Category Archives: Changes created by the cancer adventure

dealing with and managing through cancer, its diagnosis and recovery

Time flies

This time, three years ago, I was alone in a hospital room, watching the night slip away and the transformational, slow-creeping dawn of a new day.  

I was not scared that day. I lived in the moment knowing this would pass. I understood I needed to let go; to trust in the skills of others; to rely on the love that surrounded me; to be free of any pre-conceived thinking.  It was a unique time, a special and privileged space to walk into and hold. Eyes wide open, this day was the beginning of the most profound, personal change and learning programme which I’m lucky enough to continue.

On this anniversary, I’m sharing some of these learnings. Some of these are deep and meaningful. Others are not.

1. We are the product of our thoughts. What we think will be. But as our thoughts constantly change, we have the opportunity to change what will be.

Nothing is set in stone. Changing our thinking, changes our outcomes.

2.Our feelings are attached to our thoughts and our thoughts are attached to our feelings.

If I think my recovery will be painful then guess what? My recovery is going to be painful. However, if I think my recovery will be bearable, then I stand a better chance of dealing with all the little niggles and set-backs that occur (like them taking my morphine button away a day early). Conversely this can work the other way too. For example,  ripping out my feeding tube “accidentally” in the shower (I hated that feeding tube and they kept saying, “One more day”). It hurt beyond blazes, I still remember the searing agony. But I told myself before I did it, it was going to be painless. I was wrong.

3.People love to help. Help them by asking for specific help.

For example, “I can’t drive for a few weeks and Craig needs to go away for work, can you come and be my driver on these dates”? My lovely friend Karen, did not hesitate, despite living a busy life 200 miles away. It took mouth cancer surgery to not comment on her driving my car; if I’d had a tongue to bite, it would have been an even bigger mess than my new, surgically created, tongue.

4.After big, life-changing, surgery, emotions are heightened.

This is normal and it continues for many weeks; maybe months and sometimes years. The ability to ‘feel more’ intensifies; the air you breathe is sweeter, more rarefied, more precious. I cry far more easily now; my friends know I love and cherish them because I tell them; I won’t waste time doing meaningless, unproductive work for organisations with no purpose and no soul; I choose carefully the people I want to spend time with. The consequence of this hubris is that I am blessed with some incredibly strong friendships while being much less financially robust. However, I now live with ethics, principles and morals and luckily a husband who still works.

5.Your scars will not be as bad as you think they will be.

Three years on, mine are visible but are now an essential part of who I am and frankly I don’t give an XXX what others may think. Three years ago, I never would have believed that I would be so comfortable in my own skin.  My wise girlfriend Haydee, shared ” scars are tattoos with better stories”.  These days I am an avid storyteller.

6.It’s tougher on your support team than it is on you.

You have to get on with the business of living, surviving or dying. You’re the lucky one, it’s happening to you and you alone choose how you deal with your diagnosis. The loved ones around you are plunged into seas of uncertainty, fear, stress and worry. They can only look on knowing that community and society judges their reactions and behaviours to your diagnosis. Be kind to them. Worst case scenario, they could choose not to see you.  In my experience, they only get away with this, if they live far away and their local community has no idea that they have not seen you since prior to your diagnosis. The ones who live close by, are the ones who will be judged. Be nice.

7.It’s BS when they say children are resilient.

Roscoe has had his moments of resilience just as he’s had his moments of sheer fright and panic. They are humans, they process emotions slightly differently to adults but they still feel. And never lie to a child about your diagnosis. I thought I was protecting him when I lied that people get better from this cancer and it was nothing to worry about. 15 months later I had to tell him that Charlie had died, leaving his mate, Tyler, without a Mummy. I will always remember his reaction and his face on hearing this news. Now he’s a teenager, I know I disappoint him on a more regular basis but unlike other parents, I know when disappointing my child began.

8. It takes two years minimum for you to come back into yourself.

I went back to work, way, way, too early with a brain like a jellied eel and a memory bank of mush. I turned up to a meeting with my new Exec Director and found myself stuck in one of Dr Who’s time loops, repeating what I’d just said over and over again. I kept waiting for my synapses to fire up but they were away on extended holiday. This was neither good for my confidence, nor my soul. Give yourself time to heal; mentally, physically and emotionally. Otherwise you could end up back in another operating theatre 6 months later, like I did.

9.You will be skinny but it doesn’t last.

I walked out of hospital, the same weight I was in my twenties. Apart from the arm cast, the scars and the hollowed cheeks, I thought I looked great – I could fit into all those skirts and trousers I had held onto in the vain hope I’d be a size 6/8 again. But the joy of being able to eat roars loud and unfortunately I’m now heavier than I was prior to my diagnosis. Determined to not be ‘fat with scars’, I’m pushing myself through a fitness regime with menopausal zeal. I look back on those early days of recovery with a fondness beyond the obvious gratitude that I’m robust and well enough to attend my fitness classes today.

