Saturday, March 9, 2013

Training Update and “What to Say to a Cancer Patient”



Ok first off, I have wanted to participate in an Ironman triathlon since this first time I saw one on TV.  I don’t know why, there’s no sane reason.  But, truly, when I watch them, it is an emotional experience for me.  The people who do them are inspirational and I think I have always just wanted to prove to myself that I can propel my body 140.6 miles in less than 17 hours.  Plus, I have an even bigger reason to prove it to myself now that I have CLL.  Hopefully I can be one of those inspirational people too.
Having said that…NEVER get the hairbrained idea to train for an Ironman!  It’s definitely a part-time job!  So, yesterday, I got up at 5:30 and drove to the gym before work.  The pool was full so I ran 3 miles on the treadmill and then swam for 45 minutes.  Today, I woke at 6, took Fras to the bus for his Science Olympiad competition and then did 1-hour of Yoga.  I am now doing a 2-hour bike ride on the indoor trainer.  At some point this weekend, I’ll do a 2 hour run on the treadmill too.  This is all leading up to the “hard-core” 16 week training plan that starts in 1-week.  Fun times! 
You know what, I LOVE IT!  My fear is just getting run down, and then sick, and then not able to train the way I want to.  So, I’m trying to be smart in all of my training, and take it easy when I need to.  I’ll certainly keep y’all posted! 
I need to give props to Troy too, he ran 18 miles today.  So, he’s certainly not slacking by any means.  And, he has another Kidney Stone that he’s dealing with.  POOR GUY!  He’s certainly a rock star!  I’m happy we are in this together, so we both understand what the other is going through and why they need to spend so much time training!
Last, I told you about this article that I read.  I liked it, however, there were a few things I thought were pretty blunt.  Since I bear my soul in this blog I thought I’d share the article and then also tell you what I found helpful and hurtful  (see my red comments inserted in the article).  Also, I haven’t been as sick as this guy, but sometimes people find out they are sick and then are immediately out of commission.  I’m glad I was healthy enough at diagnosis to deal with the emotional stress without also making treatment decisions and being sick.  I can’t imagine!  With everything a patient is dealing with, the best thing you can do, I think, is be there WITHOUT asking what you can do.  When someone asks:  “What can I do?” most the time, they don’t get an answer.  People just say: “Oh, we are good” (even when they really aren’t!)
Hopefully this isn’t offensive to anyone, but I think it is good to read from the patient’s perspective.
My Semicolon Life: What to say to a cancer patient
By Brian Mansfield, Special for USA TODAY
Updated 8/11/2012 11:13 PM
When USA TODAY's Nashville music critic Brian Mansfield was diagnosed with colon cancer at age 48, he figured that a lifetime of Southern-fried foods, extra-large sodas and stress eating on deadline had brought it on. Turned out he had a genetic syndrome that gave him an 80% chance of developing colon cancer. He'll chronicle his life with the disease - and with only a small part of his colon - in a series of weekly installments.
What's the very best thing you can hear from a friend when you've got cancer?
"I'm coming over. What can I bring?"
My friend Ed calls me every week and asks me this. Ed is bigger than me and louder than me, and he puts me at ease because I know I'll never have to worry about talking too much around him. When Ed thinks I haven't asked for enough, he comes up with his own ideas.
The first time Ed came over, I asked him to track down a nutritional-shake powder at Whole Foods that people had recommended to me. Ed not only figured out what I was talking about, he also brought yogurt and smoothies and the very first copy of his new album. (I know it's the first copy, because he numbered it.) When I couldn't think of anything the next week, he showed up with a box of bagels, a couple of Bruce Springsteen bootlegs and an autographed album from J.D. Souther.
Everybody should have a friend like Ed.
I've read several articles lately about what not to say to someone with cancer. I hate those articles, because I've said almost everything in them to other people, so I end up feeling like never speaking to a sick person ever again. Instead of rehashing those articles (though you should know it's considered bad form to tell a person with a terminal illness that your brother died of the very same thing), I'll focus on the best things my wife, Nancy, and I have heard since my diagnosis. Maybe they'll give you ideas of what to say during the awkward times.
