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.

@lbrockme

I am so sorry you are struggling. You have had trauma after trauma. Your body has gone through a lot. You have gone though a lot. I recognize some of the same losses in my cancer journey. Loss of normalcy, loss of who I was, loss of who I thought I was going to be and how life would be. Loss of my self confidence and self suffecincy. But your reactions are a normal response to all these challenges. I experienced periods of low motivation and I guess loss of hope.
I believe you can find your way thru this. You've come so far already and survived such hard times.
You have a lot of good suggestions for you already, and I echo them, find someone to talk honestly with, get out in nature even if it's only to sit in the sun.
Do something you enjoy... create something... something new. Paint, write use you creative parts. Journal if it helps... I did one word journals ... just one word to describe how I felt at that moment . It helped me process and took little energy .
You'll have to be brave some more... just to make yourself do these... but you've got this!
Prayers for you !

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Hi @lbrockme, I like your suggestions and you are right it does take bravery. Nature has been therapeutic for me as well. Reading your post made me want to share the following attachment. It offers tips that are simple yet helpful. How do you enjoy nature? Are you able to take walks outside?

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@rwinney

And here I was checking in on you today only to find some beautiful responses from members with a lot of empathy encouragement and motivation. The one thing I wanted to share based on my experience at the Mayo Clinic Pain Rehabilitation Center, was the importance of feelings thoughts and behaviors. Research shows that making a positive change to any one area of thoughts feelings or behaviors can lead to positive change in the other two. Negative thoughts are hard to change when you're feeling so down however recognizing that you're living in the negative world can be such a helpful first step. I learned a phrase during rehab called "catch and correct". I am 3 years graduated and still have to work on catching and correcting myself during difficult times. But I can attest to the fact that the more I've practiced this the more it's become second nature. It works like this - instead of saying I can't cope replace it with I will do my best, instead of saying no one wants to be around me, replace it with I make mistakes but I will work to do my best, instead saying I will always be sick say I have handled tough times before. Instead of saying I can't do anything or I'm unable think what can I do how am I still able . Positive self talk is where change can begin. People can offer all sorts of great advice but unless the person hearing it chooses to be an active participant in their own care, that advice falls flat.

That's my tip of the day as I am getting ready to go force myself to exercise. Another phrase I learned is "march before you feel like it" and that's what I'm about to go do!

Wishing you and all who are reading this... a pleasant warm day filled with happy thoughts.

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Thank you so much and thank you all for the support I feel here !

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It’s true. Emotional health isn’t addressed at all. My cancer issues are compounded by the fact that I am being required to travel 3 hrs away at times for Dermatology appointments. I just had to cancel one today because I just couldn’t make it and it was probably a fairly important appointment. A full body skin examination. Could I find a Dermatologist closer? Maybe but that is compounded by them taking too long to get me to be seen. One office put me off 2 months even after I was referred by an Oncologist. After that I didn’t trust that Dermatology office to provide me with the best care. We are trying to move to another part of the country where we are more familiar with and who has more of a heart for their residents medically.

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I don’t even know where to start.
You brought back so many memories of when I was going through my treatments nearly 7 years ago. I certainly feel your grief!

I had a terrific CNA, RN and RN’s in the treatment center.
I was asked how I was doing every day but they were asking as to my mental and emotional state rather than my physical state.
Looking back I really wish that I would have been truthful in my response. Truth is I was devastated that I was;
1. Going through treatments for stage IV cancer.
2. Being forced into Disability at 55 years old.
3. No longer being the major provider for my wife.
4. Knowing self pay insurance was coming soon.
5. Knowing I would never be the same man I was and that my entire work life had ended.
6. Worrying how we would financially survive.
7. So much more!
But every time I was asked, I would respond with I’m good. I let my pride stand in the way of receiving help!
As a Marine Corps veteran I learned to deal with situations and move on, as a Deputy Sheriff K9 trainer/handler I learned to help others and not focus on my emotions.

After reading your post I realize that yes PTSD is alive in the world of cancer.
As for me, I know I will never talk to a professional about “how I feel “ I have never even spoken to my wife of now 38 years of my feelings. I try to maintain the strong, confident man that she met, fell in love with and married.
But my recommendation to others is to definitely let your care givers know “how you’re feeling!”

Huge hug to you and others

MOJO

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@liv38556

It’s true. Emotional health isn’t addressed at all. My cancer issues are compounded by the fact that I am being required to travel 3 hrs away at times for Dermatology appointments. I just had to cancel one today because I just couldn’t make it and it was probably a fairly important appointment. A full body skin examination. Could I find a Dermatologist closer? Maybe but that is compounded by them taking too long to get me to be seen. One office put me off 2 months even after I was referred by an Oncologist. After that I didn’t trust that Dermatology office to provide me with the best care. We are trying to move to another part of the country where we are more familiar with and who has more of a heart for their residents medically.

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I hope you can find a person to meet your needs soon and timely.
I hear the stress you feel and know how that can multiply quickly. I am hopeful that you will feel better about those serving you soon. Take care of you ❤️

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@mojo244

I don’t even know where to start.
You brought back so many memories of when I was going through my treatments nearly 7 years ago. I certainly feel your grief!

