Thursday, April 30, 2015

You Have a Certain Glow About You: The Radiation Report

I'm cancer-free and now on the last leg of treatment. It took a little longer to get started than expected, but I officially began radiation treatment this week. Two treatments down, only 28 to go.  Sounds daunting, but I’m hoping it will go fast.  Radiation is 5 days/week for six weeks total.  The appointments are short and the nurses are cheerful – they even sing to me – so I can’t complain.  Plus, starting next week I’m jumping into my Radiation Silver Lining Plan.  Since I have to drive up to Seattle from Olympia every day anyway, I’m going to stick around and take dance classes.

This whole thing took a while to get going because we were waiting on insurance.  My doctor had recommended proton therapy. Proton is different from conventional radiation because the radiation can be programmed to stop and bounce back at a certain point, rather than continuing through my body.  Since the area affected by cancer is just above my heart, conventional radiation poses a slight risk of damaging my heart, where proton therapy would protect my heart. Ultimately, insurance denied proton therapy.  We could have appealed again, but I really just want to get this stage of cancer treatment over with so I can move on with my life. I can't get too gritchy about insurance since, by the time we're done with this whole thing, they will have probably shelled out around $200K. Besides, my doctor was able to come up with a great plan through conventional radiation.  We are using a “breath hold” method which is exactly what is sounds like: I take a deep breath and hold it during radiation. That expands my lungs and pushes my heart back out of the way of radiation.  Pretty slick.  That, and all of this deep breathing is making me super relaxed.

I now have five tiny tattoo dots on my torso so they can align the radiation machine each time I go in.  I’m becoming quite the painted lady.  When they set me up, the nurses draw all over me with a Sharpie.  My kids think this is hilarious.  The side effects are supposed to be fairly mild.  Some people experience fatigue.  It’s expected that the area they are radiating will become red and sore over time and I am religiously applying a special gel for radiated skin.  But, compared to chemo, this feels like nothing.

One of the questions I get asked quite a bit is why I need to go through radiation if I’m now cancer-free.  Radiation is insurance that cancer won’t come back.  Because they found cancer in my lymph nodes, radiation is a critical part of my treatment.  Without radiation, chances of cancer returning are 30-35%. With radiation, the risk is reduced to around 5%.  One of the earlier studies done on this showed that for women who had breast cancer that spread to their lymph nodes, 97.9%  of those who received radiation were cancer-free five years later.  Of those who did not receive radiation, only 63.8% remained cancer-free.  Makes a mere six weeks of treatment seem worthwhile. 

The event food was almost too gorgeous to eat!
In other news, my business is starting to pick up again. I had the privilege of planning a high-end event for a client at the Rainier Club last week.  It was a blast.  Lots of Seattle celebrities whom I won’t mention here since it was a private event, but let’s just say one of them wears an eye patch and dabbles in glass.  If anyone is looking for help with events or marketing, let me know.  Business slowed down quite a bit during chemo and surgery, so now that I’m feeling great, I have capacity for new clients.

I’m also excited to present a show in Olympia!  Dances of Hope and Healing will take place on Sunday, June 28, 2015, 6 pm at the Kenneth J. Minnaert Center for the Arts on the South Puget Sound Community College Campus (2011 Mottman Rd SW, Olympia). Join me for a night of belly dance, flamenco, and the meditative sounds of crystal singing bowls   Proceeds benefit the Healing Garden for cancer patients at Providence St. Peter Hospital in Olympia. Tickets are available at olytix.org or by calling 360-753-8586.


Carter likes to use the bra stuffers
that people have given me as a "fat belly."
Disturbing.  But hysterical!
Overall, I’m adjusting okay to my body post-surgery.  I am working with a fantastic physical therapist who is helping me regain my range of motion and avoid lymphedema.  Sometimes I feel myself dipping into a bit of a depression since all of the treatments have taken such a toll physically and mentally.  I hate to even admit that I feel down since I should be happy that I’m now cancer-free.  But apparently, post-cancer depression isn’t all that uncommon. (Here's an article from a NY Times writer as an example). I think for me, some of the adrenalin of fighting cancer has worn off and now I’m faced with the reality that I look very different from what I looked like last August and my PR firm that was booming last year is barely squeaking by.  All of these things are temporary, so I’m trying to be patient and positive and do healthy things like exercise, hang out with friends, and cuddle my babies.  And, in the end, I am proud that I beat cancer.  Proud enough that I’m not interested in wearing prosthetics or a even a hat anymore.  The way I look, while sometimes shocking to me, is also a symbol of the victory my family and I achieved with the help of many, many amazing people.