells me that anyone dealing with stage IV cancer would benefit from seeing a therapist. For now, I am getting comfort from my Golden Retrievers and new grandson. Completely agree that my diagnosis had given me perspective on what matters in life. Keep exercising and fight! Know that there are others who understand and respect how you feel.

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@fight Yes, I echo what others have said. Please reach out to your cancer clinic and ask them for a referral. Most have a team of social workers there who can assist you.

That was a very sad thing to read what your primary doctor said to you. Do you think you can speak to him frankly and enlighten him that there are many times a patient needs some help that has nothing to do with tests or medications?
Ginger

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I'll admit the cancer diagnosis was a surreal experience. The doctor brushed it off as a swollen lymph node, but I knew it was different. Two weeks later came the diagnosis, and as soon as I got it, I started reading up on the subject. Being 49 at the time, I believed I was going to be one of the lucky ones as the type of cancer usually hit smokers and drinkers, neither of which I do. I started emailing my experience to my family, including cousins, and the response was supportive. It didn't hurt that I included a lot of humor. How else are you supposed to cope with your mortality? My sister experienced a similar cancer, but she had already gone round one with breast cancer. She was quite shaken by the prospect of going through treatment and the possible outcomes. I've had a few scares in the past 19 years and there was nothing surreal about it. No one wants to go through it again, myself included. I hope you overcome the challenge and can make peace with your circumstance. Good luck!

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This is simply the journey I am on. I believe that it is a spiritual journey. I have come to terms with my own death. Most important, my mindfulness has improved three-fold! I am glad for every moment. And that is how Apia’s feeling today,! (Not to diminish any very different feelings others have…)

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