10.The desire to be a cancer missionary, raise money and awareness will burn bright.

I’ve given speeches, talks, opening addresses at conferences, appeared on TV and radio, been interviewed and started this blog. I wanted people to be aware, to know it could happen to them, even if, like me, they never lived with any of the so-called causal factors. “It could be you” became a mantra. I don’t know if any of this has made a difference to others but it’s made a massive difference to me. To be able to make people listen, to have them laugh and cry and feel and most importantly check their mouths, is an immense privilege. I have honed my speaking ability, my presentation skills, my writing platform and my ability to laugh at myself.

 

11.Why stop at 10?

That would be predictable and you know in your very soul that life can change on a dime. So embrace the learning, the ongoing curiosity about what’s happening to your heart, mind and body; stand up on the surfboard of change and love your life.

12.Attend all of your check up appointments. Don’t miss one.

Listen if I can get on a plane, fly 8 hours and drive 100 miles for a 10 minute check up appointment every 2 months, then you can make sure you show up too. Turning up to my first checkup without Craig was tough;  we had seen Mr Bater together for every appointment; we were the practised double act, always trying to raise a smile or a reaction from this taciturn cancer consultant. On my own was a much scarier, lonelier proposition, particularly the time when I had developed potentially serious symptoms many hundreds of miles away. The sense of distance and vulnerability created by leaving my support network in the UK has diminished over time, after all, I know what it takes to get back to Mr B if I need to.

13.Frame yourself as a cancer adventurer.

It takes five years to gain an ‘all clear’ diagnosis, in the meantime I’m not fighting cancer or surviving cancer, I’m on a life adventure with regular cancer-free checkups. And long may this continue. When I outsourced my cancer removal to Mr B and his medical colleagues, I kept my cancer recovery responsibilities. I’m not a victim of cancer, I’m not battling it. I’m getting on with stomping, stumbling and exhibition-dancing my way through life.

Our time here is fleeting; I’m a tiny atom of matter in multiple universes of atoms and matter. I’m connected and separate and time-bound and slowly disintegrating and dying (hopefully of old age).

After all, we’re all destined to not make it one day.

So let’s make this day, and each day, count.

Breakthrough

The last time I successfully chewed any food using the back teeth on the left hand side of my jaw was Friday, December 4, 2015.

Until today.

This morning, after barre class at the studio, I stopped off to buy some Christmas decorations for the school Interact club donation drive and managed to walk out of the store with an additional small bag of caramel popcorn.  It’s a weakness which is indulged after every exercise session and it’s probably the contributing factor to my not losing any weight.

Feeling part guilty, part starved, I prise open the bag and start driving whilst scoffing away.  About six mouthfuls of popcorn later,  I start getting jaw ache –  this is quite common and is a side effect of the mouth cancer.   Only this time my belly is not giving up so easy, so the communication signal goes to the brain to  try to use the left side incisors.   (The last time I did this I ended up with a very chewed, painful and mangled flap which took nearly a year to heal). Tentatively, carefully, I take one kernel and pop it into the left side of my mouth and slowly start to chew.  It feels so good and the taste is more satisfying, almost sweeter.  Even better, there is no pain and nothing else but the popcorn gets chewed.  I try again, and again, and again, until there is no popcorn left.

And I know this seems like a stupid thing to write about but it’s such a victory.  If I can do it with popcorn, I can do it with other foodstuffs and this opens up lots of new opportunities to try different tastes and textures.

I am so grateful that I continue to recover and heal.  These small things deserve to be recognised and celebrated.

Discomfort

As humans we communicate using a myriad of tools and techniques. While we in the business talk about verbal or oral communications as well as non verbal, auditory and kinesthetic communications, in practical terms humans connect via reading and writing, body gestures, facial expressions, eye contact, touch, posture, sign language and actions and behaviors, including how close we stand next to one another. (Think about how you feel when someone stands closer than you would prefer, how much you feel uncomfortable and how you react).

This week I’ve had to rely a lot on my non verbal communications. Unlike my mouth cancer where I was able to produce a few guttural words after the operation; a profusion of ugly mouth ulcers on my lower gum, alongside the remainder of my tongue and down my throat have rendered me speechless.  And scared.

Its been over 2 years since my mouth cancer diagnosis and operation. I’ve frequent follow-up appointments with the maxfax consultant and all remains good. But the daily tussle with the mind continues. Any cancer remission patient will tell you that life becomes infinitely sweeter in the immediate recovery weeks after the end of their treatment.  It’s a warning and a blessing to still be here and to be able to hug, hold and communicate with friends and loved ones.  Over the passage of time, memories smooth out some of the trauma and daily gratitude often slips from the conscious to the subconscious, only popping to the fore when reminders snake up.  This is how it should be, it’s how the system helps repair the self.

