Tuesday, January 26, 2016

Leave it to Fleener--Herceptin & Perjeta #2

Since hearing the words "you're in remission," I've been in somewhat of a state of shock--a happy shock---but still shock.   I've gone from preparing myself that I might never hear those words, to disbelief, and then to joy and the desire to share my good news with anyone I can.  Most people have taken a part in my joy, having also hoped and prayed for this news.  Others, like a cashier from a few weeks ago, are a bit confused:

cashier: "How are you doing today?"
me: "Amazing.  I just found out I'm in remission for cancer."
cashier: "Oh, I'm so sorry! Cancer is terrible."  
me:  "No.  Remission is a GOOD thing.  It means my cancer is gone!"
cashier: "OOOOOOOOO-H.  I was wondering why you were smiling!"

Having a background in science and now a personal experience with remission, it was fascinating that someone wouldn't know the meaning of that word.  Remission is a good word.  The only better thing than never being diagnosed with cancer is to reach and remain in remission, which is a respite, a decrease in the seriousness or intensity of disease; a temporary recovery.  Remission is the best result for a cancer patient.  Interestingly, because the scientific aspect of remission was not new to me, I missed a poignant correlation which could help anyone remember the good news of remission.  

A friend reminded me of another common use of the word:  remission of sins, which is also a good thing.  It's actually the "good news" of this earthly life.  Each of us can receive a remission----a forgiveness, pardoning, or absolution---of our sins.  We all sin every day, but there is hope as we seek remission of sins through Christ.  When we receive and retain the gift of remission, our sins are remembered no more.  (see Hebrews 8:12 and 10:14-18)

Remission in the world of cancer is achieved with the help of an experienced physician and usually after at least one (and often several) kind of treatments, such as chemotherapy, radiation, or surgery.  There is pain, inconvenience, suffering, and healing time involved, as well as the faith it takes to keep up with follow-ups and hope that cancer doesn't return.  Every few months, there is a check in through scans to confirm that cancer is still in remission.  Remission doesn't mean the work of surviving is over.  

The parallels are easy to see.  

A remission of sins is made possible by one who has experienced all and through a process of several steps.  First, comes faith, repentance, and baptism. Then, comes the remission of sins by fire and the Holy Ghost (see 2 Nephi 31:17) and enduring to the end.  Wilford W. Andersen said, "a mighty change of heart is not something we experience only once. Rather, it is a process we repeat over and over throughout our mortal lives, and thus our light grows “brighter and brighter until the perfect day” (D&C 50:24)." ("Receiving and Retaining and Mighty Change," Ensign, 2012).  We must renew our covenants and repent often to retain the remission of sins in our lives.  Enduring to the end takes work.  

No one wishes for cancer to cross their path, but if it ever does, the next step is to reach remission.  Sadly, some cancer patients never make this goal, and remaining in remission after treatment is not a guarantee.  All the faith, prayers, or money poured into modern medicine can't always heal cancer.  Sometimes even the strongest survivors are forced to end their earthly battles. Cancer remission has no guarantee of lasting, but I need not fear.  My doctor has great hope in my case for staying in remission because of my great response to treatment.  Only time will tell, but there is a greater remission I am seeking to retain in the meantime, one that will never fail and one that will heal my soul and continue into everlasting life.  



Tuesday, January 5, 2016

Leave it to Fleener---2016

Stephen and I have gotten really good at "The Glad Game," an idea from Pollyanna, a 1913 novel by Eleanor H. Porter, later adapted to a 1960 Disney movie.  The game consists of finding something to be glad about in every situation.  The main character explains,  “... there is something about everything that you can be glad about, if you keep hunting long enough to find it.”

 It is not always easy to seek out the good from difficult times.  It involves recognizing our challenges, while focusing on the blessings.  Language like "at least," "but," "however," and "thankfully," is used quite often.  For example, "I have to pay my entire $6,000 deductible and out-of-pocket maximum on the first appointment of the year, but at least it's met in the first week.  Thankfully, we've saved an emergency fund, so it's doable.  We didn't want to have to get stuck with a huge chunk all at once, but now we have the rest of the year to save up for next January!"  

This type of thinking can change outlooks on terrible events.  Looking for the good over and over, even when there seems to be nothing good, stretches our ability to endure the storms of life.  We can learn to have faith and hope, even when life gets dark.  That is the game: to be glad when being glad is the last thing you want to be.  

This game has inspired my motto for 2016:

"If you don't like something, change it. If you can't change it, change your attitude."

Maya Angelou

Much like the classic, "when life gives you lemons, make lemonade," this motto reminds me that sometimes the only thing we can change is our attitude, and it is better to make something good out of a bad situation than to become bitter.  The glad game doesn't erase hardships from our lives; it only changes us.  

In my case, there are things about cancer that I cannot change.  It's aggressive.  It will most likely come back.  I will have this burden for the rest of my life.  I will always feel like I am looking over my shoulder, waiting for cancer to sneak up on me.  HOWEVER....

I am strong.
I am a survivor.
I am young enough to be mostly healthy and able to tolerate chemo, even if I need another cycle.
Experiencing difficult times strengthens us and brings us closer to God.  
I only have to come in once every 3 weeks, unlike the 3 times per week I was coming before.
My treatments now do not make me ill.
My hair is growing back.
My boys are getting older and able to help me much more than they did in 2013...and 2014...and 2015.....
I love my doctor and nurses.

And----as of today, I AM IN REMISSION!!!  

I received my PET scan results today, and they are fantastic!  Dr. Fleener is EXTREMELY pleased with how I responded to chemo, and says that I am now in remission.  There is "no evidence of disease" and "a complete response to therapy."  {These are GREAT phrases!!!}  

I will be in maintenance indefinitely, which means I'll come here for infusions of cancer blocking drugs every 3 weeks.  There will be checkpoint scans and tests to watch for any evidence of cancer returning.  For now, I'll celebrate chemo that did its job and I can go back to my new "normal."

I can't change cancer, but I have have a good attitude about living with it.    
      
I kicked it to cancer!!!