This sweet little painting was given to me last night by my dear friend Alix. She had shown it to me in a photograph of where it was hanging in an art show at the Neighborhood Collective in Buffalo. I fell in love with it, its name is Grace, and last night she surprised me with it...along with a much needed hug (more than one) and her inimitable grace...which any woman would be lucky to be witness to. She also brought another surprise yesterday...a new puppy. A sweet little girl that will be a wonderful, magical surprise for her three children on Christmas morning. We get to babysit until then! Just look at her!
We are calling her Zuzu (after the little girl in "It's a Wonderful Life") until she gets her real name from her new family. She snuggled with us all night---perfect little bundle of joy. Oh that puppy dog smell!
That is Alix holding her while visiting last night. :) My daughter is smitten with little Zuzu...and I need to keep telling myself "You don't need a puppy! You don't need a puppy!"
Not yet, anyhow.
I have been given another gift of sorts. And even yesterday morning I would have been hard pressed to call it a gift. Even after receiving this quote in a daily email I receive about Gratefulness:
A sacred illness is one that educates us and alters us from the inside out, provides experiences and therefore knowledge that we could not possibly achieve in any other way.
After a couple of months of doctor's visits and speculating and worrying and feeling generally great but at the same time like a mess of tangled yarn...I got some definite news yesterday.
But first is the obligatory disclaimer: I was not certain if I wanted to write about this or not, but suddenly it was clear to me that I needed to. For many layers of reasons, but most importantly because of the nature of the beast. Knowledge is power and knowledge is also sometimes evasive and hard to come by. And if one woman reads this and is helped by it, well, I don't wish this on anyone, but the fact is that it happens to many women at every hour of every day. This is not a plea for sympathy, or anything of the sort. This is me, the writer, telling a story of how important it is to pay attention. So...
I have cancer.
Scary fucking words.
But real ones that many many people---women, men, children, people of all ages---will have to say one day. And the scariest part to me is that I almost didn't know about it. Even after going to the doctor several times with the same complaint.
Now, granted, the cancer I have is a rare form of breast cancer. It's called Paget's disease of the breast. less than three percent of all breast cancers can claim the name. See, I'm special already! So I can't blame my doctors for not knowing that is what was going on? Or can I? Well, if you get right down to it, it is a physicians job to know these things...but I'm not going to blame anyone. I believe we have to be our own advocate when it comes to many things in life, and when it comes to our own health care for certain.I didn't know what was causing my symptoms of my right nipple getting red and itchy except that it was annoying. It would come and go and certainly didn't seem dangerous. I have really sensitive skin anyways, and my skin does get dry...I ignored it for several months. When I went to the doctor the first couple of times he told me to use cortisone cream if it bothered me, but it wasn't anything to worry about. It would get better. But it didn't.
And I got a weird feeling in my gut. Like I knew something was just not right.
So I went back and showed him again and he said he really didn't think it was anything to worry about, "But you are due for a mammogram. Go have one." So I did.
Mammogram doctor: "Everything looks great. See you next year"
Me: "Really? Because I just have this feeling. I mean are you sure?"
MD: "Everything looks great! See you next year."
But everything didn't feel okay to me. And guess what? The next morning the doctor called me.
MD: "Mrs. van Huystee?"
"yes?"
"I've changed my mind about your mammogram. I'd like to get some more pictures. Can you come in later today?"
And so I went back the next day, had 5 more detailed pictures taken, an ultrasound, and then...a biopsy.
One week later I had the news that the cells they noticed in one of my milk ducts were stage zero cancer. Completely contained. The best kind of cancer to have. Very well-behaved. You should be in an out of a simple surgery within a morning's time. Piece of cake, toots.
On the advice of a friend I decided to get another opinion at Roswell Park Cancer Institute, which is luckily located not too far away. My first appointment was spent filling out forms, becoming a registered patient there with my very own ID card, and then being told that the doctor could not see me because instead of sending my slides over for another pathology report, the lab sent someone else's bladder tissue. Okay, fine. Human error. I would have to come back in a week.
So I did. I was there 5 hours last Wednesday. Tests and exams and lots of questions and vitals. And then my new Doctor had her first look at me and said "Classic Paget's Disease. We'll need a new biopsy to confirm, but I am 90% sure."