However some of us carry a residual sense of deep impermanence. Where we know life is short and can end at any time. This cannot be described as fear but I’ve yet to make peace with this knowledge. I can get very short-tempered with the time wasting and downright laziness that is inherent here in Barbados. Where others think their time is more valuable that yours so yes they will just take this phone call and gossip with a friend while they stop serving you or they will download their mound of groceries on the cashiers belt in front of you and then saunter off for another 15 minutes to complete their shopping. The countless times I stand waiting for someone to finish chatting with their co-workers, or wait in for workmen to appear 5 hours late with no apology or watch traffic come to a halt so the bus drivers can have a chinwag. While others might put this down to Caribbean time, I want to yell “but not on my time, I don’t know how much I’ve got left and what I’ve got is precious”.  To be fair I don’t think my time is any more important than any one else’s, I just want the opportunity to spend it as I choose.

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This has really come to the fore these past few days. Rendered mute and in pain, I read as much as I can on dealing with ulcers or canker sores and how to help them heal.  Of course it doesn’t matter how many times I gargle with salt water and bicarbonate of soda or drink camomile and honey tea, or eat my body weight in ice cream to numb my mouth, it is only time that will heal.  I cannot push recovery to be faster, I cannot star jump or deep breathe my way to a better mouth, I just need to sleep lots, stay calm and let it go.

And this is the mind challenge, for try as I might, this week has brought back into technicolour focus what we all went through as a result of my cancer diagnosis.  I give myself a mental beating for some of my recent lifestyle choices and giving into my natural hedonistic tendencies ; unfortunately I’m not blessed with a deep desire to get up with the dawn chorus, chant “OM”, eat berries and contort my body into positions better suited to pre-pubescent gymnasts.  I know I should but when there is a great cocktail bar and a live band performing, guess where you’ll find me?

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Refocusing my mind away from what I see as fun versus what I think will make me dull and boring,  towards the goal of long-term health and strength  is something I need to work on.  Part of me thinks I haven’t survived my cancer to live my life as a scholastic monk but there are consequences as a result of my recent choices.  It’s time that I accept responsibility and make some necessary changes such as getting to the gym regularly, eating more organic fruit and vegetables and learning to stop stressing about the incompetent driving and bad manners that seem to be prevalent  on this island. And probably, (written reluctantly),  managing my desire for the evening G&T under the guise of it helps me de-stress! Changing life patterns may cause a bit of discomfort but the benefit of a healthy life  and the corresponding ability to fully communicate as well as spend time with friends and loved ones are the most compelling of incentives.

 

 

 

 

 

Stuff and things

When I don’t write out my thoughts and ideas,  they live in my head and sometimes grow to scarily gargantuan bubbles of nonsense which pop! when I eventually sit at the keyboard.

The concept of ideas coming to me, like invisible atoms, all joining up for a transient, coalescent moment is both comforting and frustrating.  My subconscious is telling me to make time.  I need to pay more attention.

I’ve been lost in the land of doing for the past 3 months. In just over a week, we board a plane to start our 4 year Caribbean adventure and I’ve been head buried; organising, sorting and packing up our UK life and preparing everyone for the sunshine and showers of the next chapter.  Time, which seemed so plentiful when we first heard this news, is now travelling at warp speed.  People I wanted to see, places I wanted to go, things I wanted to do, well it just won’t happen, not for now anyway.

On the bright side, I’m not gone too long as I need to return to the UK on a regular basis to see the Maxillofacial consultant.  My two-year cancer anniversary looms in December and statistically, if you chose to believe such numbers, the chance of a recurrence drops dramatically after this point.  I’m quietly, mentally counting down to my visit on December 6 and trying to manage my cortisol levels as I singularly manage our move.

Everything in our home requires a decision.  It goes to Barbados.  It goes into store. It goes out.  I have removed a decision point by the packers being in so many items have already gone.  I’m struck at how much stuff and how still attached to stuff I am.  This move is teaching me to really begin to practice letting go. I’m hoping in 4 years time I’ll  be kicking myself for still hoarding all the bits and pieces that have already gone into store and to enjoy the process of throwing most of it away.


The far-too-early snuffed life force of Charlie Rees gives me daily perspective when all of my plans, preparations and activities seem out of control.   I’m grateful to be here each day, to be stressing about the nonsense of items which provide rich memories of people and places, of life and love.  I’m blessed to enjoy paintings and music, to warble-sing to good-time tunes, to walk uninterrupted across miles of verdant countryside with the dog pulling at my company, to uproariously laugh with my increasingly smart and funny Roscoe, to spend time with my fabulous girlfriends.  I don’t take any of this for granted.  Not any more.

Charlie gave me this gift and I remember and thank her daily for it.

The gift of knowing the difference between the stuff of life and a life of stuff.