I had a terrific CNA, RN and RN’s in the treatment center.
I was asked how I was doing every day but they were asking as to my mental and emotional state rather than my physical state.
Looking back I really wish that I would have been truthful in my response. Truth is I was devastated that I was;
1. Going through treatments for stage IV cancer.
2. Being forced into Disability at 55 years old.
3. No longer being the major provider for my wife.
4. Knowing self pay insurance was coming soon.
5. Knowing I would never be the same man I was and that my entire work life had ended.
6. Worrying how we would financially survive.
7. So much more!
But every time I was asked, I would respond with I’m good. I let my pride stand in the way of receiving help!
As a Marine Corps veteran I learned to deal with situations and move on, as a Deputy Sheriff K9 trainer/handler I learned to help others and not focus on my emotions.

After reading your post I realize that yes PTSD is alive in the world of cancer.
As for me, I know I will never talk to a professional about “how I feel “ I have never even spoken to my wife of now 38 years of my feelings. I try to maintain the strong, confident man that she met, fell in love with and married.
But my recommendation to others is to definitely let your care givers know “how you’re feeling!”

Huge hug to you and others

MOJO

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First thank you for your service. I mean that sincerely. As a Trainor of Chaplains for Living Shield Ministries , which especially focuses on serving First Responders, I understand that those most likely not to share they are struggling... are First responders and military . You are trained to never fail. Your personal traits like responsibility, trust, service to others. Compassion , etc and all you see as you seve ... all make you more vulnerable to PTSD. Then facing all you did with cancer , is understandable that it was difficult and may still be for you even 7 yrs later. I know I have times still that mess with me. Especially
at the bi yearly scans and tests. Thank you for sharing your struggles. I have great respect for that. I do hope you can find someone to talk with about this though. To process all of it with. Most departments have a peer program, or Chaplains now. Maybe you could reach out. Even retired they may be able to give you some time. It'll take courage to do, I know, but you've got that with all you've been through. Praying for you! Take care of you today!

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@lbrockme

First thank you for your service. I mean that sincerely. As a Trainor of Chaplains for Living Shield Ministries , which especially focuses on serving First Responders, I understand that those most likely not to share they are struggling... are First responders and military . You are trained to never fail. Your personal traits like responsibility, trust, service to others. Compassion , etc and all you see as you seve ... all make you more vulnerable to PTSD. Then facing all you did with cancer , is understandable that it was difficult and may still be for you even 7 yrs later. I know I have times still that mess with me. Especially
at the bi yearly scans and tests. Thank you for sharing your struggles. I have great respect for that. I do hope you can find someone to talk with about this though. To process all of it with. Most departments have a peer program, or Chaplains now. Maybe you could reach out. Even retired they may be able to give you some time. It'll take courage to do, I know, but you've got that with all you've been through. Praying for you! Take care of you today!

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As a fellow Christian I thank you for your prayers!

MOJO

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@cartersgirl2

Thank you so much for your kind words. It means so much to know that someone understands when I say I have lost who I was. I don’t know who I am emotionally and definitely don’t like who I am physically. Sounds vain and I never thought I was before.

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I understand that conflict of emotion. Who i was ... was different . I had to adjust to that over the years.
After my last set of surgeries I found another IV site I hadnt noticed for the first day or two. Despite being covered in multiple incisions etc, this unsettled me. While I appreciated not having to go thru multiple IVs , it felt very dis-empowering . The whole process of cancer can be
I try to look at those emotions and process why I feel that way. Loss of control is a big part for me , I have learned. So I find ways to try and mitigate that a little. Being informed, making sure I'm part of the decision making process, being responsible to do what I can to heal . Not just physically, but emotionally, mentally and spiritually. My faith foundation, my family connections, feeling useful, Ive found all of those are huge in my healing .
It's finding what is for you. Praying you are doing better!

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@lbrockme

I understand that conflict of emotion. Who i was ... was different . I had to adjust to that over the years.
After my last set of surgeries I found another IV site I hadnt noticed for the first day or two. Despite being covered in multiple incisions etc, this unsettled me. While I appreciated not having to go thru multiple IVs , it felt very dis-empowering . The whole process of cancer can be
I try to look at those emotions and process why I feel that way. Loss of control is a big part for me , I have learned. So I find ways to try and mitigate that a little. Being informed, making sure I'm part of the decision making process, being responsible to do what I can to heal . Not just physically, but emotionally, mentally and spiritually. My faith foundation, my family connections, feeling useful, Ive found all of those are huge in my healing .
It's finding what is for you. Praying you are doing better!

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Thank you so much you will never know what that means to me. This is a huge gap in the cancer treatment map that really needs to be addressed. I had a lot of info regarding procedure, pain and healing but not really anything on the emotional trauma. I do covet your prayer and thanks again

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@rwinney

Hi there, I'm so sorry to hear your words of despair. You can dump here anytime. It's completely understandable why you feel the way you do and are in a hole. Sometimes when we're so lost in our minds we stifle our growth and problem solving skills to see our way out . You have been challenged and overcome quite a lot, be proud of that, be kind to yourself. While I have never had cancer, I do live with chronic pain condition which caused me to lose my career just like you and question who I was and what my purpose is. This rebuilding process takes time and small steps towards finding yourself again. Sometimes the calm after the storm is when we really get lost but please know that through every bad storm the sun always comes out again. Can you think of one small thing that you can do today that may begin forward motion again for you to realize that you count, you matter, and you will get through this temporary setback ?

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Thank you. I am going to try to paint today and not cry. I have been referred to someone to get some help with medications. I have never felt so absolutely lost in all my life I am praying. I do trust God but these feels scare me

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