I can personally say that the very worst things I heard were opinions on what I had personally done wrong to myself to “bring on” cancer.  Some cancers are different and are caused by lifestyle, but mine is not.  If my doctors don’t know how I got it or how to cure it, some dork on the internet certainly doesn’t either.  Never tell someone what they did wrong to get cancer!  Believe me, they’ve already asked themselves that question a million times and if they did cause it, they know it.
It also sucked hearing about the person who had my cancer and died.  DO NOT DO THAT!  I am now very abrupt, probably rude, but if someone starts talking about cancer and it puts me in a bad or depressed mindset, I tell them to stop talking.  Sorry if I’ve ever offended anyone, but I don’t need depressing information filling my already overloaded mind!  The only thing I can control is my attitude and I am determined to keep positive.
If you find something truly helpful or breakthrough, please continue to share.  Don’t be afraid to, just say, “check this out – it may or may not be helpful” but know that I may not follow through with your suggestion and that is OK.  I still appreciate it. 
Here's a personal favorite:
"We're opening a bank account for you. And while we're at it, we're going to refinance your house."
Now, the point of this is not necessarily to give your sick friends money. But you may be able to apply your expertise or your interests to their situation in specific, if out of the ordinary, ways, even if it's something as basic as cleaning house, doing landscaping or bringing fresh vegetables from your garden.
That said, it's hard to beat our banker friend who created an account for us at her bank, knowing that our expenses were about to rise and our income could drop. Then, she let our mutual friends know they could donate anonymously to it. After that, she took a look at our financial records and figured out a way to refinance our house and consolidate some existing debt in a way that not only lowered our monthly payments but also paid off our house five years faster than our existing plan.
That's one of the few acts of kindness that actually made Nancy cry. It's right up there with the neighbors who organized our online care calendar so friends could sign up to bring food, and the woman who came over and folded clothes with Nancy for three hours the weekend before my surgery.
Every case is different.  For some people the above may be needed.  I am not posting this because we need money.  At the moment, we are fine.  But I did get my new job so that I could get prepared for the possibility of not being able to work and also so I could get benefits.  Cancer rocks your financial world! 
I was, however, overwhelmed with gratitude and appreciation by the one person, Troy’s student, who held a bakesale in my honor and gave us the proceeds!  We donated it to Huntsman for research, but her kind act was truly amazing!  She didn’t ask us, she just did it!
"If I had to pick one kind of cancer to have, I'd pick yours."
OK, not everyone can pull off this one. But I have this reporter friend whose family is shot through with cancer of all varieties, on both sides. We got to swapping horror stories one day, and the cumulative weight of her tales of caring for people and burying people was truly awe-inspiring. Once she'd established her credentials, she laid this comment on me, and it was the single most encouraging thing anybody told me. It acknowledged the gravity of the situation, steered clear of false optimism and placed my situation in a context much broader than my personal experience. It beat any dozen versions of "You can beat this!" (Although I like those, too.)
Instead of this, I’d rather hear: “I ran a race in your honor!” or, "We donated to Huntsman to help cure cancer"!  Instead of deciding which one you’d rather have, let’s just work to find cures for ALL of them!
P.S.  I like all the people telling me I’m strong and can beat this.  Thank you!  Please continue, and do that during the Ironman too! :)
"What's going to be the hard part for you?"
I've mentioned this one before, but it's so good it bears repeating. When I first went public with my diagnosis, while everyone else was asking, "How are you feeling?" "What can I do?" and "What happens next?" (all perfectly good questions, I should add), one friend went right to the heart of the matter with this question. It pushed my story ahead, bypassing the small talk and giving me the opportunity to express what concerned me most about my illness. It was what I'd been longing to answer, even though I hadn't even known what the question was. It's an all-purpose question that still allows for a different answer from each individual. It's the question I'll remember to ask others.
This question also may give you an idea of what you can do to help, without being asked.
"How are you doing today?"
That last word makes all the difference, differentiating the question from the more common "How are you doing?" — or the dreaded "How are you?" It implicitly acknowledges that the person asking understands that cancer is a day-by-day journey, with unexpected twists and turns. For example: Today I'm a few weeks past surgery and feel like I'm recovering nicely. But it's possible there's another tumor inside me that I don't know about yet, and my mind-set could be very different once I get my next set of test results. But today? Today I'm doing great.