The ones that got away

So I was in the midst of a post about loss and belonging which I thought I’d finish today and then I woke up to yet another terrorist incident in London Bridge.  And this old post, in less than 24 hours, seems oddly out of date.  No one can make sense of what is happening in our world, it seems to be tilting on its axis.  And words written one day don’t translate the next.  Or in case of Trump,  words of bile and hate tweeted in one second, seem petty and deliberately cruel and divisive when there is a call for a more collective coming together, led by London’s Muslim mayor, Sadiq Khan.

Of course the joker of the free world will not tune into the spirit of what is happening in the UK tonight.  It does not suit his purpose to bring religions, tribes, people together, with the sole purpose of love for humanity.  The people in Manchester and London who  turn out in their thousands, stand in brave defiance of any act of terrorism.  They choose to not be cowed in the face of mad extremism. They turn up, young and old, girls and boys, men, women and gender neutral, gay, straight.  Christian’s, Muslims, Buddhists, Hindus. Atheists   –  no matter how they define themselves – they stand together across our country.  Remarkably so many enjoying the concert in Manchester tonight are the ones who got away two weeks ago.

For survivors, after the initial shock, there comes confusion and anger, fear, relief and a heightened sense of emotion, of aliveness and purpose.  These emotions will crash together for a long time  so you live in a sea of swirling sickness.  A bringing together is cathartic, a chance to share the collective grief, relief and guilt.  Why them, not me?  What is the meaning of this? How can I live my life with greater purpose?  How can I learn and grow from this experience?  How do I rejoice in this greater connection?

Three weeks ago I lost a mentoree.  I met Charlie last October, shortly after her mouth cancer diagnosis.  A beautiful, feisty, single Mum, her 12 year old son, Tyler, would come and hang out and play X-box with Roscoe as Charlie and I holed up and I talked her off the ledge and towards her operation and recovery.  We discussed how she was going to raise awareness of mouth cancer and decided on vlogging  as Charlie’s personality and looks made her a powerful advocate for people to stop and pay attention.

That first night, Charlie showed me her cancer and talked a lot about death and her fears for Tyler’s future.  Over the course of the following weeks it was a subject she would return to and I, who never considered the possibility when given my own diagnosis,  would talk her round and get her to look long forward.

Only Charlie proved me wrong.  Despite everything; her fierce love for her son, her advocacy, the sheer strength and will of those family and friends who held her, comforted her and challenged her to keep on, her body gave up and she died early on Saturday morning.

And I am bobbing in the stormy sea of survivor’s guilt.  There’s no sense to be made.  Sometimes you can be in the wrong place at the wrong time, sometimes it is just your time.  And for those of us left behind,  we need to find the words through the guilt and fear, the relief and gratitude, to explain how we feel and what we’re thinking and to reach out for help, support and love.

And those living with and loving the ones who are fortunate enough to have got away, please remember healing takes time and happens in many forms.  The single most powerful thing you can do is put your own judgement and fear to one side and just listen.

 

 

 

 

 

 

 

The Poster ‘child’ and Poo

It is almost a year since my cancer surgery and knowing it is mouth cancer awareness month, I am chatting to my consultant surgeon at my 6 weekly consultation,  about what he does to raise awareness.  He shares some of his experiences with running free clinics and receiving ‘dogs abuse’ from Doctors who think he is scaremongering, and of the difficulties he faces getting the support required to set these up.  As part of this conversation I casually offer to support him in any of his efforts.

Less than a week later, he leaves a message on my answer phone.  BBC South are interested on doing a piece on mouth cancer and want a patients perspective.  Will I do it?  After a couple of conversations with the communications department of the Basingstoke Health Trust and a BBC producer,  I find myself in front of a TV camera.

blue-lips-mouth-cancer-awareness-1144x762Up to this point, I have been fairly quiet about my cancer.  I haven’t been deliberately hiding it, I know I need to take the time to get physically better, learn from and work through the changes that it brings and to embrace my new sense of self and identity.  I also know that I need to find a new job in the New Year  and that finding a new role is likely to be more problematic  with a recent cancer diagnosis and recovery story tagging along behind me.

So, I take time, writing this blog, going to all the various treatment and support groups, having fun, hanging out and welcoming support from my tribe of great friends while focusing on getting better.

tah-dah-1In one morning, I blow the control and management of my personal experiences right out the water.   I run starkers, out of the closet with a primal Tah Dah!!

It’s a positive and a negative being a communications expert in situations like these.  What is the message and the hook that will have people stop making tea and look at the screen? How will this message be memorable in 30 seconds?  What will make people do something different  from what they did before (i.e) stop ignoring persistent mouth and neck problems.  It is with a dawning sense of  dread, that I realise I need to show my “new” tongue and my scars to the good folks of the South of England, to wake them up to hopefully take preventative action.  And  not even my lovely Craig gets to see my tongue in private.

