Emotional health after cancer: How are you doing really?
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?
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Yes! Thank you for your story. By the number of responses, it appears you've really struck a chord.
My cancer diagnosis is quite new but the frustration is building already. Feels like I'm on an assembly line just following protocal. I'm unique and wish to be treated as so, not just another "case". I make excuses for the lack of compassion by reminding myself that all of these practices are overloaded, that the medical professionals must feel some frustration themselves when they don't have more to offer their patients. Like you said, the smallest touch, hug, listening ear can make such an impact.
My dog is such a source of comfort. I wish I could bring her to my appointments but in lieu of that I love your idea of making therapy dogs available to cancer patients.
Thanks so much! I will!
@cherylspizarny1957 I hear ya and I understand completely. I’m 8 1/2 years out and I still have trouble facing the fact that my life has changed and will never be the same.
You’re right about people not really understanding. I have many post treatment problems and I’m sure you do as well.
On the bright side, we are ALIVE!
Hang in there and fight the good fight. If you need to vent feel free to pm me anytime.
MOJO
It's been almost 2 yrs and I'm still not "ok" I'm changed in every aspect of my life. I'm not negative but friends & family think just because I had chemo all it well. Well, it's not!
amu45sin here. Iunderstand how you feel and it is normal.
However, oncologists don't have time, and are not trained in psychology. They need to get to the illness, and are not parapsychologists.
Does your health carrier have a mental health department?
If yes, please seek them out so you can get assistance. They are trained to help people.
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…)
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!
@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
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.
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.