"Let me send you something that helped me."
The comments after any of my columns will give you a taste of the advice people want to offer. My cancer was probably caused by fluoridation, dehydration and a Western diet. It can be helped, maybe even cured, if I just change doctors, switch from an acidic to a basic diet, take herbal supplements, study epigenetics and claim the promise of God's healing power.
Or cut out all sugar, fruits, meat, starch, wheat, acidic veggies, etc.  After all the recommendations I received, I should sell my house and move, only eat green leafy vegetables, take a shark cartilage pill daily, never exercise (exercise caused my cancer, I was told), ignore what my doctors are telling me because they are paid off by pharmaceutical companies, etc. etc.  I also got some really good advice:
1)      Listen to my doctors, they are experts in this field.
2)      Listen to my own inspiration and stay close to God.
3)      Continue to exercise and stay as healthy as I possibly can.
4)      Don’t worry about what I can’t control, only allow into my head positives.
5)      Enjoy everyday, and do what makes me happy.
6)      Listen to my body, when I need to take it easy; do it, and don’t feel bad about it.
7)      Don’t feel guilty about what decisions I make that are best for me and my family.
Everybody's got a suggestion, and getting inundated with it is the price I pay for the occasional piece that really helps — like the recommendation that I get guaranteed renewable life insurance on my kids before I have them tested for my genetic disorder. But there's no way I can follow up on every piece of advice.
Lots of people told me about books they found helpful in their times of trial; two people sent me copies of theirs. Those are the ones I read. Me too!  I read the books people actually gave me.  Lots of people had dietary suggestions; one person in California shipped me a meal-replacement formula he really liked, even though he knew I could find it in Nashville. That's the one I eat.  I take the things my aunt and sister actually bought me too.
Here's the deal: If you know something you think could make all the difference in the world to someone with cancer, just buck up and send it to us. We don't care where help comes from, but we don't have the time, the energy or the money to track down every suggestion somebody throws at us.  AMEN!
Did a book change your life? Great. Send us a copy, even if it's used. If you're convinced your supplement will make us feel better than we have in years, prove it by buying us a bottle. If you're a nutritionist offering unsolicited advice on how we should adjust our diets, then you better be ready to show up at our doorsteps with a box of vegetables, a cutting board and a blender. Otherwise, you're just grandstanding. And teasing us. We don't have time for that nonsense. We've got cancer.   AMEN!
If you do send something, don't follow up. Don't say another word about it. We won't be able to use everything we get, but we'll appreciate the thoughtfulness behind every bit of it. If it works, we'll shout it from the rooftops and be more grateful than you'll ever know. But we'll try to make sure you do.
I'll leave you with a helpful comment a new acquaintance received. Soon after her diagnosis, someone called to say, "I know a lot of people will call you and want to bring you food right now, and it will probably be overwhelming. I'll check in on you in six weeks." She called again six weeks later, almost to the minute.  AWESOME!
That's my kind of friend.
Music that makes me want to live
Cancer has changed the way I hear music, more than any other life event except my marriage. Songs I once appreciated only on a surface level now strike deep at the core of my soul. Some inspire me; some terrify me. Others that I might have liked before, I've got no use for now. I've also got more time to listen, whether it's during my morning exercise time or while lying in a hospital bed. These songs form part of the soundtrack to my cancer story.
O' Be Joyful, Shovels & Rope
God's Sure Good, Dr. John
I Need You, Chelle Rose
You Can't Fail Me Now, Bonnie Raitt
Rest Easy, Andrew Peterson
I agree!  If the song “If I Die Young” comes on the radio when you are near me, please immediately change the channel.  Kelly Clarkson’s “What Doesn’t Kill You Makes You Stronger” was written for me – I’m pretty sure! :)
That’s all for today.  I hope the article and my comments weren’t offensive.  I really don’t need anything right now, so don’t think I posted this to guilt you into doing something for me!  But it just really spoke to me and hopefully it will be helpful to you for OTHER people in the future.
Rock On!