I am clear about my message – “It could be you” is the hook.  I want the audience to know that I don’t qualify in any of the so-called factors they say generates mouth cancer.  As cases are on the increase and more research needs to be done on the causal factors – don’t be lulled into thinking “it won’t be me”.

They edit it, of course, so the message is not so direct and I get quite cross when they find a loquacious but officious dentist in Birmingham to come on after my segment and talk about all the old traditional factors surrounding mouth cancer.  Grrr.

radio-imageBut as I have also agreed to do a live interview on Radio Berkshire the following morning, I know I have another opportunity.  Radio as a medium is very different to TV.  A verbal rather than visual hook is required to get people to stop and think.  My story becomes real when I talk about telling Roscoe, my then 11 year old son, that I have cancer.  Parents are likely to shudder at the thought of having to do this. And everyone can imagine what it would feel like, having to tell loved ones such horrible news.  Hopefully this has people booking regular visits to their dentist.

I then go  ‘live’ on Facebook  to drum up more awareness.  Not only am I now naked and out the closet, I am swinging from the door!

I shut my laptop, pack my bag and get ready to support a girlfriend with a values in action workshop.  In my handbag is a letter, the contents of which I have not shared with anyone.

It states that my recent breast mammogram results require me to have another mammogram and consultation with a doctor in 48 hours at the Royal Country Hospital in Winchester.

Shit happens doesn’t it?

star-jumpsSurely after the mouth cancer and the removal of half my thyroid, I am done for the year.  Surely it is my turn to be well after all the healthy living, breathing techniques, positive mind work, the alternative therapies, vitamins and new knowledge.  I convince myself it is nothing, they are being extra careful with me because of my recent cancer adventure.

So I waltz into the Hospital, smiling and positive, up until my left boob is being “squashed and squeezed” and the response to a casual question to the lovely radiographer, is ringing in my ears.  She is not able to tell me what is wrong, I need to see the Doctor.

I don’t think I have ever felt fear like this before.  Like a menopausal heat wave it works its way from the top of my head to the soles of my feet in a millisecond. And I can’t move as my boob is stuck in a vice!  Yup, out of the closet, Tah Dah! now really quite naked and very exposed.

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Sent to the waiting room for 20 minutes, I decide to pop to the bathroom to do some deep breathing techniques and star jumps (quite tricky in a small space and in reality more like a hop with two wildly failing arms).  A bit puffed, I turn to face the door and see a poster all about poo.  It seems quite apt, in this moment, to be looking at various shapes of poo and what they mean.  So in the interests of sharing my new knowledge I take a picture.

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Knowledge and a bit of levity are often the paddles you need when the shit creek appears.  And the ridiculousness of the situation, trying to do star jumps in a tiny toilet with a poo poster on the door, makes me laugh out loud.

Shortly afterwards, the Doctor shows me, on the small screen, my breast lump which thankfully turns out to be a cyst.  With the help of a sonogram and a ‘Dot-Dot’ large ‘Dot-Dot’ needle, it is aspirated and gone.  More mammograms confirm all is good and I step out on the street.

It’s been quite a 48 hours.

I head home for hugs with my boys.

Saying ‘Aaagh’

Today I went for my first ever Breast mammogram.  I am constantly amazed by how fortunate we are to have our National Health Service and for this breast screening to be free.  However, it turns out that many women do not turn up to the screening service, particularly the younger age group (the NHS is now offering screening services for a randomised group of women aged between  46 and 50).

pink breast cancer awareness ribbon
pink breast cancer awareness ribbon
This 6 minute test is undertaken by highly trained, caring and compassionate women, normally in a location where it’s easy to park. It’s so efficient I was in and out of the car-park within 30 minutes.  Breast cancer awareness is everywhere.  From Hollywood superstars, to business leaders, friends, Mums, daughters – the proliferation of pink cancer ribbons and fund-raising is huge. As is, unfortunately, the number of people we know and care about being affected by it.  Why take the risk and skip your Mammogram?  It’s 6 minutes of ‘uncomfortableness’, yet potentially  months and years of peace of mind.

So if people don’t turn up for mammograms for a cancer that is so widely known and prevalent, just consider the Herculean task of waking people up to the potential of mouth cancer.

In the UK, November is designated mouth cancer awareness month.

mouth-cancer-ribbon

Mouth cancer is on the increase;  by 39% in the UK in the last decade and by 92% since the 1970’s.  In my small friendship circle alone,  I know 3 other women who’ve experienced it and one lovely, gentle man, who has died of it. More people die from mouth cancer than cervical cancer and testicular cancer combined. Last week my dentist told me she’s just referred a 19 year old teenage boy showing all the signs of mouth cancer.

sam_0493This is not a cancer to be taken lightly.  Its effects are more visible and potentially more debilitating than many others.  Removing oral cancer, if it’s caught in time, can leave long-lasting affects on the speech and swallow function, on the function of the jaw and voice box, on neck and shoulder movement and additionally – in my case at least – a significant psychological impact created by  extensive scarring  to the mouth, neck, arm and stomach and having to learn to speak differently. img_6937 In many cases, mouth cancer survivors have to cope with developing a new self-identity.

