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.

In 2003, at the age of 25, I received a sudden and unexpected diagnosis of lymphoma. The situation was dire, with the location of the lymphoma giving me only about three days left to live. Swiftly, I underwent surgery and began chemotherapy within a week. This abrupt turn of events left me grappling with post-traumatic stress disorder (PTSD).

The speed of the diagnosis and subsequent treatment left me little time to process the enormity of the situation. Despite returning to school and work just three months later, I found myself harboring resentment and anger at the drastic shift my life had taken. While others admired my perceived strength, I struggled to connect with the reality of facing cancer. Pity from others became a source of frustration, making me less sympathetic to those complaining about illness. Compassion became a conscious effort for me, I don't want to feel like this.

Even now, years later, I live with the lingering fear of another blood cancer. I find it challenging, given the traumatic nature of my past experience. The memories are vivid – the red infusion solution pumping through tubes, triggering unexpected reactions like the taste of metal upon seeing someone drink red Kool-Aid through a swirly straw and getting nausea.

Recently, a routine blood workup revealed dangerously high Hemoglobin and Hematocrit levels along with the presence of the JAK2 mutation. The fear is palpable, and I'm grappling with anxiety about what the future holds. Despite my partner's perception of me as a hypochondriac due to annual blood work anxiety, each test serves as a stark reminder of the fragility of health and the ongoing battle against my fears.

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Wow, truer words were never spoken. I'm amazed at how articulate you are about it. Kudos.

I'm a complete sniveling sobbing useless mess of excrement. And I'm sick to death of being sick to death. I've had PTSD most of my life because of horrifying experiences at the hands of doctors. I have never been able to just "let it go." I can't forget, and that makes trusting doctors very difficult. I know being a doctor is one of the hardest jobs on the planet. But respect is a two way street. If only doctors listened more, and I mean TRULY listened - appointments would go faster and treatment would be more successful.

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@cartersgirl2

You are so right! After going through the double mastectomy, chemo, Herceptin for a year, infections related to implants, reconstructive surgery I have lost who I used to be and I am trying to find out who I really am if that makes sense. I am afraid of every little pain or change and every time I have to go sit on lab results or a scan. There should be some type of help or support for after all the treatments. Maybe it’s just me

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It's not just you! I think we all experience it to some extent .
Early on in my cancer journey someone said "so good the cancers gone!" Internally, I realized I didn't feel that way. That to some extent it was always going to be there. But then I decided that I wasn't going to let it run my life and make decisions for me... I wasn't going to spend more time focused on " it" then I had to. It wasn't going to be an idol in my life. I began to shift my thinking to this... as inviting me to live ... to be fully present and engaged with the life that has been given us ... before it passes us by.
Fully present in each moment as much as I can be.
Cancer dx is a form of trauma and we all handle trauma differently at different times. It's about building our resilience now... doing enjoyable things, grounding in nature, positive relationships healthy habits, releasing stress.
Wishing you the absolute best days ahead!!

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@cartersgirl2

You are so right! After going through the double mastectomy, chemo, Herceptin for a year, infections related to implants, reconstructive surgery I have lost who I used to be and I am trying to find out who I really am if that makes sense. I am afraid of every little pain or change and every time I have to go sit on lab results or a scan. There should be some type of help or support for after all the treatments. Maybe it’s just me

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I couldn't agree more, it is so true. Once you have or had the "Big C" every little thing happening with your health, No matter how simple it might be it becomes a threat sending you into an emotional roller-coaster that is ingrained in you forever....it's our new Normal.

Even if you try to stay positive, even if you feel good, even if your cancer didn't need any treatment when first diagnosed or afterwards the fear of the Future is so REAL..

"NO One understands the Fear, Insecurity, Sadness, Anxiety and Frustration that most people feel unless they have walked in their shoes".

So best wishes, love and prayers to everyone here that are trying their best to be happy, healthy and positive under the circumstances.

My advise to all of us is: Smile and be Thankful for today, Pray for tomorrow and Try to mitigate as much as possible those negative thoughts that will come our way sooner or later, we got this!

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@grandpabob

I am happy to hear your lab work is normal. That is a win in anyone’s books. I too have found scans to cause anxiety. I concur that friends are great but not always what we need in the moment. It is comforting to know that your dog provides a great amount of comfort, pets do indeed have a calming effect. Never feel bad that your mood is not exactly the same as the next person. Treatments and that knowledge of having cancer effects us all in different manners. Have you tried a “meditation” app when your anxiety builds?

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This reply is for an old chat but:
I agree with the meditation app suggestion. It helps a lot to relax you or even to help you get some sleep. I listen to one from "Abide" on YouTube. They have so many to choose from on their site. Or try others with a non-religious theme, they help too. I put it on every night, I tend fall asleep calmly just listening to their stories, I love it.