Wednesday, March 6, 2013

A Big Day and A New Friend



Well, tomorrow is a BIG DAY!  March 7, 2012 is the day I found out I had cancer.  I realize that there are many people who get the news they have cancer and then aren’t around a year later, so I am very, very grateful and appreciative that I am still very much alive and healthy one year later!  This year, I am celebrating the fact that I’m around, that I’ve survived a year with really no major cancer issues, and that I can look forward to many, many more March 7th’s where I can continue to say that I’m still kicking cancer’s big, fat, ugly, nasty, A*#!!!




I’m also appreciative of the past year for so many reasons.  The first few months were some of the hardest emotionally that I have ever been through.  But, I honestly am grateful because I really do feel like I’ve gotten a lot of perspective on life.  I understand so much more what is important and what isn’t.  I love and appreciate everything including my kids, hubby, and friendships so much more.  I have found that I have more empathy and compassion for others and am a lot less judgmental.   I’ve also changed a few things that needed changing, realized there’s no better time to seize an opportunity than now, gotten a job that I really enjoy, and I really feel a lot of peace and trust in life and in the Lord and I know that everything is as it should be.




So here’s to one year down and at least 63 more!!!




I also wanted to tell you that my last appointment went well.  It was very similar to the others where there was slight growth, no need for treatment at the moment, and I was still given the OK to continue on doing what I’m doing; which includes hard core training for the Ironman in June.  I’ve stepped up training for that and I’ll start posting some more about that in the next few weeks.




I’m also excited to tell you about someone I met.  His name is Kevin and we have some mutual friends, Guy and Rachel.  Guy and Rachel told Kevin about me and at first he thought they must be wrong because it is so odd to be young, active, a triathlete, and have CLL.  But guess what…Kevin is just like me AND we have the exact same type of cancer.  We got together and had lunch.  I was very grateful for that because I was able to ask him questions and find out that some of the things I experience, he does too.  He also works, trains for tris (he did the Kona Ironman last October), is a husband and dad, and deals with CLL.  




Unfortunately, Kevin’s cancer is a bit more progressed than mine and he will be going through treatment sooner than later, but he’s a fighter, just like me, and he’s in great shape, so I know he will be just fine.  He sent me a link to his blog and a blog about CLL.  Check them out!  They are great reads!




http://brokentriathlete.com 







http://www.cll-nhl.com







Also, this is a link to a cool article that was written about Kevin before and after he did Kona:







http://triathlon.competitor.com/2012/10/features/dispatch-kona-age-grouper-kevin-robson_63934







http://triathlon.competitor.com/2012/10/features/dispatch-you-are-a-hawaiian-ironman_64784







Kevin posts a lot more often than I have been and I realized how much I enjoy reading his posts, so I have made a commitment to post more often.  I’ll just post about life, Ironman training, etc.  No need to only post when I have something to say about cancer.   And, of course, no need for you to read everything, but if it can help others, like Kevin’s helped me, then it is worth it.
 



So, I think I’ll sign off now, party hard tomorrow: March 7th, 2013, and in the next day or so I’ll post again about IM training and an awesome article I found about what to do/say and NOT do/say to someone when they find out they have cancer.




Rock on and TRIhard!