Many of the populace – if they happen to be aware about mouth cancer at all –  figure it’s not going to happen to them.  Particularly if they don’t smoke, drink only occasionally, eat a balanced, healthy diet, have never had the HPV virus, are female, are fit and healthy and are under 50.

I was one of those people.

These factors were the reason that my dentist discounted mouth cancer for 4 months – and she is a great dentist.  Today,  as I type, a 47-year-old, fit, healthy and gorgeous woman is undergoing a 10+ hour operation because  4 different dentists misdiagnosed her mouth ulcer as being caused by a wisdom tooth.

mouth-cancer-check-2016-a4-downloadWe need to take responsibility for our own mouths.  Pay attention to ulcers which have not healed within three weeks, red and white patches in the mouth or any unusual lumps or swellings in the mouth, head and neck area.  Anything unusual in your mouth, anything that changes and stays changed for more than 3 weeks – go and see your dentist.  Specifically tell them you want to discount mouth cancer.  Put that thought in their head before they examine you so it’s in their conscious brain.

Here is what to do to check your mouth – it will take you less than a minute.  Do this in good light and pay attention to any changes

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This picture is my mouth cancer, the day before my operation.img_6703 It doesn’t look serious does it?  But it was already a stage 2/3 cancer (I didn’t know this at the time) as it had spread into a lymph node.

As part of my monthly check up I discuss this lack of awareness with my Maxillofacial consultant surgeon.  He does all he can to raise awareness and catch people early.  He doesn’t want to sit in his consulting room, face a frightened patient and say “you’ve got cancer”.  He’d like to watch his young son play his football matches and read him bedtime stories, instead of standing in an operating room for over 12 hours conducting microscopic, intricate surgery to remove cancers that could have been treated differently if caught earlier.  His dedication is inspiring, admirable and his frustration palpable. I always know  when he pushes back his chair and runs his fingers over his head,  he’s stressed.  I’ve seen him do this enough times in the past year to know this pattern.

mouth cancer risk factors
mouth cancer risk factors
So many people have asked me, what causes mouth cancer.  The official line is smoking increases your chances as does heavy drinking.  If you’re overweight, eat rubbish, don’t exercise, have the HPV virus, are over 50 and male, you’re much more likely to be in the target zone.

But given none of this applies to me, I’m left with seeking different answers.  So here is my theory, based on my extensive reading and research over the last year.  In addition to the list above, pay attention if you are:

  • Stressed, and have been stressed for a long period of time;
  • Heading towards burnout (including feeling irritable, unpredictable, isolated, frustrated, confrontational, irrational, incoherent, always tired, eating or drinking more);
  • Hold, or have held, a mobile phone to your face and ear for over 20 minutes for long periods of time;
  • Grow up in a household with parents who are heavy smokers;
  • Spend, or spent time in, smoky atmospheres even though you have never smoked yourself.

Make a date with your mouth each week. Consider this to be an essential part of your personal insurance policy for the years ahead. 

May  you, and your loved ones, live long, happy, healthy, productive, cancer-free lives.

And may Mike get to spend more time with Henry.

family-playing-football-beach-summer-day-38192616

 

 

 

 

 

 

In sickness and in health

Craig and I often spend time apart – either because of work, family commitments or social engagements with friends.  For us, this is healthy, it lets us have space from each other while at the same time acting as a reminder of why we have chosen to spend our lives together.  And much as though I miss him, I look forward to these brief breaks.  So when he said he wanted to go to Scotland for a few days to see his Dad and spend some time with his old buddies, I readily agreed we should make this happen, despite, and because of, my recent surgery.

img_8734As during the past twelve months, with the exception of the inevitable work commitments, he has been at my side.  And at the same time, he has changed his job to a much higher profile role, lost his Mother and has been caught in the middle of a protracted and messy long-term sibling disagreement.  It’s no exaggeration to state his tenacity and commitment has been something of an inspiration for my recovery.