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You are so right! After going through the double mastectomy, chemo, Herceptin for a year, infections related to implants, reconstructive surgery I have lost who I used to be and I am trying to find out who I really am if that makes sense. I am afraid of every little pain or change and every time I have to go sit on lab results or a scan. There should be some type of help or support for after all the treatments. Maybe it’s just me

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@mir123

I can totally relate! First of all, I am sorry you are going through this. Here is what I learned starting a year ago. My cancer, a NET tumor in the breast, is so rare that none of my practitioners or specialists I consulted had ever seen it clinically. It has a poor prognosis. I felt my doctors had zero interest in me as a person. (With the exception of a good PCP who already knew me). So, OK. I had to look outside of cancer world for support. Luckily I have friends, family, a PT, a therapist, an interfaith group, and more. All of my usual supports kept on helping me. But frankly I've avoided imagining I can get emotional support from within the medical profession. At first I was disappointed and kind of keeping score and then I just gave up. I'd say I regard my doctors like car mechanics except I've got a nice mechanic who frankly seems to care holistically more about my car than the medical system cares about me! I don't think these practitioners are bad doctors or bad people or anything like that. I would just suggest getting external support, like this great chat.

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Omg.... i am so sorry you are going tbrough this! I can only relate in terms of it being rare & drs not knowing what to do or caring about you as a person... no one should have to deal with that

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I'm so very sorry you're going through this. It is Definitely a path for us all, unfortunately. I was diagnosed with breast cancer Sept 2021, had biopsy soon after mammogram, then started with the genetic testing & PET scans etc. Then in January 2022 I had double mastectomy with immediate reconstruction afterwards. Lord you talk about a road! All my family members on my mother's side were breast cancer patients. We lost 3 of them. But watching family going through it, id always was scared I'd whined up like them. Was petrified to get examined to fear the worst. Yes, I agree, I do have PTSD to an extent as the result of everything.
After finding out I have the CHEK2+ gene mutation & then finding out it runs rapid in my mother's side, I was a little relieved to know but scared to death what the road lied ahead for me. It's a multiple cancer gene unfortunately. I had already had skin cancer the year before my breath diagnosis. So the same year as my surgery, I was having issues swallowing. Got examined with ultrasounds & found a very large nodule on thyroid. That too runs in family.
But it was after my gallbladder was taken out on Christmas that I demanded more testing on my thyroid due to symptoms I was having. Come to find out it too was cancer! So I had a total thyroidectomy in April of this year. Ugh.
Already going through the emotions from having my breasts removed, I now couldn't talk or swallow good without choking. So after some therapy & time, I was given OT which helps a HUGE AMOUNT on the swelling they didn't tell me I'd have after breast implants & she tackled the huge swelling I had after thyroid removed on my throat. My OT is a Godsend!!💕 I suggest you see an OT if you can if you need massaging for swelling or soreness.
But then during all this crap, my husband's family - brother & family - move in with us due to pandemic & his mom has a stroke & I'm thrown into caretaker mode! And have been ever since & currently. Ugh. It's been a huge struggle but I manage best I can. I pray alot but I too feel drained, ugly, and just plain sore & hurt a lot. But I gotta keep moving cause others depend on me.
God bless you & I hope you're emotional health gets better as well.
But I agree...not enough time or concern about cancer survivors and their mental health.

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@alwayspositive92

Very accurate. My wife and I have this discussion many times. I am not the same man I was prior to my diagnosis 1 year ago. While I am receiving excellent care physically, emotionally I am not handling the diagnosis well. When mentioning this to one of my doctor’s his response was one of surprise saying “ oh? Why is that?”
Huh?! Seriously doctor?
Another doctor 10 minutes after telling me I have a fairly aggressive form of cancer said in response to my shock “oh well, we all have to die sometime.” I have not fully recovered from that insensitivity yet. Emotionally I have always been a strong person but now I am much more emotional and in tune with feelings. Perhaps medical school training should address this important aspect of health care more seriously.

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I can totally relate . Since my husband’s rare cancer came back 27 years later ….. After receiving excellent care , but a piece of cancer is still inside his skull , that could
not be removed . As we wait between scans etc…… doctors have said to me “Why do you look so sad “. Most have no bedside manner at all! I totally agree with you !

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@uniquetheredmuse

After calling the clinics in eau clair & lacrosse.... omg its like a weight has been lifted! They answered every concern without me asking a thing!!!

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@uniquetheredmuse, I'm so glad you are feeling better today. It's hard to deal with cancer, and stress too!

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