Facing Cancer Recurrence, PTSD & Acknowledging Mental Health

Posted by Merry, Alumni Mentor @merpreb, Dec 6, 2018

It's extremely difficult to face the fact of recurring cancers. After treatments we try and get away from it all and live our life. Then along comes another CT scan or PET scan and POW, you have to face another cancer. My reaction was developing PTSD.

You can read what I wrote in my blog: https://my20yearscancer.com/blog/
How do we cope? How do we react? What do we do?
How have you all reacted to another cancer? Or the possibility of another one? Has your "already compromised" mental health been able to deal with it? How? Or not?

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

@hopeful33250

Good morning to @merpreb and the rest of us who have experienced recurrence of our cancer diagnosis.

This morning I read this Mayo article on Managing Your Emotions After Cancer Treatment and felt that many of the ideas were worth sharing. Here is the link to the article,
https://www.mayoclinic.org/diseases-conditions/cancer/in-depth/cancer-survivor/art-20047129
For me, the paragraph titled, "Fear of recurrence is common in cancer survivors." was most helpful and I thought about others on Connect. The suggestions included being honest about your fears, talking about them, healthy lifestyle habits of nutrition and exercise. As I thought about myself, after three cancer surgeries, I realized that the following have helped me deal with my fears. Here are some examples: I attend support groups with other cancer survivors, I've also joined exercise programs intended to be gentle (not vigorously aerobic), I've worked to plan nutritious eating.

I look forward to hearing from you. What do you do to keep your fear at bay? How do you deal with the normal fears of another recurrence happening?

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Good morning @hopeful33250. Good morning everyone! What a wonderful article about cancer recurrences. Thank you so much.
My most feared fear is that I would die from my next cancer, that there would be no treatments anymore for me. My feelings are that I wouldn't know what to do. I would be lost. I mean how do you die? How does anyone? What do I do to prepare from this eventuality. I'll be lost. My parents never taught me a thing about dying. The way I handle this - with no guarantee of a solution - is that I let these fears repeat themselves enough that they literally wear themselves out over time. I think dying is a major fear because we haven't a clue what it's all about after we actually die. Is there another type of existence after we die? Will a higher power greet me? Or is death the same thing as before we are born and therefore we will only have existed in people's memories? As you can see, I haven't resolved this yet. I hope that I do but I might not.

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Good morning to @merpreb and the rest of us who have experienced recurrence of our cancer diagnosis.

This morning I read this Mayo article on Managing Your Emotions After Cancer Treatment and felt that many of the ideas were worth sharing. Here is the link to the article,
https://www.mayoclinic.org/diseases-conditions/cancer/in-depth/cancer-survivor/art-20047129
For me, the paragraph titled, "Fear of recurrence is common in cancer survivors." was most helpful and I thought about others on Connect. The suggestions included being honest about your fears, talking about them, healthy lifestyle habits of nutrition and exercise. As I thought about myself, after three cancer surgeries, I realized that the following have helped me deal with my fears. Here are some examples: I attend support groups with other cancer survivors, I've also joined exercise programs intended to be gentle (not vigorously aerobic), I've worked to plan nutritious eating.

I look forward to hearing from you. What do you do to keep your fear at bay? How do you deal with the normal fears of another recurrence happening?

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@margaret2

I am sure there are groups around but I don't know how to find them.
I will need to be more proactive. Thank you for responding.

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To find groups on Connect, go the Groups Directory https://connect.mayoclinic.org/groups/
I've uploaded 2 images to show how to find the Groups Directory in the menu on a computer or mobile device. You can search for groups using the search or sort them alphabetically etc.

Learn more about how to follow and unfollow groups and more in the Get Started on Connect guide: https://connect.mayoclinic.org/get-started-on-connect/

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@cherlea

I was diagnosed 21 years ago at age 41 with DCIS non-invasive had a lumpectomy and radiation of my right breast last month I started experiencing breast discharge and a biopsy was done of my left breast duct and it was positive for DCIS non-invasive. I've made the decision to have a double mastectomy. I'm feeling very depressed about the fact that my cancer came back, I'm grateful that I had 21 years before reoccurrence, and its a early cancer, but it's still hard to cope with. I was tested for the 25 genetic mutations back in 2014 and didn't test positive for any I heard there's 47 now out there and I'm going to be retested.

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@cherlea Hi 🙂 Am I understanding this correctly.....you had a double mastectomy and have had cancer come back?

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Hi all,
Today's member spotlight features @merpreb who most of you have met in this discussion group. Read Merry's interview with fellow member John Bishop to find out what surprised her about Connect and how she finds balance in life. Puppies or kittens?

– A Survivor: Meet @merpreb https://connect.mayoclinic.org/page/about-connect/newsfeed/a-survivor-meet-merpreb/

Check out all the Member Spotlights here https://connect.mayoclinic.org/page/about-connect/tab/newsfeed/

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@colleenyoung

@julie1976, wow. Not sure how else to respond. I simply cannot imagine dealing with what you are managing so incredibly well. To think that radiation to treat childhood NHL can cause so many very serious multiple cancers and other conditions. But yours is not an isolated case. I will look for others who had mantle field radiation for non-Hodgkins lymphoma. Luckily this type of radiation treatment is rarely, if ever, used today.