We don’t often speak of the toll on loved ones of a cancer diagnosis.  Personally, I feel it has been far harder on Craig than on me.  I see this sometimes when I catch him, unawares,  just watching me, or ‘spotifying’ our past summer holiday tunes, cooking incredibly tasty soups and stews to encourage me to eat when I’m suffering from the recurrent mouth ulcers or when he’s forgetfully wandering in and out of rooms. img_8285He has always told me daily that he loves me but now he says it with an intensity that I have no doubt of my responsibility for doing all I can to get better.  He regularly reassures me that he still finds me attractive, particularly during those days when I find my scars to be hideous or my skin-heavy tongue to be troublesome.  He encourages my forays into alternative and holistic healing, in-spite of any personal doubts.  He listens hard to my misshapen sounds and tunes out to my now atrocious singing, game fully joining in when the screeching gets too loud.  He laughs with me, and at me, when I’m being ridiculous.  He plans surprises big and small to keep me looking forward, supports my need to write this blog, sometimes correcting my grammar but often just letting it go to free my voice. He has gone from sleeping the sleep of the dead to waking at every sound and now seems incapable of sleeping any longer than 6 hours a night.  He  juggles his work commitments to accompany me to every hospital appointment and consultant review and apart from my banning him from coming to the intensive care ward, has been by my side every hospital day while pasting on his brave face for Roscoe every evening.  I don’t know how he managed to get through the day of my 12 hour surgery and emerge still sane.  I do know from the increasing amount of grey hairs on his head and, worry lines on his face, that my diagnosis and on-going recovery has been incredibly tough on him.

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From a change perspective I am curious to know how he manages and chose my moments to ask.  It turns out he likes some rituals – like putting on the washing, organising clothing into piles of colour and texture and measuring out the soap powder (he has a mistaken belief that I have always used too much)  He finds cooking to be relaxing (washing and tidying up afterwards, less so).  He needs to get out of the house regularly otherwise he suffers from cabin fever.  Watching any kind of sport on TV is a form of escapism.  He understandably seeks more predictability and organisation than we have experienced in the past.  He needs us to take regular breaks away from home as a means of forgetting, for the moment, where we are and what we are facing.

And if I had to do it over again (and I ask the Universe to ensure this is never the case), what would I ask him to do differently?  I would ask him to get more organised support, I would insist on a therapist or counsellor for him to talk to – not because I think he needs therapy but to have someone to be brutally honest with, to not need to put on the game face but just express his  deepest fears and emotions  as a form of catharsis on the body.  I would encourage more fitness, of any sort, to help with his cortisol and adrenal levels.  I would make him take omega 3 good quality fish oil for his amygdala health and well-being.  I would ensure that his buddies invite him out more for blokey, manly activities;  golf, squash, poker, classic car gazing, banger racing – whatever men do – as unlike me he internalises and finds it hard to ask for support. img_9564 I would restrict the alcohol levels and insist on far less meat and far more vegetables, not just as a side dish but as a main meal.  I would encourage him to have more “me” time, re-join the golf club for example, and to spend more time with his mates, away from home stresses.  I would shout louder for him, for help, support and care.  I would have him go to facials and back massages so he would relax and enjoy more pampering. In short, unless he feels cared for, how can he give so much of himself without he himself becoming depleted and sick?

And now, while I have just loved my most amazing girly weekend, he has enjoyed some much-needed down time with his buddies.

So all hail  some time away from the vows, commitments and promises that we make and keep.

As we continue to live “till death us do part” with our eyes wide open and our hearts full of love.

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It’s okay to be scared

I’m writing this post from another hospital bed with another view of another car park,  having undergone yet another procedure for another suspected ailment.image

And as a healthy person, this is scary.

I am the person who survives on minimal sleep during challenging work periods.   I’m the woman who is ultra calm and able to make clear, quick decisions during crisis. imageI’m the Mother always up for the 100metre dash at school sports days, who swims and skis, dances and laughs.  I’m assertive. Goal orientated. Caring and supportive.  I am lots of things.   I am Not sick.

So this latest adventure is more challenging than the first.  Because I can’t unknow what I now know. I know what it feels like to wear compression socks and hospital gowns, to have the anaesthetist say “slight scratch and sting”  before the land of nod arrives. I know about the half-life-waking in the recovery room and the waves of pain in-between the trips of morphine.  The bloods, the pulse checks, the blood pressure checks. I know. I know. I know.
And yet,  I’m more knowing of the concept of unknown.  Having embarked on this 8 week journey of fog, uncertainty and ambiguity, the answers remain elusive, even after today.  Perhaps this is how it’s meant to be.  For now.

I am more curious and inquisitive of the procedure, the consultant, the potential diagnosis and outcomes. I explore the dance of the mind from the outside in, knowing my thoughts and fears are just thoughts and fears. I live the experience of managing the mind and body on a daily basis, trying to stay present and not look too far forward.  And there are days when this goes great and I achieve gold star status and days where I’m outright, downright scared.image

On scary days I have to force myself out of bed.  I set small tasks to manage myself.  Cleaning out cupboards, filing, tidying.  I like silence but scary days demand loud dancing or singing music of infinite variety.  I try to get out but sometimes the really bad scary days mean I hide inside,  all the while knowing this is not the answer.  I chant and tap and do star jumps and stretches.  And I say  over and over “I am healthy, this is just a moment-in-time, a dose of bad luck”.