What? What the hell does that mean? Still an in and out by the end of morning ordeal? I'm not going to lose my breast am I? How long have I had this? HOW THE HELL DID I GET THIS? I've never heard of this! And hey! Am I going to die?
My doctor explained that it is a rare form of breast cancer that affects the nipple and underlying tissue. They don't know what causes it except that it is almost 95% of the time connected to an underlying cancer in the ductal system. She has not seen much of it, and the nurse practitioner had never seen it before. I couldn't see it at all! I had an itchy nipple for god's sake. How the hell did she know this just by looking at me? And if she was so certain, why didn't anyone tell me this in the previous series of doctor's visits?
So they did another biopsy. This time the little stitches were on my nipple...and let me tell ya folks...that smarts. They did take the time to make sure there would be no trace of a scar. Very thoughtful...but even I know that if there is cancer on my nipple it ain't going to be making a damn bit of difference if there is a scar.
So yesterday the biopsy results were in. My doctor called me and said it was positive for Paget's Disease, and also that my particularly lovely, rare and exotic cancer cells are ER Receptive. That means they feed on estrogen, those hungry little buggers. This can be a good thing, because the cells respond very well to estrogen reducing medications such as Tamoxifin. But Tamoxifin also has some hellacious side effects, especially for people like me with blood clotting issues. There are other options of course...like the removal of your ovaries, cool shit like that. But I am jumping ahead.
What the doctor then told me was that now they needed to see exactly where the cancer has gone between my nipple and those milk ducts. Apparently this type of cancer does not show up on a mammogram or an ultrasound. PAY ATTENTION to your body, ladies. If you feel something is just not kosher...don't let it go.
My MRI is scheduled for January 2nd. This will give us layer by layer images of my body. This will tell us just where the hungry little cells are hanging out. And where we need to make our next move. Notice I said "Our" next move? That's because as far as I am concerned I am now a doctor of myself, and will be working alongside my new prestigious colleagues very, very, very closely. We are going to be great friends. I can just tell.
SO I don't know everything yet. I do know I will more than likely lose my right breast. I definitely want a new one. I mean heck, maybe I'll even consider a matching pair. I have no idea yet. And if I'm honest that freaks me out, makes me cry sometimes, but I also know it's not the end of the world in any such way. Maybe they'll be even better than before! But I kind of like (love) my breasts. They nursed my babies, and well...I won't get into the rest of their resume. But people lose a lot more than that sometimes. Like their life.
So why am I telling you this? I want you to know how important it is to be your own advocate. To know your body. To not wait when something feels a little off. To not take a doctor's word as the last word. You gotta be responsible for your own self. Nuff said.
I also want women to know about Paget's Disease of the Breast (not to be confused with Paget's Disease of the bone...completely different.) The link will take you to the Mayo Clinic Web site and it provides the most accurate information I have found on the Web. Please pass this information to other women you know and love. It's basically an unknown disease.
One other thing...I'm looking for allies. If you have had breast cancer and wouldn't mind sharing your story with me, please email me. If you know anyone who has been diagnosed with Paget's, please pass my email address along? There is very little information out there. Knowledge is power and I am not afraid to ask for it.
So, at the end of the day, this day at least, I'm feeling pretty revved up for an adventure. I have my moments...lots of feelings to sort through, lots of ways something like this can affect your life. I can wallow in self-pity with the best of them. But today I'm feeling like I've been given a gift. I don't know what's inside of the box yet, and it may take me a long time to unwrap, but there is a reason for everything and I can honour that. My friend Alix said to me last night that I will come out of this even stronger than I already am. Stronger, wiser, more compassionate, and I bet even happier with a greater capacity for joy than ever before. Time to turn the light on BRIGHT. I have written about grace before, many times actually...I believe in it. And sometimes it does come to us in disguise...like a strange dark angel that comes in the night to toss the heavy furniture about the room. There is a reason for everything.
A sacred illness is one that educates us and alters us from the inside out, provides experiences and therefore knowledge that we could not possibly achieve in any other way.
Feeling kind of like a superhero. :)
XO