I applaud your ability to remain a positive person and to be such a strong self-advocate. You know your body. We have a group of artists here on Connect who share about art and healing. I think you might like to also join this discussion:
> Just Want to Talk group > Art for Healing > https://connect.mayoclinic.org/discussion/art-for-healing/

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@colleenyoung thank you so much! I doubt it matters but mine was hodgkins not non-hodgkins. I think mantle radiation in that time frame had the same affect on everyone. When I read this "How do we cope? How do we react? What do we do?
How have you all reacted to another cancer? Or the possibility of another one? Has your “already compromised” mental health been able to deal with it? How? Or not?" I just had to respond. It is scary...holding your breath at every test result...letting your mind wander into the "what if" area. Quite honestly I know that it will happen. If this much has happened already I don't see how it will be over for the rest of my life. Remember the show Doctor? I am that patient! lol But I am happy 🙂 Happy I'm here. Any one of those things could have killed me.
Now I am in recovery and my art has helped me. I'll check that out .Thank you for the link

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@margaret2

I am sure there are groups around but I don't know how to find them.
I will need to be more proactive. Thank you for responding.

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Margaret, can you ask your oncologist if they have a cancer coordinator and if not if they know of any support groups? Ours had information for our hospital group, but also provided information from other medical centers that had support groups and classes. Also, when I went for radiation that office also had information for support groups, yoga, etc.

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@julie1976

Oh the reply I have. In 1988 I was 12 years old and diagnosed with Hodgekins Lymphoma. The best of the worst they said. I had mantle radiation. I guess things were so different then because that mantle radiation not only brought on cancer. Twice. Even more. First I had cardio myopathy, congestive heart failure. Pancreatitis . Then Breast cancer. I had a double mastectomy. We caught it in it's earliest stage but it was only going to become a problem (went through a long re construction that failed) Last year I asked my dr for a CT because of some symptoms I was having. It didn't happen . I asked my oncologist. They found a very large tumor(Meningioma) In January I had it removed. I'm 42. Pretty sure more is coming. The odds just say there is. So yeah there is some PTSD...some impending doom. I'm a positive person. All the medical issues were the best of the worst and caught early. I am just so thankful and grateful the tumor is out of my head! There will be side effects from brain surgery. Bring it. Seeing the picture they showed me of it...knowing it was there...waiting for surgery. The relief knowing it's gone. For me,catching it early. I'll be putting my foot down with my dr. Full body scan. Often. lol
I started painting a few years ago. Following tutorials on line for free.I'm good at it and I love it. I have done a few originals but I love learning and challenging myself and escaping thinking about what's next. I have a 23 year old son I raised on my own and I am so thankful for all the blessings and early detection.
I would love to find a way to find people who also had mantle radiation in 1988 or around that time....what should I also be checking and keeping an eye on. I don't want to obsess but to be wise. @merperb

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@julie1976, wow. Not sure how else to respond. I simply cannot imagine dealing with what you are managing so incredibly well. To think that radiation to treat childhood NHL can cause so many very serious multiple cancers and other conditions. But yours is not an isolated case. I will look for others who had mantle field radiation for non-Hodgkins lymphoma. Luckily this type of radiation treatment is rarely, if ever, used today.

I applaud your ability to remain a positive person and to be such a strong self-advocate. You know your body. We have a group of artists here on Connect who share about art and healing. I think you might like to also join this discussion:
> Just Want to Talk group > Art for Healing > https://connect.mayoclinic.org/discussion/art-for-healing/

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@margaret2

Good morning.
My breast cancer came back 4 months after completing my first chemo. I felt hurt like I was punched in the gut! My recurrent breast cancer was in the sentinal lymph node site. I had surgery to remove the lymph nodes on my left arm. I am back on chemo with 5 months of chemo followed by radiation.
My doctor says it is stage 3. It is crazy how I cling to that! Back to work full time and have had a really hard time. I feel sick all the time. I am 65 and thought I was healthy 14 months ago.
I don't have family close by and most of the people I thought were friends don't call. I thank God for the couple who do call.

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I'd like to add my welcome to Connect @margaret2. I'm sorry that your cancer has recurred. Yesterday I was at my hospital, MGH for a follow up CT scan for NSCLC, lung cancer. My cancer journey started in 1997 and since then I have had 4 lung cancers with a total 6 cancerous nodules. The CT scan yesterday appears stable, so for the next 6 months my mind will be at peace. It's been 22 years since my first lung cancer. And each one was like you said, a punch in the gut. I've had chemo and 2 types of radiation.
Being at piece by no means mean that I wont worry or be scared, or think about cancer or dying, it just means that I've learned to put it on my back plate for just a little while.
I know that you have too, it's even scarier because you need to repeat everything. It's a fight that keeps on happening-it's cancer and it sucks.

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@margaret2

I am sure there are groups around but I don't know how to find them.
I will need to be more proactive. Thank you for responding.

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Hello @margaret2

Welcome to Mayo Connect. While I have not had breast cancer, I have had 3 surgeries for a rare form of cancer and I can understand just a little as to what you are feeling. It can be devastating to get the news that there is yet another cancer to deal with. I certainly admire your ability to go back to work as I'm sure you are not feeling all that great right now.

I see that you have received a lot of support from other Members already. If you are looking for a personal support group, I would like to suggest that you contact the local American Cancer Society in your area. They will undoubtedly have a list of groups nearby.

Will you keep in touch?

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