I AM healthy.  This is a wake up call.  To look after my body.  To eat clean organic food. To get and stay fit. To dance more. Laugh more. Live more.  To get scared more.  Because in those really scary moments in those really scary days, I know I’m alive.  I’m upside down with my guts in my throat roller-coasting through life.  And yes, it’s uncomfortable and dark and stressy at times. And it’s not rainbows and stardust and big, glitzy, glam ‘shout it from the rooftop’ experiences.  It’s real-life on a micro scale.image

What am I learning?

1. Patience.  I admit this has never been a great attribute of mine but I’m learning to wait, To stop, To breathe, To let go.  Being patient is an ongoing work in progress.

2. To talk out my fears.  When I hear myself speak out my darkest, most ridiculous thoughts I often immediately realise how mad they are.  Or I discuss and defend these until I talk myself out of the loop and then they go and I laugh at my own craziness.

3. To be able to feel without feeling too much.  I’m reacquainted with my feelings and stating what these are, while knowing they will change.  I also know now, how to put a lid on this so I’m empathetic but don’t get so involved.

4. That living with an unknown is not as bad as I thought it was.  It just is. I play with breathing and mindfulness and micro-doing and I get through the myriad of days with a better degree of thankfulness, grace and joy.

5. To shout for help.  Or, sometimes,  to just shout.  I’ve stopped trying to cope in silence.  I’ve put my pride to one side.  I’ve reached out and said “can you….” and I’m blown away by the time and generosity of my incredibly special tribe of friends.  And by my lovely husband who sometimes finds it as cathartic as I do, to shout loudly to relieve stress.

My latest scar is my ambiguity tattoo.  The unknown is scary but predictability is worse!image

Moving on

 

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I am struck by the change of mood and tone in the office this week. It’s coming towards the end of the voluntary redundancy period and details of the new organisation, potential opportunities and stark realities are now more in the public domain.   And this new information and knowledge strips hope bare.  The result is a more sombre mood, whispered conversations, quiet resignation and occasional bursts of anger and despair.

On the days that I go into the office, I make it my mission to smile, to be bright and cheerful.  It’s a colourful mask that I wear, snapped on as I step out of the car and it’s very firmly fixed as I tap my identity card Moving on. rainbowthrough the door barrier.  To wear it requires a mindset of curiousity “how can I make this better today?”  I am aware that my enthusiasm is not for all.  In some ways I am lucky to have missed the steady slow demise of these past few months; lucky to have learned new coping techniques for dealing with change outside of my control; lucky to know what’s important, what’s transient and what’s downright trivial in comparison.

But being forced to move on or even choosing to move on isn’t easy (although I do believe that having choice is harder than having something happen to you).  moving on. CaterpillerWhether its  company takeovers, redundancies, ending relationships, reviewing education options or even the current interminable  Brexit/Brexin debate in the UK, it all creates inevitable change. Our choice is how we choose to face this, how we move on, recognising that there are days when this is easier than others.  Let’s face it, even the more perfect souls have down days too.

I am not immune to reacting poorly to change.  I confess I’m finding it difficult to come to terms with all of my current physical inconsistencies.  The tongue that works some days and not others.  The shoulder which stubbornly refuses to move, the pain in the jaw which comes and goes and comes roaring back again, the lack of sensation  and ‘thick skin’ in the left hand side of my face and neck. Even the scars which are more visible now that the warmer weather is here.  Moving on from the physical effects of getting rid of my cancer is proving to be tricky and a positive mindset is often illusive.

As a result I’m a social hermit.  Given the amount of love and support I soaked up during treatment and its aftermath, it’s important to me to allow my tribe to move on with their lives and to not be one of those needy people, stuck in the grove of needing attention.  And this positive intention manifests itself in crazy ways. moving on. hiding in cave I avoid the phone. I don’t invite myself round for coffee or invite friends over for wine or gin and chat.  I’m conscious of people having to ask me to repeat what I’ve said.  The word ‘pardon’ or phrases like “excuse me”, “say again” or “I didn’t quite catch that” have taken on ridiculous proportions in my head. For someone who has much to say, it’s really frustrating that I can’t speak too long without jaw pain, tiredness and the inevitable slurring.  On days where I’m being kind to myself and more mindful, I remember that I’m learning to improve my listening, to use my NLP to look at the structure of the conversation, not the content.  But there are days where I beat myself hard, where I push to enunciate more, to exercise more, to say more, socialise more, be more ‘normal’.  And the price is a lack of energy, increased levels of pain, a heightened sense of self-consciousness and greater irritability and tiredness.

IMG_0393My desire to take action, to get over this, to move on, burns fierce-bright. My good days tease my down days with possibilities that achingly remain just out of reach.  I know I will get there, I just don’t know when.

When dealing with adversity our instinctive response is to fight, take flight or freeze.  Sometimes, standing in the moment, being rooted, is the best version of ourselves that we can be.

Moving on may not yet be the best option.

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